Irene Benn Medical Center | |
10 Lincoln St Moapa NV 89025-0819 | |
(775) 784-5327 | |
Not Available |
Full Name | Irene Benn Medical Center |
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Speciality | Clinic/Center |
Location | 10 Lincoln St, Moapa, Nevada |
Authorized Official Name and Position | Sky Rainbow Black Elk-volkmann (SUPERVISOR, PATIENT BUSINESS OFFICE) |
Authorized Official Contact | 6053844844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Irene Benn Medical Center Po Box 819 Moapa NV 89025-0819 Ph: (775) 784-5327 | Irene Benn Medical Center 10 Lincoln St Moapa NV 89025-0819 Ph: (775) 784-5327 |
NPI Number | 1841535317 |
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Provider Enumeration Date | 12/10/2012 |
Last Update Date | 12/12/2022 |
Medicare PECOS PAC ID | 0840430724 |
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Medicare Enrollment ID | O20130717000832 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841535317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Craig A Levy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528150455 PECOS PAC ID: 6103720222 Enrollment ID: I20031120000907 |
Provider Name | Glen Y Kishi |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174561765 PECOS PAC ID: 6305741448 Enrollment ID: I20031203000211 |
Provider Name | Brenda L Bourn |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1477728178 PECOS PAC ID: 3274429238 Enrollment ID: I20040225001187 |
Provider Name | Stella Lau |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275575722 PECOS PAC ID: 1557391281 Enrollment ID: I20050812000681 |
Provider Name | Anthony Vincent Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811074834 PECOS PAC ID: 9032214911 Enrollment ID: I20071019000478 |
Provider Name | Stacey J Sullivan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447284088 PECOS PAC ID: 5991793754 Enrollment ID: I20090805000679 |
Provider Name | Brian F Hanley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467657841 PECOS PAC ID: 1355511924 Enrollment ID: I20110909002578 |
Provider Name | Jeffrey Caverly |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912968686 PECOS PAC ID: 2961509500 Enrollment ID: I20140522002123 |
Provider Name | Jennifer L Himmelstein |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1669888525 PECOS PAC ID: 7810113776 Enrollment ID: I20140729002670 |
Provider Name | Deborah B Cornell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801824586 PECOS PAC ID: 4880752534 Enrollment ID: I20141223000823 |
Provider Name | Kristi A Petersen |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1548515406 PECOS PAC ID: 2365671583 Enrollment ID: I20150102000288 |
Provider Name | Roger V Cox |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1104038488 PECOS PAC ID: 2668646068 Enrollment ID: I20150105001861 |
Provider Name | Theresa E Towle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639486137 PECOS PAC ID: 0648468207 Enrollment ID: I20151209000511 |
Provider Name | Perry D Guthrie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477939882 PECOS PAC ID: 1254634850 Enrollment ID: I20160114000824 |
Provider Name | Luis A Rosa |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063608958 PECOS PAC ID: 4981882354 Enrollment ID: I20160315002241 |
Provider Name | Vicki L Jeffery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629370077 PECOS PAC ID: 7416126859 Enrollment ID: I20160427001754 |
Provider Name | Amy Lebbon |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1760887087 PECOS PAC ID: 2860781127 Enrollment ID: I20160510001922 |
Provider Name | Dwala M Gibson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346628088 PECOS PAC ID: 3274822630 Enrollment ID: I20160525001521 |
Provider Name | Scottie A Bussell |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1003196429 PECOS PAC ID: 4688968969 Enrollment ID: I20160809002483 |
Provider Name | Naomi H Hixson |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1841591096 PECOS PAC ID: 1355635210 Enrollment ID: I20160816001020 |
Provider Name | Kelly A Cricks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346501012 PECOS PAC ID: 9133439144 Enrollment ID: I20161029000047 |
Provider Name | Rishi Patel |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1154797165 PECOS PAC ID: 9739468604 Enrollment ID: I20161116002196 |
Provider Name | Virgilio A Cantu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437184686 PECOS PAC ID: 0042279671 Enrollment ID: I20161118001141 |
Provider Name | Moses Benaiah Benavides |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1326332768 PECOS PAC ID: 1254623549 Enrollment ID: I20161130001914 |
Provider Name | Subba R Alapati |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1487642039 PECOS PAC ID: 7012974686 Enrollment ID: I20170109000369 |
Provider Name | Tahir Alkhairy |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023026234 PECOS PAC ID: 8527960434 Enrollment ID: I20170508002146 |
Provider Name | Jesse A Hogan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134641343 PECOS PAC ID: 5698048536 Enrollment ID: I20170829001635 |
Provider Name | Adrian A Cordovi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407084353 PECOS PAC ID: 6901921121 Enrollment ID: I20170919000534 |
Provider Name | Alireza Zargar |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1932519378 PECOS PAC ID: 6608147772 Enrollment ID: I20171108001972 |
Provider Name | Keith G Cook |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437225786 PECOS PAC ID: 8123051877 Enrollment ID: I20180209000227 |
Provider Name | Jason D Waite |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1073950440 PECOS PAC ID: 9739313537 Enrollment ID: I20180618001476 |
Provider Name | Deepak Udupa Sekaran |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1922446962 PECOS PAC ID: 6002166980 Enrollment ID: I20190228000380 |
Provider Name | Alana C Horais |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1154785251 PECOS PAC ID: 6709177306 Enrollment ID: I20190912002527 |
Provider Name | Soo C Han |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1457779811 PECOS PAC ID: 1658601562 Enrollment ID: I20190919000311 |
Provider Name | Steven Grondalski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164509071 PECOS PAC ID: 2769712009 Enrollment ID: I20190930000527 |
Provider Name | Yeu Shin Cindy Chang |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1003158817 PECOS PAC ID: 0648540880 Enrollment ID: I20200115001221 |
Provider Name | Tina Evenson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114151214 PECOS PAC ID: 3173669645 Enrollment ID: I20200310002228 |
Provider Name | Vicken Y Totten |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1831179001 PECOS PAC ID: 3375552995 Enrollment ID: I20200408001169 |
Provider Name | David L August |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508933847 PECOS PAC ID: 8325119811 Enrollment ID: I20200429000417 |
Provider Name | Vanessa Wear |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1235286196 PECOS PAC ID: 1951590017 Enrollment ID: I20200521000453 |
Provider Name | Shidrokh A Shakeri-cerejo |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215914619 PECOS PAC ID: 9234551979 Enrollment ID: I20200625000567 |
Provider Name | Amy E Allegretti |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1033193883 PECOS PAC ID: 2365478872 Enrollment ID: I20200707000779 |
Provider Name | Erik J Martin |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699901587 PECOS PAC ID: 9638340219 Enrollment ID: I20200929002192 |
Provider Name | Victor Alcalde |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1760828958 PECOS PAC ID: 0345538716 Enrollment ID: I20201202003177 |
Provider Name | Brett Jacob Schneiderman |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1831603125 PECOS PAC ID: 8325440670 Enrollment ID: I20210709001051 |
Provider Name | Michael Dickerson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073512059 PECOS PAC ID: 0143133371 Enrollment ID: I20210823000250 |
Provider Name | Helen Lo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1225230618 PECOS PAC ID: 3274702048 Enrollment ID: I20210916000183 |
Provider Name | Robert Paul Walker |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881690162 PECOS PAC ID: 2466437884 Enrollment ID: I20211027000691 |
Provider Name | Cynthia Oberholtzer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770037251 PECOS PAC ID: 9335437144 Enrollment ID: I20220106002350 |
Provider Name | Robert B Tucker |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790745834 PECOS PAC ID: 9638253768 Enrollment ID: I20220113002084 |
Provider Name | Junaid Aslam |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1841685435 PECOS PAC ID: 0244652097 Enrollment ID: I20220323002022 |
Provider Name | Loretta A Settonni |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1023011137 PECOS PAC ID: 7214824762 Enrollment ID: I20220324000099 |
Provider Name | Douglas Mckendry |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1285028092 PECOS PAC ID: 2264829209 Enrollment ID: I20220421002654 |
Provider Name | Benjamin T Addicott |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093077356 PECOS PAC ID: 1052676764 Enrollment ID: I20220520000524 |
Provider Name | Keith Arnold |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780117549 PECOS PAC ID: 1951679612 Enrollment ID: I20220708000847 |
Provider Name | Brenda K Moore |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275824120 PECOS PAC ID: 3678895232 Enrollment ID: I20220803001977 |
Provider Name | Jesse Coenen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376832345 PECOS PAC ID: 4082839063 Enrollment ID: I20220805000476 |
Provider Name | Larisa Allakhverdova |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144219023 PECOS PAC ID: 5092796920 Enrollment ID: I20220914001374 |
Provider Name | Michael Henry |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1609338102 PECOS PAC ID: 5799168977 Enrollment ID: I20221003000241 |
Provider Name | Remy R Ngwanyam |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821445909 PECOS PAC ID: 3870964687 Enrollment ID: I20230113000715 |
Provider Name | Ali Batouli |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326301383 PECOS PAC ID: 9436423118 Enrollment ID: I20230310000931 |
Provider Name | David Lau |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144303611 PECOS PAC ID: 3678938214 Enrollment ID: I20230503002207 |
Provider Name | Lynester Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396344586 PECOS PAC ID: 3173929254 Enrollment ID: I20230505001452 |
Provider Name | Joseph Lawton |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205368735 PECOS PAC ID: 4688908361 Enrollment ID: I20230614000083 |
Provider Name | Betty Carpenter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336863778 PECOS PAC ID: 3779942396 Enrollment ID: I20230629002918 |
Provider Name | Emily Veltus |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1427687391 PECOS PAC ID: 4587026083 Enrollment ID: I20230815004275 |
Provider Name | Quinn D Bott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336572619 PECOS PAC ID: 0345664157 Enrollment ID: I20230821000087 |
Provider Name | Umair Saleem |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548528029 PECOS PAC ID: 3072896018 Enrollment ID: I20230831000450 |
Provider Name | Charles Rocamboli |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366639049 PECOS PAC ID: 1658398284 Enrollment ID: I20231003003463 |
Provider Name | Parker D Lovelace |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1588102164 PECOS PAC ID: 1052760717 Enrollment ID: I20231207000985 |
Provider Name | Cynthia Mc Donald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184063422 PECOS PAC ID: 5193953230 Enrollment ID: I20240223000316 |
Provider Name | Simon Onderi |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871850438 PECOS PAC ID: 5496003170 Enrollment ID: I20240513000981 |
Provider Name | Sammy Mohamed Ashouri |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871906396 PECOS PAC ID: 0749592996 Enrollment ID: I20240706000025 |
Provider Name | Rachel A Golin |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184913840 PECOS PAC ID: 5890077655 Enrollment ID: I20240713000328 |
Provider Name | Silvia Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801513072 PECOS PAC ID: 8426422361 Enrollment ID: I20241106000440 |
Provider Name | Soy Florence Ramsumeer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073929162 PECOS PAC ID: 8921343690 Enrollment ID: I20241231000167 |
Provider Name | Donald Schmidt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821655804 PECOS PAC ID: 4183152036 Enrollment ID: I20250107000352 |
Provider Name | Daniel Scher |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1770872665 PECOS PAC ID: 7214236652 Enrollment ID: I20250115000956 |
Provider Name | Shazia Sohrawardy |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649792482 PECOS PAC ID: 1355765231 Enrollment ID: I20250123000412 |
Provider Name | Tina Grinsteiner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104403708 PECOS PAC ID: 5395146609 Enrollment ID: I20250131000270 |
Provider Name | Darryl Horton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326570615 PECOS PAC ID: 9032489976 Enrollment ID: I20250217000024 |
Provider Name | Renee Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669189288 PECOS PAC ID: 9537697818 Enrollment ID: I20250227001051 |