| North East Ohio Group Practice Llc | |
|
29000 Center Ridge Rd Westlake OH 44145-5293 | |
| (440) 835-8000 | |
| Not Available |
| Full Name | North East Ohio Group Practice Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 29000 Center Ridge Rd, Westlake, Ohio |
| Authorized Official Name and Position | Scott Klosterman (CFO) |
| Authorized Official Contact | 3309267974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Ohio Group Practice Llc 30575 Bainbridge Rd Ste 200 Cleveland OH 44139-2275 Ph: (440) 542-5000 | North East Ohio Group Practice Llc 29000 Center Ridge Rd Westlake OH 44145-5293 Ph: (440) 835-8000 |
| NPI Number | 1063575462 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 11/23/2021 |
| Medicare PECOS PAC ID | 8426960618 |
|---|---|
| Medicare Enrollment ID | O20031105000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063575462 | NPI | - | NPPES |
| 2267096 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marjorie A Demund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063464873 PECOS PAC ID: 8123925500 Enrollment ID: I20031215000435 |
| Provider Name | Swarnalatha Meyyazhagan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841216462 PECOS PAC ID: 0840199600 Enrollment ID: I20031231000412 |
| Provider Name | Mohamed A Sanad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851362545 PECOS PAC ID: 5890696918 Enrollment ID: I20040120000688 |
| Provider Name | Ashok W Argekar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629184387 PECOS PAC ID: 2365344538 Enrollment ID: I20040127000447 |
| Provider Name | Jayne A Minier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962483842 PECOS PAC ID: 1557254323 Enrollment ID: I20040205000402 |
| Provider Name | John Michael O'toole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922048057 PECOS PAC ID: 9739072323 Enrollment ID: I20040206000278 |
| Provider Name | Firas Seffo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366440778 PECOS PAC ID: 1658265889 Enrollment ID: I20040210000326 |
| Provider Name | Mallory L Mcclure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124014733 PECOS PAC ID: 3678468543 Enrollment ID: I20040219000084 |
| Provider Name | Cletus Uzogo Iwuagwu |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1972598530 PECOS PAC ID: 9739076423 Enrollment ID: I20040227000854 |
| Provider Name | David Lawrence Roth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508897380 PECOS PAC ID: 0244226983 Enrollment ID: I20040420001650 |
| Provider Name | Robert Rossio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427006345 PECOS PAC ID: 8921097957 Enrollment ID: I20040506000971 |
| Provider Name | Abbas Babaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558356535 PECOS PAC ID: 4183614548 Enrollment ID: I20040517000846 |
| Provider Name | Charles A Zonfa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417052929 PECOS PAC ID: 7517958853 Enrollment ID: I20040524001075 |
| Provider Name | Joi M Robinson-tidmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053427385 PECOS PAC ID: 3476534785 Enrollment ID: I20040525000060 |
| Provider Name | Mbanefo Emmanuel Ojukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083765481 PECOS PAC ID: 2769463256 Enrollment ID: I20040528001341 |
| Provider Name | Robert V Bundy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770557241 PECOS PAC ID: 6709868714 Enrollment ID: I20040603000721 |
| Provider Name | Jaime L Go |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548257850 PECOS PAC ID: 1052395134 Enrollment ID: I20040616000440 |
| Provider Name | Lee Slavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851374227 PECOS PAC ID: 2365427085 Enrollment ID: I20040618000538 |
| Provider Name | Chaya Swamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831152792 PECOS PAC ID: 9931186723 Enrollment ID: I20040630000364 |
| Provider Name | Gregory Giles Hickey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457391005 PECOS PAC ID: 6103721972 Enrollment ID: I20040702000845 |
| Provider Name | Lee Donald Zalud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609877893 PECOS PAC ID: 1951389477 Enrollment ID: I20040712000386 |
| Provider Name | Kelly V Buchanan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457451577 PECOS PAC ID: 1759357817 Enrollment ID: I20040909000492 |
| Provider Name | Adetokunbo O Esho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730139338 PECOS PAC ID: 7012970098 Enrollment ID: I20041110000724 |
| Provider Name | Ian A Kletter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760476709 PECOS PAC ID: 5395708309 Enrollment ID: I20041110000969 |
| Provider Name | Iyad A Shaban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649253014 PECOS PAC ID: 2668436809 Enrollment ID: I20041117000213 |
| Provider Name | Dennis V Lagman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962406355 PECOS PAC ID: 7618931940 Enrollment ID: I20041122000036 |
| Provider Name | Mitchell I Ballin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104866565 PECOS PAC ID: 2668439449 Enrollment ID: I20041214000036 |
| Provider Name | Leopoldo A Alvarado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659352805 PECOS PAC ID: 8729046826 Enrollment ID: I20041221000449 |
| Provider Name | Stephen M Selkirk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184695801 PECOS PAC ID: 0446201032 Enrollment ID: I20050201000310 |
| Provider Name | Hans C Geho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275522765 PECOS PAC ID: 8022065473 Enrollment ID: I20050407000224 |
| Provider Name | Vijaykumar S Vaidya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881772218 PECOS PAC ID: 2860439700 Enrollment ID: I20050418000009 |
| Provider Name | Sanjeev S Karmarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053360396 PECOS PAC ID: 4082653522 Enrollment ID: I20050426000002 |
| Provider Name | Jyotika G Kapadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598757106 PECOS PAC ID: 7113966409 Enrollment ID: I20050426001392 |
| Provider Name | Peter S Kibbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487652871 PECOS PAC ID: 8729985379 Enrollment ID: I20050712000938 |
| Provider Name | Mohamed A Swedeh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962491613 PECOS PAC ID: 8426085531 Enrollment ID: I20050720000771 |
| Provider Name | Linda A Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932194552 PECOS PAC ID: 4688602295 Enrollment ID: I20050803000594 |
| Provider Name | Chandrakant Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073585683 PECOS PAC ID: 4082648753 Enrollment ID: I20050921001179 |
| Provider Name | Usha Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316043680 PECOS PAC ID: 6204861941 Enrollment ID: I20050930000273 |
| Provider Name | Dennis Benjamin Repenning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790753432 PECOS PAC ID: 0446275291 Enrollment ID: I20051011000211 |
| Provider Name | Abdullah Shatnawei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518948785 PECOS PAC ID: 2163440744 Enrollment ID: I20051103000026 |
| Provider Name | Arash Rashidi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790774289 PECOS PAC ID: 3678591310 Enrollment ID: I20051110000639 |
| Provider Name | Alexis Alers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285772079 PECOS PAC ID: 2466344148 Enrollment ID: I20051115001210 |
| Provider Name | Thomas Rafferty |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093773103 PECOS PAC ID: 4587683453 Enrollment ID: I20051121000505 |
| Provider Name | Milton Chu-yu Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073548269 PECOS PAC ID: 7517988017 Enrollment ID: I20051213000168 |
| Provider Name | John Nemes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093755381 PECOS PAC ID: 7416961198 Enrollment ID: I20060201000924 |
| Provider Name | Galina Glovatskaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578537999 PECOS PAC ID: 2264447002 Enrollment ID: I20060215000135 |
| Provider Name | Samuel Duane Westenskow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487685186 PECOS PAC ID: 0446267579 Enrollment ID: I20060315000438 |
| Provider Name | Krishna Deshpande |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1730100413 PECOS PAC ID: 0345245734 Enrollment ID: I20060918000294 |
| Provider Name | Jie Zang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710048293 PECOS PAC ID: 3870592918 Enrollment ID: I20061219000041 |
| Provider Name | Charles G Winans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194817049 PECOS PAC ID: 8820097868 Enrollment ID: I20061220000303 |
| Provider Name | Ilya G Goldenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619976669 PECOS PAC ID: 4688778327 Enrollment ID: I20070405000149 |
| Provider Name | Vidya Krishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336286020 PECOS PAC ID: 4789579152 Enrollment ID: I20070828000014 |
| Provider Name | Balaji Saravanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538351358 PECOS PAC ID: 0345336293 Enrollment ID: I20071023000714 |
| Provider Name | Stephen A D'abreau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336123892 PECOS PAC ID: 5496844227 Enrollment ID: I20071203000089 |
| Provider Name | Harvinder S Gill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346356821 PECOS PAC ID: 3274532676 Enrollment ID: I20080402000072 |
| Provider Name | Biju Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770780280 PECOS PAC ID: 2365511011 Enrollment ID: I20080521000002 |
| Provider Name | Ikram B Syed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538132485 PECOS PAC ID: 7315018744 Enrollment ID: I20080612000520 |
| Provider Name | Meisam Hosseinabadi Moghbelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790827210 PECOS PAC ID: 1557438546 Enrollment ID: I20080917000101 |
| Provider Name | Yogeshwar A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578785234 PECOS PAC ID: 2264592609 Enrollment ID: I20081115000009 |
| Provider Name | Ronobir R Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760698567 PECOS PAC ID: 1951468057 Enrollment ID: I20090317000194 |
| Provider Name | Shiraz Nisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972764314 PECOS PAC ID: 9830266535 Enrollment ID: I20090406000337 |
| Provider Name | Russell A Blair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134314644 PECOS PAC ID: 3577649540 Enrollment ID: I20090707000183 |
| Provider Name | Carrie A Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467689117 PECOS PAC ID: 8729130752 Enrollment ID: I20090722000143 |
| Provider Name | Barry Marolt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528267382 PECOS PAC ID: 7618016395 Enrollment ID: I20091210000001 |
| Provider Name | Dilip Ujla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609851831 PECOS PAC ID: 6608911169 Enrollment ID: I20100308001008 |
| Provider Name | Hardeep Singh Rai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033448253 PECOS PAC ID: 4880721026 Enrollment ID: I20100420001026 |
| Provider Name | Gary M Ritten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437211307 PECOS PAC ID: 6800795980 Enrollment ID: I20100616000113 |
| Provider Name | Mark Kaplan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942442967 PECOS PAC ID: 3971634437 Enrollment ID: I20100626000488 |
| Provider Name | Joseph B Abdelmalak |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770752198 PECOS PAC ID: 6709910532 Enrollment ID: I20100817000008 |
| Provider Name | Ramamurthy Donthi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730135831 PECOS PAC ID: 3678603149 Enrollment ID: I20100908001132 |
| Provider Name | Frederick L Morey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033372628 PECOS PAC ID: 1759407141 Enrollment ID: I20100922001020 |
| Provider Name | Manuel Caceres Polo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467470542 PECOS PAC ID: 3577654474 Enrollment ID: I20101112000005 |
| Provider Name | Bashar Salem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841306958 PECOS PAC ID: 5294732327 Enrollment ID: I20101116000793 |
| Provider Name | Sarah L Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871738856 PECOS PAC ID: 4183810914 Enrollment ID: I20101119000008 |
| Provider Name | Rafid A Fadul |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619134780 PECOS PAC ID: 3072700418 Enrollment ID: I20110305000003 |
| Provider Name | Olga Dolgova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700101839 PECOS PAC ID: 7911189816 Enrollment ID: I20110315000088 |
| Provider Name | Kwei Akuete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316143639 PECOS PAC ID: 9638353154 Enrollment ID: I20110407000568 |
| Provider Name | Muhammad N Iqbal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225287881 PECOS PAC ID: 3375712094 Enrollment ID: I20110812000540 |
| Provider Name | Charles E Pugar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932350626 PECOS PAC ID: 8426229279 Enrollment ID: I20110927000698 |
| Provider Name | Peihong Huo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770899833 PECOS PAC ID: 6901077635 Enrollment ID: I20110928000826 |
| Provider Name | Thomas Nasheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982845459 PECOS PAC ID: 2769653492 Enrollment ID: I20110928000891 |
| Provider Name | Prakash Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275812497 PECOS PAC ID: 8527232891 Enrollment ID: I20111122000930 |
| Provider Name | Shelley A Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013915321 PECOS PAC ID: 0042485799 Enrollment ID: I20111208000590 |
| Provider Name | Ziad Masri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750517397 PECOS PAC ID: 1355508300 Enrollment ID: I20120203000165 |
| Provider Name | Daniel J Greenfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063673002 PECOS PAC ID: 9830350768 Enrollment ID: I20120419000547 |
| Provider Name | Ogechi Muoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366604613 PECOS PAC ID: 9234391418 Enrollment ID: I20120504000247 |
| Provider Name | Hasan Amir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194969618 PECOS PAC ID: 4981869609 Enrollment ID: I20120703000274 |
| Provider Name | Bilal M Ataya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386886851 PECOS PAC ID: 7214193457 Enrollment ID: I20120716000533 |
| Provider Name | Ekundayo E Bolaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710298609 PECOS PAC ID: 0749436186 Enrollment ID: I20120817000189 |
| Provider Name | Mushtaq Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497733075 PECOS PAC ID: 9032130554 Enrollment ID: I20120820001195 |
| Provider Name | Joseph E Khabbaza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760645428 PECOS PAC ID: 5799932984 Enrollment ID: I20120822000732 |
| Provider Name | Bledar Kovaci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447493002 PECOS PAC ID: 4789831900 Enrollment ID: I20120823000286 |
| Provider Name | Marisa M Wynne |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346422615 PECOS PAC ID: 3274781158 Enrollment ID: I20120918000834 |
| Provider Name | Valerie Erdman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598083628 PECOS PAC ID: 3476702002 Enrollment ID: I20120925000711 |
| Provider Name | Nicholas R Erdman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437477569 PECOS PAC ID: 3577713486 Enrollment ID: I20121030000084 |
| Provider Name | Nicole Klonaris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184978264 PECOS PAC ID: 7214180983 Enrollment ID: I20130104000469 |
| Provider Name | Sulaiman Mapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538405998 PECOS PAC ID: 5395999502 Enrollment ID: I20130215000266 |
| Provider Name | Derek Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124348842 PECOS PAC ID: 7911911342 Enrollment ID: I20130328000268 |
| Provider Name | Jason A Stienecker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538455720 PECOS PAC ID: 9234377276 Enrollment ID: I20130603000187 |
| Provider Name | Kai Wang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467682518 PECOS PAC ID: 9032359328 Enrollment ID: I20130710000239 |
| Provider Name | Peter G Kunze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255657714 PECOS PAC ID: 4688812969 Enrollment ID: I20130820000322 |
| Provider Name | Olumuyiwa Sowunmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235454414 PECOS PAC ID: 6709020829 Enrollment ID: I20130911000479 |
| Provider Name | Melissa L Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697683 PECOS PAC ID: 7012142524 Enrollment ID: I20131108000180 |
| Provider Name | Abhinav Goyal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366756447 PECOS PAC ID: 7214174325 Enrollment ID: I20131115001163 |
| Provider Name | Stephanie Y Clough |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144457227 PECOS PAC ID: 9032346325 Enrollment ID: I20140103000065 |
| Provider Name | Travis J Nickels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831400191 PECOS PAC ID: 0749419570 Enrollment ID: I20140127001241 |
| Provider Name | Prem S Shekhawat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609987684 PECOS PAC ID: 6002099355 Enrollment ID: I20140304000669 |
| Provider Name | Crystal R Lantz-de George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316265663 PECOS PAC ID: 7315161924 Enrollment ID: I20140620000685 |
| Provider Name | Bassem Zraik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548542491 PECOS PAC ID: 5597982645 Enrollment ID: I20140813001194 |
| Provider Name | Aileen Theresa Ruffino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437424496 PECOS PAC ID: 4082850664 Enrollment ID: I20140827001527 |
| Provider Name | Mazen S Harake |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699986760 PECOS PAC ID: 9830318583 Enrollment ID: I20140912000063 |
| Provider Name | Naeem M Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982383 PECOS PAC ID: 3173766227 Enrollment ID: I20141105001531 |
| Provider Name | Nathan Fetsko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760758205 PECOS PAC ID: 8325360159 Enrollment ID: I20141206000230 |
| Provider Name | Jennifer Ashley Lazor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346515871 PECOS PAC ID: 6901128636 Enrollment ID: I20141208000314 |
| Provider Name | Madhu Unnikrishnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093093619 PECOS PAC ID: 8022330612 Enrollment ID: I20141210001432 |
| Provider Name | Jonathan Wiesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912149006 PECOS PAC ID: 1153644786 Enrollment ID: I20150106001254 |
| Provider Name | Inad N Janineh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265685143 PECOS PAC ID: 9436475043 Enrollment ID: I20150225001968 |
| Provider Name | Neilendu Kundu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750518304 PECOS PAC ID: 6406172535 Enrollment ID: I20150306001392 |
| Provider Name | Dylan Childs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083925705 PECOS PAC ID: 0345566105 Enrollment ID: I20150313001472 |
| Provider Name | Vlad Apostol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629334669 PECOS PAC ID: 7315264066 Enrollment ID: I20150318000787 |
| Provider Name | Peter Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173592 PECOS PAC ID: 1557597176 Enrollment ID: I20150324002515 |
| Provider Name | Uchenna J Anaje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012064 PECOS PAC ID: 4183943426 Enrollment ID: I20150507001394 |
| Provider Name | Michael M Ghobrial |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669727582 PECOS PAC ID: 2466772454 Enrollment ID: I20150514001197 |
| Provider Name | Stephanie Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396154225 PECOS PAC ID: 2769702083 Enrollment ID: I20150527002101 |
| Provider Name | Muhammad T Sarmini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366706590 PECOS PAC ID: 6901033927 Enrollment ID: I20150601002874 |
| Provider Name | Jantira Tara Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952660359 PECOS PAC ID: 9234450990 Enrollment ID: I20150605001712 |
| Provider Name | Jay R Vyas |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780976191 PECOS PAC ID: 0941444327 Enrollment ID: I20150626000496 |
| Provider Name | Marwah Farooqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497011266 PECOS PAC ID: 4486966819 Enrollment ID: I20150626001713 |
| Provider Name | Jason Abdallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093071565 PECOS PAC ID: 3779727946 Enrollment ID: I20150630002574 |
| Provider Name | Maria Mendoza Cuartas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821223397 PECOS PAC ID: 5799097853 Enrollment ID: I20150701001768 |
| Provider Name | Leland L Metheny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336303817 PECOS PAC ID: 5799099305 Enrollment ID: I20150727001623 |
| Provider Name | Jenna Burcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346653045 PECOS PAC ID: 8628382900 Enrollment ID: I20150730011981 |
| Provider Name | Megan T Donnelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437444346 PECOS PAC ID: 8224342332 Enrollment ID: I20150803002690 |
| Provider Name | Clinton C Highley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063772291 PECOS PAC ID: 0446487391 Enrollment ID: I20150814013948 |
| Provider Name | Charles Y Peng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326200387 PECOS PAC ID: 2860660735 Enrollment ID: I20150819008665 |
| Provider Name | Karthik R Kode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689930497 PECOS PAC ID: 5294977377 Enrollment ID: I20150820011540 |
| Provider Name | David S Zaghlool |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336431220 PECOS PAC ID: 1951545623 Enrollment ID: I20150821014783 |
| Provider Name | Raghav Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700142585 PECOS PAC ID: 2567778335 Enrollment ID: I20150825004752 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20150828001924 |
| Provider Name | Tina Myntee Washington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861837593 PECOS PAC ID: 8628210408 Enrollment ID: I20151012002261 |
| Provider Name | Lauren M Walter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144587148 PECOS PAC ID: 2668605700 Enrollment ID: I20151021002420 |
| Provider Name | Joshua R Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366769879 PECOS PAC ID: 9133438443 Enrollment ID: I20151027000849 |
| Provider Name | Brian Goodhue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669713483 PECOS PAC ID: 0143539403 Enrollment ID: I20151027003373 |
| Provider Name | George Anthony Mckean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629342407 PECOS PAC ID: 2264679513 Enrollment ID: I20151103000747 |
| Provider Name | Gabriel Alexander Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598056269 PECOS PAC ID: 5597075325 Enrollment ID: I20151106002331 |
| Provider Name | Adam Brown |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821389008 PECOS PAC ID: 4789984980 Enrollment ID: I20151119001265 |
| Provider Name | Jonathan Patrick Mcfadden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083057418 PECOS PAC ID: 2567763428 Enrollment ID: I20151217001943 |
| Provider Name | Shikhar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326212101 PECOS PAC ID: 1759685464 Enrollment ID: I20160201000818 |
| Provider Name | Yael J Dahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720377955 PECOS PAC ID: 3870897010 Enrollment ID: I20160208001677 |
| Provider Name | Sean C Gaines |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609217934 PECOS PAC ID: 5698079465 Enrollment ID: I20160215002699 |
| Provider Name | Sushruta Cerejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629341771 PECOS PAC ID: 0345545406 Enrollment ID: I20160226001690 |
| Provider Name | Amy H Attaway |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215220751 PECOS PAC ID: 5193956688 Enrollment ID: I20160301000593 |
| Provider Name | Vihang Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184967598 PECOS PAC ID: 2062653322 Enrollment ID: I20160303001362 |
| Provider Name | Ibrahima Goudiaby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851639504 PECOS PAC ID: 8224336631 Enrollment ID: I20160419001690 |
| Provider Name | Amir Ghaznavi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508021445 PECOS PAC ID: 1951609361 Enrollment ID: I20160419001696 |
| Provider Name | Fazel Dinary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912347360 PECOS PAC ID: 8820397383 Enrollment ID: I20160504001949 |
| Provider Name | John C Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386063733 PECOS PAC ID: 2365732765 Enrollment ID: I20160525002970 |
| Provider Name | Patrick C Beeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497066112 PECOS PAC ID: 8527296532 Enrollment ID: I20160601000433 |
| Provider Name | Keith Andrew Rosing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053722371 PECOS PAC ID: 5092017335 Enrollment ID: I20160607000603 |
| Provider Name | Lauren M Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992069785 PECOS PAC ID: 3476856485 Enrollment ID: I20160616002495 |
| Provider Name | Bethany Marie Lehman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669899860 PECOS PAC ID: 9931492600 Enrollment ID: I20160719001439 |
| Provider Name | James K Barger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861733172 PECOS PAC ID: 9436442308 Enrollment ID: I20160729001597 |
| Provider Name | Gehaan F D'souza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174788426 PECOS PAC ID: 2062706609 Enrollment ID: I20160804002210 |
| Provider Name | Narsimha R Kodakandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376966184 PECOS PAC ID: 2769776756 Enrollment ID: I20160815001373 |
| Provider Name | Katherine M Meister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619248192 PECOS PAC ID: 5890080378 Enrollment ID: I20160823001352 |
| Provider Name | Jacob Petrosky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881959013 PECOS PAC ID: 9931351707 Enrollment ID: I20160915001611 |
| Provider Name | Rosebel Monteiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295051134 PECOS PAC ID: 1658668165 Enrollment ID: I20160927003208 |
| Provider Name | Ibrahim A Warsame |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063839298 PECOS PAC ID: 2769797372 Enrollment ID: I20161007001583 |
| Provider Name | Bryan S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093071870 PECOS PAC ID: 8628362910 Enrollment ID: I20161011001473 |
| Provider Name | Maureen E Cheung |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871918730 PECOS PAC ID: 5395023915 Enrollment ID: I20161101002026 |
| Provider Name | Christopher F. Tanga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811312564 PECOS PAC ID: 9830477249 Enrollment ID: I20161104001161 |
| Provider Name | Yazid Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407275027 PECOS PAC ID: 9234439696 Enrollment ID: I20161116002365 |
| Provider Name | Paul D Durand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619243102 PECOS PAC ID: 4385923978 Enrollment ID: I20161123000809 |
| Provider Name | Rohit M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275976342 PECOS PAC ID: 6800023888 Enrollment ID: I20161129001046 |
| Provider Name | John Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043650641 PECOS PAC ID: 3678853215 Enrollment ID: I20161216001928 |
| Provider Name | Erin A Rocchio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225455850 PECOS PAC ID: 1951601640 Enrollment ID: I20161219002660 |
| Provider Name | Peter R Unkovic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114269180 PECOS PAC ID: 1951682582 Enrollment ID: I20161220000181 |
| Provider Name | Andres L Maldonado |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467765040 PECOS PAC ID: 9436442464 Enrollment ID: I20170103001710 |
| Provider Name | Mohammed Salman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922361773 PECOS PAC ID: 5496986747 Enrollment ID: I20170104001456 |
| Provider Name | Rami Abboud |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487854972 PECOS PAC ID: 0840322665 Enrollment ID: I20170117001981 |
| Provider Name | Scott Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770995672 PECOS PAC ID: 9830494566 Enrollment ID: I20170117002177 |
| Provider Name | Junling Dong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225449069 PECOS PAC ID: 2163728312 Enrollment ID: I20170118002830 |
| Provider Name | Michael Frings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689086118 PECOS PAC ID: 1557644960 Enrollment ID: I20170209001163 |
| Provider Name | James R Gatherwright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437474566 PECOS PAC ID: 1951604636 Enrollment ID: I20170215000864 |
| Provider Name | Kafilat Kelani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447796750 PECOS PAC ID: 5395021497 Enrollment ID: I20170403002642 |
| Provider Name | Janaya V Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801327945 PECOS PAC ID: 7315223161 Enrollment ID: I20170411001370 |
| Provider Name | Christopher Yontz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942620901 PECOS PAC ID: 9739465253 Enrollment ID: I20170418002517 |
| Provider Name | Adam Magdi Lamel Khalil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225448616 PECOS PAC ID: 0941587166 Enrollment ID: I20170425003091 |
| Provider Name | Natajlia E Benn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417492513 PECOS PAC ID: 2860779352 Enrollment ID: I20170510002588 |
| Provider Name | David H Kupferberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548329295 PECOS PAC ID: 1052508405 Enrollment ID: I20170512001226 |
| Provider Name | Tamer S Said Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770998320 PECOS PAC ID: 2163729476 Enrollment ID: I20170512001996 |
| Provider Name | Megan M Weatherborn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457799140 PECOS PAC ID: 9537391529 Enrollment ID: I20170526001846 |
| Provider Name | Mohamed Khayata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609294602 PECOS PAC ID: 5294058418 Enrollment ID: I20170606001393 |
| Provider Name | David Reznick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821380023 PECOS PAC ID: 7517236623 Enrollment ID: I20170705003299 |
| Provider Name | Hillor Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922449529 PECOS PAC ID: 4385922632 Enrollment ID: I20170710002571 |
| Provider Name | Subhan Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891115127 PECOS PAC ID: 9133429954 Enrollment ID: I20170714002587 |
| Provider Name | Paul T Brinn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619381910 PECOS PAC ID: 1759651078 Enrollment ID: I20170719003036 |
| Provider Name | Marita Dawn Bauman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790048866 PECOS PAC ID: 1658518501 Enrollment ID: I20170725002566 |
| Provider Name | Alanna Fostyk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154696508 PECOS PAC ID: 5496025108 Enrollment ID: I20170727002628 |
| Provider Name | Elliott G Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326489063 PECOS PAC ID: 6305089350 Enrollment ID: I20170728003055 |
| Provider Name | Rafael Alejandro Couto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255774725 PECOS PAC ID: 7911278825 Enrollment ID: I20170810000611 |
| Provider Name | Clayton Petro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821387549 PECOS PAC ID: 9830481837 Enrollment ID: I20170824000904 |
| Provider Name | Afshan Z Mohiuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477808053 PECOS PAC ID: 9234449240 Enrollment ID: I20170907003263 |
| Provider Name | Heather Kuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073933081 PECOS PAC ID: 0749599603 Enrollment ID: I20170915001922 |
| Provider Name | Mousab Mustafa Eteer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003201971 PECOS PAC ID: 5698049484 Enrollment ID: I20170918001405 |
| Provider Name | Joshua Paul Landreneau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699152355 PECOS PAC ID: 1658655329 Enrollment ID: I20171002001944 |
| Provider Name | Yacoub Baghdy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194135475 PECOS PAC ID: 0345546826 Enrollment ID: I20171004002570 |
| Provider Name | Rahul S Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447540471 PECOS PAC ID: 9032484746 Enrollment ID: I20171005002610 |
| Provider Name | Naveen Chatha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447679931 PECOS PAC ID: 8820398241 Enrollment ID: I20171010003046 |
| Provider Name | Natalee A Noche |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467845966 PECOS PAC ID: 9537461926 Enrollment ID: I20171011002616 |
| Provider Name | Ryan M Carbaugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437541570 PECOS PAC ID: 6002111663 Enrollment ID: I20171016002006 |
| Provider Name | Christopher Pluskota |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114304029 PECOS PAC ID: 4587964069 Enrollment ID: I20171030001986 |
| Provider Name | Christopher Musonda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912442112 PECOS PAC ID: 6305115627 Enrollment ID: I20171101002028 |
| Provider Name | Ghaith Habboub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740548650 PECOS PAC ID: 3678865433 Enrollment ID: I20171122001608 |
| Provider Name | Alok Md Tripathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629465067 PECOS PAC ID: 8022318468 Enrollment ID: I20171207002774 |
| Provider Name | Jason Adam Gregorin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972982726 PECOS PAC ID: 3678877073 Enrollment ID: I20180122001806 |
| Provider Name | Phalgoon A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821409319 PECOS PAC ID: 6507137312 Enrollment ID: I20180124003286 |
| Provider Name | Thomas A Ostergard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588921969 PECOS PAC ID: 2668732249 Enrollment ID: I20180130000401 |
| Provider Name | Bilal Alawy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184004541 PECOS PAC ID: 0840551578 Enrollment ID: I20180221000203 |
| Provider Name | Andrew Joseph Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306226873 PECOS PAC ID: 2163725870 Enrollment ID: I20180301002253 |
| Provider Name | Jacob L Ezell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295129369 PECOS PAC ID: 5092077875 Enrollment ID: I20180314000785 |
| Provider Name | Tobias Charles Long |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427314939 PECOS PAC ID: 0244533917 Enrollment ID: I20180316001569 |
| Provider Name | Augustine Paul Hong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457730863 PECOS PAC ID: 7517267065 Enrollment ID: I20180319002181 |
| Provider Name | Christopher R Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386872646 PECOS PAC ID: 3375719669 Enrollment ID: I20180409001175 |
| Provider Name | Charles Joseph Keith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487098240 PECOS PAC ID: 1153561873 Enrollment ID: I20180607001504 |
| Provider Name | Jacqueline M Dipierro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306814330 PECOS PAC ID: 8224027727 Enrollment ID: I20180625003143 |
| Provider Name | Taher Mustafa Gulamhusein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154765477 PECOS PAC ID: 3779847637 Enrollment ID: I20180626002855 |
| Provider Name | Matthew Adegboye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881071827 PECOS PAC ID: 3971899527 Enrollment ID: I20180717001677 |
| Provider Name | Feras Mohder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235517582 PECOS PAC ID: 7012297781 Enrollment ID: I20180726001746 |
| Provider Name | Michael Grant Svestka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063856060 PECOS PAC ID: 7012265143 Enrollment ID: I20180807001822 |
| Provider Name | Jacob Scharlotte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619357084 PECOS PAC ID: 4082906250 Enrollment ID: I20180813002534 |
| Provider Name | David Dae We Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861765083 PECOS PAC ID: 0648521567 Enrollment ID: I20180914002445 |
| Provider Name | Toufik Z Madhun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003279886 PECOS PAC ID: 2264725050 Enrollment ID: I20181029002745 |
| Provider Name | Kyle Thomas Cleveland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073969275 PECOS PAC ID: 2769776822 Enrollment ID: I20181105001326 |
| Provider Name | Ali Hani Charafeddine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447492665 PECOS PAC ID: 1658683966 Enrollment ID: I20181107002465 |
| Provider Name | Jenna M Rehmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326452319 PECOS PAC ID: 5799904892 Enrollment ID: I20181213001968 |
| Provider Name | Mary Kathleen Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871077032 PECOS PAC ID: 2860731502 Enrollment ID: I20190225001946 |
| Provider Name | Kevin Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881056166 PECOS PAC ID: 2769722552 Enrollment ID: I20190313002469 |
| Provider Name | Daniel Vanleuven |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447613658 PECOS PAC ID: 8729370507 Enrollment ID: I20190322002013 |
| Provider Name | Peter E Oley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104232206 PECOS PAC ID: 2860618832 Enrollment ID: I20190401002557 |
| Provider Name | Paul O Adenuga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740675057 PECOS PAC ID: 9133460066 Enrollment ID: I20190403000307 |
| Provider Name | Kevin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770947707 PECOS PAC ID: 4082908264 Enrollment ID: I20190422001959 |
| Provider Name | Ryan Mohamad Hijazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962864108 PECOS PAC ID: 6608168448 Enrollment ID: I20190422001973 |
| Provider Name | Balint Istvan Otvos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720338452 PECOS PAC ID: 6305148644 Enrollment ID: I20190430000739 |
| Provider Name | Noe A Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649531765 PECOS PAC ID: 1254639479 Enrollment ID: I20190517000440 |
| Provider Name | Maria D Scaccianoce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346709797 PECOS PAC ID: 7416290002 Enrollment ID: I20190522003340 |
| Provider Name | Ahmed Nassar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740609056 PECOS PAC ID: 7517269095 Enrollment ID: I20190718003218 |
| Provider Name | Christopher Joseph Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427579283 PECOS PAC ID: 3274860952 Enrollment ID: I20190805001650 |
| Provider Name | Andrew Kochuba |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083994271 PECOS PAC ID: 8820331572 Enrollment ID: I20190815002924 |
| Provider Name | Andrew S Bostick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861928962 PECOS PAC ID: 3274804364 Enrollment ID: I20190816002902 |
| Provider Name | Megan Marie Levandusky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205495132 PECOS PAC ID: 3476881509 Enrollment ID: I20190827002295 |
| Provider Name | Sundeep S Bajwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417486374 PECOS PAC ID: 8729357355 Enrollment ID: I20190925001565 |
| Provider Name | Kai Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467682518 PECOS PAC ID: 9032359328 Enrollment ID: I20191001002389 |
| Provider Name | Xiao Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855617 PECOS PAC ID: 6901176064 Enrollment ID: I20191022002860 |
| Provider Name | Sidrah Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821524794 PECOS PAC ID: 1850726266 Enrollment ID: I20200113002195 |
| Provider Name | Ria Richardson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992151047 PECOS PAC ID: 4981039724 Enrollment ID: I20200124000239 |
| Provider Name | Ahmet Atik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003339185 PECOS PAC ID: 7416382155 Enrollment ID: I20200127001642 |
| Provider Name | Caleb Nathaniel Seavey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013449883 PECOS PAC ID: 8527336817 Enrollment ID: I20200204003050 |
| Provider Name | Adam Pampori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134651334 PECOS PAC ID: 5799054417 Enrollment ID: I20200207001296 |
| Provider Name | Mustafa Burak Tunc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730617044 PECOS PAC ID: 3274801956 Enrollment ID: I20200312000227 |
| Provider Name | Lori Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568094530 PECOS PAC ID: 2769810969 Enrollment ID: I20200323001495 |
| Provider Name | Nabil Zuhayr Madhun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144682469 PECOS PAC ID: 4981998507 Enrollment ID: I20200410002177 |
| Provider Name | Curtis Ingold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487153185 PECOS PAC ID: 3274881313 Enrollment ID: I20200421000945 |
| Provider Name | Adham M Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184140410 PECOS PAC ID: 7416206164 Enrollment ID: I20200516000327 |
| Provider Name | Feras S Hamdan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356846950 PECOS PAC ID: 3779823489 Enrollment ID: I20200716002184 |
| Provider Name | Kevin Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528413325 PECOS PAC ID: 8426340241 Enrollment ID: I20200803002403 |
| Provider Name | Anthony Miniaci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679073001 PECOS PAC ID: 4789930843 Enrollment ID: I20200810001734 |
| Provider Name | Rebecca Ann Pollack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861038077 PECOS PAC ID: 1052738127 Enrollment ID: I20200903002023 |
| Provider Name | Khetam Mohammed Abed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992322556 PECOS PAC ID: 3779903083 Enrollment ID: I20201026000754 |
| Provider Name | Zachary Deutch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427554856 PECOS PAC ID: 8426304551 Enrollment ID: I20210107001554 |
| Provider Name | Zhenyu Tony Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902396526 PECOS PAC ID: 8325452733 Enrollment ID: I20210126003018 |
| Provider Name | Michael Onofrio Lamorgese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013414028 PECOS PAC ID: 5193070134 Enrollment ID: I20210204001221 |
| Provider Name | Vijay R Mohan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922504489 PECOS PAC ID: 1456695634 Enrollment ID: I20210208002946 |
| Provider Name | Buckley Fechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750868246 PECOS PAC ID: 3971838319 Enrollment ID: I20210527002821 |
| Provider Name | Jillian Marie Sharpnack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023699030 PECOS PAC ID: 0446659155 Enrollment ID: I20210601000961 |
| Provider Name | Benjamin Parry Meacham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942864350 PECOS PAC ID: 3072856905 Enrollment ID: I20210614001543 |
| Provider Name | Mohammed Elshamy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982066056 PECOS PAC ID: 9335426485 Enrollment ID: I20210618001768 |
| Provider Name | Alla Trokhimenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932780228 PECOS PAC ID: 8628470093 Enrollment ID: I20210707002452 |
| Provider Name | Michael William Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336638220 PECOS PAC ID: 9436407244 Enrollment ID: I20210913003086 |
| Provider Name | Adi Cosic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295230886 PECOS PAC ID: 7416354782 Enrollment ID: I20210929002001 |
| Provider Name | Patricia K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548344 PECOS PAC ID: 5395134290 Enrollment ID: I20211115002879 |
| Provider Name | Abdulrahman Hammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194257220 PECOS PAC ID: 6709145519 Enrollment ID: I20211217000847 |
| Provider Name | Benjamin P Kramer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649732611 PECOS PAC ID: 2365777653 Enrollment ID: I20220114001679 |
| Provider Name | Ahmed Elghnam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255832267 PECOS PAC ID: 4082958228 Enrollment ID: I20220411002641 |
| Provider Name | Sarah Honsaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679034151 PECOS PAC ID: 0143553438 Enrollment ID: I20220503001075 |
| Provider Name | Katherine C Montelione |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548751605 PECOS PAC ID: 1850649393 Enrollment ID: I20220505002581 |
| Provider Name | Yasameen Fardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114556743 PECOS PAC ID: 0648600429 Enrollment ID: I20220531000241 |
| Provider Name | Zeki Acun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922200062 PECOS PAC ID: 9739309725 Enrollment ID: I20220531002786 |
| Provider Name | Jeffrey Cannon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851851158 PECOS PAC ID: 7911231923 Enrollment ID: I20220728003076 |
| Provider Name | Daniel Caicedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982232039 PECOS PAC ID: 8729461967 Enrollment ID: I20220819002251 |
| Provider Name | Tarek Elshazly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609336056 PECOS PAC ID: 6204161060 Enrollment ID: I20220823001070 |
| Provider Name | Noah M Bown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768813 PECOS PAC ID: 5496186942 Enrollment ID: I20220907004029 |
| Provider Name | Fadi Asfahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649653700 PECOS PAC ID: 1355635277 Enrollment ID: I20221020003079 |
| Provider Name | John O'neill Barron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679101463 PECOS PAC ID: 1759712532 Enrollment ID: I20221108002388 |
| Provider Name | Sadia Tasnim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881223782 PECOS PAC ID: 5890125397 Enrollment ID: I20221228002309 |
| Provider Name | Alain Harb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710539382 PECOS PAC ID: 5890163141 Enrollment ID: I20230125003463 |
| Provider Name | Alec M Clayton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689293839 PECOS PAC ID: 7113358920 Enrollment ID: I20230127000295 |
| Provider Name | Oscar Hernandez Dominguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386263325 PECOS PAC ID: 5698106433 Enrollment ID: I20230302002260 |
| Provider Name | Gyan Das |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841738150 PECOS PAC ID: 1557734076 Enrollment ID: I20230303001847 |
| Provider Name | Lindsay Ann Perusek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316576028 PECOS PAC ID: 0547683096 Enrollment ID: I20230421000439 |
| Provider Name | Emilia Chinenye Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700170628 PECOS PAC ID: 7517325178 Enrollment ID: I20230614002699 |
| Provider Name | Nicholas C Boniface |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992233761 PECOS PAC ID: 9931479052 Enrollment ID: I20230629000580 |
| Provider Name | Chase Jett Wehrle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962081141 PECOS PAC ID: 9830598101 Enrollment ID: I20230825000358 |
| Provider Name | Andrea Susana Alonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215499801 PECOS PAC ID: 0941601694 Enrollment ID: I20231010001739 |
| Provider Name | Muhammad Muzzammil Edhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629656327 PECOS PAC ID: 8022465251 Enrollment ID: I20231109002884 |
| Provider Name | Benjamin Yglesias |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033616669 PECOS PAC ID: 9638528359 Enrollment ID: I20231206003756 |
| Provider Name | Hiren Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043893084 PECOS PAC ID: 6305297987 Enrollment ID: I20240108005308 |
My Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29257 Center Ridge Rd, Westlake, OH 44145 Phone: 440-899-7677 Fax: 440-899-7667 | |
Neighborhood Health And Weight Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27014 Center Ridge Rd, Westlake, OH 44145 Phone: 810-513-8063 | |
Dermatology West, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26410 Center Ridge Rd, Westlake, OH 44145 Phone: 440-858-3176 | |
Gemini Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2001 Crocker Rd, Suite 540, Westlake, OH 44145 Phone: 440-835-0563 Fax: 440-835-8434 | |
Westlake Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26314 Center Ridge Rd, Westlake, OH 44145 Phone: 440-871-3655 Fax: 440-871-0740 | |
Mindful Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 Crocker Rd Ste 600, Westlake, OH 44145 Phone: 440-373-7898 |