| Newton-wellesley Medical Group, Inc. | |
|
2014 Washington Street Newton MA 02462-1607 | |
| (617) 243-6262 | |
| (617) 243-6954 |
| Full Name | Newton-wellesley Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2014 Washington Street, Newton, Massachusetts |
| Authorized Official Name and Position | Vincent T Mcdermott (CHIEF FINANCIAL OFFICER/TREASURER) |
| Authorized Official Contact | 6172436381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton-wellesley Medical Group, Inc. 2014 Washington Street Newton MA 02462-1607 Ph: (617) 243-6262 | Newton-wellesley Medical Group, Inc. 2014 Washington Street Newton MA 02462-1607 Ph: (617) 243-6262 |
| NPI Number | 1538191218 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 12/13/2021 |
| Medicare PECOS PAC ID | 0244133494 |
|---|---|
| Medicare Enrollment ID | O20040127001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538191218 | NPI | - | NPPES |
| 9711597 | Medicaid | MA | |
| 110067798A | Medicaid | MA | |
| 247616 | Other | VA | ANTHEM BCBS |
| M18007 | Other | MA | BLUE CROSS |
| 610605 | Other | MA | TUFTS |
| M18311 | Other | MA | BLUE CROSS PSYCHIATRY |
| Provider Name | Danielle L Brook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245265651 PECOS PAC ID: 8527972470 Enrollment ID: I20031117000034 |
| Provider Name | Karen L Sadler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396726543 PECOS PAC ID: 9931004645 Enrollment ID: I20031205000111 |
| Provider Name | Rifat B Dweik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255361051 PECOS PAC ID: 5294631115 Enrollment ID: I20031211000140 |
| Provider Name | George L Hardman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629047774 PECOS PAC ID: 9830088251 Enrollment ID: I20040313000209 |
| Provider Name | Julia F Ragland |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1649377250 PECOS PAC ID: 5890685820 Enrollment ID: I20040316000179 |
| Provider Name | Gene Alperovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669550554 PECOS PAC ID: 1153211503 Enrollment ID: I20040318001008 |
| Provider Name | Julian Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851409692 PECOS PAC ID: 0547150765 Enrollment ID: I20040319000146 |
| Provider Name | John P Forman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932166253 PECOS PAC ID: 7214829746 Enrollment ID: I20040329000454 |
| Provider Name | Alan B Witkower |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457342008 PECOS PAC ID: 1759273048 Enrollment ID: I20040330000410 |
| Provider Name | Michael P Zacks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043289622 PECOS PAC ID: 2466446877 Enrollment ID: I20040409000028 |
| Provider Name | Aran Kadar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699727222 PECOS PAC ID: 5991799355 Enrollment ID: I20040409000419 |
| Provider Name | Gail Jacquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194863233 PECOS PAC ID: 8527052232 Enrollment ID: I20040414000203 |
| Provider Name | Julie L Rein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811030216 PECOS PAC ID: 5193710077 Enrollment ID: I20040419001534 |
| Provider Name | Anne L Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073695193 PECOS PAC ID: 7911994579 Enrollment ID: I20040427000936 |
| Provider Name | Cynthia A Korzelius |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932175379 PECOS PAC ID: 0840271557 Enrollment ID: I20040527001346 |
| Provider Name | Yoav Golan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487760203 PECOS PAC ID: 4587645148 Enrollment ID: I20040528000428 |
| Provider Name | Lisa Dunn-albanese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104865344 PECOS PAC ID: 7517868573 Enrollment ID: I20040601000376 |
| Provider Name | Mary M Staffa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356323646 PECOS PAC ID: 9739162272 Enrollment ID: I20040608000175 |
| Provider Name | Joel H Schwartz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588655641 PECOS PAC ID: 0648255158 Enrollment ID: I20040621000132 |
| Provider Name | Ximena Sanchez-samper |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1750363032 PECOS PAC ID: 4789661414 Enrollment ID: I20040701000389 |
| Provider Name | Giulia L Sheftel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770543696 PECOS PAC ID: 4385621986 Enrollment ID: I20040701000839 |
| Provider Name | Frank M Carrano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659332609 PECOS PAC ID: 7719964014 Enrollment ID: I20040706000296 |
| Provider Name | Meena Sundaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235111683 PECOS PAC ID: 9830176908 Enrollment ID: I20040707000113 |
| Provider Name | Denise M Mayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760438170 PECOS PAC ID: 4688651698 Enrollment ID: I20040707000447 |
| Provider Name | Andrew A Freiberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144210956 PECOS PAC ID: 2163409111 Enrollment ID: I20040707000767 |
| Provider Name | Janet C Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831159326 PECOS PAC ID: 2769462399 Enrollment ID: I20040723000081 |
| Provider Name | Michael Ritt Jaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750372884 PECOS PAC ID: 5092785766 Enrollment ID: I20040729000659 |
| Provider Name | Katherine E Economy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457468050 PECOS PAC ID: 3173594181 Enrollment ID: I20040803001668 |
| Provider Name | Matthew I Leibman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1285680330 PECOS PAC ID: 1658360102 Enrollment ID: I20040804001171 |
| Provider Name | Wendy R Gaines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114997970 PECOS PAC ID: 7214908003 Enrollment ID: I20040804001274 |
| Provider Name | Jeanne H Steppel Reznik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366410334 PECOS PAC ID: 0446221071 Enrollment ID: I20040805000466 |
| Provider Name | David Mayo Slovik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275517393 PECOS PAC ID: 2062485659 Enrollment ID: I20040812001174 |
| Provider Name | Amy H Comander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083709547 PECOS PAC ID: 2163495425 Enrollment ID: I20040816000224 |
| Provider Name | Valentina Jalynytchev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275551178 PECOS PAC ID: 0941273205 Enrollment ID: I20040816000276 |
| Provider Name | Adele M Uglialoro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295813095 PECOS PAC ID: 2365415312 Enrollment ID: I20040817001110 |
| Provider Name | G Tom Biuckians |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073583456 PECOS PAC ID: 4183697881 Enrollment ID: I20040819000267 |
| Provider Name | John Yang |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1013949551 PECOS PAC ID: 6305810417 Enrollment ID: I20040824001032 |
| Provider Name | Liza H Meyerhardt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962507426 PECOS PAC ID: 4486629631 Enrollment ID: I20040831000859 |
| Provider Name | David J Wolfe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730117011 PECOS PAC ID: 7012983471 Enrollment ID: I20040907001216 |
| Provider Name | Alex B Orlikov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528172426 PECOS PAC ID: 6406840479 Enrollment ID: I20040908000396 |
| Provider Name | Tracey M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972572022 PECOS PAC ID: 0547236713 Enrollment ID: I20040908001482 |
| Provider Name | Arianna P Stein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699840132 PECOS PAC ID: 6901873256 Enrollment ID: I20040915000602 |
| Provider Name | Kavita Seetharaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588608533 PECOS PAC ID: 6002875093 Enrollment ID: I20041006000129 |
| Provider Name | Rachelle Hotz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710024039 PECOS PAC ID: 6800855842 Enrollment ID: I20041006000603 |
| Provider Name | Harry M Schrager |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871540666 PECOS PAC ID: 2860451747 Enrollment ID: I20041006000987 |
| Provider Name | Julia R Neuringer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710933411 PECOS PAC ID: 3072573427 Enrollment ID: I20041012000313 |
| Provider Name | Irmgard Behlau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942313531 PECOS PAC ID: 4789644048 Enrollment ID: I20041012001124 |
| Provider Name | Diane P Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881751600 PECOS PAC ID: 2062473978 Enrollment ID: I20041025000199 |
| Provider Name | Richard L Curtis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811987902 PECOS PAC ID: 7214990860 Enrollment ID: I20041105000045 |
| Provider Name | Aba D Ewusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205847506 PECOS PAC ID: 8820053010 Enrollment ID: I20041130000421 |
| Provider Name | Jami R Rubens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821088675 PECOS PAC ID: 7911963202 Enrollment ID: I20041208000683 |
| Provider Name | Joann Suna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801854633 PECOS PAC ID: 8325005291 Enrollment ID: I20041213000233 |
| Provider Name | David J Wenzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063459279 PECOS PAC ID: 1850358466 Enrollment ID: I20041215000689 |
| Provider Name | Julie L Elgas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679681498 PECOS PAC ID: 0446217871 Enrollment ID: I20041216000671 |
| Provider Name | Jacqueline Lizbeth Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164481396 PECOS PAC ID: 5991763435 Enrollment ID: I20041229000951 |
| Provider Name | William S Maher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194835637 PECOS PAC ID: 1658321294 Enrollment ID: I20050131000991 |
| Provider Name | Louis G Jenis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285636993 PECOS PAC ID: 5991756694 Enrollment ID: I20050209000777 |
| Provider Name | Ryan J Sullivan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881696003 PECOS PAC ID: 2668423336 Enrollment ID: I20050210000189 |
| Provider Name | Julia Y Logan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053343590 PECOS PAC ID: 2567414865 Enrollment ID: I20050215000626 |
| Provider Name | Mark J Shankman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629028709 PECOS PAC ID: 6800842949 Enrollment ID: I20050322001070 |
| Provider Name | Salin A Dahlben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962471714 PECOS PAC ID: 4385690353 Enrollment ID: I20050323000965 |
| Provider Name | Steven L Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043298649 PECOS PAC ID: 7416848825 Enrollment ID: I20050324000695 |
| Provider Name | David S Huckins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609890144 PECOS PAC ID: 2668428129 Enrollment ID: I20050328000789 |
| Provider Name | Janet M Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598705022 PECOS PAC ID: 8123074507 Enrollment ID: I20050329000759 |
| Provider Name | Michele A Helgeson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265583165 PECOS PAC ID: 3476509688 Enrollment ID: I20050330000537 |
| Provider Name | Roger L Greiger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427015627 PECOS PAC ID: 5193762268 Enrollment ID: I20050411000445 |
| Provider Name | Liangge Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740265784 PECOS PAC ID: 3173560638 Enrollment ID: I20050415000340 |
| Provider Name | Marla R Polger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083692875 PECOS PAC ID: 0042258568 Enrollment ID: I20050425000307 |
| Provider Name | Teresa R Cahill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417935214 PECOS PAC ID: 4789623224 Enrollment ID: I20050426000037 |
| Provider Name | Timothy E Foster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164490983 PECOS PAC ID: 0648219113 Enrollment ID: I20050426000278 |
| Provider Name | Mark D Hershey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396776878 PECOS PAC ID: 2567401961 Enrollment ID: I20050426000585 |
| Provider Name | Benjamin E Levitzky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457392714 PECOS PAC ID: 0143269217 Enrollment ID: I20050428000005 |
| Provider Name | Lucy C Paniszyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609981703 PECOS PAC ID: 7719959006 Enrollment ID: I20050428000939 |
| Provider Name | Nicholas M Mascoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013964717 PECOS PAC ID: 1355313644 Enrollment ID: I20050429000806 |
| Provider Name | Geraldine Zabik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063594828 PECOS PAC ID: 2264404557 Enrollment ID: I20050503000143 |
| Provider Name | Timothy J Ernst |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972542975 PECOS PAC ID: 6002855673 Enrollment ID: I20050503000571 |
| Provider Name | Cristina J Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144214867 PECOS PAC ID: 7416997002 Enrollment ID: I20050503000787 |
| Provider Name | Mary Ann Drinkwater |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003903766 PECOS PAC ID: 3476593005 Enrollment ID: I20050503001086 |
| Provider Name | George J Philippides |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578540456 PECOS PAC ID: 2961442504 Enrollment ID: I20050503001237 |
| Provider Name | Steven B Pestka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407807498 PECOS PAC ID: 9537109665 Enrollment ID: I20050509000762 |
| Provider Name | Lawrence S Friedman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750369112 PECOS PAC ID: 2264475516 Enrollment ID: I20050607000994 |
| Provider Name | Adam J Wolfberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992765481 PECOS PAC ID: 2264475466 Enrollment ID: I20050608000893 |
| Provider Name | Keith B Isaacson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255399218 PECOS PAC ID: 1850334863 Enrollment ID: I20050609000726 |
| Provider Name | Kay A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205873072 PECOS PAC ID: 6608810866 Enrollment ID: I20050617000697 |
| Provider Name | Moussa C Mansour |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588649560 PECOS PAC ID: 8527040831 Enrollment ID: I20050622000852 |
| Provider Name | Lecia V Sequist |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417948316 PECOS PAC ID: 0143266452 Enrollment ID: I20050707000886 |
| Provider Name | Hong Thao N Thieu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982682076 PECOS PAC ID: 8628004504 Enrollment ID: I20050712000780 |
| Provider Name | Karin I Hjalmarson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811987225 PECOS PAC ID: 6608802582 Enrollment ID: I20050712000797 |
| Provider Name | Stefanos Parpos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588723712 PECOS PAC ID: 0042248981 Enrollment ID: I20050801000992 |
| Provider Name | John Thomas Mullen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467410845 PECOS PAC ID: 7113810805 Enrollment ID: I20050802000458 |
| Provider Name | Hacho B Bohossian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528020518 PECOS PAC ID: 0840228649 Enrollment ID: I20050802001124 |
| Provider Name | Robb S Friedman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669451514 PECOS PAC ID: 4587693759 Enrollment ID: I20050808000914 |
| Provider Name | Alicia A Czarnecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235110107 PECOS PAC ID: 9537199377 Enrollment ID: I20050822000252 |
| Provider Name | Nathalie Boileau |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093757494 PECOS PAC ID: 8820029325 Enrollment ID: I20050824000830 |
| Provider Name | Sareh Parangi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407893084 PECOS PAC ID: 2961434642 Enrollment ID: I20050901000702 |
| Provider Name | Mary E Gorman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235176538 PECOS PAC ID: 9830121920 Enrollment ID: I20050909000451 |
| Provider Name | Michael A Lew |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962079 PECOS PAC ID: 5890728166 Enrollment ID: I20050916000277 |
| Provider Name | Jo Ann E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821068354 PECOS PAC ID: 4587697784 Enrollment ID: I20050917000319 |
| Provider Name | Stephanie N Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659347797 PECOS PAC ID: 4183658214 Enrollment ID: I20050919000860 |
| Provider Name | Jennifer R Balukonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144210261 PECOS PAC ID: 5294769444 Enrollment ID: I20050927000160 |
| Provider Name | Pamela G Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710045885 PECOS PAC ID: 2668407586 Enrollment ID: I20050929000435 |
| Provider Name | Arun Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205817806 PECOS PAC ID: 4880619048 Enrollment ID: I20051007000116 |
| Provider Name | Joan K Rastegar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467430256 PECOS PAC ID: 2062437577 Enrollment ID: I20051013000039 |
| Provider Name | Richard Arya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710065248 PECOS PAC ID: 0143247502 Enrollment ID: I20051026000139 |
| Provider Name | Katayoon Goodarzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518073345 PECOS PAC ID: 2668499880 Enrollment ID: I20051114000603 |
| Provider Name | Yamini S Levitzky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477588531 PECOS PAC ID: 3870512312 Enrollment ID: I20051115000378 |
| Provider Name | Avignat S Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124133921 PECOS PAC ID: 7517986318 Enrollment ID: I20051121000848 |
| Provider Name | Tanzeema Hossain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922017284 PECOS PAC ID: 2365462819 Enrollment ID: I20051130000087 |
| Provider Name | Jill Allen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285671453 PECOS PAC ID: 4082606363 Enrollment ID: I20060110000501 |
| Provider Name | Sylvia K Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538117064 PECOS PAC ID: 7810911807 Enrollment ID: I20060117001009 |
| Provider Name | Michelle E Freshman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316960644 PECOS PAC ID: 0941216113 Enrollment ID: I20060224000372 |
| Provider Name | Barry A Ehrlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710934047 PECOS PAC ID: 2860409158 Enrollment ID: I20060310000540 |
| Provider Name | Murat A Anamur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487601100 PECOS PAC ID: 4789692336 Enrollment ID: I20060323000648 |
| Provider Name | Deborah A Hadley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023064417 PECOS PAC ID: 3870501927 Enrollment ID: I20060330000568 |
| Provider Name | Henry A D'angelo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609851864 PECOS PAC ID: 7315955325 Enrollment ID: I20060403000590 |
| Provider Name | Hamid Salamipour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063432789 PECOS PAC ID: 7618987397 Enrollment ID: I20060425000646 |
| Provider Name | Steven L Bornstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982655759 PECOS PAC ID: 7113938515 Enrollment ID: I20060524000097 |
| Provider Name | David P Bullis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760445977 PECOS PAC ID: 0042213118 Enrollment ID: I20060809000369 |
| Provider Name | David M Wachs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073571436 PECOS PAC ID: 5496758575 Enrollment ID: I20060809000486 |
| Provider Name | Mohini A Daya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831105444 PECOS PAC ID: 7012910037 Enrollment ID: I20060812000011 |
| Provider Name | Dimitrios Spentzos |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174556120 PECOS PAC ID: 3678576444 Enrollment ID: I20060816000476 |
| Provider Name | Evan R Berg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982692596 PECOS PAC ID: 4284637802 Enrollment ID: I20060821000061 |
| Provider Name | Megan R Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053327791 PECOS PAC ID: 7214931419 Enrollment ID: I20060830000493 |
| Provider Name | Jakub T Reczek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972540474 PECOS PAC ID: 6103820006 Enrollment ID: I20060907000415 |
| Provider Name | Ali Reza Niakosari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750362331 PECOS PAC ID: 3779560354 Enrollment ID: I20061109000564 |
| Provider Name | Terri Gorman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871583591 PECOS PAC ID: 5294733903 Enrollment ID: I20061113000249 |
| Provider Name | Mandy Brown Belfort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508874389 PECOS PAC ID: 0244238970 Enrollment ID: I20061113000466 |
| Provider Name | Melissa Anne Woolwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497857981 PECOS PAC ID: 3072511047 Enrollment ID: I20061130000026 |
| Provider Name | Elizabeth M Houk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558420851 PECOS PAC ID: 2668472622 Enrollment ID: I20061222000224 |
| Provider Name | Annemarie E Fogerty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588605943 PECOS PAC ID: 9931109808 Enrollment ID: I20061228000323 |
| Provider Name | Walter P Mutter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104895556 PECOS PAC ID: 1254332976 Enrollment ID: I20070124000225 |
| Provider Name | Malina Milan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548257744 PECOS PAC ID: 2769484500 Enrollment ID: I20070208000119 |
| Provider Name | Wendy B Landman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225144678 PECOS PAC ID: 9739181272 Enrollment ID: I20070212000633 |
| Provider Name | Judith A Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407870785 PECOS PAC ID: 8527162262 Enrollment ID: I20070405000118 |
| Provider Name | Rachel P Rosovsky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821072257 PECOS PAC ID: 6709981715 Enrollment ID: I20070420000048 |
| Provider Name | Nadia M Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558420182 PECOS PAC ID: 2466559810 Enrollment ID: I20070518000208 |
| Provider Name | Jane C Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851452841 PECOS PAC ID: 8527165687 Enrollment ID: I20070524000227 |
| Provider Name | Leila S Yassa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649217340 PECOS PAC ID: 7012014970 Enrollment ID: I20070530000042 |
| Provider Name | Joel N Auslander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972721678 PECOS PAC ID: 9537174966 Enrollment ID: I20070605000447 |
| Provider Name | Robert P Friday |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053393074 PECOS PAC ID: 6800994047 Enrollment ID: I20070612000061 |
| Provider Name | Meghan E Gange |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033213996 PECOS PAC ID: 3476651621 Enrollment ID: I20070612000132 |
| Provider Name | Alisa B Rosen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639247539 PECOS PAC ID: 2961500913 Enrollment ID: I20070614000433 |
| Provider Name | Eleanor A Paglia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932186293 PECOS PAC ID: 5991806093 Enrollment ID: I20070719000262 |
| Provider Name | Douglas W Comeau |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346382835 PECOS PAC ID: 2062513138 Enrollment ID: I20070719000827 |
| Provider Name | Jennifer J Schimmel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245448695 PECOS PAC ID: 7315993946 Enrollment ID: I20070809000316 |
| Provider Name | Lina P Pabon Nau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669676730 PECOS PAC ID: 2769574094 Enrollment ID: I20070816000414 |
| Provider Name | Harveen Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023007200 PECOS PAC ID: 7113934134 Enrollment ID: I20070830000054 |
| Provider Name | Margaret R Seaver |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740213735 PECOS PAC ID: 3072606466 Enrollment ID: I20070830000199 |
| Provider Name | Lisa W Sunwoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568560977 PECOS PAC ID: 3971698291 Enrollment ID: I20071002000519 |
| Provider Name | Elinor L Baron |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366537581 PECOS PAC ID: 8325133655 Enrollment ID: I20071002000546 |
| Provider Name | Lana Tsao |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1467555466 PECOS PAC ID: 1658389440 Enrollment ID: I20071017000638 |
| Provider Name | Jason Simon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942496377 PECOS PAC ID: 9436246048 Enrollment ID: I20071030000086 |
| Provider Name | Charles Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740260025 PECOS PAC ID: 8426956772 Enrollment ID: I20071129000099 |
| Provider Name | Joseph J Rhatigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699734616 PECOS PAC ID: 9032290119 Enrollment ID: I20080115000279 |
| Provider Name | Inna Vernovsky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871569681 PECOS PAC ID: 7719069624 Enrollment ID: I20080131000288 |
| Provider Name | Jeffrey M Rothschild |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093773947 PECOS PAC ID: 8325120249 Enrollment ID: I20080131000315 |
| Provider Name | Susan Almy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598945594 PECOS PAC ID: 9739262387 Enrollment ID: I20080206000177 |
| Provider Name | Ali Tirmizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184618902 PECOS PAC ID: 7416031679 Enrollment ID: I20080226000772 |
| Provider Name | Erin M Tullock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508907320 PECOS PAC ID: 3870581697 Enrollment ID: I20080228000452 |
| Provider Name | Amy E Boutwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396871075 PECOS PAC ID: 9638254410 Enrollment ID: I20080305000060 |
| Provider Name | Jennifer M Viano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104007905 PECOS PAC ID: 1759466899 Enrollment ID: I20080313000073 |
| Provider Name | Julia M Gallagher |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508849365 PECOS PAC ID: 1456437847 Enrollment ID: I20080326000178 |
| Provider Name | Vicki A Jackson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538159710 PECOS PAC ID: 2668550724 Enrollment ID: I20080415000655 |
| Provider Name | Lawrence Scott Blaszkowsky |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1225028137 PECOS PAC ID: 3072692201 Enrollment ID: I20080429000927 |
| Provider Name | Andrew W Ames |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376507723 PECOS PAC ID: 6608955349 Enrollment ID: I20080506000416 |
| Provider Name | Jennifer C Paterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598701179 PECOS PAC ID: 0749359388 Enrollment ID: I20080521000871 |
| Provider Name | Peter J Siekmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477590156 PECOS PAC ID: 2466521075 Enrollment ID: I20080522000493 |
| Provider Name | James Ian Weitzman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447317862 PECOS PAC ID: 3072683150 Enrollment ID: I20080602000092 |
| Provider Name | Kristina K Stjernfeldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467638874 PECOS PAC ID: 8921178880 Enrollment ID: I20080604000073 |
| Provider Name | Emily Newton-cheh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184609554 PECOS PAC ID: 8921179326 Enrollment ID: I20080612000242 |
| Provider Name | Mark Weinfeld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518958180 PECOS PAC ID: 5092783613 Enrollment ID: I20080805000193 |
| Provider Name | Daniel Katz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043439367 PECOS PAC ID: 8729152848 Enrollment ID: I20080807000032 |
| Provider Name | James M Bartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801917372 PECOS PAC ID: 4981778065 Enrollment ID: I20080807000402 |
| Provider Name | Cheryl I Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366584351 PECOS PAC ID: 5395810816 Enrollment ID: I20080819000227 |
| Provider Name | Claudia P Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316137409 PECOS PAC ID: 9032285697 Enrollment ID: I20080904000559 |
| Provider Name | Ariadne R. Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538375621 PECOS PAC ID: 5092881615 Enrollment ID: I20080905000309 |
| Provider Name | Perry G An |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508992934 PECOS PAC ID: 7618043118 Enrollment ID: I20080908000213 |
| Provider Name | Shunda M Mcgahee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548396252 PECOS PAC ID: 2860550050 Enrollment ID: I20081016000157 |
| Provider Name | Jacquelyn Don Perna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013011980 PECOS PAC ID: 2668449422 Enrollment ID: I20081016000436 |
| Provider Name | Scott A Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386750529 PECOS PAC ID: 6204885338 Enrollment ID: I20081017000118 |
| Provider Name | Julie M Winsett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336254747 PECOS PAC ID: 0143388272 Enrollment ID: I20081018000222 |
| Provider Name | Rajeev Malhotra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023123080 PECOS PAC ID: 7719045475 Enrollment ID: I20081023000823 |
| Provider Name | Tomas G Neilan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437285145 PECOS PAC ID: 7416016738 Enrollment ID: I20081031000323 |
| Provider Name | Tatiana Rocha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972623361 PECOS PAC ID: 1052470325 Enrollment ID: I20081103000036 |
| Provider Name | Mary Baker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457346884 PECOS PAC ID: 5799773768 Enrollment ID: I20081126000342 |
| Provider Name | Jennifer L Moniz Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538190327 PECOS PAC ID: 3779644372 Enrollment ID: I20081201000485 |
| Provider Name | Elizabeth Konig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477669331 PECOS PAC ID: 1951462019 Enrollment ID: I20081208000254 |
| Provider Name | Sheila K Partridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558361113 PECOS PAC ID: 9830250950 Enrollment ID: I20081209000036 |
| Provider Name | Iris G Streimish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437313657 PECOS PAC ID: 6800957804 Enrollment ID: I20081209000782 |
| Provider Name | Sarbattama Sen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932137445 PECOS PAC ID: 1759300247 Enrollment ID: I20081219000019 |
| Provider Name | Cristina J Cataldo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487845038 PECOS PAC ID: 6103988282 Enrollment ID: I20081224000267 |
| Provider Name | Keith N Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184630238 PECOS PAC ID: 0143382093 Enrollment ID: I20081231000154 |
| Provider Name | Hadia F Tirmizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235124249 PECOS PAC ID: 7416011218 Enrollment ID: I20090122000508 |
| Provider Name | Eileen Barrett Wyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275729220 PECOS PAC ID: 6608931134 Enrollment ID: I20090218000033 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356589980 PECOS PAC ID: 4183780331 Enrollment ID: I20090313000019 |
| Provider Name | Kosha S Thakore |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588771679 PECOS PAC ID: 6507861895 Enrollment ID: I20090624000447 |
| Provider Name | Anand Prabhakar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497982987 PECOS PAC ID: 9537211313 Enrollment ID: I20090709000536 |
| Provider Name | Malgorzata Mcmasters |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588878029 PECOS PAC ID: 1052464005 Enrollment ID: I20090808000125 |
| Provider Name | Melissa A Woythaler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144255241 PECOS PAC ID: 8123172129 Enrollment ID: I20090810000528 |
| Provider Name | Kimberly A Parks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861686230 PECOS PAC ID: 4789646746 Enrollment ID: I20090819000577 |
| Provider Name | Yael Hoffman Sage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669647525 PECOS PAC ID: 5597819771 Enrollment ID: I20090822000105 |
| Provider Name | Iris Foley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104945690 PECOS PAC ID: 4284708694 Enrollment ID: I20090901000019 |
| Provider Name | Catharina Armstrong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538295217 PECOS PAC ID: 1153476627 Enrollment ID: I20090904000330 |
| Provider Name | Hetal Verma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720134547 PECOS PAC ID: 9436205630 Enrollment ID: I20090912000098 |
| Provider Name | Seamus Mark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538212477 PECOS PAC ID: 7719033810 Enrollment ID: I20090915000148 |
| Provider Name | Lien H Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295939197 PECOS PAC ID: 0840386769 Enrollment ID: I20090928000427 |
| Provider Name | Rajan Chahal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174724926 PECOS PAC ID: 3971664921 Enrollment ID: I20090929000388 |
| Provider Name | Kristin E Remus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063619617 PECOS PAC ID: 3173669470 Enrollment ID: I20090929000598 |
| Provider Name | Brian J Park |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396969598 PECOS PAC ID: 3577662543 Enrollment ID: I20091002000022 |
| Provider Name | Melissa A Wendt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043477821 PECOS PAC ID: 9133266158 Enrollment ID: I20091023000547 |
| Provider Name | Mary Catherine Arbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770639122 PECOS PAC ID: 1759428659 Enrollment ID: I20091026000655 |
| Provider Name | Revati Arjun Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043303688 PECOS PAC ID: 5799706222 Enrollment ID: I20091029000176 |
| Provider Name | Sejal B Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326238312 PECOS PAC ID: 1759429582 Enrollment ID: I20091116000068 |
| Provider Name | Anne Hunsicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992034235 PECOS PAC ID: 6305989435 Enrollment ID: I20100211000291 |
| Provider Name | Peggy S Lai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760651087 PECOS PAC ID: 3072649128 Enrollment ID: I20100329000636 |
| Provider Name | Francheyska Silfa Mazara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316137458 PECOS PAC ID: 3870623804 Enrollment ID: I20100617000336 |
| Provider Name | Elizabeth S Booma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265568687 PECOS PAC ID: 7416088539 Enrollment ID: I20100706000171 |
| Provider Name | Mihir M Kamdar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689729196 PECOS PAC ID: 0446382881 Enrollment ID: I20100720000620 |
| Provider Name | Vanessa B Kerry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285839712 PECOS PAC ID: 7810020039 Enrollment ID: I20100809000254 |
| Provider Name | Raymond Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740428085 PECOS PAC ID: 1850425992 Enrollment ID: I20100811000864 |
| Provider Name | Lindsay P Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487859096 PECOS PAC ID: 6204950298 Enrollment ID: I20100827000246 |
| Provider Name | Kristin A Cox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619134368 PECOS PAC ID: 5092839571 Enrollment ID: I20100907000288 |
| Provider Name | Lisa Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568529014 PECOS PAC ID: 6406953041 Enrollment ID: I20101102001491 |
| Provider Name | Christine M Combs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437374022 PECOS PAC ID: 9133272693 Enrollment ID: I20101108000857 |
| Provider Name | Christine M Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306951363 PECOS PAC ID: 6406042282 Enrollment ID: I20101118000876 |
| Provider Name | Hana F Karim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184817439 PECOS PAC ID: 1355537127 Enrollment ID: I20101119000539 |
| Provider Name | Allison Keel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114142932 PECOS PAC ID: 1052507787 Enrollment ID: I20101120000166 |
| Provider Name | Sarah P Rosenberg-scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720279235 PECOS PAC ID: 4789721119 Enrollment ID: I20101209001021 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508045972 PECOS PAC ID: 4284821547 Enrollment ID: I20101213000432 |
| Provider Name | Angela Mary Sousa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184931750 PECOS PAC ID: 5294923868 Enrollment ID: I20101223000166 |
| Provider Name | Maria P Rogines Velo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619129384 PECOS PAC ID: 6103006952 Enrollment ID: I20110210000789 |
| Provider Name | Frances R Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598074213 PECOS PAC ID: 6204016769 Enrollment ID: I20110215001185 |
| Provider Name | Douglas J Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174795132 PECOS PAC ID: 0244411940 Enrollment ID: I20110301000703 |
| Provider Name | Kerry Willey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417250580 PECOS PAC ID: 2769664960 Enrollment ID: I20110309000513 |
| Provider Name | Elizabeth M M Scanlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568568806 PECOS PAC ID: 0547444317 Enrollment ID: I20110404000384 |
| Provider Name | William M Oldham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518126945 PECOS PAC ID: 4486830221 Enrollment ID: I20110512000452 |
| Provider Name | Catherine S Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912165036 PECOS PAC ID: 6406033554 Enrollment ID: I20110527000124 |
| Provider Name | Amy M Mayhew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831336064 PECOS PAC ID: 7810174422 Enrollment ID: I20110608000459 |
| Provider Name | Kathryn C Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427359603 PECOS PAC ID: 3577741107 Enrollment ID: I20110629000407 |
| Provider Name | Luba Hafkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942407028 PECOS PAC ID: 8527254440 Enrollment ID: I20110711000141 |
| Provider Name | David M. Dudzinski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619004074 PECOS PAC ID: 4880862663 Enrollment ID: I20110721000602 |
| Provider Name | Susana C Wishnia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982610226 PECOS PAC ID: 9436327046 Enrollment ID: I20110727000022 |
| Provider Name | Garrick C Stewart |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1295771541 PECOS PAC ID: 1759559156 Enrollment ID: I20110728000548 |
| Provider Name | Krishna P Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194984732 PECOS PAC ID: 0244409670 Enrollment ID: I20110801000838 |
| Provider Name | Leon M Ptaszek |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841277175 PECOS PAC ID: 3779752811 Enrollment ID: I20110808000256 |
| Provider Name | Emilie A Tack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235312448 PECOS PAC ID: 2062550916 Enrollment ID: I20110817000229 |
| Provider Name | Evan R Berg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821261512 PECOS PAC ID: 0749459261 Enrollment ID: I20110817000655 |
| Provider Name | Caroline C Colozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144516840 PECOS PAC ID: 3173793387 Enrollment ID: I20110825000687 |
| Provider Name | Shilpa S Mcmanus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942405550 PECOS PAC ID: 6608046446 Enrollment ID: I20110902000339 |
| Provider Name | Sarah Little |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396936415 PECOS PAC ID: 0042481350 Enrollment ID: I20110919000150 |
| Provider Name | Aldiana Soljic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679724900 PECOS PAC ID: 4587835608 Enrollment ID: I20110922000020 |
| Provider Name | Prativa Basnet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225203755 PECOS PAC ID: 6800067802 Enrollment ID: I20110923000292 |
| Provider Name | Marta K Christov |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013163153 PECOS PAC ID: 1355512005 Enrollment ID: I20110929000191 |
| Provider Name | Larissa Bornikova |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356531453 PECOS PAC ID: 7416129937 Enrollment ID: I20111005000688 |
| Provider Name | Daniel A T Souza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427280460 PECOS PAC ID: 7517125792 Enrollment ID: I20120220000175 |
| Provider Name | Megan Leahy Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710258371 PECOS PAC ID: 7517128234 Enrollment ID: I20120405000327 |
| Provider Name | Kathryn J Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932385978 PECOS PAC ID: 1456512086 Enrollment ID: I20120409000271 |
| Provider Name | Lyndsay Meredith Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730452897 PECOS PAC ID: 0840452587 Enrollment ID: I20120425000764 |
| Provider Name | Ayse N Sahin-efe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194912519 PECOS PAC ID: 4082877972 Enrollment ID: I20120511000109 |
| Provider Name | Andrew L Lundquist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174728794 PECOS PAC ID: 2466619846 Enrollment ID: I20120705000670 |
| Provider Name | Elizabeth G Pinsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437286895 PECOS PAC ID: 7416115225 Enrollment ID: I20120706000099 |
| Provider Name | Aparna Mani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104086602 PECOS PAC ID: 4486816899 Enrollment ID: I20120706000352 |
| Provider Name | Carrie L Morgenstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417183690 PECOS PAC ID: 0547425779 Enrollment ID: I20120712000847 |
| Provider Name | Glen Barrisford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457428724 PECOS PAC ID: 9830355932 Enrollment ID: I20120718000035 |
| Provider Name | James A Colbert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730316415 PECOS PAC ID: 7214193010 Enrollment ID: I20120724000003 |
| Provider Name | Petya T Papazova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043583834 PECOS PAC ID: 2062678741 Enrollment ID: I20120724000979 |
| Provider Name | Marc R Freiman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740417534 PECOS PAC ID: 9436315819 Enrollment ID: I20120731000037 |
| Provider Name | Edward E Hurwitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073749230 PECOS PAC ID: 5294981015 Enrollment ID: I20120810000359 |
| Provider Name | Allison S Chatalbash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255573192 PECOS PAC ID: 9436306487 Enrollment ID: I20120827000019 |
| Provider Name | Jennifer R Benjamin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396877825 PECOS PAC ID: 9830246412 Enrollment ID: I20120911000078 |
| Provider Name | Nicole M Larue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457527277 PECOS PAC ID: 0547420762 Enrollment ID: I20121009000649 |
| Provider Name | Andrew Rogers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811044639 PECOS PAC ID: 0244489946 Enrollment ID: I20121011000889 |
| Provider Name | Jennifer B Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700045663 PECOS PAC ID: 4587815642 Enrollment ID: I20121119000510 |
| Provider Name | Elliott Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073741617 PECOS PAC ID: 3971754953 Enrollment ID: I20121126000216 |
| Provider Name | Abigail Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548436967 PECOS PAC ID: 8820278419 Enrollment ID: I20121130000023 |
| Provider Name | Patricia M Wefald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659620623 PECOS PAC ID: 7618129156 Enrollment ID: I20121210000266 |
| Provider Name | Karen B Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699029645 PECOS PAC ID: 5294988812 Enrollment ID: I20130110000314 |
| Provider Name | Adam P Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124343553 PECOS PAC ID: 3173776515 Enrollment ID: I20130114000393 |
| Provider Name | Julia E Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194078295 PECOS PAC ID: 1557515996 Enrollment ID: I20130212000039 |
| Provider Name | Allison Leigh Rosenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386834554 PECOS PAC ID: 3173652047 Enrollment ID: I20130215000227 |
| Provider Name | Jessica L Aidlen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528115656 PECOS PAC ID: 5193879823 Enrollment ID: I20130320000297 |
| Provider Name | Kelly E Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093006884 PECOS PAC ID: 4385814441 Enrollment ID: I20130402000273 |
| Provider Name | Carlene M Macmillan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689801417 PECOS PAC ID: 8123286192 Enrollment ID: I20130614000582 |
| Provider Name | Kerry L Reynolds |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386803922 PECOS PAC ID: 8527235688 Enrollment ID: I20130627000484 |
| Provider Name | Michael R. Coronado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346569910 PECOS PAC ID: 3173763695 Enrollment ID: I20130705000360 |
| Provider Name | David A Lyczkowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942437496 PECOS PAC ID: 1951554120 Enrollment ID: I20130719000661 |
| Provider Name | Adam W Lurie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215257977 PECOS PAC ID: 8921249467 Enrollment ID: I20130726000218 |
| Provider Name | Carolina Bibbo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124253539 PECOS PAC ID: 1759523210 Enrollment ID: I20130813000172 |
| Provider Name | Maria W Fradinho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184850703 PECOS PAC ID: 8325280761 Enrollment ID: I20130814000168 |
| Provider Name | Catalina Norman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831374107 PECOS PAC ID: 1658496153 Enrollment ID: I20130826000532 |
| Provider Name | Shahmir Kamalian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053670661 PECOS PAC ID: 0840433280 Enrollment ID: I20130904000091 |
| Provider Name | Nadeen Abujaber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053635938 PECOS PAC ID: 1456595545 Enrollment ID: I20130911000073 |
| Provider Name | Revital Yehezkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073741633 PECOS PAC ID: 6608010681 Enrollment ID: I20130912000352 |
| Provider Name | Carmen Monthe-dreze |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992020382 PECOS PAC ID: 8224272091 Enrollment ID: I20130917000446 |
| Provider Name | Marta Mazzawi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215372776 PECOS PAC ID: 5799919619 Enrollment ID: I20131009000563 |
| Provider Name | Christa S Sharma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437583135 PECOS PAC ID: 8123254349 Enrollment ID: I20131118001513 |
| Provider Name | Elizabeth Bigger |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780731596 PECOS PAC ID: 0345476024 Enrollment ID: I20131203000272 |
| Provider Name | Saef Izzy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376863266 PECOS PAC ID: 7517195639 Enrollment ID: I20140118000000 |
| Provider Name | Svetlana Sarah Kachan-liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609192749 PECOS PAC ID: 2466603949 Enrollment ID: I20140129000377 |
| Provider Name | Nisreen S Maari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427204429 PECOS PAC ID: 6002046729 Enrollment ID: I20140225001635 |
| Provider Name | Lawna B Wigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205116225 PECOS PAC ID: 7214109800 Enrollment ID: I20140324001525 |
| Provider Name | Karen W Choong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245498211 PECOS PAC ID: 8325279920 Enrollment ID: I20140325000623 |
| Provider Name | Shiva Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437226651 PECOS PAC ID: 5799854527 Enrollment ID: I20140401002075 |
| Provider Name | Grace Stebenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902229768 PECOS PAC ID: 2062644594 Enrollment ID: I20140415000833 |
| Provider Name | Caroline C Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861744377 PECOS PAC ID: 1456574458 Enrollment ID: I20140520001626 |
| Provider Name | Margaret F Everett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902820855 PECOS PAC ID: 1456574003 Enrollment ID: I20140529000092 |
| Provider Name | Mayya Geha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972584654 PECOS PAC ID: 0840450979 Enrollment ID: I20140619002005 |
| Provider Name | Sunil Kapur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144458399 PECOS PAC ID: 4789837865 Enrollment ID: I20140627002122 |
| Provider Name | Pragya A Dang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326281676 PECOS PAC ID: 7214194901 Enrollment ID: I20140701001639 |
| Provider Name | Robert F Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669768164 PECOS PAC ID: 1557586781 Enrollment ID: I20140702001203 |
| Provider Name | Michael E Weiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225200744 PECOS PAC ID: 2567627060 Enrollment ID: I20140724000466 |
| Provider Name | Chryssanthi S Kournioti |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912181116 PECOS PAC ID: 5799970406 Enrollment ID: I20140905001587 |
| Provider Name | Suzanne Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144635202 PECOS PAC ID: 7012135965 Enrollment ID: I20140905001949 |
| Provider Name | Michelle M Master |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609166339 PECOS PAC ID: 8123247418 Enrollment ID: I20140918001636 |
| Provider Name | Erin N Sweatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033430525 PECOS PAC ID: 2466691308 Enrollment ID: I20141014001789 |
| Provider Name | Sailaja Ghanta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154583607 PECOS PAC ID: 8820256480 Enrollment ID: I20141202000370 |
| Provider Name | Sylvia Massmanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942618483 PECOS PAC ID: 5991028763 Enrollment ID: I20141231000757 |
| Provider Name | Joshua Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396876843 PECOS PAC ID: 5698098416 Enrollment ID: I20150102000388 |
| Provider Name | Anil Varma V Vatsavayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083861025 PECOS PAC ID: 7911221577 Enrollment ID: I20150130001519 |
| Provider Name | George A Alba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548554579 PECOS PAC ID: 1951562313 Enrollment ID: I20150205001665 |
| Provider Name | Erika E Line-nitu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376808766 PECOS PAC ID: 5597987941 Enrollment ID: I20150311001760 |
| Provider Name | Kaitlyn Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225438179 PECOS PAC ID: 6305163783 Enrollment ID: I20150324000467 |
| Provider Name | Rhaea Photopoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770500720 PECOS PAC ID: 7517965908 Enrollment ID: I20150420000319 |
| Provider Name | Elizabeth Asch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215165030 PECOS PAC ID: 9032438577 Enrollment ID: I20150505000055 |
| Provider Name | Lisa M Bebell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437484508 PECOS PAC ID: 8729264940 Enrollment ID: I20150616000233 |
| Provider Name | Johvonne Michelle Claybourne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942360508 PECOS PAC ID: 3678508629 Enrollment ID: I20150619000304 |
| Provider Name | Sarah R Easter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134418064 PECOS PAC ID: 8921266727 Enrollment ID: I20150624002011 |
| Provider Name | Alexandra K Wong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578821658 PECOS PAC ID: 1850523978 Enrollment ID: I20150728003811 |
| Provider Name | Reza Hakimelahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063703791 PECOS PAC ID: 5496069973 Enrollment ID: I20150728004427 |
| Provider Name | Stephanie A Guseh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831498104 PECOS PAC ID: 0840457271 Enrollment ID: I20150806011449 |
| Provider Name | Jennifer Anne Mcguirl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427387620 PECOS PAC ID: 2668788423 Enrollment ID: I20150825004350 |
| Provider Name | Sritharani Kandasamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265839336 PECOS PAC ID: 0446567440 Enrollment ID: I20150923000283 |
| Provider Name | Paul C Kenyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720349020 PECOS PAC ID: 5890927966 Enrollment ID: I20151008000381 |
| Provider Name | Maged Muhammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664948 PECOS PAC ID: 8820307754 Enrollment ID: I20151015002276 |
| Provider Name | Michelle J Ciszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093800583 PECOS PAC ID: 6507176237 Enrollment ID: I20151110001344 |
| Provider Name | Russell W Jenkins |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548524911 PECOS PAC ID: 0749434207 Enrollment ID: I20151121000282 |
| Provider Name | Mohamed El-dib |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750588653 PECOS PAC ID: 5698928109 Enrollment ID: I20151124001972 |
| Provider Name | Matthew A. Nitzberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053632539 PECOS PAC ID: 3072732361 Enrollment ID: I20151209001761 |
| Provider Name | Dina Brauneis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831487065 PECOS PAC ID: 9638392087 Enrollment ID: I20151211001105 |
| Provider Name | Deborah A Forst |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770800146 PECOS PAC ID: 4688835697 Enrollment ID: I20160204001564 |
| Provider Name | Hadi Estakhri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003161522 PECOS PAC ID: 5294030367 Enrollment ID: I20160226001902 |
| Provider Name | Matthew R Leibowitz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124047063 PECOS PAC ID: 4688692973 Enrollment ID: I20160321001214 |
| Provider Name | Amy C. Israelian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205961497 PECOS PAC ID: 1254378268 Enrollment ID: I20160406002051 |
| Provider Name | Biana K Mico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295111888 PECOS PAC ID: 2163720871 Enrollment ID: I20160413001846 |
| Provider Name | Michael J Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548516289 PECOS PAC ID: 0547415739 Enrollment ID: I20160502001593 |
| Provider Name | Kitman Tsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699102202 PECOS PAC ID: 0547559718 Enrollment ID: I20160512000412 |
| Provider Name | Stephen M Tourjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184985913 PECOS PAC ID: 6901024439 Enrollment ID: I20160531000946 |
| Provider Name | Christopher Baca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740555036 PECOS PAC ID: 2163660309 Enrollment ID: I20160531001850 |
| Provider Name | David A Sturman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427496504 PECOS PAC ID: 5496983421 Enrollment ID: I20160601001805 |
| Provider Name | Shay Hershkovitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780022475 PECOS PAC ID: 9931331063 Enrollment ID: I20160608001969 |
| Provider Name | Heather J Hue |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043271588 PECOS PAC ID: 4082528815 Enrollment ID: I20160609001853 |
| Provider Name | Christopher M Worsham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205179801 PECOS PAC ID: 3779715867 Enrollment ID: I20160705001432 |
| Provider Name | Maura E. Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386091296 PECOS PAC ID: 0840582508 Enrollment ID: I20160718000210 |
| Provider Name | Steven Paul Keller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720279847 PECOS PAC ID: 9537203997 Enrollment ID: I20160727002796 |
| Provider Name | Eric Nou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184861957 PECOS PAC ID: 5193963775 Enrollment ID: I20160809001382 |
| Provider Name | Mary Jane Estrada-lyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427033257 PECOS PAC ID: 2163717885 Enrollment ID: I20160819001423 |
| Provider Name | Benjamin F Stump |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679862643 PECOS PAC ID: 3577514892 Enrollment ID: I20160822002079 |
| Provider Name | Whitney L Kress |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376980128 PECOS PAC ID: 9234424607 Enrollment ID: I20160824001237 |
| Provider Name | Michael D Dick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912345430 PECOS PAC ID: 3476781741 Enrollment ID: I20160901000593 |
| Provider Name | Naima Thavory Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801161252 PECOS PAC ID: 2567616329 Enrollment ID: I20160901001706 |
| Provider Name | Alyssa Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750600714 PECOS PAC ID: 2860625456 Enrollment ID: I20160902000475 |
| Provider Name | Sophie B. Wells |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134445034 PECOS PAC ID: 1052561727 Enrollment ID: I20160920001270 |
| Provider Name | Anush Sa Sahakian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972942928 PECOS PAC ID: 7810284791 Enrollment ID: I20160920002036 |
| Provider Name | Devina Luhur Willard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477843399 PECOS PAC ID: 1557593530 Enrollment ID: I20160926000669 |
| Provider Name | Nancy C Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003108028 PECOS PAC ID: 1355597808 Enrollment ID: I20160928002643 |
| Provider Name | Bushra Afzal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790075471 PECOS PAC ID: 6608163860 Enrollment ID: I20161003001375 |
| Provider Name | Annette Scheid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144662560 PECOS PAC ID: 6204135502 Enrollment ID: I20161005000852 |
| Provider Name | Hilary F White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508203662 PECOS PAC ID: 6305064387 Enrollment ID: I20161024001543 |
| Provider Name | Shannon Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689008500 PECOS PAC ID: 3779862768 Enrollment ID: I20161115001584 |
| Provider Name | Jianying Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346689395 PECOS PAC ID: 2365721370 Enrollment ID: I20161115002308 |
| Provider Name | Robert S Rogers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063859221 PECOS PAC ID: 5698903573 Enrollment ID: I20161122001004 |
| Provider Name | Ali Shahzad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700217957 PECOS PAC ID: 4385924737 Enrollment ID: I20161201000904 |
| Provider Name | Kristen Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710439849 PECOS PAC ID: 0042591554 Enrollment ID: I20161221000694 |
| Provider Name | Christine M Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154734374 PECOS PAC ID: 2961620927 Enrollment ID: I20170111000389 |
| Provider Name | Bradley M Wertheim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629363387 PECOS PAC ID: 5092976431 Enrollment ID: I20170112001382 |
| Provider Name | Nora K Hathaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861861916 PECOS PAC ID: 5092097352 Enrollment ID: I20170120001348 |
| Provider Name | Elise I Welton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306383351 PECOS PAC ID: 1759664287 Enrollment ID: I20170208000607 |
| Provider Name | Seth A Wander |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790123792 PECOS PAC ID: 0648408526 Enrollment ID: I20170306001604 |
| Provider Name | Rashmi Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962758797 PECOS PAC ID: 3577848423 Enrollment ID: I20170316001079 |
| Provider Name | Tamar C Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235577230 PECOS PAC ID: 4880822980 Enrollment ID: I20170403000207 |
| Provider Name | Jong Chul Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336307925 PECOS PAC ID: 2264676121 Enrollment ID: I20170403000389 |
| Provider Name | Nir Ayalon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437470226 PECOS PAC ID: 5597997304 Enrollment ID: I20170524002156 |
| Provider Name | Cristina J Toledo-cornell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215376454 PECOS PAC ID: 7810125572 Enrollment ID: I20170526001322 |
| Provider Name | William Martin-doyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396158721 PECOS PAC ID: 6608094545 Enrollment ID: I20170601000380 |
| Provider Name | Matthew G Gartland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871930016 PECOS PAC ID: 6507094620 Enrollment ID: I20170607001918 |
| Provider Name | Alan J Cubre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316267792 PECOS PAC ID: 9335453745 Enrollment ID: I20170623000936 |
| Provider Name | Hanna Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811208028 PECOS PAC ID: 5395910392 Enrollment ID: I20170626001898 |
| Provider Name | Carol Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790743623 PECOS PAC ID: 1557630977 Enrollment ID: I20170628001551 |
| Provider Name | Kaitlyn Ruvolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508157462 PECOS PAC ID: 9436381274 Enrollment ID: I20170712001135 |
| Provider Name | Allison H Mariani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255673075 PECOS PAC ID: 4486923182 Enrollment ID: I20170712002447 |
| Provider Name | Weizhen Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952693418 PECOS PAC ID: 7416227194 Enrollment ID: I20170728000994 |
| Provider Name | Abhishek Keraliya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184033649 PECOS PAC ID: 7214158021 Enrollment ID: I20170803000452 |
| Provider Name | Justin J Lacasse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184066219 PECOS PAC ID: 7517256308 Enrollment ID: I20170804000525 |
| Provider Name | Manisha J Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144634825 PECOS PAC ID: 1759652787 Enrollment ID: I20170809000923 |
| Provider Name | Tara E Soumerai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1295055663 PECOS PAC ID: 9638330020 Enrollment ID: I20170829000038 |
| Provider Name | Gayle J Weaver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477531531 PECOS PAC ID: 7012954266 Enrollment ID: I20170829003497 |
| Provider Name | Tiffany Kolniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780099473 PECOS PAC ID: 3870873326 Enrollment ID: I20170831002424 |
| Provider Name | David Cheng |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558709063 PECOS PAC ID: 9931496726 Enrollment ID: I20170905003280 |
| Provider Name | Dimitar V Zlatev |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841589132 PECOS PAC ID: 2769754357 Enrollment ID: I20170908002035 |
| Provider Name | Surbhi Rohatgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679821938 PECOS PAC ID: 7012215015 Enrollment ID: I20171003004038 |
| Provider Name | Elyse Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518408467 PECOS PAC ID: 8820364094 Enrollment ID: I20171017000978 |
| Provider Name | Megan Damara Reyes-wangh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376831909 PECOS PAC ID: 4880960509 Enrollment ID: I20171025001376 |
| Provider Name | Christina M Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669996880 PECOS PAC ID: 6800152190 Enrollment ID: I20171101002562 |
| Provider Name | Mahdi Razafsha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912293689 PECOS PAC ID: 9234372566 Enrollment ID: I20171121003044 |
| Provider Name | Michael B Feldman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538502745 PECOS PAC ID: 7517274848 Enrollment ID: I20171129001255 |
| Provider Name | Julie B Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437693900 PECOS PAC ID: 0143588095 Enrollment ID: I20171222000175 |
| Provider Name | Courtney Healy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104344415 PECOS PAC ID: 4981963287 Enrollment ID: I20180112000410 |
| Provider Name | Jehan W Alladina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497019954 PECOS PAC ID: 1456505981 Enrollment ID: I20180201000826 |
| Provider Name | Zelda Ghersin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891100517 PECOS PAC ID: 1052679453 Enrollment ID: I20180216000246 |
| Provider Name | Catherine Hawley Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952664484 PECOS PAC ID: 3577798172 Enrollment ID: I20180220002762 |
| Provider Name | Amanda Lyn Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375280 PECOS PAC ID: 4486915006 Enrollment ID: I20180222001747 |
| Provider Name | Clay Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215049739 PECOS PAC ID: 2567463029 Enrollment ID: I20180403001616 |
| Provider Name | Raghu R Chivukula |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497034169 PECOS PAC ID: 9537397567 Enrollment ID: I20180419001832 |
| Provider Name | Thomas F Flood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093155541 PECOS PAC ID: 1456615699 Enrollment ID: I20180516000133 |
| Provider Name | Peter K. Olds |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841603263 PECOS PAC ID: 0446479570 Enrollment ID: I20180516001824 |
| Provider Name | John M Conklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861917114 PECOS PAC ID: 3072871227 Enrollment ID: I20180516001990 |
| Provider Name | Lucas Marinacci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508245432 PECOS PAC ID: 6709194301 Enrollment ID: I20180518001970 |
| Provider Name | Alok M Kanojia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619380839 PECOS PAC ID: 5799905485 Enrollment ID: I20180524001495 |
| Provider Name | Elizabeth M. Yoselevsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023437399 PECOS PAC ID: 5991060758 Enrollment ID: I20180525000941 |
| Provider Name | Rebecca M Reimers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801207634 PECOS PAC ID: 7719106251 Enrollment ID: I20180525001878 |
| Provider Name | Katherine Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146108 PECOS PAC ID: 9032474515 Enrollment ID: I20180604002486 |
| Provider Name | Molly Rosenwasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154696367 PECOS PAC ID: 2860757192 Enrollment ID: I20180607000934 |
| Provider Name | Doria Tamburrini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669997987 PECOS PAC ID: 5890040935 Enrollment ID: I20180614000265 |
| Provider Name | Michael D Salt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265850523 PECOS PAC ID: 5496001109 Enrollment ID: I20180711002109 |
| Provider Name | Andrew P Fauteux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437543758 PECOS PAC ID: 5193032209 Enrollment ID: I20180712002862 |
| Provider Name | Oladapo O Yeku |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477829489 PECOS PAC ID: 2163778655 Enrollment ID: I20180713001852 |
| Provider Name | Z Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699034710 PECOS PAC ID: 7517104631 Enrollment ID: I20180716001868 |
| Provider Name | Ryan Dean Kindle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124461728 PECOS PAC ID: 7810290319 Enrollment ID: I20180717002303 |
| Provider Name | Benjamin Evans Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922341015 PECOS PAC ID: 9335497924 Enrollment ID: I20180730000555 |
| Provider Name | Nancy Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003101056 PECOS PAC ID: 0547414724 Enrollment ID: I20180802002905 |
| Provider Name | Michael Caruso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114176906 PECOS PAC ID: 3779737812 Enrollment ID: I20180815001936 |
| Provider Name | Malini Neramballi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114205937 PECOS PAC ID: 0941571350 Enrollment ID: I20180820001723 |
| Provider Name | Michael S Guss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063773711 PECOS PAC ID: 0840568721 Enrollment ID: I20180821002012 |
| Provider Name | Philip Aurigemma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346688033 PECOS PAC ID: 6800194333 Enrollment ID: I20180822002039 |
| Provider Name | Ngozi Queen Nkanginieme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760823751 PECOS PAC ID: 4789964065 Enrollment ID: I20180827000502 |
| Provider Name | Peter Renzo Movilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881012946 PECOS PAC ID: 9436442084 Enrollment ID: I20180827003381 |
| Provider Name | Rana Eletriby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649665498 PECOS PAC ID: 3072811785 Enrollment ID: I20180831002020 |
| Provider Name | Mellory Kaserman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851611693 PECOS PAC ID: 9032460803 Enrollment ID: I20180919000056 |
| Provider Name | Sharleen Mulliken |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144580101 PECOS PAC ID: 8527285949 Enrollment ID: I20180919002261 |
| Provider Name | Ashley Freyre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215322730 PECOS PAC ID: 8224345368 Enrollment ID: I20180924002170 |
| Provider Name | Leslie Bublick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811482391 PECOS PAC ID: 6507118536 Enrollment ID: I20181002003388 |
| Provider Name | Brittany Nicole Weber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730527227 PECOS PAC ID: 6901025188 Enrollment ID: I20181004002679 |
| Provider Name | Liane Helland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437657061 PECOS PAC ID: 0547512857 Enrollment ID: I20181016000899 |
| Provider Name | Aron S Rosenstock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619105830 PECOS PAC ID: 3779747423 Enrollment ID: I20181116001419 |
| Provider Name | Thomas M Tadros |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043400187 PECOS PAC ID: 4183700479 Enrollment ID: I20181121001833 |
| Provider Name | Eric L Eisenhauer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1205001351 PECOS PAC ID: 6002976032 Enrollment ID: I20181221002378 |
| Provider Name | Ermal Bojdani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609226323 PECOS PAC ID: 6901143718 Enrollment ID: I20190131001685 |
| Provider Name | Kevin M Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386031631 PECOS PAC ID: 9739484320 Enrollment ID: I20190228001307 |
| Provider Name | Megan Scully Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414378 PECOS PAC ID: 5597060863 Enrollment ID: I20190301000733 |
| Provider Name | Asimina Lazaridou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023580636 PECOS PAC ID: 9537409446 Enrollment ID: I20190312002588 |
| Provider Name | Andrew Stephen Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730569674 PECOS PAC ID: 3274820071 Enrollment ID: I20190508001329 |
| Provider Name | Alexandra O Santilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205379617 PECOS PAC ID: 6709129950 Enrollment ID: I20190510001032 |
| Provider Name | Michael J Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538519715 PECOS PAC ID: 8729375274 Enrollment ID: I20190513002263 |
| Provider Name | Sharanya Mohanty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003265984 PECOS PAC ID: 4789970625 Enrollment ID: I20190513002528 |
| Provider Name | Emily S Reiff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972860211 PECOS PAC ID: 1557515491 Enrollment ID: I20190523000897 |
| Provider Name | Robert Michael Wilechansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750743886 PECOS PAC ID: 6608161278 Enrollment ID: I20190529000646 |
| Provider Name | Ravi V Gottumukkala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467866129 PECOS PAC ID: 4789990557 Enrollment ID: I20190606001258 |
| Provider Name | Jonathan Ludmir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588958722 PECOS PAC ID: 7719289008 Enrollment ID: I20190617000087 |
| Provider Name | Caroline S Bader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538587589 PECOS PAC ID: 7012135437 Enrollment ID: I20190619002008 |
| Provider Name | Jovana Tavcar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023404944 PECOS PAC ID: 9234463845 Enrollment ID: I20190701001480 |
| Provider Name | Julia C. Kendall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609225903 PECOS PAC ID: 3072800010 Enrollment ID: I20190712000652 |
| Provider Name | Ethan C Anglemyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770996068 PECOS PAC ID: 7416280128 Enrollment ID: I20190724000861 |
| Provider Name | Fotios Spyropoulos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275979833 PECOS PAC ID: 9537302153 Enrollment ID: I20190802000971 |
| Provider Name | Brittanie Dillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831519644 PECOS PAC ID: 3779888367 Enrollment ID: I20190812001963 |
| Provider Name | David Ziehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447631874 PECOS PAC ID: 8729396395 Enrollment ID: I20190815000965 |
| Provider Name | Jessica E Isom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417334863 PECOS PAC ID: 6305151119 Enrollment ID: I20190903002388 |
| Provider Name | Alexander D Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629461033 PECOS PAC ID: 3577875749 Enrollment ID: I20190909001177 |
| Provider Name | Rachel S Rome |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326426735 PECOS PAC ID: 7719295708 Enrollment ID: I20190911000695 |
| Provider Name | Suma C Kannabiran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053602235 PECOS PAC ID: 5294086948 Enrollment ID: I20191016000142 |
| Provider Name | Lisa W Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841751344 PECOS PAC ID: 5799016044 Enrollment ID: I20191017001101 |
| Provider Name | Gregory D Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649651761 PECOS PAC ID: 2062721152 Enrollment ID: I20191017001893 |
| Provider Name | Rachelle Lamaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518354612 PECOS PAC ID: 9830420033 Enrollment ID: I20191018000575 |
| Provider Name | Jessica P. Platt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841646932 PECOS PAC ID: 0143511022 Enrollment ID: I20191023000185 |
| Provider Name | Tejaswini M Dhawale |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730464702 PECOS PAC ID: 7113163544 Enrollment ID: I20191121002741 |
| Provider Name | Dragos N Vesbianu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508020942 PECOS PAC ID: 2961579958 Enrollment ID: I20200107000157 |
| Provider Name | David A Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780098814 PECOS PAC ID: 1052539681 Enrollment ID: I20200130001936 |
| Provider Name | Elizabeth Killmeyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417362690 PECOS PAC ID: 3678862802 Enrollment ID: I20200130002333 |
| Provider Name | Rachel C Conrad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225424583 PECOS PAC ID: 5496181992 Enrollment ID: I20200131001219 |
| Provider Name | Camille R Petri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275946220 PECOS PAC ID: 0345557310 Enrollment ID: I20200214000675 |
| Provider Name | Rebecca A Raphaely |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497166128 PECOS PAC ID: 1557681186 Enrollment ID: I20200226002930 |
| Provider Name | Daniel Okin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215386511 PECOS PAC ID: 5890081244 Enrollment ID: I20200403001261 |
| Provider Name | Heather B Ward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487186474 PECOS PAC ID: 9436589405 Enrollment ID: I20200415003476 |
| Provider Name | Gabrielle K Bromberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437689676 PECOS PAC ID: 3678846722 Enrollment ID: I20200512002145 |
| Provider Name | Charlotte M Page |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164885596 PECOS PAC ID: 2466883707 Enrollment ID: I20200520002457 |
| Provider Name | Yang Guo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578975629 PECOS PAC ID: 7810319126 Enrollment ID: I20200615001676 |
| Provider Name | Alexander Blood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344318 PECOS PAC ID: 7911255062 Enrollment ID: I20200706000347 |
| Provider Name | Nathan C Praschan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902328396 PECOS PAC ID: 2163795485 Enrollment ID: I20200708001222 |
| Provider Name | Angela M Zaydon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699204461 PECOS PAC ID: 0648694091 Enrollment ID: I20200720000779 |
| Provider Name | James W Luccarelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285156679 PECOS PAC ID: 2567735616 Enrollment ID: I20200722001323 |
| Provider Name | Jillian J Pasciucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275930513 PECOS PAC ID: 9830419613 Enrollment ID: I20200724001856 |
| Provider Name | Sarah K Cryer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558725671 PECOS PAC ID: 9133413537 Enrollment ID: I20200806001826 |
| Provider Name | Nneka S Edwards-jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639461734 PECOS PAC ID: 2163648221 Enrollment ID: I20200812001426 |
| Provider Name | Emmett A Kistler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457700742 PECOS PAC ID: 8325334527 Enrollment ID: I20200813002549 |
| Provider Name | Katherine Scovner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578975280 PECOS PAC ID: 2769609361 Enrollment ID: I20200814002184 |
| Provider Name | Emily O Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881085744 PECOS PAC ID: 1759687684 Enrollment ID: I20200827001935 |
| Provider Name | Hyesun Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215450820 PECOS PAC ID: 1557788502 Enrollment ID: I20200904001340 |
| Provider Name | Ellen Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619362613 PECOS PAC ID: 3173819109 Enrollment ID: I20200908000203 |
| Provider Name | Aimee Lataille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154742013 PECOS PAC ID: 5294153763 Enrollment ID: I20200915002314 |
| Provider Name | Sarah Kramer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134573389 PECOS PAC ID: 0648543751 Enrollment ID: I20200916002465 |
| Provider Name | Christopher A Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528594165 PECOS PAC ID: 1759628365 Enrollment ID: I20200929000432 |
| Provider Name | Brian W Powers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679002935 PECOS PAC ID: 6709137888 Enrollment ID: I20201001002766 |
| Provider Name | Kathleen M Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265960033 PECOS PAC ID: 3971876178 Enrollment ID: I20201012001565 |
| Provider Name | Matthew C Fadus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104275981 PECOS PAC ID: 6103191788 Enrollment ID: I20201014000244 |
| Provider Name | Grant S Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730538604 PECOS PAC ID: 2365700747 Enrollment ID: I20201014001806 |
| Provider Name | Sarah H Fulco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720529142 PECOS PAC ID: 2264703479 Enrollment ID: I20201020004003 |
| Provider Name | Prince Nzeata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770974776 PECOS PAC ID: 7810232907 Enrollment ID: I20201027002002 |
| Provider Name | Mark Lee Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104356039 PECOS PAC ID: 5496027641 Enrollment ID: I20201028001003 |
| Provider Name | Aya Y Michaels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255625059 PECOS PAC ID: 9335417633 Enrollment ID: I20201028001903 |
| Provider Name | Ayotomide E Oyelakin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518481498 PECOS PAC ID: 9830509884 Enrollment ID: I20201103002435 |
| Provider Name | Janeiro U Achibiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548641822 PECOS PAC ID: 1052722345 Enrollment ID: I20201117001712 |
| Provider Name | Kayla M Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053937227 PECOS PAC ID: 7911318142 Enrollment ID: I20201119001608 |
| Provider Name | Mayowa Olusunmade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982138434 PECOS PAC ID: 1557772191 Enrollment ID: I20201202002741 |
| Provider Name | Ariel Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538661582 PECOS PAC ID: 8224391271 Enrollment ID: I20201209001646 |
| Provider Name | Abraham M Cherukara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669995254 PECOS PAC ID: 1557799848 Enrollment ID: I20201211000279 |
| Provider Name | Markus C Ricci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881114197 PECOS PAC ID: 5193137917 Enrollment ID: I20201218000788 |
| Provider Name | Rene S Bermea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407205115 PECOS PAC ID: 7113219395 Enrollment ID: I20210106001235 |
| Provider Name | Katharine R. Clapham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346502770 PECOS PAC ID: 2567607799 Enrollment ID: I20210114002078 |
| Provider Name | Miranda Theodore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184070088 PECOS PAC ID: 6800182502 Enrollment ID: I20210129000234 |
| Provider Name | Deanna E Fiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952916611 PECOS PAC ID: 1557776747 Enrollment ID: I20210222001041 |
| Provider Name | Viral S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730619982 PECOS PAC ID: 0547533754 Enrollment ID: I20210224002281 |
| Provider Name | Lorenzo W Klein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659489680 PECOS PAC ID: 0446341416 Enrollment ID: I20210227000067 |
| Provider Name | Corey Claffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245893312 PECOS PAC ID: 9537575360 Enrollment ID: I20210303000249 |
| Provider Name | Emily K O'hearn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013301191 PECOS PAC ID: 5698088730 Enrollment ID: I20210304002792 |
| Provider Name | Vahideh Nilforoshan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578736849 PECOS PAC ID: 5496943755 Enrollment ID: I20210309000214 |
| Provider Name | Shalini Gough |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902001753 PECOS PAC ID: 0941393722 Enrollment ID: I20210322001051 |
| Provider Name | Lawrence R Belcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639669997 PECOS PAC ID: 4789935941 Enrollment ID: I20210324000495 |
| Provider Name | Richard A Newcomb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902326143 PECOS PAC ID: 8022381151 Enrollment ID: I20210412002448 |
| Provider Name | Patrick C Johnson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164803573 PECOS PAC ID: 1052629425 Enrollment ID: I20210512001138 |
| Provider Name | Laura B Bernardini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013397918 PECOS PAC ID: 7315346400 Enrollment ID: I20210521001103 |
| Provider Name | Hannah Mcguyre Ware French |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255852604 PECOS PAC ID: 3779855580 Enrollment ID: I20210521001564 |
| Provider Name | Clement D Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972030666 PECOS PAC ID: 0941548432 Enrollment ID: I20210720000527 |
| Provider Name | Yousef Badran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396270591 PECOS PAC ID: 7517230675 Enrollment ID: I20210720002058 |
| Provider Name | Sneha T Kannan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770011546 PECOS PAC ID: 6406129675 Enrollment ID: I20210728004164 |
| Provider Name | Lucy Ogbu Nwobodo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700264116 PECOS PAC ID: 9537410774 Enrollment ID: I20210729003701 |
| Provider Name | Muhammad Tariq Shakoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952656498 PECOS PAC ID: 7113153099 Enrollment ID: I20210811003806 |
| Provider Name | Saba H Berhie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982015111 PECOS PAC ID: 1759500291 Enrollment ID: I20210818001341 |
| Provider Name | Inas A Abuali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952659971 PECOS PAC ID: 3173834967 Enrollment ID: I20210818002550 |
| Provider Name | Pooja M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413863 PECOS PAC ID: 3173873452 Enrollment ID: I20210901003592 |
| Provider Name | Krysten A North |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952749269 PECOS PAC ID: 0648547505 Enrollment ID: I20210907002265 |
| Provider Name | Aaron Jeremy Seidman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740638899 PECOS PAC ID: 3779879648 Enrollment ID: I20210928000206 |
| Provider Name | Allison Nussbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316309545 PECOS PAC ID: 6204128978 Enrollment ID: I20210929001270 |
| Provider Name | Olivia M Lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619121225 PECOS PAC ID: 6204233489 Enrollment ID: I20210930002959 |
| Provider Name | Brigid M Koenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861089765 PECOS PAC ID: 8729476981 Enrollment ID: I20211021001125 |
| Provider Name | Olta Tafaj Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598253239 PECOS PAC ID: 8628311289 Enrollment ID: I20211105001299 |
| Provider Name | Bevin E Hearn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770719015 PECOS PAC ID: 9638397722 Enrollment ID: I20211106000036 |
| Provider Name | Marc S Weinberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700375698 PECOS PAC ID: 0244581486 Enrollment ID: I20211118002526 |
| Provider Name | Mehmet Camkurt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457840316 PECOS PAC ID: 4183013709 Enrollment ID: I20211119000077 |
| Provider Name | Magen A Bissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205338316 PECOS PAC ID: 1658762083 Enrollment ID: I20211220001124 |
| Provider Name | Charles O Masaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821518051 PECOS PAC ID: 1951674076 Enrollment ID: I20211229000145 |
| Provider Name | Shahzad Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811396039 PECOS PAC ID: 3779843321 Enrollment ID: I20220106002746 |
| Provider Name | William Kromka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558822593 PECOS PAC ID: 3779975438 Enrollment ID: I20220110001706 |
| Provider Name | Brook Calton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528395019 PECOS PAC ID: 6204078231 Enrollment ID: I20220112002015 |
| Provider Name | Sarah C Conidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124664081 PECOS PAC ID: 9032533591 Enrollment ID: I20220202000114 |
| Provider Name | Jaclyn R Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548628787 PECOS PAC ID: 1850678822 Enrollment ID: I20220209002706 |
| Provider Name | John H Yost |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083635379 PECOS PAC ID: 3870511025 Enrollment ID: I20220210000291 |
| Provider Name | Samuel D Slavin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770003501 PECOS PAC ID: 7214200211 Enrollment ID: I20220210000770 |
| Provider Name | Anna Handorf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619468931 PECOS PAC ID: 3274884457 Enrollment ID: I20220223000069 |
| Provider Name | Elsa A Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720658313 PECOS PAC ID: 5597159517 Enrollment ID: I20220308000966 |
| Provider Name | Olivia Louise Thornton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578060497 PECOS PAC ID: 8628465325 Enrollment ID: I20220427002956 |
| Provider Name | Paul Fadakar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073803482 PECOS PAC ID: 3870868755 Enrollment ID: I20220428002422 |
| Provider Name | David John Cormier |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609075274 PECOS PAC ID: 7911065560 Enrollment ID: I20220429000604 |
| Provider Name | Alexandria F Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255724811 PECOS PAC ID: 7012394398 Enrollment ID: I20220509000653 |
| Provider Name | Victoria E Canelos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184184780 PECOS PAC ID: 3375873268 Enrollment ID: I20220519000770 |
| Provider Name | Helen D'couto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497275028 PECOS PAC ID: 0446523658 Enrollment ID: I20220525002813 |
| Provider Name | Linda J Herrera Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285123505 PECOS PAC ID: 2769733922 Enrollment ID: I20220526002824 |
| Provider Name | Margaret Ong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033572987 PECOS PAC ID: 8325390453 Enrollment ID: I20220721000062 |
| Provider Name | Alexander M Chaitoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568922771 PECOS PAC ID: 6608257621 Enrollment ID: I20220721001122 |
| Provider Name | Grace R Gillis-crouch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932668183 PECOS PAC ID: 6103155437 Enrollment ID: I20220722001719 |
| Provider Name | Kelly Vitale |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205331162 PECOS PAC ID: 4789930355 Enrollment ID: I20220802001874 |
| Provider Name | Chase G Yarbrough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568705069 PECOS PAC ID: 8022246644 Enrollment ID: I20220804003418 |
| Provider Name | Sarah E Street |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902394653 PECOS PAC ID: 5991057713 Enrollment ID: I20220811000570 |
| Provider Name | Amanda Jing Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902369176 PECOS PAC ID: 0547643520 Enrollment ID: I20220824002182 |
| Provider Name | Jeong Hoo Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477058683 PECOS PAC ID: 6800144528 Enrollment ID: I20220907003512 |
| Provider Name | Mayur M Contractor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386006831 PECOS PAC ID: 3375870835 Enrollment ID: I20220915002661 |
| Provider Name | Hilary Rose Haber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043662117 PECOS PAC ID: 6103174461 Enrollment ID: I20220915002676 |
| Provider Name | Emma Steinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053650283 PECOS PAC ID: 6204118128 Enrollment ID: I20220916000476 |
| Provider Name | Julia A Koretski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518463512 PECOS PAC ID: 0941559785 Enrollment ID: I20220916002466 |
| Provider Name | Hilary Laura Zetlen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235664053 PECOS PAC ID: 3971874397 Enrollment ID: I20220927002585 |
| Provider Name | James Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568816601 PECOS PAC ID: 7012208820 Enrollment ID: I20221010001096 |
| Provider Name | Romela Petrosyan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689109878 PECOS PAC ID: 9133491319 Enrollment ID: I20221013001706 |
| Provider Name | Allison Gockley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114363496 PECOS PAC ID: 8729403811 Enrollment ID: I20221027002858 |
| Provider Name | Janaki D Vakharia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336520196 PECOS PAC ID: 0244569085 Enrollment ID: I20221101001890 |
| Provider Name | Jon-kar Zubieta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902978844 PECOS PAC ID: 5991834517 Enrollment ID: I20221101002333 |
| Provider Name | Pearl D Houghteling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558749986 PECOS PAC ID: 2961715883 Enrollment ID: I20221102000268 |
| Provider Name | Deidre Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366007387 PECOS PAC ID: 9739556812 Enrollment ID: I20221102000800 |
| Provider Name | Sherin Rouhani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164879730 PECOS PAC ID: 5698067254 Enrollment ID: I20221219001028 |
| Provider Name | Charles A Ventriglia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619437696 PECOS PAC ID: 2961835335 Enrollment ID: I20221220002590 |
| Provider Name | Alicia N Rizzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407388507 PECOS PAC ID: 7315212339 Enrollment ID: I20230201000092 |
| Provider Name | Hope Y Yu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639551948 PECOS PAC ID: 1456656263 Enrollment ID: I20230203000488 |
| Provider Name | Joshua W Zollman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497382741 PECOS PAC ID: 5799150769 Enrollment ID: I20230404001879 |
| Provider Name | Colleen Elizabeth Beckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427682582 PECOS PAC ID: 6800225012 Enrollment ID: I20230405000419 |
| Provider Name | Sean M Hoxie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962964916 PECOS PAC ID: 3173988961 Enrollment ID: I20230501001295 |
| Provider Name | Nichola Haddad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841828589 PECOS PAC ID: 4385009190 Enrollment ID: I20230501002109 |
| Provider Name | Elyse R Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265964415 PECOS PAC ID: 5496187049 Enrollment ID: I20230501002246 |
| Provider Name | Cynthia Peng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780203919 PECOS PAC ID: 2769847342 Enrollment ID: I20230504000141 |
| Provider Name | Blake L Rosenbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053871871 PECOS PAC ID: 5799015608 Enrollment ID: I20230505001465 |
| Provider Name | Chidi A Wamuo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487151569 PECOS PAC ID: 7618228305 Enrollment ID: I20230510001633 |
| Provider Name | Caroline Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164926309 PECOS PAC ID: 3971969767 Enrollment ID: I20230522000901 |
| Provider Name | Katherine P Pryor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265894166 PECOS PAC ID: 9032575576 Enrollment ID: I20230525001555 |
| Provider Name | Christina J Kim |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871026799 PECOS PAC ID: 2264704378 Enrollment ID: I20230526001194 |
| Provider Name | Aakash Sathappan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366903882 PECOS PAC ID: 7810354206 Enrollment ID: I20230530001919 |
| Provider Name | Gregory Thomas Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508327321 PECOS PAC ID: 4789041948 Enrollment ID: I20230601002765 |
| Provider Name | Eun Kyung E Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750840930 PECOS PAC ID: 9133459043 Enrollment ID: I20230602001128 |
| Provider Name | Ani R Morrisino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922711191 PECOS PAC ID: 3971961293 Enrollment ID: I20230620000462 |
| Provider Name | Justin Lockrem |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376922450 PECOS PAC ID: 6608172101 Enrollment ID: I20230622000471 |
| Provider Name | Matthew K Poorman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942797667 PECOS PAC ID: 1153678453 Enrollment ID: I20230622001064 |
| Provider Name | Kristin E Bergethon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134575038 PECOS PAC ID: 6507152006 Enrollment ID: I20230623000234 |
| Provider Name | Sirus J Jesudasen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891254157 PECOS PAC ID: 6406185453 Enrollment ID: I20230628000747 |
| Provider Name | Justin D Salciccioli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407386659 PECOS PAC ID: 3173896362 Enrollment ID: I20230711003519 |
| Provider Name | Ana Marie Rodriguez-villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558822247 PECOS PAC ID: 3375873284 Enrollment ID: I20230712001811 |
| Provider Name | Daniel C Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497250724 PECOS PAC ID: 2062874894 Enrollment ID: I20230810003936 |
| Provider Name | Evan D Boyd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134623598 PECOS PAC ID: 5496019051 Enrollment ID: I20230811001156 |
| Provider Name | Yong Hoon Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740818582 PECOS PAC ID: 4385006089 Enrollment ID: I20230811002283 |
| Provider Name | Jacinta R Leyden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609439967 PECOS PAC ID: 0648632281 Enrollment ID: I20230815001527 |
| Provider Name | Jessica L Principe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104387380 PECOS PAC ID: 7618339714 Enrollment ID: I20230821002412 |
| Provider Name | Tesia Koi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629636113 PECOS PAC ID: 0749642858 Enrollment ID: I20230821003232 |
| Provider Name | Hatice Kaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356967996 PECOS PAC ID: 0547623936 Enrollment ID: I20230901000974 |
| Provider Name | Sami El Hamwi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992191449 PECOS PAC ID: 6709217565 Enrollment ID: I20230901001804 |
| Provider Name | Kevin C Stirling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083174478 PECOS PAC ID: 7517294911 Enrollment ID: I20230901003319 |
| Provider Name | Bridgette Wamakima |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093373599 PECOS PAC ID: 6709240856 Enrollment ID: I20230908000527 |
| Provider Name | Joseph T Shortsleeve |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811526064 PECOS PAC ID: 9335568005 Enrollment ID: I20230913001611 |
| Provider Name | Bronwyn L Melonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386334621 PECOS PAC ID: 9537523295 Enrollment ID: I20230913002583 |
| Provider Name | Jonathan Evan Coraor Fried |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275169112 PECOS PAC ID: 1951712330 Enrollment ID: I20231025000882 |
| Provider Name | Tiara F Calhoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902326101 PECOS PAC ID: 6608120233 Enrollment ID: I20231025002344 |
| Provider Name | Alexander R Powers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841828738 PECOS PAC ID: 2769838838 Enrollment ID: I20231025002580 |
| Provider Name | Kabir B Nigam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134705627 PECOS PAC ID: 5092161133 Enrollment ID: I20231026001843 |
| Provider Name | Sarah Elizabeth Paterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063298305 PECOS PAC ID: 7618326307 Enrollment ID: I20231206002352 |
| Provider Name | William A Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831724939 PECOS PAC ID: 3577962224 Enrollment ID: I20231214000928 |
| Provider Name | Shelsey W Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073960688 PECOS PAC ID: 4880981257 Enrollment ID: I20231221000927 |
| Provider Name | Jingxuan Piao |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518698471 PECOS PAC ID: 5496106833 Enrollment ID: I20240110000652 |
| Provider Name | Christina L Chiu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689816373 PECOS PAC ID: 8729430210 Enrollment ID: I20240119003752 |
| Provider Name | Alejandra E Morfin Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518594118 PECOS PAC ID: 6608229042 Enrollment ID: I20240201001103 |
| Provider Name | Emily C Press |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689178741 PECOS PAC ID: 0749633196 Enrollment ID: I20240201001281 |
| Provider Name | Casey T Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063295624 PECOS PAC ID: 8921442872 Enrollment ID: I20240219002302 |
| Provider Name | Ganaelle Joseph-senatus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558745273 PECOS PAC ID: 8022427103 Enrollment ID: I20240304001433 |
| Provider Name | Kristofer Nathaniel Tupper |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306378104 PECOS PAC ID: 9234499674 Enrollment ID: I20240304002709 |
Comprehensive Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Commonwealth Ave, Newton, MA 02459 Phone: 617-965-3306 Fax: 617-965-3308 | |
Mgw Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Deborah Rd, Newton, MA 02459 Phone: 339-225-8151 | |
Metrowest Nutrition Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Langley Rd, Suite 300, Newton, MA 02459 Phone: 617-332-2282 Fax: 617-244-0884 | |
Transform Alliance For Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 California St Ste 201, Newton, MA 02458 Phone: 617-332-0496 | |
Physician House Calls Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 949 Centre St, Newton, MA 02459 Phone: 617-519-6099 | |
Kidswell Pediatrics & Urgent Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 299 Washington St, Newton, MA 02458 Phone: 617-340-8899 Fax: 617-916-0893 | |
Onduo Professionals Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Chapel St, Newton, MA 02458 Phone: 833-446-6386 |