| MUSC Physicians | |
|
171 Ashley Ave Charleston SC 29425-3287 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | MUSC Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Karyn Rae (DIRECTOR) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MUSC Physicians Po Box 751461 Charlotte NC 28275-1461 Ph: (843) 792-6200 | MUSC Physicians 171 Ashley Ave Charleston SC 29425-3287 Ph: (843) 792-1414 |
| NPI Number | 1043241110 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 6305758574 |
|---|---|
| Medicare Enrollment ID | O20031105000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043241110 | NPI | - | NPPES |
| Provider Name | Peter a Dodge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952419905 PECOS PAC ID: 0244143733 Enrollment ID: I20031111000155 |
| Provider Name | Deborah a Disco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114035151 PECOS PAC ID: 3072410471 Enrollment ID: I20031215000505 |
| Provider Name | Michael R Gold |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740398783 PECOS PAC ID: 8527965839 Enrollment ID: I20031216000021 |
| Provider Name | Laurrie D Rumpp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568576197 PECOS PAC ID: 0446159289 Enrollment ID: I20031231000326 |
| Provider Name | Kristina Kay Gustafson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952419822 PECOS PAC ID: 0446151500 Enrollment ID: I20040120000904 |
| Provider Name | Lee a Erbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588673917 PECOS PAC ID: 6103729645 Enrollment ID: I20040130000824 |
| Provider Name | Michael R Zile |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760590707 PECOS PAC ID: 5496648552 Enrollment ID: I20040204000126 |
| Provider Name | Jeffrey S Bush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750499612 PECOS PAC ID: 1456244201 Enrollment ID: I20040205000198 |
| Provider Name | Grayce Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518075472 PECOS PAC ID: 0749176014 Enrollment ID: I20040224000726 |
| Provider Name | Marlo Monique Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790757359 PECOS PAC ID: 1456249408 Enrollment ID: I20040310000329 |
| Provider Name | Alyssa Ann Rheingold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023126992 PECOS PAC ID: 9133018336 Enrollment ID: I20040315000658 |
| Provider Name | Christine Canivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427067818 PECOS PAC ID: 1658261300 Enrollment ID: I20040317000856 |
| Provider Name | Shayla Marie Bergmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730143645 PECOS PAC ID: 6709778087 Enrollment ID: I20040330000364 |
| Provider Name | George R Richardson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417932252 PECOS PAC ID: 2567455793 Enrollment ID: I20040405001139 |
| Provider Name | Rachel L Sturdivant |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225037765 PECOS PAC ID: 3476546524 Enrollment ID: I20040406000166 |
| Provider Name | Teresa L Herring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861440323 PECOS PAC ID: 7810983194 Enrollment ID: I20040422000375 |
| Provider Name | David a Griesemer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790723047 PECOS PAC ID: 0042209975 Enrollment ID: I20040507000035 |
| Provider Name | Eugene Yinmin Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336255777 PECOS PAC ID: 2062402167 Enrollment ID: I20040512000981 |
| Provider Name | Patricia L Litts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700990363 PECOS PAC ID: 9739179664 Enrollment ID: I20040513000968 |
| Provider Name | Marian Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376694398 PECOS PAC ID: 9739170671 Enrollment ID: I20040520000327 |
| Provider Name | Gurpur Shashidhar Pai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306954268 PECOS PAC ID: 2466443270 Enrollment ID: I20040520000904 |
| Provider Name | Judy L Osborne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477528941 PECOS PAC ID: 1759372006 Enrollment ID: I20040524001120 |
| Provider Name | Sharlene D Wedin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801904768 PECOS PAC ID: 3173505104 Enrollment ID: I20040603000882 |
| Provider Name | Anthony M Hlavacek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497863369 PECOS PAC ID: 1456333210 Enrollment ID: I20040604000295 |
| Provider Name | John T Huggins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447294905 PECOS PAC ID: 0547245094 Enrollment ID: I20040621000474 |
| Provider Name | Geoffrey a Forbus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790893659 PECOS PAC ID: 5799760161 Enrollment ID: I20040621000672 |
| Provider Name | Christopher George Pelic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396853263 PECOS PAC ID: 7911982152 Enrollment ID: I20040622000270 |
| Provider Name | Michael Lawrence Craig |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1073621934 PECOS PAC ID: 5890770069 Enrollment ID: I20040622000464 |
| Provider Name | Cynthia Anna Schandl |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770507691 PECOS PAC ID: 5496730608 Enrollment ID: I20040622000784 |
| Provider Name | Darrin E Bizal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639287592 PECOS PAC ID: 9638156615 Enrollment ID: I20040707001034 |
| Provider Name | Fred M Krainin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316905177 PECOS PAC ID: 4880673920 Enrollment ID: I20040714000473 |
| Provider Name | Frank R Voss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639133606 PECOS PAC ID: 0042299604 Enrollment ID: I20040716000620 |
| Provider Name | Philip Costello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346287851 PECOS PAC ID: 4486633898 Enrollment ID: I20040719000949 |
| Provider Name | Eric S Rovner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841237013 PECOS PAC ID: 5698745883 Enrollment ID: I20040727000344 |
| Provider Name | Ted a Meyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093821399 PECOS PAC ID: 3870563968 Enrollment ID: I20040727001130 |
| Provider Name | Anne C Speaks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508974460 PECOS PAC ID: 9537139647 Enrollment ID: I20040727001276 |
| Provider Name | Ronald J Teufel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588772453 PECOS PAC ID: 7719958412 Enrollment ID: I20040805000191 |
| Provider Name | Joshua Hornig |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518070135 PECOS PAC ID: 5193796753 Enrollment ID: I20040805000658 |
| Provider Name | Mary C Kral |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851409718 PECOS PAC ID: 9234100736 Enrollment ID: I20040805001014 |
| Provider Name | Jeffrey S Cluver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194746677 PECOS PAC ID: 2163493677 Enrollment ID: I20040805001077 |
| Provider Name | Jennifer Michele Braden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669580536 PECOS PAC ID: 9638141427 Enrollment ID: I20040811001080 |
| Provider Name | Lakshmi D Katikaneni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962510818 PECOS PAC ID: 9234101825 Enrollment ID: I20040812001103 |
| Provider Name | James Madory |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669493524 PECOS PAC ID: 9931173887 Enrollment ID: I20040825000733 |
| Provider Name | Michelle S Rovner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023126984 PECOS PAC ID: 1254307481 Enrollment ID: I20040908001220 |
| Provider Name | Kellie Ham Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811005788 PECOS PAC ID: 6800863325 Enrollment ID: I20040914000990 |
| Provider Name | William Conway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780627257 PECOS PAC ID: 8921076852 Enrollment ID: I20040920000324 |
| Provider Name | Richard H Billings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467626309 PECOS PAC ID: 1052389996 Enrollment ID: I20040920000376 |
| Provider Name | Cassandra D Salgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912015876 PECOS PAC ID: 7214905082 Enrollment ID: I20040920000681 |
| Provider Name | Camelia E Marculescu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477661338 PECOS PAC ID: 3072581537 Enrollment ID: I20040922000490 |
| Provider Name | Ross a Rames |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922052679 PECOS PAC ID: 6103895248 Enrollment ID: I20040927000491 |
| Provider Name | Thomas E Keane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972558708 PECOS PAC ID: 1557330602 Enrollment ID: I20040927000564 |
| Provider Name | Stephen Savage |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669428553 PECOS PAC ID: 1759350820 Enrollment ID: I20040927000730 |
| Provider Name | Vanessa a Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104934074 PECOS PAC ID: 9931178928 Enrollment ID: I20040927000955 |
| Provider Name | Ann M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154545465 PECOS PAC ID: 1759350606 Enrollment ID: I20040928000975 |
| Provider Name | Margaret Ramsden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295840205 PECOS PAC ID: 5597734889 Enrollment ID: I20041004000118 |
| Provider Name | Joe P Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598719502 PECOS PAC ID: 6406816313 Enrollment ID: I20041014001116 |
| Provider Name | Harry S Clarke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477590503 PECOS PAC ID: 1850351321 Enrollment ID: I20041019000352 |
| Provider Name | Mark a Mataosky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699720821 PECOS PAC ID: 6608838842 Enrollment ID: I20041101000190 |
| Provider Name | Abhay K Varma |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235183161 PECOS PAC ID: 4587627054 Enrollment ID: I20041105000296 |
| Provider Name | Laurie Ray Harrell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881863389 PECOS PAC ID: 8729042593 Enrollment ID: I20041112000460 |
| Provider Name | Laura a Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477661346 PECOS PAC ID: 6406811892 Enrollment ID: I20041124000680 |
| Provider Name | Susanne M Bradford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831102417 PECOS PAC ID: 4183617814 Enrollment ID: I20041230000573 |
| Provider Name | Darlene Harriett Moak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659323830 PECOS PAC ID: 3870551351 Enrollment ID: I20050103000023 |
| Provider Name | Debra J Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174631121 PECOS PAC ID: 5991753147 Enrollment ID: I20050105000268 |
| Provider Name | Stacey Lynn Rothwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912982844 PECOS PAC ID: 6901854348 Enrollment ID: I20050112000244 |
| Provider Name | Betsy Kay Davis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518983857 PECOS PAC ID: 1052361441 Enrollment ID: I20050124000743 |
| Provider Name | Robbie W Geiselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346349784 PECOS PAC ID: 2769432095 Enrollment ID: I20050125000587 |
| Provider Name | Peter Zwerner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629186598 PECOS PAC ID: 0941271381 Enrollment ID: I20050127000184 |
| Provider Name | Lawrence R Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366402661 PECOS PAC ID: 6608834866 Enrollment ID: I20050131000351 |
| Provider Name | Milos N Budisavljevic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184623654 PECOS PAC ID: 1850341488 Enrollment ID: I20050131000957 |
| Provider Name | Bruce M Elliott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972617447 PECOS PAC ID: 5092765669 Enrollment ID: I20050201000123 |
| Provider Name | Jonathan J Halford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346284726 PECOS PAC ID: 9739139312 Enrollment ID: I20050201000205 |
| Provider Name | Ira R Willner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396853255 PECOS PAC ID: 1658322284 Enrollment ID: I20050201000625 |
| Provider Name | Patrick Joseph O Neill |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750304333 PECOS PAC ID: 5698726255 Enrollment ID: I20050201000853 |
| Provider Name | Thomas E Brothers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619081197 PECOS PAC ID: 8729039383 Enrollment ID: I20050201000907 |
| Provider Name | Alexander W Chessman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013025055 PECOS PAC ID: 6800847286 Enrollment ID: I20050202000801 |
| Provider Name | Frank J Brescia |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609984558 PECOS PAC ID: 9931150968 Enrollment ID: I20050207000661 |
| Provider Name | Soonho Kwon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407964448 PECOS PAC ID: 1557312543 Enrollment ID: I20050208000118 |
| Provider Name | Deanna D Vroman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275641136 PECOS PAC ID: 2365493368 Enrollment ID: I20050208000185 |
| Provider Name | David T Marshall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083669527 PECOS PAC ID: 0941190227 Enrollment ID: I20050214000358 |
| Provider Name | Joseph R Cantey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073621926 PECOS PAC ID: 6305898412 Enrollment ID: I20050217000228 |
| Provider Name | Amanda B Salas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831128958 PECOS PAC ID: 1254389570 Enrollment ID: I20050217000557 |
| Provider Name | Brenda Hoffman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932217981 PECOS PAC ID: 8921051616 Enrollment ID: I20050222000788 |
| Provider Name | Danielle B Scheurer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871601732 PECOS PAC ID: 2961455662 Enrollment ID: I20050222000852 |
| Provider Name | Pamela J Pride |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285742148 PECOS PAC ID: 9335192046 Enrollment ID: I20050222000930 |
| Provider Name | Michael E Ullian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104825660 PECOS PAC ID: 8022061076 Enrollment ID: I20050302000150 |
| Provider Name | David W Ploth |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982603403 PECOS PAC ID: 1456305200 Enrollment ID: I20050304000474 |
| Provider Name | Christopher D Nielsen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477661429 PECOS PAC ID: 7618944141 Enrollment ID: I20050308000277 |
| Provider Name | Terrence X O Brien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578671525 PECOS PAC ID: 5698729242 Enrollment ID: I20050308000335 |
| Provider Name | James a Glenn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164530010 PECOS PAC ID: 2860446325 Enrollment ID: I20050308000484 |
| Provider Name | Bruce W Usher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619085560 PECOS PAC ID: 8820042385 Enrollment ID: I20050308000517 |
| Provider Name | Valerian L Fernandes |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912015967 PECOS PAC ID: 2769436252 Enrollment ID: I20050308000760 |
| Provider Name | Leia Eveline Oberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245348101 PECOS PAC ID: 0749234920 Enrollment ID: I20050310000334 |
| Provider Name | Joseph M Jenrette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194777243 PECOS PAC ID: 5496709537 Enrollment ID: I20050310000859 |
| Provider Name | Kenneth H Hanger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992798235 PECOS PAC ID: 1850350778 Enrollment ID: I20050311000215 |
| Provider Name | Stephen Fann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366409161 PECOS PAC ID: 5890740591 Enrollment ID: I20050315001091 |
| Provider Name | David J Cole |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649384108 PECOS PAC ID: 8820044670 Enrollment ID: I20050324001025 |
| Provider Name | Lori a Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154307189 PECOS PAC ID: 9335195858 Enrollment ID: I20050329000113 |
| Provider Name | Anand K Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043264369 PECOS PAC ID: 8325095193 Enrollment ID: I20050404000827 |
| Provider Name | Ricky L Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750330437 PECOS PAC ID: 1355398926 Enrollment ID: I20050405001426 |
| Provider Name | Adrian B Vanbakel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1972611929 PECOS PAC ID: 9638126030 Enrollment ID: I20050407000713 |
| Provider Name | Edward William Cheeseman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700885613 PECOS PAC ID: 7618867946 Enrollment ID: I20050418000825 |
| Provider Name | Mark J Hoy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417060039 PECOS PAC ID: 6002854270 Enrollment ID: I20050419000519 |
| Provider Name | Michael D Frye |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609973494 PECOS PAC ID: 0648218271 Enrollment ID: I20050422000771 |
| Provider Name | Kenneth M Payne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164529947 PECOS PAC ID: 8729027990 Enrollment ID: I20050427000572 |
| Provider Name | Angello Lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184647760 PECOS PAC ID: 2860431079 Enrollment ID: I20050427000935 |
| Provider Name | Nicholas J Pastis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942203922 PECOS PAC ID: 3072554617 Enrollment ID: I20050513000481 |
| Provider Name | Carol L Blessing-feussner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386724003 PECOS PAC ID: 6901848076 Enrollment ID: I20050531000113 |
| Provider Name | Gary Steven Gilkeson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487762423 PECOS PAC ID: 2860435518 Enrollment ID: I20050603000832 |
| Provider Name | Prabhakar Baliga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255364709 PECOS PAC ID: 9335183599 Enrollment ID: I20050617000699 |
| Provider Name | Eric M Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124136098 PECOS PAC ID: 6305881244 Enrollment ID: I20050622000330 |
| Provider Name | Diana D Antonovich |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427093657 PECOS PAC ID: 4880639608 Enrollment ID: I20050622001050 |
| Provider Name | Cynthia a Welsh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194749028 PECOS PAC ID: 8123063716 Enrollment ID: I20050623000774 |
| Provider Name | Brad a Keith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578671442 PECOS PAC ID: 4880639475 Enrollment ID: I20050623000830 |
| Provider Name | Eric Randall Powers |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376651307 PECOS PAC ID: 3577508175 Enrollment ID: I20050623000870 |
| Provider Name | Sally Elizabeth Self |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417978388 PECOS PAC ID: 7911942461 Enrollment ID: I20050624000225 |
| Provider Name | David N Lewin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841214764 PECOS PAC ID: 4981649340 Enrollment ID: I20050627000126 |
| Provider Name | Richard M Marchell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487682779 PECOS PAC ID: 7719958206 Enrollment ID: I20050630000724 |
| Provider Name | Michael T Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831113760 PECOS PAC ID: 0648216283 Enrollment ID: I20050705000719 |
| Provider Name | Mary S Richardson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780608604 PECOS PAC ID: 8527004175 Enrollment ID: I20050705000753 |
| Provider Name | John Stevenson Metcalf |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255355178 PECOS PAC ID: 3476599028 Enrollment ID: I20050705000790 |
| Provider Name | Terrence E Steyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730297698 PECOS PAC ID: 2668408238 Enrollment ID: I20050714000665 |
| Provider Name | William Blake Haren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558479410 PECOS PAC ID: 8224930227 Enrollment ID: I20050714000684 |
| Provider Name | Diane Kamen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043328909 PECOS PAC ID: 5597792887 Enrollment ID: I20050719000314 |
| Provider Name | Dee W Ford |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568566347 PECOS PAC ID: 8820025125 Enrollment ID: I20050719000356 |
| Provider Name | Airody K Hebbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477661320 PECOS PAC ID: 3173550340 Enrollment ID: I20050719000975 |
| Provider Name | Marty Player |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205944170 PECOS PAC ID: 2567425481 Enrollment ID: I20050727000106 |
| Provider Name | Mary Olivia Titus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952419814 PECOS PAC ID: 5698703908 Enrollment ID: I20050728000673 |
| Provider Name | John R Freedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336257377 PECOS PAC ID: 4688602618 Enrollment ID: I20050801000784 |
| Provider Name | David R White |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285747824 PECOS PAC ID: 3274563218 Enrollment ID: I20050818000716 |
| Provider Name | Julio a Chalela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200371 PECOS PAC ID: 5294787255 Enrollment ID: I20050824000841 |
| Provider Name | Deborah Bowlby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417065376 PECOS PAC ID: 9436180833 Enrollment ID: I20050825000555 |
| Provider Name | William P Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164530119 PECOS PAC ID: 7315971033 Enrollment ID: I20050922000358 |
| Provider Name | Charles Rittenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376658856 PECOS PAC ID: 5597799148 Enrollment ID: I20050922000712 |
| Provider Name | Judith Marie Skoner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316935489 PECOS PAC ID: 1052207305 Enrollment ID: I20051004000463 |
| Provider Name | Pamela B Morris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427166479 PECOS PAC ID: 5092731323 Enrollment ID: I20051017000553 |
| Provider Name | Jacqueline G Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447223706 PECOS PAC ID: 5698791952 Enrollment ID: I20051017000764 |
| Provider Name | Brandie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003921933 PECOS PAC ID: 2264459981 Enrollment ID: I20051101000222 |
| Provider Name | Robert Clive Greaves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629003546 PECOS PAC ID: 8325066699 Enrollment ID: I20051104000334 |
| Provider Name | Maria Spampinato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780627117 PECOS PAC ID: 6608895487 Enrollment ID: I20051122000448 |
| Provider Name | Amelia K Rowland |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477668952 PECOS PAC ID: 4486674959 Enrollment ID: I20051129000551 |
| Provider Name | Arthur R Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770691719 PECOS PAC ID: 7810917309 Enrollment ID: I20051129000697 |
| Provider Name | Janice D Key |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982712931 PECOS PAC ID: 4880614742 Enrollment ID: I20051207000110 |
| Provider Name | Joy H Wymer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770568941 PECOS PAC ID: 6305867730 Enrollment ID: I20051219000026 |
| Provider Name | Bruce M Frankel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831136605 PECOS PAC ID: 5193747855 Enrollment ID: I20051221000746 |
| Provider Name | James R Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629186671 PECOS PAC ID: 0840212072 Enrollment ID: I20051230000486 |
| Provider Name | Suzanne L Schwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699786749 PECOS PAC ID: 2769406420 Enrollment ID: I20060120000331 |
| Provider Name | John Sr C Maize |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982683611 PECOS PAC ID: 8527082288 Enrollment ID: I20060123000065 |
| Provider Name | Gretchen L Hahn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245284926 PECOS PAC ID: 0941215552 Enrollment ID: I20060217000172 |
| Provider Name | Jennifer Ridgeway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306869987 PECOS PAC ID: 4284641788 Enrollment ID: I20060308000304 |
| Provider Name | Gregory Thomas Squires |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083679831 PECOS PAC ID: 9537177217 Enrollment ID: I20060323000160 |
| Provider Name | Jennifer a Warthen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225146194 PECOS PAC ID: 5496763831 Enrollment ID: I20060328000093 |
| Provider Name | John a Glaser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659394781 PECOS PAC ID: 1355350802 Enrollment ID: I20060412000246 |
| Provider Name | Jane Charles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316055361 PECOS PAC ID: 4789693037 Enrollment ID: I20060413000422 |
| Provider Name | Paul E Obrien |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902914864 PECOS PAC ID: 2860401858 Enrollment ID: I20060419000752 |
| Provider Name | Anne M Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184732059 PECOS PAC ID: 2668481656 Enrollment ID: I20060419000768 |
| Provider Name | Katherine Anne Tabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851510655 PECOS PAC ID: 8224048806 Enrollment ID: I20060426000751 |
| Provider Name | Varsha M Bandisode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184732042 PECOS PAC ID: 4981614252 Enrollment ID: I20060501000743 |
| Provider Name | Carrie L Cormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184678831 PECOS PAC ID: 4688686736 Enrollment ID: I20060608000125 |
| Provider Name | Ashlyn Savage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013940089 PECOS PAC ID: 9234142613 Enrollment ID: I20060802000029 |
| Provider Name | Edward B Short |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306898010 PECOS PAC ID: 8022021401 Enrollment ID: I20060802000056 |
| Provider Name | Jennifer Harper |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790725695 PECOS PAC ID: 9931112315 Enrollment ID: I20060802000057 |
| Provider Name | Christian D Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649223710 PECOS PAC ID: 4082627468 Enrollment ID: I20060802000084 |
| Provider Name | Jessica Broadway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164473708 PECOS PAC ID: 0345253720 Enrollment ID: I20060802000097 |
| Provider Name | Kelly D Singleton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205851912 PECOS PAC ID: 8224006135 Enrollment ID: I20060822000430 |
| Provider Name | Theresa Cuoco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124046677 PECOS PAC ID: 1850394370 Enrollment ID: I20060822000474 |
| Provider Name | Natasha M Ruth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447286836 PECOS PAC ID: 8729081203 Enrollment ID: I20060823000362 |
| Provider Name | Cory M Furse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962413393 PECOS PAC ID: 3072516558 Enrollment ID: I20060823000377 |
| Provider Name | Kimberly G Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245202092 PECOS PAC ID: 0840293338 Enrollment ID: I20060823000453 |
| Provider Name | Amy Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891714614 PECOS PAC ID: 7911901228 Enrollment ID: I20060829000144 |
| Provider Name | Shane K Woolf |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326044686 PECOS PAC ID: 3678514940 Enrollment ID: I20060829000177 |
| Provider Name | Meredith a Holcomb |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437263050 PECOS PAC ID: 1850395468 Enrollment ID: I20060912000520 |
| Provider Name | Keith T Borg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316042518 PECOS PAC ID: 6901798578 Enrollment ID: I20060925000238 |
| Provider Name | Kristeen L Hillier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184730731 PECOS PAC ID: 2163427113 Enrollment ID: I20060925000548 |
| Provider Name | Jennifer Hall Fiorini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588770127 PECOS PAC ID: 6608872726 Enrollment ID: I20061013000007 |
| Provider Name | Larry C Field |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326060385 PECOS PAC ID: 6204831191 Enrollment ID: I20061019000495 |
| Provider Name | Christopher P Mccarty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912916099 PECOS PAC ID: 5395742993 Enrollment ID: I20061024000356 |
| Provider Name | Anita Ramsetty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336244540 PECOS PAC ID: 3072510601 Enrollment ID: I20061024000605 |
| Provider Name | Mcleod Gwynette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750477881 PECOS PAC ID: 1153328786 Enrollment ID: I20061024000616 |
| Provider Name | David Gregg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265540264 PECOS PAC ID: 5294744868 Enrollment ID: I20061025000087 |
| Provider Name | Donna R Roberts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023068558 PECOS PAC ID: 2466495593 Enrollment ID: I20061128000123 |
| Provider Name | Eric J Lentsch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508846460 PECOS PAC ID: 4284633652 Enrollment ID: I20061212000490 |
| Provider Name | Henry Kearse |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538247663 PECOS PAC ID: 2860492808 Enrollment ID: I20061222000121 |
| Provider Name | Amy J Duppstadt-delambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740330299 PECOS PAC ID: 6608877626 Enrollment ID: I20070118000090 |
| Provider Name | Richard a Saunders |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356353817 PECOS PAC ID: 6709887771 Enrollment ID: I20070118000475 |
| Provider Name | David W Hiott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154331619 PECOS PAC ID: 8729089552 Enrollment ID: I20070123000076 |
| Provider Name | Kara Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245394378 PECOS PAC ID: 1850392028 Enrollment ID: I20070131000166 |
| Provider Name | David Orvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700940814 PECOS PAC ID: 4385645563 Enrollment ID: I20070131000303 |
| Provider Name | Jennifer F Reeves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043388820 PECOS PAC ID: 0547262446 Enrollment ID: I20070206000355 |
| Provider Name | Carmen Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801904859 PECOS PAC ID: 2769584663 Enrollment ID: I20070223000273 |
| Provider Name | Daniel W Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568485118 PECOS PAC ID: 7618079435 Enrollment ID: I20070226000601 |
| Provider Name | Lawrence W Manaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427144138 PECOS PAC ID: 5799889093 Enrollment ID: I20070327000000 |
| Provider Name | Mary M Dugan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619018959 PECOS PAC ID: 9032215785 Enrollment ID: I20070426000351 |
| Provider Name | Matthew Nutaitis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548240740 PECOS PAC ID: 5193822807 Enrollment ID: I20070514000658 |
| Provider Name | Alice M Boylan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336246123 PECOS PAC ID: 5799882270 Enrollment ID: I20070517000283 |
| Provider Name | Deborah H Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346358397 PECOS PAC ID: 7911004411 Enrollment ID: I20070517000440 |
| Provider Name | Elisha L Brownfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639287683 PECOS PAC ID: 4981701489 Enrollment ID: I20070517000455 |
| Provider Name | Walter a Brzezinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215045166 PECOS PAC ID: 3870690373 Enrollment ID: I20070517000473 |
| Provider Name | Ernest B Clyburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235247271 PECOS PAC ID: 9032216387 Enrollment ID: I20070521000460 |
| Provider Name | Jyotika K Fernandes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902914955 PECOS PAC ID: 6800993122 Enrollment ID: I20070522000378 |
| Provider Name | Patrick a Flume |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013011899 PECOS PAC ID: 9537266770 Enrollment ID: I20070522000569 |
| Provider Name | Kathie L Hermayer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295843233 PECOS PAC ID: 4183721335 Enrollment ID: I20070522000666 |
| Provider Name | Donna D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831205277 PECOS PAC ID: 4385741552 Enrollment ID: I20070523000094 |
| Provider Name | Mary N Herring |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134163546 PECOS PAC ID: 6901903194 Enrollment ID: I20070523000284 |
| Provider Name | Vanessa K Hinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114967908 PECOS PAC ID: 1759270671 Enrollment ID: I20070523000435 |
| Provider Name | Jerome E Kurent |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427154657 PECOS PAC ID: 6002913159 Enrollment ID: I20070524000095 |
| Provider Name | Paul R Lambert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881707412 PECOS PAC ID: 3173620226 Enrollment ID: I20070524000114 |
| Provider Name | Leonard S Lichtenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033227988 PECOS PAC ID: 5991802985 Enrollment ID: I20070529000135 |
| Provider Name | Abid Irshad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669410296 PECOS PAC ID: 6305943267 Enrollment ID: I20070530000020 |
| Provider Name | James C Oates |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831207885 PECOS PAC ID: 6002913985 Enrollment ID: I20070530000226 |
| Provider Name | Rodney J Schlosser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992818538 PECOS PAC ID: 6002914967 Enrollment ID: I20070531000392 |
| Provider Name | Carol a Sherman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013025964 PECOS PAC ID: 9537267497 Enrollment ID: I20070531000417 |
| Provider Name | Richard M Silver |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275641219 PECOS PAC ID: 1153429022 Enrollment ID: I20070531000446 |
| Provider Name | Gerard a Silvestri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417922865 PECOS PAC ID: 8325146293 Enrollment ID: I20070531000455 |
| Provider Name | Edwin a Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477661411 PECOS PAC ID: 2668570441 Enrollment ID: I20070601000053 |
| Provider Name | Kimberly a Orr |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962515502 PECOS PAC ID: 3971601766 Enrollment ID: I20070601000093 |
| Provider Name | Charlton B Strange |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427155217 PECOS PAC ID: 5698873487 Enrollment ID: I20070601000099 |
| Provider Name | Robert K Stuart |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1467560409 PECOS PAC ID: 5496853285 Enrollment ID: I20070601000111 |
| Provider Name | James C Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154439008 PECOS PAC ID: 1456459254 Enrollment ID: I20070601000163 |
| Provider Name | Robert Turner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982642237 PECOS PAC ID: 5294833018 Enrollment ID: I20070601000322 |
| Provider Name | Mark T Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346277142 PECOS PAC ID: 9335247154 Enrollment ID: I20070601000379 |
| Provider Name | Aljoeson Walker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912943234 PECOS PAC ID: 8325146145 Enrollment ID: I20070601000389 |
| Provider Name | Dannah W Wray |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609984640 PECOS PAC ID: 1557469384 Enrollment ID: I20070601000450 |
| Provider Name | James G Ravenel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174561724 PECOS PAC ID: 3476651233 Enrollment ID: I20070604000048 |
| Provider Name | Laura Milligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275667164 PECOS PAC ID: 4587762281 Enrollment ID: I20070604000521 |
| Provider Name | Susan J Ackerman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356397095 PECOS PAC ID: 1052419710 Enrollment ID: I20070605000186 |
| Provider Name | Sherrill G Bradsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942200605 PECOS PAC ID: 8729031828 Enrollment ID: I20070606000558 |
| Provider Name | Sunil J Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124065305 PECOS PAC ID: 8325146343 Enrollment ID: I20070614000159 |
| Provider Name | Christine Strange |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295848836 PECOS PAC ID: 6507964574 Enrollment ID: I20070614000542 |
| Provider Name | Stephen I Schabel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093758526 PECOS PAC ID: 9537268446 Enrollment ID: I20070618000474 |
| Provider Name | Fletcher Penney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629159850 PECOS PAC ID: 1759480676 Enrollment ID: I20070619000045 |
| Provider Name | Elizabeth a Poth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639376775 PECOS PAC ID: 8628178449 Enrollment ID: I20070710000249 |
| Provider Name | Scott A. Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356457717 PECOS PAC ID: 1254431950 Enrollment ID: I20070710001030 |
| Provider Name | John W Mcgillicuddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528283488 PECOS PAC ID: 5395845960 Enrollment ID: I20070711000720 |
| Provider Name | Anne H Leclercq |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649350976 PECOS PAC ID: 5092816058 Enrollment ID: I20070720000845 |
| Provider Name | James Mcelligott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912082439 PECOS PAC ID: 3072614957 Enrollment ID: I20070723000076 |
| Provider Name | Eric M Matheson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205808029 PECOS PAC ID: 4385603273 Enrollment ID: I20070723000889 |
| Provider Name | Faye Hant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043392392 PECOS PAC ID: 2466553227 Enrollment ID: I20070723000895 |
| Provider Name | Patricia a Felker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790885879 PECOS PAC ID: 4486745734 Enrollment ID: I20070801000353 |
| Provider Name | Sarah Mennito |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811085863 PECOS PAC ID: 2062503311 Enrollment ID: I20070801000418 |
| Provider Name | Denise M Carneiro-pla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144344805 PECOS PAC ID: 5193816213 Enrollment ID: I20070803000334 |
| Provider Name | Maria G Matheus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053529933 PECOS PAC ID: 5799876819 Enrollment ID: I20070803000372 |
| Provider Name | Diana D Axiotis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063615383 PECOS PAC ID: 9931095239 Enrollment ID: I20070806000078 |
| Provider Name | Jonathan C Edwards |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619066586 PECOS PAC ID: 7315038379 Enrollment ID: I20070806000098 |
| Provider Name | Frances Koch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801985502 PECOS PAC ID: 8729179783 Enrollment ID: I20070806000133 |
| Provider Name | William S Randazzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578573028 PECOS PAC ID: 0941391783 Enrollment ID: I20070808000093 |
| Provider Name | David G Koch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528148061 PECOS PAC ID: 7517058258 Enrollment ID: I20070809000197 |
| Provider Name | Ashley a Duckett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013064963 PECOS PAC ID: 5698866275 Enrollment ID: I20070810000683 |
| Provider Name | Michelle P Hudspeth |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1376581975 PECOS PAC ID: 7517963556 Enrollment ID: I20070814000000 |
| Provider Name | Julia Garrett Arana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831166792 PECOS PAC ID: 8820180797 Enrollment ID: I20070823000053 |
| Provider Name | Robert Joseph Adams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003919911 PECOS PAC ID: 1951494442 Enrollment ID: I20070829000291 |
| Provider Name | Ronald G W Teed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952434110 PECOS PAC ID: 5799878211 Enrollment ID: I20070829000552 |
| Provider Name | Jill N Tibbetts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174720775 PECOS PAC ID: 4981797362 Enrollment ID: I20070830000091 |
| Provider Name | Kristen P Nawabi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497702047 PECOS PAC ID: 6406949742 Enrollment ID: I20070904000046 |
| Provider Name | Kasey Hamlin Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538197686 PECOS PAC ID: 4486747615 Enrollment ID: I20070905000113 |
| Provider Name | Jerry Squires |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194917450 PECOS PAC ID: 5092808220 Enrollment ID: I20070905000138 |
| Provider Name | George J Guldan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518055680 PECOS PAC ID: 4981797677 Enrollment ID: I20070911000973 |
| Provider Name | Scott Bradley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346355351 PECOS PAC ID: 9638263098 Enrollment ID: I20070917000577 |
| Provider Name | Jason Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346459815 PECOS PAC ID: 6204921661 Enrollment ID: I20070928000752 |
| Provider Name | Eric D Bolin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821187444 PECOS PAC ID: 3173619558 Enrollment ID: I20071017000967 |
| Provider Name | Gregory Buck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437377397 PECOS PAC ID: 6406943026 Enrollment ID: I20071030000121 |
| Provider Name | James Truelove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437214723 PECOS PAC ID: 9133216609 Enrollment ID: I20071030000646 |
| Provider Name | Harry a Demos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922029099 PECOS PAC ID: 6103913108 Enrollment ID: I20071107000156 |
| Provider Name | Langdon a Hartsock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174544233 PECOS PAC ID: 7911094917 Enrollment ID: I20071107000162 |
| Provider Name | Robert J Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003828534 PECOS PAC ID: 9739277211 Enrollment ID: I20071116000257 |
| Provider Name | Lancer a Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093738825 PECOS PAC ID: 4183629249 Enrollment ID: I20071121000021 |
| Provider Name | William T Creasman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518072008 PECOS PAC ID: 5597854430 Enrollment ID: I20071130000147 |
| Provider Name | Lucinda a Halstead |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386757342 PECOS PAC ID: 2769571603 Enrollment ID: I20071130000157 |
| Provider Name | Mae M Peterseim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639181183 PECOS PAC ID: 5193814036 Enrollment ID: I20071130000173 |
| Provider Name | Marion E Wilson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124030515 PECOS PAC ID: 3173612017 Enrollment ID: I20071130000184 |
| Provider Name | David E Soper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063527513 PECOS PAC ID: 2163511932 Enrollment ID: I20071130000460 |
| Provider Name | Henry M Lemon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346358207 PECOS PAC ID: 2062501836 Enrollment ID: I20071130000464 |
| Provider Name | Sandra L Fowler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679681621 PECOS PAC ID: 7315036183 Enrollment ID: I20071130000482 |
| Provider Name | John M Kratz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275648289 PECOS PAC ID: 2860581634 Enrollment ID: I20071130000485 |
| Provider Name | Mary H Bryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376631614 PECOS PAC ID: 9032209036 Enrollment ID: I20071214000024 |
| Provider Name | Stefanie M Owczarski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316140353 PECOS PAC ID: 1951481100 Enrollment ID: I20071231000303 |
| Provider Name | Carissa M Howle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881875060 PECOS PAC ID: 9638259344 Enrollment ID: I20080108000407 |
| Provider Name | Roger B Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366557860 PECOS PAC ID: 6709966146 Enrollment ID: I20080110000318 |
| Provider Name | David M Habib |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699883645 PECOS PAC ID: 7719068907 Enrollment ID: I20080114000453 |
| Provider Name | Edward D Norcross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083728570 PECOS PAC ID: 8527149715 Enrollment ID: I20080114000459 |
| Provider Name | Sherron D Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154439107 PECOS PAC ID: 7517048705 Enrollment ID: I20080114000468 |
| Provider Name | David B Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467566968 PECOS PAC ID: 2860573052 Enrollment ID: I20080114000483 |
| Provider Name | Arthur J Crumbley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699880617 PECOS PAC ID: 1254412455 Enrollment ID: I20080114000555 |
| Provider Name | Mark S George |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205944154 PECOS PAC ID: 6608957808 Enrollment ID: I20080114000560 |
| Provider Name | Istvan Takacs |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679528434 PECOS PAC ID: 3072595016 Enrollment ID: I20080115000265 |
| Provider Name | John a Schnorr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003924523 PECOS PAC ID: 4587745666 Enrollment ID: I20080115000277 |
| Provider Name | Michael E Saladin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700983590 PECOS PAC ID: 6800977935 Enrollment ID: I20080115000596 |
| Provider Name | Hilary J Bernstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275641227 PECOS PAC ID: 0345321477 Enrollment ID: I20080115000603 |
| Provider Name | Elizabeth Riddle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457469496 PECOS PAC ID: 9335220466 Enrollment ID: I20080115000612 |
| Provider Name | Katherine Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760596241 PECOS PAC ID: 6002997145 Enrollment ID: I20080115000650 |
| Provider Name | Andrea P Summer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942318803 PECOS PAC ID: 4880775865 Enrollment ID: I20080116000094 |
| Provider Name | Patricia Geraty Mcburney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154439016 PECOS PAC ID: 4688755663 Enrollment ID: I20080116000118 |
| Provider Name | Stuart M Leon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659485142 PECOS PAC ID: 2769563758 Enrollment ID: I20080116000164 |
| Provider Name | Christopher R Hannegan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164469672 PECOS PAC ID: 4486735487 Enrollment ID: I20080116000174 |
| Provider Name | John S Ikonomidis |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578678595 PECOS PAC ID: 1557442555 Enrollment ID: I20080116000185 |
| Provider Name | Jacqueline M Kraveka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033227996 PECOS PAC ID: 7810078813 Enrollment ID: I20080116000189 |
| Provider Name | Yalani L Vanzura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922116870 PECOS PAC ID: 0244311249 Enrollment ID: I20080116000212 |
| Provider Name | Eric J Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366550220 PECOS PAC ID: 5698856698 Enrollment ID: I20080116000218 |
| Provider Name | William J Cook |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1639100100 PECOS PAC ID: 1850472861 Enrollment ID: I20080116000246 |
| Provider Name | Latha Hebbar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285742130 PECOS PAC ID: 1355422387 Enrollment ID: I20080116000442 |
| Provider Name | William B Mcgary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831207794 PECOS PAC ID: 0345321378 Enrollment ID: I20080116000446 |
| Provider Name | Kimberly S Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366550311 PECOS PAC ID: 6406937440 Enrollment ID: I20080116000470 |
| Provider Name | Sarah W Book |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386752335 PECOS PAC ID: 9931280971 Enrollment ID: I20080116000495 |
| Provider Name | Christine M Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649388695 PECOS PAC ID: 2365523305 Enrollment ID: I20080116000524 |
| Provider Name | Andrew M Atz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013025063 PECOS PAC ID: 3779664610 Enrollment ID: I20080116000556 |
| Provider Name | Gary F Headden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720196777 PECOS PAC ID: 4183705031 Enrollment ID: I20080116000598 |
| Provider Name | Joel B Cochran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487762332 PECOS PAC ID: 3072694900 Enrollment ID: I20080117000205 |
| Provider Name | Jeanne G Hill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447292479 PECOS PAC ID: 4587745419 Enrollment ID: I20080117000243 |
| Provider Name | Michelle D Lally |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700994746 PECOS PAC ID: 4183705924 Enrollment ID: I20080117000367 |
| Provider Name | Thomas K Byrne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972617520 PECOS PAC ID: 4082795828 Enrollment ID: I20080117000376 |
| Provider Name | Eve G Spratt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396853347 PECOS PAC ID: 7719068550 Enrollment ID: I20080117000380 |
| Provider Name | Matthew F Kohler |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1003922436 PECOS PAC ID: 1355422197 Enrollment ID: I20080117000384 |
| Provider Name | Joseph M Lally |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891770962 PECOS PAC ID: 4981785722 Enrollment ID: I20080117000390 |
| Provider Name | Steven E Swift |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447366968 PECOS PAC ID: 7517048358 Enrollment ID: I20080117000405 |
| Provider Name | Sally a Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053429001 PECOS PAC ID: 6406937242 Enrollment ID: I20080117000419 |
| Provider Name | Terrence a Day |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659484608 PECOS PAC ID: 8820179674 Enrollment ID: I20080117000453 |
| Provider Name | Diana M Mullis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629186663 PECOS PAC ID: 0749361590 Enrollment ID: I20080117000523 |
| Provider Name | John S Walton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659489508 PECOS PAC ID: 0648351403 Enrollment ID: I20080117000538 |
| Provider Name | Robert J Malcolm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699883546 PECOS PAC ID: 3779664537 Enrollment ID: I20080117000570 |
| Provider Name | Bruce H Thiers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730117037 PECOS PAC ID: 8224119037 Enrollment ID: I20080118000103 |
| Provider Name | George Frederick Worsham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255308946 PECOS PAC ID: 9739145624 Enrollment ID: I20080128000405 |
| Provider Name | Susan Lee Zayac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932394293 PECOS PAC ID: 5294817367 Enrollment ID: I20080128000820 |
| Provider Name | Kimberly N Mallin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750349502 PECOS PAC ID: 5294818878 Enrollment ID: I20080206000407 |
| Provider Name | Marcelo S Guimaraes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790963684 PECOS PAC ID: 1254414998 Enrollment ID: I20080219000085 |
| Provider Name | Diann M Krywko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912003138 PECOS PAC ID: 8628152808 Enrollment ID: I20080226000913 |
| Provider Name | Jack Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538230834 PECOS PAC ID: 7810963337 Enrollment ID: I20080229000146 |
| Provider Name | Lori Burton Donahoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831285402 PECOS PAC ID: 0648272153 Enrollment ID: I20080303000051 |
| Provider Name | Tracy R Voss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295701175 PECOS PAC ID: 1153406590 Enrollment ID: I20080311000015 |
| Provider Name | Brenda Baldwin Toohey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689701765 PECOS PAC ID: 7618052762 Enrollment ID: I20080313000129 |
| Provider Name | Simon C Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982732244 PECOS PAC ID: 7416984208 Enrollment ID: I20080319000161 |
| Provider Name | Alvin Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770672081 PECOS PAC ID: 5395822282 Enrollment ID: I20080402000477 |
| Provider Name | Neena L Champaigne |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1972554897 PECOS PAC ID: 3678576311 Enrollment ID: I20080404000793 |
| Provider Name | Mohammad I Chaudry |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679518492 PECOS PAC ID: 0749280022 Enrollment ID: I20080408000349 |
| Provider Name | Melanie a Lobel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013033273 PECOS PAC ID: 7214015361 Enrollment ID: I20080415000579 |
| Provider Name | Lauree G Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801068473 PECOS PAC ID: 2860571551 Enrollment ID: I20080506000867 |
| Provider Name | Jennifer D Marshall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700050234 PECOS PAC ID: 9234208265 Enrollment ID: I20080516000585 |
| Provider Name | Patricia Mathias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235309691 PECOS PAC ID: 0547330508 Enrollment ID: I20080602000931 |
| Provider Name | John Cahill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225146186 PECOS PAC ID: 7214007798 Enrollment ID: I20080610000657 |
| Provider Name | Suzanne L Britt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316151392 PECOS PAC ID: 8628140571 Enrollment ID: I20080709000413 |
| Provider Name | Christian J Streck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780809947 PECOS PAC ID: 5799857462 Enrollment ID: I20080714000024 |
| Provider Name | Andrew D Hardie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801924022 PECOS PAC ID: 3375615057 Enrollment ID: I20080714000082 |
| Provider Name | George H Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740378777 PECOS PAC ID: 2264505973 Enrollment ID: I20080714000358 |
| Provider Name | Amit Agrawal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003906017 PECOS PAC ID: 7315010097 Enrollment ID: I20080715000217 |
| Provider Name | Gweneth Lazenby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215134655 PECOS PAC ID: 4183797509 Enrollment ID: I20080718000069 |
| Provider Name | Tanya N Turan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982715744 PECOS PAC ID: 0648241489 Enrollment ID: I20080722000480 |
| Provider Name | Abbie R Cluver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164591855 PECOS PAC ID: 2264505395 Enrollment ID: I20080722000504 |
| Provider Name | Kelly Barth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366526030 PECOS PAC ID: 6204909369 Enrollment ID: I20080723000000 |
| Provider Name | Lynn M Manfred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230661 PECOS PAC ID: 0345282232 Enrollment ID: I20080723000001 |
| Provider Name | William Vandergrift |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841377348 PECOS PAC ID: 6204909393 Enrollment ID: I20080723000217 |
| Provider Name | David Mills |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235228008 PECOS PAC ID: 8224101332 Enrollment ID: I20080723000395 |
| Provider Name | Daniel Steinberg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134394398 PECOS PAC ID: 4981777091 Enrollment ID: I20080723000461 |
| Provider Name | Joseph Whiteley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184834947 PECOS PAC ID: 7012080138 Enrollment ID: I20080723000541 |
| Provider Name | Cara B Litvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750586939 PECOS PAC ID: 5890874259 Enrollment ID: I20080723000604 |
| Provider Name | Chitharanjan Pullattrana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487733002 PECOS PAC ID: 9638242662 Enrollment ID: I20080723000659 |
| Provider Name | Colleen Manning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396808093 PECOS PAC ID: 6608940416 Enrollment ID: I20080728000563 |
| Provider Name | Phillip D Warr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063509099 PECOS PAC ID: 0244304939 Enrollment ID: I20080729000487 |
| Provider Name | Remberto C Paulo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629056973 PECOS PAC ID: 0648297267 Enrollment ID: I20080805000926 |
| Provider Name | Joseph J Benich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417039025 PECOS PAC ID: 9234203365 Enrollment ID: I20080807000092 |
| Provider Name | Thomas Irving Epperson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073721759 PECOS PAC ID: 4082789839 Enrollment ID: I20080813000892 |
| Provider Name | Amanda L Kyzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295913853 PECOS PAC ID: 4082789615 Enrollment ID: I20080818000148 |
| Provider Name | Bryan Tolliver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972684199 PECOS PAC ID: 8022183367 Enrollment ID: I20080820000599 |
| Provider Name | William S Russell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649267451 PECOS PAC ID: 4880637263 Enrollment ID: I20080821000085 |
| Provider Name | Terri O Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720242225 PECOS PAC ID: 1557436748 Enrollment ID: I20080822000445 |
| Provider Name | Robert Cina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063544922 PECOS PAC ID: 1254407216 Enrollment ID: I20080828000097 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215062153 PECOS PAC ID: 4486753027 Enrollment ID: I20080904000206 |
| Provider Name | Racheal a Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710136528 PECOS PAC ID: 2961579578 Enrollment ID: I20080924000195 |
| Provider Name | Robert B Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710980453 PECOS PAC ID: 3577550433 Enrollment ID: I20081007000348 |
| Provider Name | Harold Michael Szerlip |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942394432 PECOS PAC ID: 6800892811 Enrollment ID: I20081009000257 |
| Provider Name | Michelle Amaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568489557 PECOS PAC ID: 1951479377 Enrollment ID: I20081010000780 |
| Provider Name | Angela Dempsey Fanning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518919489 PECOS PAC ID: 2668478991 Enrollment ID: I20081010000783 |
| Provider Name | Kerri M Presley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437333580 PECOS PAC ID: 9436232709 Enrollment ID: I20081017000447 |
| Provider Name | Tammy L Gottshalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265584510 PECOS PAC ID: 7416015979 Enrollment ID: I20081028000252 |
| Provider Name | Matthew J Kornegay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922042654 PECOS PAC ID: 9032113485 Enrollment ID: I20081112000080 |
| Provider Name | Julie a Desmarteau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467604561 PECOS PAC ID: 8123187630 Enrollment ID: I20081112000366 |
| Provider Name | John W Strong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427025147 PECOS PAC ID: 3476613704 Enrollment ID: I20081117000612 |
| Provider Name | Joanne Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760648182 PECOS PAC ID: 8820158868 Enrollment ID: I20081120000103 |
| Provider Name | Elizabeth H Koontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831341122 PECOS PAC ID: 0143380113 Enrollment ID: I20081120000395 |
| Provider Name | Christopher Fields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184849119 PECOS PAC ID: 9133289911 Enrollment ID: I20081124000571 |
| Provider Name | Brittaine Hinkson Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144476193 PECOS PAC ID: 6204996085 Enrollment ID: I20081124000586 |
| Provider Name | Scott Alan Geer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497906606 PECOS PAC ID: 9537229133 Enrollment ID: I20081126000247 |
| Provider Name | Allison Nissen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528211224 PECOS PAC ID: 2668537341 Enrollment ID: I20090212000270 |
| Provider Name | Elizabeth L Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740433440 PECOS PAC ID: 2264597822 Enrollment ID: I20090213000264 |
| Provider Name | Edward M Kantor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447329057 PECOS PAC ID: 4183632052 Enrollment ID: I20090225000544 |
| Provider Name | Barton Sachs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700834868 PECOS PAC ID: 8123184256 Enrollment ID: I20090225000587 |
| Provider Name | David J Annibale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497863443 PECOS PAC ID: 8729144910 Enrollment ID: I20090313000385 |
| Provider Name | Erin a Piper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639322050 PECOS PAC ID: 9537226576 Enrollment ID: I20090319000153 |
| Provider Name | Mary Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881836492 PECOS PAC ID: 8921156399 Enrollment ID: I20090423000634 |
| Provider Name | Margaret S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750535530 PECOS PAC ID: 3375691553 Enrollment ID: I20090427000528 |
| Provider Name | William T Basco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356459309 PECOS PAC ID: 0244381812 Enrollment ID: I20090623000187 |
| Provider Name | Alan Finley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942424817 PECOS PAC ID: 0446301303 Enrollment ID: I20090706000590 |
| Provider Name | Eric Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528226404 PECOS PAC ID: 6507917333 Enrollment ID: I20090708000755 |
| Provider Name | Benjamin F Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568413094 PECOS PAC ID: 0446262679 Enrollment ID: I20090709000330 |
| Provider Name | Catherine D Tobin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023199247 PECOS PAC ID: 9436201407 Enrollment ID: I20090722000486 |
| Provider Name | Carlee a Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487808846 PECOS PAC ID: 5991857823 Enrollment ID: I20090723000291 |
| Provider Name | Anne Andrews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760692479 PECOS PAC ID: 6709939697 Enrollment ID: I20090724000108 |
| Provider Name | Leigh Vaughan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417928144 PECOS PAC ID: 2466505938 Enrollment ID: I20090730000413 |
| Provider Name | William M Yarbrough |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912193087 PECOS PAC ID: 6800949058 Enrollment ID: I20090805000371 |
| Provider Name | Geoffrey Edwin Hayden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982798575 PECOS PAC ID: 8123067816 Enrollment ID: I20090806000483 |
| Provider Name | Terry C Dixon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427223429 PECOS PAC ID: 0143373241 Enrollment ID: I20090807000223 |
| Provider Name | Frank a Cuoco |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497704423 PECOS PAC ID: 7315974185 Enrollment ID: I20090810000447 |
| Provider Name | Marc Hassid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023102688 PECOS PAC ID: 1850445826 Enrollment ID: I20090811000401 |
| Provider Name | Sinai Zyblewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770663064 PECOS PAC ID: 4284788258 Enrollment ID: I20090811000421 |
| Provider Name | Jennifer D Preston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326280124 PECOS PAC ID: 2264587294 Enrollment ID: I20090827000258 |
| Provider Name | Lee R Leddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730365131 PECOS PAC ID: 6507932829 Enrollment ID: I20090829000009 |
| Provider Name | Charles S Greenberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922181189 PECOS PAC ID: 5799830659 Enrollment ID: I20090829000010 |
| Provider Name | Elizabeth Hayes Mack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073684593 PECOS PAC ID: 8921008244 Enrollment ID: I20090909000316 |
| Provider Name | William David Stoll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629166202 PECOS PAC ID: 2567517881 Enrollment ID: I20090909000641 |
| Provider Name | Michael Sean Boger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336296151 PECOS PAC ID: 8921154535 Enrollment ID: I20090923000700 |
| Provider Name | Rebecca Leddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649455494 PECOS PAC ID: 7911043229 Enrollment ID: I20090929000681 |
| Provider Name | Frances Pach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457584682 PECOS PAC ID: 6507902335 Enrollment ID: I20091008000600 |
| Provider Name | Kimberly Croxton Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083847503 PECOS PAC ID: 7113063942 Enrollment ID: I20091008000627 |
| Provider Name | Julie R Mcswain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992929855 PECOS PAC ID: 3072675537 Enrollment ID: I20091027000050 |
| Provider Name | Jan N Basile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841394475 PECOS PAC ID: 0749327666 Enrollment ID: I20091027000167 |
| Provider Name | Lauren S Springs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568648137 PECOS PAC ID: 9830237114 Enrollment ID: I20091106000007 |
| Provider Name | Milton B Armstrong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255397543 PECOS PAC ID: 9133267727 Enrollment ID: I20091119000440 |
| Provider Name | Kathleen E Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700083334 PECOS PAC ID: 4688713175 Enrollment ID: I20091123000027 |
| Provider Name | Evert a Eriksson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750501052 PECOS PAC ID: 1850447848 Enrollment ID: I20091125000216 |
| Provider Name | Chitra Lal Lal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437197175 PECOS PAC ID: 4082627351 Enrollment ID: I20091215000652 |
| Provider Name | Gregory Alan Compton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093881294 PECOS PAC ID: 7214011311 Enrollment ID: I20100105000220 |
| Provider Name | Muriel L Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659559151 PECOS PAC ID: 5890837348 Enrollment ID: I20100121000135 |
| Provider Name | Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952637548 PECOS PAC ID: 9739221706 Enrollment ID: I20100128000985 |
| Provider Name | Rebecca E Looney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063747889 PECOS PAC ID: 0840334793 Enrollment ID: I20100216000891 |
| Provider Name | Tod Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013954346 PECOS PAC ID: 3274677653 Enrollment ID: I20100223000700 |
| Provider Name | Christine a Holmstedt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114185709 PECOS PAC ID: 3678618600 Enrollment ID: I20100302000738 |
| Provider Name | Joseph C Mctavish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164753430 PECOS PAC ID: 2668517145 Enrollment ID: I20100309000166 |
| Provider Name | Jennifer L Lewey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275860066 PECOS PAC ID: 1254468762 Enrollment ID: I20100414000697 |
| Provider Name | Nicole Franklin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629275540 PECOS PAC ID: 5991832578 Enrollment ID: I20100430000336 |
| Provider Name | Richard Joel Friedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245223452 PECOS PAC ID: 2365527538 Enrollment ID: I20100505000044 |
| Provider Name | Howard London Brilliant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629027453 PECOS PAC ID: 3577692060 Enrollment ID: I20100520001061 |
| Provider Name | Timothy P Whelan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689767212 PECOS PAC ID: 5698673093 Enrollment ID: I20100601000409 |
| Provider Name | Vicki Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811987407 PECOS PAC ID: 9638209265 Enrollment ID: I20100609000066 |
| Provider Name | Trinka a Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639123268 PECOS PAC ID: 4688685282 Enrollment ID: I20100610001008 |
| Provider Name | Anthony D Poole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295967800 PECOS PAC ID: 6901936087 Enrollment ID: I20100616000628 |
| Provider Name | Ronald C Turner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912166174 PECOS PAC ID: 7810028784 Enrollment ID: I20100622000512 |
| Provider Name | Thomas Whitley Uhde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225081946 PECOS PAC ID: 4284690454 Enrollment ID: I20100630000310 |
| Provider Name | Andrew John Savage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710952015 PECOS PAC ID: 1052344082 Enrollment ID: I20100706000639 |
| Provider Name | Lyle Lesesne Pritchard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518986223 PECOS PAC ID: 8426180829 Enrollment ID: I20100721000296 |
| Provider Name | Travis Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407089584 PECOS PAC ID: 2860524154 Enrollment ID: I20100722000308 |
| Provider Name | Mark a Scheurer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649247206 PECOS PAC ID: 1254435738 Enrollment ID: I20100729000239 |
| Provider Name | Ryan J Gunselman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861691776 PECOS PAC ID: 3476686304 Enrollment ID: I20100729000407 |
| Provider Name | Courtney B Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801094776 PECOS PAC ID: 5597898361 Enrollment ID: I20100730000038 |
| Provider Name | Gonzalo J Revuelta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457520520 PECOS PAC ID: 1557435310 Enrollment ID: I20100730000320 |
| Provider Name | Ilka Dietlinde Theruvath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770700304 PECOS PAC ID: 4385777929 Enrollment ID: I20100803000192 |
| Provider Name | Keri Holmes Maybank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912105669 PECOS PAC ID: 3274666813 Enrollment ID: I20100803000219 |
| Provider Name | Sylvia H Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689898207 PECOS PAC ID: 9436282084 Enrollment ID: I20100803000254 |
| Provider Name | Christopher Skorke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508943218 PECOS PAC ID: 1557494028 Enrollment ID: I20100804000503 |
| Provider Name | Jonathan S Ralston |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346404464 PECOS PAC ID: 7911031893 Enrollment ID: I20100813000461 |
| Provider Name | Daniel Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124223326 PECOS PAC ID: 8820122625 Enrollment ID: I20100816000715 |
| Provider Name | James Frank Bethea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396705679 PECOS PAC ID: 7214849645 Enrollment ID: I20100817000849 |
| Provider Name | Minoo Naozer Kavarana |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992779128 PECOS PAC ID: 9436190410 Enrollment ID: I20100818000783 |
| Provider Name | Thomas M Todoran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104945955 PECOS PAC ID: 8729112271 Enrollment ID: I20100819000012 |
| Provider Name | Kevin Oneill Delaney |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376762799 PECOS PAC ID: 1355475732 Enrollment ID: I20100820000569 |
| Provider Name | Shannon V D Alton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578891685 PECOS PAC ID: 2567587686 Enrollment ID: I20100914000057 |
| Provider Name | Nichole Tripician Tanner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225109317 PECOS PAC ID: 0749306058 Enrollment ID: I20100923001184 |
| Provider Name | Robert C Waters |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548252372 PECOS PAC ID: 1052393642 Enrollment ID: I20100924000681 |
| Provider Name | John F Johnson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114902954 PECOS PAC ID: 2961565981 Enrollment ID: I20100924000935 |
| Provider Name | Karen Menzer Ullian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790783413 PECOS PAC ID: 6608992813 Enrollment ID: I20100924001049 |
| Provider Name | Bruce a Crookes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558391383 PECOS PAC ID: 4284628611 Enrollment ID: I20101014001088 |
| Provider Name | Rya Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225070436 PECOS PAC ID: 2860495827 Enrollment ID: I20101015000801 |
| Provider Name | Michelle Montalvo Macias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114035060 PECOS PAC ID: 5597959247 Enrollment ID: I20101027000472 |
| Provider Name | Angela C Larosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710095674 PECOS PAC ID: 1951595453 Enrollment ID: I20101028000995 |
| Provider Name | Dorthea Jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073610853 PECOS PAC ID: 1254525397 Enrollment ID: I20101102000903 |
| Provider Name | William Southgate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508974551 PECOS PAC ID: 5698969533 Enrollment ID: I20101104000419 |
| Provider Name | Whitney S Graybill |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1851550305 PECOS PAC ID: 4385681402 Enrollment ID: I20101108000305 |
| Provider Name | Roberto Pisoni |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699978098 PECOS PAC ID: 6103011705 Enrollment ID: I20101109000618 |
| Provider Name | David Beckert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154403475 PECOS PAC ID: 8921293341 Enrollment ID: I20101111000475 |
| Provider Name | Shantae J Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194923094 PECOS PAC ID: 0345435640 Enrollment ID: I20101112000109 |
| Provider Name | Rahn a Ravenell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639492473 PECOS PAC ID: 8022204411 Enrollment ID: I20101124000604 |
| Provider Name | Daniel J Venancio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649296096 PECOS PAC ID: 5597758276 Enrollment ID: I20101129000706 |
| Provider Name | John Kevin Corless |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962408443 PECOS PAC ID: 3274424437 Enrollment ID: I20101130000747 |
| Provider Name | Tamatha Psenka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265540124 PECOS PAC ID: 8123214228 Enrollment ID: I20101201000980 |
| Provider Name | Katherine Fabrizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306179353 PECOS PAC ID: 6800083197 Enrollment ID: I20101213000873 |
| Provider Name | Carly M Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992006225 PECOS PAC ID: 5799972089 Enrollment ID: I20101213000894 |
| Provider Name | Melissa Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104920537 PECOS PAC ID: 6709859689 Enrollment ID: I20101213000918 |
| Provider Name | Carol L Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568570414 PECOS PAC ID: 8123216751 Enrollment ID: I20101227000606 |
| Provider Name | Laura L Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841371598 PECOS PAC ID: 1153519533 Enrollment ID: I20101229000790 |
| Provider Name | Ruth C Campbell |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881635092 PECOS PAC ID: 4981892379 Enrollment ID: I20101229000903 |
| Provider Name | Jody K Eblen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578876553 PECOS PAC ID: 7911196019 Enrollment ID: I20110105000303 |
| Provider Name | Ekrem Kutluay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083661920 PECOS PAC ID: 8426145558 Enrollment ID: I20110121000737 |
| Provider Name | Mimi Sohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275614687 PECOS PAC ID: 3476732538 Enrollment ID: I20110121000835 |
| Provider Name | Jennifer Joi Jaroscak |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1891885554 PECOS PAC ID: 6103715602 Enrollment ID: I20110125001096 |
| Provider Name | Gregory Ryan Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922025915 PECOS PAC ID: 1355520982 Enrollment ID: I20110127000745 |
| Provider Name | Bradlee a Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629304068 PECOS PAC ID: 8820278708 Enrollment ID: I20110209000902 |
| Provider Name | John Barnard Adams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013081678 PECOS PAC ID: 1052507803 Enrollment ID: I20110223000217 |
| Provider Name | Samir Rameshchandra Karia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326278342 PECOS PAC ID: 8921289059 Enrollment ID: I20110223000417 |
| Provider Name | James E Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174631113 PECOS PAC ID: 3173704095 Enrollment ID: I20110225000526 |
| Provider Name | John Wharton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386752327 PECOS PAC ID: 8224219050 Enrollment ID: I20110225000704 |
| Provider Name | Amy Clanton Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740467281 PECOS PAC ID: 5294917514 Enrollment ID: I20110308000766 |
| Provider Name | Sandi L Mckenzie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922240290 PECOS PAC ID: 6709939028 Enrollment ID: I20110329000850 |
| Provider Name | Anand Achanti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477750883 PECOS PAC ID: 6204010481 Enrollment ID: I20110413000100 |
| Provider Name | Evgenia Kagan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578759502 PECOS PAC ID: 4486737566 Enrollment ID: I20110413000191 |
| Provider Name | Kirsten Dawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194015156 PECOS PAC ID: 0042496333 Enrollment ID: I20110523000185 |
| Provider Name | Mark a Coker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235189218 PECOS PAC ID: 2062698350 Enrollment ID: I20110523000268 |
| Provider Name | Chris L Kennedy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598714198 PECOS PAC ID: 7416133715 Enrollment ID: I20110523000285 |
| Provider Name | Andrew J Goodwin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093822652 PECOS PAC ID: 6103921119 Enrollment ID: I20110624000280 |
| Provider Name | James Ross Simril |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750561197 PECOS PAC ID: 8820276637 Enrollment ID: I20110627000485 |
| Provider Name | Joseph D Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083876288 PECOS PAC ID: 5991973034 Enrollment ID: I20110718000036 |
| Provider Name | Edward F Kilb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487813176 PECOS PAC ID: 9537337688 Enrollment ID: I20110718000150 |
| Provider Name | Josef K Eichinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831298819 PECOS PAC ID: 4880862606 Enrollment ID: I20110722000057 |
| Provider Name | Andrew Stec |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548317423 PECOS PAC ID: 9032387691 Enrollment ID: I20110726000494 |
| Provider Name | Jennifer Poon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013114263 PECOS PAC ID: 7618145129 Enrollment ID: I20110727000144 |
| Provider Name | Samuel H Mardini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780622761 PECOS PAC ID: 4688619802 Enrollment ID: I20110727000213 |
| Provider Name | Pal Suranyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912104456 PECOS PAC ID: 8820266364 Enrollment ID: I20110727000466 |
| Provider Name | Eva R Serber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689830374 PECOS PAC ID: 5092882373 Enrollment ID: I20110728000336 |
| Provider Name | Amy H Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366610040 PECOS PAC ID: 1052499126 Enrollment ID: I20110804000363 |
| Provider Name | Bradley Presley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518129675 PECOS PAC ID: 8426227356 Enrollment ID: I20110811000124 |
| Provider Name | Wuwei Feng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497836076 PECOS PAC ID: 9739358433 Enrollment ID: I20110815000748 |
| Provider Name | Charles Andrews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982866265 PECOS PAC ID: 4981873528 Enrollment ID: I20110816000377 |
| Provider Name | Christian F Reusche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932306545 PECOS PAC ID: 3678742244 Enrollment ID: I20110816000705 |
| Provider Name | Katherine Ann Lewis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871507046 PECOS PAC ID: 4385642735 Enrollment ID: I20110824000703 |
| Provider Name | Edward Conyers Obryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104913193 PECOS PAC ID: 4587834593 Enrollment ID: I20110831000181 |
| Provider Name | Jason B Coker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811159924 PECOS PAC ID: 1153591979 Enrollment ID: I20110902000052 |
| Provider Name | Mark a Lockett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467447359 PECOS PAC ID: 8123156304 Enrollment ID: I20110907001076 |
| Provider Name | Anbukarasi Maran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861579112 PECOS PAC ID: 8325218076 Enrollment ID: I20110907001098 |
| Provider Name | Amanda T Redding |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235216730 PECOS PAC ID: 6608047121 Enrollment ID: I20110913000940 |
| Provider Name | Michael B Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932282290 PECOS PAC ID: 4284805540 Enrollment ID: I20110916000080 |
| Provider Name | Brigid Eileen Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801057294 PECOS PAC ID: 0840461158 Enrollment ID: I20110919000052 |
| Provider Name | Heather Nicole Simpson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316069420 PECOS PAC ID: 2668539271 Enrollment ID: I20110921000635 |
| Provider Name | Christopher G Goodier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669678421 PECOS PAC ID: 2264603190 Enrollment ID: I20110926000028 |
| Provider Name | Wendy Balliet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144500471 PECOS PAC ID: 8729259478 Enrollment ID: I20110929000176 |
| Provider Name | Melissa Picard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790983351 PECOS PAC ID: 4082885736 Enrollment ID: I20110929000194 |
| Provider Name | Michael Huber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104934157 PECOS PAC ID: 0143492769 Enrollment ID: I20111004000284 |
| Provider Name | Zachary Soler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619121464 PECOS PAC ID: 2264604792 Enrollment ID: I20111005000799 |
| Provider Name | Pinckney J Maxwell |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1306952221 PECOS PAC ID: 0042211294 Enrollment ID: I20111006000783 |
| Provider Name | Lauren S Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962737684 PECOS PAC ID: 6002088333 Enrollment ID: I20111011000395 |
| Provider Name | Shahryar Chowdhury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508065186 PECOS PAC ID: 9032381207 Enrollment ID: I20111012000221 |
| Provider Name | Andrew D Schreiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962663963 PECOS PAC ID: 8921270018 Enrollment ID: I20111014000207 |
| Provider Name | Emily a Darr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821295254 PECOS PAC ID: 3476725474 Enrollment ID: I20111018000237 |
| Provider Name | Melissa Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689751844 PECOS PAC ID: 7214109172 Enrollment ID: I20111019000130 |
| Provider Name | Amanda C Naramore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770865511 PECOS PAC ID: 9638341407 Enrollment ID: I20111020000770 |
| Provider Name | Alexei O Decastro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396710919 PECOS PAC ID: 2567635204 Enrollment ID: I20111025000781 |
| Provider Name | Madelene C Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639267669 PECOS PAC ID: 9436322054 Enrollment ID: I20111027000012 |
| Provider Name | Ana I Arias-pandey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740443464 PECOS PAC ID: 3274706817 Enrollment ID: I20111027000278 |
| Provider Name | Frederick Walter Funke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437357274 PECOS PAC ID: 9436323201 Enrollment ID: I20111114000688 |
| Provider Name | Elizabeth L Camposeo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801171350 PECOS PAC ID: 1557535713 Enrollment ID: I20111128000303 |
| Provider Name | Andrew S Brock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346264959 PECOS PAC ID: 3971507872 Enrollment ID: I20111201000767 |
| Provider Name | Arni Nutting |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033304696 PECOS PAC ID: 8325138670 Enrollment ID: I20111227000490 |
| Provider Name | Matthew K Ewald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013291269 PECOS PAC ID: 2062688997 Enrollment ID: I20111227000544 |
| Provider Name | Russell William Chapin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043366636 PECOS PAC ID: 2062564883 Enrollment ID: I20120111000059 |
| Provider Name | Julie S Webster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396769964 PECOS PAC ID: 8628162559 Enrollment ID: I20120118000057 |
| Provider Name | Kristen E Tinkler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467766220 PECOS PAC ID: 6800066176 Enrollment ID: I20120123000810 |
| Provider Name | Lauren Dubose Neese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427320068 PECOS PAC ID: 6002075538 Enrollment ID: I20120301000935 |
| Provider Name | Bridgette P Kadri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114298502 PECOS PAC ID: 9830358290 Enrollment ID: I20120306000001 |
| Provider Name | Carrie Busch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144481763 PECOS PAC ID: 7911166376 Enrollment ID: I20120306000012 |
| Provider Name | Amanda Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720234925 PECOS PAC ID: 4284893645 Enrollment ID: I20120306000020 |
| Provider Name | James Hill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639306053 PECOS PAC ID: 9830386994 Enrollment ID: I20120310000032 |
| Provider Name | Aiken M Mcnair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902170665 PECOS PAC ID: 9133389984 Enrollment ID: I20120402000315 |
| Provider Name | Nicole Cain |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215072855 PECOS PAC ID: 7214197953 Enrollment ID: I20120404000523 |
| Provider Name | Kristin Wise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083636229 PECOS PAC ID: 5799715173 Enrollment ID: I20120411000001 |
| Provider Name | Andrew J Manett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275761231 PECOS PAC ID: 2567623804 Enrollment ID: I20120413000515 |
| Provider Name | David J Walsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053337907 PECOS PAC ID: 7214989300 Enrollment ID: I20120425000256 |
| Provider Name | Kathy L Lehman-huskamp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417904541 PECOS PAC ID: 8628007416 Enrollment ID: I20120503000574 |
| Provider Name | Tamatha M Huneycutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114292521 PECOS PAC ID: 5799949434 Enrollment ID: I20120611000099 |
| Provider Name | Michael Brian Lilly |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033147186 PECOS PAC ID: 6002823317 Enrollment ID: I20120611000134 |
| Provider Name | Stephen P Kalhorn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235333022 PECOS PAC ID: 7517122476 Enrollment ID: I20120627000828 |
| Provider Name | Chelsey Ann Petz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700014677 PECOS PAC ID: 5698930436 Enrollment ID: I20120629000282 |
| Provider Name | Carolyn L Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497796569 PECOS PAC ID: 4789774514 Enrollment ID: I20120726000638 |
| Provider Name | John W Doty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932362878 PECOS PAC ID: 3476731019 Enrollment ID: I20120731000363 |
| Provider Name | Kathleen G Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427312586 PECOS PAC ID: 4981850112 Enrollment ID: I20120803000429 |
| Provider Name | Lynn Perry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750418109 PECOS PAC ID: 1052445459 Enrollment ID: I20120806000376 |
| Provider Name | Julie R Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881741692 PECOS PAC ID: 7416103569 Enrollment ID: I20120806000853 |
| Provider Name | Gregory Douglas Schnepper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750585246 PECOS PAC ID: 5294981205 Enrollment ID: I20120807000697 |
| Provider Name | David G Bundy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528150356 PECOS PAC ID: 6305949843 Enrollment ID: I20120810000398 |
| Provider Name | Laura Spruill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932369220 PECOS PAC ID: 1456507284 Enrollment ID: I20120810000497 |
| Provider Name | Shelly Ozark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956884 PECOS PAC ID: 8325294044 Enrollment ID: I20120813000694 |
| Provider Name | Nicoleta Sora |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871770297 PECOS PAC ID: 5294981726 Enrollment ID: I20120815000671 |
| Provider Name | Temeia D Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598964264 PECOS PAC ID: 1254587736 Enrollment ID: I20120816000413 |
| Provider Name | Maria Aurora Posadas Salas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407033798 PECOS PAC ID: 4880840370 Enrollment ID: I20120816000439 |
| Provider Name | Caitlin L Mengler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245599513 PECOS PAC ID: 8022264514 Enrollment ID: I20120816000489 |
| Provider Name | Luca Paoletti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639378367 PECOS PAC ID: 3779739271 Enrollment ID: I20120816000613 |
| Provider Name | Alejandro Spiotta |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346417359 PECOS PAC ID: 8325295785 Enrollment ID: I20120821000165 |
| Provider Name | Puja Elias |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780824755 PECOS PAC ID: 1951558238 Enrollment ID: I20120821000578 |
| Provider Name | Talat Raja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20120821000799 |
| Provider Name | Michelle Sewell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518213032 PECOS PAC ID: 5496902793 Enrollment ID: I20120821000822 |
| Provider Name | Rochelle N Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942560560 PECOS PAC ID: 2769639079 Enrollment ID: I20120821000940 |
| Provider Name | Carolyn D Britten |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356375810 PECOS PAC ID: 7315996550 Enrollment ID: I20120822000814 |
| Provider Name | Leonardo Bonilha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861699969 PECOS PAC ID: 6901053107 Enrollment ID: I20120822000821 |
| Provider Name | John Ciccone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750378824 PECOS PAC ID: 8022048305 Enrollment ID: I20120827000836 |
| Provider Name | Christine Philbrick Brusman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053495580 PECOS PAC ID: 9638213341 Enrollment ID: I20120830000060 |
| Provider Name | Timothy Heinke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073778833 PECOS PAC ID: 4880841584 Enrollment ID: I20120831000504 |
| Provider Name | Christine P Corley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982950028 PECOS PAC ID: 5698922391 Enrollment ID: I20120831000517 |
| Provider Name | Andrew Eiseman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013098987 PECOS PAC ID: 5092962621 Enrollment ID: I20120904000238 |
| Provider Name | Manoucher Lance Tavana |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821298589 PECOS PAC ID: 1153578786 Enrollment ID: I20120904000259 |
| Provider Name | Cassie C Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275888091 PECOS PAC ID: 4486801925 Enrollment ID: I20120905000754 |
| Provider Name | Katherine Twombley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356532311 PECOS PAC ID: 7618000555 Enrollment ID: I20120906000290 |
| Provider Name | Carolyn R Word |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1003044645 PECOS PAC ID: 4082862578 Enrollment ID: I20120906000589 |
| Provider Name | Richard P Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659350056 PECOS PAC ID: 7416853999 Enrollment ID: I20120914000058 |
| Provider Name | Ellen Baldino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215173372 PECOS PAC ID: 4082862073 Enrollment ID: I20120917000637 |
| Provider Name | Fernando a Herrera |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013164243 PECOS PAC ID: 1557380375 Enrollment ID: I20120921000704 |
| Provider Name | Rachael Zweigoron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982821609 PECOS PAC ID: 3870761711 Enrollment ID: I20120926000082 |
| Provider Name | Gregory a Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174574297 PECOS PAC ID: 8527053412 Enrollment ID: I20120927000307 |
| Provider Name | Michel J Sabbagh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962585158 PECOS PAC ID: 9537318415 Enrollment ID: I20121009000819 |
| Provider Name | Ashli Orourke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558574152 PECOS PAC ID: 0840478848 Enrollment ID: I20121009000857 |
| Provider Name | Jennifer Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265780787 PECOS PAC ID: 1850541830 Enrollment ID: I20121029000415 |
| Provider Name | Shana C Bondo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861582280 PECOS PAC ID: 3971754623 Enrollment ID: I20121107000015 |
| Provider Name | Marcelo Luis Hochman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780797449 PECOS PAC ID: 0840441044 Enrollment ID: I20121116000372 |
| Provider Name | Dawn Pasquarello Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538497946 PECOS PAC ID: 9335390418 Enrollment ID: I20121120000086 |
| Provider Name | Zachary Wade Sutton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508167362 PECOS PAC ID: 9537310495 Enrollment ID: I20121127000465 |
| Provider Name | Angela Bennett Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578828661 PECOS PAC ID: 9133371917 Enrollment ID: I20121129000460 |
| Provider Name | Cristina Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881945947 PECOS PAC ID: 8426200254 Enrollment ID: I20121130000357 |
| Provider Name | Leonidas N Walthall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467680249 PECOS PAC ID: 6204088917 Enrollment ID: I20121204000002 |
| Provider Name | Mary Ann Howerton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568714632 PECOS PAC ID: 4486806536 Enrollment ID: I20121218000380 |
| Provider Name | Helen F Kulseth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336483809 PECOS PAC ID: 1456504497 Enrollment ID: I20121227000016 |
| Provider Name | Lanier Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982862389 PECOS PAC ID: 7214180132 Enrollment ID: I20121231000065 |
| Provider Name | Graham Walter Warren |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043473739 PECOS PAC ID: 8325192198 Enrollment ID: I20130103000162 |
| Provider Name | Brandi B Aquino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194814673 PECOS PAC ID: 6406009034 Enrollment ID: I20130110000391 |
| Provider Name | Edith Barrett Willis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245584606 PECOS PAC ID: 4183877715 Enrollment ID: I20130110000440 |
| Provider Name | Bresney a Fanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144564055 PECOS PAC ID: 0345493987 Enrollment ID: I20130110000470 |
| Provider Name | Michael C Mostoller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154655223 PECOS PAC ID: 9537312079 Enrollment ID: I20130110000565 |
| Provider Name | Hina Chaudhry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518259977 PECOS PAC ID: 7012160328 Enrollment ID: I20130118000192 |
| Provider Name | Denise a Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760449649 PECOS PAC ID: 2365421450 Enrollment ID: I20130128000099 |
| Provider Name | Karen Frances Hilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295823144 PECOS PAC ID: 0446404511 Enrollment ID: I20130128000143 |
| Provider Name | Andrea M Rinn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770555708 PECOS PAC ID: 6204810112 Enrollment ID: I20130206000312 |
| Provider Name | Renee Danielle Straub |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275791352 PECOS PAC ID: 6608047543 Enrollment ID: I20130219000137 |
| Provider Name | Rahul G Argula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386841583 PECOS PAC ID: 5193970341 Enrollment ID: I20130219000562 |
| Provider Name | Concetta M Riva |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184651564 PECOS PAC ID: 9133160526 Enrollment ID: I20130308000309 |
| Provider Name | Michelle E Ziegler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144249798 PECOS PAC ID: 4688646722 Enrollment ID: I20130325000473 |
| Provider Name | John W Gnann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467498659 PECOS PAC ID: 0143415786 Enrollment ID: I20130327000529 |
| Provider Name | Richard W Rissmiller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427073949 PECOS PAC ID: 1759367444 Enrollment ID: I20130328000131 |
| Provider Name | Amanda N Overstreet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952612624 PECOS PAC ID: 1153567540 Enrollment ID: I20130409000022 |
| Provider Name | Kelley E Deaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326387044 PECOS PAC ID: 3870739030 Enrollment ID: I20130415000294 |
| Provider Name | Holly J Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174877112 PECOS PAC ID: 6103064944 Enrollment ID: I20130606000024 |
| Provider Name | Steven a Akman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396729414 PECOS PAC ID: 9739224379 Enrollment ID: I20130617000726 |
| Provider Name | Don C Rockey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679520175 PECOS PAC ID: 5092722322 Enrollment ID: I20130618000749 |
| Provider Name | Kathryn F Meltzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043552078 PECOS PAC ID: 6608015482 Enrollment ID: I20130627000270 |
| Provider Name | Elizabeth M Wallis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023344025 PECOS PAC ID: 5496995037 Enrollment ID: I20130702000842 |
| Provider Name | Evelyn T Bruner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558598847 PECOS PAC ID: 4385884733 Enrollment ID: I20130708000227 |
| Provider Name | Samuel L Cooper |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578724878 PECOS PAC ID: 8527208867 Enrollment ID: I20130709000488 |
| Provider Name | Graciela B De Jesus |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659577518 PECOS PAC ID: 7911147186 Enrollment ID: I20130711000363 |
| Provider Name | Graham W Beattie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285945279 PECOS PAC ID: 6800036070 Enrollment ID: I20130711000388 |
| Provider Name | Ryan W Uberman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699041715 PECOS PAC ID: 6608031943 Enrollment ID: I20130715000131 |
| Provider Name | James B Fox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740487354 PECOS PAC ID: 3870654163 Enrollment ID: I20130726000757 |
| Provider Name | Ian M Carrese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003251562 PECOS PAC ID: 2163664095 Enrollment ID: I20130806000442 |
| Provider Name | Jason Patrick Ulm |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184860330 PECOS PAC ID: 0244487395 Enrollment ID: I20130807000166 |
| Provider Name | Vincent D Pellegrini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487607529 PECOS PAC ID: 7214021021 Enrollment ID: I20130808000805 |
| Provider Name | Angela R Choi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750519054 PECOS PAC ID: 1355583808 Enrollment ID: I20130812000822 |
| Provider Name | Laura N Dority |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679873913 PECOS PAC ID: 9638312515 Enrollment ID: I20130823001211 |
| Provider Name | Kimberly E Mchugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841411980 PECOS PAC ID: 2062655228 Enrollment ID: I20130909000166 |
| Provider Name | Lisa D Mims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356661540 PECOS PAC ID: 7416195276 Enrollment ID: I20130909000188 |
| Provider Name | Satish Nadig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356580187 PECOS PAC ID: 7416127030 Enrollment ID: I20130909000216 |
| Provider Name | Tina M Dvoren Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336100254 PECOS PAC ID: 2769475912 Enrollment ID: I20130909000266 |
| Provider Name | Jon Mcgough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639499254 PECOS PAC ID: 5799928966 Enrollment ID: I20130909000295 |
| Provider Name | Catherine C Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336580240 PECOS PAC ID: 9234372426 Enrollment ID: I20130909000457 |
| Provider Name | Sara Giordano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962683193 PECOS PAC ID: 6406090661 Enrollment ID: I20130910000608 |
| Provider Name | Alicia R Privette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457573313 PECOS PAC ID: 2769645027 Enrollment ID: I20130911000638 |
| Provider Name | Dag Pavic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295817922 PECOS PAC ID: 1153451448 Enrollment ID: I20130911000679 |
| Provider Name | Megan E Redfern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023337599 PECOS PAC ID: 1850535907 Enrollment ID: I20130911000809 |
| Provider Name | Colleen H Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740524768 PECOS PAC ID: 2264676220 Enrollment ID: I20130913000516 |
| Provider Name | Jacob Elidge Enterkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306043096 PECOS PAC ID: 2769626530 Enrollment ID: I20130917000469 |
| Provider Name | Holly Carlson Edmunds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740596634 PECOS PAC ID: 2961646286 Enrollment ID: I20130926000157 |
| Provider Name | Eric W Angermeier |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1720285539 PECOS PAC ID: 3779717897 Enrollment ID: I20131003000381 |
| Provider Name | Kyle P Kokko |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902984990 PECOS PAC ID: 6901030030 Enrollment ID: I20131003000469 |
| Provider Name | Carlotta J Lalich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770746232 PECOS PAC ID: 7315171311 Enrollment ID: I20131007000496 |
| Provider Name | Scott M Lindhorst |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851503551 PECOS PAC ID: 7214051309 Enrollment ID: I20131007000605 |
| Provider Name | Catherine Oconnor Durham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417932104 PECOS PAC ID: 9032344452 Enrollment ID: I20131021000391 |
| Provider Name | Candace Marie Nogues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396023230 PECOS PAC ID: 5597990812 Enrollment ID: I20131022001979 |
| Provider Name | Kristoff R Reid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407055098 PECOS PAC ID: 4486801198 Enrollment ID: I20131030000810 |
| Provider Name | Weston L Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497188635 PECOS PAC ID: 5597990341 Enrollment ID: I20131101000821 |
| Provider Name | Karen K Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811321581 PECOS PAC ID: 6204061823 Enrollment ID: I20131106001082 |
| Provider Name | Thomas E Brouette |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1073541892 PECOS PAC ID: 1951404136 Enrollment ID: I20131106001113 |
| Provider Name | Alexander P Dibona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215017827 PECOS PAC ID: 0042302192 Enrollment ID: I20131106001157 |
| Provider Name | Richard Miles Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184941551 PECOS PAC ID: 3476789959 Enrollment ID: I20131112001742 |
| Provider Name | Cheryl Neal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972824183 PECOS PAC ID: 1254579923 Enrollment ID: I20131113001381 |
| Provider Name | Jessica L Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891030151 PECOS PAC ID: 0648406082 Enrollment ID: I20131113001646 |
| Provider Name | Leslie Ellen Bunting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689928673 PECOS PAC ID: 4587890868 Enrollment ID: I20131114001001 |
| Provider Name | Angie Duong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104024801 PECOS PAC ID: 9436314978 Enrollment ID: I20131118000530 |
| Provider Name | Jeffrey P Blice |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215930805 PECOS PAC ID: 6709012909 Enrollment ID: I20131118001016 |
| Provider Name | David M French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669406393 PECOS PAC ID: 6002852241 Enrollment ID: I20131118001144 |
| Provider Name | Alanna M Shiflett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679909980 PECOS PAC ID: 5991931685 Enrollment ID: I20131203000602 |
| Provider Name | Christine T Otruba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104106863 PECOS PAC ID: 2769618461 Enrollment ID: I20131203000778 |
| Provider Name | Kelly M Hylton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851565576 PECOS PAC ID: 3173750718 Enrollment ID: I20131205001626 |
| Provider Name | Crystal J Houlton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558524140 PECOS PAC ID: 0648435693 Enrollment ID: I20131209000909 |
| Provider Name | Lynn M Schnapp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205912953 PECOS PAC ID: 1355475336 Enrollment ID: I20131209000988 |
| Provider Name | Zipporah Krishnasami |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063449569 PECOS PAC ID: 4880889435 Enrollment ID: I20131216001079 |
| Provider Name | Sarah E Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184671539 PECOS PAC ID: 2062419096 Enrollment ID: I20140102000691 |
| Provider Name | Jeffrey P Caporossi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932150166 PECOS PAC ID: 8123012572 Enrollment ID: I20140107000158 |
| Provider Name | Ali L Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891123345 PECOS PAC ID: 6002044302 Enrollment ID: I20140113001384 |
| Provider Name | Rebecca P Cumbee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417384462 PECOS PAC ID: 2062640378 Enrollment ID: I20140114000030 |
| Provider Name | Russell S Blackwelder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407118508 PECOS PAC ID: 2062650815 Enrollment ID: I20140128001870 |
| Provider Name | Lindsey M Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437498144 PECOS PAC ID: 6204072879 Enrollment ID: I20140214000288 |
| Provider Name | John Gibson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326057928 PECOS PAC ID: 7618068263 Enrollment ID: I20140215000000 |
| Provider Name | Natalie Kathleen Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922437912 PECOS PAC ID: 1658500657 Enrollment ID: I20140218000537 |
| Provider Name | Martin B Steed |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821015686 PECOS PAC ID: 5597739508 Enrollment ID: I20140218001382 |
| Provider Name | Brandon David Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932493509 PECOS PAC ID: 0840438602 Enrollment ID: I20140325001207 |
| Provider Name | Todd J Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588092662 PECOS PAC ID: 0244461606 Enrollment ID: I20140327001598 |
| Provider Name | Jamie a Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952723769 PECOS PAC ID: 8628209988 Enrollment ID: I20140331000067 |
| Provider Name | Jesica C Archie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588974869 PECOS PAC ID: 4385875566 Enrollment ID: I20140401002134 |
| Provider Name | Kristen L Hood Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245525070 PECOS PAC ID: 8820237084 Enrollment ID: I20140428001798 |
| Provider Name | Gabor Andras Winkler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558362970 PECOS PAC ID: 8921060740 Enrollment ID: I20140430001254 |
| Provider Name | Steven Carroll |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932141140 PECOS PAC ID: 1951425388 Enrollment ID: I20140506001003 |
| Provider Name | Ashley E Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730529009 PECOS PAC ID: 5991938581 Enrollment ID: I20140506001740 |
| Provider Name | Anna M Heelan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649696162 PECOS PAC ID: 6608090808 Enrollment ID: I20140609002051 |
| Provider Name | Abigail L Marx |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013337708 PECOS PAC ID: 1951525633 Enrollment ID: I20140619001657 |
| Provider Name | Meghan a Cummins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386939502 PECOS PAC ID: 1052536398 Enrollment ID: I20140630002195 |
| Provider Name | Badih Joseph Elmunzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578682886 PECOS PAC ID: 1052485042 Enrollment ID: I20140716001498 |
| Provider Name | Joseph M Ritchey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598178402 PECOS PAC ID: 8022235589 Enrollment ID: I20140807001237 |
| Provider Name | Alison P Smock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144541129 PECOS PAC ID: 8224255567 Enrollment ID: I20140811002174 |
| Provider Name | Jean Marie Ruddy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770665796 PECOS PAC ID: 6305063306 Enrollment ID: I20140815000420 |
| Provider Name | Samuel Schumann III |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831484765 PECOS PAC ID: 4587881594 Enrollment ID: I20140815000794 |
| Provider Name | Ramin Eskandari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831376177 PECOS PAC ID: 6305086455 Enrollment ID: I20140817000027 |
| Provider Name | Seth T Stalcup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164620035 PECOS PAC ID: 2769648658 Enrollment ID: I20140823000237 |
| Provider Name | Jennifer R Matos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023246238 PECOS PAC ID: 0840418471 Enrollment ID: I20140823000336 |
| Provider Name | Ricardo Tadayoshi Barbosa Yamada |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194012914 PECOS PAC ID: 2668690298 Enrollment ID: I20140823000341 |
| Provider Name | Kathryn H Bridges |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073834263 PECOS PAC ID: 2567680036 Enrollment ID: I20140825001674 |
| Provider Name | Anna Maya Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598076887 PECOS PAC ID: 2466670963 Enrollment ID: I20140825002502 |
| Provider Name | Autumn L Edenfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346446648 PECOS PAC ID: 6709064819 Enrollment ID: I20140826001545 |
| Provider Name | Meryle J Eklund |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720246382 PECOS PAC ID: 0345468799 Enrollment ID: I20140826001652 |
| Provider Name | Claire a Macgeorge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124315627 PECOS PAC ID: 6305064759 Enrollment ID: I20140826001793 |
| Provider Name | Ernest E Murray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689969198 PECOS PAC ID: 6305064668 Enrollment ID: I20140827002984 |
| Provider Name | Olga Chajewski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194987594 PECOS PAC ID: 3072731223 Enrollment ID: I20140829000513 |
| Provider Name | Karolinne M Rocha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699098053 PECOS PAC ID: 4880813690 Enrollment ID: I20140909002663 |
| Provider Name | Eric G Meissner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497954036 PECOS PAC ID: 9133348949 Enrollment ID: I20140909002709 |
| Provider Name | Katherine M Ruzhansky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558526947 PECOS PAC ID: 3779702444 Enrollment ID: I20140910002149 |
| Provider Name | Gregory Lee Sahlem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710208970 PECOS PAC ID: 6305065020 Enrollment ID: I20140911001070 |
| Provider Name | Maria Yared |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740423904 PECOS PAC ID: 0446489132 Enrollment ID: I20140916001963 |
| Provider Name | Gregory R Jackson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1518284843 PECOS PAC ID: 9931342029 Enrollment ID: I20140921000000 |
| Provider Name | Tracy Elizabeth Wester |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427290477 PECOS PAC ID: 6103046073 Enrollment ID: I20140929001227 |
| Provider Name | Laura K Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649535626 PECOS PAC ID: 4385894989 Enrollment ID: I20140930002576 |
| Provider Name | Joshua H Lipschutz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598848657 PECOS PAC ID: 2466672050 Enrollment ID: I20141002000810 |
| Provider Name | Nicholas J Connors |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366604944 PECOS PAC ID: 4486800877 Enrollment ID: I20141002000985 |
| Provider Name | Ryan M Barnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164711552 PECOS PAC ID: 6204056773 Enrollment ID: I20141003002131 |
| Provider Name | Nicholas J Milano |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316100043 PECOS PAC ID: 6305076266 Enrollment ID: I20141007000809 |
| Provider Name | Christopher L Heine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134362684 PECOS PAC ID: 6305071218 Enrollment ID: I20141007000887 |
| Provider Name | Daniel William Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457670358 PECOS PAC ID: 8820252851 Enrollment ID: I20141010002426 |
| Provider Name | Leilani V Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619147055 PECOS PAC ID: 8123276185 Enrollment ID: I20141016001784 |
| Provider Name | Gina Marie Ocallaghan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003239500 PECOS PAC ID: 4082846530 Enrollment ID: I20141020000863 |
| Provider Name | Sheldon E Litwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861447989 PECOS PAC ID: 1759375785 Enrollment ID: I20141020001232 |
| Provider Name | Harris S Slone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417118365 PECOS PAC ID: 1951543495 Enrollment ID: I20141020002203 |
| Provider Name | Lara Wine Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710187224 PECOS PAC ID: 7315168101 Enrollment ID: I20141020002293 |
| Provider Name | Norman R Harvey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013237783 PECOS PAC ID: 7012138829 Enrollment ID: I20141020002844 |
| Provider Name | Theodore S Gourdin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427225069 PECOS PAC ID: 3476774282 Enrollment ID: I20141020002854 |
| Provider Name | Prince M Anand |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437310968 PECOS PAC ID: 0042495038 Enrollment ID: I20141021001065 |
| Provider Name | David Michael Neskey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366694218 PECOS PAC ID: 1658513973 Enrollment ID: I20141027002201 |
| Provider Name | Emily B Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225441850 PECOS PAC ID: 1153542394 Enrollment ID: I20141031001298 |
| Provider Name | Stephanie Anne James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982043717 PECOS PAC ID: 9234350497 Enrollment ID: I20141031002244 |
| Provider Name | Tatsiana Y Beiko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295037836 PECOS PAC ID: 1658593884 Enrollment ID: I20141104000154 |
| Provider Name | Rebecca Michelle Cafiero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417277971 PECOS PAC ID: 8628299286 Enrollment ID: I20141104001474 |
| Provider Name | Amy O Wisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306246558 PECOS PAC ID: 5092937995 Enrollment ID: I20141110000283 |
| Provider Name | Leslie a Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477742658 PECOS PAC ID: 3971725805 Enrollment ID: I20141110001678 |
| Provider Name | Marc Thomas Bartman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295990943 PECOS PAC ID: 3072785310 Enrollment ID: I20141111000666 |
| Provider Name | Patrick Britell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588980320 PECOS PAC ID: 3971725573 Enrollment ID: I20141115000361 |
| Provider Name | Michael U Antonucci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588734289 PECOS PAC ID: 4880816487 Enrollment ID: I20141115000367 |
| Provider Name | Eric Zollars |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396902417 PECOS PAC ID: 0042468191 Enrollment ID: I20141118000459 |
| Provider Name | Rochelle L Ringer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982861373 PECOS PAC ID: 3870661903 Enrollment ID: I20141118001419 |
| Provider Name | Nancy K Demore |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1386738557 PECOS PAC ID: 6204966419 Enrollment ID: I20141120002642 |
| Provider Name | Alyssa a Gitter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316348535 PECOS PAC ID: 3476875147 Enrollment ID: I20141208001581 |
| Provider Name | Susan C Nease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235447350 PECOS PAC ID: 9537337753 Enrollment ID: I20141208002153 |
| Provider Name | Morgan Elizabeth Pearman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881095743 PECOS PAC ID: 1759603442 Enrollment ID: I20141208002431 |
| Provider Name | Erin V Sparks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164733366 PECOS PAC ID: 8820310535 Enrollment ID: I20141209000822 |
| Provider Name | Carolyn a Gentles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588654792 PECOS PAC ID: 5294820841 Enrollment ID: I20141216002216 |
| Provider Name | George Whitener |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740485663 PECOS PAC ID: 4789854266 Enrollment ID: I20141216002396 |
| Provider Name | Theresa Gonzales |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912969502 PECOS PAC ID: 3375760093 Enrollment ID: I20141219001365 |
| Provider Name | Thomas K Koch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811904733 PECOS PAC ID: 8628165354 Enrollment ID: I20141229001868 |
| Provider Name | Madison Morin Shipp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285037861 PECOS PAC ID: 3779806658 Enrollment ID: I20141229002124 |
| Provider Name | Michele Taffaro-neskey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982755781 PECOS PAC ID: 2961416581 Enrollment ID: I20150108001766 |
| Provider Name | Jennifer Janell Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700047198 PECOS PAC ID: 3375866841 Enrollment ID: I20150108002049 |
| Provider Name | Jennifer G Mccrudden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225432446 PECOS PAC ID: 6800110313 Enrollment ID: I20150109001163 |
| Provider Name | Stephanie K Whitener |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740468727 PECOS PAC ID: 9335319896 Enrollment ID: I20150112001501 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20150119000241 |
| Provider Name | Daniel Y Reuben |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619979416 PECOS PAC ID: 9638155120 Enrollment ID: I20150127001556 |
| Provider Name | Vincent Bernard Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053717082 PECOS PAC ID: 9638493356 Enrollment ID: I20150128000714 |
| Provider Name | Elizabeth T Harding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679970271 PECOS PAC ID: 7618292046 Enrollment ID: I20150206000583 |
| Provider Name | I-hweii a Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205955564 PECOS PAC ID: 4183779093 Enrollment ID: I20150208000042 |
| Provider Name | Patrick Michael Mcneal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356746648 PECOS PAC ID: 3375868607 Enrollment ID: I20150209001798 |
| Provider Name | Jared a Nix |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518222728 PECOS PAC ID: 1456507292 Enrollment ID: I20150213001351 |
| Provider Name | Christine M Litwin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396835906 PECOS PAC ID: 4284814484 Enrollment ID: I20150311001455 |
| Provider Name | Allison C Eckard |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922212968 PECOS PAC ID: 6709949969 Enrollment ID: I20150311002316 |
| Provider Name | Jessica Nguyen Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689063612 PECOS PAC ID: 2961728811 Enrollment ID: I20150311002491 |
| Provider Name | Kimberly Lynne Hays |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124313036 PECOS PAC ID: 2264759836 Enrollment ID: I20150318001928 |
| Provider Name | Monique Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306043823 PECOS PAC ID: 6709103385 Enrollment ID: I20150318002467 |
| Provider Name | Kevin Dickey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639150055 PECOS PAC ID: 5698761500 Enrollment ID: I20150326000919 |
| Provider Name | Dirk M Elston |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669449161 PECOS PAC ID: 0244126183 Enrollment ID: I20150506002516 |
| Provider Name | Jessica Elaine Marzolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467852657 PECOS PAC ID: 4880913979 Enrollment ID: I20150512002733 |
| Provider Name | Sara C Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619368479 PECOS PAC ID: 1456671544 Enrollment ID: I20150513000179 |
| Provider Name | Jason Robert Buckley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023277761 PECOS PAC ID: 9335369479 Enrollment ID: I20150514000413 |
| Provider Name | Christy Ann Reuben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437310992 PECOS PAC ID: 7416199344 Enrollment ID: I20150514002543 |
| Provider Name | Earleisha C Felder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174916589 PECOS PAC ID: 5496075442 Enrollment ID: I20150514002867 |
| Provider Name | Lisa Elayne Diffley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023401890 PECOS PAC ID: 7416277827 Enrollment ID: I20150527001357 |
| Provider Name | Vijay Renga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831493386 PECOS PAC ID: 2567783343 Enrollment ID: I20150604002020 |
| Provider Name | Patrick Coyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407241334 PECOS PAC ID: 8527370915 Enrollment ID: I20150626000495 |
| Provider Name | Lillian Christon Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801120928 PECOS PAC ID: 2264744614 Enrollment ID: I20150629000632 |
| Provider Name | Donald Myrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710095765 PECOS PAC ID: 0547573941 Enrollment ID: I20150714001653 |
| Provider Name | Heather Lynn Hinshelwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235289984 PECOS PAC ID: 5092884890 Enrollment ID: I20150728004042 |
| Provider Name | Joan M Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356464564 PECOS PAC ID: 5890956353 Enrollment ID: I20150729008179 |
| Provider Name | Heather L Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720047517 PECOS PAC ID: 5890791917 Enrollment ID: I20150729008873 |
| Provider Name | Charles Reitman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487734802 PECOS PAC ID: 9537353339 Enrollment ID: I20150730011643 |
| Provider Name | Chirantan Banerjee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154648525 PECOS PAC ID: 7416261789 Enrollment ID: I20150730011736 |
| Provider Name | Cristian Thomae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306934658 PECOS PAC ID: 5597842401 Enrollment ID: I20150730011871 |
| Provider Name | Andrew Joseph Matuskowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457641235 PECOS PAC ID: 1355579293 Enrollment ID: I20150807013345 |
| Provider Name | Katie E Cardwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447631981 PECOS PAC ID: 1658686134 Enrollment ID: I20150812008110 |
| Provider Name | Richard E Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629456983 PECOS PAC ID: 1052305059 Enrollment ID: I20150813010392 |
| Provider Name | Christopher Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952663353 PECOS PAC ID: 4082937891 Enrollment ID: I20150820010733 |
| Provider Name | Jon Patrick Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639432594 PECOS PAC ID: 1658592209 Enrollment ID: I20150826002028 |
| Provider Name | Sarah S Clanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528447547 PECOS PAC ID: 5193031516 Enrollment ID: I20150831003043 |
| Provider Name | Milad Yazdani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447493762 PECOS PAC ID: 9133435407 Enrollment ID: I20150901001724 |
| Provider Name | Kelly E Gladin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528321346 PECOS PAC ID: 8527280593 Enrollment ID: I20150901002270 |
| Provider Name | Theodore R Mcrackan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881867950 PECOS PAC ID: 5890001044 Enrollment ID: I20150902001159 |
| Provider Name | Walter E James |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093912545 PECOS PAC ID: 1456476225 Enrollment ID: I20150902002314 |
| Provider Name | Aundrea E Loftley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326369893 PECOS PAC ID: 7810119443 Enrollment ID: I20150902002576 |
| Provider Name | David Cachia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336304526 PECOS PAC ID: 8325354418 Enrollment ID: I20150903002589 |
| Provider Name | Libby K Infinger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205034170 PECOS PAC ID: 5395051486 Enrollment ID: I20150903002702 |
| Provider Name | Sarah Jane Rudolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710362934 PECOS PAC ID: 2466768478 Enrollment ID: I20150904000732 |
| Provider Name | Eva M Suarez |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063738045 PECOS PAC ID: 0547576498 Enrollment ID: I20150908003097 |
| Provider Name | Sarah S Kuhn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972814911 PECOS PAC ID: 4981910833 Enrollment ID: I20150909000004 |
| Provider Name | Conrad Sigge Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265666465 PECOS PAC ID: 2466696117 Enrollment ID: I20150909000578 |
| Provider Name | Lindsey C Cox |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063674133 PECOS PAC ID: 5395051270 Enrollment ID: I20150909000860 |
| Provider Name | Michelle F Meglin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295028678 PECOS PAC ID: 2365681004 Enrollment ID: I20150909002144 |
| Provider Name | Mark Daniel Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20150910001514 |
| Provider Name | Nikki Elizabeth Yourshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366741993 PECOS PAC ID: 7517184856 Enrollment ID: I20150910001910 |
| Provider Name | Megann Helton-reiter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437443231 PECOS PAC ID: 0345557146 Enrollment ID: I20150910002178 |
| Provider Name | Adrienne L Pruitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093035321 PECOS PAC ID: 8921315730 Enrollment ID: I20150910002420 |
| Provider Name | Oana Nicoara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942435789 PECOS PAC ID: 9830406511 Enrollment ID: I20150911002325 |
| Provider Name | Allyson P Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722708 PECOS PAC ID: 5496062101 Enrollment ID: I20150914000708 |
| Provider Name | Samuel L Oyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215164587 PECOS PAC ID: 3870719974 Enrollment ID: I20150924001049 |
| Provider Name | Kelli Williams |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902030042 PECOS PAC ID: 3274841291 Enrollment ID: I20150924001587 |
| Provider Name | Mary Hegedus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710360219 PECOS PAC ID: 5991013914 Enrollment ID: I20150924001631 |
| Provider Name | Christine Sangiovanni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174822969 PECOS PAC ID: 4082830369 Enrollment ID: I20150924001646 |
| Provider Name | Jennifer Lynn Aron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114280096 PECOS PAC ID: 9830311646 Enrollment ID: I20150924002647 |
| Provider Name | Christopher Gross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902034283 PECOS PAC ID: 1052629730 Enrollment ID: I20150929002770 |
| Provider Name | Sarah Elizabeth Schmitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437214681 PECOS PAC ID: 3577648179 Enrollment ID: I20150930003225 |
| Provider Name | Emily Reams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417210147 PECOS PAC ID: 3274755335 Enrollment ID: I20151005001201 |
| Provider Name | Jessica L Casey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306221361 PECOS PAC ID: 0749598993 Enrollment ID: I20151007002712 |
| Provider Name | Amanda T Roten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235366998 PECOS PAC ID: 7911215108 Enrollment ID: I20151008001093 |
| Provider Name | Habib Rizk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881959864 PECOS PAC ID: 6901115930 Enrollment ID: I20151014001410 |
| Provider Name | Virgilio George |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063538098 PECOS PAC ID: 9931291804 Enrollment ID: I20151016001444 |
| Provider Name | Kelly C. Dollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407232978 PECOS PAC ID: 6305155169 Enrollment ID: I20151016001447 |
| Provider Name | Robert Francis Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477797140 PECOS PAC ID: 4789820432 Enrollment ID: I20151021002722 |
| Provider Name | Andrea Abbott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245473354 PECOS PAC ID: 3971726324 Enrollment ID: I20151023001840 |
| Provider Name | J Rhet Tucker |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659454155 PECOS PAC ID: 6305155706 Enrollment ID: I20151027000115 |
| Provider Name | Nagraj Kasi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578852828 PECOS PAC ID: 1951589415 Enrollment ID: I20151028002908 |
| Provider Name | Rebecca J Wineland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528267879 PECOS PAC ID: 6305038233 Enrollment ID: I20151030000495 |
| Provider Name | Jonathan R Lena |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457512303 PECOS PAC ID: 7315260031 Enrollment ID: I20151030000640 |
| Provider Name | Anna Dunn Hoffius |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942594890 PECOS PAC ID: 9133343858 Enrollment ID: I20151104002149 |
| Provider Name | Maria Ann J Westerink |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508851015 PECOS PAC ID: 0749173268 Enrollment ID: I20151105002006 |
| Provider Name | Clarice S Clemmens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962638502 PECOS PAC ID: 9739499583 Enrollment ID: I20151105002521 |
| Provider Name | Ryan R Byrne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063619773 PECOS PAC ID: 5294990602 Enrollment ID: I20151109002415 |
| Provider Name | Meredith B Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396114963 PECOS PAC ID: 3971803214 Enrollment ID: I20151118002043 |
| Provider Name | Rebecca Gohmann Bechhold |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326031618 PECOS PAC ID: 9830001221 Enrollment ID: I20151120002539 |
| Provider Name | David J Steflik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528355724 PECOS PAC ID: 3971724956 Enrollment ID: I20151207000497 |
| Provider Name | Emily Dudleck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558792184 PECOS PAC ID: 7315247731 Enrollment ID: I20151207002654 |
| Provider Name | Megan D Bunch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326418781 PECOS PAC ID: 2163722547 Enrollment ID: I20151208001990 |
| Provider Name | Kathryn L King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285862342 PECOS PAC ID: 7911152228 Enrollment ID: I20151208002958 |
| Provider Name | Lindsey K Heffner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629449566 PECOS PAC ID: 6103127550 Enrollment ID: I20151209001374 |
| Provider Name | Carrie M Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144653742 PECOS PAC ID: 7719288901 Enrollment ID: I20151211001659 |
| Provider Name | Melissa Lynn Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528351418 PECOS PAC ID: 6305147307 Enrollment ID: I20151216001926 |
| Provider Name | Ronald William Glinski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801836747 PECOS PAC ID: 1254308851 Enrollment ID: I20160121000564 |
| Provider Name | Cristin S Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427497684 PECOS PAC ID: 3577888643 Enrollment ID: I20160126000768 |
| Provider Name | John Cox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578526570 PECOS PAC ID: 1557325651 Enrollment ID: I20160126002551 |
| Provider Name | Shean J Aujla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154525038 PECOS PAC ID: 4385744432 Enrollment ID: I20160129002065 |
| Provider Name | John a Kenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437480423 PECOS PAC ID: 2466587753 Enrollment ID: I20160202002098 |
| Provider Name | Carlos F Zayas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205979564 PECOS PAC ID: 3870528391 Enrollment ID: I20160205000029 |
| Provider Name | Chloe W Stomski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598189441 PECOS PAC ID: 1456583772 Enrollment ID: I20160212001054 |
| Provider Name | Sarah E Relyea-logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043292576 PECOS PAC ID: 1355303850 Enrollment ID: I20160212001925 |
| Provider Name | Hilary M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851773147 PECOS PAC ID: 4183929664 Enrollment ID: I20160222000377 |
| Provider Name | Amanda M Waite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235549312 PECOS PAC ID: 5991001067 Enrollment ID: I20160316000506 |
| Provider Name | Josh Whibley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558747535 PECOS PAC ID: 3779880620 Enrollment ID: I20160321002150 |
| Provider Name | Amanda Friedlander Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174994982 PECOS PAC ID: 6305143991 Enrollment ID: I20160325000616 |
| Provider Name | Rathnasabhaphti P Amarnath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154375707 PECOS PAC ID: 3375840424 Enrollment ID: I20160405000509 |
| Provider Name | Casey Leigh Cowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790104222 PECOS PAC ID: 7618196056 Enrollment ID: I20160406000220 |
| Provider Name | Lindsey Kathleen Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831537661 PECOS PAC ID: 2466673017 Enrollment ID: I20160422001327 |
| Provider Name | Thomas G Di Salvo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932296050 PECOS PAC ID: 0345223897 Enrollment ID: I20160503001164 |
| Provider Name | Julie H Neville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609875483 PECOS PAC ID: 6608008016 Enrollment ID: I20160503002078 |
| Provider Name | Vy P Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962860932 PECOS PAC ID: 9436458932 Enrollment ID: I20160505000574 |
| Provider Name | Emily Ferrara Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366896656 PECOS PAC ID: 7810287174 Enrollment ID: I20160531000010 |
| Provider Name | Rinah Ilene Shopnick |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1215012018 PECOS PAC ID: 2567621659 Enrollment ID: I20160531001307 |
| Provider Name | Lindsay Amerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366801367 PECOS PAC ID: 2365732088 Enrollment ID: I20160608000542 |
| Provider Name | Dorothy Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629431200 PECOS PAC ID: 4981995214 Enrollment ID: I20160616002162 |
| Provider Name | Daniel Bryan Aruch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780847665 PECOS PAC ID: 7315193380 Enrollment ID: I20160616002461 |
| Provider Name | Lacey Paige Menkin Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528406295 PECOS PAC ID: 2961623558 Enrollment ID: I20160627001536 |
| Provider Name | Megan O'neill Scharf |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164665659 PECOS PAC ID: 9931341914 Enrollment ID: I20160706000365 |
| Provider Name | Kristy L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548624687 PECOS PAC ID: 5890087225 Enrollment ID: I20160706000495 |
| Provider Name | Nathan C Rowland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700033362 PECOS PAC ID: 9234421686 Enrollment ID: I20160706000876 |
| Provider Name | Lauren E Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346603867 PECOS PAC ID: 7517259971 Enrollment ID: I20160706001204 |
| Provider Name | Margaret L Dorsett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457613523 PECOS PAC ID: 5799941795 Enrollment ID: I20160706001444 |
| Provider Name | Christine Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841510179 PECOS PAC ID: 7911299961 Enrollment ID: I20160712000925 |
| Provider Name | Andreana M Benitez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487088894 PECOS PAC ID: 4385937275 Enrollment ID: I20160729002108 |
| Provider Name | Ryan D Cuff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114289675 PECOS PAC ID: 3375832009 Enrollment ID: I20160729002156 |
| Provider Name | Kristen L Laudati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922058254 PECOS PAC ID: 0749291243 Enrollment ID: I20160801002208 |
| Provider Name | David Alex Gutman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184906638 PECOS PAC ID: 9335432194 Enrollment ID: I20160801002347 |
| Provider Name | William Mines Edwards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265753743 PECOS PAC ID: 1254653538 Enrollment ID: I20160802000047 |
| Provider Name | George N Magrath |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124346648 PECOS PAC ID: 9537452313 Enrollment ID: I20160802000182 |
| Provider Name | Whitney E Marvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093063349 PECOS PAC ID: 9931492725 Enrollment ID: I20160802000440 |
| Provider Name | Krista T Wagoner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619238359 PECOS PAC ID: 4789985631 Enrollment ID: I20160802001587 |
| Provider Name | Suhael R Momin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861783581 PECOS PAC ID: 6406140037 Enrollment ID: I20160804001646 |
| Provider Name | Seth P Vining |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477991479 PECOS PAC ID: 6608198015 Enrollment ID: I20160804001734 |
| Provider Name | Lindsey Elizabeth Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245654896 PECOS PAC ID: 2961626908 Enrollment ID: I20160804002537 |
| Provider Name | Julia Catherine Haston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720426471 PECOS PAC ID: 3971725193 Enrollment ID: I20160805001708 |
| Provider Name | Shelly Ann Patricia Dakarai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801106547 PECOS PAC ID: 7416279518 Enrollment ID: I20160806000148 |
| Provider Name | Benjamin C Kalivas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235423153 PECOS PAC ID: 2264759919 Enrollment ID: I20160808001844 |
| Provider Name | Emily R Shortridge |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447514450 PECOS PAC ID: 0244524668 Enrollment ID: I20160809000087 |
| Provider Name | Evan M Graboyes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760778682 PECOS PAC ID: 7719116094 Enrollment ID: I20160811001501 |
| Provider Name | Derek a Dubay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053584946 PECOS PAC ID: 9931271319 Enrollment ID: I20160811001975 |
| Provider Name | Michael Klodnicki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174844401 PECOS PAC ID: 3375837313 Enrollment ID: I20160812002205 |
| Provider Name | Stephanie L Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487948774 PECOS PAC ID: 7113163601 Enrollment ID: I20160815001282 |
| Provider Name | Kelli Margaret Shilts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487060554 PECOS PAC ID: 2567684533 Enrollment ID: I20160818002226 |
| Provider Name | Brian a Houston |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1700043882 PECOS PAC ID: 1254589633 Enrollment ID: I20160825002671 |
| Provider Name | Jalal Eddin Hakmei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730468570 PECOS PAC ID: 2466673819 Enrollment ID: I20160830001172 |
| Provider Name | Leah Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568787034 PECOS PAC ID: 5395976534 Enrollment ID: I20160907002701 |
| Provider Name | Amy J Grasman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720071079 PECOS PAC ID: 2163434010 Enrollment ID: I20160909001933 |
| Provider Name | Andrew William Scharf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376786772 PECOS PAC ID: 0345498507 Enrollment ID: I20160909002214 |
| Provider Name | Antonio Giordano |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1578902243 PECOS PAC ID: 0143442111 Enrollment ID: I20160912000194 |
| Provider Name | Brian Timothy Hess |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1770898900 PECOS PAC ID: 9638308539 Enrollment ID: I20160912000392 |
| Provider Name | Christopher William Bunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184704967 PECOS PAC ID: 9830250646 Enrollment ID: I20160912000537 |
| Provider Name | Laura S Winterfield |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629036157 PECOS PAC ID: 0042241549 Enrollment ID: I20160919001466 |
| Provider Name | Jeffrey R Winterfield |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1215961974 PECOS PAC ID: 5698868297 Enrollment ID: I20160920000744 |
| Provider Name | Amarendra K Neppalli |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1992948442 PECOS PAC ID: 3678860640 Enrollment ID: I20160920001525 |
| Provider Name | Lindsey J Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003267071 PECOS PAC ID: 5496042251 Enrollment ID: I20160921002053 |
| Provider Name | Lauren B Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295029569 PECOS PAC ID: 2961719109 Enrollment ID: I20161010000014 |
| Provider Name | Ashley Marie Wabnitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649563214 PECOS PAC ID: 0042528044 Enrollment ID: I20161010001657 |
| Provider Name | Raksha Soora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205192556 PECOS PAC ID: 3678861424 Enrollment ID: I20161011000247 |
| Provider Name | Michael G Hillegass |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1124225552 PECOS PAC ID: 8921286352 Enrollment ID: I20161011001383 |
| Provider Name | Renuka M George |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235483678 PECOS PAC ID: 9739477464 Enrollment ID: I20161013000771 |
| Provider Name | Niren Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619295466 PECOS PAC ID: 7315183134 Enrollment ID: I20161024001480 |
| Provider Name | Opal Regina Raj |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902154511 PECOS PAC ID: 6406134675 Enrollment ID: I20161024001757 |
| Provider Name | Cynthia M Oliva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902210438 PECOS PAC ID: 4981999026 Enrollment ID: I20161026001057 |
| Provider Name | Scott Curry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982806063 PECOS PAC ID: 1658442504 Enrollment ID: I20161102002585 |
| Provider Name | Stacey N Maurer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720536162 PECOS PAC ID: 2365720786 Enrollment ID: I20161104001293 |
| Provider Name | Jeffrey Peter Yourshaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003109869 PECOS PAC ID: 5890912869 Enrollment ID: I20161110000348 |
| Provider Name | Stacy Blecher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043574486 PECOS PAC ID: 2769791417 Enrollment ID: I20161111000799 |
| Provider Name | David M Mahvi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033174651 PECOS PAC ID: 0143213850 Enrollment ID: I20161114000414 |
| Provider Name | Ravi Kumar Veeraswamy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225068471 PECOS PAC ID: 5698778405 Enrollment ID: I20161114001145 |
| Provider Name | Cheryl a Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114476751 PECOS PAC ID: 4183903602 Enrollment ID: I20161128000047 |
| Provider Name | Sarah J Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073062618 PECOS PAC ID: 3274812730 Enrollment ID: I20161128001739 |
| Provider Name | Asha P Kumar-veeraswamy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891710216 PECOS PAC ID: 7416979141 Enrollment ID: I20161128001903 |
| Provider Name | Virginia a Frontiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598198236 PECOS PAC ID: 5496979452 Enrollment ID: I20161205001894 |
| Provider Name | Alison K Chapman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184801664 PECOS PAC ID: 3072785708 Enrollment ID: I20161206000295 |
| Provider Name | Jessica Marie Cook |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790198281 PECOS PAC ID: 7911221924 Enrollment ID: I20161206001610 |
| Provider Name | Annette I Cruz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235326976 PECOS PAC ID: 2062596208 Enrollment ID: I20161207000355 |
| Provider Name | Alexandra Mainiero Rowin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740591452 PECOS PAC ID: 1850516279 Enrollment ID: I20161209001572 |
| Provider Name | Keely Flynn Hudgins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043762743 PECOS PAC ID: 3577843259 Enrollment ID: I20161215001293 |
| Provider Name | Robert Mester |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366604415 PECOS PAC ID: 3274794227 Enrollment ID: I20161215001413 |
| Provider Name | Alison Paige Bull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033668264 PECOS PAC ID: 1052691656 Enrollment ID: I20161216000086 |
| Provider Name | Katherine J Mcelmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427396365 PECOS PAC ID: 2365688603 Enrollment ID: I20161219000921 |
| Provider Name | Scott Arthur Pletzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457611782 PECOS PAC ID: 8628386646 Enrollment ID: I20161220000329 |
| Provider Name | Mark A. Newbrough |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1548369473 PECOS PAC ID: 9739114695 Enrollment ID: I20161227001735 |
| Provider Name | Vinayak S Rohan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033497094 PECOS PAC ID: 7911128418 Enrollment ID: I20161230000611 |
| Provider Name | Tamara R. Nuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702451 PECOS PAC ID: 5092096107 Enrollment ID: I20170104001226 |
| Provider Name | Rachel H Morgan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255882296 PECOS PAC ID: 3375824345 Enrollment ID: I20170105001349 |
| Provider Name | Zeke M Campbell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750679494 PECOS PAC ID: 6406171867 Enrollment ID: I20170117000175 |
| Provider Name | Devyn C Feil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780073692 PECOS PAC ID: 4082996012 Enrollment ID: I20170126000940 |
| Provider Name | Emil Anthony T Say |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659685063 PECOS PAC ID: 1951435049 Enrollment ID: I20170203002281 |
| Provider Name | Marc R Katz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1891715215 PECOS PAC ID: 7911904123 Enrollment ID: I20170222000583 |
| Provider Name | Paula Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831140987 PECOS PAC ID: 7113951161 Enrollment ID: I20170301000990 |
| Provider Name | Kayla M Nacarelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699171694 PECOS PAC ID: 2668799057 Enrollment ID: I20170404000943 |
| Provider Name | Cameron G Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912081175 PECOS PAC ID: 6901973718 Enrollment ID: I20170404001317 |
| Provider Name | Jessica Lynn Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306381702 PECOS PAC ID: 3072899145 Enrollment ID: I20170405000248 |
| Provider Name | Kiften Stephens Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780999128 PECOS PAC ID: 6002192986 Enrollment ID: I20170406002761 |
| Provider Name | John Kaczmar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134448079 PECOS PAC ID: 8628354552 Enrollment ID: I20170407001401 |
| Provider Name | Monica M Mccole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992242580 PECOS PAC ID: 4486930005 Enrollment ID: I20170417000126 |
| Provider Name | Joshua C Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851706980 PECOS PAC ID: 2961729611 Enrollment ID: I20170418001723 |
| Provider Name | Moira O'toole Chance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720427479 PECOS PAC ID: 1658657036 Enrollment ID: I20170419002442 |
| Provider Name | Morsal Reza Tahouni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619141793 PECOS PAC ID: 0941331136 Enrollment ID: I20170425001068 |
| Provider Name | Julie R Zgambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164977195 PECOS PAC ID: 5597042481 Enrollment ID: I20170502001266 |
| Provider Name | Rebekah O Henson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396296604 PECOS PAC ID: 2365729209 Enrollment ID: I20170503000534 |
| Provider Name | Kristine Guerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962627182 PECOS PAC ID: 3779801584 Enrollment ID: I20170509000466 |
| Provider Name | Mahsa Javid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831508050 PECOS PAC ID: 4082991666 Enrollment ID: I20170509000791 |
| Provider Name | Michael S Marotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265743363 PECOS PAC ID: 0244548311 Enrollment ID: I20170512000444 |
| Provider Name | Michael S Marotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265743363 PECOS PAC ID: 0244548311 Enrollment ID: I20170520000120 |
| Provider Name | Tiffany T Tindal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851711634 PECOS PAC ID: 6103193099 Enrollment ID: I20170524002351 |
| Provider Name | Leanne P Hewit |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467864728 PECOS PAC ID: 7315167913 Enrollment ID: I20170605002564 |
| Provider Name | Ruth Mary Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114972833 PECOS PAC ID: 9133165053 Enrollment ID: I20170608001755 |
| Provider Name | Savanna Gilhooly Dincman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013355015 PECOS PAC ID: 6709008931 Enrollment ID: I20170609000636 |
| Provider Name | Edward T Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831450774 PECOS PAC ID: 3779872536 Enrollment ID: I20170626001121 |
| Provider Name | Timothy J Lyons |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770552796 PECOS PAC ID: 2264456417 Enrollment ID: I20170703000208 |
| Provider Name | Stephanie Shinn Gaydos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831451772 PECOS PAC ID: 3072832955 Enrollment ID: I20170705001478 |
| Provider Name | Cynthia Diana Schumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750713657 PECOS PAC ID: 4284868894 Enrollment ID: I20170710000572 |
| Provider Name | Heather Y Hughes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437317849 PECOS PAC ID: 4385802529 Enrollment ID: I20170711002796 |
| Provider Name | Laurel Katherine Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093079634 PECOS PAC ID: 6002065109 Enrollment ID: I20170717002879 |
| Provider Name | William Greer Albergotti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538423546 PECOS PAC ID: 6305116872 Enrollment ID: I20170717003344 |
| Provider Name | Barbara Blood Head |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295795854 PECOS PAC ID: 4981739075 Enrollment ID: I20170717003358 |
| Provider Name | Ryan Tedford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104972751 PECOS PAC ID: 3971673484 Enrollment ID: I20170718002767 |
| Provider Name | Mary Elizabeth Chalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245440999 PECOS PAC ID: 4082844709 Enrollment ID: I20170718002873 |
| Provider Name | Megan Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801171558 PECOS PAC ID: 9537397435 Enrollment ID: I20170718003588 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20170718003690 |
| Provider Name | Briana C Gapsis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952748568 PECOS PAC ID: 4284873464 Enrollment ID: I20170719002048 |
| Provider Name | Catherine S Rubinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790999639 PECOS PAC ID: 3274803572 Enrollment ID: I20170719002415 |
| Provider Name | Carley Mills |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124431663 PECOS PAC ID: 8426270281 Enrollment ID: I20170719002707 |
| Provider Name | Tibor Fulop |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376571448 PECOS PAC ID: 7618862756 Enrollment ID: I20170719002820 |
| Provider Name | Jordan Wesley Newman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558647289 PECOS PAC ID: 6406078633 Enrollment ID: I20170719002977 |
| Provider Name | William Jefferson Rieter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871855890 PECOS PAC ID: 9537468921 Enrollment ID: I20170719003354 |
| Provider Name | Jeffrey Devon Mcmurray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295173714 PECOS PAC ID: 7214226166 Enrollment ID: I20170719003438 |
| Provider Name | Celine Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144642836 PECOS PAC ID: 8729378443 Enrollment ID: I20170720002338 |
| Provider Name | Anne S Krafsig |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447690896 PECOS PAC ID: 3870892144 Enrollment ID: I20170720002390 |
| Provider Name | Tiffany G Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255763488 PECOS PAC ID: 0547492522 Enrollment ID: I20170720003364 |
| Provider Name | Lyndsay Marie Mueller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972916518 PECOS PAC ID: 9537381470 Enrollment ID: I20170724002289 |
| Provider Name | Loren Rae Francis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992144059 PECOS PAC ID: 9234428335 Enrollment ID: I20170725002497 |
| Provider Name | Margaret Hudepohl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831575083 PECOS PAC ID: 6103196092 Enrollment ID: I20170726000974 |
| Provider Name | Walter T Winders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841532041 PECOS PAC ID: 7214179704 Enrollment ID: I20170726001587 |
| Provider Name | Federico L Rodriguez-porcel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437474301 PECOS PAC ID: 9537387840 Enrollment ID: I20170726001933 |
| Provider Name | Leslie E Hirsig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245525138 PECOS PAC ID: 8527294008 Enrollment ID: I20170726002528 |
| Provider Name | Jared Stewart Mckinnon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528405578 PECOS PAC ID: 1759670771 Enrollment ID: I20170731000208 |
| Provider Name | Zuhair Hussaini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194015248 PECOS PAC ID: 3274804919 Enrollment ID: I20170731000241 |
| Provider Name | Samuel Shelby Mclaurin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821326927 PECOS PAC ID: 9739478686 Enrollment ID: I20170731001994 |
| Provider Name | Karen Steifle Patrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710240908 PECOS PAC ID: 7810296209 Enrollment ID: I20170801000974 |
| Provider Name | Janet Rachel Terlouw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033478037 PECOS PAC ID: 5890094296 Enrollment ID: I20170801002198 |
| Provider Name | Kimberly M Green |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1447424197 PECOS PAC ID: 1658591375 Enrollment ID: I20170807003265 |
| Provider Name | Nicholas Ray Rowan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225392558 PECOS PAC ID: 0042581183 Enrollment ID: I20170808000307 |
| Provider Name | William Purvis Lancaster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861787780 PECOS PAC ID: 5294956769 Enrollment ID: I20170808000637 |
| Provider Name | Lisa Boyars |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043659923 PECOS PAC ID: 4082903919 Enrollment ID: I20170808001701 |
| Provider Name | Alexander Philip Marston |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649534546 PECOS PAC ID: 3678719390 Enrollment ID: I20170808001922 |
| Provider Name | Michael Zane Mcreynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174864326 PECOS PAC ID: 1254633662 Enrollment ID: I20170809001699 |
| Provider Name | Jack Messenger Condrey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508205097 PECOS PAC ID: 9638468796 Enrollment ID: I20170809002748 |
| Provider Name | Andrew K Nielsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093155913 PECOS PAC ID: 1254650146 Enrollment ID: I20170809003411 |
| Provider Name | Richard G Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750380499 PECOS PAC ID: 1456622364 Enrollment ID: I20170810000665 |
| Provider Name | Megan K Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619405172 PECOS PAC ID: 6103197983 Enrollment ID: I20170814000834 |
| Provider Name | Chelsey Kight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669905741 PECOS PAC ID: 0547531329 Enrollment ID: I20170814000908 |
| Provider Name | Ian Kane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504167 PECOS PAC ID: 5597919340 Enrollment ID: I20170817004010 |
| Provider Name | Tamara Kyle Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467973768 PECOS PAC ID: 7214209758 Enrollment ID: I20170818000713 |
| Provider Name | Roger Pons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922427756 PECOS PAC ID: 1254642986 Enrollment ID: I20170821002605 |
| Provider Name | Laura Jane Juul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518371277 PECOS PAC ID: 2860716883 Enrollment ID: I20170821002850 |
| Provider Name | Sylvia E Szentpetery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396035424 PECOS PAC ID: 2860620721 Enrollment ID: I20170822004108 |
| Provider Name | Barry C Gibney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093933467 PECOS PAC ID: 5294007399 Enrollment ID: I20170824001935 |
| Provider Name | Dustin P Leblanc |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497980460 PECOS PAC ID: 5597913210 Enrollment ID: I20170824002157 |
| Provider Name | Sanford M Zeigler |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1114216454 PECOS PAC ID: 6103198106 Enrollment ID: I20170825003022 |
| Provider Name | Dana M Szeles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922536598 PECOS PAC ID: 0547532467 Enrollment ID: I20170828000071 |
| Provider Name | Anca Dumitriu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700059532 PECOS PAC ID: 1254603178 Enrollment ID: I20170828000149 |
| Provider Name | Erin O'donnell Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720508278 PECOS PAC ID: 6305118266 Enrollment ID: I20170828001837 |
| Provider Name | Chung a Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497043632 PECOS PAC ID: 9032481908 Enrollment ID: I20170828002264 |
| Provider Name | Mathew D Wooster |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336415454 PECOS PAC ID: 6800168790 Enrollment ID: I20170828003575 |
| Provider Name | Ling-lun Bob Hsia |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1649538745 PECOS PAC ID: 5991004921 Enrollment ID: I20170830001394 |
| Provider Name | Yotam B Papo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588077093 PECOS PAC ID: 2163715939 Enrollment ID: I20170907002733 |
| Provider Name | Lidia Yamada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932461233 PECOS PAC ID: 8820312887 Enrollment ID: I20170911001076 |
| Provider Name | Heather Tripp Henderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356480966 PECOS PAC ID: 0143486621 Enrollment ID: I20170920003341 |
| Provider Name | Emily Jones Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598026601 PECOS PAC ID: 9537458617 Enrollment ID: I20170925002286 |
| Provider Name | Carlene Wendy Kingston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114186897 PECOS PAC ID: 9335399427 Enrollment ID: I20170926002699 |
| Provider Name | Mary E Shearer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336664564 PECOS PAC ID: 1658646401 Enrollment ID: I20171004003843 |
| Provider Name | Lilia Christina Lovera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962729954 PECOS PAC ID: 3375761687 Enrollment ID: I20171006001376 |
| Provider Name | Karen O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518101674 PECOS PAC ID: 8527333103 Enrollment ID: I20171006002745 |
| Provider Name | Rebecca Ladd Kilpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194248047 PECOS PAC ID: 1052686631 Enrollment ID: I20171006002856 |
| Provider Name | Meron Anbesaw Selassie |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1932490091 PECOS PAC ID: 8628381092 Enrollment ID: I20171010000986 |
| Provider Name | Laura Hollinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124263587 PECOS PAC ID: 1355616871 Enrollment ID: I20171010002411 |
| Provider Name | Julianna George Marwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508128075 PECOS PAC ID: 3577881564 Enrollment ID: I20171010002623 |
| Provider Name | Eric Lee Berman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467450205 PECOS PAC ID: 9234218504 Enrollment ID: I20171020000420 |
| Provider Name | Tonya Baker Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831618826 PECOS PAC ID: 0547536393 Enrollment ID: I20171023000620 |
| Provider Name | Mario E Serafini |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225097397 PECOS PAC ID: 3072545375 Enrollment ID: I20171030001743 |
| Provider Name | Elizabeth a Higgins |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396738514 PECOS PAC ID: 3274693809 Enrollment ID: I20171031002049 |
| Provider Name | Georgann Houben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518982420 PECOS PAC ID: 5597708248 Enrollment ID: I20171101000401 |
| Provider Name | Anil Purohit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447415211 PECOS PAC ID: 0042480295 Enrollment ID: I20171101002850 |
| Provider Name | Aylin Tansel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639497167 PECOS PAC ID: 6709142896 Enrollment ID: I20171106001664 |
| Provider Name | Elizabeth T Zivick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023309374 PECOS PAC ID: 3870895717 Enrollment ID: I20171107003049 |
| Provider Name | Kelly F Celek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780114710 PECOS PAC ID: 3779849641 Enrollment ID: I20171108003473 |
| Provider Name | Elizabeth R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033631015 PECOS PAC ID: 4789940503 Enrollment ID: I20171110002948 |
| Provider Name | Kirstin L Campbell |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396913828 PECOS PAC ID: 3678629128 Enrollment ID: I20171113000047 |
| Provider Name | Susan E Dorman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134169253 PECOS PAC ID: 5395877187 Enrollment ID: I20171113003650 |
| Provider Name | Nicholas P Shungu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134410384 PECOS PAC ID: 3173755345 Enrollment ID: I20171114000041 |
| Provider Name | Alain Zingraff Lekoubou Looti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174963888 PECOS PAC ID: 2567786080 Enrollment ID: I20171121000510 |
| Provider Name | Daniel P Judge |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1790726917 PECOS PAC ID: 7810020856 Enrollment ID: I20171127000370 |
| Provider Name | Jennifer J Vollmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124111083 PECOS PAC ID: 1850389230 Enrollment ID: I20171211000882 |
| Provider Name | Sara Brezina Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588174056 PECOS PAC ID: 9436417979 Enrollment ID: I20171211001920 |
| Provider Name | Marissa C Blanco Knowlton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932442894 PECOS PAC ID: 6204194681 Enrollment ID: I20171212001340 |
| Provider Name | Sami Al Kasab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538509799 PECOS PAC ID: 2860716370 Enrollment ID: I20171212002853 |
| Provider Name | Mary M Barrow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740790047 PECOS PAC ID: 1850659921 Enrollment ID: I20171219000305 |
| Provider Name | Eric Reagan Bunch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780197061 PECOS PAC ID: 6608134358 Enrollment ID: I20171229001605 |
| Provider Name | Rajlaxmi Bais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144632316 PECOS PAC ID: 5991924474 Enrollment ID: I20180103002309 |
| Provider Name | Vanessa L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255842910 PECOS PAC ID: 2961761598 Enrollment ID: I20180105000385 |
| Provider Name | Emily Barton Douglas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568975746 PECOS PAC ID: 4880953447 Enrollment ID: I20180108000375 |
| Provider Name | Emma G Raidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710436647 PECOS PAC ID: 7618257957 Enrollment ID: I20180109001080 |
| Provider Name | James C Sander |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962630590 PECOS PAC ID: 7517185697 Enrollment ID: I20180129002430 |
| Provider Name | Sarah M Creed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669894549 PECOS PAC ID: 1557621984 Enrollment ID: I20180205000600 |
| Provider Name | John Rhodes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912060799 PECOS PAC ID: 1355338690 Enrollment ID: I20180205001980 |
| Provider Name | Richard Brandon Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548775851 PECOS PAC ID: 5890055131 Enrollment ID: I20180207000911 |
| Provider Name | Maria Thomae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548358781 PECOS PAC ID: 6002887205 Enrollment ID: I20180208002007 |
| Provider Name | Kimberly H Dalmau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275045338 PECOS PAC ID: 0749540979 Enrollment ID: I20180208002572 |
| Provider Name | Sean Patrick Haley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154700771 PECOS PAC ID: 7911267760 Enrollment ID: I20180216000132 |
| Provider Name | Brooke K Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063920189 PECOS PAC ID: 7113288903 Enrollment ID: I20180216002328 |
| Provider Name | Carey Lewis Brewbaker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619230067 PECOS PAC ID: 5092004119 Enrollment ID: I20180226000250 |
| Provider Name | Johana Fajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043578438 PECOS PAC ID: 5294991584 Enrollment ID: I20180226001651 |
| Provider Name | Robert F Sisson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629097878 PECOS PAC ID: 8820063126 Enrollment ID: I20180305000203 |
| Provider Name | Robert L Grubb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558388058 PECOS PAC ID: 0840221115 Enrollment ID: I20180308000770 |
| Provider Name | Lauren N Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659879401 PECOS PAC ID: 0547521411 Enrollment ID: I20180312000427 |
| Provider Name | Katherine C Silver |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972747293 PECOS PAC ID: 4385882273 Enrollment ID: I20180312000531 |
| Provider Name | Shannon S Leung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588077564 PECOS PAC ID: 4486943610 Enrollment ID: I20180312001524 |
| Provider Name | Brittany R Lueking |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124564174 PECOS PAC ID: 1759643687 Enrollment ID: I20180313000478 |
| Provider Name | Lucian Lozonschi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740388123 PECOS PAC ID: 6507862729 Enrollment ID: I20180313001526 |
| Provider Name | Jessica D Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205095726 PECOS PAC ID: 0446420111 Enrollment ID: I20180326001646 |
| Provider Name | Nicole Marie Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952629339 PECOS PAC ID: 5698037851 Enrollment ID: I20180328000641 |
| Provider Name | James Ryan Shea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174885719 PECOS PAC ID: 7113149311 Enrollment ID: I20180416000568 |
| Provider Name | Jessica Ann Hannah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851685853 PECOS PAC ID: 4981927647 Enrollment ID: I20180426002211 |
| Provider Name | Robert D Vorona |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1255308326 PECOS PAC ID: 0042352312 Enrollment ID: I20180510001775 |
| Provider Name | Jason John Madey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245466937 PECOS PAC ID: 2062791569 Enrollment ID: I20180511001028 |
| Provider Name | Matthew Morgan Moake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073958120 PECOS PAC ID: 0941424543 Enrollment ID: I20180514001755 |
| Provider Name | Traci C Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306206990 PECOS PAC ID: 2062709561 Enrollment ID: I20180523000848 |
| Provider Name | Lucy N Lapoint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104321983 PECOS PAC ID: 3779848536 Enrollment ID: I20180525001143 |
| Provider Name | Betsy Hopkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871542506 PECOS PAC ID: 9335404805 Enrollment ID: I20180604002260 |
| Provider Name | Gina L Hogg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154826238 PECOS PAC ID: 7911252630 Enrollment ID: I20180621001288 |
| Provider Name | Harsha Karanchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619128055 PECOS PAC ID: 8820319882 Enrollment ID: I20180621001443 |
| Provider Name | Lisa E J Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245733104 PECOS PAC ID: 6103171582 Enrollment ID: I20180626003498 |
| Provider Name | Teresa Betts Cobau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437159167 PECOS PAC ID: 9638276157 Enrollment ID: I20180627002601 |
| Provider Name | Maureen Apollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790288876 PECOS PAC ID: 4981950334 Enrollment ID: I20180627003250 |
| Provider Name | Heidi J Steflik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659660496 PECOS PAC ID: 6608177563 Enrollment ID: I20180713001584 |
| Provider Name | Hillary W George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871821751 PECOS PAC ID: 1557617834 Enrollment ID: I20180713002013 |
| Provider Name | Alexei M Zhadkevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760642268 PECOS PAC ID: 5698078533 Enrollment ID: I20180716000364 |
| Provider Name | Eugene S Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487698270 PECOS PAC ID: 7315079209 Enrollment ID: I20180720002908 |
| Provider Name | Leah Schrier Mcbee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447510839 PECOS PAC ID: 6507186939 Enrollment ID: I20180724000559 |
| Provider Name | Erin Forster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972894376 PECOS PAC ID: 3971872359 Enrollment ID: I20180725001716 |
| Provider Name | Deanna a Baker Frost |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265798722 PECOS PAC ID: 2860627932 Enrollment ID: I20180725002568 |
| Provider Name | Rubin Aujla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366886905 PECOS PAC ID: 6800143561 Enrollment ID: I20180726000846 |
| Provider Name | Kathleen C Head |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104230432 PECOS PAC ID: 7416276308 Enrollment ID: I20180726001277 |
| Provider Name | Nicholas Stephen Amoroso |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326366378 PECOS PAC ID: 3870885676 Enrollment ID: I20180726002188 |
| Provider Name | Timothy Mark Adams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558700088 PECOS PAC ID: 6103050646 Enrollment ID: I20180726002249 |
| Provider Name | Joseph a Abro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144630286 PECOS PAC ID: 8527357615 Enrollment ID: I20180727000925 |
| Provider Name | Elizabeth Genovese |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609162999 PECOS PAC ID: 8921304130 Enrollment ID: I20180727001018 |
| Provider Name | Jessica a Forcucci |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467713636 PECOS PAC ID: 9739488388 Enrollment ID: I20180727002158 |
| Provider Name | Thomas Brian Britt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679919260 PECOS PAC ID: 1254620461 Enrollment ID: I20180730003184 |
| Provider Name | Karim Soliman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396198800 PECOS PAC ID: 2567742174 Enrollment ID: I20180802000015 |
| Provider Name | Michael a Sugarman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417446204 PECOS PAC ID: 3173871530 Enrollment ID: I20180802000089 |
| Provider Name | Sarah Kateri Shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154734754 PECOS PAC ID: 4284923939 Enrollment ID: I20180809001103 |
| Provider Name | Sandeepkumar B Kuril |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386037026 PECOS PAC ID: 8921316910 Enrollment ID: I20180809003014 |
| Provider Name | Andrew Craig Margules |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043577091 PECOS PAC ID: 9032415971 Enrollment ID: I20180810002779 |
| Provider Name | Andrew Glenn Klein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457765893 PECOS PAC ID: 4385933449 Enrollment ID: I20180810003080 |
| Provider Name | Casey De Graaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174027098 PECOS PAC ID: 0840548566 Enrollment ID: I20180813000104 |
| Provider Name | Kevin John Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871906628 PECOS PAC ID: 5799907861 Enrollment ID: I20180813000398 |
| Provider Name | Morgan P Mcbee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124385232 PECOS PAC ID: 4880836162 Enrollment ID: I20180813000482 |
| Provider Name | Mark M Brodie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265812358 PECOS PAC ID: 3577863000 Enrollment ID: I20180813000917 |
| Provider Name | John M Costello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053302992 PECOS PAC ID: 1456429950 Enrollment ID: I20180813001326 |
| Provider Name | Phillip Ryan Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427462761 PECOS PAC ID: 9133418098 Enrollment ID: I20180813002172 |
| Provider Name | Jana L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285800235 PECOS PAC ID: 4183804230 Enrollment ID: I20180813003047 |
| Provider Name | Douglas J Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811336126 PECOS PAC ID: 1557688207 Enrollment ID: I20180813003468 |
| Provider Name | Shabbir Hussain Merchant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053699918 PECOS PAC ID: 3779890041 Enrollment ID: I20180814000373 |
| Provider Name | Joel Matthew Sirianni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538574959 PECOS PAC ID: 1759670797 Enrollment ID: I20180814002110 |
| Provider Name | Luz E Pacheco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548503253 PECOS PAC ID: 9234456849 Enrollment ID: I20180814003466 |
| Provider Name | Irl B Greenwell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043573009 PECOS PAC ID: 5597994921 Enrollment ID: I20180815000614 |
| Provider Name | Karen B Fernandez |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205132800 PECOS PAC ID: 9638465867 Enrollment ID: I20180816001421 |
| Provider Name | Allison J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538572441 PECOS PAC ID: 3779800412 Enrollment ID: I20180821001701 |
| Provider Name | Anushri Vijay Desai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588076657 PECOS PAC ID: 6305195553 Enrollment ID: I20180821001823 |
| Provider Name | Sonal Bhatia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356605844 PECOS PAC ID: 3476862087 Enrollment ID: I20180822001522 |
| Provider Name | Angela Denise Haskins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558706812 PECOS PAC ID: 6608017900 Enrollment ID: I20180822002949 |
| Provider Name | Genevieve a Wolpert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194139444 PECOS PAC ID: 5294036141 Enrollment ID: I20180823002499 |
| Provider Name | Aalap Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356760078 PECOS PAC ID: 8921228727 Enrollment ID: I20180829002289 |
| Provider Name | Stephanie Neary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285008276 PECOS PAC ID: 0244538304 Enrollment ID: I20180830003104 |
| Provider Name | Tala M Kassm |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760800916 PECOS PAC ID: 1557679362 Enrollment ID: I20180831001263 |
| Provider Name | Young J Lee |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528036498 PECOS PAC ID: 8527062587 Enrollment ID: I20180831001844 |
| Provider Name | Mark W Kubik |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881937340 PECOS PAC ID: 4587914114 Enrollment ID: I20180831001980 |
| Provider Name | Erin B Seery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790912673 PECOS PAC ID: 3577813112 Enrollment ID: I20180901000046 |
| Provider Name | Phayvanh Pecha |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396189486 PECOS PAC ID: 0749507549 Enrollment ID: I20180904002587 |
| Provider Name | Sara H Ritchie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285047712 PECOS PAC ID: 2860614062 Enrollment ID: I20180904002752 |
| Provider Name | Kathryn P Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063807287 PECOS PAC ID: 9234419615 Enrollment ID: I20180906001614 |
| Provider Name | Forrest J Lowe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750724142 PECOS PAC ID: 6305087594 Enrollment ID: I20180910001886 |
| Provider Name | Kiira K Mendenhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386137685 PECOS PAC ID: 3577813773 Enrollment ID: I20180910002131 |
| Provider Name | Michael E Field |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033192802 PECOS PAC ID: 7113818170 Enrollment ID: I20180911000661 |
| Provider Name | John Michael Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154741056 PECOS PAC ID: 7911293501 Enrollment ID: I20180911003286 |
| Provider Name | Rachana Krishna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073801858 PECOS PAC ID: 8426289927 Enrollment ID: I20180918003166 |
| Provider Name | Alice a Walz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760774186 PECOS PAC ID: 6305061219 Enrollment ID: I20180921001367 |
| Provider Name | Benjamin Toll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508097601 PECOS PAC ID: 3678605433 Enrollment ID: I20180924000944 |
| Provider Name | Perry Everett Little |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285077859 PECOS PAC ID: 2961753231 Enrollment ID: I20180926000044 |
| Provider Name | Anne Mardel Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194202788 PECOS PAC ID: 5799036703 Enrollment ID: I20181001001298 |
| Provider Name | Elysa N Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740760701 PECOS PAC ID: 0648521690 Enrollment ID: I20181001003107 |
| Provider Name | Maria Jennifer F Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952338733 PECOS PAC ID: 2365465564 Enrollment ID: I20181002001647 |
| Provider Name | Jeremy David Walz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881917979 PECOS PAC ID: 5890946966 Enrollment ID: I20181002001763 |
| Provider Name | Robert Wildman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609295195 PECOS PAC ID: 2668793050 Enrollment ID: I20181002002390 |
| Provider Name | Thomas Curran |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205147022 PECOS PAC ID: 1850665670 Enrollment ID: I20181004001732 |
| Provider Name | Elizabeth Eleanor Winton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023421369 PECOS PAC ID: 0547481194 Enrollment ID: I20181008000675 |
| Provider Name | John Michael Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467863076 PECOS PAC ID: 8729356472 Enrollment ID: I20181009000209 |
| Provider Name | Heather L Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316155575 PECOS PAC ID: 7012084098 Enrollment ID: I20181009001524 |
| Provider Name | Silvia R Pereira-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073875670 PECOS PAC ID: 3971810946 Enrollment ID: I20181009001824 |
| Provider Name | Shannon Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679951990 PECOS PAC ID: 3476867938 Enrollment ID: I20181015002587 |
| Provider Name | Dustin K Dalton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386026904 PECOS PAC ID: 9638470974 Enrollment ID: I20181017001856 |
| Provider Name | Leah Goodwin Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841776820 PECOS PAC ID: 7618220633 Enrollment ID: I20181022001056 |
| Provider Name | David Reese Obrien |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1063479327 PECOS PAC ID: 5193703064 Enrollment ID: I20181023001416 |
| Provider Name | Michael Jin Casey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194991026 PECOS PAC ID: 2567524572 Enrollment ID: I20181023001885 |
| Provider Name | Shumyle Alam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073638870 PECOS PAC ID: 3274630330 Enrollment ID: I20181023002763 |
| Provider Name | John E Aruny |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568452969 PECOS PAC ID: 8820998057 Enrollment ID: I20181029002492 |
| Provider Name | Blaithin a Mcmahon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922395037 PECOS PAC ID: 4789833450 Enrollment ID: I20181030000816 |
| Provider Name | Mark Joseph Siegel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437536463 PECOS PAC ID: 6709196546 Enrollment ID: I20181031003108 |
| Provider Name | Louis a Gerena |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588013221 PECOS PAC ID: 4082967922 Enrollment ID: I20181101001565 |
| Provider Name | Brion V Randolph |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316148547 PECOS PAC ID: 9133278294 Enrollment ID: I20181101002823 |
| Provider Name | Cassandra Goyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023442589 PECOS PAC ID: 7810123692 Enrollment ID: I20181105000590 |
| Provider Name | Paul R Womble |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740301654 PECOS PAC ID: 4082858592 Enrollment ID: I20181107003756 |
| Provider Name | Keith A. Sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730263146 PECOS PAC ID: 0143415224 Enrollment ID: I20181109001600 |
| Provider Name | Morgan E Khawaja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699155937 PECOS PAC ID: 0345550174 Enrollment ID: I20181109002148 |
| Provider Name | Taylor B Crouch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285111211 PECOS PAC ID: 3678827623 Enrollment ID: I20181112000513 |
| Provider Name | Connie Louann Phillip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720562416 PECOS PAC ID: 5193079010 Enrollment ID: I20181113001320 |
| Provider Name | Laura H Bell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639499031 PECOS PAC ID: 8628385887 Enrollment ID: I20181113001955 |
| Provider Name | Robert a Moran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477847978 PECOS PAC ID: 1658520374 Enrollment ID: I20181113002047 |
| Provider Name | Lauren S Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033578828 PECOS PAC ID: 6305135351 Enrollment ID: I20181113002206 |
| Provider Name | Elizabeth C Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992040208 PECOS PAC ID: 1850527797 Enrollment ID: I20181114000687 |
| Provider Name | Richard H Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003172891 PECOS PAC ID: 3678878709 Enrollment ID: I20181115000231 |
| Provider Name | Kathryn Adel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639609969 PECOS PAC ID: 2163776543 Enrollment ID: I20181121002613 |
| Provider Name | Amanda R Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275014110 PECOS PAC ID: 5395089320 Enrollment ID: I20181203001711 |
| Provider Name | Kimberly a Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780928861 PECOS PAC ID: 8921252545 Enrollment ID: I20181203001971 |
| Provider Name | Andrew C Mcnulty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508247008 PECOS PAC ID: 8729388277 Enrollment ID: I20181204000500 |
| Provider Name | Andrew Blocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518487776 PECOS PAC ID: 2769755602 Enrollment ID: I20181204000684 |
| Provider Name | Anna Swanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073088928 PECOS PAC ID: 9032453931 Enrollment ID: I20181204001347 |
| Provider Name | Anna R. Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598246449 PECOS PAC ID: 7911241815 Enrollment ID: I20181204001465 |
| Provider Name | Natasha T Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396236170 PECOS PAC ID: 1254675150 Enrollment ID: I20181204001607 |
| Provider Name | Earl D Cummings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679969430 PECOS PAC ID: 3779881339 Enrollment ID: I20181204001876 |
| Provider Name | Brooke E Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952789638 PECOS PAC ID: 7911241856 Enrollment ID: I20181204003299 |
| Provider Name | Dennis Delany |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710391065 PECOS PAC ID: 4789806902 Enrollment ID: I20181205001294 |
| Provider Name | Yuan F Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962845834 PECOS PAC ID: 4880938612 Enrollment ID: I20181206000353 |
| Provider Name | Caroline Barr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417314303 PECOS PAC ID: 4587961388 Enrollment ID: I20181206000934 |
| Provider Name | Liliana Banari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700143344 PECOS PAC ID: 0547504235 Enrollment ID: I20181206002576 |
| Provider Name | Caitlin Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902196140 PECOS PAC ID: 0244540961 Enrollment ID: I20181210002019 |
| Provider Name | Kathryn Wulbern Koval |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356601926 PECOS PAC ID: 0042439838 Enrollment ID: I20181210003108 |
| Provider Name | Joshua a Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639467376 PECOS PAC ID: 2062646037 Enrollment ID: I20181210003397 |
| Provider Name | Katelyn Reeve |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780159541 PECOS PAC ID: 8224373485 Enrollment ID: I20181218000124 |
| Provider Name | Kimbi Glenn Marenakos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073031902 PECOS PAC ID: 2961747019 Enrollment ID: I20181219000029 |
| Provider Name | Kelly E Regnery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740755081 PECOS PAC ID: 4486999414 Enrollment ID: I20181220000377 |
| Provider Name | Scott Douglas Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376010561 PECOS PAC ID: 6901141886 Enrollment ID: I20181220002640 |
| Provider Name | Elizabeth Margaret Poindexter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003335266 PECOS PAC ID: 6204194491 Enrollment ID: I20181220002767 |
| Provider Name | Christina F Tolbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417396219 PECOS PAC ID: 7214256171 Enrollment ID: I20181221000001 |
| Provider Name | Sylwia a Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255800884 PECOS PAC ID: 0840535597 Enrollment ID: I20181227001351 |
| Provider Name | Sarah N Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026698 PECOS PAC ID: 1052628427 Enrollment ID: I20181231000843 |
| Provider Name | Stephanie Lynn Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114249810 PECOS PAC ID: 8022147065 Enrollment ID: I20190103002489 |
| Provider Name | Meredith L Duffy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285914044 PECOS PAC ID: 1951573203 Enrollment ID: I20190107001414 |
| Provider Name | Danuel Keith Snelgrove |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396159489 PECOS PAC ID: 9537483052 Enrollment ID: I20190107002453 |
| Provider Name | Felipe B Porto |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538464482 PECOS PAC ID: 3577885482 Enrollment ID: I20190108002143 |
| Provider Name | Sara F Jasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114342839 PECOS PAC ID: 8123317690 Enrollment ID: I20190108003831 |
| Provider Name | Emily R Pogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871069302 PECOS PAC ID: 1759627870 Enrollment ID: I20190110002578 |
| Provider Name | Sara Speakman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467936617 PECOS PAC ID: 1254677388 Enrollment ID: I20190110003234 |
| Provider Name | Alyssa C Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710461009 PECOS PAC ID: 7810233954 Enrollment ID: I20190110003561 |
| Provider Name | Laurie B Weatherbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740761006 PECOS PAC ID: 5294071197 Enrollment ID: I20190115000417 |
| Provider Name | Maegan E Manson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659859361 PECOS PAC ID: 2163768086 Enrollment ID: I20190115001063 |
| Provider Name | Mary Jo Turner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083184212 PECOS PAC ID: 8426394123 Enrollment ID: I20190117001546 |
| Provider Name | Jacqueline Angles |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285681494 PECOS PAC ID: 1951355080 Enrollment ID: I20190122003138 |
| Provider Name | Rachel Beeks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851861751 PECOS PAC ID: 1658618947 Enrollment ID: I20190124001078 |
| Provider Name | Mallory Elizabeth Sessions |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417428111 PECOS PAC ID: 7012254139 Enrollment ID: I20190129000077 |
| Provider Name | Sarah a Dewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477931228 PECOS PAC ID: 2264749084 Enrollment ID: I20190130002143 |
| Provider Name | Alfia M Reagan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346759818 PECOS PAC ID: 4385981075 Enrollment ID: I20190204002645 |
| Provider Name | Ronald Glenn Washburn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245252717 PECOS PAC ID: 4385816586 Enrollment ID: I20190204002828 |
| Provider Name | Amber L Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356816425 PECOS PAC ID: 2567700255 Enrollment ID: I20190205000100 |
| Provider Name | Amanda a Littleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306324355 PECOS PAC ID: 9436497195 Enrollment ID: I20190205003009 |
| Provider Name | Brooke N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558831727 PECOS PAC ID: 8921346461 Enrollment ID: I20190208000605 |
| Provider Name | Cynthia L Talley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093970469 PECOS PAC ID: 8325170228 Enrollment ID: I20190208001779 |
| Provider Name | Sara S Vannortwick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952657827 PECOS PAC ID: 5799080933 Enrollment ID: I20190213002754 |
| Provider Name | Lori Lundergan Huff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558516443 PECOS PAC ID: 9830368943 Enrollment ID: I20190213003161 |
| Provider Name | Brent Holway |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093703514 PECOS PAC ID: 9739140336 Enrollment ID: I20190220001865 |
| Provider Name | Jared a White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811101538 PECOS PAC ID: 3476724691 Enrollment ID: I20190220003277 |
| Provider Name | Theresa Ann Nacey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013139039 PECOS PAC ID: 1052404225 Enrollment ID: I20190225000009 |
| Provider Name | Stephanie Alicia Mcneill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922428606 PECOS PAC ID: 0446530497 Enrollment ID: I20190225000785 |
| Provider Name | Olivia R Myers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093112013 PECOS PAC ID: 8325387558 Enrollment ID: I20190305001724 |
| Provider Name | Jonathan C Ellement |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275807919 PECOS PAC ID: 3072730431 Enrollment ID: I20190306000300 |
| Provider Name | Valeria Serban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306942933 PECOS PAC ID: 8426153974 Enrollment ID: I20190306002408 |
| Provider Name | Anup Bhushan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598972721 PECOS PAC ID: 1153477823 Enrollment ID: I20190312001223 |
| Provider Name | Amanda E Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245748029 PECOS PAC ID: 9638410574 Enrollment ID: I20190403000571 |
| Provider Name | David T Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609041847 PECOS PAC ID: 0941425540 Enrollment ID: I20190411001634 |
| Provider Name | Bernard Velardo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003804535 PECOS PAC ID: 4183685795 Enrollment ID: I20190412002101 |
| Provider Name | Jessica Tarleton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457640047 PECOS PAC ID: 4183930027 Enrollment ID: I20190415001987 |
| Provider Name | Krystal a Mozny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396051249 PECOS PAC ID: 2860643814 Enrollment ID: I20190416001764 |
| Provider Name | Kiely Mccrea St. Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773866 PECOS PAC ID: 9638411770 Enrollment ID: I20190422000822 |
| Provider Name | Tahirali H Motiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629456892 PECOS PAC ID: 8820398266 Enrollment ID: I20190429002237 |
| Provider Name | Andre Becker Uflacker |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396970323 PECOS PAC ID: 5294963088 Enrollment ID: I20190501001801 |
| Provider Name | Danielle a Paquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144784919 PECOS PAC ID: 0840533816 Enrollment ID: I20190514001735 |
| Provider Name | Christina M Tepatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730643479 PECOS PAC ID: 2466795489 Enrollment ID: I20190515000468 |
| Provider Name | Kimberly Lynn Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649746025 PECOS PAC ID: 0547503203 Enrollment ID: I20190520003027 |
| Provider Name | Devin Michael Blankinship |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255780854 PECOS PAC ID: 7618255837 Enrollment ID: I20190530002570 |
| Provider Name | Sofy Landes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265790133 PECOS PAC ID: 2668774423 Enrollment ID: I20190606001538 |
| Provider Name | Abhinava S Madamangalam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942278684 PECOS PAC ID: 4183647076 Enrollment ID: I20190618000453 |
| Provider Name | Liza R Bergrin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689100968 PECOS PAC ID: 6002140480 Enrollment ID: I20190619002612 |
| Provider Name | Mackenzie Jo Gwynne |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780079665 PECOS PAC ID: 9739481524 Enrollment ID: I20190619003428 |
| Provider Name | Carson Mccall Keck |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750779443 PECOS PAC ID: 0547549644 Enrollment ID: I20190625003867 |
| Provider Name | Meghan Kahterine Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982053757 PECOS PAC ID: 9032497102 Enrollment ID: I20190626000050 |
| Provider Name | David Thomas Selewski |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265556989 PECOS PAC ID: 0648449140 Enrollment ID: I20190701001938 |
| Provider Name | James Patrick Davidson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811224801 PECOS PAC ID: 3476817081 Enrollment ID: I20190702002607 |
| Provider Name | Mini Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356761217 PECOS PAC ID: 0941598452 Enrollment ID: I20190724002213 |
| Provider Name | Siamak Mohammad Zaki Yazdi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245680065 PECOS PAC ID: 8224316237 Enrollment ID: I20190724002415 |
| Provider Name | Matthew Michael Finneran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720348998 PECOS PAC ID: 0244526143 Enrollment ID: I20190725000522 |
| Provider Name | Ryan E Little |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679990808 PECOS PAC ID: 9931499837 Enrollment ID: I20190725000654 |
| Provider Name | Mathew W Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508320086 PECOS PAC ID: 8224364443 Enrollment ID: I20190725002884 |
| Provider Name | Kirsten Alayna Dahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255711719 PECOS PAC ID: 1153610126 Enrollment ID: I20190806001111 |
| Provider Name | Andrew Rutledge Alkis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568728327 PECOS PAC ID: 0345479119 Enrollment ID: I20190807001511 |
| Provider Name | Claire M Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700268315 PECOS PAC ID: 4082903802 Enrollment ID: I20190809002104 |
| Provider Name | Christopher Pruitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942399217 PECOS PAC ID: 2062711765 Enrollment ID: I20190810000026 |
| Provider Name | Anne Marie Wanaselja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962884981 PECOS PAC ID: 5991094856 Enrollment ID: I20190812000292 |
| Provider Name | Daniel Phillip Hopkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568844553 PECOS PAC ID: 0345577540 Enrollment ID: I20190812000635 |
| Provider Name | Lauren M Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679954291 PECOS PAC ID: 9739480773 Enrollment ID: I20190812000658 |
| Provider Name | Jason D Pou |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619312956 PECOS PAC ID: 8527348184 Enrollment ID: I20190812000851 |
| Provider Name | Maritere Nazario |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205286036 PECOS PAC ID: 8921386046 Enrollment ID: I20190812001013 |
| Provider Name | Elizabeth G Hambright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285299164 PECOS PAC ID: 7810224946 Enrollment ID: I20190812002259 |
| Provider Name | Katherine a Smalley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750863122 PECOS PAC ID: 8325388580 Enrollment ID: I20190812002492 |
| Provider Name | Joshua Ryan Arenth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932469962 PECOS PAC ID: 8921224759 Enrollment ID: I20190812002546 |
| Provider Name | Rachel P Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679993075 PECOS PAC ID: 1557585536 Enrollment ID: I20190812002807 |
| Provider Name | Elizabeth B Wachowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053872150 PECOS PAC ID: 3072840123 Enrollment ID: I20190812002868 |
| Provider Name | Bradley Petkovich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033485156 PECOS PAC ID: 5698089159 Enrollment ID: I20190812003128 |
| Provider Name | Amanda M Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396309951 PECOS PAC ID: 4385971431 Enrollment ID: I20190812003185 |
| Provider Name | Tiffany G Baker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841671310 PECOS PAC ID: 9537468954 Enrollment ID: I20190812003344 |
| Provider Name | Clayton Joseph Foret |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053792309 PECOS PAC ID: 6103115175 Enrollment ID: I20190812003655 |
| Provider Name | Randon W Upp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598184152 PECOS PAC ID: 8123355229 Enrollment ID: I20190813001070 |
| Provider Name | Jordan Dixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538573894 PECOS PAC ID: 2769719707 Enrollment ID: I20190813003255 |
| Provider Name | Maranda N Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093374944 PECOS PAC ID: 8022345073 Enrollment ID: I20190813003764 |
| Provider Name | Peter C O'connor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720408461 PECOS PAC ID: 3274867932 Enrollment ID: I20190814003500 |
| Provider Name | Taylor Ellen Christian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306227863 PECOS PAC ID: 9436494044 Enrollment ID: I20190820000621 |
| Provider Name | Benjamin Will Barnette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356790877 PECOS PAC ID: 0143508242 Enrollment ID: I20190820004238 |
| Provider Name | Colin Elliot Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689057135 PECOS PAC ID: 2769777028 Enrollment ID: I20190821000075 |
| Provider Name | Eliza R Mcelwee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629458435 PECOS PAC ID: 4486932142 Enrollment ID: I20190821003554 |
| Provider Name | Mallory Hudson Alkis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912264151 PECOS PAC ID: 1355570086 Enrollment ID: I20190822003723 |
| Provider Name | Rachel Fuerst |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659766517 PECOS PAC ID: 4082996327 Enrollment ID: I20190823002805 |
| Provider Name | Laura K Magnuson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588906416 PECOS PAC ID: 1658504873 Enrollment ID: I20190826001249 |
| Provider Name | Nicole Ilana Sussman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477997161 PECOS PAC ID: 0345559522 Enrollment ID: I20190826002258 |
| Provider Name | Jonathan David Stubblefield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982081105 PECOS PAC ID: 6608104807 Enrollment ID: I20190827000584 |
| Provider Name | Alexandra Leigh Franklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497169098 PECOS PAC ID: 9931498144 Enrollment ID: I20190829003008 |
| Provider Name | Emily D Brewbaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518526565 PECOS PAC ID: 9638407562 Enrollment ID: I20190829003187 |
| Provider Name | Charlotte I Rivers |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992117493 PECOS PAC ID: 9537404314 Enrollment ID: I20190904001991 |
| Provider Name | Andrew D Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710305693 PECOS PAC ID: 2668729872 Enrollment ID: I20190904002378 |
| Provider Name | Timothy C Lukenbill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902251770 PECOS PAC ID: 0446544795 Enrollment ID: I20190904002993 |
| Provider Name | Jessica E Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861755712 PECOS PAC ID: 1557666435 Enrollment ID: I20190905001804 |
| Provider Name | Clarice M Hauschildt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013576214 PECOS PAC ID: 5092044750 Enrollment ID: I20190906000596 |
| Provider Name | Kimberly P Kicielinski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952622565 PECOS PAC ID: 1355587965 Enrollment ID: I20190906002723 |
| Provider Name | Steven Kahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932218500 PECOS PAC ID: 4880756139 Enrollment ID: I20190906002803 |
| Provider Name | Clinton F Pillow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750644555 PECOS PAC ID: 4789973603 Enrollment ID: I20190906003307 |
| Provider Name | Shruti Puri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003234451 PECOS PAC ID: 9931326378 Enrollment ID: I20190909000489 |
| Provider Name | Kathryn E Kerley-heneidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639647241 PECOS PAC ID: 7214266774 Enrollment ID: I20190909001406 |
| Provider Name | Colleen Bressler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265799225 PECOS PAC ID: 7517296098 Enrollment ID: I20190909002228 |
| Provider Name | Deirdre S Williams |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104978741 PECOS PAC ID: 8325377807 Enrollment ID: I20190909002258 |
| Provider Name | Danielle Prox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285291187 PECOS PAC ID: 5890024392 Enrollment ID: I20190909003091 |
| Provider Name | Amanda Faye Northup |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881033694 PECOS PAC ID: 4789906454 Enrollment ID: I20190909003661 |
| Provider Name | Rachel Kennedy Delany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689088858 PECOS PAC ID: 6507155363 Enrollment ID: I20190909003820 |
| Provider Name | Sarah T Marrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356790398 PECOS PAC ID: 5890044820 Enrollment ID: I20190910000739 |
| Provider Name | Laura G Pruitt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457732059 PECOS PAC ID: 9830480359 Enrollment ID: I20190910001137 |
| Provider Name | Alex Myles Mcnabb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023546090 PECOS PAC ID: 6608141064 Enrollment ID: I20190910001988 |
| Provider Name | Jeremy Robert Burt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932435328 PECOS PAC ID: 7214106228 Enrollment ID: I20190910002851 |
| Provider Name | Sung W Choi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700024593 PECOS PAC ID: 3678864543 Enrollment ID: I20190910003733 |
| Provider Name | Gabrielle Musci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730599259 PECOS PAC ID: 3870822273 Enrollment ID: I20190910003844 |
| Provider Name | Tung Nguyen Giep |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639146012 PECOS PAC ID: 9234416991 Enrollment ID: I20190910004058 |
| Provider Name | Scott a Davis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043694557 PECOS PAC ID: 4486962644 Enrollment ID: I20190911001409 |
| Provider Name | Jamie Ashley Singh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851787162 PECOS PAC ID: 7214241165 Enrollment ID: I20190917004214 |
| Provider Name | Jaye Bea Downs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790199560 PECOS PAC ID: 1052641065 Enrollment ID: I20190917004336 |
| Provider Name | Dane Nicholas Daley |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1174961155 PECOS PAC ID: 4082903828 Enrollment ID: I20190927001569 |
| Provider Name | Jennifer Lee Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447515796 PECOS PAC ID: 7618294018 Enrollment ID: I20191001001083 |
| Provider Name | Ashley Hink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700225745 PECOS PAC ID: 6204158652 Enrollment ID: I20191003001527 |
| Provider Name | Rindy C Fernandes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649650292 PECOS PAC ID: 1153610092 Enrollment ID: I20191007002976 |
| Provider Name | Misty Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447792197 PECOS PAC ID: 4183955008 Enrollment ID: I20191008001015 |
| Provider Name | Burke M Gallagher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962751487 PECOS PAC ID: 0143551853 Enrollment ID: I20191010002689 |
| Provider Name | Travis James Pecha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568806404 PECOS PAC ID: 1951629179 Enrollment ID: I20191011000298 |
| Provider Name | Tiffany M Graham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285011940 PECOS PAC ID: 4789905290 Enrollment ID: I20191011001172 |
| Provider Name | Lydia B Redden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295396588 PECOS PAC ID: 9032440615 Enrollment ID: I20191011002665 |
| Provider Name | John Willaim Anthony Burk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205285327 PECOS PAC ID: 6406105428 Enrollment ID: I20191014002036 |
| Provider Name | Allison M Whalen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467794867 PECOS PAC ID: 3870824303 Enrollment ID: I20191014002070 |
| Provider Name | Annie B Bass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275935322 PECOS PAC ID: 3274854583 Enrollment ID: I20191014002105 |
| Provider Name | Nicole Courtois Mccoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770809261 PECOS PAC ID: 2466695812 Enrollment ID: I20191014002257 |
| Provider Name | Dennis W Vane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407887722 PECOS PAC ID: 9830009240 Enrollment ID: I20191014002589 |
| Provider Name | Rachael Bryan Cowherd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043604374 PECOS PAC ID: 2062711039 Enrollment ID: I20191014002756 |
| Provider Name | Natalie T Freidin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558625822 PECOS PAC ID: 2264673680 Enrollment ID: I20191015001413 |
| Provider Name | Christopher Robert Pryor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730569245 PECOS PAC ID: 8820387640 Enrollment ID: I20191015001610 |
| Provider Name | Carolyn Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376197129 PECOS PAC ID: 1850623612 Enrollment ID: I20191028001714 |
| Provider Name | Kylie M Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649823626 PECOS PAC ID: 7719219484 Enrollment ID: I20191029003609 |
| Provider Name | Michael P Madaio |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235288705 PECOS PAC ID: 3274549118 Enrollment ID: I20191106001754 |
| Provider Name | Heather a Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023523891 PECOS PAC ID: 6507126356 Enrollment ID: I20191107001943 |
| Provider Name | Katerina a Boucek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184001992 PECOS PAC ID: 0547570376 Enrollment ID: I20191112000777 |
| Provider Name | James D Bowsher |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447584602 PECOS PAC ID: 6204060429 Enrollment ID: I20191112003106 |
| Provider Name | Brittainy Renee Erby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386173029 PECOS PAC ID: 9537434113 Enrollment ID: I20191112003680 |
| Provider Name | Jordan James Mccarthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003344169 PECOS PAC ID: 2062787559 Enrollment ID: I20191116000232 |
| Provider Name | Megan Latorre Mcmanus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891343331 PECOS PAC ID: 0345673562 Enrollment ID: I20191202002193 |
| Provider Name | Khilen Bhupendra Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386026144 PECOS PAC ID: 7911330147 Enrollment ID: I20191202002518 |
| Provider Name | Megan Slappe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730579855 PECOS PAC ID: 6507187713 Enrollment ID: I20191203000697 |
| Provider Name | Kelly S Matmati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093961294 PECOS PAC ID: 8628295441 Enrollment ID: I20191203002825 |
| Provider Name | Ashley Beckum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033560545 PECOS PAC ID: 7315232071 Enrollment ID: I20191204000352 |
| Provider Name | Emily Rose Kueser Rebula |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538716063 PECOS PAC ID: 5698108728 Enrollment ID: I20191204000804 |
| Provider Name | Sarah N Peglow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629627476 PECOS PAC ID: 9032542162 Enrollment ID: I20191204000855 |
| Provider Name | Katherine S Kyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210454 PECOS PAC ID: 4981037017 Enrollment ID: I20191204001176 |
| Provider Name | Richelle Lee Peveler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447681937 PECOS PAC ID: 1850511981 Enrollment ID: I20191204001337 |
| Provider Name | Peter David Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801447412 PECOS PAC ID: 7719310853 Enrollment ID: I20191204001557 |
| Provider Name | Allison Claire Bossong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508417908 PECOS PAC ID: 6406289479 Enrollment ID: I20191204003152 |
| Provider Name | Benjamin King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639523210 PECOS PAC ID: 6103112818 Enrollment ID: I20191206001273 |
| Provider Name | Garrett N Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972168268 PECOS PAC ID: 8224461744 Enrollment ID: I20191213000836 |
| Provider Name | Kaydee L Mclemore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467000992 PECOS PAC ID: 5395178818 Enrollment ID: I20191213000958 |
| Provider Name | Caroline Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740644376 PECOS PAC ID: 8921364373 Enrollment ID: I20191226002265 |
| Provider Name | Joseph Merlo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225327596 PECOS PAC ID: 1254570682 Enrollment ID: I20200107000675 |
| Provider Name | Teresa Q Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851317663 PECOS PAC ID: 4284640053 Enrollment ID: I20200113001509 |
| Provider Name | Thomas E Werth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477501849 PECOS PAC ID: 7810883469 Enrollment ID: I20200113001662 |
| Provider Name | Laurie D Morgan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134239023 PECOS PAC ID: 6103889324 Enrollment ID: I20200114002280 |
| Provider Name | Douglas Mark Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811974553 PECOS PAC ID: 8921037185 Enrollment ID: I20200115001070 |
| Provider Name | Amanda Watts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528600053 PECOS PAC ID: 4789019787 Enrollment ID: I20200122000838 |
| Provider Name | Chelsey a D Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932747748 PECOS PAC ID: 5597190595 Enrollment ID: I20200122000871 |
| Provider Name | Manuel Valdebran Canales |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013553957 PECOS PAC ID: 4183059181 Enrollment ID: I20200122001034 |
| Provider Name | Lauren Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629456918 PECOS PAC ID: 9436489861 Enrollment ID: I20200127001149 |
| Provider Name | Amelia K Paine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588213987 PECOS PAC ID: 3072949510 Enrollment ID: I20200201000268 |
| Provider Name | Kara C Leyzac |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598078040 PECOS PAC ID: 3971736836 Enrollment ID: I20200203002033 |
| Provider Name | Chad M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760025258 PECOS PAC ID: 1658707054 Enrollment ID: I20200203002104 |
| Provider Name | Ashley Denneil Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134668239 PECOS PAC ID: 6305123316 Enrollment ID: I20200204003002 |
| Provider Name | Tchad Boone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083255590 PECOS PAC ID: 0941636096 Enrollment ID: I20200207001984 |
| Provider Name | Veronica Thrasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104460898 PECOS PAC ID: 3678909751 Enrollment ID: I20200210000152 |
| Provider Name | Eric Bass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184698573 PECOS PAC ID: 6608175906 Enrollment ID: I20200210000627 |
| Provider Name | Lucas Hillman Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346627544 PECOS PAC ID: 7315254729 Enrollment ID: I20200210000788 |
| Provider Name | Hannah M Feltner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689216269 PECOS PAC ID: 6002242104 Enrollment ID: I20200210001258 |
| Provider Name | Amanda K Stovall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467093476 PECOS PAC ID: 1456787316 Enrollment ID: I20200212002443 |
| Provider Name | Scott a Weeks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205075777 PECOS PAC ID: 1557410032 Enrollment ID: I20200224001797 |
| Provider Name | Lindsey D Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881238111 PECOS PAC ID: 9032546486 Enrollment ID: I20200224002058 |
| Provider Name | Lindzie D Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396001475 PECOS PAC ID: 8224465687 Enrollment ID: I20200224002431 |
| Provider Name | Christina M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962049429 PECOS PAC ID: 0648607002 Enrollment ID: I20200224002590 |
| Provider Name | Elizabeth a Halicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770129553 PECOS PAC ID: 0143657510 Enrollment ID: I20200224002915 |
| Provider Name | Victoria L Bolyard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205240124 PECOS PAC ID: 0244667525 Enrollment ID: I20200226001452 |
| Provider Name | Ezequiel Gleichgerrcht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851779318 PECOS PAC ID: 9436466406 Enrollment ID: I20200226002197 |
| Provider Name | Misty Corrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801448923 PECOS PAC ID: 7214364520 Enrollment ID: I20200226002472 |
| Provider Name | Jessica Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750931762 PECOS PAC ID: 0042647158 Enrollment ID: I20200303000627 |
| Provider Name | Caitlin Marie Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417593526 PECOS PAC ID: 3870921265 Enrollment ID: I20200318001384 |
| Provider Name | Praneeth Baratam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487970570 PECOS PAC ID: 4688817299 Enrollment ID: I20200323001680 |
| Provider Name | Lisa R Bystry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851566160 PECOS PAC ID: 6305002510 Enrollment ID: I20200323003313 |
| Provider Name | Hannah Jean Krueger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902441181 PECOS PAC ID: 7012345176 Enrollment ID: I20200324000946 |
| Provider Name | Cody R Quirk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023308541 PECOS PAC ID: 1355569062 Enrollment ID: I20200325000118 |
| Provider Name | Farah F Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467094920 PECOS PAC ID: 3173952132 Enrollment ID: I20200326003664 |
| Provider Name | Alexis Ann Bielski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154874832 PECOS PAC ID: 3375807662 Enrollment ID: I20200331000581 |
| Provider Name | James Philip Battista |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366769986 PECOS PAC ID: 7012203870 Enrollment ID: I20200331000782 |
| Provider Name | Jennifer D Douglas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023044906 PECOS PAC ID: 0042259079 Enrollment ID: I20200331000886 |
| Provider Name | Pamela D Perrella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740811462 PECOS PAC ID: 9032548896 Enrollment ID: I20200331001651 |
| Provider Name | Loren Elizabeth Dupuis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700432994 PECOS PAC ID: 2466781760 Enrollment ID: I20200401000519 |
| Provider Name | Ryan S Marovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366779357 PECOS PAC ID: 8628111366 Enrollment ID: I20200406000890 |
| Provider Name | Neil Ghanshyam Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477992063 PECOS PAC ID: 9335492115 Enrollment ID: I20200409002470 |
| Provider Name | Kathryn a Lanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619505260 PECOS PAC ID: 3375973209 Enrollment ID: I20200416003730 |
| Provider Name | Pooja R Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245860550 PECOS PAC ID: 5496185266 Enrollment ID: I20200417002323 |
| Provider Name | Lindsey L Bilger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902139397 PECOS PAC ID: 3971640855 Enrollment ID: I20200422000337 |
| Provider Name | Saeed Elojeimy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700012861 PECOS PAC ID: 7113232463 Enrollment ID: I20200422000500 |
| Provider Name | Shannon L Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639700503 PECOS PAC ID: 0042640690 Enrollment ID: I20200422000573 |
| Provider Name | Savannah E Hurt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821442740 PECOS PAC ID: 0547691800 Enrollment ID: I20200520003745 |
| Provider Name | Melissa a Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144254855 PECOS PAC ID: 5890796023 Enrollment ID: I20200522000112 |
| Provider Name | Tracy L Mapes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811084247 PECOS PAC ID: 3577508415 Enrollment ID: I20200602003025 |
| Provider Name | Dhiraj Baruah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235442963 PECOS PAC ID: 7517121643 Enrollment ID: I20200603002617 |
| Provider Name | Meghan M Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225650476 PECOS PAC ID: 0446671267 Enrollment ID: I20200603002894 |
| Provider Name | Cane Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922427277 PECOS PAC ID: 1456660596 Enrollment ID: I20200608000505 |
| Provider Name | Jessica Gunn Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942855549 PECOS PAC ID: 1658793047 Enrollment ID: I20200611001960 |
| Provider Name | Jasmine Calvina Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780207258 PECOS PAC ID: 4688096043 Enrollment ID: I20200612001545 |
| Provider Name | Ashley J Black |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104471705 PECOS PAC ID: 7911329099 Enrollment ID: I20200618000052 |
| Provider Name | Jonathan S. Alexander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619409257 PECOS PAC ID: 1456600022 Enrollment ID: I20200623003101 |
| Provider Name | David W Zaas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588748461 PECOS PAC ID: 3779511027 Enrollment ID: I20200626000887 |
| Provider Name | John William Hohenberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891174553 PECOS PAC ID: 6507141918 Enrollment ID: I20200629000157 |
| Provider Name | Benjamin Muller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033573514 PECOS PAC ID: 8921420506 Enrollment ID: I20200629000901 |
| Provider Name | Elizabeth Oddo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942733100 PECOS PAC ID: 0749567550 Enrollment ID: I20200629002758 |
| Provider Name | Maxie L Phillips |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598115321 PECOS PAC ID: 5395025746 Enrollment ID: I20200629002934 |
| Provider Name | Tara L Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790135903 PECOS PAC ID: 7911287370 Enrollment ID: I20200629003030 |
| Provider Name | Jonathan a Poirier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285016733 PECOS PAC ID: 1759666167 Enrollment ID: I20200629003077 |
| Provider Name | Ryan N Mercer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598129298 PECOS PAC ID: 1658667506 Enrollment ID: I20200629003953 |
| Provider Name | Mason James Walgrave |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144670662 PECOS PAC ID: 1153605704 Enrollment ID: I20200630000207 |
| Provider Name | Cameron B Wilhoit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083142350 PECOS PAC ID: 4981979028 Enrollment ID: I20200630000587 |
| Provider Name | Christopher D Wolla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497105787 PECOS PAC ID: 3274813621 Enrollment ID: I20200630000717 |
| Provider Name | Christopher Sege |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912489378 PECOS PAC ID: 6608298179 Enrollment ID: I20200630001053 |
| Provider Name | Mamikon B Gukasov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679929103 PECOS PAC ID: 5193005544 Enrollment ID: I20200630002885 |
| Provider Name | Amar Miglani |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144607532 PECOS PAC ID: 8426366097 Enrollment ID: I20200630003049 |
| Provider Name | Ashish Kurundkar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902252240 PECOS PAC ID: 9537454590 Enrollment ID: I20200701001109 |
| Provider Name | Francis Vento |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518352020 PECOS PAC ID: 9638459274 Enrollment ID: I20200701002553 |
| Provider Name | Cody Branch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851770622 PECOS PAC ID: 5395052229 Enrollment ID: I20200706000834 |
| Provider Name | Julia Kendrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376836510 PECOS PAC ID: 0941593578 Enrollment ID: I20200706001675 |
| Provider Name | Anastasia a Alex |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497109375 PECOS PAC ID: 7911293014 Enrollment ID: I20200706001922 |
| Provider Name | Carolina Adams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841743127 PECOS PAC ID: 7315232188 Enrollment ID: I20200706002025 |
| Provider Name | Laura E Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255750428 PECOS PAC ID: 3678849254 Enrollment ID: I20200707003205 |
| Provider Name | Rachel Lois-ann Jester |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285083915 PECOS PAC ID: 6800176199 Enrollment ID: I20200707003317 |
| Provider Name | Disha Kohli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912391889 PECOS PAC ID: 6305152539 Enrollment ID: I20200730001948 |
| Provider Name | Ruth O Adekunle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366784530 PECOS PAC ID: 9739488701 Enrollment ID: I20200730002878 |
| Provider Name | Eric C Swanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750743761 PECOS PAC ID: 9032534524 Enrollment ID: I20200730002939 |
| Provider Name | Lucas John Witer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134431281 PECOS PAC ID: 6406088293 Enrollment ID: I20200730003532 |
| Provider Name | Karthik Tanneru |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255817557 PECOS PAC ID: 8123443637 Enrollment ID: I20200730003716 |
| Provider Name | Nicholas H Shaheen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972896231 PECOS PAC ID: 8820386816 Enrollment ID: I20200730003792 |
| Provider Name | Katherine H Hatter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487049078 PECOS PAC ID: 4284965849 Enrollment ID: I20200730003827 |
| Provider Name | Emily J De Guzman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528015674 PECOS PAC ID: 0648276659 Enrollment ID: I20200730003850 |
| Provider Name | Martin D Burke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053793588 PECOS PAC ID: 2466877980 Enrollment ID: I20200730003887 |
| Provider Name | Austin J Biggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356784029 PECOS PAC ID: 6608165337 Enrollment ID: I20200730003909 |
| Provider Name | Rebecca Jean Teague |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902338098 PECOS PAC ID: 7416205943 Enrollment ID: I20200730003936 |
| Provider Name | Toby B. Steinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225423478 PECOS PAC ID: 2961701545 Enrollment ID: I20200730003941 |
| Provider Name | William Mcmanigle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720407745 PECOS PAC ID: 5395160782 Enrollment ID: I20200731002889 |
| Provider Name | Evan Michael Verplancken |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659865574 PECOS PAC ID: 8628321445 Enrollment ID: I20200803001204 |
| Provider Name | Stephanie J Kwon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467879411 PECOS PAC ID: 1153699376 Enrollment ID: I20200803002745 |
| Provider Name | John Brenton Bushkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629561089 PECOS PAC ID: 1951726199 Enrollment ID: I20200804003091 |
| Provider Name | Toros Ali Dincman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457799454 PECOS PAC ID: 4587986286 Enrollment ID: I20200806000431 |
| Provider Name | Katherine E Chetta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366886715 PECOS PAC ID: 0840615944 Enrollment ID: I20200806002163 |
| Provider Name | Logan Scott Wolford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558855098 PECOS PAC ID: 1153674965 Enrollment ID: I20200812002726 |
| Provider Name | Elizabeth Mackdiaz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821433467 PECOS PAC ID: 4284050501 Enrollment ID: I20200818001477 |
| Provider Name | Janaina N Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205946290 PECOS PAC ID: 6406857606 Enrollment ID: I20200825000770 |
| Provider Name | Gregory Franklin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316393291 PECOS PAC ID: 0042503625 Enrollment ID: I20200825001083 |
| Provider Name | Jordan S Whatley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194139337 PECOS PAC ID: 8123245107 Enrollment ID: I20200825001727 |
| Provider Name | Joshua B Coney |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1376987669 PECOS PAC ID: 4183905474 Enrollment ID: I20200827002984 |
| Provider Name | Emma-catherine P Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902428725 PECOS PAC ID: 2466879093 Enrollment ID: I20200827003303 |
| Provider Name | Nicolas H Pope |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154646479 PECOS PAC ID: 4486882735 Enrollment ID: I20200827003541 |
| Provider Name | John Christopher Richey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306455118 PECOS PAC ID: 8123445657 Enrollment ID: I20200829000142 |
| Provider Name | David Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396361994 PECOS PAC ID: 1759708118 Enrollment ID: I20200831001275 |
| Provider Name | Scott E Benjamin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174614390 PECOS PAC ID: 9830213982 Enrollment ID: I20200901000516 |
| Provider Name | Dalila W Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205985751 PECOS PAC ID: 7315186889 Enrollment ID: I20200901000624 |
| Provider Name | Tara K Van Leuven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053572792 PECOS PAC ID: 7517114044 Enrollment ID: I20200901000714 |
| Provider Name | Rodney W Williams |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811019599 PECOS PAC ID: 7113812363 Enrollment ID: I20200901002186 |
| Provider Name | Penny L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073147807 PECOS PAC ID: 0143647438 Enrollment ID: I20200901002589 |
| Provider Name | Amanda Marie Bunnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487065504 PECOS PAC ID: 9133478506 Enrollment ID: I20200902000570 |
| Provider Name | Arielle Marie Abrams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386269850 PECOS PAC ID: 4486071644 Enrollment ID: I20200902001244 |
| Provider Name | William F Barrett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952798829 PECOS PAC ID: 0042525636 Enrollment ID: I20200902001323 |
| Provider Name | Lauren Lynne Costello |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689292252 PECOS PAC ID: 4587081757 Enrollment ID: I20200902001549 |
| Provider Name | William Wise Crosby Carroll |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124380084 PECOS PAC ID: 9032418249 Enrollment ID: I20200902001766 |
| Provider Name | Natalie Christian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245682855 PECOS PAC ID: 3971856824 Enrollment ID: I20200902002798 |
| Provider Name | Barry J Lifson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659319200 PECOS PAC ID: 3779485891 Enrollment ID: I20200903000668 |
| Provider Name | Taufiek K Rajab |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1689800872 PECOS PAC ID: 5991943839 Enrollment ID: I20200903000856 |
| Provider Name | Erin E Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891038212 PECOS PAC ID: 6901223056 Enrollment ID: I20200903001151 |
| Provider Name | Lisa a Hahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043842230 PECOS PAC ID: 5496172546 Enrollment ID: I20200903001333 |
| Provider Name | Erik James Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821418690 PECOS PAC ID: 9830319946 Enrollment ID: I20200903001523 |
| Provider Name | Hannah R Fischer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003432592 PECOS PAC ID: 2769809805 Enrollment ID: I20200903001560 |
| Provider Name | Abdullah Khalifah Almehbash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700226545 PECOS PAC ID: 4789982778 Enrollment ID: I20200903001779 |
| Provider Name | Nathalie S Malcolm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811359953 PECOS PAC ID: 0244524361 Enrollment ID: I20200903002374 |
| Provider Name | Nicole a Ritter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376160465 PECOS PAC ID: 5991122905 Enrollment ID: I20200903003453 |
| Provider Name | Ashley Arana Waring |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033522610 PECOS PAC ID: 9436371382 Enrollment ID: I20200908000333 |
| Provider Name | Anne Meredith Kroman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255683173 PECOS PAC ID: 5193070696 Enrollment ID: I20200908000628 |
| Provider Name | Parneet Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144602061 PECOS PAC ID: 0749577104 Enrollment ID: I20200908001160 |
| Provider Name | Cortney Ann Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093343147 PECOS PAC ID: 9234557273 Enrollment ID: I20200908002781 |
| Provider Name | Chakradhari Inampudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508093311 PECOS PAC ID: 3678715844 Enrollment ID: I20200909001701 |
| Provider Name | Mariam Alexander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679987382 PECOS PAC ID: 6709204670 Enrollment ID: I20200910000339 |
| Provider Name | Mary a Bergen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942605985 PECOS PAC ID: 1759600620 Enrollment ID: I20200910000639 |
| Provider Name | Jerlinda Ross |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275829616 PECOS PAC ID: 8426296294 Enrollment ID: I20200910001544 |
| Provider Name | Purabi Sonowal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760891550 PECOS PAC ID: 8729350731 Enrollment ID: I20200910001761 |
| Provider Name | Justin a Chetta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114362068 PECOS PAC ID: 3779812607 Enrollment ID: I20200910001995 |
| Provider Name | Daniel J Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790104495 PECOS PAC ID: 2567797632 Enrollment ID: I20200910002403 |
| Provider Name | Rosemary Ros-demarize |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457962060 PECOS PAC ID: 5698094100 Enrollment ID: I20200911002181 |
| Provider Name | Sara L Ewing |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033569520 PECOS PAC ID: 5496028060 Enrollment ID: I20200911002340 |
| Provider Name | Jana Little Macdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619335155 PECOS PAC ID: 6608172630 Enrollment ID: I20200914002499 |
| Provider Name | Jeffrey Pu |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1831399708 PECOS PAC ID: 2466546338 Enrollment ID: I20200917001546 |
| Provider Name | Kaitlin E Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558710368 PECOS PAC ID: 4385930494 Enrollment ID: I20200929000153 |
| Provider Name | Carmine J Suppa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760800650 PECOS PAC ID: 2163761123 Enrollment ID: I20200929003283 |
| Provider Name | Isis Raulino Scomacao |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699227967 PECOS PAC ID: 1052660214 Enrollment ID: I20200930002796 |
| Provider Name | Jimmy Suh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841645348 PECOS PAC ID: 3870873169 Enrollment ID: I20200930003215 |
| Provider Name | Mallory Raymond |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316332877 PECOS PAC ID: 1557664448 Enrollment ID: I20201001000213 |
| Provider Name | Lucas Aaron Mcduffie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710269261 PECOS PAC ID: 6709024920 Enrollment ID: I20201001000470 |
| Provider Name | Amartha Nnegi Gore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457714685 PECOS PAC ID: 0648568295 Enrollment ID: I20201001002807 |
| Provider Name | Naajah Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912515511 PECOS PAC ID: 1850710369 Enrollment ID: I20201002001015 |
| Provider Name | Mary Elizabeth Stoermann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184003717 PECOS PAC ID: 9537479258 Enrollment ID: I20201002001197 |
| Provider Name | Kaylene K Frenette |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427673979 PECOS PAC ID: 9335568724 Enrollment ID: I20201005001576 |
| Provider Name | Brian C Orr |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1437478146 PECOS PAC ID: 4385935790 Enrollment ID: I20201006002023 |
| Provider Name | Christine H Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568740835 PECOS PAC ID: 1254502438 Enrollment ID: I20201006002426 |
| Provider Name | Hamza Hashmi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164862652 PECOS PAC ID: 5991934499 Enrollment ID: I20201007003280 |
| Provider Name | Auryelle Ascue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558971390 PECOS PAC ID: 6507286564 Enrollment ID: I20201014000531 |
| Provider Name | Ryan Z Stone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700490794 PECOS PAC ID: 6800216789 Enrollment ID: I20201014001999 |
| Provider Name | Satya S Villuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376843086 PECOS PAC ID: 7416190020 Enrollment ID: I20201014002799 |
| Provider Name | Andrew N Brewer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194343673 PECOS PAC ID: 2860812427 Enrollment ID: I20201020002260 |
| Provider Name | Nancy Adalyn Wilson Westmark |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184153991 PECOS PAC ID: 6002186145 Enrollment ID: I20201028002310 |
| Provider Name | Mary Elizabeth Abel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669886271 PECOS PAC ID: 8628299815 Enrollment ID: I20201102001175 |
| Provider Name | Rahoul Vijay Ahuja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164953196 PECOS PAC ID: 5092087247 Enrollment ID: I20201103000425 |
| Provider Name | Kaylin Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164045142 PECOS PAC ID: 3971913856 Enrollment ID: I20201104000876 |
| Provider Name | Kasey Ann Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063860278 PECOS PAC ID: 7416231501 Enrollment ID: I20201104002103 |
| Provider Name | Deanna Lomax |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215399050 PECOS PAC ID: 8123358298 Enrollment ID: I20201104002132 |
| Provider Name | David Sining Chen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952672289 PECOS PAC ID: 5799062592 Enrollment ID: I20201111002540 |
| Provider Name | Grace Schaefer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134733488 PECOS PAC ID: 9739599283 Enrollment ID: I20201111003024 |
| Provider Name | Oleksandra Lupak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740608165 PECOS PAC ID: 2961627971 Enrollment ID: I20201117002876 |
| Provider Name | Kevin T Dyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851753495 PECOS PAC ID: 4385936962 Enrollment ID: I20201119002922 |
| Provider Name | Natalie R Barnett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952622722 PECOS PAC ID: 3971722646 Enrollment ID: I20201120001154 |
| Provider Name | Julie Mackay Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003238221 PECOS PAC ID: 0244538627 Enrollment ID: I20201120002382 |
| Provider Name | Aminah Fraser-abdu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871059238 PECOS PAC ID: 2062823834 Enrollment ID: I20201130001803 |
| Provider Name | Samantha a Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912275199 PECOS PAC ID: 8921257668 Enrollment ID: I20201130002187 |
| Provider Name | Bree Z Romecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285231340 PECOS PAC ID: 7719398445 Enrollment ID: I20201201001073 |
| Provider Name | Grace B Suppa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205247137 PECOS PAC ID: 7214154277 Enrollment ID: I20201201002850 |
| Provider Name | Katherine N Frichette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699134221 PECOS PAC ID: 3072889849 Enrollment ID: I20201203001281 |
| Provider Name | Stephanie Fnpc Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932057 PECOS PAC ID: 0345520714 Enrollment ID: I20201204001184 |
| Provider Name | Jessica Arthur English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245769694 PECOS PAC ID: 2466728514 Enrollment ID: I20201205000150 |
| Provider Name | Gilbert Bader |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568800738 PECOS PAC ID: 8224309083 Enrollment ID: I20201207000089 |
| Provider Name | Rosalee L Unwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336555234 PECOS PAC ID: 8224259965 Enrollment ID: I20201216001899 |
| Provider Name | Erika L Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669992277 PECOS PAC ID: 2961768429 Enrollment ID: I20201230002868 |
| Provider Name | Savannah K Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811454317 PECOS PAC ID: 1759716236 Enrollment ID: I20201231000898 |
| Provider Name | Tara L Scharadin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518237353 PECOS PAC ID: 2466613054 Enrollment ID: I20201231001214 |
| Provider Name | Eleta L Donelan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760083745 PECOS PAC ID: 5597178970 Enrollment ID: I20201231001434 |
| Provider Name | Erin L Phlegar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609473396 PECOS PAC ID: 5193138576 Enrollment ID: I20201231001603 |
| Provider Name | Deanna Lauren Caveslio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295258812 PECOS PAC ID: 3274806500 Enrollment ID: I20210107001354 |
| Provider Name | Sierra K Burgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902495005 PECOS PAC ID: 7113331554 Enrollment ID: I20210127000532 |
| Provider Name | Mary B Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093258832 PECOS PAC ID: 7517243413 Enrollment ID: I20210127002433 |
| Provider Name | Jessica a Martissa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093253452 PECOS PAC ID: 6305115171 Enrollment ID: I20210128000201 |
| Provider Name | Helen a Pritcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982226528 PECOS PAC ID: 6709290976 Enrollment ID: I20210129000143 |
| Provider Name | Grace E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649873670 PECOS PAC ID: 0648684712 Enrollment ID: I20210201001682 |
| Provider Name | Holland Erisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164012340 PECOS PAC ID: 1355756081 Enrollment ID: I20210210002498 |
| Provider Name | Virginia Litz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891051009 PECOS PAC ID: 7719276989 Enrollment ID: I20210225003181 |
| Provider Name | Risa M Linford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275165185 PECOS PAC ID: 5597171223 Enrollment ID: I20210304000763 |
| Provider Name | Daniel L Herr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720069842 PECOS PAC ID: 5597811257 Enrollment ID: I20210304002162 |
| Provider Name | Ann Louise Quinn Bogard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710930516 PECOS PAC ID: 9436118890 Enrollment ID: I20210305002022 |
| Provider Name | Kelly L Mccloskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295126035 PECOS PAC ID: 1052678265 Enrollment ID: I20210309001645 |
| Provider Name | Jordan Lane Foutch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053846352 PECOS PAC ID: 5395013361 Enrollment ID: I20210322000858 |
| Provider Name | Antwana Sharee Wright |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013113885 PECOS PAC ID: 1153635206 Enrollment ID: I20210323000425 |
| Provider Name | Kathleen Marie Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801323993 PECOS PAC ID: 0840560017 Enrollment ID: I20210323000559 |
| Provider Name | Harriet Belding Eldredge Hindy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629395223 PECOS PAC ID: 7618285776 Enrollment ID: I20210323000720 |
| Provider Name | Martha Mappus Munden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356331607 PECOS PAC ID: 4981776408 Enrollment ID: I20210323000839 |
| Provider Name | Ethan B Clontz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275131054 PECOS PAC ID: 9133536923 Enrollment ID: I20210323000943 |
| Provider Name | Arman Kilic |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1487896833 PECOS PAC ID: 8729387410 Enrollment ID: I20210323000991 |
| Provider Name | Mara Palmateer Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669065967 PECOS PAC ID: 4385051101 Enrollment ID: I20210323002032 |
| Provider Name | Abby Mulay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316594013 PECOS PAC ID: 1658788716 Enrollment ID: I20210408000030 |
| Provider Name | Patrick M Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417203696 PECOS PAC ID: 5890024285 Enrollment ID: I20210408001951 |
| Provider Name | Bethany B. Zanetti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093060550 PECOS PAC ID: 6901054766 Enrollment ID: I20210409001301 |
| Provider Name | Emily Sheridan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134711534 PECOS PAC ID: 5193133403 Enrollment ID: I20210426000796 |
| Provider Name | Laurie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598326845 PECOS PAC ID: 6507192416 Enrollment ID: I20210427000118 |
| Provider Name | Zubair a Hashmi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366732646 PECOS PAC ID: 2668650896 Enrollment ID: I20210427000771 |
| Provider Name | Jafer Ali |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891908992 PECOS PAC ID: 7113114877 Enrollment ID: I20210427001105 |
| Provider Name | Helen G Ulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265523724 PECOS PAC ID: 6709887961 Enrollment ID: I20210427001492 |
| Provider Name | Deepak Ozhathil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366706293 PECOS PAC ID: 6305080540 Enrollment ID: I20210427002196 |
| Provider Name | Jessica L Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497347009 PECOS PAC ID: 2567870751 Enrollment ID: I20210428002304 |
| Provider Name | Albert C Lockhart |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437233533 PECOS PAC ID: 2163585928 Enrollment ID: I20210429002837 |
| Provider Name | Robert J Ishak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295727790 PECOS PAC ID: 3173419967 Enrollment ID: I20210503000745 |
| Provider Name | Reginald Frank Munden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891891347 PECOS PAC ID: 0648355701 Enrollment ID: I20210524002800 |
| Provider Name | Jessica Evilyn Dial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457930554 PECOS PAC ID: 7012316037 Enrollment ID: I20210525001063 |
| Provider Name | Joanne Sujitra Daniel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982122693 PECOS PAC ID: 7719227180 Enrollment ID: I20210525001329 |
| Provider Name | Taylor P Unger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366893984 PECOS PAC ID: 5890076848 Enrollment ID: I20210525001858 |
| Provider Name | Abbie Lee Zeffery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538554282 PECOS PAC ID: 8022311190 Enrollment ID: I20210527000268 |
| Provider Name | Michael Dennis Moxley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437147758 PECOS PAC ID: 9931116662 Enrollment ID: I20210604002048 |
| Provider Name | Ismail Kabakus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548746803 PECOS PAC ID: 2668726670 Enrollment ID: I20210609001521 |
| Provider Name | Ian Blake Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730541756 PECOS PAC ID: 2466731674 Enrollment ID: I20210609002181 |
| Provider Name | Kristina Dawn Manning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699257618 PECOS PAC ID: 7315290657 Enrollment ID: I20210614000260 |
| Provider Name | Jane Scribner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144365495 PECOS PAC ID: 2567756695 Enrollment ID: I20210614002400 |
| Provider Name | Charles R Terry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689092959 PECOS PAC ID: 6800296641 Enrollment ID: I20210615002837 |
| Provider Name | Charles S Teixeira |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033567888 PECOS PAC ID: 8628364189 Enrollment ID: I20210615002988 |
| Provider Name | Christina M Mingora |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114313335 PECOS PAC ID: 7416200159 Enrollment ID: I20210615003182 |
| Provider Name | Jacob a Kahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750739454 PECOS PAC ID: 8224304217 Enrollment ID: I20210615003249 |
| Provider Name | Michelle C Spiegel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215317250 PECOS PAC ID: 4385945625 Enrollment ID: I20210616002564 |
| Provider Name | Mario Nigro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871955682 PECOS PAC ID: 0244504363 Enrollment ID: I20210616003110 |
| Provider Name | Amanda M Flamman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568826790 PECOS PAC ID: 9830441443 Enrollment ID: I20210618000157 |
| Provider Name | Emily Margaret Campbell |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699136515 PECOS PAC ID: 1052603073 Enrollment ID: I20210618001595 |
| Provider Name | Thomas Edwards |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821451345 PECOS PAC ID: 9537452214 Enrollment ID: I20210618001786 |
| Provider Name | Bianca S Farley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861987802 PECOS PAC ID: 3072866706 Enrollment ID: I20210618002059 |
| Provider Name | Adam H Fox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508285602 PECOS PAC ID: 8921323650 Enrollment ID: I20210621000195 |
| Provider Name | Andrew Thomas Cibulas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932562683 PECOS PAC ID: 6901195866 Enrollment ID: I20210621000634 |
| Provider Name | Nicole C Schulte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548852783 PECOS PAC ID: 4688074149 Enrollment ID: I20210621002216 |
| Provider Name | Zachary J Brownlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982166617 PECOS PAC ID: 9335571306 Enrollment ID: I20210624000302 |
| Provider Name | Jerry L Johnston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962865691 PECOS PAC ID: 0941592380 Enrollment ID: I20210625001700 |
| Provider Name | Jessica D Benes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912192410 PECOS PAC ID: 6608049002 Enrollment ID: I20210625001809 |
| Provider Name | Chadi Hajar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518529759 PECOS PAC ID: 8729489851 Enrollment ID: I20210628001602 |
| Provider Name | Claire Milam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083118178 PECOS PAC ID: 5395093843 Enrollment ID: I20210629000929 |
| Provider Name | Christopher M Fatora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255861498 PECOS PAC ID: 8022384163 Enrollment ID: I20210629000998 |
| Provider Name | Charlotte Durant Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831540178 PECOS PAC ID: 2062709256 Enrollment ID: I20210629001062 |
| Provider Name | Sam T Ontiveros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538522396 PECOS PAC ID: 2860786654 Enrollment ID: I20210629001740 |
| Provider Name | Ellen H Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083144760 PECOS PAC ID: 6103192182 Enrollment ID: I20210629001746 |
| Provider Name | Joseph Hunter Tipton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770018582 PECOS PAC ID: 6305197682 Enrollment ID: I20210630000400 |
| Provider Name | Nnamdi Azih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144718388 PECOS PAC ID: 9335492016 Enrollment ID: I20210630000496 |
| Provider Name | Heather Michelle O'connor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619401221 PECOS PAC ID: 5799050993 Enrollment ID: I20210630004163 |
| Provider Name | Jennifer V Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386871028 PECOS PAC ID: 7810219110 Enrollment ID: I20210701000153 |
| Provider Name | Ethan Alexander Ashley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215465679 PECOS PAC ID: 7911272208 Enrollment ID: I20210701001201 |
| Provider Name | Pritee a Tarwade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134675473 PECOS PAC ID: 4789971219 Enrollment ID: I20210701001598 |
| Provider Name | Charlotte Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942867585 PECOS PAC ID: 9830429935 Enrollment ID: I20210707000090 |
| Provider Name | Timothy D Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871172775 PECOS PAC ID: 4385046515 Enrollment ID: I20210712001163 |
| Provider Name | Nicole Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376047217 PECOS PAC ID: 7810399888 Enrollment ID: I20210713003024 |
| Provider Name | Jared Krainin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932606134 PECOS PAC ID: 3577966068 Enrollment ID: I20210721001865 |
| Provider Name | Susan L Evenhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427583442 PECOS PAC ID: 9931475415 Enrollment ID: I20210722000254 |
| Provider Name | Rani Shayto |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043660020 PECOS PAC ID: 1456639624 Enrollment ID: I20210722000513 |
| Provider Name | David B Haver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013584440 PECOS PAC ID: 8022411404 Enrollment ID: I20210722001659 |
| Provider Name | David C Park |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912107467 PECOS PAC ID: 8527214311 Enrollment ID: I20210722001722 |
| Provider Name | Mason T Turner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750879011 PECOS PAC ID: 8123421526 Enrollment ID: I20210722002556 |
| Provider Name | Julian Amin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801264056 PECOS PAC ID: 5092001040 Enrollment ID: I20210722002835 |
| Provider Name | Hampton B Sasser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972097970 PECOS PAC ID: 8820332299 Enrollment ID: I20210722003121 |
| Provider Name | Anita T Perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427443357 PECOS PAC ID: 2365845591 Enrollment ID: I20210727000411 |
| Provider Name | John Clayton Foster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417480021 PECOS PAC ID: 0749567402 Enrollment ID: I20210727001912 |
| Provider Name | Susannah L Brown |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568915619 PECOS PAC ID: 1052609575 Enrollment ID: I20210728002615 |
| Provider Name | Austin G Creviston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578973327 PECOS PAC ID: 6507187093 Enrollment ID: I20210728002873 |
| Provider Name | Steven L Morgan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285710269 PECOS PAC ID: 2264682574 Enrollment ID: I20210728003601 |
| Provider Name | Victoria Anne O'hara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245449297 PECOS PAC ID: 5496847881 Enrollment ID: I20210728003796 |
| Provider Name | Joanna Joy Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023682655 PECOS PAC ID: 2466855374 Enrollment ID: I20210729000238 |
| Provider Name | Christopher D Stefonowicz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003345786 PECOS PAC ID: 6709158868 Enrollment ID: I20210729002863 |
| Provider Name | Jeffrey Thomas Waltz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104275528 PECOS PAC ID: 3274809454 Enrollment ID: I20210731000071 |
| Provider Name | Christopher T Stem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497136782 PECOS PAC ID: 8527378363 Enrollment ID: I20210803000404 |
| Provider Name | Lauren Mims |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114376738 PECOS PAC ID: 6608160395 Enrollment ID: I20210803002510 |
| Provider Name | William D Young |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174043277 PECOS PAC ID: 0547536690 Enrollment ID: I20210803003563 |
| Provider Name | Hannah O Robidoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821612615 PECOS PAC ID: 8628472396 Enrollment ID: I20210803003717 |
| Provider Name | Helen J Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043705833 PECOS PAC ID: 7113270802 Enrollment ID: I20210803003998 |
| Provider Name | Aravind Viswanathan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982068250 PECOS PAC ID: 1355636192 Enrollment ID: I20210806001974 |
| Provider Name | Laura G Mccabe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568824266 PECOS PAC ID: 2062704117 Enrollment ID: I20210809000445 |
| Provider Name | Maria Cecilia D Reyes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376835470 PECOS PAC ID: 3072889526 Enrollment ID: I20210809000638 |
| Provider Name | Parinita a Dherange |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164863171 PECOS PAC ID: 5496041881 Enrollment ID: I20210810000436 |
| Provider Name | Megan Veglia Brunckhorst |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1538654025 PECOS PAC ID: 3476806159 Enrollment ID: I20210811000729 |
| Provider Name | Daniel Furlong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083060859 PECOS PAC ID: 7214331354 Enrollment ID: I20210811001539 |
| Provider Name | Michael a Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174054522 PECOS PAC ID: 9931445608 Enrollment ID: I20210816000797 |
| Provider Name | Tracy Raphaela Neilan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639462591 PECOS PAC ID: 0244551646 Enrollment ID: I20210818000308 |
| Provider Name | Sara Rhodes P Short |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841566015 PECOS PAC ID: 2163651118 Enrollment ID: I20210823000796 |
| Provider Name | Michael Haven |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144836461 PECOS PAC ID: 6002211539 Enrollment ID: I20210823000922 |
| Provider Name | Mariah K Tanious |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891177192 PECOS PAC ID: 4688989734 Enrollment ID: I20210823001304 |
| Provider Name | Linzey E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194490573 PECOS PAC ID: 2466857800 Enrollment ID: I20210823001857 |
| Provider Name | Ali Annaim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861887259 PECOS PAC ID: 0446561427 Enrollment ID: I20210825004223 |
| Provider Name | Denise Gabrielle a Sese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043626641 PECOS PAC ID: 2365764685 Enrollment ID: I20210826002659 |
| Provider Name | Ralitza H Peneva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740700772 PECOS PAC ID: 8921370057 Enrollment ID: I20210826003710 |
| Provider Name | Margaret Anna Sease |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649628751 PECOS PAC ID: 1052673696 Enrollment ID: I20210827001914 |
| Provider Name | Yulia Gavrilova |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063089779 PECOS PAC ID: 8820493836 Enrollment ID: I20210828000070 |
| Provider Name | Chelsea Veranis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225703622 PECOS PAC ID: 6800291865 Enrollment ID: I20210830001227 |
| Provider Name | Darian N Manger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518429398 PECOS PAC ID: 1850796822 Enrollment ID: I20210830001427 |
| Provider Name | Gary Elizabeth Conly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679162085 PECOS PAC ID: 0244635225 Enrollment ID: I20210830001756 |
| Provider Name | Barry W Sigal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316929102 PECOS PAC ID: 0042340226 Enrollment ID: I20210831000720 |
| Provider Name | Kristen T Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700441276 PECOS PAC ID: 1254665391 Enrollment ID: I20210831001528 |
| Provider Name | Adam Tanious |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508108994 PECOS PAC ID: 9931459013 Enrollment ID: I20210831002310 |
| Provider Name | Heather Youngberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528552395 PECOS PAC ID: 7618229501 Enrollment ID: I20210831003289 |
| Provider Name | Mary L Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427721091 PECOS PAC ID: 4385040286 Enrollment ID: I20210901000401 |
| Provider Name | Osagie Igiebor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205332376 PECOS PAC ID: 9335545110 Enrollment ID: I20210901003853 |
| Provider Name | Daniel N Silverman |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1437419058 PECOS PAC ID: 6406160134 Enrollment ID: I20210901004294 |
| Provider Name | Joshua Joel Visserman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588198782 PECOS PAC ID: 4789933870 Enrollment ID: I20210902000179 |
| Provider Name | Charmayne Boeving Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952562290 PECOS PAC ID: 4385712629 Enrollment ID: I20210902000998 |
| Provider Name | Stephen Daniel Ballis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841781952 PECOS PAC ID: 5294088167 Enrollment ID: I20210905000006 |
| Provider Name | Rishi Ashok Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316301534 PECOS PAC ID: 1759674583 Enrollment ID: I20210908004083 |
| Provider Name | Adrienne Wiggins-metcalf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184144321 PECOS PAC ID: 8729353446 Enrollment ID: I20210909002649 |
| Provider Name | Kevin Mcelligott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447694864 PECOS PAC ID: 7214230804 Enrollment ID: I20210909002974 |
| Provider Name | Emily D Hodskins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487034054 PECOS PAC ID: 6103126610 Enrollment ID: I20210910000364 |
| Provider Name | Ahmad Alqassieh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104388271 PECOS PAC ID: 9931506623 Enrollment ID: I20210922003067 |
| Provider Name | Gregory Daniel Puthoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871939264 PECOS PAC ID: 6901191626 Enrollment ID: I20210923001251 |
| Provider Name | Christopher Daly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790217446 PECOS PAC ID: 5799056768 Enrollment ID: I20210923001762 |
| Provider Name | Ian Christopher Bostock Rosenzweig |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598104457 PECOS PAC ID: 8325347321 Enrollment ID: I20210923002485 |
| Provider Name | Brett Ziegler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184078420 PECOS PAC ID: 2567755465 Enrollment ID: I20210923002623 |
| Provider Name | Kacy Marie Clinkenbeard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417579269 PECOS PAC ID: 2163840984 Enrollment ID: I20210923002758 |
| Provider Name | Lisa Trautman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861987604 PECOS PAC ID: 8820408008 Enrollment ID: I20210923003395 |
| Provider Name | Logan Seitzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033792742 PECOS PAC ID: 3779980354 Enrollment ID: I20210923003661 |
| Provider Name | Matthew Edward Gibson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316386303 PECOS PAC ID: 3173745064 Enrollment ID: I20210924000179 |
| Provider Name | Kristen I Toth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326619099 PECOS PAC ID: 8224435839 Enrollment ID: I20210924000596 |
| Provider Name | Kristen Marxen Matsik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295807022 PECOS PAC ID: 8921018912 Enrollment ID: I20210924001191 |
| Provider Name | William Michael Pullen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679868798 PECOS PAC ID: 8224435854 Enrollment ID: I20210924001710 |
| Provider Name | Danielle M Cassels |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184119679 PECOS PAC ID: 5496002172 Enrollment ID: I20210928002793 |
| Provider Name | David B Carroll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194187302 PECOS PAC ID: 6800189341 Enrollment ID: I20211005001672 |
| Provider Name | Amanda E Geiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699284133 PECOS PAC ID: 4789946252 Enrollment ID: I20211005002748 |
| Provider Name | Kevin S Hughes |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1437140993 PECOS PAC ID: 2769467604 Enrollment ID: I20211005003123 |
| Provider Name | Victoria Marie Edgington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336817295 PECOS PAC ID: 5991103939 Enrollment ID: I20211006001111 |
| Provider Name | David Lee Mcmillan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861927998 PECOS PAC ID: 9638429871 Enrollment ID: I20211006001448 |
| Provider Name | Jaydevsinh Dolia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437562980 PECOS PAC ID: 4587988100 Enrollment ID: I20211012002507 |
| Provider Name | Arthur Duncan Wells Oliphant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740780147 PECOS PAC ID: 5193123644 Enrollment ID: I20211013002266 |
| Provider Name | Mary Hunter Stoddard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659950491 PECOS PAC ID: 6406244797 Enrollment ID: I20211019000336 |
| Provider Name | Stephen Allen Stringfellow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538698683 PECOS PAC ID: 2365796851 Enrollment ID: I20211022000776 |
| Provider Name | Marissa H Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770251373 PECOS PAC ID: 0941698732 Enrollment ID: I20211027002763 |
| Provider Name | Molly S Fragopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164191367 PECOS PAC ID: 0648668434 Enrollment ID: I20211027002926 |
| Provider Name | Alicia M Zukas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922328152 PECOS PAC ID: 6002056330 Enrollment ID: I20211027003311 |
| Provider Name | Jeffrey M Sutton |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1730407800 PECOS PAC ID: 7911146121 Enrollment ID: I20211027003387 |
| Provider Name | Laquandra D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558031377 PECOS PAC ID: 9931597663 Enrollment ID: I20211028001647 |
| Provider Name | Eyad Almallouhi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003264193 PECOS PAC ID: 1759661184 Enrollment ID: I20211029001627 |
| Provider Name | Jenna Simon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477138832 PECOS PAC ID: 6709274343 Enrollment ID: I20211101000731 |
| Provider Name | James Alexander Hogg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023231115 PECOS PAC ID: 8820486475 Enrollment ID: I20211101000996 |
| Provider Name | Meredith Gentry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295315273 PECOS PAC ID: 7416345061 Enrollment ID: I20211101001174 |
| Provider Name | Leah Allen Stem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407236623 PECOS PAC ID: 5496003626 Enrollment ID: I20211101002133 |
| Provider Name | Kelly M Graves |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1417480245 PECOS PAC ID: 4385032879 Enrollment ID: I20211103000628 |
| Provider Name | Blake Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922760586 PECOS PAC ID: 5496143802 Enrollment ID: I20211103002082 |
| Provider Name | Colleen Ashley Donahue |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1902287717 PECOS PAC ID: 0244628667 Enrollment ID: I20211103002365 |
| Provider Name | Lalithkumar K Solai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821063983 PECOS PAC ID: 5799728168 Enrollment ID: I20211104000277 |
| Provider Name | Lauren Blankstein Fogelgren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861709396 PECOS PAC ID: 1557558673 Enrollment ID: I20211104000810 |
| Provider Name | Andrea Stress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366105348 PECOS PAC ID: 0042609240 Enrollment ID: I20211109002591 |
| Provider Name | Marc Andre Cornier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770500522 PECOS PAC ID: 8426006776 Enrollment ID: I20211110001237 |
| Provider Name | Marcelaine Gabriele Reneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841386364 PECOS PAC ID: 8921497975 Enrollment ID: I20211111002686 |
| Provider Name | Kennedy T Salerno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710658778 PECOS PAC ID: 9537558416 Enrollment ID: I20211115002190 |
| Provider Name | Sydney Allsbrook Funderburk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972126043 PECOS PAC ID: 7618366436 Enrollment ID: I20211117001795 |
| Provider Name | Missy Lalich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467944140 PECOS PAC ID: 1850644725 Enrollment ID: I20211118000666 |
| Provider Name | Leila Mady |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215355078 PECOS PAC ID: 0941621718 Enrollment ID: I20211122000107 |
| Provider Name | Gabrielle Shebiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154738672 PECOS PAC ID: 9234421272 Enrollment ID: I20211122002183 |
| Provider Name | Jacquelyn Joseph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396361309 PECOS PAC ID: 6103215637 Enrollment ID: I20211122002311 |
| Provider Name | Morgan R Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134881972 PECOS PAC ID: 8527457050 Enrollment ID: I20211122002467 |
| Provider Name | James P Lawrence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144424524 PECOS PAC ID: 0749355477 Enrollment ID: I20211122003039 |
| Provider Name | Megan S Mcgeary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164793717 PECOS PAC ID: 7911397393 Enrollment ID: I20211129000197 |
| Provider Name | Aislinn Mcilvenny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851859599 PECOS PAC ID: 9537400262 Enrollment ID: I20211130002154 |
| Provider Name | Chloe Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215591219 PECOS PAC ID: 2769718907 Enrollment ID: I20211209002175 |
| Provider Name | Lisa P Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568822252 PECOS PAC ID: 8527344654 Enrollment ID: I20211210002126 |
| Provider Name | Maria M Rodriguez-santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053857136 PECOS PAC ID: 7618367293 Enrollment ID: I20211214002901 |
| Provider Name | Shereece W Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811659691 PECOS PAC ID: 4789075318 Enrollment ID: I20211215001854 |
| Provider Name | Allison Nicole Von Carlowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750871380 PECOS PAC ID: 9335493352 Enrollment ID: I20211217001520 |
| Provider Name | Tiffany a Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427215268 PECOS PAC ID: 7113944752 Enrollment ID: I20211221000777 |
| Provider Name | Mary Catherine G Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700558079 PECOS PAC ID: 0244621571 Enrollment ID: I20211222000174 |
| Provider Name | Charles Andrew Daly |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1396001590 PECOS PAC ID: 6002130176 Enrollment ID: I20211228000105 |
| Provider Name | Dawn M Smalls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164196689 PECOS PAC ID: 1850782947 Enrollment ID: I20211228001194 |
| Provider Name | Lauren G Lebeau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982814315 PECOS PAC ID: 3173601838 Enrollment ID: I20220104002822 |
| Provider Name | Kelli G Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013584341 PECOS PAC ID: 6507257367 Enrollment ID: I20220105001490 |
| Provider Name | April Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033466412 PECOS PAC ID: 9032500798 Enrollment ID: I20220106002707 |
| Provider Name | Sandra Rutigliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154642403 PECOS PAC ID: 1658594304 Enrollment ID: I20220112002965 |
| Provider Name | Robert F Labadie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710074851 PECOS PAC ID: 3971498221 Enrollment ID: I20220114000662 |
| Provider Name | Mariana Szuchmacher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114347051 PECOS PAC ID: 7517213291 Enrollment ID: I20220118002230 |
| Provider Name | Trevor B Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962935643 PECOS PAC ID: 2961756952 Enrollment ID: I20220119001460 |
| Provider Name | Kyra Elizabeth Varano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225636616 PECOS PAC ID: 2961894803 Enrollment ID: I20220126001678 |
| Provider Name | Eric James Palecek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316266273 PECOS PAC ID: 6305087297 Enrollment ID: I20220127002334 |
| Provider Name | Elizabeth V Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710645775 PECOS PAC ID: 0446643274 Enrollment ID: I20220131001268 |
| Provider Name | Caroline Ravenel Strange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609536002 PECOS PAC ID: 8426441270 Enrollment ID: I20220131002084 |
| Provider Name | Ryan J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021497 PECOS PAC ID: 8426331323 Enrollment ID: I20220131002494 |
| Provider Name | Reya Demirozu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629735451 PECOS PAC ID: 3678966389 Enrollment ID: I20220201002401 |
| Provider Name | Starr L Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427712637 PECOS PAC ID: 9537552252 Enrollment ID: I20220201002570 |
| Provider Name | Melissa R Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649743758 PECOS PAC ID: 9335532829 Enrollment ID: I20220204001154 |
| Provider Name | Cherry Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164956678 PECOS PAC ID: 9436422441 Enrollment ID: I20220215002504 |
| Provider Name | Emily Lynn Kobus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043751654 PECOS PAC ID: 9830475177 Enrollment ID: I20220222001502 |
| Provider Name | Carol G Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306378567 PECOS PAC ID: 8527331040 Enrollment ID: I20220222002344 |
| Provider Name | Kevin Horn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851658132 PECOS PAC ID: 1759600943 Enrollment ID: I20220223001285 |
| Provider Name | Eleanor G Hardy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962172668 PECOS PAC ID: 2860886504 Enrollment ID: I20220223001863 |
| Provider Name | Caitlin Elizabeth Abdullah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588321525 PECOS PAC ID: 3779977434 Enrollment ID: I20220223002660 |
| Provider Name | Zachary H Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104457613 PECOS PAC ID: 6002200698 Enrollment ID: I20220224001257 |
| Provider Name | Teresa Catherine Rice |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043576101 PECOS PAC ID: 4486893880 Enrollment ID: I20220225001288 |
| Provider Name | Nicole Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730830514 PECOS PAC ID: 9133513443 Enrollment ID: I20220303000076 |
| Provider Name | Antony Mikhail Gayed |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1801325550 PECOS PAC ID: 8921373440 Enrollment ID: I20220304000018 |
| Provider Name | Mason Ruthford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780113837 PECOS PAC ID: 2567738131 Enrollment ID: I20220307000128 |
| Provider Name | Bhishamjit Singh Chera |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265522593 PECOS PAC ID: 2466505763 Enrollment ID: I20220323001756 |
| Provider Name | William John Nixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942733894 PECOS PAC ID: 3779855689 Enrollment ID: I20220325001535 |
| Provider Name | Ashton E Getchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154913846 PECOS PAC ID: 2466848585 Enrollment ID: I20220329002121 |
| Provider Name | Jason G Newman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356378251 PECOS PAC ID: 7012997968 Enrollment ID: I20220330000440 |
| Provider Name | Jennifer M Reitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215335237 PECOS PAC ID: 7810281995 Enrollment ID: I20220330002735 |
| Provider Name | Rachel N Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295407195 PECOS PAC ID: 5991191678 Enrollment ID: I20220405002691 |
| Provider Name | Jan Marie Griffin |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1659632701 PECOS PAC ID: 1254551369 Enrollment ID: I20220407000116 |
| Provider Name | Tara Russell Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659951739 PECOS PAC ID: 5193111714 Enrollment ID: I20220407002627 |
| Provider Name | Caroline Y Nardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073957254 PECOS PAC ID: 7315262078 Enrollment ID: I20220413002839 |
| Provider Name | Carrie Ane Herzke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629254123 PECOS PAC ID: 1254409451 Enrollment ID: I20220413002853 |
| Provider Name | Yosra Alkabab |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396102497 PECOS PAC ID: 7810384021 Enrollment ID: I20220418001198 |
| Provider Name | Alexander Busch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821753369 PECOS PAC ID: 2466849625 Enrollment ID: I20220419000535 |
| Provider Name | Nadine L Lavassar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861146847 PECOS PAC ID: 4385031251 Enrollment ID: I20220422001430 |
| Provider Name | Alicia J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578110672 PECOS PAC ID: 0840622536 Enrollment ID: I20220426002492 |
| Provider Name | Steliyana S Bakalova-georgieva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790123859 PECOS PAC ID: 9931349875 Enrollment ID: I20220427002660 |
| Provider Name | Carolyn M Batie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851798250 PECOS PAC ID: 1850788431 Enrollment ID: I20220428002716 |
| Provider Name | Emma C Ricciardone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740934074 PECOS PAC ID: 1759778335 Enrollment ID: I20220428002754 |
| Provider Name | John Vincent Pastore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295786978 PECOS PAC ID: 4284689548 Enrollment ID: I20220428002805 |
| Provider Name | Anna Kingrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962158022 PECOS PAC ID: 5799172094 Enrollment ID: I20220504001803 |
| Provider Name | Cynthia D Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730293747 PECOS PAC ID: 4880589506 Enrollment ID: I20220505000359 |
| Provider Name | Shemika L Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215683891 PECOS PAC ID: 1759778046 Enrollment ID: I20220505001680 |
| Provider Name | Sonam Rama |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679226583 PECOS PAC ID: 8224415518 Enrollment ID: I20220505002026 |
| Provider Name | Kacie Lauren Blackwell Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225675218 PECOS PAC ID: 5496132227 Enrollment ID: I20220517003267 |
| Provider Name | Maria Emily Freitas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972157543 PECOS PAC ID: 7719216415 Enrollment ID: I20220518000330 |
| Provider Name | Christopher E Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174643662 PECOS PAC ID: 4385749878 Enrollment ID: I20220518001144 |
| Provider Name | Kennedy Goode Holcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477134880 PECOS PAC ID: 3971980525 Enrollment ID: I20220519002208 |
| Provider Name | Martin J Steine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306379490 PECOS PAC ID: 3779860820 Enrollment ID: I20220520001400 |
| Provider Name | Angela J Yoon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760486377 PECOS PAC ID: 0042216145 Enrollment ID: I20220524000394 |
| Provider Name | Sarah W Paddrik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578157756 PECOS PAC ID: 7315324787 Enrollment ID: I20220524003203 |
| Provider Name | Sue a Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639522691 PECOS PAC ID: 6103203575 Enrollment ID: I20220524003357 |
| Provider Name | Yolanda D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598366072 PECOS PAC ID: 2466839832 Enrollment ID: I20220524003400 |
| Provider Name | Christopher Michael Bowers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407368871 PECOS PAC ID: 5496133886 Enrollment ID: I20220525001175 |
| Provider Name | Byung Joo Lee |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396292876 PECOS PAC ID: 0749578003 Enrollment ID: I20220526000649 |
| Provider Name | Jospeph R Scalea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144423112 PECOS PAC ID: 1153546908 Enrollment ID: I20220531002560 |
| Provider Name | Carl Gunnar Forsberg |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184119539 PECOS PAC ID: 8123371820 Enrollment ID: I20220606001479 |
| Provider Name | Curt H Grob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396822391 PECOS PAC ID: 5698154961 Enrollment ID: I20220616000075 |
| Provider Name | Carrie a Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124768551 PECOS PAC ID: 3678952942 Enrollment ID: I20220616000150 |
| Provider Name | Deborah a Marrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538374798 PECOS PAC ID: 4385023647 Enrollment ID: I20220617000326 |
| Provider Name | Jonathan a Littlejohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023760931 PECOS PAC ID: 5395124556 Enrollment ID: I20220617000689 |
| Provider Name | Neil K Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619404159 PECOS PAC ID: 1951679596 Enrollment ID: I20220620000033 |
| Provider Name | Lauren a Boudreaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891379095 PECOS PAC ID: 1658750500 Enrollment ID: I20220623000418 |
| Provider Name | Alexander Van Kruysman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417692880 PECOS PAC ID: 2264811140 Enrollment ID: I20220623001380 |
| Provider Name | Brielle M Paolini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720512999 PECOS PAC ID: 0345594347 Enrollment ID: I20220623001500 |
| Provider Name | Haley C Sibley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396274189 PECOS PAC ID: 3274803705 Enrollment ID: I20220623001607 |
| Provider Name | Matthew Jonathan Graves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407348741 PECOS PAC ID: 8325391113 Enrollment ID: I20220623002220 |
| Provider Name | Stephen Andrew Thacker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740473289 PECOS PAC ID: 7315187374 Enrollment ID: I20220623002595 |
| Provider Name | Matthew Audie Hewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255994430 PECOS PAC ID: 3577898659 Enrollment ID: I20220623003146 |
| Provider Name | Haley M Brimmer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215672324 PECOS PAC ID: 9032598834 Enrollment ID: I20220624002188 |
| Provider Name | Kelli Mcfarling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053805572 PECOS PAC ID: 9133472830 Enrollment ID: I20220625000482 |
| Provider Name | Robert Earl Sean Bowen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750701447 PECOS PAC ID: 8426488099 Enrollment ID: I20220625000648 |
| Provider Name | Christopher Cordeiro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518463710 PECOS PAC ID: 4284971847 Enrollment ID: I20220625000655 |
| Provider Name | Tacorey S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619619228 PECOS PAC ID: 6901285600 Enrollment ID: I20220627003512 |
| Provider Name | Harrison B Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417302282 PECOS PAC ID: 3971897471 Enrollment ID: I20220628003677 |
| Provider Name | Madison Margaret Aspiri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396239018 PECOS PAC ID: 0840542262 Enrollment ID: I20220628003843 |
| Provider Name | Eliza Barnwell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568991859 PECOS PAC ID: 3678848769 Enrollment ID: I20220629000455 |
| Provider Name | Katherine R Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386179125 PECOS PAC ID: 2668720848 Enrollment ID: I20220629000779 |
| Provider Name | Brittany Austin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346739018 PECOS PAC ID: 3971856618 Enrollment ID: I20220629003320 |
| Provider Name | Anna Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104054501 PECOS PAC ID: 5496897902 Enrollment ID: I20220706001300 |
| Provider Name | Ellen Margaret Nielsen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689233157 PECOS PAC ID: 3870824881 Enrollment ID: I20220706001541 |
| Provider Name | Jody Elizabeth Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013647924 PECOS PAC ID: 3779963970 Enrollment ID: I20220706001719 |
| Provider Name | Pranav Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437513744 PECOS PAC ID: 2163713314 Enrollment ID: I20220706002326 |
| Provider Name | Jamel L Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164929972 PECOS PAC ID: 9234467481 Enrollment ID: I20220706002525 |
| Provider Name | Matthew Sherrier |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023540077 PECOS PAC ID: 3375923519 Enrollment ID: I20220706003158 |
| Provider Name | Daniel Chadwick Butler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851829071 PECOS PAC ID: 0042585242 Enrollment ID: I20220708003420 |
| Provider Name | Leonel Vasquez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750304457 PECOS PAC ID: 0547173510 Enrollment ID: I20220708003502 |
| Provider Name | Pedro Argoti Torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356623201 PECOS PAC ID: 9133392301 Enrollment ID: I20220712001170 |
| Provider Name | Hayley a Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457958944 PECOS PAC ID: 5496136178 Enrollment ID: I20220713002138 |
| Provider Name | Meg K Ospina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962069781 PECOS PAC ID: 6103157250 Enrollment ID: I20220713003530 |
| Provider Name | Anthony Jacob Emanuel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720516925 PECOS PAC ID: 4789959982 Enrollment ID: I20220718003542 |
| Provider Name | George B Carter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730564899 PECOS PAC ID: 6002161445 Enrollment ID: I20220718003639 |
| Provider Name | Aravind Menon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477968071 PECOS PAC ID: 6901025691 Enrollment ID: I20220718003674 |
| Provider Name | Bishnu P Dhakal |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700070117 PECOS PAC ID: 9739213224 Enrollment ID: I20220718003792 |
| Provider Name | Christopher Andrew Rangel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750730859 PECOS PAC ID: 2466731864 Enrollment ID: I20220718003858 |
| Provider Name | Stephanie M Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548932056 PECOS PAC ID: 5092196311 Enrollment ID: I20220719000112 |
| Provider Name | Dale S Gertz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437249133 PECOS PAC ID: 2466833603 Enrollment ID: I20220719001365 |
| Provider Name | Brittany L Dobson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336670546 PECOS PAC ID: 0143598870 Enrollment ID: I20220719003131 |
| Provider Name | Kelly Barton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851950729 PECOS PAC ID: 9234469537 Enrollment ID: I20220719003389 |
| Provider Name | Colleen a Gavigan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467814590 PECOS PAC ID: 4486940749 Enrollment ID: I20220719003493 |
| Provider Name | Christopher R Gilbert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104034453 PECOS PAC ID: 5698874840 Enrollment ID: I20220719003663 |
| Provider Name | Brittany Paige Depriest |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558723544 PECOS PAC ID: 2264763267 Enrollment ID: I20220719003700 |
| Provider Name | Harriet Hinen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790215655 PECOS PAC ID: 7618243775 Enrollment ID: I20220720003445 |
| Provider Name | Jessica Fragile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861142069 PECOS PAC ID: 7911388921 Enrollment ID: I20220722000829 |
| Provider Name | Mohamed Abdelwahab |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528679768 PECOS PAC ID: 7012336886 Enrollment ID: I20220727004360 |
| Provider Name | Benjamin R Kuhn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497878680 PECOS PAC ID: 4486822111 Enrollment ID: I20220728001002 |
| Provider Name | Christina M Abrams |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376920207 PECOS PAC ID: 6204157985 Enrollment ID: I20220728001248 |
| Provider Name | Rayphael Sebastian Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366001760 PECOS PAC ID: 1557692662 Enrollment ID: I20220728001433 |
| Provider Name | Kendall W Headden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154810331 PECOS PAC ID: 4385997162 Enrollment ID: I20220728002183 |
| Provider Name | Priyanka Ballal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568982502 PECOS PAC ID: 9234402330 Enrollment ID: I20220729000991 |
| Provider Name | Timothy J Horgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790166726 PECOS PAC ID: 7012203029 Enrollment ID: I20220729002934 |
| Provider Name | Alice Yinghui Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487180808 PECOS PAC ID: 4385026871 Enrollment ID: I20220730000121 |
| Provider Name | Katherine Vivian Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508285164 PECOS PAC ID: 8628474228 Enrollment ID: I20220730000163 |
| Provider Name | Katherine Marie Senf Wood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609364041 PECOS PAC ID: 0941553887 Enrollment ID: I20220730000487 |
| Provider Name | Ashtyn D Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588312011 PECOS PAC ID: 3274915111 Enrollment ID: I20220809001594 |
| Provider Name | Emily L Vara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689053522 PECOS PAC ID: 8729370762 Enrollment ID: I20220811000453 |
| Provider Name | Elizabeth a Monter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356848089 PECOS PAC ID: 5092198804 Enrollment ID: I20220811001253 |
| Provider Name | Cameron T Shiflett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497493647 PECOS PAC ID: 5294118014 Enrollment ID: I20220811001650 |
| Provider Name | Joshua J Sturm |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184146359 PECOS PAC ID: 8527441294 Enrollment ID: I20220812000158 |
| Provider Name | Anderson Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225653314 PECOS PAC ID: 5799104436 Enrollment ID: I20220818003830 |
| Provider Name | Alexander R Coltoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588026736 PECOS PAC ID: 0042564502 Enrollment ID: I20220822003507 |
| Provider Name | Jessica L Atkins |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1285000349 PECOS PAC ID: 0446559645 Enrollment ID: I20220822003578 |
| Provider Name | Gabriel Mark Klein |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1467710699 PECOS PAC ID: 2567867286 Enrollment ID: I20220823000118 |
| Provider Name | Ameet S Nagpal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982830758 PECOS PAC ID: 5799929634 Enrollment ID: I20220823000181 |
| Provider Name | Alexandra G Mills |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083146351 PECOS PAC ID: 9931449154 Enrollment ID: I20220824000054 |
| Provider Name | Robert Ravinsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508368101 PECOS PAC ID: 5698025773 Enrollment ID: I20220824000506 |
| Provider Name | Rashmi Dhakal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306266499 PECOS PAC ID: 9032437884 Enrollment ID: I20220826002385 |
| Provider Name | Lauren Nicole Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750743944 PECOS PAC ID: 4183008055 Enrollment ID: I20220826002761 |
| Provider Name | Chelsea a Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568131316 PECOS PAC ID: 7113301987 Enrollment ID: I20220826003152 |
| Provider Name | Elena Piorkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699419598 PECOS PAC ID: 7416331293 Enrollment ID: I20220827000314 |
| Provider Name | Jeanhyong D Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558628164 PECOS PAC ID: 4183856750 Enrollment ID: I20220827000524 |
| Provider Name | Rachel Miriam Kaplan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568889582 PECOS PAC ID: 0244534337 Enrollment ID: I20220827000580 |
| Provider Name | William Howell Jarrard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316477730 PECOS PAC ID: 2062781438 Enrollment ID: I20220827000609 |
| Provider Name | Jillian Grzeskiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265170112 PECOS PAC ID: 6800270695 Enrollment ID: I20220827000620 |
| Provider Name | Anthony Philip Carnicelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376956714 PECOS PAC ID: 1951528603 Enrollment ID: I20220827000628 |
| Provider Name | Erin Balog |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417937442 PECOS PAC ID: 8527442318 Enrollment ID: I20220827000636 |
| Provider Name | Richard Lueking |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912435397 PECOS PAC ID: 7517232218 Enrollment ID: I20220827000647 |
| Provider Name | Kristen Punshon Kyler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578121513 PECOS PAC ID: 7810227253 Enrollment ID: I20220827000661 |
| Provider Name | Michele L. Esposito |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568800373 PECOS PAC ID: 1254620750 Enrollment ID: I20220829001108 |
| Provider Name | Catherine R Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124757208 PECOS PAC ID: 3577947886 Enrollment ID: I20220906003225 |
| Provider Name | Katherine E Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598498321 PECOS PAC ID: 1658755962 Enrollment ID: I20220906003279 |
| Provider Name | Julianne C Gant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619543410 PECOS PAC ID: 3476937780 Enrollment ID: I20220906003296 |
| Provider Name | Christopher Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124680905 PECOS PAC ID: 2466836770 Enrollment ID: I20220906003328 |
| Provider Name | Andrea M Swartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013646504 PECOS PAC ID: 9032593249 Enrollment ID: I20220907000311 |
| Provider Name | Michael Rajala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821110040 PECOS PAC ID: 3678741337 Enrollment ID: I20220907000385 |
| Provider Name | Mary G Trageser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295465961 PECOS PAC ID: 7214311471 Enrollment ID: I20220907002131 |
| Provider Name | Kathryn L Padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922774199 PECOS PAC ID: 7012391279 Enrollment ID: I20220907002244 |
| Provider Name | Salvatore C Rametta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124558911 PECOS PAC ID: 8729462999 Enrollment ID: I20220907002757 |
| Provider Name | Kristen C Shrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699240937 PECOS PAC ID: 9436498714 Enrollment ID: I20220907002762 |
| Provider Name | Dirk J Van Der Windt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578825055 PECOS PAC ID: 3678992138 Enrollment ID: I20220907003799 |
| Provider Name | Emily L Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891424438 PECOS PAC ID: 2961886163 Enrollment ID: I20220907003898 |
| Provider Name | Hayley R Saway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447826664 PECOS PAC ID: 4789068982 Enrollment ID: I20220907003901 |
| Provider Name | Montana C Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366113649 PECOS PAC ID: 4385028588 Enrollment ID: I20220908000052 |
| Provider Name | Jessica Way Lozier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760836027 PECOS PAC ID: 5395039275 Enrollment ID: I20220908003044 |
| Provider Name | Nour El Hidek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760118111 PECOS PAC ID: 7416331574 Enrollment ID: I20220908003063 |
| Provider Name | Bernice L Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871980961 PECOS PAC ID: 0446580914 Enrollment ID: I20220908003361 |
| Provider Name | Andrew Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164928743 PECOS PAC ID: 3678821410 Enrollment ID: I20220909000325 |
| Provider Name | Michelle Sausan Hwang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770945917 PECOS PAC ID: 0941593545 Enrollment ID: I20220909001036 |
| Provider Name | Mark a Stacy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205910171 PECOS PAC ID: 9931188711 Enrollment ID: I20220909001825 |
| Provider Name | Randi Curtiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124513825 PECOS PAC ID: 8729331400 Enrollment ID: I20220909002798 |
| Provider Name | Rakin Hoq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902269608 PECOS PAC ID: 0749665800 Enrollment ID: I20220910000570 |
| Provider Name | Shaun Patrick Hinen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477041390 PECOS PAC ID: 4981957818 Enrollment ID: I20220913000693 |
| Provider Name | Alexandra Eva Kejner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801020466 PECOS PAC ID: 5294971081 Enrollment ID: I20220914001096 |
| Provider Name | Geoffrey a Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629418462 PECOS PAC ID: 8224251335 Enrollment ID: I20220914003595 |
| Provider Name | Meghan M Carter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578206702 PECOS PAC ID: 5395120109 Enrollment ID: I20220914003834 |
| Provider Name | Lauren E Fiorillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568774818 PECOS PAC ID: 0941512578 Enrollment ID: I20220916003312 |
| Provider Name | Ramsey M Wehbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457795502 PECOS PAC ID: 4082905765 Enrollment ID: I20220917000453 |
| Provider Name | Kathleen Marie Maksimowicz Mckinnon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922072602 PECOS PAC ID: 6608840764 Enrollment ID: I20220920000917 |
| Provider Name | Meghan H Duchene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962812362 PECOS PAC ID: 7214155548 Enrollment ID: I20220920001569 |
| Provider Name | Rustin Meister |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730566696 PECOS PAC ID: 0941558092 Enrollment ID: I20220921002974 |
| Provider Name | John Ernest Mckinnon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891944526 PECOS PAC ID: 5092883736 Enrollment ID: I20220930001410 |
| Provider Name | Briana Leigh Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164165866 PECOS PAC ID: 8820474547 Enrollment ID: I20221004002516 |
| Provider Name | William Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154819357 PECOS PAC ID: 1658620604 Enrollment ID: I20221006002685 |
| Provider Name | Mohamed Badreldin Elshazly |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710290721 PECOS PAC ID: 0840440913 Enrollment ID: I20221010002916 |
| Provider Name | Ghada Ashraf Ahmed Mahmoud Mohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750803730 PECOS PAC ID: 6709156706 Enrollment ID: I20221011000569 |
| Provider Name | Alison M Rookard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730639808 PECOS PAC ID: 6709153000 Enrollment ID: I20221011001268 |
| Provider Name | Genta Uehara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750942397 PECOS PAC ID: 0941530828 Enrollment ID: I20221012001473 |
| Provider Name | Halle E Field |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457627325 PECOS PAC ID: 4082851183 Enrollment ID: I20221013001667 |
| Provider Name | Rebeca E.A. Castellanos Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639803844 PECOS PAC ID: 3971979048 Enrollment ID: I20221013002660 |
| Provider Name | Mohanned M Mallah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891158457 PECOS PAC ID: 9436427291 Enrollment ID: I20221013003243 |
| Provider Name | Megan E Meyers |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467991406 PECOS PAC ID: 5890065882 Enrollment ID: I20221013003709 |
| Provider Name | Elizabeth B M Rinker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740424514 PECOS PAC ID: 2860706959 Enrollment ID: I20221014000240 |
| Provider Name | Michael Stephen Porrazzo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871536557 PECOS PAC ID: 0244426575 Enrollment ID: I20221014000687 |
| Provider Name | Nicholas Lariccia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073048484 PECOS PAC ID: 5395111439 Enrollment ID: I20221014001676 |
| Provider Name | Jessica C Langton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164194668 PECOS PAC ID: 0042686198 Enrollment ID: I20221014001933 |
| Provider Name | Genoveva Hurtado |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295461176 PECOS PAC ID: 8325414212 Enrollment ID: I20221018001408 |
| Provider Name | Sakshi Vaishnav |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609156801 PECOS PAC ID: 8820211352 Enrollment ID: I20221019000492 |
| Provider Name | Andrew P Keegan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780747527 PECOS PAC ID: 8224124193 Enrollment ID: I20221019003323 |
| Provider Name | Karley Dutra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396242723 PECOS PAC ID: 2769737733 Enrollment ID: I20221020002665 |
| Provider Name | Sarah M Medbery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467086983 PECOS PAC ID: 8426424110 Enrollment ID: I20221020002977 |
| Provider Name | Ciara M Styles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013531722 PECOS PAC ID: 0143649178 Enrollment ID: I20221024001370 |
| Provider Name | Amy S Noxon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700507480 PECOS PAC ID: 9537536917 Enrollment ID: I20221028001153 |
| Provider Name | Kathryn E Engelhartdt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497199558 PECOS PAC ID: 8628290517 Enrollment ID: I20221029000003 |
| Provider Name | Mary L Holland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922739226 PECOS PAC ID: 3173906880 Enrollment ID: I20221104001313 |
| Provider Name | Keenan Rosado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356068852 PECOS PAC ID: 2860869732 Enrollment ID: I20221106000062 |
| Provider Name | Meghan West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548982259 PECOS PAC ID: 9335516186 Enrollment ID: I20221108000356 |
| Provider Name | Brianna R Coulter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336862572 PECOS PAC ID: 6800263617 Enrollment ID: I20221108002921 |
| Provider Name | Bret T Loefstedt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770210106 PECOS PAC ID: 5597132316 Enrollment ID: I20221108003134 |
| Provider Name | Emily E Whitaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124501721 PECOS PAC ID: 9335483262 Enrollment ID: I20221109000928 |
| Provider Name | Jason Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649643727 PECOS PAC ID: 7315314077 Enrollment ID: I20221109001579 |
| Provider Name | Kelsie M Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255067484 PECOS PAC ID: 9739556408 Enrollment ID: I20221109001810 |
| Provider Name | Kristine L Meister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194374314 PECOS PAC ID: 5395112080 Enrollment ID: I20221109002674 |
| Provider Name | Whitney V Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265010797 PECOS PAC ID: 4981071685 Enrollment ID: I20221109003155 |
| Provider Name | Claire D Munhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366108284 PECOS PAC ID: 1951778661 Enrollment ID: I20221109003355 |
| Provider Name | Emily S Linde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730830472 PECOS PAC ID: 0547637159 Enrollment ID: I20221110000364 |
| Provider Name | Kimberly R Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093435653 PECOS PAC ID: 6305213901 Enrollment ID: I20221111000738 |
| Provider Name | Alexander James Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427700970 PECOS PAC ID: 6103293709 Enrollment ID: I20221111000822 |
| Provider Name | Sarah R Breevoort |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619409687 PECOS PAC ID: 2860745346 Enrollment ID: I20221117003161 |
| Provider Name | Kathryn N Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932632254 PECOS PAC ID: 9537537881 Enrollment ID: I20221117003370 |
| Provider Name | Kara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871232603 PECOS PAC ID: 4385012517 Enrollment ID: I20221120000060 |
| Provider Name | Brooklin R Trudell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639732050 PECOS PAC ID: 8628446762 Enrollment ID: I20221122001461 |
| Provider Name | John F Hughes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245687540 PECOS PAC ID: 3678849726 Enrollment ID: I20221122003318 |
| Provider Name | Joshua Tutek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922745074 PECOS PAC ID: 1557739588 Enrollment ID: I20221123001963 |
| Provider Name | Derek M Toth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891334025 PECOS PAC ID: 6901274828 Enrollment ID: I20221128002159 |
| Provider Name | Nicholas E Linde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811426737 PECOS PAC ID: 7416221411 Enrollment ID: I20221129000504 |
| Provider Name | Eve E Bahler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083342323 PECOS PAC ID: 2264800028 Enrollment ID: I20221129000861 |
| Provider Name | Margarita E Abella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609338300 PECOS PAC ID: 7315272796 Enrollment ID: I20221129003397 |
| Provider Name | Marie a Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750012787 PECOS PAC ID: 2062880719 Enrollment ID: I20221130001620 |
| Provider Name | Walter Bachman Beversdorf |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730615147 PECOS PAC ID: 1254721350 Enrollment ID: I20221130002493 |
| Provider Name | Ellen Meredith Maher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447637038 PECOS PAC ID: 4587975214 Enrollment ID: I20221206003031 |
| Provider Name | Zeeshan Azeem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295291409 PECOS PAC ID: 5193194595 Enrollment ID: I20221207000121 |
| Provider Name | Heather Lee Inch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235774357 PECOS PAC ID: 5698109635 Enrollment ID: I20221207001005 |
| Provider Name | Kelly G Passarello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639449697 PECOS PAC ID: 2163661885 Enrollment ID: I20221208000329 |
| Provider Name | Rohit Mittal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568788222 PECOS PAC ID: 2961641675 Enrollment ID: I20221208002031 |
| Provider Name | Waleed a Mohammed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518562438 PECOS PAC ID: 3971917519 Enrollment ID: I20221212000358 |
| Provider Name | Victoria M Sexton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326755745 PECOS PAC ID: 5991174054 Enrollment ID: I20221212001797 |
| Provider Name | Alison J Belleau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932869153 PECOS PAC ID: 9638548696 Enrollment ID: I20221213003301 |
| Provider Name | Anthony L Mayen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780189472 PECOS PAC ID: 8325392269 Enrollment ID: I20221219001814 |
| Provider Name | Abigail E Husk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447972963 PECOS PAC ID: 4284004839 Enrollment ID: I20221223000903 |
| Provider Name | James T Keen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447976154 PECOS PAC ID: 9638549983 Enrollment ID: I20221230001468 |
| Provider Name | Jessica Marie Hatfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073182879 PECOS PAC ID: 2163829409 Enrollment ID: I20230105001300 |
| Provider Name | Farzad Nourollah-zadeh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306451695 PECOS PAC ID: 1557731635 Enrollment ID: I20230105003241 |
| Provider Name | Briann N Weishar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629792908 PECOS PAC ID: 5597135608 Enrollment ID: I20230106001016 |
| Provider Name | Brock Chamberlain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356992515 PECOS PAC ID: 5395175418 Enrollment ID: I20230106001457 |
| Provider Name | Katelyn J Codd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457829442 PECOS PAC ID: 5991043028 Enrollment ID: I20230106002799 |
| Provider Name | Annie Doyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962129486 PECOS PAC ID: 7911377999 Enrollment ID: I20230109001771 |
| Provider Name | Naomi Faye Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790206530 PECOS PAC ID: 3971832239 Enrollment ID: I20230110000103 |
| Provider Name | Ryan F Carature |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447591920 PECOS PAC ID: 5890931885 Enrollment ID: I20230110001582 |
| Provider Name | Ryan J Beyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982994018 PECOS PAC ID: 5597902197 Enrollment ID: I20230112001695 |
| Provider Name | Elizabeth B Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316469638 PECOS PAC ID: 5294001012 Enrollment ID: I20230113000952 |
| Provider Name | Timothy M Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134616444 PECOS PAC ID: 3375890098 Enrollment ID: I20230124003507 |
| Provider Name | Victoria a Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184184574 PECOS PAC ID: 5395075006 Enrollment ID: I20230131001245 |
| Provider Name | Michael L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942918677 PECOS PAC ID: 1951773837 Enrollment ID: I20230203000082 |
| Provider Name | Megan Olivia Gilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811535750 PECOS PAC ID: 9537580089 Enrollment ID: I20230207003087 |
| Provider Name | Margaret C Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740917152 PECOS PAC ID: 7810369980 Enrollment ID: I20230218000520 |
| Provider Name | Amy Liao Askew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508251182 PECOS PAC ID: 5890020929 Enrollment ID: I20230222001532 |
| Provider Name | Brianna Chai |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861845497 PECOS PAC ID: 6709172141 Enrollment ID: I20230222002209 |
| Provider Name | Renee Michelle Rosati |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871025510 PECOS PAC ID: 3678843745 Enrollment ID: I20230223002082 |
| Provider Name | Anna V. Hyland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700134202 PECOS PAC ID: 3971751249 Enrollment ID: I20230223003103 |
| Provider Name | Andrea Sartori |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083000798 PECOS PAC ID: 4789990656 Enrollment ID: I20230227001871 |
| Provider Name | Shannon Pop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811616808 PECOS PAC ID: 4082087846 Enrollment ID: I20230227002674 |
| Provider Name | Marcy Lynn Nagpal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457644106 PECOS PAC ID: 0941457600 Enrollment ID: I20230301002952 |
| Provider Name | Erin Gilfoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518730423 PECOS PAC ID: 9234503038 Enrollment ID: I20230317001483 |
| Provider Name | Rebecca J Sill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689386161 PECOS PAC ID: 8224402029 Enrollment ID: I20230317001529 |
| Provider Name | Jillian M Prestigiacomo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922723642 PECOS PAC ID: 7517331333 Enrollment ID: I20230317002399 |
| Provider Name | Zachary M Hruska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083107866 PECOS PAC ID: 7810245099 Enrollment ID: I20230327002575 |
| Provider Name | Grace S Mcroy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801550413 PECOS PAC ID: 3971977125 Enrollment ID: I20230330000144 |
| Provider Name | Morgan J Todd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861008336 PECOS PAC ID: 3870968811 Enrollment ID: I20230405001468 |
| Provider Name | Justin D Woods |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720658339 PECOS PAC ID: 8123493178 Enrollment ID: I20230405002016 |
| Provider Name | Ahmed O Daoud |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154706950 PECOS PAC ID: 9032426754 Enrollment ID: I20230406000423 |
| Provider Name | Leslie Norris Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972167948 PECOS PAC ID: 7113396532 Enrollment ID: I20230413000035 |
| Provider Name | Haley a Eshelman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255783585 PECOS PAC ID: 4385924935 Enrollment ID: I20230418001422 |
| Provider Name | Jaya Christina Wall Ruffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861051609 PECOS PAC ID: 1759713688 Enrollment ID: I20230420001756 |
| Provider Name | Elizabeth Greer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730686684 PECOS PAC ID: 3779989264 Enrollment ID: I20230421000269 |
| Provider Name | Samantha E Silsbee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154950954 PECOS PAC ID: 8628482304 Enrollment ID: I20230426000192 |
| Provider Name | Emily Alexis Kleiman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477116713 PECOS PAC ID: 3678942067 Enrollment ID: I20230426001483 |
| Provider Name | Cameron BS Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558080846 PECOS PAC ID: 3274998943 Enrollment ID: I20230502001979 |
| Provider Name | Dana L Cundiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639873755 PECOS PAC ID: 5193180875 Enrollment ID: I20230502002435 |
| Provider Name | Grace M Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700586021 PECOS PAC ID: 1951766641 Enrollment ID: I20230502002799 |
| Provider Name | Angela J Shealy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033791611 PECOS PAC ID: 9133513401 Enrollment ID: I20230512000216 |
| Provider Name | Dante Ursini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598464422 PECOS PAC ID: 6800252099 Enrollment ID: I20230512001612 |
| Provider Name | Taryn Bentler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013613512 PECOS PAC ID: 7618333857 Enrollment ID: I20230515001292 |
| Provider Name | Meghan O'connor Mcchesney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730463225 PECOS PAC ID: 4183897952 Enrollment ID: I20230523003608 |
| Provider Name | Katherine Roge-jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215634340 PECOS PAC ID: 9335505924 Enrollment ID: I20230524002340 |
| Provider Name | Kathryn Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043921471 PECOS PAC ID: 8729444310 Enrollment ID: I20230524002719 |
| Provider Name | Asifhusen Abdulrahim Mansuri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699109579 PECOS PAC ID: 1355623596 Enrollment ID: I20230526000842 |
| Provider Name | Kallie W Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316647647 PECOS PAC ID: 1052778503 Enrollment ID: I20230530000123 |
| Provider Name | Thomas Wilson Faust |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861564304 PECOS PAC ID: 0941210033 Enrollment ID: I20230602001416 |
| Provider Name | Brianna Rhea Odum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043905540 PECOS PAC ID: 9931566189 Enrollment ID: I20230605000876 |
| Provider Name | Hunter W Jacques |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326529041 PECOS PAC ID: 5991040198 Enrollment ID: I20230609000062 |
| Provider Name | Kristin Hanula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821709965 PECOS PAC ID: 1052779071 Enrollment ID: I20230623002022 |
| Provider Name | Angela Michelle Allevi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720166986 PECOS PAC ID: 0840264040 Enrollment ID: I20230627001742 |
| Provider Name | Baotran Trannguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174015879 PECOS PAC ID: 7517215247 Enrollment ID: I20230627003245 |
| Provider Name | Caroline T.G. Rehfuss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982945119 PECOS PAC ID: 1951548528 Enrollment ID: I20230627003292 |
| Provider Name | Garth R Swanson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538335385 PECOS PAC ID: 8224066337 Enrollment ID: I20230627003379 |
| Provider Name | Michelle L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982355467 PECOS PAC ID: 6800255597 Enrollment ID: I20230628002503 |
| Provider Name | Natasha Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639681919 PECOS PAC ID: 6507198603 Enrollment ID: I20230628003064 |
| Provider Name | Elliot M Frohman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689630147 PECOS PAC ID: 9032253059 Enrollment ID: I20230628003437 |
| Provider Name | Tara Anne Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700550670 PECOS PAC ID: 9830594605 Enrollment ID: I20230629000243 |
| Provider Name | Deani H Mcvadon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174917645 PECOS PAC ID: 4981911211 Enrollment ID: I20230629002391 |
| Provider Name | Mark Allen Miller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083680367 PECOS PAC ID: 2668783473 Enrollment ID: I20230629002666 |
| Provider Name | Derek J Shirey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467913608 PECOS PAC ID: 7416316054 Enrollment ID: I20230629003507 |
| Provider Name | Katherine T Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770238321 PECOS PAC ID: 8022477694 Enrollment ID: I20230630000137 |
| Provider Name | Derlis Christian Fleitas Sosa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033630314 PECOS PAC ID: 5092138693 Enrollment ID: I20230630000357 |
| Provider Name | Frances K Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285742155 PECOS PAC ID: 2860851383 Enrollment ID: I20230630002491 |
| Provider Name | Austin Frederick Weyant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205331220 PECOS PAC ID: 9830448851 Enrollment ID: I20230703002086 |
| Provider Name | Colin Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023571122 PECOS PAC ID: 6103151550 Enrollment ID: I20230703002183 |
| Provider Name | Emily E Bay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588159438 PECOS PAC ID: 0749533750 Enrollment ID: I20230703002860 |
| Provider Name | Emma Bacharach |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932603024 PECOS PAC ID: 9133471089 Enrollment ID: I20230703002950 |
| Provider Name | Hao Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669962940 PECOS PAC ID: 7810240793 Enrollment ID: I20230703003026 |
| Provider Name | Jamison S Bottomley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891485751 PECOS PAC ID: 0941669386 Enrollment ID: I20230703003089 |
| Provider Name | Laura E Lach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558893990 PECOS PAC ID: 5890114961 Enrollment ID: I20230705003325 |
| Provider Name | Morgan Goodyear |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174018055 PECOS PAC ID: 8628321437 Enrollment ID: I20230707002269 |
| Provider Name | Shannon N Grube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558050559 PECOS PAC ID: 5799144721 Enrollment ID: I20230707003229 |
| Provider Name | Vishwajeeth Reddy Pasham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538727805 PECOS PAC ID: 9133450125 Enrollment ID: I20230707003477 |
| Provider Name | Benjamin Djulbegovic |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1649201740 PECOS PAC ID: 7315029709 Enrollment ID: I20230710003408 |
| Provider Name | Kelly M Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962187260 PECOS PAC ID: 1355701798 Enrollment ID: I20230718001136 |
| Provider Name | Brenda a Alvarado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831713569 PECOS PAC ID: 2062831647 Enrollment ID: I20230719000101 |
| Provider Name | Madelyn Stevens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255828497 PECOS PAC ID: 6103176805 Enrollment ID: I20230719001866 |
| Provider Name | Samiha T Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578187183 PECOS PAC ID: 7517385016 Enrollment ID: I20230719003688 |
| Provider Name | Ashley Lorraine Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679927198 PECOS PAC ID: 5496040131 Enrollment ID: I20230719004202 |
| Provider Name | Taylor J Orellana |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1104288489 PECOS PAC ID: 8921478405 Enrollment ID: I20230720002361 |
| Provider Name | Caroline Sam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104440205 PECOS PAC ID: 1951720903 Enrollment ID: I20230720004190 |
| Provider Name | Don a Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437773496 PECOS PAC ID: 5496143844 Enrollment ID: I20230721002469 |
| Provider Name | Chuma Obineme |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386175552 PECOS PAC ID: 1850664038 Enrollment ID: I20230725000240 |
| Provider Name | Alex Rider |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932660958 PECOS PAC ID: 9638577893 Enrollment ID: I20230726002455 |
| Provider Name | Dawn M Boender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477849941 PECOS PAC ID: 0345497111 Enrollment ID: I20230726003126 |
| Provider Name | Peter R Dixon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023781275 PECOS PAC ID: 6103287941 Enrollment ID: I20230726003537 |
| Provider Name | Jaime Luis Martinez Santos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528442217 PECOS PAC ID: 0446568307 Enrollment ID: I20230726003650 |
| Provider Name | Vivek Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104317080 PECOS PAC ID: 4082962923 Enrollment ID: I20230727000494 |
| Provider Name | Kristen Ann Lancaster |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1508398025 PECOS PAC ID: 7315368933 Enrollment ID: I20230727000817 |
| Provider Name | Reshma K Reddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881049690 PECOS PAC ID: 4486945417 Enrollment ID: I20230727001056 |
| Provider Name | Rachel La Rue Spurrier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902369226 PECOS PAC ID: 6507280211 Enrollment ID: I20230727001763 |
| Provider Name | Rosemary S Moak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720602170 PECOS PAC ID: 5698194751 Enrollment ID: I20230727003690 |
| Provider Name | Elisa G Bath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023736626 PECOS PAC ID: 9032570510 Enrollment ID: I20230731003619 |
| Provider Name | Andres Ospina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073138301 PECOS PAC ID: 5193144715 Enrollment ID: I20230801000869 |
| Provider Name | Benjamin Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952098659 PECOS PAC ID: 8426419953 Enrollment ID: I20230801001232 |
| Provider Name | Cameron P Mitro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023646007 PECOS PAC ID: 3779906201 Enrollment ID: I20230801003436 |
| Provider Name | Beth D Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255821690 PECOS PAC ID: 9234590597 Enrollment ID: I20230802003082 |
| Provider Name | Katie Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609550060 PECOS PAC ID: 1456713403 Enrollment ID: I20230808003635 |
| Provider Name | Gina S Perez Giraldo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750803904 PECOS PAC ID: 7315349107 Enrollment ID: I20230809000377 |
| Provider Name | Rita Nanik Bakhru |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750408126 PECOS PAC ID: 8426100918 Enrollment ID: I20230809002925 |
| Provider Name | Guilherme BF Porto |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821447731 PECOS PAC ID: 1850671280 Enrollment ID: I20230810004439 |
| Provider Name | Kelly Michelle Roelf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013411438 PECOS PAC ID: 2961864624 Enrollment ID: I20230811000773 |
| Provider Name | Anna D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811590573 PECOS PAC ID: 2567824238 Enrollment ID: I20230811001284 |
| Provider Name | Emily Rosenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639550932 PECOS PAC ID: 4880999424 Enrollment ID: I20230814003062 |
| Provider Name | Andrew J Picca |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518493972 PECOS PAC ID: 4385910322 Enrollment ID: I20230814003241 |
| Provider Name | Taylor B Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945586 PECOS PAC ID: 5698137289 Enrollment ID: I20230814003334 |
| Provider Name | Jennifer Rosemary Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194163113 PECOS PAC ID: 4082957816 Enrollment ID: I20230816001476 |
| Provider Name | Season Dawn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851989198 PECOS PAC ID: 2567876279 Enrollment ID: I20230817000371 |
| Provider Name | Samantha J Minkin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487016903 PECOS PAC ID: 5698068492 Enrollment ID: I20230817000565 |
| Provider Name | Angela P Dempsey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063159978 PECOS PAC ID: 6103288519 Enrollment ID: I20230817000833 |
| Provider Name | Lloyd Mcpherson Felmly |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790166338 PECOS PAC ID: 9335457282 Enrollment ID: I20230817001157 |
| Provider Name | Kelly Engle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619461134 PECOS PAC ID: 0941553614 Enrollment ID: I20230817001492 |
| Provider Name | Rebecca Caroline Crowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407413479 PECOS PAC ID: 2860722931 Enrollment ID: I20230817002490 |
| Provider Name | Megan C Kemp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053769778 PECOS PAC ID: 4385939057 Enrollment ID: I20230817004098 |
| Provider Name | Rachel Michelle Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235829540 PECOS PAC ID: 0749642023 Enrollment ID: I20230817004189 |
| Provider Name | Hoang D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730748369 PECOS PAC ID: 3577893429 Enrollment ID: I20230818001334 |
| Provider Name | Alexandra Parashos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457881674 PECOS PAC ID: 1951676477 Enrollment ID: I20230821000773 |
| Provider Name | Kirkpatrick James Gillen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649763954 PECOS PAC ID: 4880947670 Enrollment ID: I20230821002528 |
| Provider Name | Courtney Elizabeth Harris |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245694744 PECOS PAC ID: 0840582920 Enrollment ID: I20230821002778 |
| Provider Name | Vida R Strickland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649712738 PECOS PAC ID: 3678983657 Enrollment ID: I20230821002880 |
| Provider Name | Ammar O Mahmood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972166429 PECOS PAC ID: 5799147807 Enrollment ID: I20230821003021 |
| Provider Name | Jordan M Jenkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720776529 PECOS PAC ID: 7012379126 Enrollment ID: I20230821003214 |
| Provider Name | Dana Faye Aman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164060182 PECOS PAC ID: 3173950359 Enrollment ID: I20230821003513 |
| Provider Name | Solomon Hayon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023544046 PECOS PAC ID: 1557630050 Enrollment ID: I20230821003555 |
| Provider Name | Jerome Lawrence Fay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659908507 PECOS PAC ID: 9436579331 Enrollment ID: I20230821003719 |
| Provider Name | Johnny D Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043835531 PECOS PAC ID: 1951729730 Enrollment ID: I20230821003813 |
| Provider Name | Sarah Brice Russo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548758907 PECOS PAC ID: 2769735612 Enrollment ID: I20230821004133 |
| Provider Name | Abigail E Dy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245729755 PECOS PAC ID: 7012260193 Enrollment ID: I20230822000014 |
| Provider Name | Abbigail L Hutchison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669034666 PECOS PAC ID: 8820325921 Enrollment ID: I20230822000027 |
| Provider Name | Rebekka K Killinger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437644747 PECOS PAC ID: 0749689651 Enrollment ID: I20230822000098 |
| Provider Name | Vinay K Rathi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437513694 PECOS PAC ID: 5698060119 Enrollment ID: I20230823000593 |
| Provider Name | Vishal N Rao |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1639563703 PECOS PAC ID: 9739409772 Enrollment ID: I20230824003729 |
| Provider Name | Sarah Rice Stender |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124682463 PECOS PAC ID: 1153651773 Enrollment ID: I20230824003909 |
| Provider Name | Brenden J Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861051518 PECOS PAC ID: 5597095661 Enrollment ID: I20230824004113 |
| Provider Name | Melissa Ann Mahajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205494382 PECOS PAC ID: 9739410887 Enrollment ID: I20230825002735 |
| Provider Name | Chloe Peche Regalado |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891354353 PECOS PAC ID: 6901136019 Enrollment ID: I20230825002917 |
| Provider Name | James E Eubanks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902123375 PECOS PAC ID: 1557490729 Enrollment ID: I20230825003005 |
| Provider Name | Daniel J Ritter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740715655 PECOS PAC ID: 6507136504 Enrollment ID: I20230828002088 |
| Provider Name | Chau N Vo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255728945 PECOS PAC ID: 6406160829 Enrollment ID: I20230828002354 |
| Provider Name | Virginia Pedigo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366067910 PECOS PAC ID: 1254750722 Enrollment ID: I20230831000439 |
| Provider Name | Sonali Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245680123 PECOS PAC ID: 2769845080 Enrollment ID: I20230901002824 |
| Provider Name | Andrew Nader Ameri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083146872 PECOS PAC ID: 3274939269 Enrollment ID: I20230905004010 |
| Provider Name | Justin Harold |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1588026652 PECOS PAC ID: 0547525644 Enrollment ID: I20230905004173 |
| Provider Name | Ben a Strickland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003232802 PECOS PAC ID: 1456609270 Enrollment ID: I20230907000045 |
| Provider Name | Stefany Scaringi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538844733 PECOS PAC ID: 0840654000 Enrollment ID: I20230907000587 |
| Provider Name | Thai H Ho |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326054115 PECOS PAC ID: 3375679491 Enrollment ID: I20230908000956 |
| Provider Name | Alan Peh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790343564 PECOS PAC ID: 0244560324 Enrollment ID: I20230908002183 |
| Provider Name | Robert R Devita |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922539345 PECOS PAC ID: 0941570774 Enrollment ID: I20230908002378 |
| Provider Name | Tyler Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659931475 PECOS PAC ID: 4789914870 Enrollment ID: I20230911000881 |
| Provider Name | Skyler H Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730887720 PECOS PAC ID: 5193189900 Enrollment ID: I20230913000245 |
| Provider Name | Mitali Mehta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366977647 PECOS PAC ID: 6406274174 Enrollment ID: I20230913000934 |
| Provider Name | Kevin K Roggin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811004179 PECOS PAC ID: 6709810369 Enrollment ID: I20230914001341 |
| Provider Name | Kirsten Danielle Meenan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558892794 PECOS PAC ID: 9739454414 Enrollment ID: I20230914001640 |
| Provider Name | Laura E Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346954773 PECOS PAC ID: 3072977610 Enrollment ID: I20230914001909 |
| Provider Name | Lindsay R Rucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992268775 PECOS PAC ID: 9638533292 Enrollment ID: I20230914002785 |
| Provider Name | Mary Louise Kistler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568162246 PECOS PAC ID: 2769846336 Enrollment ID: I20230914003552 |
| Provider Name | Peter Karl Schnaak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184183105 PECOS PAC ID: 7911361597 Enrollment ID: I20230914003731 |
| Provider Name | Howard Y Li |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083651012 PECOS PAC ID: 2567522360 Enrollment ID: I20230914004024 |
| Provider Name | Douglas J Cassidy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245619154 PECOS PAC ID: 5890001069 Enrollment ID: I20230915002031 |
| Provider Name | Brandon L Rogalski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548794647 PECOS PAC ID: 8426328329 Enrollment ID: I20230915002941 |
| Provider Name | Lakeshia N Craig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538523444 PECOS PAC ID: 7315237039 Enrollment ID: I20230915003476 |
| Provider Name | Steven J Simonte |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1487657615 PECOS PAC ID: 2860399086 Enrollment ID: I20230918001025 |
| Provider Name | Kaitlyn Marie Pereira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972178606 PECOS PAC ID: 3476959008 Enrollment ID: I20230918002431 |
| Provider Name | Caitlyn Nicole Gallagher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629607528 PECOS PAC ID: 1254755549 Enrollment ID: I20230918004269 |
| Provider Name | Sophia S Urban |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790278703 PECOS PAC ID: 5991058695 Enrollment ID: I20230921002054 |
| Provider Name | Kateland M Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417639048 PECOS PAC ID: 7719331925 Enrollment ID: I20230921002418 |
| Provider Name | Lisa H Betz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861856759 PECOS PAC ID: 9133411374 Enrollment ID: I20230923000722 |
| Provider Name | Andrea M Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063876019 PECOS PAC ID: 3971920083 Enrollment ID: I20230927003708 |
| Provider Name | Virginia E Mashack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760942759 PECOS PAC ID: 8224369939 Enrollment ID: I20231006002621 |
| Provider Name | Abirami Sivapiragasam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972930998 PECOS PAC ID: 7517271794 Enrollment ID: I20231009002471 |
| Provider Name | Magda Haj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831714666 PECOS PAC ID: 0244659704 Enrollment ID: I20231009002749 |
| Provider Name | Matthew C Hulse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619261310 PECOS PAC ID: 1658516745 Enrollment ID: I20231010001437 |
| Provider Name | Beverly F Steele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659931574 PECOS PAC ID: 3072843143 Enrollment ID: I20231010003564 |
| Provider Name | Carlyn S Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679250468 PECOS PAC ID: 6204281207 Enrollment ID: I20231011002103 |
| Provider Name | David Brian Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609956192 PECOS PAC ID: 1658475512 Enrollment ID: I20231011003242 |
| Provider Name | Leigh a Tollison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902589955 PECOS PAC ID: 9739534769 Enrollment ID: I20231011003678 |
| Provider Name | Mark J Rosenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801454830 PECOS PAC ID: 5294067419 Enrollment ID: I20231011003927 |
| Provider Name | Melissa a Walser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902599269 PECOS PAC ID: 7315392354 Enrollment ID: I20231011003959 |
| Provider Name | Sofia Beatriz Arango Mendoza |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790275519 PECOS PAC ID: 0042693020 Enrollment ID: I20231012001037 |
| Provider Name | Mariam Moshiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407064421 PECOS PAC ID: 1052345345 Enrollment ID: I20231012002784 |
| Provider Name | Rayna M Grothe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346210572 PECOS PAC ID: 4183518780 Enrollment ID: I20231012003022 |
| Provider Name | Thomas N Schriefer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245234269 PECOS PAC ID: 4587626478 Enrollment ID: I20231012003725 |
| Provider Name | Jennifer Nicole Schmidt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1063860476 PECOS PAC ID: 8628366127 Enrollment ID: I20231013000272 |
| Provider Name | Mary Katherine Bryant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174901540 PECOS PAC ID: 1153633151 Enrollment ID: I20231013000353 |
| Provider Name | Kimberley Monique Youkhana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972998011 PECOS PAC ID: 2365746252 Enrollment ID: I20231016003384 |
| Provider Name | Yara Younan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578095543 PECOS PAC ID: 9032468020 Enrollment ID: I20231017001645 |
| Provider Name | Heather Bunch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447942479 PECOS PAC ID: 0446605000 Enrollment ID: I20231017002263 |
| Provider Name | Aaron J Cunningham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649666009 PECOS PAC ID: 7810205549 Enrollment ID: I20231018001964 |
| Provider Name | Maggie L Westfal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881007870 PECOS PAC ID: 6709003569 Enrollment ID: I20231019003161 |
| Provider Name | Alexandra Zacaroli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851037626 PECOS PAC ID: 7810374501 Enrollment ID: I20231019003847 |
| Provider Name | Clark Patrick Wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619472354 PECOS PAC ID: 0648520866 Enrollment ID: I20231020002763 |
| Provider Name | Arnold-peter Weiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164470597 PECOS PAC ID: 8729110051 Enrollment ID: I20231023000160 |
| Provider Name | Travis L Ferguson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346698289 PECOS PAC ID: 4587952098 Enrollment ID: I20231024004006 |
| Provider Name | Julia Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700569209 PECOS PAC ID: 2264888346 Enrollment ID: I20231025002837 |
| Provider Name | Larissa Gouvea |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497533517 PECOS PAC ID: 6103272208 Enrollment ID: I20231025003831 |
| Provider Name | Brooke Alexandra Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851179360 PECOS PAC ID: 8325494461 Enrollment ID: I20231026001511 |
| Provider Name | Sally Geese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568249738 PECOS PAC ID: 2961301924 Enrollment ID: I20231026003063 |
| Provider Name | Jennifer Lauren Duepner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104605385 PECOS PAC ID: 0840646824 Enrollment ID: I20231026003974 |
| Provider Name | William J Schandall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063195816 PECOS PAC ID: 1658727656 Enrollment ID: I20231027000496 |
| Provider Name | Karen M Rivera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164208336 PECOS PAC ID: 5092161018 Enrollment ID: I20231027001412 |
| Provider Name | Daniel Slade |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013404847 PECOS PAC ID: 1153675160 Enrollment ID: I20231028000618 |
| Provider Name | Elizabeth B Fudge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801009782 PECOS PAC ID: 1759309495 Enrollment ID: I20231030000547 |
| Provider Name | James B. Sincebaugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235661711 PECOS PAC ID: 8022381862 Enrollment ID: I20231030000677 |
| Provider Name | Kristin M Capone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053608836 PECOS PAC ID: 8729206305 Enrollment ID: I20231030000723 |
| Provider Name | Kelvey Richards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164039749 PECOS PAC ID: 2668868423 Enrollment ID: I20231030002025 |
| Provider Name | Courtney Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972387330 PECOS PAC ID: 1153777073 Enrollment ID: I20231030002088 |
| Provider Name | Lindsay Mezzadri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982381687 PECOS PAC ID: 8729434550 Enrollment ID: I20231030002780 |
| Provider Name | Brian Edward Lally |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114102407 PECOS PAC ID: 5698857241 Enrollment ID: I20231031000273 |
| Provider Name | Susan Ersig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760522064 PECOS PAC ID: 1658727300 Enrollment ID: I20231101000287 |
| Provider Name | Emily Jordan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164112389 PECOS PAC ID: 1951757624 Enrollment ID: I20231101001133 |
| Provider Name | Wei Li Adeline Koay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093074783 PECOS PAC ID: 4587979158 Enrollment ID: I20231101001418 |
| Provider Name | Robert Weil |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487622122 PECOS PAC ID: 4385616358 Enrollment ID: I20231101002182 |
| Provider Name | Jessica Lee Lawler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922675636 PECOS PAC ID: 0244623163 Enrollment ID: I20231101003427 |
| Provider Name | Danielle C Krukowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932814878 PECOS PAC ID: 9133575749 Enrollment ID: I20231101003484 |
| Provider Name | Eltiprise Kosobud-sossamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629855796 PECOS PAC ID: 8022464635 Enrollment ID: I20231101003572 |
| Provider Name | Madison B Sheheane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114706777 PECOS PAC ID: 7012364607 Enrollment ID: I20231102003513 |
| Provider Name | Braden Pa-c Roark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710767025 PECOS PAC ID: 7719334333 Enrollment ID: I20231103000652 |
| Provider Name | Philip Alexandria Kyles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164080222 PECOS PAC ID: 1254764848 Enrollment ID: I20231103000685 |
| Provider Name | Natasha R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104607191 PECOS PAC ID: 3971950593 Enrollment ID: I20231103000790 |
| Provider Name | Adam M Jurdak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477056380 PECOS PAC ID: 3274980826 Enrollment ID: I20231103002181 |
| Provider Name | Jessica R Brister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316626005 PECOS PAC ID: 0244687804 Enrollment ID: I20231103002768 |
| Provider Name | Robert a Utsman |
|---|---|
| Provider Type | Practitioner - Orofacial Pain |
| Provider Identifiers | NPI Number: 1386838068 PECOS PAC ID: 9436506979 Enrollment ID: I20231106002034 |
| Provider Name | Thomas Scagnelli |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467408732 PECOS PAC ID: 5294736765 Enrollment ID: I20231106003630 |
| Provider Name | Emily M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396523528 PECOS PAC ID: 2466809850 Enrollment ID: I20231107000473 |
| Provider Name | Rebecca T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215635529 PECOS PAC ID: 7113374521 Enrollment ID: I20231107001269 |
| Provider Name | Elizabeth L Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447368303 PECOS PAC ID: 7911354261 Enrollment ID: I20231108003408 |
| Provider Name | Grace Catherine Bertoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235864133 PECOS PAC ID: 2062869217 Enrollment ID: I20231108003609 |
| Provider Name | Delanie Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164203121 PECOS PAC ID: 4880041037 Enrollment ID: I20231108003613 |
| Provider Name | Jenna K Long |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659882975 PECOS PAC ID: 1456708601 Enrollment ID: I20231108003999 |
| Provider Name | Callah Christine West |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972034353 PECOS PAC ID: 9537432877 Enrollment ID: I20231109001962 |
| Provider Name | Ian Laxina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265952634 PECOS PAC ID: 1759704893 Enrollment ID: I20231112000094 |
| Provider Name | Lindsay E Mohney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235557315 PECOS PAC ID: 1658699335 Enrollment ID: I20231114002380 |
| Provider Name | Allison Marie Wade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750169280 PECOS PAC ID: 5294182192 Enrollment ID: I20231115000931 |
| Provider Name | Emily Caroline Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003462334 PECOS PAC ID: 2264764018 Enrollment ID: I20231116001128 |
| Provider Name | Ashley L Kidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457066391 PECOS PAC ID: 5890142558 Enrollment ID: I20231117000736 |
| Provider Name | Komal P Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033692488 PECOS PAC ID: 6800134693 Enrollment ID: I20231117001563 |
| Provider Name | Hao Hao Tang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093058158 PECOS PAC ID: 7618272998 Enrollment ID: I20231121001332 |
| Provider Name | Kathryn Kitching |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700666989 PECOS PAC ID: 4183072747 Enrollment ID: I20231121002118 |
| Provider Name | Shelli F Ciandella |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1861952590 PECOS PAC ID: 9133459829 Enrollment ID: I20231121002169 |
| Provider Name | Santosh Nagaraju |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497168595 PECOS PAC ID: 6406141969 Enrollment ID: I20231122000957 |
| Provider Name | Uwe Blecker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225013527 PECOS PAC ID: 2163497488 Enrollment ID: I20231122001849 |
| Provider Name | Wendy Lyn C Estrellado |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922298363 PECOS PAC ID: 3870685217 Enrollment ID: I20231122002847 |
| Provider Name | Amanda G Beverly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902511108 PECOS PAC ID: 8224486600 Enrollment ID: I20231122003327 |
| Provider Name | Jadranka Popovic |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538100193 PECOS PAC ID: 5991801805 Enrollment ID: I20231127001755 |
| Provider Name | Austin Ditmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922569946 PECOS PAC ID: 5395178602 Enrollment ID: I20231128000994 |
| Provider Name | Cynthia Leigh Foxx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932657962 PECOS PAC ID: 9133400971 Enrollment ID: I20231128003412 |
| Provider Name | Jennifer L Hirchert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184978025 PECOS PAC ID: 8628426764 Enrollment ID: I20231129002536 |
| Provider Name | Anna Brady |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548587660 PECOS PAC ID: 4789808668 Enrollment ID: I20231129003159 |
| Provider Name | Silvana Saleme Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447383096 PECOS PAC ID: 9234235557 Enrollment ID: I20231130001100 |
| Provider Name | Ladan Davallow Ghajar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902246481 PECOS PAC ID: 0941636252 Enrollment ID: I20231130003435 |
| Provider Name | Sara M Witcraft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407408891 PECOS PAC ID: 2567810567 Enrollment ID: I20231201001333 |
| Provider Name | Sergio L Pinski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497715387 PECOS PAC ID: 6507059615 Enrollment ID: I20231201002575 |
| Provider Name | Lindsey D Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275285439 PECOS PAC ID: 6901290873 Enrollment ID: I20231204000537 |
| Provider Name | William Seth Magin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619354040 PECOS PAC ID: 5496174450 Enrollment ID: I20231204002375 |
| Provider Name | William G Hawkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538187257 PECOS PAC ID: 7214907500 Enrollment ID: I20231205003728 |
| Provider Name | Kiara Baylock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174923924 PECOS PAC ID: 5597114181 Enrollment ID: I20231207002662 |
| Provider Name | Kristen K Gruss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275031809 PECOS PAC ID: 9032472915 Enrollment ID: I20231208002107 |
| Provider Name | Linsie Zhang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073299749 PECOS PAC ID: 2567811045 Enrollment ID: I20231208002300 |
| Provider Name | Chesika Judyth Crump |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275161929 PECOS PAC ID: 6103206172 Enrollment ID: I20231214003586 |
| Provider Name | Madison T Gilinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740935238 PECOS PAC ID: 9537530597 Enrollment ID: I20231219004159 |
| Provider Name | Eden P Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053198218 PECOS PAC ID: 7911357710 Enrollment ID: I20231219004206 |
| Provider Name | Jessica M Rodriguez-west |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174397061 PECOS PAC ID: 9931559622 Enrollment ID: I20231220004171 |
| Provider Name | Myranda M Valyear |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568248961 PECOS PAC ID: 0941650642 Enrollment ID: I20231221000257 |
| Provider Name | Tristan Rory Shennan Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972063238 PECOS PAC ID: 5193056893 Enrollment ID: I20231229001885 |
| Provider Name | Joseph Ryan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013477892 PECOS PAC ID: 0648500314 Enrollment ID: I20240102003888 |
| Provider Name | Michael Austin Coker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467915017 PECOS PAC ID: 0941629901 Enrollment ID: I20240102004194 |
| Provider Name | Emily J Ryttse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750154613 PECOS PAC ID: 8527418565 Enrollment ID: I20240103001207 |
| Provider Name | Lisa Michelle Samuelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043771405 PECOS PAC ID: 7810220571 Enrollment ID: I20240103002895 |
| Provider Name | Stephen Veideman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841723434 PECOS PAC ID: 6507107232 Enrollment ID: I20240108005311 |
| Provider Name | Cole J Buchanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932660321 PECOS PAC ID: 7517291123 Enrollment ID: I20240111004030 |
| Provider Name | Lauren Breor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710438569 PECOS PAC ID: 2264700129 Enrollment ID: I20240112002252 |
| Provider Name | Vanessa L Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013324417 PECOS PAC ID: 4385980945 Enrollment ID: I20240112003258 |
| Provider Name | Marisa Lombardo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730965211 PECOS PAC ID: 9335591338 Enrollment ID: I20240116000384 |
| Provider Name | Alexi M Alikakos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467938274 PECOS PAC ID: 3072932953 Enrollment ID: I20240116004361 |
| Provider Name | Colleen Marie Holewa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548654049 PECOS PAC ID: 7810216124 Enrollment ID: I20240118002879 |
| Provider Name | Clara R Couch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134802713 PECOS PAC ID: 9537511944 Enrollment ID: I20240122003716 |
| Provider Name | Jennifer a Nordby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821089459 PECOS PAC ID: 0840643623 Enrollment ID: I20240129001065 |
| Provider Name | Krishna Bhandari |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922607217 PECOS PAC ID: 4789037326 Enrollment ID: I20240130002555 |
| Provider Name | Lauren a Kirkland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487422937 PECOS PAC ID: 0446603898 Enrollment ID: I20240201001384 |
| Provider Name | Nathan B Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811519556 PECOS PAC ID: 2062834732 Enrollment ID: I20240208000973 |
| Provider Name | Kennedy a Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558133868 PECOS PAC ID: 3870936537 Enrollment ID: I20240209000462 |
| Provider Name | Victoria E Bowen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598353393 PECOS PAC ID: 5890194740 Enrollment ID: I20240212001332 |
| Provider Name | Gregory J Postal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346449840 PECOS PAC ID: 5991028045 Enrollment ID: I20240212001903 |
| Provider Name | Maryam Siddiqui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891289328 PECOS PAC ID: 8921352238 Enrollment ID: I20240220000620 |
| Provider Name | Tia Marie Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619481421 PECOS PAC ID: 6709147358 Enrollment ID: I20240221004405 |
| Provider Name | Sydnie Pye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972291490 PECOS PAC ID: 4284091059 Enrollment ID: I20240222002558 |
| Provider Name | Megan E Bolick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457904971 PECOS PAC ID: 4284068313 Enrollment ID: I20240222002779 |
| Provider Name | Ethan Donald Joseph |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184281859 PECOS PAC ID: 2668701335 Enrollment ID: I20240226002843 |
| Provider Name | Robert Wallace Williams Biederman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912907734 PECOS PAC ID: 4284728189 Enrollment ID: I20240227003147 |
| Provider Name | Marri Horvat |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1205286291 PECOS PAC ID: 7911292420 Enrollment ID: I20240302000349 |
| Provider Name | Lynne Victoria Abruzzo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275647364 PECOS PAC ID: 8527251545 Enrollment ID: I20240302000399 |
| Provider Name | Chelsea S Vitu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144607045 PECOS PAC ID: 6901199942 Enrollment ID: I20240304003758 |
| Provider Name | Samuel J Crowley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477325975 PECOS PAC ID: 1759727019 Enrollment ID: I20240308000758 |
| Provider Name | Madhura G Navada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326531112 PECOS PAC ID: 2668725425 Enrollment ID: I20240308002987 |
| Provider Name | Tara D Ancrum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275086480 PECOS PAC ID: 6305282419 Enrollment ID: I20240312001654 |
| Provider Name | Kaitlyn Boggs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538665997 PECOS PAC ID: 7911397666 Enrollment ID: I20240313001076 |
| Provider Name | Marc Heincelman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558682344 PECOS PAC ID: 0941427868 Enrollment ID: I20240314002604 |
| Provider Name | Aria R Ruggiero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588433387 PECOS PAC ID: 7113363896 Enrollment ID: I20240316000221 |
| Provider Name | Camille a Carre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073073128 PECOS PAC ID: 1658751920 Enrollment ID: I20240316000262 |
| Provider Name | Courtney E Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730387622 PECOS PAC ID: 2062662596 Enrollment ID: I20240316000331 |
| Provider Name | Matvey Tsivian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588001044 PECOS PAC ID: 7810244290 Enrollment ID: I20240318003706 |
| Provider Name | Kathryn Lynam |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326606484 PECOS PAC ID: 1850724451 Enrollment ID: I20240322000973 |
| Provider Name | Tyler M Bartolazzi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689443434 PECOS PAC ID: 7315384435 Enrollment ID: I20240326000507 |
| Provider Name | Kelly Slotin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689435463 PECOS PAC ID: 1557708591 Enrollment ID: I20240326001499 |
| Provider Name | Thomas Harold Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639663891 PECOS PAC ID: 3678826351 Enrollment ID: I20240326001763 |
| Provider Name | Ashley D Osborne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235667262 PECOS PAC ID: 9931546934 Enrollment ID: I20240326003796 |
| Provider Name | Elizabeth H Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982930327 PECOS PAC ID: 6507203320 Enrollment ID: I20240328000436 |
| Provider Name | John Wrangle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760669899 PECOS PAC ID: 4486896875 Enrollment ID: I20240328001105 |
| Provider Name | Alexander John Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881208346 PECOS PAC ID: 4789003070 Enrollment ID: I20240328003113 |
| Provider Name | Michael David Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033861984 PECOS PAC ID: 0244626158 Enrollment ID: I20240401003320 |
| Provider Name | Robert Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366023574 PECOS PAC ID: 7416395090 Enrollment ID: I20240402000601 |
| Provider Name | Calica L Parson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033694336 PECOS PAC ID: 1456727122 Enrollment ID: I20240402001989 |
| Provider Name | Amy a Kakkanatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164734570 PECOS PAC ID: 4981837028 Enrollment ID: I20240403003229 |
| Provider Name | Elizabeth J Maddox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447012018 PECOS PAC ID: 9830537257 Enrollment ID: I20240404001975 |
| Provider Name | Tamara Lorease Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508497553 PECOS PAC ID: 2668810094 Enrollment ID: I20240404002334 |
| Provider Name | Carolyn a Gildersleeve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609632108 PECOS PAC ID: 6901244292 Enrollment ID: I20240405000594 |
| Provider Name | Bethany D Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720845159 PECOS PAC ID: 9032558853 Enrollment ID: I20240412002590 |
| Provider Name | Jessica Lynn Etten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104317957 PECOS PAC ID: 0345672614 Enrollment ID: I20240412003165 |
| Provider Name | Moriah Lieberman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477318079 PECOS PAC ID: 2567801046 Enrollment ID: I20240416004271 |
| Provider Name | Tristyun Kuehn Stultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720704620 PECOS PAC ID: 2163861642 Enrollment ID: I20240416004452 |
| Provider Name | Kendra Kathryn Mundstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041115 PECOS PAC ID: 6507101037 Enrollment ID: I20240422001517 |
| Provider Name | Lauren E Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972355683 PECOS PAC ID: 2365881430 Enrollment ID: I20240423000336 |
| Provider Name | Jacob a Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499297 PECOS PAC ID: 2769821743 Enrollment ID: I20240424000468 |
| Provider Name | Lindsey M Korepta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194088120 PECOS PAC ID: 2163651654 Enrollment ID: I20240424002168 |
| Provider Name | Lauren Yacobucci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437774676 PECOS PAC ID: 6800214669 Enrollment ID: I20240424002436 |
| Provider Name | Chelsea Rosfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215793294 PECOS PAC ID: 1850731167 Enrollment ID: I20240503001813 |
| Provider Name | James E Connelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336539758 PECOS PAC ID: 2062852130 Enrollment ID: I20240507000566 |
| Provider Name | Emerald Jewel Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720863103 PECOS PAC ID: 6709227549 Enrollment ID: I20240510003397 |
| Provider Name | Emily M Thatcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366005894 PECOS PAC ID: 7113354887 Enrollment ID: I20240510003418 |
| Provider Name | Brian C Bridges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336326750 PECOS PAC ID: 4284766205 Enrollment ID: I20240514000065 |
| Provider Name | Joy Johnstone Geter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942884440 PECOS PAC ID: 2860833480 Enrollment ID: I20240514003197 |
| Provider Name | Justin Thomas Mcgonigal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972262368 PECOS PAC ID: 8729474721 Enrollment ID: I20240517002490 |
| Provider Name | Keith Franklin Lamar Polston |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831659168 PECOS PAC ID: 8325373020 Enrollment ID: I20240517002942 |
| Provider Name | Aubrey L Ginocchietti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528743598 PECOS PAC ID: 7810338043 Enrollment ID: I20240517003244 |
| Provider Name | Sonia K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598325847 PECOS PAC ID: 8022450246 Enrollment ID: I20240520002796 |
| Provider Name | Meredith Sams Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093470486 PECOS PAC ID: 0042603813 Enrollment ID: I20240521003693 |
| Provider Name | Joshua Mixson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184249716 PECOS PAC ID: 2860811478 Enrollment ID: I20240528000503 |
| Provider Name | Lauren Thompson |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1295267797 PECOS PAC ID: 1052680493 Enrollment ID: I20240529002373 |
| Provider Name | Saju D Joy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356375968 PECOS PAC ID: 3173615721 Enrollment ID: I20240530002482 |
| Provider Name | Nastassia F Bryant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538919501 PECOS PAC ID: 9133561509 Enrollment ID: I20240530002552 |
| Provider Name | Victoria Keiser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821627613 PECOS PAC ID: 0840621934 Enrollment ID: I20240530003322 |
| Provider Name | Melissa a Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467764571 PECOS PAC ID: 3476786963 Enrollment ID: I20240530003385 |
| Provider Name | Young I Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417119645 PECOS PAC ID: 1658599329 Enrollment ID: I20240610003828 |
| Provider Name | Amanda Suarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285956151 PECOS PAC ID: 5597042200 Enrollment ID: I20240613002308 |
| Provider Name | Rhiannon Shelbourne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215781984 PECOS PAC ID: 2062955487 Enrollment ID: I20240613002783 |
| Provider Name | Robert L Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366486201 PECOS PAC ID: 8820278781 Enrollment ID: I20240613003039 |
| Provider Name | Alexander J Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821674474 PECOS PAC ID: 9032511258 Enrollment ID: I20240614000049 |
| Provider Name | Brittany K Bankhead |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023451200 PECOS PAC ID: 4981832102 Enrollment ID: I20240617001175 |
| Provider Name | Alexis Angel L Guevara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841851219 PECOS PAC ID: 0143550228 Enrollment ID: I20240617002511 |
| Provider Name | Elias Taylor Gunnell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467956631 PECOS PAC ID: 3476805342 Enrollment ID: I20240617002766 |
| Provider Name | Tejaswi Nadig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942720495 PECOS PAC ID: 8628321304 Enrollment ID: I20240618000868 |
| Provider Name | Joseph Thomas Beckworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982263430 PECOS PAC ID: 4385975309 Enrollment ID: I20240618001024 |
| Provider Name | Drew W Charles |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972064715 PECOS PAC ID: 0547645343 Enrollment ID: I20240618001216 |
| Provider Name | Heather B Ringley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649059544 PECOS PAC ID: 5991248916 Enrollment ID: I20240619000673 |
| Provider Name | Alex Jordan Rios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366079204 PECOS PAC ID: 5597184192 Enrollment ID: I20240621002998 |
| Provider Name | Brandon Ithiel Esianor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083111645 PECOS PAC ID: 3779026232 Enrollment ID: I20240625002012 |
| Provider Name | Natalie J Enter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073092086 PECOS PAC ID: 6204203904 Enrollment ID: I20240625002725 |
| Provider Name | Michael a Jayne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144499690 PECOS PAC ID: 9133663602 Enrollment ID: I20240626001584 |
| Provider Name | Krzysztof Romanowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922418268 PECOS PAC ID: 3678798519 Enrollment ID: I20240626002747 |
| Provider Name | Kristian Vitu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053897801 PECOS PAC ID: 7012260268 Enrollment ID: I20240628000968 |
| Provider Name | Nancy Lilly Hagood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083238653 PECOS PAC ID: 6709205362 Enrollment ID: I20240628001475 |
| Provider Name | Chelsea K Wooster |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598389975 PECOS PAC ID: 9032538608 Enrollment ID: I20240702001808 |
| Provider Name | Brandon a Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902040827 PECOS PAC ID: 4880966126 Enrollment ID: I20240710000627 |
| Provider Name | Elizabeth P Vass |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740022417 PECOS PAC ID: 4981149309 Enrollment ID: I20240710002139 |
| Provider Name | Giavonni Virella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922793694 PECOS PAC ID: 9436694700 Enrollment ID: I20240710004288 |
| Provider Name | Lauren Taylor Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127245 PECOS PAC ID: 1850621962 Enrollment ID: I20240710004530 |
| Provider Name | Corynne M Caballero |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053934224 PECOS PAC ID: 4385063965 Enrollment ID: I20240710004604 |
| Provider Name | Jameson H Sorrels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558935684 PECOS PAC ID: 7810393303 Enrollment ID: I20240711000491 |
| Provider Name | Dali Edwards |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770080962 PECOS PAC ID: 2860739158 Enrollment ID: I20240712000968 |
| Provider Name | Aqeel Jawahir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831778497 PECOS PAC ID: 0840672879 Enrollment ID: I20240712002168 |
| Provider Name | Erin M Hopper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205593670 PECOS PAC ID: 1759826829 Enrollment ID: I20240712002275 |
| Provider Name | Catherine E Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073355509 PECOS PAC ID: 1355886441 Enrollment ID: I20240712002845 |
| Provider Name | Brennan Adare Regan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184134967 PECOS PAC ID: 7012452121 Enrollment ID: I20240712003522 |
| Provider Name | Darby Caroline Shuler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710447495 PECOS PAC ID: 0840520557 Enrollment ID: I20240715000399 |
| Provider Name | Whitney N Pasquini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497377444 PECOS PAC ID: 9234674193 Enrollment ID: I20240716000495 |
| Provider Name | Campbell W. Miller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396373718 PECOS PAC ID: 3678978749 Enrollment ID: I20240716002101 |
| Provider Name | Allie K Eberly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588198253 PECOS PAC ID: 3678992633 Enrollment ID: I20240716004681 |
| Provider Name | Kathryn E Hudak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164928834 PECOS PAC ID: 2365797248 Enrollment ID: I20240716004859 |
| Provider Name | Madeline F Gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265284509 PECOS PAC ID: 3274079967 Enrollment ID: I20240718000128 |
| Provider Name | Jason Greer Lake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609195189 PECOS PAC ID: 2668894684 Enrollment ID: I20240718000923 |
| Provider Name | Britton a Gibson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639708159 PECOS PAC ID: 6204372949 Enrollment ID: I20240718001645 |
| Provider Name | Taelor Allison Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942875380 PECOS PAC ID: 9638575376 Enrollment ID: I20240718001779 |
| Provider Name | Shane Patrick Fiust-klink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275116717 PECOS PAC ID: 4688070238 Enrollment ID: I20240719000113 |
| Provider Name | Kristen M Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184409146 PECOS PAC ID: 1557807104 Enrollment ID: I20240719001426 |
| Provider Name | Marc a Krzystek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457624058 PECOS PAC ID: 5991965535 Enrollment ID: I20240719001764 |
| Provider Name | Margaret Stewart Barton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063902955 PECOS PAC ID: 9739431693 Enrollment ID: I20240722001359 |
| Provider Name | Marjorie C Spitznagel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174198048 PECOS PAC ID: 1456757947 Enrollment ID: I20240724001583 |
| Provider Name | Jaya Sai Susruth Chavali |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003349846 PECOS PAC ID: 8426326067 Enrollment ID: I20240724001595 |
| Provider Name | Claire S Adcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194352021 PECOS PAC ID: 0143648816 Enrollment ID: I20240724003520 |
| Provider Name | Meher Farooq |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649892803 PECOS PAC ID: 4587095906 Enrollment ID: I20240724004673 |
| Provider Name | Amanda L Gemmiti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053974485 PECOS PAC ID: 3971049792 Enrollment ID: I20240729000964 |
| Provider Name | K. Frances Frigon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316909161 PECOS PAC ID: 0648321679 Enrollment ID: I20240729001203 |
| Provider Name | Hannah Langley Blanton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982166245 PECOS PAC ID: 9133452238 Enrollment ID: I20240729001364 |
| Provider Name | Kevin D Becker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023275633 PECOS PAC ID: 9537354741 Enrollment ID: I20240729001485 |
| Provider Name | Theresa a Skojec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679077820 PECOS PAC ID: 4183074818 Enrollment ID: I20240730002345 |
| Provider Name | Stacey C Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962244251 PECOS PAC ID: 9537606140 Enrollment ID: I20240731004179 |
| Provider Name | Nallely Rubi Morales Mancillas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881446185 PECOS PAC ID: 7416494968 Enrollment ID: I20240801004624 |
| Provider Name | Jessica Rudofski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174255087 PECOS PAC ID: 5092252221 Enrollment ID: I20240805003821 |
| Provider Name | Daric Todd Neuschafer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871566646 PECOS PAC ID: 7012805971 Enrollment ID: I20240805004116 |
| Provider Name | Madison L Collier |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528803129 PECOS PAC ID: 4183161367 Enrollment ID: I20240806001235 |
| Provider Name | Jacob M Dugal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376396630 PECOS PAC ID: 2466999669 Enrollment ID: I20240806002328 |
| Provider Name | Ashley D Perdue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730756107 PECOS PAC ID: 6608272190 Enrollment ID: I20240806004057 |
| Provider Name | John S Stalls |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699202796 PECOS PAC ID: 4284904459 Enrollment ID: I20240806004323 |
| Provider Name | Alyaa Ay Irhayyim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427614973 PECOS PAC ID: 8123350691 Enrollment ID: I20240806004464 |
| Provider Name | David Kruchko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770089666 PECOS PAC ID: 2668919705 Enrollment ID: I20240806004640 |
| Provider Name | Addison Anders Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518536028 PECOS PAC ID: 4789080276 Enrollment ID: I20240806004674 |
| Provider Name | Amelia Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942825484 PECOS PAC ID: 6608295787 Enrollment ID: I20240807000222 |
| Provider Name | Miranda S Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609381235 PECOS PAC ID: 6507303690 Enrollment ID: I20240807001535 |
| Provider Name | Dauren Adilbay |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134863079 PECOS PAC ID: 7810434842 Enrollment ID: I20240807003529 |
| Provider Name | Adeshina Adeyemo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386135341 PECOS PAC ID: 4486191459 Enrollment ID: I20240808000551 |
| Provider Name | Julia Elaina Prince |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386324341 PECOS PAC ID: 0547707432 Enrollment ID: I20240809001184 |
| Provider Name | Benjamin Vosburgh Stone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801328778 PECOS PAC ID: 0345511648 Enrollment ID: I20240813001348 |
| Provider Name | Coleman J Connolly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780910752 PECOS PAC ID: 6002354453 Enrollment ID: I20240815003464 |
| Provider Name | James E Gardner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528621174 PECOS PAC ID: 9931567310 Enrollment ID: I20240820003038 |
| Provider Name | Erin a Harvey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720540511 PECOS PAC ID: 1759611189 Enrollment ID: I20240820003604 |
| Provider Name | Jon Handy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467080200 PECOS PAC ID: 8426470303 Enrollment ID: I20240820004092 |
| Provider Name | Ashley C Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407699051 PECOS PAC ID: 8729526785 Enrollment ID: I20240821003103 |
| Provider Name | Bailey Jane Dunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073194197 PECOS PAC ID: 2567868045 Enrollment ID: I20240822004020 |
| Provider Name | John Edward Danaher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740741586 PECOS PAC ID: 2264768001 Enrollment ID: I20240826000407 |
| Provider Name | Kelly Marie Garrity |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437504586 PECOS PAC ID: 9436406261 Enrollment ID: I20240826000752 |
| Provider Name | Anthony M Dominick |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477963676 PECOS PAC ID: 0042515223 Enrollment ID: I20240827000863 |
| Provider Name | Matthew Kasson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982166716 PECOS PAC ID: 1052747664 Enrollment ID: I20240827002644 |
| Provider Name | Lauren Joyce Sullivan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528420528 PECOS PAC ID: 9234468919 Enrollment ID: I20240827002833 |
| Provider Name | Alexander S Baker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447889225 PECOS PAC ID: 1355762915 Enrollment ID: I20240827003147 |
| Provider Name | Paul Shanahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033747639 PECOS PAC ID: 1951725548 Enrollment ID: I20240827003619 |
| Provider Name | David Lendrum Morrow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801359484 PECOS PAC ID: 9032533716 Enrollment ID: I20240827004028 |
| Provider Name | Julie Hebra Lench Chedister |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346863057 PECOS PAC ID: 7113346693 Enrollment ID: I20240827004409 |
| Provider Name | Taylor Ray Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407483142 PECOS PAC ID: 1153740600 Enrollment ID: I20240828000401 |
| Provider Name | Shannon K Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295505600 PECOS PAC ID: 0042759581 Enrollment ID: I20240828000929 |
| Provider Name | Ivana Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366066631 PECOS PAC ID: 6204255888 Enrollment ID: I20240828001631 |
| Provider Name | Heather L Farley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952389769 PECOS PAC ID: 7113986266 Enrollment ID: I20240828004210 |
| Provider Name | Steven I Hanish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699805911 PECOS PAC ID: 3476651555 Enrollment ID: I20240828005140 |
| Provider Name | Graham H Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164925939 PECOS PAC ID: 4981957966 Enrollment ID: I20240829000167 |
| Provider Name | Mateo Trezzi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598995003 PECOS PAC ID: 4486193836 Enrollment ID: I20240829000313 |
| Provider Name | Anna Elizabeth Warfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134726334 PECOS PAC ID: 5698188217 Enrollment ID: I20240829000583 |
| Provider Name | Barbra Kate Giourgas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649700683 PECOS PAC ID: 3274809843 Enrollment ID: I20240829000862 |
| Provider Name | Michael Bobian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538696091 PECOS PAC ID: 3779859731 Enrollment ID: I20240829001229 |
| Provider Name | Kailee B Perkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568205854 PECOS PAC ID: 2264971407 Enrollment ID: I20240830003452 |
| Provider Name | Lindsay M Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780423079 PECOS PAC ID: 8820537970 Enrollment ID: I20240903003040 |
| Provider Name | Jamie RF Wilson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164057808 PECOS PAC ID: 4789015777 Enrollment ID: I20240904000774 |
| Provider Name | Jacie L Beach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083393078 PECOS PAC ID: 6800241282 Enrollment ID: I20240904000975 |
| Provider Name | Steven Craig Vranian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699332395 PECOS PAC ID: 8921339920 Enrollment ID: I20240905001311 |
| Provider Name | Emlyn Irene Diakow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689237026 PECOS PAC ID: 0042750077 Enrollment ID: I20240905001869 |
| Provider Name | Courtney Zeyfang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871331439 PECOS PAC ID: 1052851029 Enrollment ID: I20240905003130 |
| Provider Name | Vusala Snyder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235792995 PECOS PAC ID: 8527393354 Enrollment ID: I20240905003517 |
| Provider Name | Joseph Daniel Caveney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609211614 PECOS PAC ID: 1254633829 Enrollment ID: I20240906002273 |
| Provider Name | Austin D Rutledge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730671181 PECOS PAC ID: 9436402310 Enrollment ID: I20240909003472 |
| Provider Name | Quinn Self |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548720386 PECOS PAC ID: 1658604798 Enrollment ID: I20240911001645 |
| Provider Name | Ahmed Ibrahim Kamal Abdelkader |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629743000 PECOS PAC ID: 2264839463 Enrollment ID: I20240911003695 |
| Provider Name | Mauricio Bastos Pereira |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841976412 PECOS PAC ID: 2860852845 Enrollment ID: I20240911003880 |
| Provider Name | Isabel C Balachandran |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1710415385 PECOS PAC ID: 2961774906 Enrollment ID: I20240911004196 |
| Provider Name | Shailesh Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093202491 PECOS PAC ID: 9931506334 Enrollment ID: I20240911004455 |
| Provider Name | Lauren E Stephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902526353 PECOS PAC ID: 4688114986 Enrollment ID: I20240913000672 |
| Provider Name | Emily Ft Nasser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013476191 PECOS PAC ID: 1951842129 Enrollment ID: I20240916002982 |
| Provider Name | Ashley Clack Eason |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346485000 PECOS PAC ID: 8820227580 Enrollment ID: I20240917001554 |
| Provider Name | Jella a an |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033567763 PECOS PAC ID: 6204128242 Enrollment ID: I20240917002672 |
| Provider Name | Chun Li |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235558800 PECOS PAC ID: 1153647540 Enrollment ID: I20240918000089 |
| Provider Name | Johnathan Michael Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134689144 PECOS PAC ID: 1355676651 Enrollment ID: I20240918003427 |
| Provider Name | Andrew M Mendelson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1518329416 PECOS PAC ID: 6305110933 Enrollment ID: I20240918003737 |
| Provider Name | Patrick Drexel Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376040576 PECOS PAC ID: 4789081423 Enrollment ID: I20240919000602 |
| Provider Name | Allison Megale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467200428 PECOS PAC ID: 7012458961 Enrollment ID: I20240919001582 |
| Provider Name | Zi Tan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063074102 PECOS PAC ID: 9335471119 Enrollment ID: I20240919003294 |
| Provider Name | Diego Di Sabato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376866913 PECOS PAC ID: 6709010218 Enrollment ID: I20240923002202 |
| Provider Name | Mallory Stavrinakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154881969 PECOS PAC ID: 3274910559 Enrollment ID: I20240923002374 |
| Provider Name | Katherine R Antel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518799022 PECOS PAC ID: 0941741318 Enrollment ID: I20240925002613 |
| Provider Name | Mark a Collie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184185530 PECOS PAC ID: 6901135011 Enrollment ID: I20240927000158 |
| Provider Name | Harriet Mather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659997310 PECOS PAC ID: 1153713938 Enrollment ID: I20240927002221 |
| Provider Name | Kristen a Robak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972123115 PECOS PAC ID: 4880015734 Enrollment ID: I20240927002377 |
| Provider Name | Heather L Adame |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962028100 PECOS PAC ID: 6204367485 Enrollment ID: I20240927002818 |
| Provider Name | Firas Jadaan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902433097 PECOS PAC ID: 9335567353 Enrollment ID: I20240928000022 |
| Provider Name | Cain Sanders Green |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760863005 PECOS PAC ID: 3779985239 Enrollment ID: I20240928000062 |
| Provider Name | Kimberly Bowerman Hashemi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356900807 PECOS PAC ID: 1254663438 Enrollment ID: I20241001001024 |
| Provider Name | Abirami Thiyagarajan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336645761 PECOS PAC ID: 5294107645 Enrollment ID: I20241002000636 |
| Provider Name | Sarah E Otto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346703113 PECOS PAC ID: 8325492838 Enrollment ID: I20241002001137 |
| Provider Name | Zachary Alec Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942706239 PECOS PAC ID: 8729329644 Enrollment ID: I20241002001263 |
| Provider Name | Elise E Steinberger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710515242 PECOS PAC ID: 8325461965 Enrollment ID: I20241002001270 |
| Provider Name | Robert Elliot James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730740101 PECOS PAC ID: 6507197654 Enrollment ID: I20241003002465 |
| Provider Name | Jason M Caldwell |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548441702 PECOS PAC ID: 9436295243 Enrollment ID: I20241003002522 |
| Provider Name | Ryan David Valk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417584335 PECOS PAC ID: 0547685901 Enrollment ID: I20241004002610 |
| Provider Name | Brandon Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720820806 PECOS PAC ID: 2769913250 Enrollment ID: I20241008003764 |
| Provider Name | Grace Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144064999 PECOS PAC ID: 7618408105 Enrollment ID: I20241008003976 |
| Provider Name | Abdelhamid Hindi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083318372 PECOS PAC ID: 3072044429 Enrollment ID: I20241009002168 |
| Provider Name | Travis Benzing |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043748528 PECOS PAC ID: 6608141387 Enrollment ID: I20241009002395 |
| Provider Name | Michelle C Hammack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174350904 PECOS PAC ID: 7416489893 Enrollment ID: I20241010003050 |
| Provider Name | Eric M Wallen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386730729 PECOS PAC ID: 6800803453 Enrollment ID: I20241011002890 |
| Provider Name | Shanda R Hofmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811660822 PECOS PAC ID: 9335537018 Enrollment ID: I20241014002303 |
| Provider Name | Ashley Valiquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639908379 PECOS PAC ID: 5496287443 Enrollment ID: I20241015002205 |
| Provider Name | Anna G Mcelduff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174352413 PECOS PAC ID: 6709318777 Enrollment ID: I20241015002974 |
| Provider Name | Caroline Campelo Smith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780113605 PECOS PAC ID: 0042605685 Enrollment ID: I20241015003249 |
| Provider Name | Sami P Tarabishy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891223012 PECOS PAC ID: 9638444060 Enrollment ID: I20241016003401 |
| Provider Name | Ngoc-quynh T Chu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457770786 PECOS PAC ID: 9234661034 Enrollment ID: I20241017003524 |
| Provider Name | Adria Faith Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336644772 PECOS PAC ID: 2668839226 Enrollment ID: I20241018001621 |
| Provider Name | Patrick Connor Mullane |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235553546 PECOS PAC ID: 0547792228 Enrollment ID: I20241018002830 |
| Provider Name | Jason Ad Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306090451 PECOS PAC ID: 4183801145 Enrollment ID: I20241018003070 |
| Provider Name | Luke K Domaleski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700381787 PECOS PAC ID: 4587910500 Enrollment ID: I20241021000905 |
| Provider Name | Kimberly M Connell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144083494 PECOS PAC ID: 4183156722 Enrollment ID: I20241021001450 |
| Provider Name | Kannan P Samy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063706992 PECOS PAC ID: 8224275441 Enrollment ID: I20241021001595 |
| Provider Name | Catherine E Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356952980 PECOS PAC ID: 1254722903 Enrollment ID: I20241021002205 |
| Provider Name | Brittany M Stolz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477372332 PECOS PAC ID: 2163955634 Enrollment ID: I20241023002357 |
| Provider Name | Maureen R Burke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598865461 PECOS PAC ID: 8921025115 Enrollment ID: I20241024002762 |
| Provider Name | Jacqueline Mongeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588483317 PECOS PAC ID: 5698208924 Enrollment ID: I20241025000346 |
| Provider Name | Elizabeth a Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396508107 PECOS PAC ID: 7618400888 Enrollment ID: I20241025002282 |
| Provider Name | Allison Renee Kint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518719640 PECOS PAC ID: 6305379579 Enrollment ID: I20241025002441 |
| Provider Name | Macy L Drew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588427835 PECOS PAC ID: 0042743189 Enrollment ID: I20241029001907 |
| Provider Name | Kerry a Maleska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730382359 PECOS PAC ID: 6002349099 Enrollment ID: I20241029004068 |
| Provider Name | Kathryn Sarah Szczechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972221190 PECOS PAC ID: 0345607016 Enrollment ID: I20241029004209 |
| Provider Name | Alexander Duffy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639732464 PECOS PAC ID: 5496080111 Enrollment ID: I20241101003101 |
| Provider Name | Andrew B Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558124800 PECOS PAC ID: 3274066873 Enrollment ID: I20241104001151 |
| Provider Name | Makenna West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558124719 PECOS PAC ID: 7113451709 Enrollment ID: I20241105001080 |
| Provider Name | Erik Christian Summers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235111642 PECOS PAC ID: 1658304175 Enrollment ID: I20241106003068 |
| Provider Name | Ashlei N Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205457025 PECOS PAC ID: 7719411248 Enrollment ID: I20241106003417 |
| Provider Name | Madelyn Fowler-robson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427811249 PECOS PAC ID: 9335673862 Enrollment ID: I20241106003509 |
| Provider Name | Sean P Carter |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255864146 PECOS PAC ID: 1658658570 Enrollment ID: I20241107001842 |
| Provider Name | Lauren N Ratcliffe |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1346086832 PECOS PAC ID: 4082148366 Enrollment ID: I20241108001467 |
| Provider Name | Ali M Ziada |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659691053 PECOS PAC ID: 4183758360 Enrollment ID: I20241111000597 |
| Provider Name | Laura J Gardner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700449352 PECOS PAC ID: 1355702630 Enrollment ID: I20241111000845 |
| Provider Name | Tori a Marks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619640497 PECOS PAC ID: 5698163525 Enrollment ID: I20241111000991 |
| Provider Name | Joshua D Moran Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104659663 PECOS PAC ID: 7416481684 Enrollment ID: I20241111001404 |
| Provider Name | Alyson R Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063276053 PECOS PAC ID: 3476087651 Enrollment ID: I20241111001651 |
| Provider Name | Brianna B Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679391650 PECOS PAC ID: 7012441165 Enrollment ID: I20241112001393 |
| Provider Name | Sydney E Kirk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114780467 PECOS PAC ID: 8921532078 Enrollment ID: I20241112001394 |
| Provider Name | Isabella a Gordon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508629890 PECOS PAC ID: 3678007747 Enrollment ID: I20241112002244 |
| Provider Name | Megan V Tomlin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932945011 PECOS PAC ID: 0749714723 Enrollment ID: I20241113002735 |
| Provider Name | Pamela L Streck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467272765 PECOS PAC ID: 2365977899 Enrollment ID: I20241121000689 |
| Provider Name | Kristyn Boza Bolton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316517774 PECOS PAC ID: 6800234980 Enrollment ID: I20241121003709 |
| Provider Name | Jazmine K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871353391 PECOS PAC ID: 7719412980 Enrollment ID: I20241125002004 |
| Provider Name | Roberta K Sefcik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518498237 PECOS PAC ID: 6709153182 Enrollment ID: I20241127002246 |
| Provider Name | Eileen Janet Matos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265010771 PECOS PAC ID: 3577094390 Enrollment ID: I20241205002457 |
| Provider Name | Deana Kay Lashley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275951675 PECOS PAC ID: 1254727647 Enrollment ID: I20241205002792 |
| Provider Name | Erika L Honeycutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235507062 PECOS PAC ID: 5092126326 Enrollment ID: I20241211001270 |
| Provider Name | Margaret E Baxley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942033691 PECOS PAC ID: 4082140124 Enrollment ID: I20241212000225 |
| Provider Name | Sekou T Dakarai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891340501 PECOS PAC ID: 8426480245 Enrollment ID: I20241212001269 |
| Provider Name | Melissa J Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962225318 PECOS PAC ID: 6800322744 Enrollment ID: I20241216001219 |
| Provider Name | Natalia Trehan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912635087 PECOS PAC ID: 1850828773 Enrollment ID: I20241217001306 |
| Provider Name | Claire M Barry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578389607 PECOS PAC ID: 6103353909 Enrollment ID: I20241218000493 |
| Provider Name | Amy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811727035 PECOS PAC ID: 3971030719 Enrollment ID: I20241218002190 |
| Provider Name | Michael R Cotter |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326131236 PECOS PAC ID: 3072732536 Enrollment ID: I20241218003763 |
| Provider Name | Taylor P Strowman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780242834 PECOS PAC ID: 3577956663 Enrollment ID: I20241219001485 |
| Provider Name | Parag White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770312803 PECOS PAC ID: 4981131638 Enrollment ID: I20241219002879 |
| Provider Name | Abbey J Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619799350 PECOS PAC ID: 2668909201 Enrollment ID: I20241220002413 |
| Provider Name | Katherine Kennedy Proctor Nyland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881429165 PECOS PAC ID: 3678000122 Enrollment ID: I20241220003245 |
| Provider Name | Norman Horace Ward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215321658 PECOS PAC ID: 8224433081 Enrollment ID: I20241226001177 |
| Provider Name | Lauren Elizabeth Tapp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073133476 PECOS PAC ID: 5698197887 Enrollment ID: I20241226001496 |
| Provider Name | Mihaly B Tapolyai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346268281 PECOS PAC ID: 0840199675 Enrollment ID: I20241227002430 |
| Provider Name | Erika Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922642982 PECOS PAC ID: 5092136648 Enrollment ID: I20250107003291 |
| Provider Name | Molly Nixon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720841778 PECOS PAC ID: 8224566047 Enrollment ID: I20250107004170 |
| Provider Name | Dionne Fan Peacher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669797577 PECOS PAC ID: 0446474845 Enrollment ID: I20250108002740 |
| Provider Name | Caroline V Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881428084 PECOS PAC ID: 7012445794 Enrollment ID: I20250108002943 |
| Provider Name | Brittany L Kear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952119240 PECOS PAC ID: 6709314990 Enrollment ID: I20250116000312 |
| Provider Name | Amanda L Faulkner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750795860 PECOS PAC ID: 1052626439 Enrollment ID: I20250116003924 |
| Provider Name | Andrew Nesmith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699352583 PECOS PAC ID: 1759787237 Enrollment ID: I20250121003733 |
| Provider Name | Predesh Parasseril Jose |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295585842 PECOS PAC ID: 6305375262 Enrollment ID: I20250122003495 |
| Provider Name | Justin G Wikle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1912292152 PECOS PAC ID: 3678865631 Enrollment ID: I20250130003086 |
| Provider Name | Abigail R Pinkston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730809120 PECOS PAC ID: 7719416908 Enrollment ID: I20250203002015 |
| Provider Name | Melody L Boscio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255140315 PECOS PAC ID: 2961932181 Enrollment ID: I20250204000056 |
| Provider Name | Kasey Elizabeth Broom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912522756 PECOS PAC ID: 5698194645 Enrollment ID: I20250219003055 |
| Provider Name | Nathan Deturk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023578382 PECOS PAC ID: 6901131093 Enrollment ID: I20250220000028 |
| Provider Name | Jigme M Sethi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1891760708 PECOS PAC ID: 1254376114 Enrollment ID: I20250220000652 |
| Provider Name | Jamika S Leeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962214114 PECOS PAC ID: 1153841705 Enrollment ID: I20250226000598 |
| Provider Name | Katelyn Grochmal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881457430 PECOS PAC ID: 5890216121 Enrollment ID: I20250304000409 |
| Provider Name | Amol Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124276761 PECOS PAC ID: 4981862117 Enrollment ID: I20250311001022 |
| Provider Name | Neal K Maru |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1881890648 PECOS PAC ID: 0143463208 Enrollment ID: I20250313000088 |
| Provider Name | Jillian M Wilken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538972625 PECOS PAC ID: 7810419769 Enrollment ID: I20250320000078 |
| Provider Name | Whitney N Brittain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275398182 PECOS PAC ID: 9335661065 Enrollment ID: I20250321002199 |
| Provider Name | Cory Gail Lieber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134612021 PECOS PAC ID: 4183979669 Enrollment ID: I20250324003726 |
| Provider Name | Jeffrey M Pavlacic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194522524 PECOS PAC ID: 6002339371 Enrollment ID: I20250327000727 |
| Provider Name | Madison E Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861119927 PECOS PAC ID: 0244753291 Enrollment ID: I20250331001737 |
| Provider Name | David Benjamin Askin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043424542 PECOS PAC ID: 9638251044 Enrollment ID: I20250331003258 |
| Provider Name | Ashwath Gurumurthi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477272722 PECOS PAC ID: 3072036078 Enrollment ID: I20250331003332 |
| Provider Name | Gregory Clark Habig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477119717 PECOS PAC ID: 9436482924 Enrollment ID: I20250401001561 |
| Provider Name | Rachael L Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255141545 PECOS PAC ID: 6406379361 Enrollment ID: I20250401002074 |
| Provider Name | Alexis R Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780439612 PECOS PAC ID: 1850814617 Enrollment ID: I20250402001205 |
| Provider Name | Connie Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427514744 PECOS PAC ID: 8527396233 Enrollment ID: I20250402001302 |
| Provider Name | Alexander Covington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730422429 PECOS PAC ID: 8820335896 Enrollment ID: I20250402001330 |
| Provider Name | Michael D North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629715099 PECOS PAC ID: 3678941069 Enrollment ID: I20250404000168 |
| Provider Name | Christine Janet Woodburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376166835 PECOS PAC ID: 9133579923 Enrollment ID: I20250407000071 |
| Provider Name | Lauren M Finamore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023822335 PECOS PAC ID: 0143744516 Enrollment ID: I20250407002582 |
| Provider Name | John Crow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962065300 PECOS PAC ID: 5698216315 Enrollment ID: I20250407003788 |
| Provider Name | Daniel Gregory Holbrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922504232 PECOS PAC ID: 5799181277 Enrollment ID: I20250408000423 |
| Provider Name | Seanna G Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982413381 PECOS PAC ID: 6800310129 Enrollment ID: I20250408003223 |
| Provider Name | Walker M Blanding |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1477112407 PECOS PAC ID: 6002146172 Enrollment ID: I20250409002775 |
| Provider Name | Timothy B Legare |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346744794 PECOS PAC ID: 1951658319 Enrollment ID: I20250424002334 |
| Provider Name | Kelley E Banagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851435408 PECOS PAC ID: 3577734854 Enrollment ID: I20250428000236 |
| Provider Name | Alan Nicholas Snyder |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184299893 PECOS PAC ID: 0648676072 Enrollment ID: I20250428002129 |
| Provider Name | Conor Hamilton Johnston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275396293 PECOS PAC ID: 1153847678 Enrollment ID: I20250428004149 |
| Provider Name | Sherri K Smart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265791982 PECOS PAC ID: 3375772155 Enrollment ID: I20250429000740 |
| Provider Name | Nancy a Swiader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972949923 PECOS PAC ID: 5294977583 Enrollment ID: I20250501000586 |
| Provider Name | Kelly a Hyland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497543714 PECOS PAC ID: 4688192610 Enrollment ID: I20250514001062 |
| Provider Name | Rachel Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285431304 PECOS PAC ID: 1951829852 Enrollment ID: I20250514003367 |
| Provider Name | Zachery Edward Brodil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194353078 PECOS PAC ID: 4486077047 Enrollment ID: I20250515002168 |
| Provider Name | Joshua Curtis Bridgewater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760120372 PECOS PAC ID: 3375911167 Enrollment ID: I20250528000243 |
| Provider Name | Matthew J Belanger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811481310 PECOS PAC ID: 9739437146 Enrollment ID: I20250529000387 |
| Provider Name | Lauren H Olszewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124589809 PECOS PAC ID: 4880026921 Enrollment ID: I20250529000690 |
| Provider Name | Marion W Tapp |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447711197 PECOS PAC ID: 8729314745 Enrollment ID: I20250529001182 |
| Provider Name | Nikko Rowe Asuncion Tabliago |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003445925 PECOS PAC ID: 6204259658 Enrollment ID: I20250604003802 |
| Provider Name | David Pierce Mysona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790274363 PECOS PAC ID: 7214284694 Enrollment ID: I20250604004151 |
| Provider Name | Courtney Elaine Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578127767 PECOS PAC ID: 9234466780 Enrollment ID: I20250604004248 |
| Provider Name | Anna Katheryn Fairfax |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518594969 PECOS PAC ID: 3375966914 Enrollment ID: I20250605000257 |
| Provider Name | Sanjay Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124757315 PECOS PAC ID: 6507234168 Enrollment ID: I20250621000376 |
| Provider Name | Sanjay R Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619919750 PECOS PAC ID: 0840296554 Enrollment ID: I20250624002679 |
| Provider Name | Nicholas Paul Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720717374 PECOS PAC ID: 4789052341 Enrollment ID: I20250625001530 |
| Provider Name | Emma K Eilo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962189134 PECOS PAC ID: 8820447261 Enrollment ID: I20250625001777 |
| Provider Name | Jessica Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588238844 PECOS PAC ID: 5092111617 Enrollment ID: I20250625001892 |
| Provider Name | Elizabeth R Danahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922674365 PECOS PAC ID: 0143624775 Enrollment ID: I20250627000456 |
| Provider Name | Robert Fugatt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497320378 PECOS PAC ID: 2163828138 Enrollment ID: I20250701000293 |
| Provider Name | Jacqueline E Vasko |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427841907 PECOS PAC ID: 2264945393 Enrollment ID: I20250701002977 |
| Provider Name | Dewitt Ralph Rogers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376051060 PECOS PAC ID: 1355691023 Enrollment ID: I20250701003399 |
| Provider Name | Richard Lowell T Barr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013595578 PECOS PAC ID: 5799144408 Enrollment ID: I20250701003688 |
| Provider Name | Elridge J Schwartzenburg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841784261 PECOS PAC ID: 3173876257 Enrollment ID: I20250701003888 |
| Provider Name | Jessica Hook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881187284 PECOS PAC ID: 4981957859 Enrollment ID: I20250702000022 |
| Provider Name | Sierra J Morrow |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861283350 PECOS PAC ID: 8123533866 Enrollment ID: I20250712000229 |
| Provider Name | Shannon N Braucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831821404 PECOS PAC ID: 4587179221 Enrollment ID: I20250712000268 |
| Provider Name | Lesley Flynt |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1578980769 PECOS PAC ID: 6305078742 Enrollment ID: I20250714001528 |
| Provider Name | Caroline P Horres |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083409957 PECOS PAC ID: 0345755955 Enrollment ID: I20250714001747 |
| Provider Name | Awais Mian Farooq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366070898 PECOS PAC ID: 9335509132 Enrollment ID: I20250714002680 |
| Provider Name | Kathy Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811491954 PECOS PAC ID: 8921346065 Enrollment ID: I20250714003992 |
| Provider Name | Jose Ricardo Lopez Castellanor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740786664 PECOS PAC ID: 8123376720 Enrollment ID: I20250715003400 |
| Provider Name | Mitchell Benton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043959349 PECOS PAC ID: 8921476599 Enrollment ID: I20250716001931 |
| Provider Name | Justine M Mckittrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932839164 PECOS PAC ID: 4880062678 Enrollment ID: I20250716002651 |
| Provider Name | Stephen B Sexauer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790205904 PECOS PAC ID: 9234403411 Enrollment ID: I20250716004131 |
| Provider Name | Austin Ronay White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013651140 PECOS PAC ID: 9537539036 Enrollment ID: I20250716004318 |
| Provider Name | Rhonda G Speaks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306694245 PECOS PAC ID: 8628583648 Enrollment ID: I20250717000426 |
| Provider Name | Drew Edward Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851030910 PECOS PAC ID: 7315315322 Enrollment ID: I20250717000991 |
| Provider Name | Sophia Choudhry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780163550 PECOS PAC ID: 7113324294 Enrollment ID: I20250719000035 |
| Provider Name | Florene Dixon Odulana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083091110 PECOS PAC ID: 3870823636 Enrollment ID: I20250723000560 |
| Provider Name | Meagan M Perro |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205722089 PECOS PAC ID: 3678089869 Enrollment ID: I20250723003406 |
| Provider Name | Natalie Dorsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598495525 PECOS PAC ID: 8426427832 Enrollment ID: I20250728001207 |
| Provider Name | Daniella Karassawa Zanoni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336706142 PECOS PAC ID: 8022344233 Enrollment ID: I20250728002261 |
| Provider Name | Ryan Patrick Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346826872 PECOS PAC ID: 5193126456 Enrollment ID: I20250731000305 |
| Provider Name | Kasey Jason Haseley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033701370 PECOS PAC ID: 1153720339 Enrollment ID: I20250731003472 |
| Provider Name | Jake H Driver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083295695 PECOS PAC ID: 8022427871 Enrollment ID: I20250731004676 |
| Provider Name | Mallory Claire Bowling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366054272 PECOS PAC ID: 5395191654 Enrollment ID: I20250801002583 |
| Provider Name | Luis Guillermo Medina Navarro |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831753383 PECOS PAC ID: 8527452804 Enrollment ID: I20250801002905 |
| Provider Name | Jacob Walker Vaught |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124607031 PECOS PAC ID: 1254732340 Enrollment ID: I20250801003720 |
| Provider Name | William a Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396498820 PECOS PAC ID: 6608374798 Enrollment ID: I20250808000380 |
| Provider Name | Russell W Jenkins |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548524911 PECOS PAC ID: 0749434207 Enrollment ID: I20250808001918 |
| Provider Name | Annabell E Thomas-harmon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730076373 PECOS PAC ID: 3971002999 Enrollment ID: I20250818001302 |
| Provider Name | Travis C Berry |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871118760 PECOS PAC ID: 9830624303 Enrollment ID: I20250818002672 |
| Provider Name | Alicia M Gallo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922685668 PECOS PAC ID: 2769883990 Enrollment ID: I20250818002933 |
| Provider Name | Emily Page Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346392909 PECOS PAC ID: 1759434103 Enrollment ID: I20250818004613 |
| Provider Name | Payton Demi Kendsersky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881190395 PECOS PAC ID: 4789080771 Enrollment ID: I20250819000428 |
| Provider Name | Rachel L Wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841750379 PECOS PAC ID: 1052646742 Enrollment ID: I20250819000826 |
| Provider Name | Kelsey Burk Loeliger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750841417 PECOS PAC ID: 8921331406 Enrollment ID: I20250819003040 |
| Provider Name | Chelsea Nicole Reynolds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275156747 PECOS PAC ID: 4587015235 Enrollment ID: I20250820000085 |
| Provider Name | Madeline E Leo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215428198 PECOS PAC ID: 5597008235 Enrollment ID: I20250820001096 |
| Provider Name | Suneet Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073175816 PECOS PAC ID: 9739619990 Enrollment ID: I20250820004936 |
| Provider Name | Jennifer L Cashwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598389728 PECOS PAC ID: 9335567130 Enrollment ID: I20250821000467 |
| Provider Name | Sean M Pennetti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003377375 PECOS PAC ID: 6507366937 Enrollment ID: I20250821000673 |
| Provider Name | Liza M Antopolsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912535816 PECOS PAC ID: 9335649797 Enrollment ID: I20250821001471 |
| Provider Name | Audrey a Fallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205650462 PECOS PAC ID: 0244730331 Enrollment ID: I20250822003582 |
| Provider Name | Tori N Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073406245 PECOS PAC ID: 3779083878 Enrollment ID: I20250822003953 |
| Provider Name | Seth N Russell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740819812 PECOS PAC ID: 1254754476 Enrollment ID: I20250822004239 |
| Provider Name | Cameron Lynn Mcglone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336728138 PECOS PAC ID: 8426558537 Enrollment ID: I20250822004298 |
| Provider Name | Ryley E Watt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104713445 PECOS PAC ID: 4880194992 Enrollment ID: I20250822004321 |
| Provider Name | Laura Perilloux |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174192603 PECOS PAC ID: 8325548464 Enrollment ID: I20250824000080 |
| Provider Name | Eily J Hayes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679033559 PECOS PAC ID: 1557699915 Enrollment ID: I20250824000089 |
| Provider Name | Kendra M Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104712801 PECOS PAC ID: 1850891995 Enrollment ID: I20250824000096 |
| Provider Name | Stephanie Lynn Myers |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538796602 PECOS PAC ID: 6608272356 Enrollment ID: I20250824000105 |
| Provider Name | Morganne Emily Dulin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447826037 PECOS PAC ID: 1456756469 Enrollment ID: I20250826002914 |
| Provider Name | Mollianna Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902471766 PECOS PAC ID: 1759787252 Enrollment ID: I20250826003334 |
| Provider Name | Anne Maitland |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1083660047 PECOS PAC ID: 1658465166 Enrollment ID: I20250827005143 |
| Provider Name | Gaurav Singla |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780385369 PECOS PAC ID: 8527560838 Enrollment ID: I20250905003517 |
| Provider Name | Nicholas C Arpey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427551241 PECOS PAC ID: 0446596878 Enrollment ID: I20250906000483 |
| Provider Name | Solymar Torres Maldonado |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699302679 PECOS PAC ID: 8527477769 Enrollment ID: I20250906000523 |
| Provider Name | Matney Carriker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427942630 PECOS PAC ID: 4183126147 Enrollment ID: I20250908003701 |
| Provider Name | Benjamin L Coenen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134605728 PECOS PAC ID: 3678809696 Enrollment ID: I20250908003861 |
| Provider Name | Rayena Frances Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083385660 PECOS PAC ID: 1759773674 Enrollment ID: I20250908003947 |
| Provider Name | Rachel E Siciliano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487536579 PECOS PAC ID: 4284137415 Enrollment ID: I20250912001146 |
| Provider Name | Taylor a Lilienthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356233852 PECOS PAC ID: 4385147537 Enrollment ID: I20250912001602 |
| Provider Name | Renee L Hutsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760967194 PECOS PAC ID: 1052814233 Enrollment ID: I20250912002159 |
| Provider Name | Reed Michael Butler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316567407 PECOS PAC ID: 9537583307 Enrollment ID: I20250912002283 |
| Provider Name | Alexander M Lieber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285253278 PECOS PAC ID: 8527561711 Enrollment ID: I20250912002394 |
| Provider Name | Michelle Yu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619597945 PECOS PAC ID: 4284137480 Enrollment ID: I20250912002525 |
| Provider Name | Dara Ashley Fazelnia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922685213 PECOS PAC ID: 1254730757 Enrollment ID: I20250915001723 |
| Provider Name | Matthew Klug Stein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437649712 PECOS PAC ID: 0749720399 Enrollment ID: I20250915004001 |
| Provider Name | David C Wilde |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477015246 PECOS PAC ID: 7719481647 Enrollment ID: I20250916000032 |
| Provider Name | George M Turco |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689237505 PECOS PAC ID: 2668709932 Enrollment ID: I20250916004179 |
| Provider Name | Catharine B Kappauf |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033747027 PECOS PAC ID: 2769986421 Enrollment ID: I20250917001054 |
| Provider Name | Michael O Tyler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174103139 PECOS PAC ID: 4981049202 Enrollment ID: I20250917001741 |
| Provider Name | Laura a Overton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629873419 PECOS PAC ID: 4981108586 Enrollment ID: I20250917002242 |
| Provider Name | Simone Rachelle, Nadia Higgins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538620208 PECOS PAC ID: 8224361035 Enrollment ID: I20250918002659 |
| Provider Name | Ramya S Yeleti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770162034 PECOS PAC ID: 2860996097 Enrollment ID: I20250919000358 |
| Provider Name | Christian Paul Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790369494 PECOS PAC ID: 0143625160 Enrollment ID: I20250919002653 |
| Provider Name | Ryan William King |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861920951 PECOS PAC ID: 9830465228 Enrollment ID: I20250919002929 |
| Provider Name | Erin G Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922983212 PECOS PAC ID: 0244736965 Enrollment ID: I20251001004174 |
| Provider Name | Rebecca Bonaroti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427632892 PECOS PAC ID: 1153720453 Enrollment ID: I20251002001297 |
| Provider Name | Luminita Tudor |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1578537197 PECOS PAC ID: 9436130291 Enrollment ID: I20251002003586 |
| Provider Name | Osama Abuhasheesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477109692 PECOS PAC ID: 3971915687 Enrollment ID: I20251002005104 |
| Provider Name | Sarah Katherine Lants |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578293270 PECOS PAC ID: 7911375589 Enrollment ID: I20251002005178 |
| Provider Name | William H Mellick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154040293 PECOS PAC ID: 7315443835 Enrollment ID: I20251003000475 |
| Provider Name | Maxim Yankelevich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508011776 PECOS PAC ID: 4284799800 Enrollment ID: I20251003001003 |
| Provider Name | Alexandra D D'oto |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396303236 PECOS PAC ID: 8224572920 Enrollment ID: I20251003001314 |
| Provider Name | Olivia R Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578454724 PECOS PAC ID: 4880190248 Enrollment ID: I20251003001909 |
| Provider Name | Jordan B Lint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043192644 PECOS PAC ID: 7517463920 Enrollment ID: I20251003003020 |
| Provider Name | Jessica S Stockinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023632957 PECOS PAC ID: 0446679971 Enrollment ID: I20251003003899 |
| Provider Name | Taylor M Kerrins |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1083270730 PECOS PAC ID: 5294061917 Enrollment ID: I20251003004084 |
| Provider Name | Christopher John Lashley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982017778 PECOS PAC ID: 8426327529 Enrollment ID: I20251003004119 |
| Provider Name | Katherine K Barnett |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1528447323 PECOS PAC ID: 9638428493 Enrollment ID: I20251003004154 |
| Provider Name | Ali Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336425057 PECOS PAC ID: 2163670746 Enrollment ID: I20251004000263 |
| Provider Name | Cheryl G Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992786461 PECOS PAC ID: 6406874551 Enrollment ID: I20251008000574 |
| Provider Name | Cara E Arpey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225598303 PECOS PAC ID: 8628490372 Enrollment ID: I20251008004639 |
| Provider Name | Duyen Thuy Vo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265175301 PECOS PAC ID: 3173904877 Enrollment ID: I20251009001217 |
| Provider Name | Jordan L Graham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649768409 PECOS PAC ID: 8426452277 Enrollment ID: I20251009002616 |
| Provider Name | Matthew Holden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790500684 PECOS PAC ID: 5294232773 Enrollment ID: I20251009003063 |
| Provider Name | Michael E Hook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053872051 PECOS PAC ID: 3971000274 Enrollment ID: I20251010001549 |
| Provider Name | Lauren B Shealy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306414404 PECOS PAC ID: 0244636843 Enrollment ID: I20251014002121 |
| Provider Name | Rory P Dowd |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1013734227 PECOS PAC ID: 4284121039 Enrollment ID: I20251015000411 |
| Provider Name | Mohammad M Alhousani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003302019 PECOS PAC ID: 1456603521 Enrollment ID: I20251015001575 |
| Provider Name | Michaela L Yarbrough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790585347 PECOS PAC ID: 2466949110 Enrollment ID: I20251015003955 |
| Provider Name | David R Smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427672260 PECOS PAC ID: 4789122888 Enrollment ID: I20251016000267 |
| Provider Name | Alisa N Blumenthaler |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1982124418 PECOS PAC ID: 5698044626 Enrollment ID: I20251017000012 |
| Provider Name | Carolyn P Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992687180 PECOS PAC ID: 7416444872 Enrollment ID: I20251017002770 |
| Provider Name | Eric S Seigel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932185972 PECOS PAC ID: 4385600063 Enrollment ID: I20251022000353 |
| Provider Name | John T Epting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649631573 PECOS PAC ID: 1456641745 Enrollment ID: I20251022000459 |
| Provider Name | Priya Arumuganathan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831725852 PECOS PAC ID: 8729445226 Enrollment ID: I20251023002971 |
| Provider Name | Alison J Yu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659831113 PECOS PAC ID: 6800201278 Enrollment ID: I20251023003079 |
| Provider Name | Sherif Y Ibrahim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467949503 PECOS PAC ID: 5294223806 Enrollment ID: I20251024000017 |
| Provider Name | Tyler Mark Rist |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356906697 PECOS PAC ID: 6305177387 Enrollment ID: I20251027002379 |
| Provider Name | Nicole Lynn Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376118216 PECOS PAC ID: 9638574635 Enrollment ID: I20251027002492 |
| Provider Name | Cyrus Feizpour |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932637287 PECOS PAC ID: 4880963321 Enrollment ID: I20251030005083 |
| Provider Name | Alka Kohli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699723999 PECOS PAC ID: 1052307113 Enrollment ID: I20251104004231 |
| Provider Name | Thomas Moran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912467044 PECOS PAC ID: 0042545147 Enrollment ID: I20251106000555 |
| Provider Name | Megan L Deaver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912409467 PECOS PAC ID: 1456608165 Enrollment ID: I20251106002061 |
| Provider Name | Courtney M Poston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144888264 PECOS PAC ID: 3779810742 Enrollment ID: I20251106003016 |
| Provider Name | Jenna Nicole Littmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154940369 PECOS PAC ID: 7012435704 Enrollment ID: I20251106004876 |
| Provider Name | Margaret G Darr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932721396 PECOS PAC ID: 6103316179 Enrollment ID: I20251107001562 |
| Provider Name | Sidney N Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114801917 PECOS PAC ID: 2163912056 Enrollment ID: I20251107004398 |
| Provider Name | Ryan Joseph Schexnaildre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407585524 PECOS PAC ID: 5698143253 Enrollment ID: I20251108000295 |
| Provider Name | Kurt W Prins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730446873 PECOS PAC ID: 4789835588 Enrollment ID: I20251108000506 |
| Provider Name | Jacob D Goatley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235753518 PECOS PAC ID: 1759760754 Enrollment ID: I20251110000418 |
| Provider Name | Melissa Lynn Chavez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417584442 PECOS PAC ID: 2365930344 Enrollment ID: I20251111001939 |
| Provider Name | Markus Andrew Buchfellner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497250427 PECOS PAC ID: 4284031451 Enrollment ID: I20251111002855 |
| Provider Name | Elspeth L Bittle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265920797 PECOS PAC ID: 4284982059 Enrollment ID: I20251111003378 |
| Provider Name | Liam Denne Bendig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356073241 PECOS PAC ID: 1456729128 Enrollment ID: I20251111003754 |
| Provider Name | Sydney M Middleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659833937 PECOS PAC ID: 1254666787 Enrollment ID: I20251112000494 |
| Provider Name | Maya H Wahl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033091210 PECOS PAC ID: 4183115710 Enrollment ID: I20251112000809 |
| Provider Name | Cecilia L Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477179844 PECOS PAC ID: 8527487156 Enrollment ID: I20251112001183 |
| Provider Name | Mansour Aron Parsi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447216692 PECOS PAC ID: 0345209136 Enrollment ID: I20251112001230 |
| Provider Name | Emma K Kroske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184488702 PECOS PAC ID: 8527559194 Enrollment ID: I20251112001764 |
| Provider Name | Jordan Organ |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649159294 PECOS PAC ID: 4789175217 Enrollment ID: I20251112004380 |
| Provider Name | Tyler Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013772649 PECOS PAC ID: 6507357035 Enrollment ID: I20251112004391 |
| Provider Name | Luis C Yepes |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033372644 PECOS PAC ID: 8820397680 Enrollment ID: I20251114000712 |
| Provider Name | Holly M Goldberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104680719 PECOS PAC ID: 6901397298 Enrollment ID: I20251114001078 |
| Provider Name | Brent a Ponce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659358091 PECOS PAC ID: 6204898554 Enrollment ID: I20251114001892 |
| Provider Name | Ashley J Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215455878 PECOS PAC ID: 1658862990 Enrollment ID: I20251114002555 |
| Provider Name | Lindsey a Yacullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275358707 PECOS PAC ID: 1557852704 Enrollment ID: I20251114003165 |
| Provider Name | Nathaniel Manche |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740819234 PECOS PAC ID: 5496151474 Enrollment ID: I20251114003631 |
| Provider Name | Rhea Hans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386132462 PECOS PAC ID: 7315438587 Enrollment ID: I20251114003846 |
| Provider Name | Brooke Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093383036 PECOS PAC ID: 1557767332 Enrollment ID: I20251115000008 |
| Provider Name | Sarah Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417512674 PECOS PAC ID: 8022348127 Enrollment ID: I20251115000137 |
| Provider Name | Marissa Anne Mayor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669738597 PECOS PAC ID: 8527458405 Enrollment ID: I20251115000319 |
| Provider Name | Donna L Mullner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649709692 PECOS PAC ID: 1557636941 Enrollment ID: I20251115000327 |
| Provider Name | Andrew C Dorsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215667241 PECOS PAC ID: 1456729805 Enrollment ID: I20251115000368 |
| Provider Name | Marian Colleen Bair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427812031 PECOS PAC ID: 1052803814 Enrollment ID: I20251119005271 |
| Provider Name | Clare a Mctighe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114717014 PECOS PAC ID: 0446742134 Enrollment ID: I20251120001473 |
| Provider Name | Aubrey M Surian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306679808 PECOS PAC ID: 6507358298 Enrollment ID: I20251120001644 |
| Provider Name | Lauren E Schanbacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750145363 PECOS PAC ID: 4183116759 Enrollment ID: I20251121000007 |
| Provider Name | Rachel B Getzenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902367873 PECOS PAC ID: 1355833625 Enrollment ID: I20251124003042 |
| Provider Name | Amber E Sorsek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386103620 PECOS PAC ID: 7113419490 Enrollment ID: I20251124003271 |
| Provider Name | Alyssa L Hoelscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770478075 PECOS PAC ID: 1355833583 Enrollment ID: I20251125000463 |
| Provider Name | Hannah L Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457142374 PECOS PAC ID: 0446742639 Enrollment ID: I20251125002036 |
| Provider Name | Tara M Barry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255793345 PECOS PAC ID: 9830516251 Enrollment ID: I20251125003109 |
| Provider Name | Gretchen L Bracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558247445 PECOS PAC ID: 0749772812 Enrollment ID: I20251125003671 |
| Provider Name | Kaley S Turski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437025244 PECOS PAC ID: 4385136464 Enrollment ID: I20251125003864 |
| Provider Name | Emily G Deng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336998095 PECOS PAC ID: 2668964750 Enrollment ID: I20251125003965 |
| Provider Name | Justin N Engelbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619313624 PECOS PAC ID: 4284934522 Enrollment ID: I20251201003610 |
| Provider Name | Kelly P Rabenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679051726 PECOS PAC ID: 5991298663 Enrollment ID: I20251202000724 |
| Provider Name | Kaelynn R Gaboury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689438293 PECOS PAC ID: 6002309366 Enrollment ID: I20251204001944 |
| Provider Name | Madison C Young |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1578381042 PECOS PAC ID: 4880187947 Enrollment ID: I20251205003244 |
| Provider Name | Michelle T Bui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508620113 PECOS PAC ID: 7517451511 Enrollment ID: I20251208002541 |
| Provider Name | Charles Julius Santos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558866475 PECOS PAC ID: 3072845635 Enrollment ID: I20251209002222 |
| Provider Name | Kortni Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639934193 PECOS PAC ID: 9234661398 Enrollment ID: I20251209003332 |
| Provider Name | Jordan Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285506774 PECOS PAC ID: 3577057298 Enrollment ID: I20251210002660 |
| Provider Name | Swati Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598151805 PECOS PAC ID: 6204155070 Enrollment ID: I20251212002089 |
| Provider Name | Mariel S Bello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750006797 PECOS PAC ID: 3375037609 Enrollment ID: I20251212003661 |
| Provider Name | Sharon R Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124093513 PECOS PAC ID: 6002898004 Enrollment ID: I20251214000037 |
| Provider Name | Garland M Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114807740 PECOS PAC ID: 4880188184 Enrollment ID: I20251215000577 |
| Provider Name | Shelby Stohlman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811513823 PECOS PAC ID: 8729435987 Enrollment ID: I20251215003909 |
| Provider Name | Priyal Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386206340 PECOS PAC ID: 8628450590 Enrollment ID: I20251220000425 |
| Provider Name | Olivia Love |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801768593 PECOS PAC ID: 6204321797 Enrollment ID: I20251222002942 |
| Provider Name | Diala TH Almardeeni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932683927 PECOS PAC ID: 5799181632 Enrollment ID: I20251230000724 |
| Provider Name | Kimber Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891581583 PECOS PAC ID: 7719473776 Enrollment ID: I20251230001707 |
| Provider Name | Nora F Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528645850 PECOS PAC ID: 2163918525 Enrollment ID: I20260106001465 |
| Provider Name | Jazmyn Agudelo Mustafa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083323851 PECOS PAC ID: 7911356670 Enrollment ID: I20260106003916 |
| Provider Name | Anthony P Kent |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942685441 PECOS PAC ID: 8729322722 Enrollment ID: I20260107000619 |
| Provider Name | Michala E Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578433413 PECOS PAC ID: 5890271183 Enrollment ID: I20260107001044 |
| Provider Name | Rock H Savage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407425150 PECOS PAC ID: 9931504925 Enrollment ID: I20260107001076 |
| Provider Name | Maegan E Sanford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295622496 PECOS PAC ID: 5193201374 Enrollment ID: I20260107003004 |
| Provider Name | Courtney E Borgognoni |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386376952 PECOS PAC ID: 3971089053 Enrollment ID: I20260108001307 |
| Provider Name | Alexander Joseph Podboy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366858011 PECOS PAC ID: 4284850082 Enrollment ID: I20260112000530 |
| Provider Name | Cody a Clemens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982460556 PECOS PAC ID: 2860929502 Enrollment ID: I20260112002143 |
| Provider Name | Jared Nicholas Woodward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235716721 PECOS PAC ID: 9638570971 Enrollment ID: I20260121002414 |
| Provider Name | Benjamin John Archambault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336716265 PECOS PAC ID: 0648676429 Enrollment ID: I20260121003229 |
| Provider Name | Alexis Ann Ogbonna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124693502 PECOS PAC ID: 9234536434 Enrollment ID: I20260121003598 |
| Provider Name | Katrina R Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508673534 PECOS PAC ID: 7416434386 Enrollment ID: I20260122001008 |
| Provider Name | Daniel N Holena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598985590 PECOS PAC ID: 3678643061 Enrollment ID: I20260123002547 |
| Provider Name | Stephanie Jean Hayden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366063901 PECOS PAC ID: 5294103867 Enrollment ID: I20260123003066 |
| Provider Name | Ashleigh Hemphill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679076889 PECOS PAC ID: 0749669554 Enrollment ID: I20260127000225 |
| Provider Name | Carlisle B Hiott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033784483 PECOS PAC ID: 4981009909 Enrollment ID: I20260127000806 |
| Provider Name | Paige N Laverick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003678376 PECOS PAC ID: 5496190191 Enrollment ID: I20260131000365 |
| Provider Name | Marina Zaretskaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386711182 PECOS PAC ID: 5092603613 Enrollment ID: I20260203000260 |
| Provider Name | Erica L Tollerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801752696 PECOS PAC ID: 4284112087 Enrollment ID: I20260203000763 |
| Provider Name | Lisa R Domagalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295782787 PECOS PAC ID: 4385537596 Enrollment ID: I20260203002682 |
| Provider Name | Renee M Thomas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902334683 PECOS PAC ID: 7012267412 Enrollment ID: I20260204000680 |
| Provider Name | Ashlee Tubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487032520 PECOS PAC ID: 2062724917 Enrollment ID: I20260204001215 |
| Provider Name | Jennifer M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114377710 PECOS PAC ID: 3678865771 Enrollment ID: I20260204001712 |
| Provider Name | Amy Summy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871133355 PECOS PAC ID: 5092294421 Enrollment ID: I20260206000339 |
| Provider Name | Jennifer P Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164472593 PECOS PAC ID: 7113112640 Enrollment ID: I20260206000345 |
| Provider Name | Paul Tannous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023250511 PECOS PAC ID: 4587955455 Enrollment ID: I20260206001146 |
| Provider Name | Chad B Crigger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801342142 PECOS PAC ID: 3779871959 Enrollment ID: I20260206001517 |
| Provider Name | Jacey Verdicchio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205728714 PECOS PAC ID: 2466931738 Enrollment ID: I20260206002119 |
| Provider Name | Timothy E Bunchman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184699522 PECOS PAC ID: 4789713405 Enrollment ID: I20260217002751 |
| Provider Name | Geoffrey a Jackman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235210022 PECOS PAC ID: 8628025509 Enrollment ID: I20260226003107 |
| Provider Name | Hannah K Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689279044 PECOS PAC ID: 0547741514 Enrollment ID: I20260226004506 |
| Provider Name | Madison Herren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700770963 PECOS PAC ID: 5092296061 Enrollment ID: I20260226004523 |
| Provider Name | Carla Z Minutti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407886179 PECOS PAC ID: 0042268815 Enrollment ID: I20260227004276 |
| Provider Name | Patrick M Valente |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336703412 PECOS PAC ID: 8820322217 Enrollment ID: I20260228000121 |
| Provider Name | Jeremy P Head |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013593656 PECOS PAC ID: 7012319114 Enrollment ID: I20260228000163 |
| Provider Name | Lauren Mianulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750789541 PECOS PAC ID: 0042792954 Enrollment ID: I20260228000369 |
| Provider Name | Lisa B Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821109323 PECOS PAC ID: 2769964675 Enrollment ID: I20260228000434 |
| Provider Name | Virginia a Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033094149 PECOS PAC ID: 7012499932 Enrollment ID: I20260228000581 |
| Provider Name | Richard T Tenczar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346282092 PECOS PAC ID: 0244284628 Enrollment ID: I20260228000699 |
| Provider Name | Joshua Lee Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366858946 PECOS PAC ID: 7315166063 Enrollment ID: I20260306001054 |
| Provider Name | Taylor N Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104778620 PECOS PAC ID: 4880176940 Enrollment ID: I20260306002272 |
| Provider Name | Megan N Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922959196 PECOS PAC ID: 6103309539 Enrollment ID: I20260313000159 |
| Provider Name | David Joseph Kreps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124777636 PECOS PAC ID: 9032614599 Enrollment ID: I20260319002811 |
| Provider Name | Tiffany R Chang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003098310 PECOS PAC ID: 6800080193 Enrollment ID: I20260319003080 |
| Provider Name | Marisa J Irons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184578007 PECOS PAC ID: 2062996804 Enrollment ID: I20260319003278 |
| Provider Name | Mataya L Katzfey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831041011 PECOS PAC ID: 4880178565 Enrollment ID: I20260320000222 |
| Provider Name | Larissa J Mooney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942238282 PECOS PAC ID: 6204849144 Enrollment ID: I20260320001557 |
| Provider Name | Megan V Yanik |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1447540836 PECOS PAC ID: 3375781933 Enrollment ID: I20260320002912 |
| Provider Name | Kaylyn M Paveglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386503068 PECOS PAC ID: 5597240531 Enrollment ID: I20260327002723 |
| Provider Name | Heidi N Fusco |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013177674 PECOS PAC ID: 1052578499 Enrollment ID: I20260413000208 |
| Provider Name | Marina G Westphal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528609724 PECOS PAC ID: 9335614783 Enrollment ID: I20260414000237 |
| Provider Name | Yiseiry Perez-melendez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023646916 PECOS PAC ID: 3870944721 Enrollment ID: I20260414000879 |
| Provider Name | Meghan Blanchette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326999582 PECOS PAC ID: 0547736902 Enrollment ID: I20260414003185 |
| Provider Name | Quinn P Walkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548981970 PECOS PAC ID: 7012438195 Enrollment ID: I20260414003456 |
| Provider Name | Danielle G Westerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104773365 PECOS PAC ID: 9032685318 Enrollment ID: I20260415000207 |
| Provider Name | Allison P Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902766272 PECOS PAC ID: 0648746925 Enrollment ID: I20260415000328 |
| Provider Name | Brianna L Bagdasian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962366765 PECOS PAC ID: 8820564180 Enrollment ID: I20260415002276 |
| Provider Name | Gregory Jay Pomper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184608572 PECOS PAC ID: 3173650694 Enrollment ID: I20260421001323 |
| Provider Name | Britton Wesley Mcglawn-mcgrane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326777525 PECOS PAC ID: 2567830888 Enrollment ID: I20260421001873 |
| Provider Name | Christopher Stewart Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619535853 PECOS PAC ID: 7719217835 Enrollment ID: I20260421002448 |
| Provider Name | Garrett Ossolinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760269344 PECOS PAC ID: 9335584291 Enrollment ID: I20260421003286 |
| Provider Name | Crysta E Schaff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326933797 PECOS PAC ID: 4082181300 Enrollment ID: I20260424000048 |
| Provider Name | Kara M Taylor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578054839 PECOS PAC ID: 2365788890 Enrollment ID: I20260427001913 |
| Provider Name | Sharon V Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669863338 PECOS PAC ID: 4880161819 Enrollment ID: I20260428001513 |
| Provider Name | Breanna Marie Koetter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013597236 PECOS PAC ID: 2163827569 Enrollment ID: I20260519000597 |
| Provider Name | Oluwatoyin O Unterreiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700416534 PECOS PAC ID: 4284104001 Enrollment ID: I20260521003068 |
| Provider Name | Cassandra Lauren Venditti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528715034 PECOS PAC ID: 7810383577 Enrollment ID: I20260522000081 |
| Provider Name | Sarah F Pryor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841525482 PECOS PAC ID: 2163566282 Enrollment ID: I20260526001901 |
| Provider Name | Palvi B Jindal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649969296 PECOS PAC ID: 2466922786 Enrollment ID: I20260528001697 |
| Provider Name | Baxter Tharin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013177120 PECOS PAC ID: 4284867961 Enrollment ID: I20260529001181 |
| Provider Name | Brady E Dumont |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639012578 PECOS PAC ID: 9537630280 Enrollment ID: I20260604000136 |
| Provider Name | Ashlyn E Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851032122 PECOS PAC ID: 6103326889 Enrollment ID: I20260616002880 |
| Provider Name | Nancy L Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801884440 PECOS PAC ID: 1557309986 Enrollment ID: I20260617001076 |
| Provider Name | Brian Lynn Wolfe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609282607 PECOS PAC ID: 3678871209 Enrollment ID: I20260618000492 |
| Provider Name | Turner Rainwater Byers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366181117 PECOS PAC ID: 7012385651 Enrollment ID: I20260618000755 |
| Provider Name | William Carter Reed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528634193 PECOS PAC ID: 2961804562 Enrollment ID: I20260618001116 |
| Provider Name | Seth R Winkler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265759831 PECOS PAC ID: 8325511496 Enrollment ID: I20260622001190 |
| Provider Name | Faith M M Middleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649894643 PECOS PAC ID: 3173942646 Enrollment ID: I20260622002106 |
| Provider Name | Dev Rao Cheti |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588074348 PECOS PAC ID: 5294951794 Enrollment ID: I20260623003635 |
Palmetto Primary Care Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 |
Fetter Health Care Network-downtown Site Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51 Nassau St, Charleston, SC 29403 Phone: 843-722-4112 Fax: 843-577-8960 |
MUSC Physicians Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-573-2535 |
Roper St. Francis Hospitalist Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 |
Novant Health West Ashley Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10b Farmfield Ave, Charleston, SC 29407 Phone: 854-287-3135 Fax: 854-287-3136 |
Harold R Nicolette, DO, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 |