| 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 (DIRECTOR, CREDENTIALING OPERATIONS) |
| 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 4240 Duncan Ave Saint Louis MO 63110-1101 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 | 10/30/2020 |
| 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 | (* (Not Available)) | 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 | 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 | 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 | Jeffrey L Shore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972547412 PECOS PAC ID: 2668475161 Enrollment ID: I20060823000549 |
| 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 | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20060928000270 |
| Provider Name | Tammie L Benzinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134139363 PECOS PAC ID: 1052317633 Enrollment ID: I20061005000204 |
| Provider Name | Toni C Roth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225063118 PECOS PAC ID: 0547163727 Enrollment ID: I20061108000542 |
| 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 | Lisa M Oakley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588681241 PECOS PAC ID: 8729185343 Enrollment ID: I20070516000252 |
| Provider Name | Floyd E Scales |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669510483 PECOS PAC ID: 7214034842 Enrollment ID: I20070516000315 |
| 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 | Smita Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518073014 PECOS PAC ID: 2062427719 Enrollment ID: I20070821000266 |
| 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 | 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 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 | Travis Hillen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285729657 PECOS PAC ID: 8921158809 Enrollment ID: I20090616000068 |
| 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 | William P James |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043304389 PECOS PAC ID: 7416096771 Enrollment ID: I20091125000367 |
| Provider Name | Mary A Middleton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700935269 PECOS PAC ID: 2769521020 Enrollment ID: I20091125000390 |
| Provider Name | Pamela K Woodard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134213473 PECOS PAC ID: 4587703764 Enrollment ID: I20091201000345 |
| Provider Name | Christopher J Moran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124046859 PECOS PAC ID: 3072652262 Enrollment ID: I20091201000401 |
| 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 | Dennis M Balfe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811919954 PECOS PAC ID: 1658410899 Enrollment ID: I20091202000189 |
| 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 | Lawrence M Kotner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306917646 PECOS PAC ID: 9436293065 Enrollment ID: I20100220000388 |
| Provider Name | Perry W. Grigsby |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467478685 PECOS PAC ID: 7911042056 Enrollment ID: I20100301000803 |
| Provider Name | Marc 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 | Vincent M Mellnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295918019 PECOS PAC ID: 2668657669 Enrollment ID: I20110505000665 |
| Provider Name | Michael 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 | 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 | Ajay R Chapa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689896441 PECOS PAC ID: 3971668377 Enrollment ID: I20131025001598 |
| Provider Name | Joel P Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912902271 PECOS PAC ID: 8921068438 Enrollment ID: I20140122001767 |
| 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 | Debbie L Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104091065 PECOS PAC ID: 3870752306 Enrollment ID: I20140508000692 |
| 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 | Sarah Elizabeth Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285955229 PECOS PAC ID: 5294964763 Enrollment ID: I20150505001639 |
| 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 | Ioannis 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 P Kansagra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881822682 PECOS PAC ID: 4082845565 Enrollment ID: I20160505002274 |
| Provider Name | Demetrios Andreas 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 | Logan Lackey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740506419 PECOS PAC ID: 6901198639 Enrollment ID: I20160715001579 |
| Provider Name | Jennifer Lynn Nicholas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467617126 PECOS PAC ID: 5193840619 Enrollment ID: I20160728000163 |
| 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 | 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 | 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 | Jamal J 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 | Stephen Alexander Herrmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871936591 PECOS PAC ID: 2769753524 Enrollment ID: I20180516000917 |
| 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 | Nathaniel Thomson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265864862 PECOS PAC ID: 1355606476 Enrollment ID: I20180521000514 |
| Provider Name | Rami W Eldaya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952663270 PECOS PAC ID: 3173888294 Enrollment ID: I20180521000522 |
| 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 | David Kraft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841618394 PECOS PAC ID: 6204178809 Enrollment ID: I20190501001177 |
| Provider Name | Robert D Downing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114344033 PECOS PAC ID: 8628374311 Enrollment ID: I20190501001240 |
| 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 | Rahul Deolankar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275947012 PECOS PAC ID: 0941429765 Enrollment ID: I20190501001412 |
| Provider Name | Vanessa Renee 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 | Samuel Jonas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851718985 PECOS PAC ID: 1850524729 Enrollment ID: I20190501002475 |
| Provider Name | Mariam A Malik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730422965 PECOS PAC ID: 1052613064 Enrollment ID: I20190502000045 |
| Provider Name | Arielle Bauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912311127 PECOS PAC ID: 2365758398 Enrollment ID: I20190502000781 |
| Provider Name | Maverick J Leblanc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558780940 PECOS PAC ID: 8729320221 Enrollment ID: I20190502002649 |
| Provider Name | Daniel A Chu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316367972 PECOS PAC ID: 5890919146 Enrollment ID: I20190502002761 |
| Provider Name | Travis Canova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144635269 PECOS PAC ID: 7911228671 Enrollment ID: I20190506000033 |
| 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 B Short |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811239312 PECOS PAC ID: 6608001862 Enrollment ID: I20190517000304 |
| Provider Name | Ali Y Mian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093026064 PECOS PAC ID: 5496098964 Enrollment ID: I20190524000609 |
| Provider Name | Saul Friedman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1326488156 PECOS PAC ID: 1153623632 Enrollment ID: I20190524001378 |
| 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 | Maria Del Pilar Bayona Molano |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174790489 PECOS PAC ID: 5193849826 Enrollment ID: I20190621002863 |
| Provider Name | Danielle Elizabeth Summers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104237825 PECOS PAC ID: 5193059137 Enrollment ID: I20190626000606 |
| Provider Name | Ellen Y Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427450212 PECOS PAC ID: 7911205372 Enrollment ID: I20190626000830 |
| Provider Name | Franka Ofikwu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134512445 PECOS PAC ID: 2860726502 Enrollment ID: I20190628001605 |
| 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 | Laurie L Fajardo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033107982 PECOS PAC ID: 6901909886 Enrollment ID: I20191002000142 |
| Provider Name | Harry R Parvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326157454 PECOS PAC ID: 7214998244 Enrollment ID: I20191018000793 |
| Provider Name | Amir Iravani Tabrizipour |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1902442650 PECOS PAC ID: 3476986332 Enrollment ID: I20191206000729 |
| Provider Name | Shiraz Rahim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073856118 PECOS PAC ID: 0749535607 Enrollment ID: I20200116001507 |
| 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 | 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 | Jonathan Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770977845 PECOS PAC ID: 9032429766 Enrollment ID: I20200507002577 |
| Provider Name | Markus Zei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| 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 | Chelsea Samson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619358884 PECOS PAC ID: 7810209376 Enrollment ID: I20200522000956 |
| Provider Name | Mark J 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 | 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 | Jonathan Rodger 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 | Stacy Juyeh Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306289509 PECOS PAC ID: 5193027647 Enrollment ID: I20210312000651 |
| Provider Name | Thomas Aquinas Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063437333 PECOS PAC ID: 4385605658 Enrollment ID: I20210420002447 |
| Provider Name | Joanna Fan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659735728 PECOS PAC ID: 1557770385 Enrollment ID: I20210507001757 |
| Provider Name | Scott M Bugenhagen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053767046 PECOS PAC ID: 6800221748 Enrollment ID: I20210507001903 |
| Provider Name | Bradley L Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144683863 PECOS PAC ID: 8527477355 Enrollment ID: I20210507001944 |
| Provider Name | Grace Guang-he Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548689128 PECOS PAC ID: 1759677255 Enrollment ID: I20210507001965 |
| Provider Name | Islam Fayed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316300320 PECOS PAC ID: 3072922806 Enrollment ID: I20210507001979 |
| Provider Name | Jared W 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 | Reza Salari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992167043 PECOS PAC ID: 4981998093 Enrollment ID: I20210510002141 |
| Provider Name | Michael Freitag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174972368 PECOS PAC ID: 9537454467 Enrollment ID: I20210608000160 |
| Provider Name | Frank Petraglia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558724161 PECOS PAC ID: 9739476938 Enrollment ID: I20210608000300 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20210608000462 |
| 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 | Daniel Harwood |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851787303 PECOS PAC ID: 6406169044 Enrollment ID: I20210624002830 |
| Provider Name | Sooyoung Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417311838 PECOS PAC ID: 8628360336 Enrollment ID: I20210625002324 |
| Provider Name | Kavya Sudanagunta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699221291 PECOS PAC ID: 1850663964 Enrollment ID: I20210803001827 |
| Provider Name | Krystle Barhaghi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922419589 PECOS PAC ID: 2860786829 Enrollment ID: I20210908001893 |
| Provider Name | Dara Cindy Lifschutz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427013408 PECOS PAC ID: 0244208130 Enrollment ID: I20211102001980 |
| Provider Name | Travis C Everett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194254623 PECOS PAC ID: 4587933809 Enrollment ID: I20220524000471 |
| Provider Name | Lisa B Mogil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215469762 PECOS PAC ID: 5092192492 Enrollment ID: I20220524000594 |
| Provider Name | Galina Gruenthal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750814430 PECOS PAC ID: 3274910682 Enrollment ID: I20220524000626 |
| Provider Name | Kacie L Steinbrecher |
|---|---|
| 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 | Taylor James Patterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598296667 PECOS PAC ID: 5395076558 Enrollment ID: I20220524000664 |
| 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 | Allison Fraum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407381742 PECOS PAC ID: 1850660671 Enrollment ID: I20220525001198 |
| 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 Kiernan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558895391 PECOS PAC ID: 4486925963 Enrollment ID: I20220525002232 |
| Provider Name | Blake P Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376074914 PECOS PAC ID: 3779856612 Enrollment ID: I20220526000303 |
| Provider Name | James Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891228078 PECOS PAC ID: 0143577494 Enrollment ID: I20220616002696 |
| Provider Name | Jodie Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831629260 PECOS PAC ID: 6608107867 Enrollment ID: I20220628000307 |
| Provider Name | Adam Thomas Orr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033630090 PECOS PAC ID: 7113297300 Enrollment ID: I20220629001491 |
| Provider Name | Jay Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477085520 PECOS PAC ID: 3577943117 Enrollment ID: I20220629001518 |
| Provider Name | Kaitlin M Marquis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700316585 PECOS PAC ID: 1456617562 Enrollment ID: I20220629001593 |
| Provider Name | Zaid Haddadin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699203489 PECOS PAC ID: 7810377454 Enrollment ID: I20220629001597 |
| Provider Name | Alyssa K Plouzek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487183893 PECOS PAC ID: 1557631892 Enrollment ID: I20220629001641 |
| Provider Name | Francis S Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538695853 PECOS PAC ID: 1850656638 Enrollment ID: I20220629001692 |
| Provider Name | Daniel Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285166298 PECOS PAC ID: 4486985645 Enrollment ID: I20220629001741 |
| Provider Name | Cameron M Koch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134658743 PECOS PAC ID: 3971872003 Enrollment ID: I20220629001746 |
| Provider Name | Joshua R Fage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437579844 PECOS PAC ID: 9436570140 Enrollment ID: I20220629001767 |
| Provider Name | Chadwick Barrs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831548155 PECOS PAC ID: 5991125312 Enrollment ID: I20220629003110 |
| Provider Name | Juan Morales Leon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043731896 PECOS PAC ID: 3375925514 Enrollment ID: I20220803003954 |
| Provider Name | Kushaljit S Sodhi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649973280 PECOS PAC ID: 3678938115 Enrollment ID: I20230505000269 |
| 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 Charles Riddle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881191617 PECOS PAC ID: 2769738277 Enrollment ID: I20230618000086 |
| Provider Name | Hannah 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 | Alexander B Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659861615 PECOS PAC ID: 7012248388 Enrollment ID: I20230618000122 |
| Provider Name | Garrett Michael Carpenter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477044394 PECOS PAC ID: 7719233840 Enrollment ID: I20230618000128 |
| Provider Name | Omar Bradley Mccarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396230462 PECOS PAC ID: 7911243787 Enrollment ID: I20230618000136 |
| Provider Name | Jackson Boice |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104319664 PECOS PAC ID: 6002164548 Enrollment ID: I20230618000141 |
| Provider Name | Andrew A Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508357856 PECOS PAC ID: 0547517294 Enrollment ID: I20230618000155 |
| 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 Pc Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417446287 PECOS PAC ID: 4183967441 Enrollment ID: I20230620000873 |
| Provider Name | Jason Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174029870 PECOS PAC ID: 1153676804 Enrollment ID: I20230620001011 |
| Provider Name | Samuel O Krider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255836797 PECOS PAC ID: 1759638851 Enrollment ID: I20230620003317 |
| 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 | Eric J Weiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154826675 PECOS PAC ID: 3577894732 Enrollment ID: I20230628001580 |
| Provider Name | Alec Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336633908 PECOS PAC ID: 6204185879 Enrollment ID: I20230628001889 |
| 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 | Jeffrey Chukwuneke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477058873 PECOS PAC ID: 6800132341 Enrollment ID: I20230629003705 |
| Provider Name | Shamaita Majumdar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265936082 PECOS PAC ID: 8921467150 Enrollment ID: I20230706003427 |
| Provider Name | Joseph E Boyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982108346 PECOS PAC ID: 8022363605 Enrollment ID: I20230707002135 |
| Provider Name | Selasi M Nakhaima |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396249009 PECOS PAC ID: 8921357609 Enrollment ID: I20230710000162 |
| Provider Name | Emily Dunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649581380 PECOS PAC ID: 9335433325 Enrollment ID: I20230710001879 |
| Provider Name | Grant M Riesberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013401686 PECOS PAC ID: 7810244399 Enrollment ID: I20230711000929 |
| Provider Name | Dagan F Kaht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528594819 PECOS PAC ID: 2860734357 Enrollment ID: I20230713000701 |
| Provider Name | Caroline L Robb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437643822 PECOS PAC ID: 4385993955 Enrollment ID: I20230718003486 |
| 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 | Sammy Droubi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447745534 PECOS PAC ID: 2961866140 Enrollment ID: I20230907001454 |
| 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 |
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 |