| Mymichigan Medical Center Midland | |
|
4000 Wellness Dr Midland MI 48670-2000 | |
| (844) 832-1956 | |
| Not Available |
| Full Name | Mymichigan Medical Center Midland |
|---|---|
| Speciality | Clinic/Center |
| Location | 4000 Wellness Dr, Midland, Michigan |
| Authorized Official Name and Position | Bryan Rex Cross (CEO) |
| Authorized Official Contact | 9898391322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mymichigan Medical Center Midland 4000 Wellness Dr, Provider Enrollment Midland MI 48670 Ph: (844) 832-1956 | Mymichigan Medical Center Midland 4000 Wellness Dr Midland MI 48670-2000 Ph: (844) 832-1956 |
| NPI Number | 1205889490 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 2264323633 |
|---|---|
| Medicare Enrollment ID | O20040324000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205889490 | NPI | - | NPPES |
| Provider Name | Andrew Michael Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023144433 PECOS PAC ID: 8123923489 Enrollment ID: I20031201000543 |
| Provider Name | Carlos O Diola |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225022387 PECOS PAC ID: 2264330976 Enrollment ID: I20031219000331 |
| Provider Name | Toms P Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417912742 PECOS PAC ID: 6507769197 Enrollment ID: I20040130000472 |
| Provider Name | Elie M Obeid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770517534 PECOS PAC ID: 9133013105 Enrollment ID: I20040211000021 |
| Provider Name | Shahrokh H Mansoori |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053334177 PECOS PAC ID: 1951290162 Enrollment ID: I20040316000112 |
| Provider Name | Jeanine M Pfundt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639235419 PECOS PAC ID: 1355231473 Enrollment ID: I20040319000990 |
| Provider Name | Mark J Goethe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073535829 PECOS PAC ID: 9436040342 Enrollment ID: I20040322000805 |
| Provider Name | Meihui Ma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487679569 PECOS PAC ID: 1355233586 Enrollment ID: I20040325000142 |
| Provider Name | George P Roller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932235348 PECOS PAC ID: 5890788822 Enrollment ID: I20040412000672 |
| Provider Name | Mildred J Willy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407982291 PECOS PAC ID: 7416943154 Enrollment ID: I20040420001657 |
| Provider Name | Jeffery J Nielsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528194461 PECOS PAC ID: 9830185586 Enrollment ID: I20040420001687 |
| Provider Name | Barbara L Vanderheide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134146624 PECOS PAC ID: 0547243925 Enrollment ID: I20040608000560 |
| Provider Name | Melody L Fitzer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003948753 PECOS PAC ID: 4789660127 Enrollment ID: I20040626000412 |
| Provider Name | Kathleen Regan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225056427 PECOS PAC ID: 7517938749 Enrollment ID: I20040803000227 |
| Provider Name | Lorenzo D Berlanga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063487411 PECOS PAC ID: 9830184266 Enrollment ID: I20040806001248 |
| Provider Name | Andrzej S Boguszewski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063580595 PECOS PAC ID: 1254304512 Enrollment ID: I20040816000223 |
| Provider Name | Denise R Schiebout |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598977316 PECOS PAC ID: 5496722308 Enrollment ID: I20040910001112 |
| Provider Name | Khaled S Hafez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144311564 PECOS PAC ID: 7719954650 Enrollment ID: I20040910001275 |
| Provider Name | John Allen Lieberman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912995762 PECOS PAC ID: 7416924360 Enrollment ID: I20040910001304 |
| Provider Name | Christina Lynn Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497736680 PECOS PAC ID: 5698743276 Enrollment ID: I20040921001128 |
| Provider Name | Michael Nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942241633 PECOS PAC ID: 7012973209 Enrollment ID: I20041209000183 |
| Provider Name | Helen J Decorte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447258330 PECOS PAC ID: 0244298750 Enrollment ID: I20041230000347 |
| Provider Name | Charles A Guidot |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467413948 PECOS PAC ID: 8527964907 Enrollment ID: I20050110000183 |
| Provider Name | Richard A Mills |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790713949 PECOS PAC ID: 8224096714 Enrollment ID: I20050203000639 |
| Provider Name | Mark W Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821093345 PECOS PAC ID: 0042266926 Enrollment ID: I20050331000019 |
| Provider Name | Jeffrey Scott Newman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255373163 PECOS PAC ID: 6507809530 Enrollment ID: I20050609000881 |
| Provider Name | Steven W Huder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871585166 PECOS PAC ID: 4082656129 Enrollment ID: I20050610000777 |
| Provider Name | Craig P Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982647384 PECOS PAC ID: 1456381086 Enrollment ID: I20050815000124 |
| Provider Name | Richard S Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316051634 PECOS PAC ID: 0345273934 Enrollment ID: I20050914000719 |
| Provider Name | Roger C Merk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841218666 PECOS PAC ID: 0749213015 Enrollment ID: I20050916000248 |
| Provider Name | Robin Lee O Dell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558393108 PECOS PAC ID: 4880619907 Enrollment ID: I20051007000660 |
| Provider Name | Monica Ann Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548372386 PECOS PAC ID: 5496773723 Enrollment ID: I20051104000741 |
| Provider Name | George G Zainea |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1801906276 PECOS PAC ID: 1153216171 Enrollment ID: I20060105000758 |
| Provider Name | Marina Bogdanovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225099088 PECOS PAC ID: 8426062241 Enrollment ID: I20060201000258 |
| Provider Name | John Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750313870 PECOS PAC ID: 2567477185 Enrollment ID: I20060217000266 |
| Provider Name | Michael N Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174506190 PECOS PAC ID: 0840205472 Enrollment ID: I20060217000349 |
| Provider Name | Waleed Doghmi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023010204 PECOS PAC ID: 3375513096 Enrollment ID: I20060221000442 |
| Provider Name | Kevin A Brewton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861402836 PECOS PAC ID: 6608861836 Enrollment ID: I20060308000029 |
| Provider Name | Denise M Stadelmaier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780613117 PECOS PAC ID: 0042227597 Enrollment ID: I20060308000757 |
| Provider Name | Kenneth M Mackinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245284124 PECOS PAC ID: 9537115365 Enrollment ID: I20060504000688 |
| Provider Name | Roger J Beaudoing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639154768 PECOS PAC ID: 9133131550 Enrollment ID: I20060628000238 |
| Provider Name | Richard Charles Sarle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558310920 PECOS PAC ID: 7618980897 Enrollment ID: I20060712000011 |
| Provider Name | Spencer Thomas Bertram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205876513 PECOS PAC ID: 5991718504 Enrollment ID: I20060727000378 |
| Provider Name | Susan M Sallach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659338630 PECOS PAC ID: 3072558139 Enrollment ID: I20060801000086 |
| Provider Name | Stephen James Mattichak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013930189 PECOS PAC ID: 5698779759 Enrollment ID: I20060831000427 |
| Provider Name | Kirk Jon Bortel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063466837 PECOS PAC ID: 9830194562 Enrollment ID: I20061002000174 |
| Provider Name | Jamie A Poliskey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982658787 PECOS PAC ID: 9830194570 Enrollment ID: I20061002000184 |
| Provider Name | Lynn Elaine Simons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457321291 PECOS PAC ID: 6002813300 Enrollment ID: I20061030000435 |
| Provider Name | Michael S Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184729683 PECOS PAC ID: 2365440161 Enrollment ID: I20061109000435 |
| Provider Name | Pankaj Guglani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417040379 PECOS PAC ID: 0648278168 Enrollment ID: I20061117000050 |
| Provider Name | Kimberly D Wallace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750327045 PECOS PAC ID: 9537168976 Enrollment ID: I20061212000221 |
| Provider Name | Lisa Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104871169 PECOS PAC ID: 3274533815 Enrollment ID: I20070105000243 |
| Provider Name | Linda L Mcintire |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063481919 PECOS PAC ID: 6608807896 Enrollment ID: I20070206000506 |
| Provider Name | Melwyn J Sequeira |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265572135 PECOS PAC ID: 2668575861 Enrollment ID: I20070308000331 |
| Provider Name | Matthew P Steffes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275633596 PECOS PAC ID: 7416053731 Enrollment ID: I20070828000157 |
| Provider Name | Vincent A Simonetti |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811092778 PECOS PAC ID: 4385635093 Enrollment ID: I20070914000043 |
| Provider Name | David E Newcomb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326158072 PECOS PAC ID: 6608961487 Enrollment ID: I20071009000535 |
| Provider Name | Kelly J Wirsing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427268010 PECOS PAC ID: 1254427321 Enrollment ID: I20071020000034 |
| Provider Name | Mary Ann Slominis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568675882 PECOS PAC ID: 5991891806 Enrollment ID: I20071023000293 |
| Provider Name | James Q Clemens |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366405359 PECOS PAC ID: 6406755891 Enrollment ID: I20071026000490 |
| Provider Name | Michael A Stack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932146685 PECOS PAC ID: 7911956701 Enrollment ID: I20071105000087 |
| Provider Name | Chong U Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366641573 PECOS PAC ID: 0244328169 Enrollment ID: I20071109000620 |
| Provider Name | Anita Tekchandani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477587319 PECOS PAC ID: 0840389870 Enrollment ID: I20071128000767 |
| Provider Name | Kerry L Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891707634 PECOS PAC ID: 3173613023 Enrollment ID: I20071217000283 |
| Provider Name | Beth A Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992996938 PECOS PAC ID: 9638250897 Enrollment ID: I20080201000045 |
| Provider Name | Paul Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740377688 PECOS PAC ID: 6901989284 Enrollment ID: I20080208000513 |
| Provider Name | Margueritte H Kuhn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750477022 PECOS PAC ID: 3476654492 Enrollment ID: I20080613000394 |
| Provider Name | Subramanyam Yadam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023126448 PECOS PAC ID: 9234201823 Enrollment ID: I20080626000045 |
| Provider Name | Karen F Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952509911 PECOS PAC ID: 3072688449 Enrollment ID: I20080819000816 |
| Provider Name | Jeffrey S Montgomery |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851417075 PECOS PAC ID: 5597859991 Enrollment ID: I20080829000322 |
| Provider Name | Malini Venkatram |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467639948 PECOS PAC ID: 0143396838 Enrollment ID: I20080903000512 |
| Provider Name | Pratima Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700808862 PECOS PAC ID: 3375619646 Enrollment ID: I20080910000444 |
| Provider Name | Eric J Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811084858 PECOS PAC ID: 5991872087 Enrollment ID: I20080915000466 |
| Provider Name | Cheryl Dwyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205843752 PECOS PAC ID: 6901968403 Enrollment ID: I20081217000361 |
| Provider Name | Julie Forstner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912922824 PECOS PAC ID: 8729150073 Enrollment ID: I20090318000072 |
| Provider Name | Cindy R Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619112281 PECOS PAC ID: 1254498314 Enrollment ID: I20090318000116 |
| Provider Name | Marcus Ma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336102847 PECOS PAC ID: 2961315072 Enrollment ID: I20090401000366 |
| Provider Name | Richard C Bennett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932313574 PECOS PAC ID: 4385794353 Enrollment ID: I20090612000241 |
| Provider Name | John Blamoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053490177 PECOS PAC ID: 6406950872 Enrollment ID: I20090629000087 |
| Provider Name | Ayodeji O Joshua |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568582443 PECOS PAC ID: 4385798644 Enrollment ID: I20090820000544 |
| Provider Name | Jakub B Malarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386731396 PECOS PAC ID: 2961557921 Enrollment ID: I20090827000505 |
| Provider Name | Scott F Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578774568 PECOS PAC ID: 1456406230 Enrollment ID: I20090831000275 |
| Provider Name | Mamoon Mohiddin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932209400 PECOS PAC ID: 0941355655 Enrollment ID: I20090902000105 |
| Provider Name | Ibrahim H Abou Daya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790950715 PECOS PAC ID: 8022154921 Enrollment ID: I20091007000179 |
| Provider Name | Brian J Macfalda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013130053 PECOS PAC ID: 8628116662 Enrollment ID: I20091111000260 |
| Provider Name | Carl Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326152240 PECOS PAC ID: 7012809833 Enrollment ID: I20091120000371 |
| Provider Name | Natalie L Kroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386778413 PECOS PAC ID: 2365582061 Enrollment ID: I20091210000199 |
| Provider Name | Yolanda Y Fong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700893195 PECOS PAC ID: 7517007164 Enrollment ID: I20091214000099 |
| Provider Name | Jack Pinney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982617247 PECOS PAC ID: 4981744968 Enrollment ID: I20091223000267 |
| Provider Name | Jeffrey P Striebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609981224 PECOS PAC ID: 2668512427 Enrollment ID: I20091229000626 |
| Provider Name | Anthony D Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396914016 PECOS PAC ID: 2961543251 Enrollment ID: I20100108000482 |
| Provider Name | David W Jordahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376552489 PECOS PAC ID: 7012097603 Enrollment ID: I20100113000130 |
| Provider Name | Roschelle Houston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780694992 PECOS PAC ID: 3577605153 Enrollment ID: I20100120000261 |
| Provider Name | Nazem Abdelfattah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255374757 PECOS PAC ID: 6406998475 Enrollment ID: I20100128000941 |
| Provider Name | Tammy S Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265535272 PECOS PAC ID: 0143363929 Enrollment ID: I20100202000253 |
| Provider Name | Sasha Savage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033122304 PECOS PAC ID: 6507909934 Enrollment ID: I20100206000040 |
| Provider Name | Julian H C Wan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851483226 PECOS PAC ID: 3971638826 Enrollment ID: I20100317000125 |
| Provider Name | Robert A Genovese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427038900 PECOS PAC ID: 7012829443 Enrollment ID: I20100318000152 |
| Provider Name | Gail Colby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770502593 PECOS PAC ID: 6204961030 Enrollment ID: I20100318000849 |
| Provider Name | William R Felten |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235119702 PECOS PAC ID: 5193637528 Enrollment ID: I20100323000139 |
| Provider Name | Surendra Kaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225036031 PECOS PAC ID: 0244209583 Enrollment ID: I20100623000915 |
| Provider Name | Andrew Michael Zwyghuizen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861514002 PECOS PAC ID: 8921139122 Enrollment ID: I20100702000401 |
| Provider Name | Daniel Y Danso |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386639680 PECOS PAC ID: 1052446341 Enrollment ID: I20101020001157 |
| Provider Name | Vesna Ivancic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003079682 PECOS PAC ID: 2567657703 Enrollment ID: I20101112000692 |
| Provider Name | William C Stacey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992794481 PECOS PAC ID: 0042237570 Enrollment ID: I20101115000116 |
| Provider Name | Mark D Horness |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033108998 PECOS PAC ID: 2769568658 Enrollment ID: I20101223000229 |
| Provider Name | Sharon Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619976065 PECOS PAC ID: 6002095130 Enrollment ID: I20110121000482 |
| Provider Name | Amanda Alvelo Malina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295931715 PECOS PAC ID: 3072679026 Enrollment ID: I20110124001094 |
| Provider Name | Phillip A Kadaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417157165 PECOS PAC ID: 9830378694 Enrollment ID: I20110125001176 |
| Provider Name | Ernest Ofori Darko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699766097 PECOS PAC ID: 9638358427 Enrollment ID: I20110126000151 |
| Provider Name | Todd K Holtz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982695375 PECOS PAC ID: 7719022698 Enrollment ID: I20110126000204 |
| Provider Name | Kelly Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649287962 PECOS PAC ID: 9830378553 Enrollment ID: I20110127000574 |
| Provider Name | Danny D Greig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366484271 PECOS PAC ID: 1456532977 Enrollment ID: I20110216000806 |
| Provider Name | Jesse G Walker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225070329 PECOS PAC ID: 7012198294 Enrollment ID: I20110221001033 |
| Provider Name | James R Mlejnek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548423155 PECOS PAC ID: 1658554761 Enrollment ID: I20110328000630 |
| Provider Name | Karla D Witzke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922202258 PECOS PAC ID: 0143404293 Enrollment ID: I20110414000017 |
| Provider Name | Laura J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033415757 PECOS PAC ID: 1456536499 Enrollment ID: I20110506000183 |
| Provider Name | Kurt M Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467743872 PECOS PAC ID: 3476731290 Enrollment ID: I20110627000615 |
| Provider Name | Rachel M Sawaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053571786 PECOS PAC ID: 6406024553 Enrollment ID: I20110718000093 |
| Provider Name | Sanjeev A Kaul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447469242 PECOS PAC ID: 7214105220 Enrollment ID: I20110719000052 |
| Provider Name | Elvira M O'brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255500674 PECOS PAC ID: 1557530912 Enrollment ID: I20110802000156 |
| Provider Name | Keith W Eaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457589053 PECOS PAC ID: 5092984203 Enrollment ID: I20110804000255 |
| Provider Name | Lindsay M Zeeb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215094149 PECOS PAC ID: 6800065046 Enrollment ID: I20110804000640 |
| Provider Name | Loabat Amiri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295959104 PECOS PAC ID: 8527237684 Enrollment ID: I20110805000129 |
| Provider Name | Jeanine Ernest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235367269 PECOS PAC ID: 2668641648 Enrollment ID: I20110809000028 |
| Provider Name | Samer H Kais |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851501613 PECOS PAC ID: 2567631278 Enrollment ID: I20110815000879 |
| Provider Name | Adam J Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043484934 PECOS PAC ID: 5395915847 Enrollment ID: I20110819000295 |
| Provider Name | Adeyiza O Momoh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962732156 PECOS PAC ID: 7517081607 Enrollment ID: I20110829000160 |
| Provider Name | Melissa B Murtha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427337963 PECOS PAC ID: 1759553381 Enrollment ID: I20111004000336 |
| Provider Name | Kelly M Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033390646 PECOS PAC ID: 7810169653 Enrollment ID: I20111020000331 |
| Provider Name | Egle Klugiene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861651200 PECOS PAC ID: 2163698705 Enrollment ID: I20111230000630 |
| Provider Name | Stephanie M Mallord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861775959 PECOS PAC ID: 0244406650 Enrollment ID: I20120106000462 |
| Provider Name | Carleton D Winegar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033152699 PECOS PAC ID: 2264609379 Enrollment ID: I20120112000517 |
| Provider Name | Faith D Fuentes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619013646 PECOS PAC ID: 9234390394 Enrollment ID: I20120417000322 |
| Provider Name | Ashley Linden Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790936128 PECOS PAC ID: 2769546043 Enrollment ID: I20120716000241 |
| Provider Name | Opesanmi O Esan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407003882 PECOS PAC ID: 1052567054 Enrollment ID: I20120807000635 |
| Provider Name | Bahaa Sami Malaeb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043474919 PECOS PAC ID: 2961672795 Enrollment ID: I20120920000729 |
| Provider Name | Tami Dutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932454501 PECOS PAC ID: 8123277613 Enrollment ID: I20120926000700 |
| Provider Name | Danielle L Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831350776 PECOS PAC ID: 6406006717 Enrollment ID: I20121023000303 |
| Provider Name | Schuyler A Rogg |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1356568406 PECOS PAC ID: 5294919833 Enrollment ID: I20130124000268 |
| Provider Name | Shane D Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386872588 PECOS PAC ID: 6507001906 Enrollment ID: I20130405000075 |
| Provider Name | Renee Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770829467 PECOS PAC ID: 6901042688 Enrollment ID: I20130425000208 |
| Provider Name | Jenifer Balawender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518263557 PECOS PAC ID: 3779720107 Enrollment ID: I20130502000382 |
| Provider Name | Jeffrey D Martindale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013158906 PECOS PAC ID: 4385887801 Enrollment ID: I20130903000572 |
| Provider Name | Uzoamaka A Esan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669712816 PECOS PAC ID: 2961646914 Enrollment ID: I20130913000298 |
| Provider Name | Paul J Spilotro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982823159 PECOS PAC ID: 9133363567 Enrollment ID: I20130924000933 |
| Provider Name | Emily R Mclaren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063731131 PECOS PAC ID: 9739314980 Enrollment ID: I20131024001726 |
| Provider Name | Neehar D Parikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669655478 PECOS PAC ID: 1759457559 Enrollment ID: I20131106001351 |
| Provider Name | Maureen L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770912776 PECOS PAC ID: 2163650110 Enrollment ID: I20140121000195 |
| Provider Name | Mark J Fireman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376517987 PECOS PAC ID: 4981699394 Enrollment ID: I20140214001159 |
| Provider Name | Jodie L Risnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760811392 PECOS PAC ID: 5395976153 Enrollment ID: I20140320001997 |
| Provider Name | Jennifer M Cameron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174944235 PECOS PAC ID: 6406087634 Enrollment ID: I20140401000514 |
| Provider Name | Akintayo R Sokunbi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164694337 PECOS PAC ID: 7113085507 Enrollment ID: I20140612000455 |
| Provider Name | Drenda M Hukill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427469238 PECOS PAC ID: 5799909446 Enrollment ID: I20140619000518 |
| Provider Name | Andrew R Wolford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609160506 PECOS PAC ID: 8527298652 Enrollment ID: I20140715000038 |
| Provider Name | Sujay Madduri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962738351 PECOS PAC ID: 3870719107 Enrollment ID: I20140723000739 |
| Provider Name | Nishant Kalra |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316146236 PECOS PAC ID: 3072605807 Enrollment ID: I20140801001559 |
| Provider Name | Shitanshu Uppal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801949540 PECOS PAC ID: 8820276975 Enrollment ID: I20140805000454 |
| Provider Name | Paul F Bucchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760794804 PECOS PAC ID: 6901059245 Enrollment ID: I20140813000182 |
| Provider Name | Sarah T Caszatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114336187 PECOS PAC ID: 5991923823 Enrollment ID: I20140905001324 |
| Provider Name | Ardeth A Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689082406 PECOS PAC ID: 4587883285 Enrollment ID: I20140911000674 |
| Provider Name | Shannon R Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952609091 PECOS PAC ID: 7214160829 Enrollment ID: I20140926001406 |
| Provider Name | Kayla M Irrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457781866 PECOS PAC ID: 0345462206 Enrollment ID: I20141107001161 |
| Provider Name | Monica M Colvin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1457388431 PECOS PAC ID: 4183709520 Enrollment ID: I20150209000634 |
| Provider Name | James R Fenton |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912112806 PECOS PAC ID: 5799917951 Enrollment ID: I20150320000407 |
| Provider Name | Kevin F Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711596 PECOS PAC ID: 1456678804 Enrollment ID: I20150323002033 |
| Provider Name | Leann Marie Schwedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326430075 PECOS PAC ID: 5991023053 Enrollment ID: I20150421002440 |
| Provider Name | Travis C Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437266582 PECOS PAC ID: 5991700973 Enrollment ID: I20150605001649 |
| Provider Name | Stacy Carstensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235519638 PECOS PAC ID: 9133431984 Enrollment ID: I20150707003287 |
| Provider Name | Chandy S Ellimoottil |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699903245 PECOS PAC ID: 4981917440 Enrollment ID: I20150714000298 |
| Provider Name | Omosalewa Itauma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891922613 PECOS PAC ID: 7618280298 Enrollment ID: I20150727000466 |
| Provider Name | Bosede B Joshua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467715185 PECOS PAC ID: 6204066400 Enrollment ID: I20150831001412 |
| Provider Name | Elizabeth J Mazzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568832236 PECOS PAC ID: 1658680384 Enrollment ID: I20151021000368 |
| Provider Name | Simpa S Salami |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972828192 PECOS PAC ID: 5395055131 Enrollment ID: I20151109000037 |
| Provider Name | Lindsey Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407228026 PECOS PAC ID: 8123328341 Enrollment ID: I20151119002194 |
| Provider Name | Michael M Heuninckx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811356694 PECOS PAC ID: 9537465034 Enrollment ID: I20160309001897 |
| Provider Name | Adrian Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538375076 PECOS PAC ID: 1153558440 Enrollment ID: I20160502000463 |
| Provider Name | William M Mellana |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710210679 PECOS PAC ID: 0648578187 Enrollment ID: I20160510000107 |
| Provider Name | Laurence Yung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376653352 PECOS PAC ID: 2961500640 Enrollment ID: I20160606000407 |
| Provider Name | Oluwafemi A Showole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801150602 PECOS PAC ID: 0446569610 Enrollment ID: I20160712000321 |
| Provider Name | Casey A Dauw |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114246618 PECOS PAC ID: 0547483687 Enrollment ID: I20160712000650 |
| Provider Name | Kara J Wyant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780940999 PECOS PAC ID: 1759673601 Enrollment ID: I20160713001309 |
| Provider Name | Kathryn E Esch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511571 PECOS PAC ID: 9436442696 Enrollment ID: I20160726000518 |
| Provider Name | Priyanka Gupta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174758262 PECOS PAC ID: 7517182405 Enrollment ID: I20160803000894 |
| Provider Name | Theodore A Kung |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265695985 PECOS PAC ID: 1254564610 Enrollment ID: I20160803000896 |
| Provider Name | Zachary J Sawaya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124382353 PECOS PAC ID: 9032368139 Enrollment ID: I20160909001949 |
| Provider Name | Geoffrey W Siegel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295963916 PECOS PAC ID: 9133419294 Enrollment ID: I20160922002047 |
| Provider Name | Maria Cristina C Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063650315 PECOS PAC ID: 5496889651 Enrollment ID: I20161006000326 |
| Provider Name | Tracy M Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253975 PECOS PAC ID: 8022398395 Enrollment ID: I20161201001963 |
| Provider Name | Brian L Shetler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225394356 PECOS PAC ID: 5698050052 Enrollment ID: I20170327001492 |
| Provider Name | Peter Andrew Lasater |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356755433 PECOS PAC ID: 4789809310 Enrollment ID: I20170404001419 |
| Provider Name | Erin Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659806347 PECOS PAC ID: 7618244492 Enrollment ID: I20170526000806 |
| Provider Name | Meaghan K Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346689858 PECOS PAC ID: 6002046174 Enrollment ID: I20170710001629 |
| Provider Name | Shauna S Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609303676 PECOS PAC ID: 1658641543 Enrollment ID: I20170726000950 |
| Provider Name | Rebecca Delancey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134304785 PECOS PAC ID: 8820253180 Enrollment ID: I20170802002314 |
| Provider Name | Stacey L Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979338 PECOS PAC ID: 6608147996 Enrollment ID: I20170804000991 |
| Provider Name | David J Buzanoski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194011668 PECOS PAC ID: 7618101320 Enrollment ID: I20170821002454 |
| Provider Name | Patrick Christopher Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932529799 PECOS PAC ID: 9739485004 Enrollment ID: I20170901000846 |
| Provider Name | Kristin Busch |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1649566068 PECOS PAC ID: 8426284175 Enrollment ID: I20170908000507 |
| Provider Name | Ferdnand Chisom Osuagwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336551738 PECOS PAC ID: 7214235498 Enrollment ID: I20171013002282 |
| Provider Name | Andrew J Gardner-northrop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225542152 PECOS PAC ID: 7214295138 Enrollment ID: I20171227000041 |
| Provider Name | Meghan G Dahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982119509 PECOS PAC ID: 5496014870 Enrollment ID: I20180110000405 |
| Provider Name | Constantinos Constantinou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992960702 PECOS PAC ID: 8426209586 Enrollment ID: I20180117000269 |
| Provider Name | Catherine Vanbocxlaer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730691213 PECOS PAC ID: 6002175197 Enrollment ID: I20180118000235 |
| Provider Name | Pamela S Fairchild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801020920 PECOS PAC ID: 2961702014 Enrollment ID: I20180118002300 |
| Provider Name | William Teeple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326555764 PECOS PAC ID: 2668731571 Enrollment ID: I20180123002240 |
| Provider Name | Tiffany Thalappillil Philip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487074175 PECOS PAC ID: 1658630496 Enrollment ID: I20180124000280 |
| Provider Name | Jane C Brines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720590128 PECOS PAC ID: 4789945395 Enrollment ID: I20180222001576 |
| Provider Name | Jennifer M Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669997425 PECOS PAC ID: 1153683628 Enrollment ID: I20180321000343 |
| Provider Name | Gregory A Daut |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184882771 PECOS PAC ID: 5092959973 Enrollment ID: I20180419002456 |
| Provider Name | Adam Pinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639529290 PECOS PAC ID: 9335403039 Enrollment ID: I20180504001224 |
| Provider Name | Daniel T Tetzlaff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053685487 PECOS PAC ID: 0840555629 Enrollment ID: I20180526000027 |
| Provider Name | Karen J Miljour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982613535 PECOS PAC ID: 3072791318 Enrollment ID: I20180605001831 |
| Provider Name | Daniel Diaz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770997884 PECOS PAC ID: 5991921561 Enrollment ID: I20180626003744 |
| Provider Name | Rajiv Deochand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194139220 PECOS PAC ID: 5991023244 Enrollment ID: I20180627002907 |
| Provider Name | Kyle Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230242 PECOS PAC ID: 0042538399 Enrollment ID: I20180629000791 |
| Provider Name | Michelle Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543372 PECOS PAC ID: 2062730310 Enrollment ID: I20180703001729 |
| Provider Name | Dennis Robert Vandorp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659615789 PECOS PAC ID: 6709177025 Enrollment ID: I20180712000543 |
| Provider Name | Melissa Weckesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588078620 PECOS PAC ID: 4082932330 Enrollment ID: I20180718000260 |
| Provider Name | Brandi Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497249403 PECOS PAC ID: 5890042964 Enrollment ID: I20180719003419 |
| Provider Name | Julie Anne Steinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164918447 PECOS PAC ID: 3870841216 Enrollment ID: I20180801002803 |
| Provider Name | Jean H. Siedel |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1134448657 PECOS PAC ID: 4486894409 Enrollment ID: I20180808002647 |
| Provider Name | Danielle Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881717528 PECOS PAC ID: 8426307943 Enrollment ID: I20180816002243 |
| Provider Name | Kayla V Wilczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336634864 PECOS PAC ID: 8325398571 Enrollment ID: I20180910000287 |
| Provider Name | Robert T Dess |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982046926 PECOS PAC ID: 2668772237 Enrollment ID: I20180924003045 |
| Provider Name | Laura K Mastee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043798457 PECOS PAC ID: 7113279662 Enrollment ID: I20181010002557 |
| Provider Name | Amy Michelle Raetz-benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649745019 PECOS PAC ID: 2062765357 Enrollment ID: I20181102002543 |
| Provider Name | Kristina Marie Hug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350438 PECOS PAC ID: 7214281765 Enrollment ID: I20181119003292 |
| Provider Name | Stephanie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295202208 PECOS PAC ID: 3274877576 Enrollment ID: I20181127001637 |
| Provider Name | Megan Hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174091565 PECOS PAC ID: 4688918956 Enrollment ID: I20181128001131 |
| Provider Name | Lisa L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003970856 PECOS PAC ID: 7517060486 Enrollment ID: I20181211003708 |
| Provider Name | Lindsey Rae Pulcer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003382086 PECOS PAC ID: 8820333628 Enrollment ID: I20181226001241 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20190122001414 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20190211002766 |
| Provider Name | Alionye Monne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386062099 PECOS PAC ID: 4688912868 Enrollment ID: I20190213002293 |
| Provider Name | Jennifer L Jordahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548321045 PECOS PAC ID: 2264657899 Enrollment ID: I20190325002439 |
| Provider Name | Tanya Scurry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225243009 PECOS PAC ID: 9133400237 Enrollment ID: I20190416002984 |
| Provider Name | Rebecca Sue Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890042 PECOS PAC ID: 2264790708 Enrollment ID: I20190424000170 |
| Provider Name | Matthew Donald Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649834359 PECOS PAC ID: 3072855345 Enrollment ID: I20190507001991 |
| Provider Name | Scott H Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912357088 PECOS PAC ID: 8628361326 Enrollment ID: I20190513001209 |
| Provider Name | Landon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104383124 PECOS PAC ID: 8123361839 Enrollment ID: I20190521002354 |
| Provider Name | Asma Saboor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841641636 PECOS PAC ID: 9436433208 Enrollment ID: I20190624000994 |
| Provider Name | Robert Reichmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124477864 PECOS PAC ID: 4082906276 Enrollment ID: I20190628002775 |
| Provider Name | Shannon Bowen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093268468 PECOS PAC ID: 3678807179 Enrollment ID: I20190702002373 |
| Provider Name | Colton C Prudnick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619380334 PECOS PAC ID: 5597090597 Enrollment ID: I20190712002237 |
| Provider Name | Monica M Tadros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215386552 PECOS PAC ID: 0547554032 Enrollment ID: I20190712002278 |
| Provider Name | Joseph Frank Sedlar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942868815 PECOS PAC ID: 5597091108 Enrollment ID: I20190719000606 |
| Provider Name | Amanda Fetterolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518528710 PECOS PAC ID: 5597091587 Enrollment ID: I20190729003436 |
| Provider Name | Thomas Bills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083096184 PECOS PAC ID: 6709178387 Enrollment ID: I20190820000302 |
| Provider Name | Noelle Serwaa Boakye Whyte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598103392 PECOS PAC ID: 0648573220 Enrollment ID: I20190923001919 |
| Provider Name | Michael D Green |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053722918 PECOS PAC ID: 3274750575 Enrollment ID: I20190924002002 |
| Provider Name | Bridgett Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376198333 PECOS PAC ID: 9739419359 Enrollment ID: I20190925001024 |
| Provider Name | Samantha Howley-anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497396683 PECOS PAC ID: 2961733522 Enrollment ID: I20191011001768 |
| Provider Name | Cindra Marie Finney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497858120 PECOS PAC ID: 8224360037 Enrollment ID: I20191029000264 |
| Provider Name | Ashley Wolosonowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083255665 PECOS PAC ID: 3678905452 Enrollment ID: I20191115002495 |
| Provider Name | Jessica L Lerczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902448533 PECOS PAC ID: 1557796133 Enrollment ID: I20200109001521 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200116000427 |
| Provider Name | Timothy W Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740827724 PECOS PAC ID: 6901231901 Enrollment ID: I20200122001047 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20200203000599 |
| Provider Name | Beth Spiris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389136 PECOS PAC ID: 8527495175 Enrollment ID: I20200221000275 |
| Provider Name | Amanda Radocy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750911434 PECOS PAC ID: 2961830526 Enrollment ID: I20200312001499 |
| Provider Name | Christopher Scott Somers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783646 PECOS PAC ID: 7113356684 Enrollment ID: I20200403001866 |
| Provider Name | Jamey M Olvera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619415809 PECOS PAC ID: 4385914381 Enrollment ID: I20200409001867 |
| Provider Name | David C Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578002317 PECOS PAC ID: 3476823378 Enrollment ID: I20200428001518 |
| Provider Name | Michelle Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215465687 PECOS PAC ID: 0547539306 Enrollment ID: I20200601000187 |
| Provider Name | John Gerald Hagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548790165 PECOS PAC ID: 3577984160 Enrollment ID: I20200608001398 |
| Provider Name | Stephanie Musil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033741533 PECOS PAC ID: 0446672828 Enrollment ID: I20200615000066 |
| Provider Name | Jacob Trombley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750801239 PECOS PAC ID: 6305116989 Enrollment ID: I20200625001948 |
| Provider Name | Andrea G Spaulding |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992354211 PECOS PAC ID: 2264854777 Enrollment ID: I20200629002538 |
| Provider Name | Courtney Pearson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881013779 PECOS PAC ID: 0345556635 Enrollment ID: I20200713001029 |
| Provider Name | Trevor J Eckenswiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316477268 PECOS PAC ID: 9436427242 Enrollment ID: I20200721000755 |
| Provider Name | Brielle Renee Cormier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164873675 PECOS PAC ID: 9638462807 Enrollment ID: I20200731000111 |
| Provider Name | Tiffany Sito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255858973 PECOS PAC ID: 4082958889 Enrollment ID: I20200804002932 |
| Provider Name | Shayna Sian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508474214 PECOS PAC ID: 0749606341 Enrollment ID: I20200813000701 |
| Provider Name | Yezi Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760910137 PECOS PAC ID: 0648549402 Enrollment ID: I20200827001393 |
| Provider Name | Brian G Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415193 PECOS PAC ID: 1951728054 Enrollment ID: I20200903002797 |
| Provider Name | Dane A Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700374121 PECOS PAC ID: 7810243029 Enrollment ID: I20200904000902 |
| Provider Name | Paul Raymond Drenth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497367205 PECOS PAC ID: 0941627145 Enrollment ID: I20200914001067 |
| Provider Name | Brandon Filbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356957286 PECOS PAC ID: 9436578200 Enrollment ID: I20200928001881 |
| Provider Name | Kristy Dzurka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134731326 PECOS PAC ID: 8820417298 Enrollment ID: I20201005000594 |
| Provider Name | Nicole Lorraine Schelb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741349 PECOS PAC ID: 2860802618 Enrollment ID: I20201105001162 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972527059 PECOS PAC ID: 5799750626 Enrollment ID: I20201228002456 |
| Provider Name | Caleb James Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124628912 PECOS PAC ID: 8325451958 Enrollment ID: I20201228002500 |
| Provider Name | Shelby Nadeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881282895 PECOS PAC ID: 7315351921 Enrollment ID: I20210121003097 |
| Provider Name | Renee Frahm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912591579 PECOS PAC ID: 0547676140 Enrollment ID: I20210305000982 |
| Provider Name | Ashley Kain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326632985 PECOS PAC ID: 9537575139 Enrollment ID: I20210305001025 |
| Provider Name | Cassandra Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003407784 PECOS PAC ID: 0244646842 Enrollment ID: I20210305001148 |
| Provider Name | Austyn Otten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831782366 PECOS PAC ID: 6901212976 Enrollment ID: I20210317001731 |
| Provider Name | Chezney Jane Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912594342 PECOS PAC ID: 7517374309 Enrollment ID: I20210323000846 |
| Provider Name | Brette Nicole Fryfogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124621826 PECOS PAC ID: 0143639294 Enrollment ID: I20210503000705 |
| Provider Name | Peter Chiang Liu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134509987 PECOS PAC ID: 1658780309 Enrollment ID: I20210510000630 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20210511001450 |
| Provider Name | Gregory Strauther |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972503837 PECOS PAC ID: 8022044841 Enrollment ID: I20210520001537 |
| Provider Name | Yetunde Oriyomi Balogun |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306129713 PECOS PAC ID: 8729318688 Enrollment ID: I20210604001298 |
| Provider Name | Hannah L Kloha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861085110 PECOS PAC ID: 1052710423 Enrollment ID: I20210604001950 |
| Provider Name | Tariq Hamid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144482522 PECOS PAC ID: 0840469557 Enrollment ID: I20210609000897 |
| Provider Name | Rebekah Wakeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720469794 PECOS PAC ID: 5597079202 Enrollment ID: I20210609002596 |
| Provider Name | Travis James Dice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053806182 PECOS PAC ID: 6709115355 Enrollment ID: I20210610001037 |
| Provider Name | Jacob James Frisbie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518370048 PECOS PAC ID: 2567782113 Enrollment ID: I20210611000932 |
| Provider Name | Muayad Almahariq |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841640182 PECOS PAC ID: 7618261439 Enrollment ID: I20210623001937 |
| Provider Name | Steven Latosinsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457839052 PECOS PAC ID: 5395094585 Enrollment ID: I20210628002140 |
| Provider Name | Amy Hovey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205405826 PECOS PAC ID: 5799186557 Enrollment ID: I20210630002410 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20210716002243 |
| Provider Name | Stephen David Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386140366 PECOS PAC ID: 5991052391 Enrollment ID: I20210722001424 |
| Provider Name | Kevin Cahill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295135986 PECOS PAC ID: 0345662110 Enrollment ID: I20210726000257 |
| Provider Name | Udit Singhal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649663493 PECOS PAC ID: 9537459771 Enrollment ID: I20210727000754 |
| Provider Name | Vanessa Wieferich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699440206 PECOS PAC ID: 7113322660 Enrollment ID: I20210820001277 |
| Provider Name | Payton Schmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760895973 PECOS PAC ID: 9638471741 Enrollment ID: I20210823001362 |
| Provider Name | Brian P Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20210823001912 |
| Provider Name | Sarah Vivian Presto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164095972 PECOS PAC ID: 2668877085 Enrollment ID: I20210824001552 |
| Provider Name | Cristina Fox |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548675424 PECOS PAC ID: 2860825957 Enrollment ID: I20210908002644 |
| Provider Name | Anna O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043898745 PECOS PAC ID: 0042617441 Enrollment ID: I20210928002383 |
| Provider Name | Melissa Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457029647 PECOS PAC ID: 6608274816 Enrollment ID: I20211001001118 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20211007000251 |
| Provider Name | Robin Lynn Greiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457907172 PECOS PAC ID: 2264830108 Enrollment ID: I20211007002077 |
| Provider Name | Danielle R Mcauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832124 PECOS PAC ID: 7810395514 Enrollment ID: I20211011002312 |
| Provider Name | Jessica Marie Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526619 PECOS PAC ID: 6103224720 Enrollment ID: I20211013000818 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20211013000998 |
| Provider Name | Rachel Susanne Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679235535 PECOS PAC ID: 5799183042 Enrollment ID: I20211018001542 |
| Provider Name | Alan Josselson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053373464 PECOS PAC ID: 4082709472 Enrollment ID: I20211027002297 |
| Provider Name | Mohamed Elgamal |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1669673216 PECOS PAC ID: 1850544479 Enrollment ID: I20211103001115 |
| Provider Name | Julia Grace Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922534874 PECOS PAC ID: 4789073172 Enrollment ID: I20211104002151 |
| Provider Name | Jinge Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871260521 PECOS PAC ID: 1456740299 Enrollment ID: I20211116001694 |
| Provider Name | Keagan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346842242 PECOS PAC ID: 1850781824 Enrollment ID: I20211206002217 |
| Provider Name | Eric J Hoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063681393 PECOS PAC ID: 3779668694 Enrollment ID: I20211213000893 |
| Provider Name | Tatyana Gluzberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790991339 PECOS PAC ID: 7214073485 Enrollment ID: I20211217001767 |
| Provider Name | Jaime Marie Makela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982362885 PECOS PAC ID: 0042601031 Enrollment ID: I20211230000654 |
| Provider Name | Monique Mcmillan Reuter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295331098 PECOS PAC ID: 5294127718 Enrollment ID: I20220113000737 |
| Provider Name | Christopher D Trumph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922665868 PECOS PAC ID: 1557695582 Enrollment ID: I20220114000917 |
| Provider Name | Hassan Mostafa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174939003 PECOS PAC ID: 1052537388 Enrollment ID: I20220128001785 |
| Provider Name | Kallyn Lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629729843 PECOS PAC ID: 0547653255 Enrollment ID: I20220201002148 |
| Provider Name | Delaney Kim Dupuis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336707223 PECOS PAC ID: 2062805633 Enrollment ID: I20220202001917 |
| Provider Name | Sarah L Slavik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063164143 PECOS PAC ID: 1456744838 Enrollment ID: I20220207002203 |
| Provider Name | Daniel Coffey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205493053 PECOS PAC ID: 5890021083 Enrollment ID: I20220222001389 |
| Provider Name | Michelle Marie Amore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629723416 PECOS PAC ID: 4688068612 Enrollment ID: I20220308001372 |
| Provider Name | James Kiely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205911096 PECOS PAC ID: 6608061783 Enrollment ID: I20220310001349 |
| Provider Name | Autumn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285386086 PECOS PAC ID: 2062807472 Enrollment ID: I20220322002128 |
| Provider Name | Odoma Achor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346552684 PECOS PAC ID: 8325262371 Enrollment ID: I20220323002040 |
| Provider Name | Paul Lavin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922539139 PECOS PAC ID: 9133506991 Enrollment ID: I20220517000358 |
| Provider Name | Ishani Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568485795 PECOS PAC ID: 8527027010 Enrollment ID: I20220526000817 |
| Provider Name | Marissa Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508223231 PECOS PAC ID: 3072991389 Enrollment ID: I20220527000375 |
| Provider Name | Sarah Elizabeth Diaz |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376903708 PECOS PAC ID: 2567754310 Enrollment ID: I20220621001076 |
| Provider Name | Amy Rae Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073263893 PECOS PAC ID: 0941689806 Enrollment ID: I20220623000774 |
| Provider Name | Richard F Giannotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902398514 PECOS PAC ID: 1153700042 Enrollment ID: I20220623001828 |
| Provider Name | Jenna M Hebert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386380251 PECOS PAC ID: 8022497825 Enrollment ID: I20220624002204 |
| Provider Name | Mushtaq Hussain Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811352396 PECOS PAC ID: 2365871910 Enrollment ID: I20220627001789 |
| Provider Name | Alec Kurjian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639639362 PECOS PAC ID: 5092046359 Enrollment ID: I20220629003337 |
| Provider Name | Michael G Rodriguez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669032256 PECOS PAC ID: 6406180041 Enrollment ID: I20220709000597 |
| Provider Name | Remi K Hamel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689102626 PECOS PAC ID: 5991036964 Enrollment ID: I20220712001708 |
| Provider Name | Kristian Donald Stensland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891101416 PECOS PAC ID: 4183005077 Enrollment ID: I20220725000851 |
| Provider Name | Monika A Potrykus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649764242 PECOS PAC ID: 5890041917 Enrollment ID: I20220728001733 |
| Provider Name | Daniel W Vollhaber |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790167559 PECOS PAC ID: 5597070201 Enrollment ID: I20220804001095 |
| Provider Name | Zhen Zhou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609261999 PECOS PAC ID: 2860731346 Enrollment ID: I20220808001864 |
| Provider Name | Tera Munger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568107878 PECOS PAC ID: 2264815117 Enrollment ID: I20220824000554 |
| Provider Name | Robert Beaulieu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033434097 PECOS PAC ID: 0840448254 Enrollment ID: I20220902000799 |
| Provider Name | Catherine Vanbocxlaer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730691213 PECOS PAC ID: 6002175197 Enrollment ID: I20220920001406 |
| Provider Name | Stephen Scheib |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841719614 PECOS PAC ID: 6800120536 Enrollment ID: I20220927003137 |
| Provider Name | Mark Nootens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568491975 PECOS PAC ID: 8921095134 Enrollment ID: I20221014000879 |
| Provider Name | Samantha Papa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063147205 PECOS PAC ID: 6709252463 Enrollment ID: I20221020001591 |
| Provider Name | Lacey Anne Felten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568199867 PECOS PAC ID: 6608244140 Enrollment ID: I20221115001068 |
| Provider Name | Melissa Brackmann |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1467898544 PECOS PAC ID: 8224333893 Enrollment ID: I20221209000812 |
| Provider Name | Thomas Taugher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164042529 PECOS PAC ID: 7517388770 Enrollment ID: I20221212001965 |
| Provider Name | Grace M Djapri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538884804 PECOS PAC ID: 7012386865 Enrollment ID: I20221216002391 |
| Provider Name | Sarah Ann Fabus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053030213 PECOS PAC ID: 8527438639 Enrollment ID: I20230106001294 |
| Provider Name | Henry Osso-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942557863 PECOS PAC ID: 5991125981 Enrollment ID: I20230215001115 |
| Provider Name | Michelle Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194423434 PECOS PAC ID: 7113392275 Enrollment ID: I20230404001091 |
| Provider Name | Alicia Gabriela Hoban |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689291361 PECOS PAC ID: 6901229020 Enrollment ID: I20230405000505 |
| Provider Name | Kyle James Nordstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801592647 PECOS PAC ID: 3779948674 Enrollment ID: I20230428000403 |
| Provider Name | Irfan Shaukat Manzoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932769577 PECOS PAC ID: 3779817317 Enrollment ID: I20230503000386 |
| Provider Name | Jessica Dowda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952926347 PECOS PAC ID: 6406278217 Enrollment ID: I20230503001608 |
| Provider Name | Hira Hayee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245890888 PECOS PAC ID: 9931433570 Enrollment ID: I20230503002622 |
| Provider Name | John Mark Pool |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134338114 PECOS PAC ID: 5496818395 Enrollment ID: I20230505001706 |
| Provider Name | Zachary Beavers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932729290 PECOS PAC ID: 9739519380 Enrollment ID: I20230515003126 |
| Provider Name | Mina S Salib |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346734142 PECOS PAC ID: 3577893445 Enrollment ID: I20230522001663 |
| Provider Name | Kinan Hawasly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295062347 PECOS PAC ID: 7416181029 Enrollment ID: I20230605000911 |
| Provider Name | Van Trang Dang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144880766 PECOS PAC ID: 4688908221 Enrollment ID: I20230621000569 |
| Provider Name | Ashley M Nardone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508394412 PECOS PAC ID: 4284092016 Enrollment ID: I20230626002838 |
| Provider Name | Kelli Ann Craven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134779747 PECOS PAC ID: 0244562809 Enrollment ID: I20230628002535 |
| Provider Name | Joseph R Wille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073134839 PECOS PAC ID: 7416375415 Enrollment ID: I20230705000515 |
| Provider Name | Suzanne Musil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992825699 PECOS PAC ID: 8325016868 Enrollment ID: I20230705001615 |
| Provider Name | Kelli Overway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013510700 PECOS PAC ID: 6507279551 Enrollment ID: I20230712003962 |
| Provider Name | Kassem Faraj |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669908422 PECOS PAC ID: 1153690292 Enrollment ID: I20230714003561 |
| Provider Name | Mark English |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205499845 PECOS PAC ID: 3072846294 Enrollment ID: I20230720000695 |
| Provider Name | Abigail Gizinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306461702 PECOS PAC ID: 0143642959 Enrollment ID: I20230720001703 |
| Provider Name | Omar Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639433907 PECOS PAC ID: 8224334990 Enrollment ID: I20230816001287 |
| Provider Name | Alain Asher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871569400 PECOS PAC ID: 1052349289 Enrollment ID: I20230817001135 |
| Provider Name | Sara Elisabeth Schambach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386222909 PECOS PAC ID: 7214338573 Enrollment ID: I20230822002060 |
| Provider Name | Ahmet Tayfun Gurbuz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154536407 PECOS PAC ID: 0446142723 Enrollment ID: I20230822003953 |
| Provider Name | Tammy Szostakowski Lafaive |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619753464 PECOS PAC ID: 3375907918 Enrollment ID: I20230914002220 |
| Provider Name | Brogan Kerryn San Miguel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013411735 PECOS PAC ID: 8224492871 Enrollment ID: I20230914002511 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20230919000256 |
| Provider Name | Lawrence Page |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699770941 PECOS PAC ID: 5890894919 Enrollment ID: I20230919000816 |
| Provider Name | Ammar Safar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558334581 PECOS PAC ID: 6709783988 Enrollment ID: I20230927000907 |
| Provider Name | Deborah R Tabachnick |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790074912 PECOS PAC ID: 2567689607 Enrollment ID: I20231012001107 |
| Provider Name | Ariana Annell Schempp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205517802 PECOS PAC ID: 8628423209 Enrollment ID: I20231017003203 |
| Provider Name | Marie Anne Benner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053895094 PECOS PAC ID: 8325493893 Enrollment ID: I20231018003226 |
| Provider Name | Anum Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538653134 PECOS PAC ID: 0547516668 Enrollment ID: I20231019002090 |
| Provider Name | Alicia Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316662562 PECOS PAC ID: 0941656060 Enrollment ID: I20231026000617 |
| Provider Name | Matthew Markert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073951539 PECOS PAC ID: 4981902699 Enrollment ID: I20231027002390 |
| Provider Name | Lindsay Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629643218 PECOS PAC ID: 8123428265 Enrollment ID: I20231030000957 |
| Provider Name | Sarah Mae Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467224162 PECOS PAC ID: 1052768611 Enrollment ID: I20231103002389 |
| Provider Name | Jorie Reder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639959448 PECOS PAC ID: 0143678722 Enrollment ID: I20231120002072 |
| Provider Name | Stephanie Neubecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356129852 PECOS PAC ID: 9133578321 Enrollment ID: I20231213002188 |
| Provider Name | Anthony Ronny Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518588367 PECOS PAC ID: 2264844604 Enrollment ID: I20231228003492 |
| Provider Name | Fairy Queen Enriquez Siekierka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932985322 PECOS PAC ID: 0840640835 Enrollment ID: I20240103003109 |
| Provider Name | Muhammad Bhatti |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1922448653 PECOS PAC ID: 1456575430 Enrollment ID: I20240118002374 |
| Provider Name | Tara Stockmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427488527 PECOS PAC ID: 1456794064 Enrollment ID: I20240212001217 |
| Provider Name | Zachary Joseph Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679343339 PECOS PAC ID: 3678917648 Enrollment ID: I20240217000252 |
| Provider Name | William Wrigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841740313 PECOS PAC ID: 2365721925 Enrollment ID: I20240308001189 |
| Provider Name | Claire Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578262846 PECOS PAC ID: 0143666271 Enrollment ID: I20240312002435 |
Naheed Rizvi Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 W Wackerly St, Midland, MI 48640 Phone: 989-513-4255 | |
Family Medicine Associates Of Midland, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 W. Wackerly St, Midland, MI 48640 Phone: 989-631-9515 Fax: 989-835-6824 | |
Gastroenterology & Hepatology Associates Of Midmichigan P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4011 Orchard Dr Ste 3008, Midland, MI 48640 Phone: 989-839-0751 Fax: 989-839-9037 | |
Lorenzo Berlanga Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Cambridge St, Midland, MI 48642 Phone: 989-486-1707 | |
Mclaren Nowplusclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 S Saginaw Rd, Midland, MI 48640 Phone: 989-423-1768 | |
Renal Associates Of Mid-michigan Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 W Wackerly St, Midland, MI 48640 Phone: 989-837-6505 Fax: 989-835-8428 |