| Northern Ohio Medical Specialists Llc | |
|
3004 Hayes Ave Sandusky OH 44870-5321 | |
| (419) 609-1112 | |
| (419) 609-1123 |
| Full Name | Northern Ohio Medical Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3004 Hayes Ave, Sandusky, Ohio |
| Authorized Official Name and Position | Joshua G Frederick (CEO) |
| Authorized Official Contact | 4196266161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Ohio Medical Specialists Llc Po Box 631971 Cincinnati OH 45263-1971 Ph: (419) 462-6161 | Northern Ohio Medical Specialists Llc 3004 Hayes Ave Sandusky OH 44870-5321 Ph: (419) 609-1112 |
| NPI Number | 1225085855 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 04/10/2023 |
| Medicare PECOS PAC ID | 2769386192 |
|---|---|
| Medicare Enrollment ID | O20031126000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225085855 | NPI | - | NPPES |
| CH8454 | Other | OH | MEDICARE RAILROAD |
| 2253556 | Medicaid | OH |
| Provider Name | Joseph P Spirnak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427197474 PECOS PAC ID: 7416861596 Enrollment ID: I20031113000817 |
| Provider Name | Barry J Fish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437154770 PECOS PAC ID: 9234034158 Enrollment ID: I20031204000268 |
| Provider Name | Michael Thomas Powers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134150329 PECOS PAC ID: 9335044114 Enrollment ID: I20031204000708 |
| Provider Name | David Allan Pocos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467489716 PECOS PAC ID: 6305741190 Enrollment ID: I20031204000731 |
| Provider Name | Mark Richard Grubb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134111768 PECOS PAC ID: 3779489315 Enrollment ID: I20031216000019 |
| Provider Name | Robert D Weaver |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760461784 PECOS PAC ID: 1355248519 Enrollment ID: I20031216000492 |
| Provider Name | Stephanie P Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659327880 PECOS PAC ID: 3971400052 Enrollment ID: I20031217000150 |
| Provider Name | Meyyappan Somasundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831188168 PECOS PAC ID: 7315846375 Enrollment ID: I20040108000274 |
| Provider Name | Michael J Paley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770554156 PECOS PAC ID: 3779482773 Enrollment ID: I20040108000465 |
| Provider Name | Jeffrey M Ekstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154323814 PECOS PAC ID: 9638070592 Enrollment ID: I20040115000261 |
| Provider Name | Kerry M Allen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184605990 PECOS PAC ID: 5294636882 Enrollment ID: I20040116000365 |
| Provider Name | Sandra Diane Weaver-emery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386667103 PECOS PAC ID: 5991607087 Enrollment ID: I20040120001105 |
| Provider Name | George Cajetan Stepanic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881687192 PECOS PAC ID: 9739081795 Enrollment ID: I20040121001092 |
| Provider Name | Hilary Hought Timmis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306866835 PECOS PAC ID: 6204738404 Enrollment ID: I20040127000045 |
| Provider Name | Daniel B Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669431938 PECOS PAC ID: 4981504545 Enrollment ID: I20040218000598 |
| Provider Name | Mark D Bej |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427040914 PECOS PAC ID: 8527956218 Enrollment ID: I20040305000016 |
| Provider Name | Luann R Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831266014 PECOS PAC ID: 1355230988 Enrollment ID: I20040312000442 |
| Provider Name | Angela M Wesley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184761785 PECOS PAC ID: 4789573072 Enrollment ID: I20040315000032 |
| Provider Name | Greg Blasko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669479044 PECOS PAC ID: 6204724479 Enrollment ID: I20040331001669 |
| Provider Name | Rebecca Ann Ware |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568412161 PECOS PAC ID: 6901898402 Enrollment ID: I20040402000743 |
| Provider Name | Kenneth Jude Emch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851398192 PECOS PAC ID: 6204724461 Enrollment ID: I20040407001116 |
| Provider Name | Mary Beth Wonderly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891774030 PECOS PAC ID: 0042204513 Enrollment ID: I20040413001535 |
| Provider Name | John Chiaro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508863630 PECOS PAC ID: 0042100760 Enrollment ID: I20040416000321 |
| Provider Name | Penola P Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689632424 PECOS PAC ID: 9335120187 Enrollment ID: I20040527000088 |
| Provider Name | Michael Craig Beaudis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821095217 PECOS PAC ID: 3375526684 Enrollment ID: I20040609000150 |
| Provider Name | Robert Joseph Vaschak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336162288 PECOS PAC ID: 3779487137 Enrollment ID: I20040610000022 |
| Provider Name | Thomas Groner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073510301 PECOS PAC ID: 3971586975 Enrollment ID: I20040610001107 |
| Provider Name | Karen Elaine Koplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003808510 PECOS PAC ID: 3072597855 Enrollment ID: I20040617001186 |
| Provider Name | William D Bruner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730134446 PECOS PAC ID: 5991609356 Enrollment ID: I20040621001793 |
| Provider Name | Mark David Pophal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407849516 PECOS PAC ID: 7315920162 Enrollment ID: I20040621001959 |
| Provider Name | Munir Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437240611 PECOS PAC ID: 3971588047 Enrollment ID: I20040624001257 |
| Provider Name | William M Quirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871696674 PECOS PAC ID: 1254311988 Enrollment ID: I20040722001417 |
| Provider Name | Kenneth A Mankowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942261243 PECOS PAC ID: 1052381316 Enrollment ID: I20040727001617 |
| Provider Name | Richard Michael Wiecek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831187087 PECOS PAC ID: 1759352974 Enrollment ID: I20040803000097 |
| Provider Name | Anthony R Desalvo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821081597 PECOS PAC ID: 7113991241 Enrollment ID: I20040824000515 |
| Provider Name | Cathy H Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366444960 PECOS PAC ID: 2163317462 Enrollment ID: I20040903000852 |
| Provider Name | Michael Dominic Fabrizio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851384424 PECOS PAC ID: 4183691793 Enrollment ID: I20040914000204 |
| Provider Name | Michelle C Anania |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417954611 PECOS PAC ID: 6901875392 Enrollment ID: I20041001000611 |
| Provider Name | Robert Debiec |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487651881 PECOS PAC ID: 7214825470 Enrollment ID: I20041005000388 |
| Provider Name | Lawrence A Didomenico |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942207733 PECOS PAC ID: 2567350739 Enrollment ID: I20041005000458 |
| Provider Name | Mark Smesko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043217813 PECOS PAC ID: 1557320629 Enrollment ID: I20041005000584 |
| Provider Name | Todd Edward Rambasek |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1093814220 PECOS PAC ID: 8921068198 Enrollment ID: I20041012001311 |
| Provider Name | Mhd Y Al-marrawi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588602627 PECOS PAC ID: 5294791406 Enrollment ID: I20041208000915 |
| Provider Name | Karen Patricia Steffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225129695 PECOS PAC ID: 4183681133 Enrollment ID: I20041213000030 |
| Provider Name | Gregory Karasik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144299884 PECOS PAC ID: 1153373634 Enrollment ID: I20050211000848 |
| Provider Name | Lawrence S Goldstein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134199433 PECOS PAC ID: 7113970823 Enrollment ID: I20050222000955 |
| Provider Name | Paul S Biedenbach |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790739811 PECOS PAC ID: 9436053881 Enrollment ID: I20050224000228 |
| Provider Name | Ritha Kartan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760452304 PECOS PAC ID: 2264485622 Enrollment ID: I20050224001037 |
| Provider Name | Ronald H Krasney |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154319333 PECOS PAC ID: 3577518372 Enrollment ID: I20050315000301 |
| Provider Name | Rugen Alda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750340022 PECOS PAC ID: 1153377221 Enrollment ID: I20050323000002 |
| Provider Name | Robert F Mclain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982632816 PECOS PAC ID: 3072560820 Enrollment ID: I20050404000604 |
| Provider Name | Benjamin W Murcek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124057658 PECOS PAC ID: 9638073075 Enrollment ID: I20050419001326 |
| Provider Name | Robert M Donawa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922004712 PECOS PAC ID: 5799727152 Enrollment ID: I20050525000852 |
| Provider Name | Steven A Rusher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326038597 PECOS PAC ID: 5991747164 Enrollment ID: I20050527000025 |
| Provider Name | Nicole B Danner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245202050 PECOS PAC ID: 5193769115 Enrollment ID: I20050610000470 |
| Provider Name | John Scott Liebenthal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629007158 PECOS PAC ID: 8426952870 Enrollment ID: I20050630000071 |
| Provider Name | Eugene R Kubitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356387740 PECOS PAC ID: 0042114407 Enrollment ID: I20050630000126 |
| Provider Name | Kari Michelle Ketvertis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134191471 PECOS PAC ID: 2163453945 Enrollment ID: I20050823000011 |
| Provider Name | Jennifer Cicchillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750534509 PECOS PAC ID: 8628009750 Enrollment ID: I20050829000115 |
| Provider Name | Georgenna Riley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740382720 PECOS PAC ID: 7517982630 Enrollment ID: I20051007000664 |
| Provider Name | Rachel Ellen Fruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992788343 PECOS PAC ID: 2365460862 Enrollment ID: I20051103000260 |
| Provider Name | Lisa Jo Aichholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285858241 PECOS PAC ID: 4981622115 Enrollment ID: I20051107000596 |
| Provider Name | Timothy J Woisnet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639171382 PECOS PAC ID: 5799670089 Enrollment ID: I20051209000309 |
| Provider Name | Benjamin Signer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770523110 PECOS PAC ID: 2365463957 Enrollment ID: I20051212000035 |
| Provider Name | Leanne K Strack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982653432 PECOS PAC ID: 0547282196 Enrollment ID: I20051222000527 |
| Provider Name | Michael A Derubertis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013961911 PECOS PAC ID: 1951325984 Enrollment ID: I20060118000066 |
| Provider Name | Erin Michae Hillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083712319 PECOS PAC ID: 5890700678 Enrollment ID: I20060215000530 |
| Provider Name | Jennifer D Allsop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396783064 PECOS PAC ID: 2466460134 Enrollment ID: I20060323000069 |
| Provider Name | Louis Keppler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235108119 PECOS PAC ID: 1850283912 Enrollment ID: I20060426000236 |
| Provider Name | Stephen P Sneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396728408 PECOS PAC ID: 1557371879 Enrollment ID: I20060502000364 |
| Provider Name | John P Gerace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356428478 PECOS PAC ID: 1951312875 Enrollment ID: I20060508000231 |
| Provider Name | Seamus J Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770660219 PECOS PAC ID: 1153332085 Enrollment ID: I20060508000243 |
| Provider Name | Tina Marie Joyce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316907827 PECOS PAC ID: 0941212435 Enrollment ID: I20060627000305 |
| Provider Name | Bradley P Jenkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629035233 PECOS PAC ID: 3870506801 Enrollment ID: I20060717000213 |
| Provider Name | Kathleen M Zielinski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043261662 PECOS PAC ID: 8527071380 Enrollment ID: I20060720000218 |
| Provider Name | Joseph R Bartal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306887930 PECOS PAC ID: 0547273955 Enrollment ID: I20060801000017 |
| Provider Name | James R Holfinger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417997016 PECOS PAC ID: 3274570627 Enrollment ID: I20060912000150 |
| Provider Name | Richard J Zirm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639126394 PECOS PAC ID: 3173560521 Enrollment ID: I20060912000157 |
| Provider Name | Zenos Vangelos |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225097249 PECOS PAC ID: 2668364720 Enrollment ID: I20060928000005 |
| Provider Name | Bobby W Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902852148 PECOS PAC ID: 0042216228 Enrollment ID: I20061011000349 |
| Provider Name | Elizabeth A Musolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003816869 PECOS PAC ID: 8123024973 Enrollment ID: I20061018000471 |
| Provider Name | Reuben Gobezie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295786770 PECOS PAC ID: 2264478627 Enrollment ID: I20061019000457 |
| Provider Name | Gerri L Rine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578561379 PECOS PAC ID: 4981601978 Enrollment ID: I20061106000228 |
| Provider Name | Rachel Szekely |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548237431 PECOS PAC ID: 3173540168 Enrollment ID: I20061115000286 |
| Provider Name | Kevin L Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952384794 PECOS PAC ID: 6608874250 Enrollment ID: I20061115000330 |
| Provider Name | Denise L Finkelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669488243 PECOS PAC ID: 3678572898 Enrollment ID: I20061215000128 |
| Provider Name | Paul Clarke Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780770842 PECOS PAC ID: 9436172590 Enrollment ID: I20061218000322 |
| Provider Name | Larry Gene Lika |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043279474 PECOS PAC ID: 6901843358 Enrollment ID: I20070103000078 |
| Provider Name | William E Donahue |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427041565 PECOS PAC ID: 0143295790 Enrollment ID: I20070112000006 |
| Provider Name | James E Fanning |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861443897 PECOS PAC ID: 1052345444 Enrollment ID: I20070213000230 |
| Provider Name | Nicholas Alton Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861458333 PECOS PAC ID: 3173625332 Enrollment ID: I20070220000072 |
| Provider Name | David E Riley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568481976 PECOS PAC ID: 2769581735 Enrollment ID: I20070618000030 |
| Provider Name | Brian Alan Baxter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649220450 PECOS PAC ID: 5799689139 Enrollment ID: I20070727000012 |
| Provider Name | Paul Joseph Bruner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184679995 PECOS PAC ID: 2365346723 Enrollment ID: I20070727000040 |
| Provider Name | Jeffrey Allan Garman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750319562 PECOS PAC ID: 2163326513 Enrollment ID: I20070727000204 |
| Provider Name | Robert Lewis Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366470106 PECOS PAC ID: 5092619452 Enrollment ID: I20070727000212 |
| Provider Name | George Robert Kaftan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710913991 PECOS PAC ID: 9931200482 Enrollment ID: I20070727000249 |
| Provider Name | Brian Joseph Printy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144243148 PECOS PAC ID: 7618871054 Enrollment ID: I20070814000027 |
| Provider Name | Richard Anthony Visci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386667194 PECOS PAC ID: 2769386127 Enrollment ID: I20070814000056 |
| Provider Name | Jessica L Cray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205034402 PECOS PAC ID: 5991896490 Enrollment ID: I20070814000081 |
| Provider Name | Manuel Antonio Bautista |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093793689 PECOS PAC ID: 3173500642 Enrollment ID: I20070814000181 |
| Provider Name | Christine A Pleasnick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093923054 PECOS PAC ID: 7113019100 Enrollment ID: I20070822000849 |
| Provider Name | Susan E Wehner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922298785 PECOS PAC ID: 8820181449 Enrollment ID: I20070912000256 |
| Provider Name | James Huddleston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457343196 PECOS PAC ID: 2961596853 Enrollment ID: I20070924000006 |
| Provider Name | Michael B Canales |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275723769 PECOS PAC ID: 0840387767 Enrollment ID: I20071024000538 |
| Provider Name | Gordon L King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164614848 PECOS PAC ID: 1850488628 Enrollment ID: I20071026000385 |
| Provider Name | Marilyn J Neff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922191287 PECOS PAC ID: 3173610847 Enrollment ID: I20071026000418 |
| Provider Name | Edward J Hemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487616751 PECOS PAC ID: 9537256623 Enrollment ID: I20071107000017 |
| Provider Name | Kwame Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508054123 PECOS PAC ID: 0840388674 Enrollment ID: I20071113000190 |
| Provider Name | David B Ott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578758371 PECOS PAC ID: 6608964077 Enrollment ID: I20071119000299 |
| Provider Name | Christopher J Wells |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295914729 PECOS PAC ID: 5698864940 Enrollment ID: I20071210000256 |
| Provider Name | Jean B Lenk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770570335 PECOS PAC ID: 0042390015 Enrollment ID: I20080103000093 |
| Provider Name | Nichole L Dauch-redding |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326219304 PECOS PAC ID: 6800973603 Enrollment ID: I20080403000210 |
| Provider Name | Rebecca R Schlachet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063629608 PECOS PAC ID: 2567549892 Enrollment ID: I20080410000260 |
| Provider Name | Michael Gerard Scherer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912906785 PECOS PAC ID: 2365520533 Enrollment ID: I20080429000430 |
| Provider Name | Tina M Butt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205023173 PECOS PAC ID: 0840361432 Enrollment ID: I20080625000760 |
| Provider Name | Felicia C Windnagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447430806 PECOS PAC ID: 1557433836 Enrollment ID: I20080701000447 |
| Provider Name | Saba Sheik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003082785 PECOS PAC ID: 5496820276 Enrollment ID: I20080813000268 |
| Provider Name | Marc A Naderer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487865234 PECOS PAC ID: 2961578240 Enrollment ID: I20080910000640 |
| Provider Name | Ateeq Haseeb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194923060 PECOS PAC ID: 7012001308 Enrollment ID: I20080911000542 |
| Provider Name | Deborah J Mcgill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205007200 PECOS PAC ID: 6204902356 Enrollment ID: I20080915000058 |
| Provider Name | Carrie Kiepert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366604779 PECOS PAC ID: 6103992250 Enrollment ID: I20080915000069 |
| Provider Name | Keri Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184888752 PECOS PAC ID: 1456429489 Enrollment ID: I20081003000728 |
| Provider Name | Mary E Anthony |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942271259 PECOS PAC ID: 8325106339 Enrollment ID: I20081021000064 |
| Provider Name | Corey R Fazio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285832279 PECOS PAC ID: 6507926094 Enrollment ID: I20081113000230 |
| Provider Name | Daniel J Karns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174593099 PECOS PAC ID: 5294633046 Enrollment ID: I20081202000515 |
| Provider Name | Andre F Wolanin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770560625 PECOS PAC ID: 1658279401 Enrollment ID: I20081210000448 |
| Provider Name | Blane William Mccoy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447237607 PECOS PAC ID: 2466350210 Enrollment ID: I20081210000478 |
| Provider Name | Elizabeth A Gabel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013179639 PECOS PAC ID: 3971666215 Enrollment ID: I20090112000770 |
| Provider Name | James V Vitale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659311587 PECOS PAC ID: 0446315667 Enrollment ID: I20090223000019 |
| Provider Name | Pamela J Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851536601 PECOS PAC ID: 6800943564 Enrollment ID: I20090415000251 |
| Provider Name | Michael D Eppig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073536611 PECOS PAC ID: 7214085620 Enrollment ID: I20090423000118 |
| Provider Name | Emad S Baky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922172832 PECOS PAC ID: 4082763669 Enrollment ID: I20090602000052 |
| Provider Name | Leslie L Shugart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639313919 PECOS PAC ID: 1254481278 Enrollment ID: I20090615000046 |
| Provider Name | Beth H Gillespie |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861693541 PECOS PAC ID: 3870644883 Enrollment ID: I20090706000005 |
| Provider Name | Norman Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093751398 PECOS PAC ID: 7012018344 Enrollment ID: I20090707000423 |
| Provider Name | Kareem R Dolce |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730338906 PECOS PAC ID: 6608929989 Enrollment ID: I20090804000484 |
| Provider Name | Darrell L Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396709697 PECOS PAC ID: 6901959022 Enrollment ID: I20090806000221 |
| Provider Name | Paul C Laffay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447469697 PECOS PAC ID: 2365596616 Enrollment ID: I20090820000473 |
| Provider Name | Allison Petznick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609949205 PECOS PAC ID: 9436204351 Enrollment ID: I20090828000325 |
| Provider Name | Amy M Reese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497727812 PECOS PAC ID: 3173608155 Enrollment ID: I20090915000521 |
| Provider Name | Jennifer U Zienkowski-zubel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225207863 PECOS PAC ID: 3476609066 Enrollment ID: I20090923000512 |
| Provider Name | Therese M Fumich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427283753 PECOS PAC ID: 9739225293 Enrollment ID: I20091014000220 |
| Provider Name | Peter D Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356337398 PECOS PAC ID: 6507877503 Enrollment ID: I20091116000302 |
| Provider Name | Marc Dominick Dolce |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063401032 PECOS PAC ID: 2961542733 Enrollment ID: I20091229000691 |
| Provider Name | Kristine E Jacobson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1245459684 PECOS PAC ID: 1658411426 Enrollment ID: I20091230000012 |
| Provider Name | Adam J Hedaya |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1528171113 PECOS PAC ID: 4880696962 Enrollment ID: I20100113000631 |
| Provider Name | Anthony Gerard Tesmond |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578686036 PECOS PAC ID: 2567504160 Enrollment ID: I20100120000413 |
| Provider Name | Mary F Bower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194798892 PECOS PAC ID: 6608918123 Enrollment ID: I20100122000014 |
| Provider Name | Michele Lynn Poulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053484287 PECOS PAC ID: 8224171236 Enrollment ID: I20100129000464 |
| Provider Name | Jennifer R Hohman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740253442 PECOS PAC ID: 3577643741 Enrollment ID: I20100204000417 |
| Provider Name | Matthew C Petznick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841363447 PECOS PAC ID: 6103960950 Enrollment ID: I20100218000077 |
| Provider Name | Sandra Lee Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790741510 PECOS PAC ID: 7012052939 Enrollment ID: I20100303000720 |
| Provider Name | Mark Christopher Nadaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346235710 PECOS PAC ID: 1850429242 Enrollment ID: I20100505000597 |
| Provider Name | Aaron Martin Meinke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669465985 PECOS PAC ID: 2769510155 Enrollment ID: I20100505000628 |
| Provider Name | Neiman Toufek Odeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578556890 PECOS PAC ID: 4688702079 Enrollment ID: I20100505000650 |
| Provider Name | Michael G Scharf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528383312 PECOS PAC ID: 1658409099 Enrollment ID: I20100505001123 |
| Provider Name | Bradley G Hillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326148560 PECOS PAC ID: 2668500927 Enrollment ID: I20100506000336 |
| Provider Name | Julie Christin Jubak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780792143 PECOS PAC ID: 1254462146 Enrollment ID: I20100621000469 |
| Provider Name | Cassandra Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811164692 PECOS PAC ID: 7517099575 Enrollment ID: I20100712000061 |
| Provider Name | Fredric Howard Itzkowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649266362 PECOS PAC ID: 2567564156 Enrollment ID: I20100804000035 |
| Provider Name | Albert Victorio Vargas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861466864 PECOS PAC ID: 7315071594 Enrollment ID: I20100811000019 |
| Provider Name | Georgia Lynne Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194716555 PECOS PAC ID: 8426014457 Enrollment ID: I20100812000123 |
| Provider Name | Lucas Kuchta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710291281 PECOS PAC ID: 4587788617 Enrollment ID: I20100826000534 |
| Provider Name | Craig S Sellers |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538188339 PECOS PAC ID: 5496879322 Enrollment ID: I20100830000967 |
| Provider Name | Steven Benedict |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982676789 PECOS PAC ID: 0244230985 Enrollment ID: I20100907000665 |
| Provider Name | Brendan Bauer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245202043 PECOS PAC ID: 6507866241 Enrollment ID: I20100908000850 |
| Provider Name | Katarzyna K Hause-wardega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720019649 PECOS PAC ID: 9739204462 Enrollment ID: I20100917000514 |
| Provider Name | Lindsey R Laconis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265747505 PECOS PAC ID: 4284750407 Enrollment ID: I20100924001137 |
| Provider Name | Michael Shaughnessy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699728402 PECOS PAC ID: 0648471607 Enrollment ID: I20101007000463 |
| Provider Name | Jonathan David Zahler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053641100 PECOS PAC ID: 0345373569 Enrollment ID: I20101008001149 |
| Provider Name | Allison S Wright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659685444 PECOS PAC ID: 6204021033 Enrollment ID: I20101105001170 |
| Provider Name | John Michael Bondra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609868249 PECOS PAC ID: 9638159890 Enrollment ID: I20110127000393 |
| Provider Name | Anthony Joseph Gingo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700878022 PECOS PAC ID: 1850426156 Enrollment ID: I20110728000637 |
| Provider Name | Jessica W Clarke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124283049 PECOS PAC ID: 3375712979 Enrollment ID: I20110817000278 |
| Provider Name | Scott G Schnell |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1881603207 PECOS PAC ID: 4385814904 Enrollment ID: I20110908002028 |
| Provider Name | Thomas Edward Fleming |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588662142 PECOS PAC ID: 9335105949 Enrollment ID: I20111221000768 |
| Provider Name | William E Bruner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639123367 PECOS PAC ID: 8921113192 Enrollment ID: I20120103000448 |
| Provider Name | Leon Robert Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669413910 PECOS PAC ID: 9436042314 Enrollment ID: I20120121000058 |
| Provider Name | Nicholas Denbesten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255614541 PECOS PAC ID: 7113185273 Enrollment ID: I20120221000077 |
| Provider Name | Michael J Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215017876 PECOS PAC ID: 2264326552 Enrollment ID: I20120228000671 |
| Provider Name | Christopher J Bohach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043232341 PECOS PAC ID: 1658375530 Enrollment ID: I20120309000664 |
| Provider Name | Kathleen E Rinkes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336334598 PECOS PAC ID: 4789848573 Enrollment ID: I20120606000697 |
| Provider Name | Kylie S Laughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457618332 PECOS PAC ID: 4082878723 Enrollment ID: I20120611000178 |
| Provider Name | Jenna Luby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316200017 PECOS PAC ID: 2163687591 Enrollment ID: I20120709000690 |
| Provider Name | Ramy Fahim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205146164 PECOS PAC ID: 4880859115 Enrollment ID: I20120711000333 |
| Provider Name | Amine Rustom Abdul-aal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689855058 PECOS PAC ID: 8426067802 Enrollment ID: I20121002000781 |
| Provider Name | Sherri Shively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275880122 PECOS PAC ID: 3274782438 Enrollment ID: I20121003000144 |
| Provider Name | Ahmed Mohamed Ghany |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1275730285 PECOS PAC ID: 0749341451 Enrollment ID: I20121018000830 |
| Provider Name | Kim C Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215285424 PECOS PAC ID: 0840440822 Enrollment ID: I20121029000425 |
| Provider Name | Shannon Gale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508133976 PECOS PAC ID: 9032362256 Enrollment ID: I20130118000386 |
| Provider Name | George J Friedhoff |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1043522634 PECOS PAC ID: 3870738545 Enrollment ID: I20130328000593 |
| Provider Name | Rebecca Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194060848 PECOS PAC ID: 4385889096 Enrollment ID: I20130401000179 |
| Provider Name | Sammantha Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336489707 PECOS PAC ID: 9537306204 Enrollment ID: I20130516000652 |
| Provider Name | Timothy J Adamowicz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1760645170 PECOS PAC ID: 3577743509 Enrollment ID: I20130814001058 |
| Provider Name | Lindsay Lee Damschroder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551155 PECOS PAC ID: 4486897576 Enrollment ID: I20130820001105 |
| Provider Name | Mona Nataprawira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528378965 PECOS PAC ID: 8820231251 Enrollment ID: I20130903000812 |
| Provider Name | Michelle L Veneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932532231 PECOS PAC ID: 9436383700 Enrollment ID: I20130930000456 |
| Provider Name | Sara J Travagliante |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174956189 PECOS PAC ID: 3971737339 Enrollment ID: I20131018000450 |
| Provider Name | Jeremy Thomas Blackston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588004188 PECOS PAC ID: 9638312382 Enrollment ID: I20131021000783 |
| Provider Name | Kristina Pao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205002847 PECOS PAC ID: 3577729813 Enrollment ID: I20131114001605 |
| Provider Name | Daniel W Shobel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548699242 PECOS PAC ID: 1153558754 Enrollment ID: I20131205000360 |
| Provider Name | Jason A Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386807428 PECOS PAC ID: 4183852890 Enrollment ID: I20131231001589 |
| Provider Name | Shelley M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467624205 PECOS PAC ID: 2860570587 Enrollment ID: I20140128000185 |
| Provider Name | Jacqueline M Graziani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861823676 PECOS PAC ID: 8921237165 Enrollment ID: I20140210000949 |
| Provider Name | Merryann Werley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255755518 PECOS PAC ID: 3072743160 Enrollment ID: I20140312000756 |
| Provider Name | Charles P Pluto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619173721 PECOS PAC ID: 5395969315 Enrollment ID: I20140613001201 |
| Provider Name | Heather Anne Bayless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295149557 PECOS PAC ID: 2264650472 Enrollment ID: I20140909001698 |
| Provider Name | Joann C Didion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730593260 PECOS PAC ID: 2860611035 Enrollment ID: I20140920000374 |
| Provider Name | Cassandra Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952716086 PECOS PAC ID: 2365662236 Enrollment ID: I20140929001298 |
| Provider Name | Gina Risaliti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730595083 PECOS PAC ID: 1456571272 Enrollment ID: I20140930000627 |
| Provider Name | Terri Lenigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013310259 PECOS PAC ID: 1355663675 Enrollment ID: I20141122000274 |
| Provider Name | Kimberly Navratil |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417364936 PECOS PAC ID: 1254653009 Enrollment ID: I20141204002006 |
| Provider Name | Maria Apling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114321866 PECOS PAC ID: 4183948284 Enrollment ID: I20150120002363 |
| Provider Name | Anthony M Boulos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649402751 PECOS PAC ID: 8921329863 Enrollment ID: I20150604000832 |
| Provider Name | Stephanie Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063837235 PECOS PAC ID: 5890928287 Enrollment ID: I20150624000452 |
| Provider Name | Amar B Mutnal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790999415 PECOS PAC ID: 9133431281 Enrollment ID: I20150702001755 |
| Provider Name | Kyle Joseph Banna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457758310 PECOS PAC ID: 2062727514 Enrollment ID: I20150813009826 |
| Provider Name | Felicia Fior-nossek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598796302 PECOS PAC ID: 4789608134 Enrollment ID: I20150911002391 |
| Provider Name | April L Storey-cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437521697 PECOS PAC ID: 5597065086 Enrollment ID: I20151207000950 |
| Provider Name | Christy A Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457717019 PECOS PAC ID: 2163460130 Enrollment ID: I20160301001738 |
| Provider Name | Christin Pozek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225386956 PECOS PAC ID: 6608173083 Enrollment ID: I20160330001094 |
| Provider Name | Rachel L Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053774810 PECOS PAC ID: 5294033411 Enrollment ID: I20160420002420 |
| Provider Name | Kyle Spriggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699175661 PECOS PAC ID: 6305145970 Enrollment ID: I20160503001673 |
| Provider Name | Valerie Cnm Floro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972967099 PECOS PAC ID: 7810287711 Enrollment ID: I20160606001501 |
| Provider Name | Kimberly Marie Nichelson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538504360 PECOS PAC ID: 3870885825 Enrollment ID: I20160712001109 |
| Provider Name | Thomas Blanton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063863900 PECOS PAC ID: 7517250558 Enrollment ID: I20160727002953 |
| Provider Name | Steven Yousko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922058171 PECOS PAC ID: 0840225579 Enrollment ID: I20160809002596 |
| Provider Name | Courtney Blackston |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043663420 PECOS PAC ID: 3577858596 Enrollment ID: I20160829003346 |
| Provider Name | Kelly Jean Buckles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265883623 PECOS PAC ID: 8123313152 Enrollment ID: I20160830000259 |
| Provider Name | Kaleigh A Donnamiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497200919 PECOS PAC ID: 0840587267 Enrollment ID: I20160928000718 |
| Provider Name | Jordan N Baker-horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194953976 PECOS PAC ID: 3274820618 Enrollment ID: I20160928001228 |
| Provider Name | Jennifer Flo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689695306 PECOS PAC ID: 6103823299 Enrollment ID: I20161013001452 |
| Provider Name | Susan Brouse |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770746398 PECOS PAC ID: 1456630276 Enrollment ID: I20161118002224 |
| Provider Name | Natalie Felter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184075087 PECOS PAC ID: 0244510774 Enrollment ID: I20161129001822 |
| Provider Name | Deborah L Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327238 PECOS PAC ID: 0042590101 Enrollment ID: I20161206002319 |
| Provider Name | Kimberly L Trutza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487108890 PECOS PAC ID: 7517248743 Enrollment ID: I20161230001764 |
| Provider Name | Laurie L Horvath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205388634 PECOS PAC ID: 6608158183 Enrollment ID: I20170117002435 |
| Provider Name | Kelly Donaldson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457794810 PECOS PAC ID: 8729362652 Enrollment ID: I20170221001591 |
| Provider Name | Adam Martin Kapler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942542196 PECOS PAC ID: 7810290640 Enrollment ID: I20170615002676 |
| Provider Name | Amber Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780112003 PECOS PAC ID: 7416225198 Enrollment ID: I20170621002507 |
| Provider Name | Mary Liakaris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730536160 PECOS PAC ID: 9638448301 Enrollment ID: I20170712001335 |
| Provider Name | Christopher Michael Hassett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760825301 PECOS PAC ID: 2961707716 Enrollment ID: I20170921003710 |
| Provider Name | Melissa E Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609390301 PECOS PAC ID: 1658646328 Enrollment ID: I20171005001235 |
| Provider Name | Jaclyn R Ciersezwski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346750460 PECOS PAC ID: 6305111766 Enrollment ID: I20171011000984 |
| Provider Name | Yuerong Bayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184134561 PECOS PAC ID: 9638435944 Enrollment ID: I20171101003469 |
| Provider Name | Christopher Patrick Bechtel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851618854 PECOS PAC ID: 9234433368 Enrollment ID: I20171110001271 |
| Provider Name | Caitlin E Morris-syverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932618238 PECOS PAC ID: 1456617174 Enrollment ID: I20171114001691 |
| Provider Name | Kelly A Brzozowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912410382 PECOS PAC ID: 9032476072 Enrollment ID: I20171130000567 |
| Provider Name | Erica Lynn Clinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849313 PECOS PAC ID: 7416215892 Enrollment ID: I20171212001128 |
| Provider Name | Jessica Ann Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891216404 PECOS PAC ID: 8325307606 Enrollment ID: I20180111002533 |
| Provider Name | Patricia Ann Hackenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801394085 PECOS PAC ID: 6002179520 Enrollment ID: I20180416002668 |
| Provider Name | Karla Bell-gleason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871847350 PECOS PAC ID: 6800159278 Enrollment ID: I20180417002278 |
| Provider Name | Paul Alan Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164597803 PECOS PAC ID: 9032472105 Enrollment ID: I20180424002544 |
| Provider Name | Robert Jarrett Steffy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134483985 PECOS PAC ID: 8729309729 Enrollment ID: I20180514000910 |
| Provider Name | Rachel E Casseday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538554019 PECOS PAC ID: 6709175078 Enrollment ID: I20180525002027 |
| Provider Name | Hillary Greer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780063834 PECOS PAC ID: 8820353535 Enrollment ID: I20180530002299 |
| Provider Name | Monique Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730321464 PECOS PAC ID: 6709140726 Enrollment ID: I20180612001540 |
| Provider Name | Matthew Gundlach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144718222 PECOS PAC ID: 2769738798 Enrollment ID: I20180705002746 |
| Provider Name | Bradley B Backoff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255710596 PECOS PAC ID: 8527314319 Enrollment ID: I20180710000685 |
| Provider Name | Daniel L Paulson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972943553 PECOS PAC ID: 2365798162 Enrollment ID: I20180710001089 |
| Provider Name | Michael J Stas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316387186 PECOS PAC ID: 9234434812 Enrollment ID: I20180807001289 |
| Provider Name | Mohamed F Osman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689998551 PECOS PAC ID: 8820392509 Enrollment ID: I20180820003680 |
| Provider Name | Hanna Ruggles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225411960 PECOS PAC ID: 8224328414 Enrollment ID: I20180823003433 |
| Provider Name | Jamie Lee Teal |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861937302 PECOS PAC ID: 6800145723 Enrollment ID: I20180824002283 |
| Provider Name | Stacy A Brubaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134640725 PECOS PAC ID: 7012267677 Enrollment ID: I20180904000604 |
| Provider Name | Jenna Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619359130 PECOS PAC ID: 0840540118 Enrollment ID: I20180906003155 |
| Provider Name | Edward F Palestro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245712280 PECOS PAC ID: 0547511024 Enrollment ID: I20180921001919 |
| Provider Name | Leslie Diane Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639424799 PECOS PAC ID: 7012163066 Enrollment ID: I20181031003054 |
| Provider Name | Amanda Keil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053802272 PECOS PAC ID: 1557605250 Enrollment ID: I20181206003080 |
| Provider Name | Samuel E Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881174282 PECOS PAC ID: 4183962491 Enrollment ID: I20190212002324 |
| Provider Name | Brianna Marie Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861968026 PECOS PAC ID: 2860732732 Enrollment ID: I20190313001088 |
| Provider Name | Melissa S Weygandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326508987 PECOS PAC ID: 6305189416 Enrollment ID: I20190513001612 |
| Provider Name | Spencer A Bryant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174089916 PECOS PAC ID: 8224371265 Enrollment ID: I20190515001414 |
| Provider Name | Emily A Petitti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629497987 PECOS PAC ID: 4587958657 Enrollment ID: I20190812003254 |
| Provider Name | Jessica Lynn Didion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336700459 PECOS PAC ID: 7810224763 Enrollment ID: I20190814004075 |
| Provider Name | Lindsay Nicole Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184271991 PECOS PAC ID: 7719217272 Enrollment ID: I20190925002949 |
| Provider Name | Jennifer Barden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306407317 PECOS PAC ID: 7012248909 Enrollment ID: I20191007003648 |
| Provider Name | Hillary G Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114575172 PECOS PAC ID: 7315279304 Enrollment ID: I20191023003690 |
| Provider Name | Danielle Lynn Scianna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184261877 PECOS PAC ID: 3779917703 Enrollment ID: I20191230001334 |
| Provider Name | Katherine Mormile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306485859 PECOS PAC ID: 9234565573 Enrollment ID: I20200205002479 |
| Provider Name | Vikram Sobti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851608756 PECOS PAC ID: 1850516303 Enrollment ID: I20200309002202 |
| Provider Name | Megan D Dodge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154630036 PECOS PAC ID: 9032548797 Enrollment ID: I20200331002272 |
| Provider Name | Leila N Creatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686023 PECOS PAC ID: 3274962857 Enrollment ID: I20200402000686 |
| Provider Name | Angela M Gillmor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811524333 PECOS PAC ID: 7315378445 Enrollment ID: I20200505002972 |
| Provider Name | Anthony S Rusher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942663901 PECOS PAC ID: 0042507055 Enrollment ID: I20200528001840 |
| Provider Name | Nicholas K Callahan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659783934 PECOS PAC ID: 5092024950 Enrollment ID: I20200610002295 |
| Provider Name | Aaron Scott Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487272555 PECOS PAC ID: 1052734977 Enrollment ID: I20200710002676 |
| Provider Name | Felipe Espinoza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942289376 PECOS PAC ID: 1153342621 Enrollment ID: I20200811001913 |
| Provider Name | Shaikh Fawwad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285180943 PECOS PAC ID: 7315278207 Enrollment ID: I20200901001029 |
| Provider Name | Christine Gates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073125795 PECOS PAC ID: 5799103933 Enrollment ID: I20200921000306 |
| Provider Name | Samantha Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891302584 PECOS PAC ID: 4486064409 Enrollment ID: I20201103001612 |
| Provider Name | Brendan Barrett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578903126 PECOS PAC ID: 8820377351 Enrollment ID: I20201105001210 |
| Provider Name | Danielle Jeanne Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043811995 PECOS PAC ID: 9335550300 Enrollment ID: I20201123002257 |
| Provider Name | Renee Grace Keefe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881057727 PECOS PAC ID: 4587937883 Enrollment ID: I20201201002353 |
| Provider Name | Grant T Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750986550 PECOS PAC ID: 3870905771 Enrollment ID: I20201217002447 |
| Provider Name | Lauren Zuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063995405 PECOS PAC ID: 4385058957 Enrollment ID: I20210122002395 |
| Provider Name | Sarah A Kampfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922618750 PECOS PAC ID: 7416362140 Enrollment ID: I20210210002591 |
| Provider Name | Kimberly Ann Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396339487 PECOS PAC ID: 5597174359 Enrollment ID: I20210506001950 |
| Provider Name | Alison Marie Faggionato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568043651 PECOS PAC ID: 9638588379 Enrollment ID: I20210510000213 |
| Provider Name | Adeyinka Owoyele |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629450994 PECOS PAC ID: 1153692215 Enrollment ID: I20210602002701 |
| Provider Name | Connor J Mapus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962076778 PECOS PAC ID: 4981005683 Enrollment ID: I20210701002950 |
| Provider Name | Mary K Demboske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699346031 PECOS PAC ID: 9638572050 Enrollment ID: I20210722003221 |
| Provider Name | Joseph J Landino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609444389 PECOS PAC ID: 6305249269 Enrollment ID: I20210729001838 |
| Provider Name | Shilpa Gambeer Rao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851937668 PECOS PAC ID: 4981008679 Enrollment ID: I20210803000450 |
| Provider Name | Jessica R Lause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114591344 PECOS PAC ID: 1254736945 Enrollment ID: I20210818001808 |
| Provider Name | Hannah Kathleen Bieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396336228 PECOS PAC ID: 6901202761 Enrollment ID: I20210902003164 |
| Provider Name | Makayla J Mullins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700553997 PECOS PAC ID: 2466858790 Enrollment ID: I20210910002250 |
| Provider Name | Ryan Mathew Medves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447927991 PECOS PAC ID: 5092111203 Enrollment ID: I20210913002616 |
| Provider Name | Holly M Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841969268 PECOS PAC ID: 5496152183 Enrollment ID: I20210922003485 |
| Provider Name | Raquel Ashley Buehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023602745 PECOS PAC ID: 3678961778 Enrollment ID: I20211021003136 |
| Provider Name | David Esparaz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891140174 PECOS PAC ID: 4587950209 Enrollment ID: I20211102001738 |
| Provider Name | Mary Wervey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790449189 PECOS PAC ID: 8224428859 Enrollment ID: I20211214000747 |
| Provider Name | Erin Coppock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467100990 PECOS PAC ID: 7719373893 Enrollment ID: I20220330001732 |
| Provider Name | Mariana Rokitska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245902931 PECOS PAC ID: 6709272024 Enrollment ID: I20220413000377 |
| Provider Name | Hailey D Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982346748 PECOS PAC ID: 1254728538 Enrollment ID: I20220505001499 |
| Provider Name | Alyssa R Braund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295497980 PECOS PAC ID: 0840677233 Enrollment ID: I20220525000788 |
| Provider Name | Kimberly Jo Learn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487240065 PECOS PAC ID: 5698170165 Enrollment ID: I20220602001463 |
| Provider Name | Meryem Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356861835 PECOS PAC ID: 7012286974 Enrollment ID: I20220607000551 |
| Provider Name | Timothy L Cutler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184289902 PECOS PAC ID: 6103151113 Enrollment ID: I20220611000219 |
| Provider Name | Remi Minh Khang Le |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346803236 PECOS PAC ID: 0244618726 Enrollment ID: I20220617002109 |
| Provider Name | Mohammed D Muntaser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962067561 PECOS PAC ID: 0648651711 Enrollment ID: I20220720002684 |
| Provider Name | Brittney Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245816495 PECOS PAC ID: 7618358664 Enrollment ID: I20220721002432 |
| Provider Name | Paige Paystrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356070692 PECOS PAC ID: 1153703632 Enrollment ID: I20220729002955 |
| Provider Name | Amy Marie Warchol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730815911 PECOS PAC ID: 6305229816 Enrollment ID: I20220816003209 |
| Provider Name | Sylvia L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669101564 PECOS PAC ID: 0941684419 Enrollment ID: I20220901000569 |
| Provider Name | Erin Afable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114677697 PECOS PAC ID: 6800270273 Enrollment ID: I20220902000945 |
| Provider Name | Alisha Lickwar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154057297 PECOS PAC ID: 7719362755 Enrollment ID: I20220912003450 |
| Provider Name | Maria Rizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952479099 PECOS PAC ID: 6800971045 Enrollment ID: I20220914001658 |
| Provider Name | Taylor L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396350088 PECOS PAC ID: 0143605485 Enrollment ID: I20220922001034 |
| Provider Name | Christine Walmsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629480579 PECOS PAC ID: 9739564949 Enrollment ID: I20220923000533 |
| Provider Name | Jennifer Messer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639769011 PECOS PAC ID: 1658757158 Enrollment ID: I20221006003142 |
| Provider Name | Alan Wittert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043686736 PECOS PAC ID: 4385954916 Enrollment ID: I20221222000518 |
| Provider Name | Amber L. Pump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558078063 PECOS PAC ID: 2769852078 Enrollment ID: I20230103000955 |
| Provider Name | Shauna Epperson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861917379 PECOS PAC ID: 3870866973 Enrollment ID: I20230203001000 |
| Provider Name | Heidi E Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699489351 PECOS PAC ID: 4284008186 Enrollment ID: I20230315002947 |
| Provider Name | Sherron Lorraine Mcgowan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548586514 PECOS PAC ID: 8628433976 Enrollment ID: I20230420002340 |
| Provider Name | William Nicholson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932334513 PECOS PAC ID: 0749460913 Enrollment ID: I20230526002218 |
| Provider Name | Sean Hayes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184245532 PECOS PAC ID: 7810354230 Enrollment ID: I20230530003317 |
| Provider Name | Alexandra D Prosser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154942159 PECOS PAC ID: 3274954623 Enrollment ID: I20230531000890 |
| Provider Name | Daniel Kevin Schneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952805657 PECOS PAC ID: 9739434333 Enrollment ID: I20230606003069 |
| Provider Name | Hannah Abigail |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184249153 PECOS PAC ID: 7810355328 Enrollment ID: I20230615000487 |
| Provider Name | Daniel Kana |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356877971 PECOS PAC ID: 6709155377 Enrollment ID: I20230718000745 |
| Provider Name | James David Mcgaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023708187 PECOS PAC ID: 5092175026 Enrollment ID: I20230721001122 |
| Provider Name | Kendra Leigh Horn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467607739 PECOS PAC ID: 9537521000 Enrollment ID: I20230815003091 |
| Provider Name | Noah Winslow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104509520 PECOS PAC ID: 4880048883 Enrollment ID: I20230925003045 |
| Provider Name | Dannielle Mastroianni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760188825 PECOS PAC ID: 7416302633 Enrollment ID: I20231009001135 |
| Provider Name | Tamar Nussbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437934668 PECOS PAC ID: 3072965789 Enrollment ID: I20240118001958 |
| Provider Name | Brandy Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043934490 PECOS PAC ID: 7810349495 Enrollment ID: I20240118004368 |
| Provider Name | Sarah Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679275853 PECOS PAC ID: 7416309042 Enrollment ID: I20240119001245 |
| Provider Name | Erica L Bennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730454869 PECOS PAC ID: 2769825090 Enrollment ID: I20240203000136 |
| Provider Name | Jacqueline Spadaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528276193 PECOS PAC ID: 2668815903 Enrollment ID: I20240203000188 |
Sandusky Gastroenterologists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Milan Rd, Sandusky, OH 44870 Phone: 419-627-1056 Fax: 419-627-6269 | |
M D Cooper Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2819 Hayes Ave, Ste. 6, Sandusky, OH 44870 Phone: 419-626-0225 Fax: 419-626-0755 | |
Northern Ohio Medical Specialists Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 W Strub Rd, Suite 120, Sandusky, OH 44870 Phone: 419-503-5911 Fax: 419-503-5912 | |
Firelands Regional Medical Center Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-7184 Fax: 419-557-7109 | |
Family Health Services Of Erie County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 318 Columbus Ave Rm 129, Sandusky, OH 44870 Phone: 419-502-2800 | |
Family Health Services Of Erie County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2130 Hayes Ave Rm 152, Sandusky, OH 44870 Phone: 419-502-2800 |