| Mymichigan Medical Group | |
|
4000 Wellness Dr Midland MI 48670-0001 | |
| (989) 837-9300 | |
| Not Available |
| Full Name | Mymichigan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4000 Wellness Dr, Midland, Michigan |
| Authorized Official Name and Position | Sarah James (MANAGER, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 9897014734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mymichigan Medical Group 4000 Wellness Dr Midland MI 48670-0001 Ph: (844) 832-1956 | Mymichigan Medical Group 4000 Wellness Dr Midland MI 48670-0001 Ph: (989) 837-9300 |
| NPI Number | 1740230127 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 01/15/2026 |
| Certification Date | 01/15/2026 |
| Medicare PECOS PAC ID | 4981501939 |
|---|---|
| Medicare Enrollment ID | O20040126000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740230127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Howard V Tyree |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053545657 PECOS PAC ID: 3971417049 Enrollment ID: I20031113000757 |
| Provider Name | Pankaj Jandwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700824612 PECOS PAC ID: 3678461399 Enrollment ID: I20040305000269 |
| Provider Name | James Brian Haering |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679664775 PECOS PAC ID: 5597656454 Enrollment ID: I20040322001112 |
| Provider Name | Seemab G Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851485882 PECOS PAC ID: 4587611173 Enrollment ID: I20050406000083 |
| Provider Name | Christy L Werth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750390498 PECOS PAC ID: 0840234654 Enrollment ID: I20050613001139 |
| Provider Name | Amarish S Potnis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962440867 PECOS PAC ID: 6901841337 Enrollment ID: I20050624001030 |
| Provider Name | Chad H Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730186594 PECOS PAC ID: 8426087784 Enrollment ID: I20050806000112 |
| Provider Name | David M Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215988084 PECOS PAC ID: 2062444888 Enrollment ID: I20050901000156 |
| Provider Name | Elizabeth G Trebilcock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841237641 PECOS PAC ID: 4981624913 Enrollment ID: I20051205000822 |
| Provider Name | Marina Bogdanovic Odabasic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225099088 PECOS PAC ID: 8426062241 Enrollment ID: I20060201000258 |
| Provider Name | David B Butcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164469862 PECOS PAC ID: 6507878089 Enrollment ID: I20060627000276 |
| Provider Name | Kathryn Ann Schisler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508946765 PECOS PAC ID: 8820096829 Enrollment ID: I20061130000286 |
| Provider Name | Laura E Leppink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629155163 PECOS PAC ID: 2163422098 Enrollment ID: I20061228000055 |
| Provider Name | Otto Leiti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346425816 PECOS PAC ID: 5597848010 Enrollment ID: I20080207000100 |
| Provider Name | Paul Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740377688 PECOS PAC ID: 6901989284 Enrollment ID: I20080208000513 |
| Provider Name | Maria Shvab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992980460 PECOS PAC ID: 4789761602 Enrollment ID: I20080402000725 |
| Provider Name | George Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396735791 PECOS PAC ID: 1658323985 Enrollment ID: I20081229000210 |
| Provider Name | Kenneth C Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295734135 PECOS PAC ID: 4284641259 Enrollment ID: I20091016000150 |
| Provider Name | Jack Pinney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982617247 PECOS PAC ID: 4981744968 Enrollment ID: I20091223000267 |
| Provider Name | Wayne H Kohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679545115 PECOS PAC ID: 0042102022 Enrollment ID: I20100319000712 |
| Provider Name | Heidi Elizabeth Monaghan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992971212 PECOS PAC ID: 0143353250 Enrollment ID: I20100726000872 |
| Provider Name | Scott C Kastning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013220573 PECOS PAC ID: 6800089368 Enrollment ID: I20101018000567 |
| Provider Name | Rong Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215116025 PECOS PAC ID: 2466646997 Enrollment ID: I20101028001342 |
| Provider Name | Craig R Sonke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215906052 PECOS PAC ID: 5294795951 Enrollment ID: I20101118001312 |
| Provider Name | Hernan Maldonado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306043773 PECOS PAC ID: 6204022429 Enrollment ID: I20101130000206 |
| Provider Name | Nicholas David Post Vasold |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174780654 PECOS PAC ID: 8729260617 Enrollment ID: I20110314001066 |
| Provider Name | Satyendra Dhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891019444 PECOS PAC ID: 4284812355 Enrollment ID: I20110621000478 |
| Provider Name | Maduabuchi Okoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447556436 PECOS PAC ID: 0648448753 Enrollment ID: I20110715000292 |
| Provider Name | Ameed Abdulrazzak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902069016 PECOS PAC ID: 5698943132 Enrollment ID: I20110727000533 |
| Provider Name | Loabat Amiri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295959104 PECOS PAC ID: 8527237684 Enrollment ID: I20110805000129 |
| Provider Name | Melissa B Murtha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427337963 PECOS PAC ID: 1759553381 Enrollment ID: I20111004000336 |
| Provider Name | Carl R Hubble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194007674 PECOS PAC ID: 4284800798 Enrollment ID: I20120105000276 |
| Provider Name | Natalia Iosifovna Tetyuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265693980 PECOS PAC ID: 2668659970 Enrollment ID: I20120322000612 |
| Provider Name | Julie a Reneaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942575907 PECOS PAC ID: 0244490589 Enrollment ID: I20120324000033 |
| Provider Name | Shelliann M Endline-mcclary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275682437 PECOS PAC ID: 7911161021 Enrollment ID: I20120620000695 |
| Provider Name | Evan B Fonger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467655886 PECOS PAC ID: 4981869831 Enrollment ID: I20120627000810 |
| Provider Name | John W Leroux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063746949 PECOS PAC ID: 4880842665 Enrollment ID: I20120920000224 |
| Provider Name | Christopher W Liedke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952650988 PECOS PAC ID: 9133370414 Enrollment ID: I20121114000311 |
| Provider Name | Chidamber Alamelumangapuram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992956122 PECOS PAC ID: 3678725421 Enrollment ID: I20121130000536 |
| Provider Name | Adrienne D Kennedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386989788 PECOS PAC ID: 2264686294 Enrollment ID: I20130129000192 |
| Provider Name | Kristin M Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265873335 PECOS PAC ID: 2163656547 Enrollment ID: I20131018001026 |
| Provider Name | Fawaz Alsmaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275846230 PECOS PAC ID: 6406081850 Enrollment ID: I20131021001122 |
| Provider Name | Rachel a Kerttu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134551179 PECOS PAC ID: 0547496721 Enrollment ID: I20131118000369 |
| Provider Name | Taylor S Wofford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841496353 PECOS PAC ID: 5991836710 Enrollment ID: I20131219001100 |
| Provider Name | Querobin M Calvan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871804252 PECOS PAC ID: 3971731589 Enrollment ID: I20140103001554 |
| Provider Name | Elizabeth E Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902234255 PECOS PAC ID: 5799914404 Enrollment ID: I20140129000605 |
| Provider Name | Drenda M Hukill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427469238 PECOS PAC ID: 5799909446 Enrollment ID: I20140619000518 |
| Provider Name | Muhammad Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649371071 PECOS PAC ID: 0840359790 Enrollment ID: I20140626002480 |
| Provider Name | Abood Salipi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083996318 PECOS PAC ID: 4587889456 Enrollment ID: I20140709000952 |
| Provider Name | Maath Alani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518250133 PECOS PAC ID: 6800011677 Enrollment ID: I20140710002452 |
| Provider Name | Thomas G Saba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659679934 PECOS PAC ID: 2668698093 Enrollment ID: I20140721002199 |
| Provider Name | Sujay Madduri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962738351 PECOS PAC ID: 3870719107 Enrollment ID: I20140723000739 |
| Provider Name | Samantha J Haken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154735850 PECOS PAC ID: 3870710585 Enrollment ID: I20140804000982 |
| Provider Name | Cynthia M Lamb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316223563 PECOS PAC ID: 9436326733 Enrollment ID: I20140808000704 |
| Provider Name | Susan M Knoerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275936445 PECOS PAC ID: 9032331921 Enrollment ID: I20141110000060 |
| Provider Name | Erik W Kuhl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407259658 PECOS PAC ID: 4688996887 Enrollment ID: I20141125000493 |
| Provider Name | Steven M Laporte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952793622 PECOS PAC ID: 3072831569 Enrollment ID: I20150413002348 |
| Provider Name | Jessica M Bischoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326432048 PECOS PAC ID: 2961721675 Enrollment ID: I20150430002417 |
| Provider Name | Travis C Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437266582 PECOS PAC ID: 5991700973 Enrollment ID: I20150605001649 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20150622002033 |
| Provider Name | Waleed Obaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003187295 PECOS PAC ID: 3173830650 Enrollment ID: I20150916000400 |
| Provider Name | Carrie M Garchow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386013142 PECOS PAC ID: 2163730672 Enrollment ID: I20151002001605 |
| Provider Name | Lauren R Haskin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104293646 PECOS PAC ID: 2062720303 Enrollment ID: I20151006001397 |
| Provider Name | Kimberly Ann Hybels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609259837 PECOS PAC ID: 3779892880 Enrollment ID: I20151012000880 |
| Provider Name | Tammie J Horvath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619347432 PECOS PAC ID: 9931418209 Enrollment ID: I20151028000128 |
| Provider Name | Vinosha Balakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346552718 PECOS PAC ID: 3072810852 Enrollment ID: I20160322000831 |
| Provider Name | Jordan Quilico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942597547 PECOS PAC ID: 2264730738 Enrollment ID: I20160415002127 |
| Provider Name | Amber D Rivard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295116515 PECOS PAC ID: 8820391493 Enrollment ID: I20160428001412 |
| Provider Name | Riad Al Natour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20160617001641 |
| Provider Name | Amanda C Petzold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689122368 PECOS PAC ID: 3274820790 Enrollment ID: I20160928000405 |
| Provider Name | Ghazwan Jabri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194115196 PECOS PAC ID: 1759679830 Enrollment ID: I20161005000221 |
| Provider Name | Kristin R Raleigh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700143997 PECOS PAC ID: 8426289794 Enrollment ID: I20161108002471 |
| Provider Name | Asim Kichloo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649669136 PECOS PAC ID: 7113236555 Enrollment ID: I20170220002657 |
| Provider Name | Jamie N Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629515614 PECOS PAC ID: 1759665276 Enrollment ID: I20170301001409 |
| Provider Name | Deborah Maschino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811424914 PECOS PAC ID: 4688943319 Enrollment ID: I20170711003583 |
| Provider Name | Jeffrey G Costain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598184830 PECOS PAC ID: 8729200134 Enrollment ID: I20170713000062 |
| Provider Name | David a Santini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467862516 PECOS PAC ID: 2769703099 Enrollment ID: I20170727002557 |
| Provider Name | Paul E Mckellip |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104354166 PECOS PAC ID: 6406126127 Enrollment ID: I20170727003079 |
| Provider Name | Stacey L Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979338 PECOS PAC ID: 6608147996 Enrollment ID: I20170804000991 |
| Provider Name | Samer Ahmad Bleibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881837581 PECOS PAC ID: 5395884506 Enrollment ID: I20170825001080 |
| Provider Name | Damilola Babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740691286 PECOS PAC ID: 0345513487 Enrollment ID: I20170912000618 |
| Provider Name | Gayle L Byker |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1881897866 PECOS PAC ID: 4486807559 Enrollment ID: I20170914003641 |
| Provider Name | Ora Darling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003346636 PECOS PAC ID: 9830463595 Enrollment ID: I20170919000993 |
| Provider Name | Sarah M Garrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750800835 PECOS PAC ID: 4587939749 Enrollment ID: I20171013002564 |
| Provider Name | Chelsea E Bruns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871003145 PECOS PAC ID: 5193090355 Enrollment ID: I20171013002719 |
| Provider Name | Amanda L Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144730581 PECOS PAC ID: 3678832011 Enrollment ID: I20180110003452 |
| Provider Name | Sarah a Yatooma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235646308 PECOS PAC ID: 3870854482 Enrollment ID: I20180222001574 |
| Provider Name | Ashley Lynn Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942756325 PECOS PAC ID: 8224399753 Enrollment ID: I20180226001743 |
| Provider Name | Faiza Masoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992061592 PECOS PAC ID: 3173821394 Enrollment ID: I20180301002261 |
| Provider Name | Kara a Keyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790286748 PECOS PAC ID: 2668734237 Enrollment ID: I20180319001674 |
| Provider Name | Jenny Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538657697 PECOS PAC ID: 0345505038 Enrollment ID: I20180530001535 |
| Provider Name | Mark Jacob |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063688497 PECOS PAC ID: 4486827011 Enrollment ID: I20180626003693 |
| Provider Name | Michelle Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235543372 PECOS PAC ID: 2062730310 Enrollment ID: I20180703001729 |
| Provider Name | Julie Anne Steinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164918447 PECOS PAC ID: 3870841216 Enrollment ID: I20180801002803 |
| Provider Name | Nathan P Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497138226 PECOS PAC ID: 8729336623 Enrollment ID: I20180809003625 |
| Provider Name | Amer Bleibel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851772388 PECOS PAC ID: 3678829603 Enrollment ID: I20180814001790 |
| Provider Name | Zaid Al-rufaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013390020 PECOS PAC ID: 4981991759 Enrollment ID: I20180829001213 |
| Provider Name | Kayla V Wilczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336634864 PECOS PAC ID: 8325398571 Enrollment ID: I20180910000287 |
| Provider Name | Emil Putrus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821483058 PECOS PAC ID: 5597069567 Enrollment ID: I20180928000119 |
| Provider Name | Thomas Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528548708 PECOS PAC ID: 8921114265 Enrollment ID: I20181011002416 |
| Provider Name | Andrew Brookes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782578 PECOS PAC ID: 5395099402 Enrollment ID: I20181108000500 |
| Provider Name | Charles Keith Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497085963 PECOS PAC ID: 0648524512 Enrollment ID: I20181112002053 |
| Provider Name | Kristina Marie Hug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350438 PECOS PAC ID: 7214281765 Enrollment ID: I20181119003292 |
| Provider Name | Ashlee Satkowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295204576 PECOS PAC ID: 4981948973 Enrollment ID: I20181203000297 |
| Provider Name | Hani Ahmad Bleibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245488659 PECOS PAC ID: 2365597333 Enrollment ID: I20181206001535 |
| Provider Name | Jessica Katherine Gust |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710457148 PECOS PAC ID: 9234473729 Enrollment ID: I20181211001182 |
| Provider Name | Jenna M Mccummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972073807 PECOS PAC ID: 5496092033 Enrollment ID: I20190121001187 |
| Provider Name | Kendrick Weber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194281006 PECOS PAC ID: 9032458500 Enrollment ID: I20190227001690 |
| Provider Name | Cynthia R. Merrills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871067041 PECOS PAC ID: 1850630799 Enrollment ID: I20190311002679 |
| Provider Name | Farashin Farhan Silevany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265819171 PECOS PAC ID: 0042550576 Enrollment ID: I20190320002033 |
| 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 | Kari Elizabeth Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114585858 PECOS PAC ID: 3375876980 Enrollment ID: I20190613003206 |
| Provider Name | Madline F Chembola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528416492 PECOS PAC ID: 4385939131 Enrollment ID: I20190621001317 |
| Provider Name | Jeremy C Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760832927 PECOS PAC ID: 0345533030 Enrollment ID: I20190628002939 |
| Provider Name | Monica Norton |
|---|---|
| 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 | Justin Matthew Rodebaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487826392 PECOS PAC ID: 0446586010 Enrollment ID: I20190722000030 |
| Provider Name | Andrew G Gregson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538514518 PECOS PAC ID: 0547596686 Enrollment ID: I20190726000309 |
| Provider Name | Jayne Olivia Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124479936 PECOS PAC ID: 2365735073 Enrollment ID: I20190802000346 |
| Provider Name | Brittany Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063849503 PECOS PAC ID: 3971896747 Enrollment ID: I20190805001796 |
| Provider Name | Hassan a Al-shammaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497173850 PECOS PAC ID: 1951600030 Enrollment ID: I20191009003071 |
| Provider Name | Megan Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487295028 PECOS PAC ID: 5193057461 Enrollment ID: I20191106001455 |
| Provider Name | Kelli Christie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316403504 PECOS PAC ID: 1153754684 Enrollment ID: I20191213001156 |
| Provider Name | Beth Spiris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396389136 PECOS PAC ID: 8527495175 Enrollment ID: I20200221000275 |
| Provider Name | Thomas H Cook |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477966042 PECOS PAC ID: 9537451273 Enrollment ID: I20200313000591 |
| Provider Name | Timothy Burggraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740815547 PECOS PAC ID: 4082043708 Enrollment ID: I20200401001273 |
| Provider Name | Christopher Scott Somers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783646 PECOS PAC ID: 7113356684 Enrollment ID: I20200403001866 |
| Provider Name | Robin M Hermes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083182695 PECOS PAC ID: 4082044425 Enrollment ID: I20200424002918 |
| Provider Name | Easton Izaak Mann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447719182 PECOS PAC ID: 9032540240 Enrollment ID: I20200502000082 |
| Provider Name | Michelle L 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 | Al Sadek Ali Makki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770011140 PECOS PAC ID: 7810266673 Enrollment ID: I20200608002359 |
| Provider Name | Chandramouli Mandalaparty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952822884 PECOS PAC ID: 9335419068 Enrollment ID: I20200709003369 |
| Provider Name | Haley Ross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952832073 PECOS PAC ID: 0547527228 Enrollment ID: I20200710002355 |
| Provider Name | Garrett Descoteaux-friday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922539717 PECOS PAC ID: 9234554700 Enrollment ID: I20200730002103 |
| Provider Name | Craig S Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417338245 PECOS PAC ID: 7517270093 Enrollment ID: I20200812003028 |
| 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 | Sandeep V Yalamanchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164870788 PECOS PAC ID: 2163714783 Enrollment ID: I20200910001943 |
| Provider Name | Anthony Bianco Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205444866 PECOS PAC ID: 8224456967 Enrollment ID: I20200914000485 |
| Provider Name | Brandon Filbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356957286 PECOS PAC ID: 9436578200 Enrollment ID: I20200928001881 |
| Provider Name | Alexis Nichole Hool |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245847870 PECOS PAC ID: 0547680167 Enrollment ID: I20201021001306 |
| Provider Name | Scott Schellie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699053843 PECOS PAC ID: 1951577295 Enrollment ID: I20201112002925 |
| Provider Name | Shelly Cleland Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730711573 PECOS PAC ID: 9739595141 Enrollment ID: I20210310000933 |
| Provider Name | Kendra Osann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053943894 PECOS PAC ID: 4486061355 Enrollment ID: I20210322002333 |
| Provider Name | Rabia Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346734043 PECOS PAC ID: 0143577387 Enrollment ID: I20210512002176 |
| Provider Name | Gerald Whitney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164914768 PECOS PAC ID: 4688920812 Enrollment ID: I20210608000912 |
| Provider Name | Matthew Augsburger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265927610 PECOS PAC ID: 6507113677 Enrollment ID: I20210629003430 |
| Provider Name | Raelynn Weiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770154676 PECOS PAC ID: 4688076516 Enrollment ID: I20210714001741 |
| Provider Name | Lindsey D O'neil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871027045 PECOS PAC ID: 6709154529 Enrollment ID: I20210730001698 |
| Provider Name | Gheith Yousif |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184087843 PECOS PAC ID: 4587958632 Enrollment ID: I20210910001522 |
| Provider Name | Kimberly Azelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972038594 PECOS PAC ID: 9537438908 Enrollment ID: I20211022000616 |
| Provider Name | Amanda Paris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619474459 PECOS PAC ID: 6406102532 Enrollment ID: I20211029000555 |
| Provider Name | Joseph Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689104358 PECOS PAC ID: 2062782980 Enrollment ID: I20211118001064 |
| Provider Name | Sheri Pawlowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679105415 PECOS PAC ID: 6103216080 Enrollment ID: I20211208001780 |
| Provider Name | Katrina M Rozeveld |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639767452 PECOS PAC ID: 3678963212 Enrollment ID: I20211214001253 |
| 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 | Rachel Ann Kruger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588322713 PECOS PAC ID: 2365833258 Enrollment ID: I20220104001316 |
| Provider Name | Maamoun Zane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669831509 PECOS PAC ID: 0749691384 Enrollment ID: I20220110000094 |
| Provider Name | Michelle Marie Amore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629723416 PECOS PAC ID: 4688068612 Enrollment ID: I20220308001372 |
| Provider Name | Glen Hybarger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720249899 PECOS PAC ID: 3678749975 Enrollment ID: I20220315001122 |
| Provider Name | Jessica Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043986326 PECOS PAC ID: 9931505161 Enrollment ID: I20220317001239 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20220421002580 |
| Provider Name | Hussein Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811458292 PECOS PAC ID: 7012304504 Enrollment ID: I20220502002031 |
| Provider Name | Ishani Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568485795 PECOS PAC ID: 8527027010 Enrollment ID: I20220526000817 |
| Provider Name | Hnin Nu Lwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528547932 PECOS PAC ID: 5890038285 Enrollment ID: I20220526002802 |
| Provider Name | Raad Al Shaikhli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326433483 PECOS PAC ID: 5698073492 Enrollment ID: I20220601001067 |
| Provider Name | Opeyemi Abiodun Babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184186017 PECOS PAC ID: 5294114492 Enrollment ID: I20220617001795 |
| Provider Name | John Paul Mcroberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194205773 PECOS PAC ID: 6709135809 Enrollment ID: I20220714004003 |
| 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 B Machue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891173662 PECOS PAC ID: 0941685556 Enrollment ID: I20220919001224 |
| Provider Name | Kelly Jo Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114641164 PECOS PAC ID: 3678949179 Enrollment ID: I20221025002954 |
| Provider Name | Mohamed Ayman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679131957 PECOS PAC ID: 8123352085 Enrollment ID: I20221107002718 |
| Provider Name | Melissa Catherine Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104547611 PECOS PAC ID: 2062881618 Enrollment ID: I20221205000284 |
| Provider Name | Alexander Zachary Persyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740911270 PECOS PAC ID: 8921479627 Enrollment ID: I20230117000804 |
| Provider Name | Saad S Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255836698 PECOS PAC ID: 6507113529 Enrollment ID: I20230125000440 |
| Provider Name | Nicole Esperance Mahirwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548979412 PECOS PAC ID: 5092188870 Enrollment ID: I20230224002035 |
| Provider Name | John Kalasky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962829119 PECOS PAC ID: 8527289594 Enrollment ID: I20230303001531 |
| Provider Name | Irfan Shaukat Manzoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932769577 PECOS PAC ID: 3779817317 Enrollment ID: I20230503000386 |
| Provider Name | Emily Hemond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871120071 PECOS PAC ID: 5799100640 Enrollment ID: I20230511001956 |
| Provider Name | Zachary Beavers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932729290 PECOS PAC ID: 9739519380 Enrollment ID: I20230515003126 |
| Provider Name | Jenna J Bernson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972128619 PECOS PAC ID: 8426470220 Enrollment ID: I20230517002344 |
| Provider Name | Nadim Kanaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871117440 PECOS PAC ID: 3577984970 Enrollment ID: I20230522000589 |
| Provider Name | Peter Hedderich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255991675 PECOS PAC ID: 0345574182 Enrollment ID: I20230624000367 |
| Provider Name | Jonathan Sharley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992325492 PECOS PAC ID: 0244654622 Enrollment ID: I20230720003238 |
| Provider Name | Omar Mizher Saaed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700406154 PECOS PAC ID: 2062833114 Enrollment ID: I20230821003512 |
| Provider Name | Tyler Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396368759 PECOS PAC ID: 3971958455 Enrollment ID: I20231018003695 |
| Provider Name | Andrea Marie Bick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861170037 PECOS PAC ID: 5890140628 Enrollment ID: I20231019000141 |
| Provider Name | Anum Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538653134 PECOS PAC ID: 0547516668 Enrollment ID: I20231019002090 |
| Provider Name | Heather Neal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063821700 PECOS PAC ID: 4486944584 Enrollment ID: I20231023001732 |
| Provider Name | Angela Lynn Bratschi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346020229 PECOS PAC ID: 7416303094 Enrollment ID: I20231102002242 |
| Provider Name | Sarah Maloney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902683360 PECOS PAC ID: 6901251156 Enrollment ID: I20240109003904 |
| Provider Name | Angela Grace Steih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992570162 PECOS PAC ID: 7810349420 Enrollment ID: I20240119000746 |
| Provider Name | Zachary J Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679343339 PECOS PAC ID: 3678917648 Enrollment ID: I20240217000252 |
| Provider Name | Claire Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578262846 PECOS PAC ID: 0143666271 Enrollment ID: I20240312002435 |
| Provider Name | Derrek Wayne Humphries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518535475 PECOS PAC ID: 7618370883 Enrollment ID: I20240514002674 |
| Provider Name | Ammon Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619542974 PECOS PAC ID: 0143620294 Enrollment ID: I20240523002928 |
| Provider Name | Stephan Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376110643 PECOS PAC ID: 0143621912 Enrollment ID: I20240618002213 |
| Provider Name | Jonathan Erius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609446913 PECOS PAC ID: 8426459199 Enrollment ID: I20240705002871 |
| Provider Name | Deanna Lee Losey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477394302 PECOS PAC ID: 1759825391 Enrollment ID: I20240707000021 |
| Provider Name | Raimee Denise Schertzberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033944327 PECOS PAC ID: 9032423827 Enrollment ID: I20241017000173 |
| Provider Name | Ghassan Naisan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104494236 PECOS PAC ID: 4082147574 Enrollment ID: I20241022004403 |
| Provider Name | Lauren Ashley Siegmund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932949708 PECOS PAC ID: 8123552767 Enrollment ID: I20241105002950 |
| Provider Name | Sophie Anne Hurez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366062986 PECOS PAC ID: 0941645634 Enrollment ID: I20250114001460 |
| Provider Name | Colin N Mcgraw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316722572 PECOS PAC ID: 1951824895 Enrollment ID: I20250401001332 |
| Provider Name | Lynda Gail Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548075096 PECOS PAC ID: 1759807522 Enrollment ID: I20250424003296 |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20250507001462 |
| Provider Name | Robert Kasemodel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467194175 PECOS PAC ID: 7012449838 Enrollment ID: I20250617000909 |
| Provider Name | Caitlynn Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871239996 PECOS PAC ID: 7517479553 Enrollment ID: I20250625000693 |
| Provider Name | Nwamaka Merah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255065124 PECOS PAC ID: 6406381193 Enrollment ID: I20250721002200 |
| Provider Name | Sergiu Lupea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801539507 PECOS PAC ID: 7618356247 Enrollment ID: I20250819004682 |
| Provider Name | Trevor Robert Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083357859 PECOS PAC ID: 2769864461 Enrollment ID: I20250821000307 |
| Provider Name | Dania Baraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356071484 PECOS PAC ID: 3779962683 Enrollment ID: I20250821001216 |
| Provider Name | Sally Geese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568249738 PECOS PAC ID: 2961301924 Enrollment ID: I20250909003222 |
| Provider Name | Suzanna Dotson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376753822 PECOS PAC ID: 4587705777 Enrollment ID: I20251001001830 |
| Provider Name | Sathish Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174191431 PECOS PAC ID: 6103211495 Enrollment ID: I20251103002229 |
| Provider Name | Sophia Reinhardt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750278727 PECOS PAC ID: 1153812938 Enrollment ID: I20251119002594 |
| Provider Name | Anna-lourdes Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922975630 PECOS PAC ID: 5496249781 Enrollment ID: I20251215000354 |
| Provider Name | Anees Cheema |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437896396 PECOS PAC ID: 5395125348 Enrollment ID: I20251218000259 |
| Provider Name | Michelle Neuenfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790653301 PECOS PAC ID: 6507342995 Enrollment ID: I20260115002871 |
| Provider Name | Brett Brandon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629653639 PECOS PAC ID: 8628462959 Enrollment ID: I20260610004337 |
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: Not Enrolled in Medicare Practice Location: 4011 Orchard Dr Ste 3008, Midland, MI 48640 Phone: 989-839-0751 Fax: 989-839-9037 |
Midland Express Urgent and Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 N Saginaw Rd, Midland, MI 48640 Phone: 989-631-4545 Fax: 989-631-9949 |
Mclaren Carenow Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 S Saginaw Rd, Midland, MI 48640 Phone: 989-423-1768 |
Mymichigan Medical Center Midland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 728 W Wackerly St Ste 100, Midland, MI 48640 Phone: 989-839-8824 |