| Radiology - Rolla | |
|
1000 W 10th St Rolla MO 65401-2905 | |
| (573) 364-9000 | |
| Not Available |
| Full Name | Radiology - Rolla |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 W 10th St, Rolla, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (SENIOR DIRECTOR MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiology - Rolla Po Box 7412011 Chicago IL 60674-2011 Ph: (314) 273-0770 | Radiology - Rolla 1000 W 10th St Rolla MO 65401-2905 Ph: (573) 364-9000 |
| NPI Number | 1205304300 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Medicare PECOS PAC ID | 4587908041 |
|---|---|
| Medicare Enrollment ID | O20181210003487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205304300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Carrie C Morrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374561 PECOS PAC ID: 5193628741 Enrollment ID: I20040130000195 |
| Provider Name | Roxane M Rampersad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104031822 PECOS PAC ID: 5991690117 Enrollment ID: I20040217000882 |
| Provider Name | Joelle Biernacki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427142751 PECOS PAC ID: 2860384369 Enrollment ID: I20040329000869 |
| Provider Name | Cylen Javidan Nejad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144314477 PECOS PAC ID: 7012900053 Enrollment ID: I20040406000901 |
| Provider Name | David J Ingle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700884491 PECOS PAC ID: 4688561368 Enrollment ID: I20040420000950 |
| Provider Name | Vamsi R Narra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558398685 PECOS PAC ID: 0244214914 Enrollment ID: I20040618000113 |
| Provider Name | Katie Vo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689745085 PECOS PAC ID: 4587648274 Enrollment ID: I20040618000218 |
| Provider Name | Elizabeth G Mcfarland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356374391 PECOS PAC ID: 4789669615 Enrollment ID: I20040623000895 |
| Provider Name | Steven L Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679680821 PECOS PAC ID: 6002889011 Enrollment ID: I20040818000071 |
| Provider Name | Douglas J Curry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508974379 PECOS PAC ID: 9537132451 Enrollment ID: I20040818000171 |
| Provider Name | Christopher O Thornton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093829970 PECOS PAC ID: 8022081942 Enrollment ID: I20040818000221 |
| Provider Name | Linda R Proctor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629082284 PECOS PAC ID: 0547233470 Enrollment ID: I20040818000253 |
| Provider Name | Michael Penney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700812815 PECOS PAC ID: 3274438395 Enrollment ID: I20040920000018 |
| Provider Name | Christopher A. Swingle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689649071 PECOS PAC ID: 7618877812 Enrollment ID: I20041101000750 |
| Provider Name | Punita Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922042159 PECOS PAC ID: 0244269124 Enrollment ID: I20050810001269 |
| Provider Name | Christine M Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912051848 PECOS PAC ID: 9032149950 Enrollment ID: I20050819000279 |
| Provider Name | Andrew J Bierhals |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649208976 PECOS PAC ID: 9739119637 Enrollment ID: I20050820000010 |
| Provider Name | Robert D Seelig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346284106 PECOS PAC ID: 0749278141 Enrollment ID: I20060227000578 |
| Provider Name | Rebecca L Hulett Bowling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730154428 PECOS PAC ID: 7214945666 Enrollment ID: I20060328000171 |
| Provider Name | Brooke N Van Anne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699757955 PECOS PAC ID: 9436160470 Enrollment ID: I20060505000438 |
| Provider Name | Aseem Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144242926 PECOS PAC ID: 2567466154 Enrollment ID: I20060913000435 |
| Provider Name | Christina M Doherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780606335 PECOS PAC ID: 3870597396 Enrollment ID: I20060914000073 |
| Provider Name | Matthew S Parsons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083658264 PECOS PAC ID: 6103820626 Enrollment ID: I20060914000101 |
| Provider Name | Tammie L Benzinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134139363 PECOS PAC ID: 1052317633 Enrollment ID: I20061005000204 |
| Provider Name | James G Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841200995 PECOS PAC ID: 9537168323 Enrollment ID: I20061207000256 |
| Provider Name | Bruce L Hedgepeth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942269733 PECOS PAC ID: 9335159557 Enrollment ID: I20070417000009 |
| Provider Name | Floyd E Scales |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669510483 PECOS PAC ID: 7214034842 Enrollment ID: I20070516000315 |
| Provider Name | Laurie L Bettlach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497765663 PECOS PAC ID: 1355441072 Enrollment ID: I20070711000167 |
| Provider Name | Martin N Reis |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1205802154 PECOS PAC ID: 8527159805 Enrollment ID: I20070801000593 |
| Provider Name | Jack W Jennings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164552774 PECOS PAC ID: 1850482704 Enrollment ID: I20070807000101 |
| Provider Name | Heather V Garrett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518054147 PECOS PAC ID: 6204928179 Enrollment ID: I20070823000130 |
| Provider Name | Michelle Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255436192 PECOS PAC ID: 3971696576 Enrollment ID: I20070912000112 |
| Provider Name | Christina J Kreuzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821285982 PECOS PAC ID: 2264529809 Enrollment ID: I20071102000692 |
| Provider Name | Hui Hua Shu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831139286 PECOS PAC ID: 4385732965 Enrollment ID: I20071115000084 |
| Provider Name | Paul W Hargan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457367526 PECOS PAC ID: 1456331941 Enrollment ID: I20071227000395 |
| Provider Name | Wenzel G Vas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710991666 PECOS PAC ID: 6800876392 Enrollment ID: I20080121000202 |
| Provider Name | Megha E Garg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871695049 PECOS PAC ID: 9234213075 Enrollment ID: I20080303000656 |
| Provider Name | Hilton I Price |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003822164 PECOS PAC ID: 4385624873 Enrollment ID: I20080314000131 |
| Provider Name | Mitra B Boodram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174537039 PECOS PAC ID: 7911810924 Enrollment ID: I20080314000141 |
| Provider Name | Paula Marcela Leiva |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730383456 PECOS PAC ID: 1456422849 Enrollment ID: I20080612000080 |
| Provider Name | Jason a Kayser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225234933 PECOS PAC ID: 7214000447 Enrollment ID: I20080722000435 |
| Provider Name | Darryl Zuckerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063441673 PECOS PAC ID: 9638137748 Enrollment ID: I20080805000561 |
| Provider Name | Naganathan B Mani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841463650 PECOS PAC ID: 4789759226 Enrollment ID: I20080819000396 |
| Provider Name | Michelle M Miller Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689880171 PECOS PAC ID: 9739255472 Enrollment ID: I20080904000282 |
| Provider Name | Seung Kwon Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912175951 PECOS PAC ID: 1456427194 Enrollment ID: I20080904000293 |
| Provider Name | Geetika Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477541324 PECOS PAC ID: 6103898127 Enrollment ID: I20080910000412 |
| Provider Name | Karen a Caudill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699728667 PECOS PAC ID: 7810057338 Enrollment ID: I20081113000453 |
| Provider Name | Tamara Walls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982651188 PECOS PAC ID: 0244202000 Enrollment ID: I20090330000540 |
| Provider Name | Travis Hillen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285729657 PECOS PAC ID: 8921158809 Enrollment ID: I20090616000068 |
| Provider Name | Lucy Ann Christopherson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154378354 PECOS PAC ID: 8123082344 Enrollment ID: I20090618000421 |
| Provider Name | Constantine a Raptis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861613408 PECOS PAC ID: 1658422829 Enrollment ID: I20090629000299 |
| Provider Name | Jonathan C Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275749293 PECOS PAC ID: 5294886230 Enrollment ID: I20090702000157 |
| Provider Name | Robert C Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124074885 PECOS PAC ID: 7618057258 Enrollment ID: I20090811000058 |
| Provider Name | William P James |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043304389 PECOS PAC ID: 7416096771 Enrollment ID: I20091125000367 |
| Provider Name | Pamela K Woodard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134213473 PECOS PAC ID: 4587703764 Enrollment ID: I20091201000345 |
| Provider Name | Sharlene a Teefey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316031651 PECOS PAC ID: 2769521996 Enrollment ID: I20091202000058 |
| Provider Name | Daniel D Picus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740206960 PECOS PAC ID: 8527107762 Enrollment ID: I20091202000139 |
| Provider Name | Farrokh Dehdashti |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1063506392 PECOS PAC ID: 1254471147 Enrollment ID: I20091229000027 |
| Provider Name | Jerold W Wallis |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1225122567 PECOS PAC ID: 4880734789 Enrollment ID: I20091229000044 |
| Provider Name | Barry a Siegel |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1730107202 PECOS PAC ID: 5698815595 Enrollment ID: I20091229000055 |
| Provider Name | Henry D Royal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871687103 PECOS PAC ID: 1153461959 Enrollment ID: I20091229000169 |
| Provider Name | Joshua S Shimony |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023072394 PECOS PAC ID: 3476694720 Enrollment ID: I20100108000172 |
| Provider Name | Fernando R Gutierrez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235223561 PECOS PAC ID: 8820139181 Enrollment ID: I20100108000193 |
| Provider Name | Jennifer E Gould |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154347383 PECOS PAC ID: 7618018979 Enrollment ID: I20100108000223 |
| Provider Name | Harvey S Glazer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326132655 PECOS PAC ID: 5799826053 Enrollment ID: I20100108000232 |
| Provider Name | David S Gierada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417041740 PECOS PAC ID: 0042351306 Enrollment ID: I20100108000258 |
| Provider Name | James R Duncan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437176997 PECOS PAC ID: 6103967476 Enrollment ID: I20100108000286 |
| Provider Name | Steven Don |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972697209 PECOS PAC ID: 7810038189 Enrollment ID: I20100108000296 |
| Provider Name | Michael D Darcy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700804341 PECOS PAC ID: 4587705850 Enrollment ID: I20100108000328 |
| Provider Name | Sanjeev Bhalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518051846 PECOS PAC ID: 2466593744 Enrollment ID: I20100108000379 |
| Provider Name | Constance S Courtois |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245324573 PECOS PAC ID: 7012059264 Enrollment ID: I20100126000511 |
| Provider Name | William H Mcalister |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720140080 PECOS PAC ID: 1951445576 Enrollment ID: I20100220000317 |
| Provider Name | Thomas E Herman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841234960 PECOS PAC ID: 2769526383 Enrollment ID: I20100220000325 |
| Provider Name | Marilyn J Siegel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548332802 PECOS PAC ID: 6103960729 Enrollment ID: I20100220000334 |
| Provider Name | Robert C Mckinstry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871687111 PECOS PAC ID: 9739223355 Enrollment ID: I20100220000344 |
| Provider Name | Cary L Siegel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780778027 PECOS PAC ID: 8729122346 Enrollment ID: I20100220000356 |
| Provider Name | Suresh Vedantham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467478768 PECOS PAC ID: 8628112240 Enrollment ID: I20100220000367 |
| Provider Name | William D Middleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053405399 PECOS PAC ID: 7618011230 Enrollment ID: I20100220000376 |
| Provider Name | Janice W Semenkovich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164593406 PECOS PAC ID: 5890839427 Enrollment ID: I20100220000384 |
| Provider Name | Marc F Clemente |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073576484 PECOS PAC ID: 7719998368 Enrollment ID: I20100320000101 |
| Provider Name | Carlos a Mahia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912101601 PECOS PAC ID: 3577692789 Enrollment ID: I20100526000998 |
| Provider Name | James E Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013933068 PECOS PAC ID: 4082746680 Enrollment ID: I20100717000019 |
| Provider Name | Jeffrey M Dicke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982622437 PECOS PAC ID: 0244364883 Enrollment ID: I20100817001612 |
| Provider Name | Courtney a Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073818878 PECOS PAC ID: 7214118389 Enrollment ID: I20110222001043 |
| Provider Name | Vincent M Mellnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295918019 PECOS PAC ID: 2668657669 Enrollment ID: I20110505000665 |
| Provider Name | Sherri Lynne Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578590642 PECOS PAC ID: 3072784164 Enrollment ID: I20110921000604 |
| Provider Name | Saad a Naseer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356535306 PECOS PAC ID: 1658467725 Enrollment ID: I20120430000055 |
| Provider Name | Michael Vincent Friedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871742924 PECOS PAC ID: 0547424442 Enrollment ID: I20120605000401 |
| Provider Name | Motoyo Yano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881840536 PECOS PAC ID: 2860656717 Enrollment ID: I20120606000103 |
| Provider Name | Joseph E Ippolito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114124054 PECOS PAC ID: 8123283967 Enrollment ID: I20120629000302 |
| Provider Name | Jayant Amberker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235391616 PECOS PAC ID: 3577728260 Enrollment ID: I20120702000344 |
| Provider Name | Ellen R Wertenberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114267655 PECOS PAC ID: 7618113689 Enrollment ID: I20130417000348 |
| Provider Name | Michael J Jennewein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548288145 PECOS PAC ID: 7012979909 Enrollment ID: I20130627000516 |
| Provider Name | Chester Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518134402 PECOS PAC ID: 2668612987 Enrollment ID: I20130719000391 |
| Provider Name | Matthew M Donaldson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982894853 PECOS PAC ID: 2668636713 Enrollment ID: I20130719000403 |
| Provider Name | Kelby B Napier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124299730 PECOS PAC ID: 0244471878 Enrollment ID: I20130724000877 |
| Provider Name | Steven C Sauk |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215101712 PECOS PAC ID: 6002057569 Enrollment ID: I20130725000343 |
| Provider Name | Robert P Stachecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861691388 PECOS PAC ID: 0840431326 Enrollment ID: I20130725000547 |
| Provider Name | Carlos J Guevara |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861529299 PECOS PAC ID: 0143462903 Enrollment ID: I20130808000080 |
| Provider Name | Joel P Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912902271 PECOS PAC ID: 8921068438 Enrollment ID: I20140122001767 |
| Provider Name | Elizabeth F Sheybani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326201864 PECOS PAC ID: 0648402941 Enrollment ID: I20140421002129 |
| Provider Name | Anup S Shetty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487850491 PECOS PAC ID: 2466681077 Enrollment ID: I20140424001466 |
| Provider Name | Benjamin E Northrup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124256359 PECOS PAC ID: 3072741834 Enrollment ID: I20140429001074 |
| Provider Name | Manu S Goyal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255426672 PECOS PAC ID: 4183853658 Enrollment ID: I20140515001760 |
| Provider Name | Ting Y Tao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144484601 PECOS PAC ID: 5092939355 Enrollment ID: I20140609000193 |
| Provider Name | Richard Wahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598701203 PECOS PAC ID: 3476678640 Enrollment ID: I20150107000269 |
| Provider Name | Anitha P Varghese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235259268 PECOS PAC ID: 0244229391 Enrollment ID: I20150302000314 |
| Provider Name | Gloria J. Guzman Perez-carrillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568669901 PECOS PAC ID: 1456495696 Enrollment ID: I20150505002194 |
| Provider Name | Raja Ramaswamy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891921375 PECOS PAC ID: 7810208386 Enrollment ID: I20150624002704 |
| Provider Name | Tabassum Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134296916 PECOS PAC ID: 6406959386 Enrollment ID: I20150813011005 |
| Provider Name | Parvish Pradip Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407084452 PECOS PAC ID: 8426272865 Enrollment ID: I20151207000210 |
| Provider Name | Ryan E Lueking |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518352772 PECOS PAC ID: 2264751908 Enrollment ID: I20151214000360 |
| Provider Name | John Peter Karageorgiou |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861789778 PECOS PAC ID: 2567761000 Enrollment ID: I20160504001558 |
| Provider Name | Maria R Ponisio |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1073771283 PECOS PAC ID: 5991004442 Enrollment ID: I20160504001704 |
| Provider Name | Akash Pravin Kansagra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881822682 PECOS PAC ID: 4082845565 Enrollment ID: I20160505002274 |
| Provider Name | Demetrios Raptis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932487428 PECOS PAC ID: 6507095635 Enrollment ID: I20160512001147 |
| Provider Name | Joseph D Giardina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992004527 PECOS PAC ID: 3476842188 Enrollment ID: I20160519001810 |
| Provider Name | Haley N Perotti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811393424 PECOS PAC ID: 2264756238 Enrollment ID: I20160525000390 |
| Provider Name | Logan Lackey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740506419 PECOS PAC ID: 6901198639 Enrollment ID: I20160715001579 |
| Provider Name | Jeannie C Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730316761 PECOS PAC ID: 0749420495 Enrollment ID: I20160727000172 |
| Provider Name | Pavan K Kavali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609192277 PECOS PAC ID: 8921319823 Enrollment ID: I20160803000825 |
| Provider Name | Amanda Lackey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194041855 PECOS PAC ID: 0345551602 Enrollment ID: I20160811002023 |
| Provider Name | Christie Nguyen Behrens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518327469 PECOS PAC ID: 3678868007 Enrollment ID: I20160824003060 |
| Provider Name | Joyce Mhlanga |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1831491919 PECOS PAC ID: 1557510666 Enrollment ID: I20161011002837 |
| Provider Name | Hilary Orlowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346537404 PECOS PAC ID: 3476782590 Enrollment ID: I20161201000051 |
| Provider Name | Richard Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790050953 PECOS PAC ID: 2961631171 Enrollment ID: I20170509002797 |
| Provider Name | Monica Drylewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023371499 PECOS PAC ID: 1456591031 Enrollment ID: I20170510000252 |
| Provider Name | Tyler J Fraum |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1235492281 PECOS PAC ID: 1355570821 Enrollment ID: I20170614002427 |
| Provider Name | Katherine Mae Massa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205272341 PECOS PAC ID: 3375846140 Enrollment ID: I20170621001666 |
| Provider Name | Noah Mckimmey Seymore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619358827 PECOS PAC ID: 3870896657 Enrollment ID: I20170713001297 |
| Provider Name | Thomas H Schindler |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1831531300 PECOS PAC ID: 2961632039 Enrollment ID: I20171207002252 |
| Provider Name | Sadaf S Chaudhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457507568 PECOS PAC ID: 2668616160 Enrollment ID: I20171226000109 |
| Provider Name | Allison Schell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447754767 PECOS PAC ID: 6204199656 Enrollment ID: I20180423001998 |
| Provider Name | Jamal Jon Derakhshan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134410426 PECOS PAC ID: 6709182751 Enrollment ID: I20180515001062 |
| Provider Name | Aaron Joesph Mintz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720427982 PECOS PAC ID: 6800024795 Enrollment ID: I20180515001094 |
| Provider Name | Allen Devaney Elster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053396515 PECOS PAC ID: 0547320624 Enrollment ID: I20180516000574 |
| Provider Name | Christopher D Malone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154616530 PECOS PAC ID: 9739466475 Enrollment ID: I20180518002078 |
| Provider Name | Cyrus Raji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164701975 PECOS PAC ID: 2264726926 Enrollment ID: I20180521000466 |
| Provider Name | Kevin Neal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205178340 PECOS PAC ID: 5698030716 Enrollment ID: I20180521000656 |
| Provider Name | Andrew Blake Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740626654 PECOS PAC ID: 1254552243 Enrollment ID: I20180521000715 |
| Provider Name | Malak Itani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750728192 PECOS PAC ID: 8921242074 Enrollment ID: I20180521000871 |
| Provider Name | Megan Leigh Lawlor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295140960 PECOS PAC ID: 6608131958 Enrollment ID: I20180607001821 |
| Provider Name | Nandini Raghuraman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689969743 PECOS PAC ID: 0345567947 Enrollment ID: I20180710000555 |
| Provider Name | Susan a Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033420823 PECOS PAC ID: 7012197676 Enrollment ID: I20180725000332 |
| Provider Name | Jason P Carmichael |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528279031 PECOS PAC ID: 2668566290 Enrollment ID: I20190114002393 |
| Provider Name | Louba Laurie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124067798 PECOS PAC ID: 4789598244 Enrollment ID: I20190417000725 |
| Provider Name | Danielle M Weems |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811094071 PECOS PAC ID: 7810054012 Enrollment ID: I20190501001336 |
| Provider Name | John T.D. Vu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073923223 PECOS PAC ID: 6800138405 Enrollment ID: I20190501001349 |
| Provider Name | Vanessa Sanders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841600194 PECOS PAC ID: 4880936483 Enrollment ID: I20190501001420 |
| Provider Name | Kyle a O'blanc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013116458 PECOS PAC ID: 9537258918 Enrollment ID: I20190501001512 |
| Provider Name | Benjamin S Strnad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427477843 PECOS PAC ID: 0749405066 Enrollment ID: I20190501001575 |
| Provider Name | Michael Alexander Beal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619389566 PECOS PAC ID: 4587906193 Enrollment ID: I20190501001579 |
| Provider Name | Daniel R Ludwig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780002543 PECOS PAC ID: 4880811298 Enrollment ID: I20190501001841 |
| Provider Name | William C Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366861841 PECOS PAC ID: 5799027314 Enrollment ID: I20190501001928 |
| Provider Name | Mariam a Malik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730422965 PECOS PAC ID: 1052613064 Enrollment ID: I20190502000045 |
| Provider Name | Brendan Calhoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649682089 PECOS PAC ID: 2961744289 Enrollment ID: I20190506002650 |
| Provider Name | David Alan Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770901696 PECOS PAC ID: 5597087452 Enrollment ID: I20190511000129 |
| Provider Name | Jordan M Gutovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154756955 PECOS PAC ID: 4486902657 Enrollment ID: I20190516000685 |
| Provider Name | Ryan G. Short |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811239312 PECOS PAC ID: 6608001862 Enrollment ID: I20190517000304 |
| Provider Name | Ali Yusuf Mian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093026064 PECOS PAC ID: 5496098964 Enrollment ID: I20190524000609 |
| Provider Name | Mohamed Zakariya Rajput |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760725352 PECOS PAC ID: 0749401743 Enrollment ID: I20190528001488 |
| Provider Name | Ramy a Shoela |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457779332 PECOS PAC ID: 9638402910 Enrollment ID: I20190603000420 |
| Provider Name | Arpit a Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215235361 PECOS PAC ID: 4981976529 Enrollment ID: I20190614001831 |
| Provider Name | Ellen Y Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427450212 PECOS PAC ID: 7911205372 Enrollment ID: I20190626000830 |
| Provider Name | Paul Samuel Sander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962816520 PECOS PAC ID: 8022310507 Enrollment ID: I20190716000755 |
| Provider Name | Arindam R Chatterjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780857979 PECOS PAC ID: 7214166875 Enrollment ID: I20190806003431 |
| Provider Name | Nassir Rostambeigi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225349822 PECOS PAC ID: 8527363670 Enrollment ID: I20190819000334 |
| Provider Name | Theodore L Vander Velde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417967068 PECOS PAC ID: 6103952932 Enrollment ID: I20190819000349 |
| Provider Name | Lucas Kyle Buckley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194040634 PECOS PAC ID: 6901127257 Enrollment ID: I20190903000116 |
| Provider Name | Harry R Parvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326157454 PECOS PAC ID: 7214998244 Enrollment ID: I20191018000793 |
| Provider Name | Michael Mckinley Dombrowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841585809 PECOS PAC ID: 6709192198 Enrollment ID: I20191024001270 |
| Provider Name | Amir Iravani Tabrizipour |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1902442650 PECOS PAC ID: 3476986332 Enrollment ID: I20191206000729 |
| Provider Name | Ayman Mohamed Abdel Nada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386115715 PECOS PAC ID: 4688009780 Enrollment ID: I20200117002134 |
| Provider Name | David a Leitman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427378298 PECOS PAC ID: 2961750898 Enrollment ID: I20200204002511 |
| Provider Name | Paula a Deupree |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407901085 PECOS PAC ID: 2860678562 Enrollment ID: I20200326003344 |
| Provider Name | Helen Yanta Lizza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053840603 PECOS PAC ID: 5799041414 Enrollment ID: I20200407001328 |
| Provider Name | Natalie Y Fitton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609195312 PECOS PAC ID: 1557500394 Enrollment ID: I20200506003129 |
| Provider Name | Daniel Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780070581 PECOS PAC ID: 5698006856 Enrollment ID: I20200506003163 |
| Provider Name | George M Cyriac |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972998441 PECOS PAC ID: 7911338918 Enrollment ID: I20200506003198 |
| Provider Name | Veer Anup Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215322110 PECOS PAC ID: 4486952710 Enrollment ID: I20200507000077 |
| Provider Name | Andrew Greer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023490372 PECOS PAC ID: 0749599561 Enrollment ID: I20200507000202 |
| Provider Name | Austin J Cail |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346623667 PECOS PAC ID: 7012225741 Enrollment ID: I20200507001412 |
| Provider Name | Markus Zei |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1164803953 PECOS PAC ID: 7618279431 Enrollment ID: I20200508002026 |
| Provider Name | David H Ballard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053708594 PECOS PAC ID: 3072819127 Enrollment ID: I20200511003064 |
| Provider Name | Alexander Ushinsky |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124446844 PECOS PAC ID: 7810293883 Enrollment ID: I20200512000334 |
| Provider Name | Ben Hamblin Lecheminant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811378664 PECOS PAC ID: 8628383320 Enrollment ID: I20200518001016 |
| Provider Name | Wesley N Bryson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609255546 PECOS PAC ID: 0547691024 Enrollment ID: I20200518001030 |
| Provider Name | Jaimee E Mannix |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033590336 PECOS PAC ID: 6507151610 Enrollment ID: I20200518001206 |
| Provider Name | Bridget Kistner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649652728 PECOS PAC ID: 9436462587 Enrollment ID: I20200519000171 |
| Provider Name | Danesh Bansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568858033 PECOS PAC ID: 1052613791 Enrollment ID: I20200519000192 |
| Provider Name | Arianna C Buckley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619359817 PECOS PAC ID: 0143532283 Enrollment ID: I20200520003250 |
| Provider Name | Mark Jeffrey Hoegger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306227137 PECOS PAC ID: 1355654823 Enrollment ID: I20200522001010 |
| Provider Name | Rebecca G Devries |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750778189 PECOS PAC ID: 4880989151 Enrollment ID: I20200522001155 |
| Provider Name | Wei Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124402573 PECOS PAC ID: 9436463312 Enrollment ID: I20200604002403 |
| Provider Name | Kasra Rahbar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902293285 PECOS PAC ID: 2466873153 Enrollment ID: I20200604002591 |
| Provider Name | Michael Patrick Reiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497726129 PECOS PAC ID: 5698992303 Enrollment ID: I20200609001185 |
| Provider Name | Christopher Ray Ellington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053708388 PECOS PAC ID: 8325349905 Enrollment ID: I20200625002837 |
| Provider Name | Jennie E Brodsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932332319 PECOS PAC ID: 3274798541 Enrollment ID: I20200730003599 |
| Provider Name | Parisa Mazaheri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902288210 PECOS PAC ID: 1759706526 Enrollment ID: I20200811000722 |
| Provider Name | Antonina Ilyinishna Frolova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386083194 PECOS PAC ID: 9931338175 Enrollment ID: I20200925000381 |
| Provider Name | Cara R Goldberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801948559 PECOS PAC ID: 7618062563 Enrollment ID: I20201026002203 |
| Provider Name | Jonathan Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255567947 PECOS PAC ID: 6406193770 Enrollment ID: I20201216000388 |
| Provider Name | Sagine a Berry-tony |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093159287 PECOS PAC ID: 8628309341 Enrollment ID: I20210122001496 |
| Provider Name | Amira Bahu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245202068 PECOS PAC ID: 9931006756 Enrollment ID: I20210225001250 |
| Provider Name | Stacy Juyeh Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306289509 PECOS PAC ID: 5193027647 Enrollment ID: I20210312000651 |
| Provider Name | Emily Michelle Capecchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093300873 PECOS PAC ID: 5496163149 Enrollment ID: I20210416001501 |
| Provider Name | Thomas Aquinas Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063437333 PECOS PAC ID: 4385605658 Enrollment ID: I20210420002447 |
| Provider Name | Scott M Bugenhagen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053767046 PECOS PAC ID: 6800221748 Enrollment ID: I20210507001903 |
| Provider Name | Jared Koen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841641164 PECOS PAC ID: 1850688011 Enrollment ID: I20210507002007 |
| Provider Name | Eric J Fischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811359821 PECOS PAC ID: 9436584372 Enrollment ID: I20210507002274 |
| Provider Name | Abdulrahman Masrani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285097352 PECOS PAC ID: 9830481639 Enrollment ID: I20210510000287 |
| Provider Name | Michael Freitag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174972368 PECOS PAC ID: 9537454467 Enrollment ID: I20210608000160 |
| Provider Name | Resten T Imaoka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437595469 PECOS PAC ID: 7517367824 Enrollment ID: I20210608002045 |
| Provider Name | Alexander Skopec |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417339839 PECOS PAC ID: 7618280181 Enrollment ID: I20210608002288 |
| Provider Name | Michael T Marrocco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326497363 PECOS PAC ID: 3779876727 Enrollment ID: I20210609001283 |
| Provider Name | Amin Haghighat Jahromi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831577527 PECOS PAC ID: 0042610115 Enrollment ID: I20210610001808 |
| Provider Name | Bethany M Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760060586 PECOS PAC ID: 1355741893 Enrollment ID: I20210621001603 |
| Provider Name | Daniel Harwood |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851787303 PECOS PAC ID: 6406169044 Enrollment ID: I20210624002830 |
| Provider Name | Bree Ann Goodman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942733290 PECOS PAC ID: 2365844586 Enrollment ID: I20210712000814 |
| Provider Name | Sydney Marie Thayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427581768 PECOS PAC ID: 0648544890 Enrollment ID: I20210723001509 |
| Provider Name | Kavya Sudanagunta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699221291 PECOS PAC ID: 1850663964 Enrollment ID: I20210803001827 |
| Provider Name | Amanda Christine Zofkie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386063493 PECOS PAC ID: 0648535567 Enrollment ID: I20210907002907 |
| Provider Name | Krystle B Barhaghi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922419589 PECOS PAC ID: 2860786829 Enrollment ID: I20210908001893 |
| Provider Name | Chelsea a Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881075661 PECOS PAC ID: 1850607433 Enrollment ID: I20210913000564 |
| Provider Name | Dara Lifschutz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427013408 PECOS PAC ID: 0244208130 Enrollment ID: I20211102001980 |
| Provider Name | Steven Twidwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215526785 PECOS PAC ID: 3971997479 Enrollment ID: I20220228000221 |
| Provider Name | Micaela Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336648294 PECOS PAC ID: 4880959485 Enrollment ID: I20220324002538 |
| Provider Name | Lisa B Mogil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215469762 PECOS PAC ID: 5092192492 Enrollment ID: I20220524000594 |
| Provider Name | Kacie Kuykendall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902330111 PECOS PAC ID: 6901283316 Enrollment ID: I20220524000637 |
| Provider Name | Gentry Russell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730612888 PECOS PAC ID: 1759650617 Enrollment ID: I20220524000644 |
| Provider Name | Matthew F Glasser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235668401 PECOS PAC ID: 0345571618 Enrollment ID: I20220524000684 |
| Provider Name | Alex Michael Mayeux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952833212 PECOS PAC ID: 2163839234 Enrollment ID: I20220524000698 |
| Provider Name | Liang Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679134159 PECOS PAC ID: 3072990480 Enrollment ID: I20220524000745 |
| Provider Name | Michael H Lanier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508386632 PECOS PAC ID: 8820369705 Enrollment ID: I20220524002243 |
| Provider Name | Qi Xiao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437690724 PECOS PAC ID: 7911276894 Enrollment ID: I20220524002768 |
| Provider Name | Louis M Bonacorsi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043660780 PECOS PAC ID: 2961750252 Enrollment ID: I20220525000967 |
| Provider Name | Patrick Mcenulty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821527698 PECOS PAC ID: 5092086322 Enrollment ID: I20220525001041 |
| Provider Name | John William Braun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457884785 PECOS PAC ID: 1759659865 Enrollment ID: I20220525001686 |
| Provider Name | Heather Duke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215360664 PECOS PAC ID: 0547517252 Enrollment ID: I20220525001722 |
| Provider Name | Marshall Warren Meeks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134651185 PECOS PAC ID: 9739450933 Enrollment ID: I20220525002092 |
| Provider Name | Julia Julia Kiernan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558895391 PECOS PAC ID: 4486925963 Enrollment ID: I20220525002232 |
| Provider Name | Jodie Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831629260 PECOS PAC ID: 6608107867 Enrollment ID: I20220628000307 |
| Provider Name | Jay Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477085520 PECOS PAC ID: 3577943117 Enrollment ID: I20220629001518 |
| Provider Name | Kaitlin Marie Marquis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700316585 PECOS PAC ID: 1456617562 Enrollment ID: I20220629001593 |
| Provider Name | Francis Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538695853 PECOS PAC ID: 1850656638 Enrollment ID: I20220629001692 |
| Provider Name | Daniel I Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285166298 PECOS PAC ID: 4486985645 Enrollment ID: I20220629001741 |
| Provider Name | Katherine Bligard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053792325 PECOS PAC ID: 5294049276 Enrollment ID: I20220712002519 |
| Provider Name | Juan Francisco Morales Leon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043731896 PECOS PAC ID: 3375925514 Enrollment ID: I20220803003954 |
| Provider Name | Yaa B Asare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477988624 PECOS PAC ID: 3870922651 Enrollment ID: I20221007000241 |
| Provider Name | Kevin Andrew Roodhouse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922454388 PECOS PAC ID: 3173814381 Enrollment ID: I20230224000879 |
| Provider Name | Syed F Salik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093212573 PECOS PAC ID: 4082940416 Enrollment ID: I20230617000368 |
| Provider Name | Katharina F Feister |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265937916 PECOS PAC ID: 2961733233 Enrollment ID: I20230618000003 |
| Provider Name | Katerina Sunn Konstantinoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831683911 PECOS PAC ID: 5991054561 Enrollment ID: I20230618000021 |
| Provider Name | Barrett Riddle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881191617 PECOS PAC ID: 2769738277 Enrollment ID: I20230618000086 |
| Provider Name | Hannah L Singhal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588160535 PECOS PAC ID: 1759639289 Enrollment ID: I20230618000092 |
| Provider Name | Theresa H Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194214155 PECOS PAC ID: 1951652841 Enrollment ID: I20230618000115 |
| Provider Name | Jackson Boice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104319664 PECOS PAC ID: 6002164548 Enrollment ID: I20230618000141 |
| Provider Name | Adam D Naylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932603552 PECOS PAC ID: 0941559629 Enrollment ID: I20230620000132 |
| Provider Name | Emma Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417446287 PECOS PAC ID: 4183967441 Enrollment ID: I20230620000873 |
| Provider Name | Jason Paul Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174029870 PECOS PAC ID: 1153676804 Enrollment ID: I20230620001011 |
| Provider Name | Andrew P Kong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285139162 PECOS PAC ID: 5597015354 Enrollment ID: I20230621000551 |
| Provider Name | Frederick E Butt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114410412 PECOS PAC ID: 3678820404 Enrollment ID: I20230621000667 |
| Provider Name | Scott a Wilson-flewelling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235623612 PECOS PAC ID: 5496187619 Enrollment ID: I20230628002310 |
| Provider Name | Sherwin M Chiu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932604782 PECOS PAC ID: 4587913777 Enrollment ID: I20230629003205 |
| Provider Name | Selasi M Nakhaima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396249009 PECOS PAC ID: 8921357609 Enrollment ID: I20230710000162 |
| Provider Name | Grant Michael Riesberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013401686 PECOS PAC ID: 7810244399 Enrollment ID: I20230711000929 |
| Provider Name | Dagan Kaht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528594819 PECOS PAC ID: 2860734357 Enrollment ID: I20230713000701 |
| Provider Name | Nathan Joseph Siesener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295239804 PECOS PAC ID: 7719216423 Enrollment ID: I20230804003576 |
| Provider Name | Edward J Bok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225061732 PECOS PAC ID: 9638081904 Enrollment ID: I20230907001326 |
| Provider Name | Rebecca a Zuurbier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982694691 PECOS PAC ID: 2466522180 Enrollment ID: I20230907001341 |
| Provider Name | Valerie Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629052444 PECOS PAC ID: 4082512645 Enrollment ID: I20230907001377 |
| Provider Name | John G Pearce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174570485 PECOS PAC ID: 0244272227 Enrollment ID: I20231011001204 |
| Provider Name | Amir Ata Rahnemai Azar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477083756 PECOS PAC ID: 8820447022 Enrollment ID: I20231213002779 |
| Provider Name | Margery a Manuli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720277353 PECOS PAC ID: 0941241046 Enrollment ID: I20231221003667 |
| Provider Name | Michelle Lynn Juengling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245839323 PECOS PAC ID: 7719390392 Enrollment ID: I20240105000601 |
| Provider Name | Megan L O'brien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659804193 PECOS PAC ID: 7719304831 Enrollment ID: I20240112001658 |
| Provider Name | Stephanie H Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1275914665 PECOS PAC ID: 3971804824 Enrollment ID: I20240301001868 |
| Provider Name | Arash Nazeri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487017802 PECOS PAC ID: 1658719067 Enrollment ID: I20240404001620 |
| Provider Name | Jia Chu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174082986 PECOS PAC ID: 2062830086 Enrollment ID: I20240513001041 |
| Provider Name | Brian Cusworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366001786 PECOS PAC ID: 3678801214 Enrollment ID: I20240514000359 |
| Provider Name | Ashton Densley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467910646 PECOS PAC ID: 1254756554 Enrollment ID: I20240514000558 |
| Provider Name | Nicholas Patrick Fleege |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538726070 PECOS PAC ID: 6608100755 Enrollment ID: I20240514003660 |
| Provider Name | Nathanael Herndier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881153740 PECOS PAC ID: 7810311123 Enrollment ID: I20240514003791 |
| Provider Name | Thomas James Massutti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114587904 PECOS PAC ID: 4385978824 Enrollment ID: I20240515000938 |
| Provider Name | Jacob C Grant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639639669 PECOS PAC ID: 3678914140 Enrollment ID: I20240515001224 |
| Provider Name | Amanda Mehrsheikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730642471 PECOS PAC ID: 2365860384 Enrollment ID: I20240516002883 |
| Provider Name | Michael O'bryant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720548746 PECOS PAC ID: 3577988104 Enrollment ID: I20240516002926 |
| Provider Name | Ahmed Rashad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922568880 PECOS PAC ID: 4688015928 Enrollment ID: I20240516003948 |
| Provider Name | Aman Saini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609337666 PECOS PAC ID: 1355676024 Enrollment ID: I20240517000584 |
| Provider Name | Cortlandt Mercy Sellers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578025532 PECOS PAC ID: 5294176459 Enrollment ID: I20240518000578 |
| Provider Name | Sherwin Azad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467913160 PECOS PAC ID: 1951725852 Enrollment ID: I20240518000579 |
| Provider Name | Amirhossein Mohammadian Bajgiran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679035836 PECOS PAC ID: 2961826037 Enrollment ID: I20240518000626 |
| Provider Name | Ami Trivedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427518976 PECOS PAC ID: 8729319892 Enrollment ID: I20240520001719 |
| Provider Name | Gregory J. Wehner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083274179 PECOS PAC ID: 8820324064 Enrollment ID: I20240520001779 |
| Provider Name | Cody Thornburgh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689137762 PECOS PAC ID: 7416281423 Enrollment ID: I20240520001825 |
| Provider Name | Nicole E Kikas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750792974 PECOS PAC ID: 7315161106 Enrollment ID: I20240521001687 |
| Provider Name | Philip B Dydynski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295925071 PECOS PAC ID: 9335327147 Enrollment ID: I20240521001693 |
| Provider Name | Daniel David Friedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679134266 PECOS PAC ID: 0244566479 Enrollment ID: I20240523003586 |
| Provider Name | Christopher Reed Cunningham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609339266 PECOS PAC ID: 1254759277 Enrollment ID: I20240524000925 |
| Provider Name | James Benjamin Burke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528521523 PECOS PAC ID: 7214270099 Enrollment ID: I20240529002744 |
| Provider Name | Nathan P Skinner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225599939 PECOS PAC ID: 7618395633 Enrollment ID: I20240603000842 |
| Provider Name | Syed Hamza Hussaini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194112813 PECOS PAC ID: 8820326200 Enrollment ID: I20240603000990 |
| Provider Name | David N Loy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952516825 PECOS PAC ID: 4981733714 Enrollment ID: I20240605000547 |
| Provider Name | Alaina Scherer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194284083 PECOS PAC ID: 8729313572 Enrollment ID: I20240615000478 |
| Provider Name | Harrison Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730642604 PECOS PAC ID: 1759611387 Enrollment ID: I20240626002754 |
| Provider Name | Effie Boatemaa Adjei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477014397 PECOS PAC ID: 8729311329 Enrollment ID: I20240710000773 |
| Provider Name | Sarah Alnazal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396309621 PECOS PAC ID: 2961947387 Enrollment ID: I20240710002216 |
| Provider Name | Noor Alnazal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083277313 PECOS PAC ID: 5597200931 Enrollment ID: I20240710002732 |
| Provider Name | Joshua Hughes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497310064 PECOS PAC ID: 0244563567 Enrollment ID: I20240711002765 |
| Provider Name | Caleb Evans Vidic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891256731 PECOS PAC ID: 5496290694 Enrollment ID: I20240711003889 |
| Provider Name | Munni Salik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114588720 PECOS PAC ID: 3375957434 Enrollment ID: I20240821000249 |
| Provider Name | Ashwin Singh Parihar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326723875 PECOS PAC ID: 9032650148 Enrollment ID: I20240917001371 |
| Provider Name | Crystal N Azu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114457769 PECOS PAC ID: 3476822321 Enrollment ID: I20240917004643 |
| Provider Name | Heather Michelle Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700860350 PECOS PAC ID: 1658472352 Enrollment ID: I20240919000208 |
| Provider Name | Neil Fernandes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265645964 PECOS PAC ID: 6507997871 Enrollment ID: I20240924003618 |
| Provider Name | Jorge Cabrera Lebron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841713138 PECOS PAC ID: 6103244132 Enrollment ID: I20241007002961 |
| Provider Name | Daniel Braga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508361973 PECOS PAC ID: 2567708092 Enrollment ID: I20241015002266 |
| Provider Name | Shinjini Kundu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346735172 PECOS PAC ID: 5890227854 Enrollment ID: I20241015002502 |
| Provider Name | Joel a Dunlap |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962479733 PECOS PAC ID: 4789768276 Enrollment ID: I20241017000410 |
| Provider Name | Steven Thomas Welch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134177751 PECOS PAC ID: 7719311869 Enrollment ID: I20241227000496 |
| Provider Name | Bryan Zuniga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811421167 PECOS PAC ID: 4486923406 Enrollment ID: I20250109002294 |
| Provider Name | Richard Southard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538162953 PECOS PAC ID: 5294648788 Enrollment ID: I20250403000435 |
| Provider Name | Julia Geary Rissmiller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891822250 PECOS PAC ID: 9436308541 Enrollment ID: I20250407003388 |
| Provider Name | Kristi Bogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871811141 PECOS PAC ID: 7517233372 Enrollment ID: I20250410000429 |
| Provider Name | Inbal Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457572216 PECOS PAC ID: 3577656883 Enrollment ID: I20250529003636 |
| Provider Name | Anand Dorai Raju |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467696880 PECOS PAC ID: 9830491463 Enrollment ID: I20250606003472 |
| Provider Name | Andrew Landes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134291040 PECOS PAC ID: 9335183961 Enrollment ID: I20250611001464 |
| Provider Name | Omer Cakir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154959682 PECOS PAC ID: 7416358502 Enrollment ID: I20250619000306 |
| Provider Name | Syed Amaan Abidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194247387 PECOS PAC ID: 3870005721 Enrollment ID: I20250625002702 |
| Provider Name | Andrew Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841816691 PECOS PAC ID: 0749604767 Enrollment ID: I20250626000282 |
| Provider Name | Obaid Farooq Anwar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922635192 PECOS PAC ID: 0244654960 Enrollment ID: I20250630000175 |
| Provider Name | Tyler James Halicek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699304014 PECOS PAC ID: 6406277045 Enrollment ID: I20250701003915 |
| Provider Name | Lin Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124589619 PECOS PAC ID: 2365866860 Enrollment ID: I20250702001689 |
| Provider Name | James Cameron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538385737 PECOS PAC ID: 0042310781 Enrollment ID: I20250707003041 |
| Provider Name | Julia Kirsten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316576259 PECOS PAC ID: 0547774143 Enrollment ID: I20250707003252 |
| Provider Name | Tatiana Mamaliga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346747284 PECOS PAC ID: 1759895378 Enrollment ID: I20250707003596 |
| Provider Name | Christine Nguyen Luu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740809524 PECOS PAC ID: 4587178116 Enrollment ID: I20250707003789 |
| Provider Name | Daniel Richard Wayer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699302042 PECOS PAC ID: 7012310428 Enrollment ID: I20250708002825 |
| Provider Name | Nisha Pande |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285298547 PECOS PAC ID: 6608109632 Enrollment ID: I20250708004308 |
| Provider Name | Michael Ponkowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891318895 PECOS PAC ID: 3274954300 Enrollment ID: I20250708004432 |
| Provider Name | Colin C Rutner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558990564 PECOS PAC ID: 5496178915 Enrollment ID: I20250709002544 |
| Provider Name | Pranay Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417576265 PECOS PAC ID: 2365956414 Enrollment ID: I20250709003836 |
| Provider Name | Abygail Marie Dulle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184252579 PECOS PAC ID: 3375944333 Enrollment ID: I20250710000915 |
| Provider Name | Serena Hou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962203612 PECOS PAC ID: 2062926082 Enrollment ID: I20250710001009 |
| Provider Name | Jeffrey Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639707284 PECOS PAC ID: 0547684052 Enrollment ID: I20250710001217 |
| Provider Name | Joel Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609495209 PECOS PAC ID: 1850712456 Enrollment ID: I20250710001558 |
| Provider Name | Pegah Khoshpouri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477177640 PECOS PAC ID: 5698171577 Enrollment ID: I20250710002612 |
| Provider Name | Mahad Minhas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013531516 PECOS PAC ID: 8527489277 Enrollment ID: I20250711001003 |
| Provider Name | Keara Oconnell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093203937 PECOS PAC ID: 5395147797 Enrollment ID: I20250712000388 |
| Provider Name | Anton Garazha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649892928 PECOS PAC ID: 9739503335 Enrollment ID: I20250715001783 |
| Provider Name | Carl Stokes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043836109 PECOS PAC ID: 0547663932 Enrollment ID: I20250717002468 |
| Provider Name | Ankita Aggarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316837701 PECOS PAC ID: 7810403847 Enrollment ID: I20250717003711 |
| Provider Name | Kizhan Muhammad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841829363 PECOS PAC ID: 9739695446 Enrollment ID: I20250721001363 |
| Provider Name | Houman Alizadeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235791534 PECOS PAC ID: 7618335134 Enrollment ID: I20250721001763 |
| Provider Name | Suraj Kapoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619597457 PECOS PAC ID: 3577079086 Enrollment ID: I20250722001892 |
| Provider Name | Azadeh Eslambolchi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467036699 PECOS PAC ID: 4486160827 Enrollment ID: I20250722002961 |
| Provider Name | Ziad Tarcha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013641489 PECOS PAC ID: 7113433574 Enrollment ID: I20250722003300 |
| Provider Name | Leif-erik Schumacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114540200 PECOS PAC ID: 8123534344 Enrollment ID: I20250723002057 |
| Provider Name | Yasasvi Tadavarthi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184249443 PECOS PAC ID: 6709209638 Enrollment ID: I20250723003053 |
| Provider Name | Hassan Massouh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083723969 PECOS PAC ID: 6305815820 Enrollment ID: I20250723003191 |
| Provider Name | Zack Nigogosyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649822289 PECOS PAC ID: 3971010943 Enrollment ID: I20250725002186 |
| Provider Name | Amar Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194287102 PECOS PAC ID: 4486988854 Enrollment ID: I20250811001178 |
| Provider Name | Nikhil Mogalapalli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326675869 PECOS PAC ID: 9931500501 Enrollment ID: I20250811002994 |
| Provider Name | Satvik Ramiah Hadigal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912467390 PECOS PAC ID: 1759880248 Enrollment ID: I20250820002441 |
| Provider Name | Ghazal Shadmani |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1023634219 PECOS PAC ID: 6901306018 Enrollment ID: I20250822004207 |
| Provider Name | Paul Allen Dicamillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831341007 PECOS PAC ID: 2860767639 Enrollment ID: I20250904002360 |
| Provider Name | Tangayi Githu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386951887 PECOS PAC ID: 6204075237 Enrollment ID: I20250908001312 |
| Provider Name | Hani Nazih Nakhoul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093335291 PECOS PAC ID: 7517460959 Enrollment ID: I20250911004215 |
| Provider Name | Bradley J Girod |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1104446491 PECOS PAC ID: 3678994258 Enrollment ID: I20250915001468 |
| Provider Name | Janet H Pollard |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1780842450 PECOS PAC ID: 1850530304 Enrollment ID: I20250923001222 |
| Provider Name | Chelsea Schmitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013545946 PECOS PAC ID: 9436553708 Enrollment ID: I20250923001374 |
| Provider Name | Utkarsh Parwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417584616 PECOS PAC ID: 7315362019 Enrollment ID: I20251014002309 |
| Provider Name | Julio Marin Concha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962083436 PECOS PAC ID: 1951719483 Enrollment ID: I20260622002931 |
Goodman Medical Center PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 State Route Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300 |
Phelps Health Medical Group Rolla Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-458-3952 |
Phelps County Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 |
Four Rivers Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 573-426-2407 |
Choudhrymd, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 W 6th St, Rolla, MO 65401 Phone: 573-202-3969 Fax: 573-341-8581 |
Your Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Main St, Suite 51g, Rolla, MO 65401 Phone: 573-426-6712 Fax: 573-426-6735 |