| Mvhe Inc | |
|
3170 Kettering Blvd Building B 3rd Floor Moraine OH 45439-1924 | |
| (937) 991-3188 | |
| (937) 223-9811 |
| Full Name | Mvhe Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3170 Kettering Blvd, Moraine, Ohio |
| Authorized Official Name and Position | Michel Darlene (SYSTEMS SUPPORT ANALYST) |
| Authorized Official Contact | 9374998205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mvhe Inc 3170 Kettering Blvd Building B 3rd Floor Moraine OH 45439-1924 Ph: (937) 991-3188 | Mvhe Inc 3170 Kettering Blvd Building B 3rd Floor Moraine OH 45439-1924 Ph: (937) 991-3188 |
| NPI Number | 1659504785 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 9537066584 |
|---|---|
| Medicare Enrollment ID | O20031217000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659504785 | NPI | - | NPPES |
| 0081661 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shirelle Dionne Applin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336196872 PECOS PAC ID: 6901718352 Enrollment ID: I20031104000173 |
| Provider Name | Michele L Ralofsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679539035 PECOS PAC ID: 7012821606 Enrollment ID: I20031118000351 |
| Provider Name | Bihu G Sandhir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447243746 PECOS PAC ID: 0042124356 Enrollment ID: I20031119000308 |
| Provider Name | David Paul Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609849264 PECOS PAC ID: 4284539750 Enrollment ID: I20031208000031 |
| Provider Name | Aruna Prattipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609828367 PECOS PAC ID: 5294637674 Enrollment ID: I20040126000233 |
| Provider Name | Michael B Dulan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376531624 PECOS PAC ID: 1456253806 Enrollment ID: I20040127000650 |
| Provider Name | Rosalind Moore Dulan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265420525 PECOS PAC ID: 1557263902 Enrollment ID: I20040128000315 |
| Provider Name | Robert Morrison |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114925682 PECOS PAC ID: 1254243249 Enrollment ID: I20040209000015 |
| Provider Name | Aleda Nash Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063458107 PECOS PAC ID: 1658268446 Enrollment ID: I20040304000722 |
| Provider Name | Yoichi C Imamura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679687479 PECOS PAC ID: 5496643868 Enrollment ID: I20040308000662 |
| Provider Name | Kaveri Sivaruban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801846258 PECOS PAC ID: 2567351273 Enrollment ID: I20040311000955 |
| Provider Name | Kirk Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093734501 PECOS PAC ID: 3971493198 Enrollment ID: I20040319000164 |
| Provider Name | Farzin Foruhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942249594 PECOS PAC ID: 0941192512 Enrollment ID: I20040327000440 |
| Provider Name | Darrell Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821068990 PECOS PAC ID: 1355333576 Enrollment ID: I20040330001425 |
| Provider Name | Anessa Dawn Alappatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356427223 PECOS PAC ID: 7012901689 Enrollment ID: I20040414001411 |
| Provider Name | Susan K Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871580506 PECOS PAC ID: 9436146297 Enrollment ID: I20040428000673 |
| Provider Name | Lesley Ann Meeker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568467793 PECOS PAC ID: 6406843671 Enrollment ID: I20040429000028 |
| Provider Name | Nkoli Anigbogu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184710121 PECOS PAC ID: 8123017266 Enrollment ID: I20040512000594 |
| Provider Name | Kenrick Sylvester Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295736049 PECOS PAC ID: 9436140027 Enrollment ID: I20040521000755 |
| Provider Name | Gayle M Herrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891744983 PECOS PAC ID: 0446241863 Enrollment ID: I20040524000132 |
| Provider Name | Liping Guan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932167236 PECOS PAC ID: 3072594027 Enrollment ID: I20040526000899 |
| Provider Name | Elie R Ghazal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982657391 PECOS PAC ID: 3375525637 Enrollment ID: I20040602000484 |
| Provider Name | Sunita Mall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962455634 PECOS PAC ID: 6507848728 Enrollment ID: I20040602000952 |
| Provider Name | Chethana Jaluma Raghupathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356396766 PECOS PAC ID: 3779566534 Enrollment ID: I20040611000544 |
| Provider Name | Mohammad A Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801891692 PECOS PAC ID: 7315923547 Enrollment ID: I20040628000768 |
| Provider Name | Oshana Alahakoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285793745 PECOS PAC ID: 9436135316 Enrollment ID: I20040629001737 |
| Provider Name | Seref M Bornovali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508862244 PECOS PAC ID: 9234126350 Enrollment ID: I20040715000609 |
| Provider Name | Timothy Sorg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467441873 PECOS PAC ID: 0547233488 Enrollment ID: I20040818000354 |
| Provider Name | Susan Meera Grandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073686838 PECOS PAC ID: 6800863747 Enrollment ID: I20040910001274 |
| Provider Name | Chaturbhai Bababhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558379750 PECOS PAC ID: 4587632054 Enrollment ID: I20040922000600 |
| Provider Name | Monica A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891791026 PECOS PAC ID: 6002701299 Enrollment ID: I20041102001300 |
| Provider Name | Thomas L Brunsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215976428 PECOS PAC ID: 6507829587 Enrollment ID: I20041110000763 |
| Provider Name | Mitchell I Ballin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104866565 PECOS PAC ID: 2668439449 Enrollment ID: I20041214000036 |
| Provider Name | Nneka S Anyanechi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982824207 PECOS PAC ID: 1052363223 Enrollment ID: I20050216000110 |
| Provider Name | Christopher Alan Eppley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245231737 PECOS PAC ID: 8921052010 Enrollment ID: I20050311000074 |
| Provider Name | Terez Rizk Metry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265487250 PECOS PAC ID: 2365482692 Enrollment ID: I20050505001170 |
| Provider Name | Slawomir M Fratczak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124009436 PECOS PAC ID: 2769423466 Enrollment ID: I20050512000506 |
| Provider Name | Gretzel King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912990730 PECOS PAC ID: 2264404128 Enrollment ID: I20050614000344 |
| Provider Name | Adam Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124127063 PECOS PAC ID: 0941244032 Enrollment ID: I20050620000683 |
| Provider Name | Michael J Rebar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235115809 PECOS PAC ID: 2365487246 Enrollment ID: I20050621001229 |
| Provider Name | Genevieve Charlotte Bates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710071287 PECOS PAC ID: 7214973080 Enrollment ID: I20050701000178 |
| Provider Name | Michael W Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20050825000469 |
| Provider Name | Pamela J Acopine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932182961 PECOS PAC ID: 9739110800 Enrollment ID: I20050829000404 |
| Provider Name | Richard Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20051007000786 |
| Provider Name | Andrew P Schulz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952365686 PECOS PAC ID: 5092731984 Enrollment ID: I20051020000202 |
| Provider Name | Kavitha Aluri Choudary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023119781 PECOS PAC ID: 8729005475 Enrollment ID: I20051101000540 |
| Provider Name | Kamini Pranav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154395689 PECOS PAC ID: 6608894720 Enrollment ID: I20051108000168 |
| Provider Name | David A Mesker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793762 PECOS PAC ID: 4789603051 Enrollment ID: I20051116000091 |
| Provider Name | Tarek Anjari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692459 PECOS PAC ID: 9335133701 Enrollment ID: I20051116000119 |
| Provider Name | James F Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821053448 PECOS PAC ID: 5799706370 Enrollment ID: I20051210000040 |
| Provider Name | Michael J Ruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124084454 PECOS PAC ID: 3779573464 Enrollment ID: I20051216000190 |
| Provider Name | Harry T Kittaka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437176286 PECOS PAC ID: 5991710949 Enrollment ID: I20060213000058 |
| Provider Name | Sukaina J Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568430031 PECOS PAC ID: 5991714404 Enrollment ID: I20060411000706 |
| Provider Name | Robert F Linn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225085210 PECOS PAC ID: 8123036951 Enrollment ID: I20060712000091 |
| Provider Name | Santosh R Likki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316926934 PECOS PAC ID: 5496728370 Enrollment ID: I20060801000031 |
| Provider Name | Sivakrishna Bhandaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629017884 PECOS PAC ID: 6800899030 Enrollment ID: I20060808000605 |
| Provider Name | Radhika R Akella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619905601 PECOS PAC ID: 7618970880 Enrollment ID: I20060809000275 |
| Provider Name | Kimberly S Hendricks |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255345336 PECOS PAC ID: 0840293593 Enrollment ID: I20060817000639 |
| Provider Name | Suresh Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288465 PECOS PAC ID: 3971506643 Enrollment ID: I20060818000156 |
| Provider Name | Majid Taj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295837367 PECOS PAC ID: 1456356831 Enrollment ID: I20060918000265 |
| Provider Name | Johan Worndle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295840833 PECOS PAC ID: 8729083696 Enrollment ID: I20060927000419 |
| Provider Name | Alexandra J Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497781652 PECOS PAC ID: 2365447992 Enrollment ID: I20061003000411 |
| Provider Name | Sulabha R Dange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598743296 PECOS PAC ID: 2567468887 Enrollment ID: I20061010000544 |
| Provider Name | Aderemi Basit Alli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447348982 PECOS PAC ID: 2365449535 Enrollment ID: I20061031000479 |
| Provider Name | Robert Rae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003852070 PECOS PAC ID: 1850399148 Enrollment ID: I20061121000224 |
| Provider Name | Deitrice Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104847516 PECOS PAC ID: 6103825468 Enrollment ID: I20061214000029 |
| Provider Name | Julia Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669493078 PECOS PAC ID: 9830198191 Enrollment ID: I20061214000033 |
| Provider Name | Marc Anthony Raslich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619917705 PECOS PAC ID: 9436158516 Enrollment ID: I20061219000371 |
| Provider Name | Leslie N Holtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316005770 PECOS PAC ID: 2163422007 Enrollment ID: I20061228000110 |
| Provider Name | Latha Venkatesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760487979 PECOS PAC ID: 6305846502 Enrollment ID: I20070112000128 |
| Provider Name | Kenneth K Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285770859 PECOS PAC ID: 6002918935 Enrollment ID: I20070223000603 |
| Provider Name | Michele D Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407877715 PECOS PAC ID: 4284739871 Enrollment ID: I20070410000173 |
| Provider Name | Rameswar Chaudhuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104915602 PECOS PAC ID: 7618901950 Enrollment ID: I20070424000505 |
| Provider Name | Debra Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164633707 PECOS PAC ID: 1850490426 Enrollment ID: I20070621000691 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Richard B Boster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871638411 PECOS PAC ID: 1557350519 Enrollment ID: I20070806000172 |
| Provider Name | Michael J Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720295603 PECOS PAC ID: 8325139165 Enrollment ID: I20070808000079 |
| Provider Name | Sunila Pillai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699826776 PECOS PAC ID: 2567554579 Enrollment ID: I20070822001073 |
| Provider Name | Gnanam Thambi Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255346730 PECOS PAC ID: 0648241406 Enrollment ID: I20070911000209 |
| Provider Name | Maria Thomas-john |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1285847855 PECOS PAC ID: 0840384335 Enrollment ID: I20070914000048 |
| Provider Name | Lisa Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841321288 PECOS PAC ID: 9032203815 Enrollment ID: I20070925000009 |
| Provider Name | Miguel A Parilo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255386744 PECOS PAC ID: 2961597661 Enrollment ID: I20070926000597 |
| Provider Name | Heidi Buckingham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295722635 PECOS PAC ID: 9638261506 Enrollment ID: I20070926000609 |
| Provider Name | Geetha C Ambalavanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780899633 PECOS PAC ID: 2860588258 Enrollment ID: I20071017000133 |
| Provider Name | Anoopa Hodges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285679720 PECOS PAC ID: 0840386272 Enrollment ID: I20071017000445 |
| Provider Name | Ravindra Mullapudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811943822 PECOS PAC ID: 3072600550 Enrollment ID: I20071031000031 |
| Provider Name | Amy Hovest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063547479 PECOS PAC ID: 4981793213 Enrollment ID: I20071210000075 |
| Provider Name | Letitia Thompson-hargrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376764944 PECOS PAC ID: 8628150620 Enrollment ID: I20080130000199 |
| Provider Name | Anne K Nestor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144204892 PECOS PAC ID: 8921180514 Enrollment ID: I20080205000388 |
| Provider Name | Mansi Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780882852 PECOS PAC ID: 5395829253 Enrollment ID: I20080301000088 |
| Provider Name | Charles Oppong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902080922 PECOS PAC ID: 4486739448 Enrollment ID: I20080314000342 |
| Provider Name | Arshad Ali Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578583605 PECOS PAC ID: 9436154945 Enrollment ID: I20080409000290 |
| Provider Name | Glen Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760481626 PECOS PAC ID: 5799863262 Enrollment ID: I20080423000775 |
| Provider Name | Duane P Dickens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568401685 PECOS PAC ID: 4385723931 Enrollment ID: I20080507000343 |
| Provider Name | Kirk E Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730199985 PECOS PAC ID: 7618046178 Enrollment ID: I20080523000239 |
| Provider Name | Shunaid M Pathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477726743 PECOS PAC ID: 1951473941 Enrollment ID: I20080708000614 |
| Provider Name | Anca Udrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700878386 PECOS PAC ID: 1355362971 Enrollment ID: I20080715000002 |
| Provider Name | Sudha Jaganathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447327085 PECOS PAC ID: 2466526652 Enrollment ID: I20080806000423 |
| Provider Name | Tresa P Pasam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497963532 PECOS PAC ID: 6305911892 Enrollment ID: I20080819000009 |
| Provider Name | Valerie A Aliu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073692042 PECOS PAC ID: 3577638733 Enrollment ID: I20080822000137 |
| Provider Name | Heidi J Krebs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457496663 PECOS PAC ID: 3870668064 Enrollment ID: I20080822000399 |
| Provider Name | Dean Alan Bricker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114900305 PECOS PAC ID: 1951477702 Enrollment ID: I20080903000126 |
| Provider Name | Anne C Schoen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457576266 PECOS PAC ID: 9032286638 Enrollment ID: I20080924000110 |
| Provider Name | Kathryn Goeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003019043 PECOS PAC ID: 0143397588 Enrollment ID: I20080926000067 |
| Provider Name | Melinda L Ruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588618714 PECOS PAC ID: 8022177377 Enrollment ID: I20081101000003 |
| Provider Name | Jon D Girard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922198019 PECOS PAC ID: 4385703867 Enrollment ID: I20081113000077 |
| Provider Name | Holly Papanek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303932 PECOS PAC ID: 6103987227 Enrollment ID: I20081209000034 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20081226000034 |
| Provider Name | Tara Jolene Scheufler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063566826 PECOS PAC ID: 7315954658 Enrollment ID: I20081230000438 |
| Provider Name | Helen Gwendolyn Gerhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750547345 PECOS PAC ID: 7416010111 Enrollment ID: I20090107000026 |
| Provider Name | Naveen K Thota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972717304 PECOS PAC ID: 8426111774 Enrollment ID: I20090113000113 |
| Provider Name | Kathryn A Streb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902077233 PECOS PAC ID: 0648334912 Enrollment ID: I20090131000004 |
| Provider Name | Rebecca L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619123478 PECOS PAC ID: 0547326316 Enrollment ID: I20090303000091 |
| Provider Name | Abdal Rahman Alhyari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205051570 PECOS PAC ID: 5698831022 Enrollment ID: I20090310000006 |
| Provider Name | Vijay Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225225816 PECOS PAC ID: 8921164146 Enrollment ID: I20090312000518 |
| Provider Name | Ronobir R Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760698567 PECOS PAC ID: 1951468057 Enrollment ID: I20090317000194 |
| Provider Name | Kirshan Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316964398 PECOS PAC ID: 7315956323 Enrollment ID: I20090323000320 |
| Provider Name | J Ryan Hammock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548395940 PECOS PAC ID: 3173671856 Enrollment ID: I20090507000258 |
| Provider Name | Jessica L Ditommaso |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336381086 PECOS PAC ID: 2466501796 Enrollment ID: I20090516000001 |
| Provider Name | Kristin F Renk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508007394 PECOS PAC ID: 0648329433 Enrollment ID: I20090528000013 |
| Provider Name | Deshay M Scandrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851531628 PECOS PAC ID: 4486705126 Enrollment ID: I20090619000326 |
| Provider Name | Jeffrey G Poulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871633776 PECOS PAC ID: 1153474663 Enrollment ID: I20090731000212 |
| Provider Name | Trisha Zeidan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679695985 PECOS PAC ID: 6800949140 Enrollment ID: I20090804000063 |
| Provider Name | Mark Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891894408 PECOS PAC ID: 9032263058 Enrollment ID: I20090811000012 |
| Provider Name | Joseph P Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952516544 PECOS PAC ID: 3173677606 Enrollment ID: I20090819000199 |
| Provider Name | Lakmali C Ranathunga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659546505 PECOS PAC ID: 1557416310 Enrollment ID: I20090831000158 |
| Provider Name | Charles Ayanleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255573960 PECOS PAC ID: 0749336329 Enrollment ID: I20090923000415 |
| Provider Name | Satish Gonela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952561755 PECOS PAC ID: 7618013616 Enrollment ID: I20091006000014 |
| Provider Name | Nael A Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063623767 PECOS PAC ID: 4789720731 Enrollment ID: I20091006000414 |
| Provider Name | Roulay Thammavong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609924984 PECOS PAC ID: 0345263711 Enrollment ID: I20091104000209 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| Provider Name | Robert Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710941513 PECOS PAC ID: 3173663754 Enrollment ID: I20091211000230 |
| Provider Name | Paul Brammer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881633386 PECOS PAC ID: 6305987892 Enrollment ID: I20100106000233 |
| Provider Name | Kimberly F Bethel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215982574 PECOS PAC ID: 7012058522 Enrollment ID: I20100106000370 |
| Provider Name | Brad Snider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285674218 PECOS PAC ID: 6002957289 Enrollment ID: I20100111000107 |
| Provider Name | Daniel J Elshoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003883646 PECOS PAC ID: 2668513748 Enrollment ID: I20100112000242 |
| Provider Name | Kurt B Avery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811942006 PECOS PAC ID: 4486795432 Enrollment ID: I20100113000010 |
| Provider Name | Joseph Garland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437198579 PECOS PAC ID: 5294876249 Enrollment ID: I20100113000017 |
| Provider Name | Julie Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431512 PECOS PAC ID: 1951443621 Enrollment ID: I20100119000011 |
| Provider Name | Louis Heckman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073552782 PECOS PAC ID: 1658413331 Enrollment ID: I20100119000143 |
| Provider Name | Frank Von Maluski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891740155 PECOS PAC ID: 0244372936 Enrollment ID: I20100119000193 |
| Provider Name | Ronald Pohlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174562888 PECOS PAC ID: 8426190133 Enrollment ID: I20100119000368 |
| Provider Name | Eric M Mchenry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821045626 PECOS PAC ID: 6103968698 Enrollment ID: I20100121000496 |
| Provider Name | Jay G Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194764811 PECOS PAC ID: 8022150499 Enrollment ID: I20100122000561 |
| Provider Name | Ratna Kumar Palakodeti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184679334 PECOS PAC ID: 1254473689 Enrollment ID: I20100123000259 |
| Provider Name | Thomas Raywood Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962442962 PECOS PAC ID: 6608918032 Enrollment ID: I20100123000261 |
| Provider Name | Warren R Ljungren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891741872 PECOS PAC ID: 5597808402 Enrollment ID: I20100201000369 |
| Provider Name | Angela M Kohnen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710932975 PECOS PAC ID: 8224171145 Enrollment ID: I20100201000472 |
| Provider Name | Timothy R O'donnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679513758 PECOS PAC ID: 3173666914 Enrollment ID: I20100202000845 |
| Provider Name | Sally Mcintyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902845001 PECOS PAC ID: 5890838569 Enrollment ID: I20100203000192 |
| Provider Name | Anne Reitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114967494 PECOS PAC ID: 0244373918 Enrollment ID: I20100203000207 |
| Provider Name | Robert Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760421408 PECOS PAC ID: 2668515347 Enrollment ID: I20100203000312 |
| Provider Name | Mickey Denen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639118284 PECOS PAC ID: 5991848582 Enrollment ID: I20100204000391 |
| Provider Name | Isaac Corney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710932900 PECOS PAC ID: 4587707120 Enrollment ID: I20100204000808 |
| Provider Name | Joseph Opoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134454002 PECOS PAC ID: 7517000979 Enrollment ID: I20100207000002 |
| Provider Name | Anjana H Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174563282 PECOS PAC ID: 1456494863 Enrollment ID: I20100208000497 |
| Provider Name | Pamela S Werner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295775286 PECOS PAC ID: 7810030236 Enrollment ID: I20100208000595 |
| Provider Name | Steven Robbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134169352 PECOS PAC ID: 4789727017 Enrollment ID: I20100208000727 |
| Provider Name | Scott A Goeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932155645 PECOS PAC ID: 3870638737 Enrollment ID: I20100303000131 |
| Provider Name | Patricia A Grice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891759668 PECOS PAC ID: 9032254339 Enrollment ID: I20100310000678 |
| Provider Name | Gary Conley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649219874 PECOS PAC ID: 6103952718 Enrollment ID: I20100407000049 |
| Provider Name | Chandan Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437150927 PECOS PAC ID: 4385773902 Enrollment ID: I20100520000024 |
| Provider Name | Joe D Burghard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073514568 PECOS PAC ID: 2264561885 Enrollment ID: I20100520000060 |
| Provider Name | Emmanuel A Chukwunyere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821235540 PECOS PAC ID: 2860521804 Enrollment ID: I20100601000016 |
| Provider Name | Jay M Wallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528090768 PECOS PAC ID: 3577543404 Enrollment ID: I20100602000450 |
| Provider Name | Christian Edward Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023102084 PECOS PAC ID: 1759411317 Enrollment ID: I20100609000391 |
| Provider Name | Kamal N Yoakim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447415641 PECOS PAC ID: 8820129950 Enrollment ID: I20100706000244 |
| Provider Name | Sanford M Wolfe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255390233 PECOS PAC ID: 3476586967 Enrollment ID: I20100712000146 |
| Provider Name | Tracey R Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649598467 PECOS PAC ID: 9335271030 Enrollment ID: I20100715000667 |
| Provider Name | Malcolm Lori Steiner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447230487 PECOS PAC ID: 1951483064 Enrollment ID: I20100720000052 |
| Provider Name | Paul Jennewine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790765725 PECOS PAC ID: 4082796222 Enrollment ID: I20100720000507 |
| Provider Name | Muhammad Bilal Quraishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710196308 PECOS PAC ID: 6305978628 Enrollment ID: I20100721000623 |
| Provider Name | Maher Toban Al-samkari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477746071 PECOS PAC ID: 8224160569 Enrollment ID: I20100721000866 |
| Provider Name | Marvin Lee Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164402103 PECOS PAC ID: 6800978040 Enrollment ID: I20100729000641 |
| Provider Name | Atul Kutwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902136153 PECOS PAC ID: 5799819439 Enrollment ID: I20100817000129 |
| Provider Name | Joseph Scott Leithold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316058894 PECOS PAC ID: 8426041708 Enrollment ID: I20100818000746 |
| Provider Name | Matthew Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437247715 PECOS PAC ID: 2567587603 Enrollment ID: I20100914000314 |
| Provider Name | Ruth Muriithi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124209580 PECOS PAC ID: 3274659735 Enrollment ID: I20100922000522 |
| Provider Name | Abdul-mannan M Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033397617 PECOS PAC ID: 1254457716 Enrollment ID: I20100922000544 |
| Provider Name | Chalana U Gunawardena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023276821 PECOS PAC ID: 0749306504 Enrollment ID: I20100929000785 |
| Provider Name | Pavani Dantala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902009152 PECOS PAC ID: 7315063179 Enrollment ID: I20100929000862 |
| Provider Name | Miriam Emile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831209923 PECOS PAC ID: 2668577453 Enrollment ID: I20101005000739 |
| Provider Name | Durgarani Chadalawada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639164437 PECOS PAC ID: 3274550389 Enrollment ID: I20101008000808 |
| Provider Name | Parasram Ramdeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821246125 PECOS PAC ID: 5294888517 Enrollment ID: I20101012000896 |
| Provider Name | Fraol Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386519 PECOS PAC ID: 6709071129 Enrollment ID: I20101111000540 |
| Provider Name | Disha Singla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396922159 PECOS PAC ID: 3577750157 Enrollment ID: I20101208000771 |
| Provider Name | Raghdaa Toban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932358827 PECOS PAC ID: 2264629856 Enrollment ID: I20101208000832 |
| Provider Name | Jane Diane Morford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710066030 PECOS PAC ID: 9739199365 Enrollment ID: I20110204000258 |
| Provider Name | Anju Venkatesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841398930 PECOS PAC ID: 6204016975 Enrollment ID: I20110211001007 |
| Provider Name | Tammy Susan Alverson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760558092 PECOS PAC ID: 2860673969 Enrollment ID: I20110223000214 |
| Provider Name | Richard J Surowiec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609090315 PECOS PAC ID: 3274715412 Enrollment ID: I20110310000078 |
| Provider Name | Dmitri Gagarin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114109089 PECOS PAC ID: 6608058672 Enrollment ID: I20110311000596 |
| Provider Name | Sana Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417100694 PECOS PAC ID: 9436331444 Enrollment ID: I20110314000072 |
| Provider Name | Robert Bruce Elson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174825244 PECOS PAC ID: 9830373992 Enrollment ID: I20110414000079 |
| Provider Name | Shariar Arasteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578670576 PECOS PAC ID: 8325025828 Enrollment ID: I20110414000922 |
| Provider Name | Katheryn Talcott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083870059 PECOS PAC ID: 7719161611 Enrollment ID: I20110418000111 |
| Provider Name | Mustafa Musleh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437303682 PECOS PAC ID: 3971780339 Enrollment ID: I20110613000097 |
| Provider Name | George N Mwandia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457664344 PECOS PAC ID: 9739357096 Enrollment ID: I20110713000193 |
| Provider Name | Kenechi Anikwe Obetta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831495266 PECOS PAC ID: 0749458800 Enrollment ID: I20110718000240 |
| Provider Name | Harmanpreet S Shinh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578729174 PECOS PAC ID: 6709054299 Enrollment ID: I20110728000377 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20110823000432 |
| Provider Name | Julio C Soto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689883860 PECOS PAC ID: 5991975898 Enrollment ID: I20110901000555 |
| Provider Name | Sreevani Gollamudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053572057 PECOS PAC ID: 1052508702 Enrollment ID: I20110902000298 |
| Provider Name | Jamie A Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619120276 PECOS PAC ID: 4880865898 Enrollment ID: I20110923000314 |
| Provider Name | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366619280 PECOS PAC ID: 4587840210 Enrollment ID: I20111005000915 |
| Provider Name | Darren J Sommer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578512356 PECOS PAC ID: 4486677192 Enrollment ID: I20111010000520 |
| Provider Name | Syed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104810886 PECOS PAC ID: 3173587607 Enrollment ID: I20111014000336 |
| Provider Name | Sudhir Dhobale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124294988 PECOS PAC ID: 4183817695 Enrollment ID: I20111014000386 |
| Provider Name | Katrina Brandenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609173152 PECOS PAC ID: 4789857061 Enrollment ID: I20111102000117 |
| Provider Name | Jahanzeb Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336353929 PECOS PAC ID: 3870675374 Enrollment ID: I20111115000581 |
| Provider Name | Prakash Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812497 PECOS PAC ID: 8527232891 Enrollment ID: I20111122000930 |
| Provider Name | Mohammed M Abdelaziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831326701 PECOS PAC ID: 6406021849 Enrollment ID: I20111213000464 |
| Provider Name | Aderonke Oninku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962631465 PECOS PAC ID: 0547447161 Enrollment ID: I20111229000766 |
| Provider Name | Jeffrey Sloane Zollett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902889827 PECOS PAC ID: 5597852129 Enrollment ID: I20120120000434 |
| Provider Name | Dale J Block |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174505119 PECOS PAC ID: 8729986880 Enrollment ID: I20120203000692 |
| Provider Name | Cheryl D Givens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871746800 PECOS PAC ID: 1850558768 Enrollment ID: I20120204000025 |
| Provider Name | Akosua G Afful |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184981193 PECOS PAC ID: 6406011139 Enrollment ID: I20120703000314 |
| Provider Name | Yousif Sm Shareef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922235811 PECOS PAC ID: 4789840547 Enrollment ID: I20120723000631 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Ivan David Ongom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502433 PECOS PAC ID: 5193981686 Enrollment ID: I20120727000580 |
| Provider Name | Umasankar Kakumanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699068312 PECOS PAC ID: 4486810751 Enrollment ID: I20120801000172 |
| Provider Name | Golibe A Nwafo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588952907 PECOS PAC ID: 7214183409 Enrollment ID: I20120802000729 |
| Provider Name | Autumn D Conde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689873127 PECOS PAC ID: 4688866940 Enrollment ID: I20120814000222 |
| Provider Name | Anantha L Rojanala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538399183 PECOS PAC ID: 1456507987 Enrollment ID: I20120815000579 |
| Provider Name | Amith Parekh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750510715 PECOS PAC ID: 7113194531 Enrollment ID: I20120815000836 |
| Provider Name | Motaz B H A Hossein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922377977 PECOS PAC ID: 5597912956 Enrollment ID: I20120821000180 |
| Provider Name | Abidemi B Akande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518281690 PECOS PAC ID: 7416106869 Enrollment ID: I20121001000045 |
| Provider Name | Amaka E Opute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033473129 PECOS PAC ID: 3577712744 Enrollment ID: I20121003000330 |
| Provider Name | Amanda G Pummill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801147020 PECOS PAC ID: 3274782248 Enrollment ID: I20121008000130 |
| Provider Name | Farrukh Ashraf |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972730885 PECOS PAC ID: 4981854239 Enrollment ID: I20121022000476 |
| Provider Name | Andrew B Maigur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912103631 PECOS PAC ID: 3577600642 Enrollment ID: I20121117000120 |
| Provider Name | Muhammad Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295062099 PECOS PAC ID: 1052562113 Enrollment ID: I20121119000474 |
| Provider Name | Susan Belle Malott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255594610 PECOS PAC ID: 4183774011 Enrollment ID: I20121120000557 |
| Provider Name | Ziad I Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083686075 PECOS PAC ID: 4981671658 Enrollment ID: I20130211000378 |
| Provider Name | Sulaiman Mapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538405998 PECOS PAC ID: 5395999502 Enrollment ID: I20130215000266 |
| Provider Name | Amish A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083938906 PECOS PAC ID: 3870748445 Enrollment ID: I20130305000364 |
| Provider Name | Jennifer K Hartsock-vandine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528386604 PECOS PAC ID: 7012152556 Enrollment ID: I20130403000551 |
| Provider Name | Valentin D Ghit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942580311 PECOS PAC ID: 3870764640 Enrollment ID: I20130410000206 |
| Provider Name | Eucharia C Akusoba-davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053545269 PECOS PAC ID: 5890931059 Enrollment ID: I20130415000275 |
| Provider Name | Milinda Nimmo Zabramba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821316787 PECOS PAC ID: 4688810278 Enrollment ID: I20130426000680 |
| Provider Name | Chelsea B Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287600 PECOS PAC ID: 6608013651 Enrollment ID: I20130510000122 |
| Provider Name | Samar M Hijazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003888090 PECOS PAC ID: 3274585104 Enrollment ID: I20130607000074 |
| Provider Name | Amie Ogunsakin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952533580 PECOS PAC ID: 2163661729 Enrollment ID: I20130612000400 |
| Provider Name | Alpa Kunal Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518281591 PECOS PAC ID: 0345489837 Enrollment ID: I20130612000741 |
| Provider Name | Joshua J Ordway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285952143 PECOS PAC ID: 2769621101 Enrollment ID: I20130617000174 |
| Provider Name | Eshetu L Obole |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629392501 PECOS PAC ID: 6204075591 Enrollment ID: I20130618000111 |
| Provider Name | Jessica Conn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659691806 PECOS PAC ID: 2860632304 Enrollment ID: I20130705000536 |
| Provider Name | Ramzyeh A Kaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20130802000823 |
| Provider Name | Rebecca L Al-hamdani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407113442 PECOS PAC ID: 6406098813 Enrollment ID: I20130814001030 |
| Provider Name | Amanda A Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922440197 PECOS PAC ID: 1850533043 Enrollment ID: I20130819000435 |
| Provider Name | Anirban Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871891614 PECOS PAC ID: 1355584004 Enrollment ID: I20130827000790 |
| Provider Name | Luke N Onuorah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972840312 PECOS PAC ID: 2062655764 Enrollment ID: I20130828000511 |
| Provider Name | Angelia M Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790117141 PECOS PAC ID: 0840433058 Enrollment ID: I20130925000618 |
| Provider Name | Ali T Jaffery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649489105 PECOS PAC ID: 4688809049 Enrollment ID: I20131021001510 |
| Provider Name | Spencer Dennis Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700179744 PECOS PAC ID: 9234364290 Enrollment ID: I20131028001812 |
| Provider Name | Leo Lasala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831426618 PECOS PAC ID: 9335375591 Enrollment ID: I20131115001518 |
| Provider Name | Leelmohan Ravikumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881903656 PECOS PAC ID: 4587890603 Enrollment ID: I20131120000981 |
| Provider Name | Victoria E Brookshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275679961 PECOS PAC ID: 3274762901 Enrollment ID: I20140129001139 |
| Provider Name | Yaser Yahia Jbara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306145990 PECOS PAC ID: 2860620465 Enrollment ID: I20140314001900 |
| Provider Name | Estella Jo Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548698574 PECOS PAC ID: 3779714100 Enrollment ID: I20140327000560 |
| Provider Name | Vijay Jayanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003112657 PECOS PAC ID: 4688828742 Enrollment ID: I20140404000583 |
| Provider Name | Khalid B Elamin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063703965 PECOS PAC ID: 0042433211 Enrollment ID: I20140516000843 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20140520001952 |
| Provider Name | Sravya Sudha Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932405297 PECOS PAC ID: 5799913265 Enrollment ID: I20140610002473 |
| Provider Name | Samer Mohandes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356640171 PECOS PAC ID: 8527297175 Enrollment ID: I20140613001161 |
| Provider Name | Syed Omar Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981455 PECOS PAC ID: 4688678253 Enrollment ID: I20140616000961 |
| Provider Name | Amulya Belagavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457630113 PECOS PAC ID: 4981828431 Enrollment ID: I20140624001302 |
| Provider Name | Vinay Kumar Lingabathula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578812129 PECOS PAC ID: 9234353715 Enrollment ID: I20140624002216 |
| Provider Name | Amy M Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992949150 PECOS PAC ID: 2860629979 Enrollment ID: I20140626002344 |
| Provider Name | Erin Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599277 PECOS PAC ID: 6608093349 Enrollment ID: I20140804001941 |
| Provider Name | Lawrence O Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376820639 PECOS PAC ID: 3971720624 Enrollment ID: I20140804002305 |
| Provider Name | John F Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912132028 PECOS PAC ID: 9830372119 Enrollment ID: I20140806002747 |
| Provider Name | Lauren K Miyamasu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063829240 PECOS PAC ID: 4981821097 Enrollment ID: I20140814000272 |
| Provider Name | Aleena N Slone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215292370 PECOS PAC ID: 3870711666 Enrollment ID: I20140819002340 |
| Provider Name | Charles M Janssens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740448489 PECOS PAC ID: 0244386613 Enrollment ID: I20140831000011 |
| Provider Name | James Wes Halderman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750676672 PECOS PAC ID: 4587811658 Enrollment ID: I20140902001393 |
| Provider Name | Whitney L Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164833885 PECOS PAC ID: 6305065343 Enrollment ID: I20140924000663 |
| Provider Name | Juan Camilo Rojas-gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578839304 PECOS PAC ID: 7012145618 Enrollment ID: I20141001001680 |
| Provider Name | Benjamin Huneycutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023050549 PECOS PAC ID: 4486626140 Enrollment ID: I20141030002099 |
| Provider Name | Justin Leeman Maxwell Henderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588869861 PECOS PAC ID: 7911145453 Enrollment ID: I20141031001394 |
| Provider Name | Amy Michelle Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134520315 PECOS PAC ID: 9436471919 Enrollment ID: I20141212000259 |
| Provider Name | Sarah Kahlig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275941254 PECOS PAC ID: 8921322363 Enrollment ID: I20150113002027 |
| Provider Name | Kelly L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245596626 PECOS PAC ID: 1355579962 Enrollment ID: I20150126000507 |
| Provider Name | Isha L Mcconkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952693707 PECOS PAC ID: 0547408783 Enrollment ID: I20150127001518 |
| Provider Name | Marian Gaber Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750608725 PECOS PAC ID: 6002086774 Enrollment ID: I20150213001931 |
| Provider Name | Visalakshi Kunapuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811100027 PECOS PAC ID: 4486831237 Enrollment ID: I20150218000204 |
| Provider Name | Adam Christopher Welch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235490996 PECOS PAC ID: 7012145659 Enrollment ID: I20150304001267 |
| Provider Name | Isaac L Cade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922499300 PECOS PAC ID: 8729304852 Enrollment ID: I20150306001533 |
| Provider Name | Rey Francisco Arcenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730407511 PECOS PAC ID: 1153576491 Enrollment ID: I20150310001278 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20150310001946 |
| Provider Name | Amanda M Maroon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720481914 PECOS PAC ID: 3971820671 Enrollment ID: I20150317001979 |
| Provider Name | Effiok S Ekpenyong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225392053 PECOS PAC ID: 4284695065 Enrollment ID: I20150406000347 |
| Provider Name | Babar Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376593806 PECOS PAC ID: 8820004104 Enrollment ID: I20150408002044 |
| Provider Name | Kunal Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912189986 PECOS PAC ID: 5193859445 Enrollment ID: I20150421000795 |
| Provider Name | Jehangir Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295034064 PECOS PAC ID: 3779711148 Enrollment ID: I20150530000038 |
| Provider Name | Asif Mustafa Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366798217 PECOS PAC ID: 8729200035 Enrollment ID: I20150615001403 |
| Provider Name | Jevede Damean Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154687127 PECOS PAC ID: 0749427847 Enrollment ID: I20150623002300 |
| Provider Name | Gaurang P Mavani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306862909 PECOS PAC ID: 6901820554 Enrollment ID: I20150624003139 |
| Provider Name | Aisha Gargom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407062045 PECOS PAC ID: 0547457640 Enrollment ID: I20150701002044 |
| Provider Name | Eseoghene Ayisire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639434145 PECOS PAC ID: 1153633243 Enrollment ID: I20150701002916 |
| Provider Name | Ugochukwu Ozumba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699033571 PECOS PAC ID: 5890007843 Enrollment ID: I20150702002146 |
| Provider Name | Brooke A Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295115954 PECOS PAC ID: 7911210034 Enrollment ID: I20150720000535 |
| Provider Name | Asghar Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932475696 PECOS PAC ID: 8426286071 Enrollment ID: I20150724010242 |
| Provider Name | Brian S Jenks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669737250 PECOS PAC ID: 9931413424 Enrollment ID: I20150728004866 |
| Provider Name | Mahalakshmi Veera Sadhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649446329 PECOS PAC ID: 4082928502 Enrollment ID: I20150728005760 |
| Provider Name | Kelly A Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255713400 PECOS PAC ID: 9638483969 Enrollment ID: I20150730013832 |
| Provider Name | Imad Ayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073515268 PECOS PAC ID: 0042105173 Enrollment ID: I20150804003353 |
| Provider Name | Tamara Jean Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871852863 PECOS PAC ID: 1153640602 Enrollment ID: I20150813011497 |
| Provider Name | Megan Elizabeth Blessinger-cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629484555 PECOS PAC ID: 1658686993 Enrollment ID: I20150817001220 |
| Provider Name | Shanti P Subbarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910295 PECOS PAC ID: 9638484850 Enrollment ID: I20150818004281 |
| Provider Name | Samvel Nersisyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184982357 PECOS PAC ID: 7810148764 Enrollment ID: I20150824001531 |
| Provider Name | Kelly Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396041679 PECOS PAC ID: 4082859459 Enrollment ID: I20150824002271 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20150827000971 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20150828001924 |
| Provider Name | Summiyah Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962692103 PECOS PAC ID: 7911194030 Enrollment ID: I20150901000510 |
| Provider Name | Meaghan Frances Ebetino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524448 PECOS PAC ID: 5496983066 Enrollment ID: I20150908003106 |
| Provider Name | Nicole Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316313869 PECOS PAC ID: 5193033736 Enrollment ID: I20151001001972 |
| Provider Name | Sarah Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336481670 PECOS PAC ID: 0446488050 Enrollment ID: I20151006001262 |
| Provider Name | Sonia Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487965364 PECOS PAC ID: 8224271168 Enrollment ID: I20151019000305 |
| Provider Name | Lauren M Walter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144587148 PECOS PAC ID: 2668605700 Enrollment ID: I20151021002420 |
| Provider Name | Venkata Vajrala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346598943 PECOS PAC ID: 6204145634 Enrollment ID: I20151026000422 |
| Provider Name | Amber M Serna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023488749 PECOS PAC ID: 3678883816 Enrollment ID: I20151030000923 |
| Provider Name | Tristin L Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780684 PECOS PAC ID: 8123338308 Enrollment ID: I20151031000009 |
| Provider Name | Cecelia M Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134592678 PECOS PAC ID: 7911207170 Enrollment ID: I20151120000442 |
| Provider Name | Fnu Satish Jayaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871842807 PECOS PAC ID: 6002116720 Enrollment ID: I20151202002882 |
| Provider Name | Kathleen Wenning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467825976 PECOS PAC ID: 7214237718 Enrollment ID: I20151207001387 |
| Provider Name | Sarath Palakodeti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639331887 PECOS PAC ID: 7012137078 Enrollment ID: I20151208000718 |
| Provider Name | Daniel C Opris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740547983 PECOS PAC ID: 4688819063 Enrollment ID: I20151209001357 |
| Provider Name | Christine V Guenther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891132155 PECOS PAC ID: 5395046387 Enrollment ID: I20151216001496 |
| Provider Name | Saheed Ojo-oniyun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649333071 PECOS PAC ID: 1355433343 Enrollment ID: I20151218001991 |
| Provider Name | Emily Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710350400 PECOS PAC ID: 6305149360 Enrollment ID: I20160125002695 |
| Provider Name | Christie Astor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788867 PECOS PAC ID: 3971808627 Enrollment ID: I20160218000815 |
| Provider Name | Ottilia S Bulathsinghalange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760848642 PECOS PAC ID: 6709181092 Enrollment ID: I20160224002001 |
| Provider Name | Sameer Qamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514051 PECOS PAC ID: 8921159765 Enrollment ID: I20160412002767 |
| Provider Name | Richard J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285930875 PECOS PAC ID: 0244468809 Enrollment ID: I20160609001351 |
| Provider Name | Timothy Sommerville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477829943 PECOS PAC ID: 2365687357 Enrollment ID: I20160609001544 |
| Provider Name | Marie C Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053761627 PECOS PAC ID: 4981995586 Enrollment ID: I20160628002070 |
| Provider Name | Samina Irfani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316146889 PECOS PAC ID: 0345332532 Enrollment ID: I20160713002829 |
| Provider Name | Olanrewaju T Ishola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639500606 PECOS PAC ID: 9133411903 Enrollment ID: I20160714001949 |
| Provider Name | Jasminder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851731525 PECOS PAC ID: 8628372158 Enrollment ID: I20160715001307 |
| Provider Name | Amber L Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063850089 PECOS PAC ID: 8325279201 Enrollment ID: I20160719002654 |
| Provider Name | Kirti Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700227113 PECOS PAC ID: 4284957465 Enrollment ID: I20160728001209 |
| Provider Name | Taraq A Attumi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962847186 PECOS PAC ID: 7012219165 Enrollment ID: I20160809001129 |
| Provider Name | Nhan Luu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598060337 PECOS PAC ID: 1254502461 Enrollment ID: I20160811002838 |
| Provider Name | Nyi Nyi Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831444132 PECOS PAC ID: 8921393901 Enrollment ID: I20160830001826 |
| Provider Name | Sumit Bassi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326314352 PECOS PAC ID: 4486873833 Enrollment ID: I20160916002379 |
| Provider Name | Muhanad Al-zubaidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952627622 PECOS PAC ID: 1951543297 Enrollment ID: I20160922002477 |
| Provider Name | Kristine K Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144663386 PECOS PAC ID: 4789824715 Enrollment ID: I20160923001363 |
| Provider Name | Saiyid-naufal Zaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790122307 PECOS PAC ID: 5092038760 Enrollment ID: I20160923001572 |
| Provider Name | Jackilyn Elise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811440092 PECOS PAC ID: 3476840984 Enrollment ID: I20160927003229 |
| Provider Name | Seema Azher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669815890 PECOS PAC ID: 7214254051 Enrollment ID: I20160928003048 |
| Provider Name | Michelle N Akiko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285624 PECOS PAC ID: 8224269774 Enrollment ID: I20160930002190 |
| Provider Name | Manjinder Pannu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396091062 PECOS PAC ID: 5991018095 Enrollment ID: I20161005000848 |
| Provider Name | Nikhil Prasad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114364460 PECOS PAC ID: 8325336431 Enrollment ID: I20161005001281 |
| Provider Name | Charissa Lateesha Geyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699018630 PECOS PAC ID: 6800020850 Enrollment ID: I20161005002896 |
| Provider Name | Michelle A Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326402421 PECOS PAC ID: 0749578540 Enrollment ID: I20161011001861 |
| Provider Name | Franklin C Mikell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568805265 PECOS PAC ID: 9133361322 Enrollment ID: I20161019003159 |
| Provider Name | Sari A Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033562582 PECOS PAC ID: 4486932605 Enrollment ID: I20161024000041 |
| Provider Name | Heidi Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922417070 PECOS PAC ID: 5799063459 Enrollment ID: I20161031002284 |
| Provider Name | Katherine A Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821432139 PECOS PAC ID: 8628210192 Enrollment ID: I20161102000727 |
| Provider Name | Tommie T Easley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336395003 PECOS PAC ID: 4789591595 Enrollment ID: I20161116001760 |
| Provider Name | Kathryn A Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20161116003027 |
| Provider Name | Lynn M Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194177477 PECOS PAC ID: 7911287297 Enrollment ID: I20161201002400 |
| Provider Name | Amanda Rae Falldorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982151148 PECOS PAC ID: 8628358967 Enrollment ID: I20161202002192 |
| Provider Name | Priyanaina Reddy Kasula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659649770 PECOS PAC ID: 7517113491 Enrollment ID: I20161209001278 |
| Provider Name | Jeffrey S Penny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124471545 PECOS PAC ID: 6305126244 Enrollment ID: I20161209001678 |
| Provider Name | Francis Chikadibia Nwanyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871932970 PECOS PAC ID: 5991086258 Enrollment ID: I20161227001898 |
| Provider Name | Jenny Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497907042 PECOS PAC ID: 7810278090 Enrollment ID: I20161230000034 |
| Provider Name | Najmus Sahar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295077527 PECOS PAC ID: 3971731449 Enrollment ID: I20170103001137 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225428584 PECOS PAC ID: 9436464724 Enrollment ID: I20170103001961 |
| Provider Name | Arthur Macneill Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225474331 PECOS PAC ID: 8426288192 Enrollment ID: I20170215001869 |
| Provider Name | Shannon L Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053627 PECOS PAC ID: 0941583827 Enrollment ID: I20170220002493 |
| Provider Name | Lila F Gwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972922375 PECOS PAC ID: 2769704949 Enrollment ID: I20170224001890 |
| Provider Name | Luke Mccoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376982959 PECOS PAC ID: 0345543757 Enrollment ID: I20170306002716 |
| Provider Name | Kimberly Ann Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810737 PECOS PAC ID: 1456247402 Enrollment ID: I20170309001469 |
| Provider Name | Kyle Lynn Ott |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093151060 PECOS PAC ID: 7517195274 Enrollment ID: I20170322002502 |
| Provider Name | Mary Lou O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427500909 PECOS PAC ID: 2163707647 Enrollment ID: I20170323002656 |
| Provider Name | Riana C Rhoden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720412745 PECOS PAC ID: 6608098280 Enrollment ID: I20170330002639 |
| Provider Name | Matthew C O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942687843 PECOS PAC ID: 5395059257 Enrollment ID: I20170405001033 |
| Provider Name | Teresa Siefke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699453 PECOS PAC ID: 8921384645 Enrollment ID: I20170412001845 |
| Provider Name | Jigar P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528401767 PECOS PAC ID: 9931335692 Enrollment ID: I20170412002261 |
| Provider Name | Viviane D Kamdem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922541382 PECOS PAC ID: 7810278124 Enrollment ID: I20170413001655 |
| Provider Name | Debra Stump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004263 PECOS PAC ID: 5092091694 Enrollment ID: I20170414000140 |
| Provider Name | Waqas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376876078 PECOS PAC ID: 2466601349 Enrollment ID: I20170428001617 |
| Provider Name | Francesca Luppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538600390 PECOS PAC ID: 8224315528 Enrollment ID: I20170512002229 |
| Provider Name | Misty Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609320845 PECOS PAC ID: 9830467638 Enrollment ID: I20170620002492 |
| Provider Name | Abayomi Ogunderu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346656741 PECOS PAC ID: 5991074080 Enrollment ID: I20170705002306 |
| Provider Name | Myra Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003356882 PECOS PAC ID: 6305115106 Enrollment ID: I20170711001903 |
| Provider Name | Thomas R Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235557331 PECOS PAC ID: 5698997930 Enrollment ID: I20170711002899 |
| Provider Name | William Casmir Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962812974 PECOS PAC ID: 8325260474 Enrollment ID: I20170719002182 |
| Provider Name | Sheenu Chhabra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952716748 PECOS PAC ID: 4183939218 Enrollment ID: I20170726003628 |
| Provider Name | Samson E Alliu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326465683 PECOS PAC ID: 6305117532 Enrollment ID: I20170807003028 |
| Provider Name | Okechukwu Ebiem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376959544 PECOS PAC ID: 1254602311 Enrollment ID: I20170808001123 |
| Provider Name | Paul Evens Gregoire Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578974556 PECOS PAC ID: 3971814658 Enrollment ID: I20170815004393 |
| Provider Name | Shanah Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821524513 PECOS PAC ID: 7012289515 Enrollment ID: I20170817003333 |
| Provider Name | Abdul Ghanem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780096081 PECOS PAC ID: 7113299207 Enrollment ID: I20170824001474 |
| Provider Name | Lori Mosconi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851812473 PECOS PAC ID: 7810260726 Enrollment ID: I20170828004646 |
| Provider Name | Aaron R Block |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437578762 PECOS PAC ID: 9032431333 Enrollment ID: I20170829000408 |
| Provider Name | Timothy Lockso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144647413 PECOS PAC ID: 2668771668 Enrollment ID: I20170905003233 |
| Provider Name | John Muriithi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528486453 PECOS PAC ID: 4789803131 Enrollment ID: I20170908002020 |
| Provider Name | Ariana Herbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013337526 PECOS PAC ID: 9335361732 Enrollment ID: I20170913002598 |
| Provider Name | Ifeoma Sylvia Ekeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841631884 PECOS PAC ID: 5698063949 Enrollment ID: I20170921003170 |
| Provider Name | Gabriel Asumeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447644695 PECOS PAC ID: 8426362385 Enrollment ID: I20170929001445 |
| Provider Name | Grace Ogbeche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407276645 PECOS PAC ID: 2062787906 Enrollment ID: I20171003007325 |
| Provider Name | Lisa R Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719816 PECOS PAC ID: 4486929700 Enrollment ID: I20171011003898 |
| Provider Name | Michelle R Eakins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811315344 PECOS PAC ID: 2163647306 Enrollment ID: I20171013002436 |
| Provider Name | Jennifer L Jahns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841745429 PECOS PAC ID: 0143596908 Enrollment ID: I20171023000834 |
| Provider Name | Mohammad M Losta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619394665 PECOS PAC ID: 2264658194 Enrollment ID: I20171102000533 |
| Provider Name | Emily B Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619489481 PECOS PAC ID: 5890051742 Enrollment ID: I20171108002292 |
| Provider Name | Luke D Menner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487071957 PECOS PAC ID: 1759500200 Enrollment ID: I20171109001484 |
| Provider Name | Brian Viet Dinh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427444561 PECOS PAC ID: 7416261201 Enrollment ID: I20171110000334 |
| Provider Name | Thomas A Koroscil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588058408 PECOS PAC ID: 1951615749 Enrollment ID: I20171114002634 |
| Provider Name | Carrie Lynn Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750892717 PECOS PAC ID: 9739445115 Enrollment ID: I20171117003049 |
| Provider Name | Kaustubh Kailash Shrivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396021770 PECOS PAC ID: 5496975674 Enrollment ID: I20171215001196 |
| Provider Name | Kelly M Casler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588611859 PECOS PAC ID: 2466457361 Enrollment ID: I20171218002617 |
| Provider Name | Laura Bridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952625295 PECOS PAC ID: 9537305628 Enrollment ID: I20180116001641 |
| Provider Name | Ciera Sears |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346636313 PECOS PAC ID: 0042524886 Enrollment ID: I20180126001717 |
| Provider Name | Edward S Roberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356736268 PECOS PAC ID: 2365756137 Enrollment ID: I20180212001627 |
| Provider Name | David R Geottman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487078887 PECOS PAC ID: 5890914246 Enrollment ID: I20180314000674 |
| Provider Name | Sonya N Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609384825 PECOS PAC ID: 6002178738 Enrollment ID: I20180316001948 |
| Provider Name | Carrie A Pohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689047078 PECOS PAC ID: 8022391218 Enrollment ID: I20180327000325 |
| Provider Name | Kyle B Ball |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780079533 PECOS PAC ID: 8022322890 Enrollment ID: I20180410001309 |
| Provider Name | Wendy Lynn Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962904144 PECOS PAC ID: 2961765433 Enrollment ID: I20180416000406 |
| Provider Name | Leah Rochelle Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700388527 PECOS PAC ID: 2668735143 Enrollment ID: I20180416000616 |
| Provider Name | Heather Nicole Brahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164924502 PECOS PAC ID: 4183987555 Enrollment ID: I20180417002229 |
| Provider Name | Gina M Orlando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982063954 PECOS PAC ID: 8729384722 Enrollment ID: I20180424002507 |
| Provider Name | Eric T Kirby |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811316565 PECOS PAC ID: 4183925688 Enrollment ID: I20180509001756 |
| Provider Name | Sejal B. Doshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619363363 PECOS PAC ID: 6103139472 Enrollment ID: I20180525002179 |
| Provider Name | Rhoda Joy Chamberlain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073027264 PECOS PAC ID: 5799030912 Enrollment ID: I20180612001401 |
| Provider Name | James Everret Tollefson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366806986 PECOS PAC ID: 2567755598 Enrollment ID: I20180625001262 |
| Provider Name | George Thomas Matic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376930537 PECOS PAC ID: 8325352289 Enrollment ID: I20180625001540 |
| Provider Name | Muhammad Yaseen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033503289 PECOS PAC ID: 1557663267 Enrollment ID: I20180629002265 |
| Provider Name | Pranav Tayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043557630 PECOS PAC ID: 0547402034 Enrollment ID: I20180705000627 |
| Provider Name | Laura Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699038950 PECOS PAC ID: 5597079483 Enrollment ID: I20180705002327 |
| Provider Name | Patrick Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265859243 PECOS PAC ID: 5799907838 Enrollment ID: I20180712001945 |
| Provider Name | Jane Lesaint |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114313046 PECOS PAC ID: 9739491929 Enrollment ID: I20180718002214 |
| Provider Name | Tricia Nicole Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629569629 PECOS PAC ID: 9931456126 Enrollment ID: I20180718004233 |
| Provider Name | Ankit Dwivedi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710361514 PECOS PAC ID: 4688921711 Enrollment ID: I20180720001523 |
| Provider Name | Amit Bansal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356736433 PECOS PAC ID: 6709190580 Enrollment ID: I20180724002439 |
| Provider Name | Omar Saleh Abu-romeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184805681 PECOS PAC ID: 5597892026 Enrollment ID: I20180725001288 |
| Provider Name | Shamsuddin Chowdhry Pracha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104872779 PECOS PAC ID: 3779525936 Enrollment ID: I20180731004199 |
| Provider Name | Tiba Alwardi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619396843 PECOS PAC ID: 2466755632 Enrollment ID: I20180816001853 |
| Provider Name | Immaculate W Foy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841644069 PECOS PAC ID: 8224320429 Enrollment ID: I20180821002160 |
| Provider Name | Fatima Aisha Torain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093207623 PECOS PAC ID: 4981953155 Enrollment ID: I20180821002636 |
| Provider Name | Heather Marlene Markwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790159333 PECOS PAC ID: 6901155928 Enrollment ID: I20180823001787 |
| Provider Name | Paul A Krebs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831518323 PECOS PAC ID: 6204158488 Enrollment ID: I20180830001740 |
| Provider Name | Madiha Fyyaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528350592 PECOS PAC ID: 0042454225 Enrollment ID: I20180913001188 |
| Provider Name | Quratul A Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326351156 PECOS PAC ID: 0244464733 Enrollment ID: I20180913002726 |
| Provider Name | Abraham O Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Avnish Dhamija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538587100 PECOS PAC ID: 8921225889 Enrollment ID: I20181025001497 |
| Provider Name | Ehsan Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518309616 PECOS PAC ID: 2062707797 Enrollment ID: I20181029001647 |
| Provider Name | Faisal Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588066922 PECOS PAC ID: 7719265552 Enrollment ID: I20181101003200 |
| Provider Name | Mayur Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942597158 PECOS PAC ID: 9931320561 Enrollment ID: I20181210003500 |
| Provider Name | Elizabeth R Swartzwelder-cozad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306223060 PECOS PAC ID: 5496069346 Enrollment ID: I20190116000478 |
| Provider Name | Faysal A Abdille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629431010 PECOS PAC ID: 2466744438 Enrollment ID: I20190116003710 |
| Provider Name | Emem Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063741221 PECOS PAC ID: 5991957144 Enrollment ID: I20190123003554 |
| Provider Name | Heather Nichole Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855195 PECOS PAC ID: 2668719907 Enrollment ID: I20190124003157 |
| Provider Name | Brittany Lane Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356819338 PECOS PAC ID: 6901143833 Enrollment ID: I20190130000801 |
| Provider Name | Roselyne Murugu Knopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033406715 PECOS PAC ID: 7618199480 Enrollment ID: I20190215002721 |
| Provider Name | Eric M Thuney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245684000 PECOS PAC ID: 2668765637 Enrollment ID: I20190221001641 |
| Provider Name | Roofan Alsayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477841641 PECOS PAC ID: 6507098530 Enrollment ID: I20190226002882 |
| Provider Name | Michael Gilles |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801209143 PECOS PAC ID: 1557600103 Enrollment ID: I20190227000460 |
| Provider Name | Dana Leanne Demmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710442710 PECOS PAC ID: 3678813243 Enrollment ID: I20190318001449 |
| Provider Name | Ann Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700341294 PECOS PAC ID: 4688914120 Enrollment ID: I20190320002483 |
| Provider Name | Rebecca A Boatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508326042 PECOS PAC ID: 6608117122 Enrollment ID: I20190410002534 |
| Provider Name | Lora Kinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767144 PECOS PAC ID: 1052652484 Enrollment ID: I20190411000509 |
| Provider Name | Penny B Drazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598222127 PECOS PAC ID: 8628319886 Enrollment ID: I20190416002562 |
| Provider Name | Hingwan Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861790487 PECOS PAC ID: 3072800366 Enrollment ID: I20190430003145 |
| Provider Name | Nadia Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659733939 PECOS PAC ID: 0345533865 Enrollment ID: I20190515002158 |
| Provider Name | Prajit Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841503844 PECOS PAC ID: 2365768264 Enrollment ID: I20190517000456 |
| Provider Name | Narasimha Rao Vattikunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912359332 PECOS PAC ID: 8921347832 Enrollment ID: I20190524002513 |
| Provider Name | Sayeed Farrukh Siddicky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124479241 PECOS PAC ID: 0143574913 Enrollment ID: I20190603002213 |
| Provider Name | Shalini Cherala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568915379 PECOS PAC ID: 7113271917 Enrollment ID: I20190604002926 |
| Provider Name | Daniel Cybulski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487044152 PECOS PAC ID: 4284949637 Enrollment ID: I20190612004017 |
| Provider Name | Karin Benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417412602 PECOS PAC ID: 7911230321 Enrollment ID: I20190617002265 |
| Provider Name | Mohamed Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790938868 PECOS PAC ID: 2860660495 Enrollment ID: I20190618000612 |
| Provider Name | Juan M Remirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588003792 PECOS PAC ID: 6709174972 Enrollment ID: I20190625003626 |
| Provider Name | Tahir Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629431374 PECOS PAC ID: 3375812746 Enrollment ID: I20190703001778 |
| Provider Name | Asif N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144530023 PECOS PAC ID: 8921250713 Enrollment ID: I20190709002177 |
| Provider Name | Muhammad Asif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578916490 PECOS PAC ID: 1850687542 Enrollment ID: I20190717000360 |
| Provider Name | Fahad Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740633247 PECOS PAC ID: 5496040404 Enrollment ID: I20190717002850 |
| Provider Name | Akua Domfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922453166 PECOS PAC ID: 6002141603 Enrollment ID: I20190717004056 |
| Provider Name | Obinna Obiekezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844201 PECOS PAC ID: 7618203852 Enrollment ID: I20190725003505 |
| Provider Name | Sandipan Chakraborty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568815686 PECOS PAC ID: 1951637909 Enrollment ID: I20190729001899 |
| Provider Name | Ashley Nichole Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366002388 PECOS PAC ID: 8022345248 Enrollment ID: I20190812001340 |
| Provider Name | Nurul Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720410566 PECOS PAC ID: 0042598054 Enrollment ID: I20190812004032 |
| Provider Name | Akaolisa Eziokwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265884100 PECOS PAC ID: 0547553570 Enrollment ID: I20190828001747 |
| Provider Name | Brenda Lee Chewning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528613254 PECOS PAC ID: 9133457088 Enrollment ID: I20190829004366 |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20190904001762 |
| Provider Name | Michael J Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417301664 PECOS PAC ID: 0547552309 Enrollment ID: I20190906002737 |
| Provider Name | Max Alexander Pulfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730732256 PECOS PAC ID: 0244560530 Enrollment ID: I20190930002691 |
| Provider Name | Priyanka Kakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205928959 PECOS PAC ID: 5698812733 Enrollment ID: I20191003002091 |
| Provider Name | Yousef Ba Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851755623 PECOS PAC ID: 1052656329 Enrollment ID: I20191003002344 |
| Provider Name | Marsha Antoine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285089300 PECOS PAC ID: 1052642188 Enrollment ID: I20191014002494 |
| Provider Name | Brian Christopher Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598144917 PECOS PAC ID: 0547573727 Enrollment ID: I20191018002385 |
| Provider Name | Muhammad Kashif Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083160253 PECOS PAC ID: 9830421940 Enrollment ID: I20191022003140 |
| Provider Name | Ashley Marie Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476456 PECOS PAC ID: 7315279643 Enrollment ID: I20191105003201 |
| Provider Name | Margaret R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003466368 PECOS PAC ID: 2466884739 Enrollment ID: I20191107002844 |
| Provider Name | Cody Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568811008 PECOS PAC ID: 6507116787 Enrollment ID: I20191126001494 |
| Provider Name | Hani Al Salti Al Krad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013203827 PECOS PAC ID: 0547589194 Enrollment ID: I20191205002457 |
| Provider Name | Zachary Wyatt Townsend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144670415 PECOS PAC ID: 3678860681 Enrollment ID: I20191211002327 |
| Provider Name | Sidrah Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821524794 PECOS PAC ID: 1850726266 Enrollment ID: I20200113002195 |
| Provider Name | Amber Dawn Geiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518436120 PECOS PAC ID: 4880020262 Enrollment ID: I20200203001523 |
| Provider Name | Kimberly Carol Vandalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784009 PECOS PAC ID: 4981904323 Enrollment ID: I20200208000011 |
| Provider Name | Mustafa Rayaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558744128 PECOS PAC ID: 3870841018 Enrollment ID: I20200218003243 |
| Provider Name | Kevin Carl Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023658218 PECOS PAC ID: 8628406196 Enrollment ID: I20200316001344 |
| Provider Name | Syed Tariq Ahsan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571009 PECOS PAC ID: 0547511222 Enrollment ID: I20200316002283 |
| Provider Name | Candice Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669007399 PECOS PAC ID: 5799113908 Enrollment ID: I20200323001944 |
| Provider Name | Arunbabu Sankaranarayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407376031 PECOS PAC ID: 7416378187 Enrollment ID: I20200604001825 |
| Provider Name | Iffat Shaheen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568853844 PECOS PAC ID: 7113349572 Enrollment ID: I20200612001606 |
| Provider Name | Walkens Desir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760904494 PECOS PAC ID: 9436571809 Enrollment ID: I20200612002409 |
| Provider Name | Ashok Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215458229 PECOS PAC ID: 4789006313 Enrollment ID: I20200626001365 |
| Provider Name | Stacey Michelle Mcroberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134744378 PECOS PAC ID: 7810319308 Enrollment ID: I20200630001753 |
| Provider Name | Melissa Quick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992239529 PECOS PAC ID: 8820361652 Enrollment ID: I20200708001586 |
| Provider Name | Hiba M Younis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437683661 PECOS PAC ID: 5092138842 Enrollment ID: I20200713000615 |
| Provider Name | Amie R Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619590429 PECOS PAC ID: 5395168082 Enrollment ID: I20200714002101 |
| Provider Name | Chanda Sethi-dihenia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326036450 PECOS PAC ID: 6800867284 Enrollment ID: I20200714002149 |
| Provider Name | Erin Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922528504 PECOS PAC ID: 9739445149 Enrollment ID: I20200721002178 |
| Provider Name | Alexandra Blood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962935866 PECOS PAC ID: 5092086462 Enrollment ID: I20200722001551 |
| Provider Name | Priyeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407139256 PECOS PAC ID: 7618144312 Enrollment ID: I20200728002016 |
| Provider Name | Kelsey P Mayrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740713254 PECOS PAC ID: 6800160599 Enrollment ID: I20200728003250 |
| Provider Name | Melissa Sue Einink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235763855 PECOS PAC ID: 4082039276 Enrollment ID: I20200805001212 |
| Provider Name | Nneoma Kate-joan Onuorah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225482193 PECOS PAC ID: 2163792839 Enrollment ID: I20200814001407 |
| Provider Name | Hafiz M Hassan Shoukat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881128411 PECOS PAC ID: 4385060342 Enrollment ID: I20200820002676 |
| Provider Name | Rebecca J Helfrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720214141 PECOS PAC ID: 9931352168 Enrollment ID: I20200924003323 |
| Provider Name | Kamalini Sundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528135951 PECOS PAC ID: 6608804455 Enrollment ID: I20200929003541 |
| Provider Name | Sabinah Sayeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750812616 PECOS PAC ID: 0648540500 Enrollment ID: I20201016000892 |
| Provider Name | Kelsey R Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073051306 PECOS PAC ID: 0244502730 Enrollment ID: I20201022002575 |
| Provider Name | Maria Cynthia Lawless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508834375 PECOS PAC ID: 3274626874 Enrollment ID: I20201027003033 |
| Provider Name | Basil Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831175942 PECOS PAC ID: 6103847074 Enrollment ID: I20201201000860 |
| Provider Name | Neil Rohan Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629505094 PECOS PAC ID: 2062823768 Enrollment ID: I20201202000692 |
| Provider Name | Piam Shanehsaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538312228 PECOS PAC ID: 4284802653 Enrollment ID: I20201208002922 |
| Provider Name | Stella Ofori-sampong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275064834 PECOS PAC ID: 9537431911 Enrollment ID: I20210105002166 |
| Provider Name | Mahmoud Mostafavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508856774 PECOS PAC ID: 9931201134 Enrollment ID: I20210107001023 |
| Provider Name | Megan Jeanne Cotner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407465636 PECOS PAC ID: 5395159099 Enrollment ID: I20210120001873 |
| Provider Name | Jenni Layne Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032445 PECOS PAC ID: 6901211580 Enrollment ID: I20210211001868 |
| Provider Name | Dana Marie Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396334678 PECOS PAC ID: 8729494646 Enrollment ID: I20210301001702 |
| Provider Name | Carinne Crouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063005262 PECOS PAC ID: 8022424522 Enrollment ID: I20210308002601 |
| Provider Name | Megan N Shortridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841889524 PECOS PAC ID: 2365858610 Enrollment ID: I20210310002502 |
| Provider Name | Melissa Benham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184217408 PECOS PAC ID: 0547676801 Enrollment ID: I20210310003010 |
| Provider Name | Cameron Rachelle Munafo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275119174 PECOS PAC ID: 6901213602 Enrollment ID: I20210324003321 |
| Provider Name | Edward Caston Rowse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770198046 PECOS PAC ID: 2264849413 Enrollment ID: I20210406000462 |
| Provider Name | Elizabeth Lorraine Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851822589 PECOS PAC ID: 2961760822 Enrollment ID: I20210406002301 |
| Provider Name | Joy Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740785971 PECOS PAC ID: 1355690314 Enrollment ID: I20210510001726 |
| Provider Name | Erika Jayne Watamaniuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972184976 PECOS PAC ID: 9830508498 Enrollment ID: I20210511002223 |
| Provider Name | Steven Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063917805 PECOS PAC ID: 5395092993 Enrollment ID: I20210615003134 |
| Provider Name | Divya R Nallapuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730533373 PECOS PAC ID: 7113219122 Enrollment ID: I20210616003682 |
| Provider Name | Rebekah Lantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088692 PECOS PAC ID: 3274883483 Enrollment ID: I20210622002432 |
| Provider Name | Khadijatou Njimoluh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043742299 PECOS PAC ID: 4183991383 Enrollment ID: I20210623003161 |
| Provider Name | Nathan C Hofmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316528466 PECOS PAC ID: 3072915362 Enrollment ID: I20210708002932 |
| Provider Name | Daniel C Dekoski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841794823 PECOS PAC ID: 2264780964 Enrollment ID: I20210712003284 |
| Provider Name | Cody Hedrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326546052 PECOS PAC ID: 9335497338 Enrollment ID: I20210715003536 |
| Provider Name | Tochukwu Nzeako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982107595 PECOS PAC ID: 6305249798 Enrollment ID: I20210722002145 |
| Provider Name | David Heidrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003303009 PECOS PAC ID: 2769732973 Enrollment ID: I20210727004043 |
| Provider Name | Karen Tuneev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467881318 PECOS PAC ID: 1557605524 Enrollment ID: I20210809003423 |
| Provider Name | Mohammad Kamran Zaheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376032268 PECOS PAC ID: 8325443104 Enrollment ID: I20210817000914 |
| Provider Name | Tyra D Onyedumekwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831769447 PECOS PAC ID: 7810392495 Enrollment ID: I20210819001580 |
| Provider Name | Chioma Eze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235628413 PECOS PAC ID: 6103174909 Enrollment ID: I20210916002299 |
| Provider Name | Maria Del Carmen Milanes Marino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457857302 PECOS PAC ID: 8224436431 Enrollment ID: I20211001001160 |
| Provider Name | Dharti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609364777 PECOS PAC ID: 5698174878 Enrollment ID: I20211004000642 |
| Provider Name | Tieca Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306515382 PECOS PAC ID: 1254739337 Enrollment ID: I20211004001114 |
| Provider Name | Eric R Karr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629576079 PECOS PAC ID: 6709136583 Enrollment ID: I20211011002932 |
| Provider Name | Mazin Alhaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881126944 PECOS PAC ID: 9436417409 Enrollment ID: I20211015001577 |
| Provider Name | Yousuf Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396240248 PECOS PAC ID: 4385994169 Enrollment ID: I20211018002693 |
| Provider Name | Denyelle Renee Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427724913 PECOS PAC ID: 0042609216 Enrollment ID: I20211109000934 |
| Provider Name | Nikhil Tej Kurapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013405406 PECOS PAC ID: 4789939174 Enrollment ID: I20211111002468 |
| Provider Name | Nikesh M Jani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073278800 PECOS PAC ID: 3870983182 Enrollment ID: I20211130003041 |
| Provider Name | Raneka Lee Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386216992 PECOS PAC ID: 2264823624 Enrollment ID: I20211220002590 |
| Provider Name | Vanetta Scandrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194004655 PECOS PAC ID: 3274924410 Enrollment ID: I20211227000676 |
| Provider Name | Ronald J Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477216521 PECOS PAC ID: 0244621225 Enrollment ID: I20211230000528 |
| Provider Name | Irfan Saddique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164787297 PECOS PAC ID: 0244543981 Enrollment ID: I20220202000776 |
| Provider Name | Rani Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205104247 PECOS PAC ID: 3375763568 Enrollment ID: I20220211001703 |
| Provider Name | Renu Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841411824 PECOS PAC ID: 8325084551 Enrollment ID: I20220331001803 |
| Provider Name | David Cha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477014694 PECOS PAC ID: 2466785118 Enrollment ID: I20220413002527 |
| Provider Name | Priscilla Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356007371 PECOS PAC ID: 7012304413 Enrollment ID: I20220504001537 |
| Provider Name | Ammar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366905390 PECOS PAC ID: 0345574331 Enrollment ID: I20220518000426 |
| Provider Name | Lauren Gin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457812646 PECOS PAC ID: 7416281308 Enrollment ID: I20220519001753 |
| Provider Name | Jasmin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720527880 PECOS PAC ID: 7810264223 Enrollment ID: I20220809003339 |
| Provider Name | Samip J Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518288729 PECOS PAC ID: 9133368780 Enrollment ID: I20220810001990 |
| Provider Name | Erica Lillyan Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265191456 PECOS PAC ID: 2567859465 Enrollment ID: I20220815000520 |
| Provider Name | Rawan Aljaras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588227425 PECOS PAC ID: 0244573640 Enrollment ID: I20220816000719 |
| Provider Name | Jennifer Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871225250 PECOS PAC ID: 0042693061 Enrollment ID: I20220823003774 |
| Provider Name | Katie Kessler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962992354 PECOS PAC ID: 0648516096 Enrollment ID: I20220826001125 |
| Provider Name | Lamrot Shenkutie Greffie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548720543 PECOS PAC ID: 0042694887 Enrollment ID: I20220829001864 |
| Provider Name | Abhimanyu Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952863821 PECOS PAC ID: 3678801370 Enrollment ID: I20220907003835 |
| Provider Name | Jessica Elyse Uhler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750842548 PECOS PAC ID: 9830423664 Enrollment ID: I20220909001082 |
| Provider Name | Mohammed Jundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588126452 PECOS PAC ID: 9739418708 Enrollment ID: I20220919000918 |
| Provider Name | Colleen M Updyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932835014 PECOS PAC ID: 0840675153 Enrollment ID: I20220921003883 |
| Provider Name | Jaykumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326401647 PECOS PAC ID: 3072842830 Enrollment ID: I20221003002458 |
| Provider Name | Kathleen Rae Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477292431 PECOS PAC ID: 3274919725 Enrollment ID: I20221006000816 |
| Provider Name | Varun Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457774044 PECOS PAC ID: 0345534665 Enrollment ID: I20221019003273 |
| Provider Name | Daniel E Keltner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891256392 PECOS PAC ID: 0446585764 Enrollment ID: I20221130000540 |
| Provider Name | Alexander Everitt Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164148540 PECOS PAC ID: 7810366572 Enrollment ID: I20221220001058 |
| Provider Name | Maurice Hinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205221199 PECOS PAC ID: 1658626783 Enrollment ID: I20230113001558 |
| Provider Name | Tyler Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215650783 PECOS PAC ID: 8729450705 Enrollment ID: I20230221002508 |
| Provider Name | Manoj Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141810 PECOS PAC ID: 6608167614 Enrollment ID: I20230309002392 |
| Provider Name | Jonathan Lafond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205281219 PECOS PAC ID: 1355619032 Enrollment ID: I20230313002634 |
| Provider Name | Ann E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417283011 PECOS PAC ID: 5294109575 Enrollment ID: I20230328002823 |
| Provider Name | Britney Kay Regon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295436376 PECOS PAC ID: 2860867835 Enrollment ID: I20230404001958 |
| Provider Name | Madiha A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255728911 PECOS PAC ID: 3577877430 Enrollment ID: I20230419001124 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20230505001309 |
| Provider Name | Daniel Biddinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407572613 PECOS PAC ID: 1850757873 Enrollment ID: I20230517002960 |
| Provider Name | Oluwakemi Fagbami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609005453 PECOS PAC ID: 6002063294 Enrollment ID: I20230523001135 |
| Provider Name | Jessica Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114664034 PECOS PAC ID: 3375909898 Enrollment ID: I20230525000367 |
| Provider Name | Oluwaseun B Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316333040 PECOS PAC ID: 3173876489 Enrollment ID: I20230605003243 |
| Provider Name | Emily Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164125068 PECOS PAC ID: 3971960998 Enrollment ID: I20230607001182 |
| Provider Name | Amaal S Salhieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144781279 PECOS PAC ID: 0547595837 Enrollment ID: I20230612001406 |
| Provider Name | Clarice M Montecalvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457840068 PECOS PAC ID: 8628325222 Enrollment ID: I20230614002937 |
| Provider Name | Amie Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043847262 PECOS PAC ID: 0042631764 Enrollment ID: I20230616000208 |
| Provider Name | Akruti Prabhakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184251209 PECOS PAC ID: 8921429614 Enrollment ID: I20230616001812 |
| Provider Name | Timothy Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396372520 PECOS PAC ID: 7618398330 Enrollment ID: I20230621000892 |
| Provider Name | Joshua T Mcrae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164050985 PECOS PAC ID: 0244651925 Enrollment ID: I20230626002620 |
| Provider Name | Hasan I Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033772678 PECOS PAC ID: 3173857141 Enrollment ID: I20230705002803 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831194992 PECOS PAC ID: 1658307954 Enrollment ID: I20230712003383 |
| Provider Name | Jennifer Heidrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154828069 PECOS PAC ID: 8527315191 Enrollment ID: I20230714003207 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811540800 PECOS PAC ID: 5991126401 Enrollment ID: I20230719001082 |
| Provider Name | Hundaol Yadeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598384307 PECOS PAC ID: 2860852068 Enrollment ID: I20230719003950 |
| Provider Name | Nadeem Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427302025 PECOS PAC ID: 9830314640 Enrollment ID: I20230728001803 |
| Provider Name | Kristina Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548794001 PECOS PAC ID: 5496019127 Enrollment ID: I20230728001992 |
| Provider Name | Jyothsna Dasarathula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104225713 PECOS PAC ID: 6709155203 Enrollment ID: I20230801000962 |
| Provider Name | Ruben Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609974922 PECOS PAC ID: 8022105550 Enrollment ID: I20230801002612 |
| Provider Name | Gregory Carbonella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073132460 PECOS PAC ID: 7012334238 Enrollment ID: I20230804002090 |
| Provider Name | Smit Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770043838 PECOS PAC ID: 9436488996 Enrollment ID: I20230809003776 |
| Provider Name | Emily L Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114555737 PECOS PAC ID: 1355762477 Enrollment ID: I20230810002389 |
| Provider Name | Sarah Waits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821786542 PECOS PAC ID: 3173748886 Enrollment ID: I20230810003074 |
| Provider Name | Heather Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013602622 PECOS PAC ID: 0345602017 Enrollment ID: I20230811001073 |
| Provider Name | Moiz Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174803357 PECOS PAC ID: 8123245792 Enrollment ID: I20230818000575 |
| Provider Name | Paula Pacurari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043848419 PECOS PAC ID: 9436580974 Enrollment ID: I20230821002580 |
| Provider Name | George Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811144678 PECOS PAC ID: 1658530357 Enrollment ID: I20230822002177 |
| Provider Name | Eun Joo Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563366 PECOS PAC ID: 0244542835 Enrollment ID: I20230901003624 |
| Provider Name | Jessica Gaynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538849385 PECOS PAC ID: 2567826787 Enrollment ID: I20230906003326 |
| Provider Name | Anna Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386344851 PECOS PAC ID: 7618331836 Enrollment ID: I20230906003497 |
| Provider Name | Megan Sue Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114611449 PECOS PAC ID: 4880058007 Enrollment ID: I20230906003571 |
| Provider Name | Jordan Rochelle Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316623598 PECOS PAC ID: 8325402241 Enrollment ID: I20230912000490 |
| Provider Name | Dhruv Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417214693 PECOS PAC ID: 3072827930 Enrollment ID: I20230912000719 |
| Provider Name | Ahmad S Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033568316 PECOS PAC ID: 6901197631 Enrollment ID: I20230914001074 |
| Provider Name | Anna E Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518595701 PECOS PAC ID: 3274954805 Enrollment ID: I20230915001738 |
| Provider Name | Kristen D Bruce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487283628 PECOS PAC ID: 0143674218 Enrollment ID: I20230922001140 |
| Provider Name | Alexandra Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124656111 PECOS PAC ID: 3173954765 Enrollment ID: I20230926001819 |
| Provider Name | Kelsey Ketchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053001412 PECOS PAC ID: 8123472909 Enrollment ID: I20230927003231 |
| Provider Name | Rebecca Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912698275 PECOS PAC ID: 5294189916 Enrollment ID: I20230929000978 |
| Provider Name | Mirza S Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578586236 PECOS PAC ID: 3072595743 Enrollment ID: I20231002003126 |
| Provider Name | Mira Mitry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730441031 PECOS PAC ID: 4981841764 Enrollment ID: I20231011001013 |
| Provider Name | Shraddha Srivastava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801424643 PECOS PAC ID: 2769880996 Enrollment ID: I20231012003541 |
| Provider Name | Sarah Ann Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833007 PECOS PAC ID: 0749636702 Enrollment ID: I20231026003344 |
| Provider Name | Amy N Whitaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508327271 PECOS PAC ID: 3375972524 Enrollment ID: I20231107003715 |
| Provider Name | Nabih Ali Hammoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968535 PECOS PAC ID: 8820344799 Enrollment ID: I20231115000415 |
| Provider Name | Mandeep Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639609597 PECOS PAC ID: 8426327545 Enrollment ID: I20231117000152 |
| Provider Name | Elizabeth Wickersham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706048 PECOS PAC ID: 8224924337 Enrollment ID: I20231129002743 |
| Provider Name | Huda Khanzada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144858192 PECOS PAC ID: 0042631145 Enrollment ID: I20231130003326 |
| Provider Name | Anuja Trivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144847963 PECOS PAC ID: 6204285703 Enrollment ID: I20231208002706 |
| Provider Name | Bettina R Shobanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851163265 PECOS PAC ID: 1557710506 Enrollment ID: I20231215001140 |
| Provider Name | Amy Michelle Yuhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093344111 PECOS PAC ID: 7719388669 Enrollment ID: I20240122002765 |
| Provider Name | Vikram Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235792680 PECOS PAC ID: 3577895093 Enrollment ID: I20240213001114 |
| Provider Name | Mehdi Shadmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497332456 PECOS PAC ID: 0547660979 Enrollment ID: I20240515000567 |
| Provider Name | Kamil Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275117293 PECOS PAC ID: 4587064357 Enrollment ID: I20240724003429 |
| Provider Name | Rayna Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467684670 PECOS PAC ID: 6305383639 Enrollment ID: I20240805003203 |
| Provider Name | Aamir Waheed Akram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043890627 PECOS PAC ID: 8123566064 Enrollment ID: I20240809003354 |
| Provider Name | Isaac Pearce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649857343 PECOS PAC ID: 6507266954 Enrollment ID: I20240910001939 |
| Provider Name | Ebony Shanell Dowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346542321 PECOS PAC ID: 4486195443 Enrollment ID: I20240918002794 |
| Provider Name | Brandon Vermillion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417775669 PECOS PAC ID: 1951835966 Enrollment ID: I20241113004040 |
| Provider Name | Autumn Rose Schuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609693290 PECOS PAC ID: 7416481312 Enrollment ID: I20241114003378 |
| Provider Name | Ciandra D'souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184043408 PECOS PAC ID: 9133474976 Enrollment ID: I20241114003969 |
| Provider Name | Erin Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205332772 PECOS PAC ID: 8820348600 Enrollment ID: I20241121003373 |
| Provider Name | Danya Sara Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700614179 PECOS PAC ID: 4486181641 Enrollment ID: I20241230001151 |
Pyramid Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3055 Kettering Blvd Ste 101, Moraine, OH 45439 Phone: 234-430-1078 | |
South Community Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-531-1974 Fax: 937-534-1579 | |
Vpa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3033 Kettering Blvd Ste 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 937-293-2161 | |
Ecg Scanning & Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3055 Kettering Blvd Ste 219-a, Moraine, OH 45439 Phone: 800-346-5837 Fax: 937-395-4415 | |
Samaritan Family Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3170 Kettering Blvd, Building B 3rd Floor, Moraine, OH 45439 Phone: 937-991-3188 Fax: 937-223-9811 | |
Family Practice Associates Of Dayton Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5350 Lamme Rd, Moraine, OH 45439 Phone: 937-451-3123 Fax: 937-350-6477 |