| Novant Health Endocrinology | |
|
1918 Randolph Rd Suite 220 Charlotte NC 28207-1109 | |
| (704) 316-1125 | |
| (704) 316-1143 |
| Full Name | Novant Health Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1918 Randolph Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Leea Jeanine Walton (RCS MANAGER) |
| Authorized Official Contact | 7043166081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Endocrinology Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 316-1125 | Novant Health Endocrinology 1918 Randolph Rd Suite 220 Charlotte NC 28207-1109 Ph: (704) 316-1125 |
| NPI Number | 1306950282 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 1153234893 |
|---|---|
| Medicare Enrollment ID | O20040204001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306950282 | NPI | - | NPPES |
| NPA896 | Medicaid | SC | |
| 0277F | Other | NC | BCBS NC |
| 790277F | Medicaid | NC | |
| CC5118 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Navin C Bhojwani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316939705 PECOS PAC ID: 3678470572 Enrollment ID: I20031218000112 |
| Provider Name | Usman A Khawaja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336111301 PECOS PAC ID: 6204735319 Enrollment ID: I20040107000975 |
| Provider Name | Lisa Ann Gorsuch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548247562 PECOS PAC ID: 1850293705 Enrollment ID: I20040122000422 |
| Provider Name | David Chadwick Weston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639167455 PECOS PAC ID: 4789577255 Enrollment ID: I20040206000837 |
| Provider Name | Tamilarasi Kannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487628657 PECOS PAC ID: 6406741990 Enrollment ID: I20040216000126 |
| Provider Name | Adrienne C Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033182217 PECOS PAC ID: 8921993411 Enrollment ID: I20040216000151 |
| Provider Name | Charles Walker Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134191273 PECOS PAC ID: 8527053032 Enrollment ID: I20040415000489 |
| Provider Name | Mark Anthony Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881660157 PECOS PAC ID: 4688669104 Enrollment ID: I20040415000591 |
| Provider Name | John Michael Mccabe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598723660 PECOS PAC ID: 5092700146 Enrollment ID: I20040417000380 |
| Provider Name | John H Fillmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003889080 PECOS PAC ID: 1153316203 Enrollment ID: I20040417000404 |
| Provider Name | Beth Ann Jayne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871607184 PECOS PAC ID: 2567459316 Enrollment ID: I20040426001273 |
| Provider Name | Martin B Cutrone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619975752 PECOS PAC ID: 6608863006 Enrollment ID: I20040428000378 |
| Provider Name | Kevin Hsu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841298239 PECOS PAC ID: 5698756153 Enrollment ID: I20040528001184 |
| Provider Name | Steven E Helman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760489314 PECOS PAC ID: 9436130093 Enrollment ID: I20040603001404 |
| Provider Name | Walter R Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992731996 PECOS PAC ID: 7416930110 Enrollment ID: I20040612000039 |
| Provider Name | Heather Nicole White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740282383 PECOS PAC ID: 7214910884 Enrollment ID: I20040612000644 |
| Provider Name | Christopher J Danner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588660625 PECOS PAC ID: 5092799684 Enrollment ID: I20040614000131 |
| Provider Name | William Lee Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043275522 PECOS PAC ID: 7911981451 Enrollment ID: I20040614001264 |
| Provider Name | Trevor Robert Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437145604 PECOS PAC ID: 2264418912 Enrollment ID: I20040624001680 |
| Provider Name | Erin M Ball |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225160583 PECOS PAC ID: 0941286041 Enrollment ID: I20040629000316 |
| Provider Name | Lester G Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164418331 PECOS PAC ID: 5294715116 Enrollment ID: I20040721001715 |
| Provider Name | Jon S Rosnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780642223 PECOS PAC ID: 3971595463 Enrollment ID: I20040722001105 |
| Provider Name | Holly A Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144207010 PECOS PAC ID: 7911978689 Enrollment ID: I20040804001879 |
| Provider Name | John Charles Powers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235199258 PECOS PAC ID: 1153393210 Enrollment ID: I20040809001415 |
| Provider Name | Alyssa A Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942384839 PECOS PAC ID: 2567438096 Enrollment ID: I20040907000929 |
| Provider Name | Joseph Anthony Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215916119 PECOS PAC ID: 6103892203 Enrollment ID: I20040909000789 |
| Provider Name | Archie A Tyson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629039862 PECOS PAC ID: 7618944562 Enrollment ID: I20040911000054 |
| Provider Name | Robert Bruno Preli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285656595 PECOS PAC ID: 9739156365 Enrollment ID: I20040914000341 |
| Provider Name | Ingrid S Bullard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457334815 PECOS PAC ID: 4082682885 Enrollment ID: I20040920000893 |
| Provider Name | Hytham Manuel Imseis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588768188 PECOS PAC ID: 3779544036 Enrollment ID: I20041020001249 |
| Provider Name | Gregory L Bielec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215916077 PECOS PAC ID: 8729049887 Enrollment ID: I20041021000772 |
| Provider Name | Ricardo Vargas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649268459 PECOS PAC ID: 0547221244 Enrollment ID: I20041026000433 |
| Provider Name | Edward B Mcmillan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831199876 PECOS PAC ID: 3072576875 Enrollment ID: I20041111000375 |
| Provider Name | Thomas A Barringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811918485 PECOS PAC ID: 4981668506 Enrollment ID: I20041115000200 |
| Provider Name | Claude R Workman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164481685 PECOS PAC ID: 7214992544 Enrollment ID: I20041129000038 |
| Provider Name | Charles A Bregier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952394785 PECOS PAC ID: 5698687788 Enrollment ID: I20050108000004 |
| Provider Name | Ruthann A Heron-davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790784569 PECOS PAC ID: 5799733598 Enrollment ID: I20050108000068 |
| Provider Name | Lisa Naczki Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679593065 PECOS PAC ID: 6507816568 Enrollment ID: I20050127000180 |
| Provider Name | Michael N Drucker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780664128 PECOS PAC ID: 0143272112 Enrollment ID: I20050217000772 |
| Provider Name | Lai Chow Kok |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366414344 PECOS PAC ID: 5092767004 Enrollment ID: I20050218000042 |
| Provider Name | Kenneth B Rhinehart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750362430 PECOS PAC ID: 3072411214 Enrollment ID: I20050218000511 |
| Provider Name | Thomas E Jenike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417937368 PECOS PAC ID: 2365496221 Enrollment ID: I20050303000857 |
| Provider Name | Philip James Iuliano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003828716 PECOS PAC ID: 9133173313 Enrollment ID: I20050310000320 |
| Provider Name | Jason R Connelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609877620 PECOS PAC ID: 5193779791 Enrollment ID: I20050412000919 |
| Provider Name | Sharon Kay Varner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881694784 PECOS PAC ID: 3072553106 Enrollment ID: I20050509000646 |
| Provider Name | Christopher Brian Isenhour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205804739 PECOS PAC ID: 7618917675 Enrollment ID: I20050509001053 |
| Provider Name | Jamie N Holsonback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912914250 PECOS PAC ID: 1557397593 Enrollment ID: I20050712000400 |
| Provider Name | Scott M Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255321469 PECOS PAC ID: 7113955923 Enrollment ID: I20050802001214 |
| Provider Name | Stephen C Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275523102 PECOS PAC ID: 5991733610 Enrollment ID: I20050802001338 |
| Provider Name | Raleigh K Godsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477543304 PECOS PAC ID: 2062310121 Enrollment ID: I20050802001350 |
| Provider Name | Cary Nelson Davis Fishburne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285624031 PECOS PAC ID: 9234167958 Enrollment ID: I20050802001365 |
| Provider Name | Aram Alexanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659359941 PECOS PAC ID: 6002846631 Enrollment ID: I20050815000109 |
| Provider Name | Amy L Alexanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124006416 PECOS PAC ID: 2961432596 Enrollment ID: I20050815000151 |
| Provider Name | Thomas P Lessaris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275580706 PECOS PAC ID: 6002846649 Enrollment ID: I20050815000190 |
| Provider Name | James P Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962474973 PECOS PAC ID: 6901836428 Enrollment ID: I20050815000879 |
| Provider Name | Claire S Bowles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083604284 PECOS PAC ID: 6507899911 Enrollment ID: I20050915001138 |
| Provider Name | Andrew J Zerkle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841280062 PECOS PAC ID: 7911931910 Enrollment ID: I20050920000383 |
| Provider Name | Beverly Conder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619084647 PECOS PAC ID: 3577589605 Enrollment ID: I20051018001143 |
| Provider Name | William O Ntim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043290794 PECOS PAC ID: 2567489313 Enrollment ID: I20051031000784 |
| Provider Name | Philip J Solomon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801897087 PECOS PAC ID: 6406862374 Enrollment ID: I20060301000692 |
| Provider Name | Sarah N Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144221540 PECOS PAC ID: 9032125901 Enrollment ID: I20060301000704 |
| Provider Name | James M Meek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992706386 PECOS PAC ID: 3375559255 Enrollment ID: I20060301000726 |
| Provider Name | John Raymond Allbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518944420 PECOS PAC ID: 2062428949 Enrollment ID: I20060301000764 |
| Provider Name | Sharrol Elizabeth Barnes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609877091 PECOS PAC ID: 0749296622 Enrollment ID: I20060309000700 |
| Provider Name | Mark L Bland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285696229 PECOS PAC ID: 4789691668 Enrollment ID: I20060317000327 |
| Provider Name | James T Bohmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184686008 PECOS PAC ID: 3779590666 Enrollment ID: I20060317000344 |
| Provider Name | Simon V Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003878919 PECOS PAC ID: 2961410428 Enrollment ID: I20060327000134 |
| Provider Name | David C Shaver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245284058 PECOS PAC ID: 0446261630 Enrollment ID: I20060602000081 |
| Provider Name | Keith E Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962472415 PECOS PAC ID: 3476557281 Enrollment ID: I20060911000295 |
| Provider Name | Thor Owen Svendsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326000704 PECOS PAC ID: 4183628829 Enrollment ID: I20060911000566 |
| Provider Name | Guangbin Zeng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851332928 PECOS PAC ID: 8820093909 Enrollment ID: I20060922000557 |
| Provider Name | Lauri Patrice Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841253135 PECOS PAC ID: 0244235950 Enrollment ID: I20060930000016 |
| Provider Name | Sharon Mildred Stitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952403768 PECOS PAC ID: 6305843475 Enrollment ID: I20061102000328 |
| Provider Name | Bryon Evan Rubery |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447297833 PECOS PAC ID: 9830105600 Enrollment ID: I20061103000235 |
| Provider Name | Marianthe M Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952353708 PECOS PAC ID: 7214935584 Enrollment ID: I20061121000113 |
| Provider Name | Victoria K King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376552992 PECOS PAC ID: 0941200620 Enrollment ID: I20070102000487 |
| Provider Name | Travis W Howell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346208113 PECOS PAC ID: 9436159639 Enrollment ID: I20070112000088 |
| Provider Name | Nancy V Behrens |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1205940244 PECOS PAC ID: 9830190347 Enrollment ID: I20070126000161 |
| Provider Name | Asif T Wahid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649260324 PECOS PAC ID: 4981669132 Enrollment ID: I20070402000391 |
| Provider Name | Curtis L Flood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013077072 PECOS PAC ID: 2365547999 Enrollment ID: I20070410000456 |
| Provider Name | Jo Ann Taylor-parris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982621330 PECOS PAC ID: 8426156969 Enrollment ID: I20070607000341 |
| Provider Name | Carl A Smart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518986652 PECOS PAC ID: 4587762893 Enrollment ID: I20070611000478 |
| Provider Name | David C Beard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982600201 PECOS PAC ID: 5092744318 Enrollment ID: I20070705000574 |
| Provider Name | Carisa M Sutherland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639194764 PECOS PAC ID: 6800869496 Enrollment ID: I20070710000543 |
| Provider Name | Daniel L Holland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043212764 PECOS PAC ID: 3779535679 Enrollment ID: I20070802000440 |
| Provider Name | Matthew S Cummings |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497953848 PECOS PAC ID: 3274624804 Enrollment ID: I20070810000168 |
| Provider Name | Harriet Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659346955 PECOS PAC ID: 8628176625 Enrollment ID: I20070817000585 |
| Provider Name | Nora Arronte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760413371 PECOS PAC ID: 1052403649 Enrollment ID: I20070828000273 |
| Provider Name | Ashley M Perrott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659408268 PECOS PAC ID: 2860584463 Enrollment ID: I20070828000390 |
| Provider Name | Heather John H Montero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043321821 PECOS PAC ID: 1355434846 Enrollment ID: I20070829000256 |
| Provider Name | David C Allison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285602730 PECOS PAC ID: 1759474067 Enrollment ID: I20070831000477 |
| Provider Name | Janice S Naumann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184677668 PECOS PAC ID: 7911091541 Enrollment ID: I20070913000363 |
| Provider Name | Bryan Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063408300 PECOS PAC ID: 5294780094 Enrollment ID: I20070913000484 |
| Provider Name | Noellee T Clarke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447389663 PECOS PAC ID: 2062506934 Enrollment ID: I20070922000176 |
| Provider Name | James W Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083657522 PECOS PAC ID: 0143317362 Enrollment ID: I20071103000072 |
| Provider Name | Martin J Kreshon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285671735 PECOS PAC ID: 1850488073 Enrollment ID: I20071103000081 |
| Provider Name | Gregory Brian Reynolds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437288404 PECOS PAC ID: 7911094941 Enrollment ID: I20071107000383 |
| Provider Name | Milton Dean Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962469049 PECOS PAC ID: 3476642406 Enrollment ID: I20071128000770 |
| Provider Name | Kevin C Sharkey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467452128 PECOS PAC ID: 9830289867 Enrollment ID: I20071214000206 |
| Provider Name | John A Pasquini |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740288059 PECOS PAC ID: 4880784818 Enrollment ID: I20071214000244 |
| Provider Name | Akinyele Olawale Aluko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588665616 PECOS PAC ID: 7719984939 Enrollment ID: I20071214000491 |
| Provider Name | John R Bailey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891793121 PECOS PAC ID: 4385734243 Enrollment ID: I20071214000600 |
| Provider Name | Robert W Price |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760480735 PECOS PAC ID: 4789774654 Enrollment ID: I20071214000613 |
| Provider Name | Jennifer Z Honeycutt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992928766 PECOS PAC ID: 3779673439 Enrollment ID: I20071218000372 |
| Provider Name | Robert B Fazia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093715039 PECOS PAC ID: 1658461280 Enrollment ID: I20071219000381 |
| Provider Name | Dennis N Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598765562 PECOS PAC ID: 2668562265 Enrollment ID: I20071219000790 |
| Provider Name | Robert A Barnabei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396708285 PECOS PAC ID: 0648244475 Enrollment ID: I20071224000007 |
| Provider Name | Laura Leigh Younce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407854540 PECOS PAC ID: 2466532122 Enrollment ID: I20080107000869 |
| Provider Name | Andrew D Blodgett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396887485 PECOS PAC ID: 6507947496 Enrollment ID: I20080116000846 |
| Provider Name | Ray Feaster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366416877 PECOS PAC ID: 1254301591 Enrollment ID: I20080130000432 |
| Provider Name | Marie M Wheatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497807986 PECOS PAC ID: 6901988757 Enrollment ID: I20080131000636 |
| Provider Name | Philip W De Hoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043202963 PECOS PAC ID: 0143303511 Enrollment ID: I20080207000495 |
| Provider Name | Kevin Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295772341 PECOS PAC ID: 1052323482 Enrollment ID: I20080207000623 |
| Provider Name | John E Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144220286 PECOS PAC ID: 7315020278 Enrollment ID: I20080215000154 |
| Provider Name | Jonathan E Fisher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508872995 PECOS PAC ID: 1557342474 Enrollment ID: I20080216000030 |
| Provider Name | Bernard M Reen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740288042 PECOS PAC ID: 9830274067 Enrollment ID: I20080311000682 |
| Provider Name | Lokesh Tejwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457302754 PECOS PAC ID: 8022116029 Enrollment ID: I20080415000630 |
| Provider Name | Beverly Ann Vanessa Belle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427050889 PECOS PAC ID: 4183702327 Enrollment ID: I20080429000138 |
| Provider Name | Andrea N Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649442492 PECOS PAC ID: 9739268699 Enrollment ID: I20080502000414 |
| Provider Name | Leslie G Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366616351 PECOS PAC ID: 5991874067 Enrollment ID: I20080514000877 |
| Provider Name | Richard Pomerantz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154321321 PECOS PAC ID: 0143328039 Enrollment ID: I20080609000800 |
| Provider Name | Steven Gilchrist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356549851 PECOS PAC ID: 7810086030 Enrollment ID: I20080701000366 |
| Provider Name | Samuel J Turner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861678104 PECOS PAC ID: 7416029293 Enrollment ID: I20080710000730 |
| Provider Name | Brian K Cain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083733273 PECOS PAC ID: 3072619014 Enrollment ID: I20080807000211 |
| Provider Name | Carolyn E Hart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427008903 PECOS PAC ID: 4284709452 Enrollment ID: I20080822000256 |
| Provider Name | Holly S Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841452133 PECOS PAC ID: 7012083157 Enrollment ID: I20080913000164 |
| Provider Name | Michael S Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184785701 PECOS PAC ID: 3678640505 Enrollment ID: I20080918000506 |
| Provider Name | Parampreet S Vidwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437375854 PECOS PAC ID: 3971670530 Enrollment ID: I20080923000634 |
| Provider Name | Rina Rosa Roginsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821189390 PECOS PAC ID: 3678671344 Enrollment ID: I20080929000436 |
| Provider Name | David J Bearss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063408235 PECOS PAC ID: 4183783079 Enrollment ID: I20081106000721 |
| Provider Name | Caudrean L Avery-benjamin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720144637 PECOS PAC ID: 2163582602 Enrollment ID: I20081113000688 |
| Provider Name | Phillip Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215119151 PECOS PAC ID: 3577625466 Enrollment ID: I20081231000441 |
| Provider Name | Lisa K Burke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689762809 PECOS PAC ID: 4880666973 Enrollment ID: I20090126000211 |
| Provider Name | Henry V Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790898450 PECOS PAC ID: 6901961267 Enrollment ID: I20090219000670 |
| Provider Name | Cassaundra Houston Hefner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306081468 PECOS PAC ID: 6507922861 Enrollment ID: I20090311000661 |
| Provider Name | James A Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801874276 PECOS PAC ID: 5597813360 Enrollment ID: I20090505000259 |
| Provider Name | Jessica Blumenthal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689652992 PECOS PAC ID: 7012065899 Enrollment ID: I20090505000285 |
| Provider Name | Keith A Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174652606 PECOS PAC ID: 8325199045 Enrollment ID: I20090619000188 |
| Provider Name | Michael S Hoben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356335665 PECOS PAC ID: 0749331148 Enrollment ID: I20090624000737 |
| Provider Name | Elena G Ibe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164416665 PECOS PAC ID: 3375694771 Enrollment ID: I20090624000740 |
| Provider Name | Apur R Kamdar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902844863 PECOS PAC ID: 9436120631 Enrollment ID: I20090625000091 |
| Provider Name | Christopher D Chandler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922084508 PECOS PAC ID: 5496806515 Enrollment ID: I20090701000491 |
| Provider Name | Shawn H Fleming |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902089345 PECOS PAC ID: 9830242791 Enrollment ID: I20090725000076 |
| Provider Name | Cheryl L Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639306830 PECOS PAC ID: 9739232307 Enrollment ID: I20090729000454 |
| Provider Name | Pamela M Dollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699910158 PECOS PAC ID: 2466505045 Enrollment ID: I20090729000470 |
| Provider Name | Tomas Luley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548427651 PECOS PAC ID: 7012062680 Enrollment ID: I20090902000742 |
| Provider Name | Zoe M Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871722538 PECOS PAC ID: 3173679461 Enrollment ID: I20090929000476 |
| Provider Name | Robert B Thomason |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912967712 PECOS PAC ID: 3577609395 Enrollment ID: I20091008000523 |
| Provider Name | Lisa K Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902980196 PECOS PAC ID: 3779677224 Enrollment ID: I20091110000763 |
| Provider Name | Joel K Deonanan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699955427 PECOS PAC ID: 0547309460 Enrollment ID: I20091204000574 |
| Provider Name | Daniel Crawford Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669460374 PECOS PAC ID: 2163563727 Enrollment ID: I20100105000617 |
| Provider Name | Victoria B Rourk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750610382 PECOS PAC ID: 3577604941 Enrollment ID: I20100107000196 |
| Provider Name | Jess M Kirby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497745822 PECOS PAC ID: 0648311027 Enrollment ID: I20100107000223 |
| Provider Name | Sachin J Hansalia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023025814 PECOS PAC ID: 8224035407 Enrollment ID: I20100120000113 |
| Provider Name | James E Needell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417988825 PECOS PAC ID: 7810908571 Enrollment ID: I20100209000728 |
| Provider Name | Jennifer Lynn Cully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518295559 PECOS PAC ID: 7719020890 Enrollment ID: I20100211000743 |
| Provider Name | Angela R Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356336457 PECOS PAC ID: 8325935257 Enrollment ID: I20100218000871 |
| Provider Name | Nestor Cruz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518998525 PECOS PAC ID: 7618012154 Enrollment ID: I20100308000784 |
| Provider Name | Keith E Mcmanus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477563229 PECOS PAC ID: 6507901931 Enrollment ID: I20100309000778 |
| Provider Name | Thad A Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982676565 PECOS PAC ID: 8426183781 Enrollment ID: I20100312000184 |
| Provider Name | Michael F Sweeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043200264 PECOS PAC ID: 8820123771 Enrollment ID: I20100317000194 |
| Provider Name | Thomas Jackson Vandiver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902896756 PECOS PAC ID: 9638204365 Enrollment ID: I20100318000983 |
| Provider Name | Jessica Simmons Mack |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710172770 PECOS PAC ID: 8628151115 Enrollment ID: I20100320000029 |
| Provider Name | Louise C Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619973732 PECOS PAC ID: 0345376588 Enrollment ID: I20100327000090 |
| Provider Name | Alyse M Kelly Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558367680 PECOS PAC ID: 2062548225 Enrollment ID: I20100327000225 |
| Provider Name | Jeffrey G Walls |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114987807 PECOS PAC ID: 7810023975 Enrollment ID: I20100327000427 |
| Provider Name | Valencia P Covington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982771176 PECOS PAC ID: 6709887557 Enrollment ID: I20100421000630 |
| Provider Name | Malgorzata A Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417943135 PECOS PAC ID: 0042349847 Enrollment ID: I20100603000090 |
| Provider Name | Tina J Hayes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427080357 PECOS PAC ID: 7911037700 Enrollment ID: I20100604000347 |
| Provider Name | Telly A Meadows |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285808725 PECOS PAC ID: 1153451828 Enrollment ID: I20100608000167 |
| Provider Name | Kai Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568780062 PECOS PAC ID: 6608907480 Enrollment ID: I20100622000700 |
| Provider Name | Guyton Joel Winker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740284512 PECOS PAC ID: 2769511229 Enrollment ID: I20100812001001 |
| Provider Name | Brent Douglas Penhall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346431806 PECOS PAC ID: 8921132200 Enrollment ID: I20100823000776 |
| Provider Name | Jennifer A Mock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639252026 PECOS PAC ID: 2163547324 Enrollment ID: I20100913000416 |
| Provider Name | Khawar Mushtaq Shaikh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205800380 PECOS PAC ID: 2163436841 Enrollment ID: I20100918000168 |
| Provider Name | James S Lye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962603597 PECOS PAC ID: 2567588411 Enrollment ID: I20100928001225 |
| Provider Name | Amanda H Younger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740599943 PECOS PAC ID: 3173715083 Enrollment ID: I20101011001004 |
| Provider Name | Deborah P Warren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356311575 PECOS PAC ID: 6709070782 Enrollment ID: I20101103001065 |
| Provider Name | Mary K Cross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659575470 PECOS PAC ID: 8224224217 Enrollment ID: I20101202000761 |
| Provider Name | Larry Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558529438 PECOS PAC ID: 1355511676 Enrollment ID: I20110824000440 |
| Provider Name | Kikelomo Oshunkentan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588823629 PECOS PAC ID: 5496925182 Enrollment ID: I20110907001535 |
| Provider Name | Melissa Anne Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093096422 PECOS PAC ID: 0941471924 Enrollment ID: I20110923000000 |
| Provider Name | Kristina Leake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609070093 PECOS PAC ID: 9537331921 Enrollment ID: I20111006000595 |
| Provider Name | Amanda C Vizi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245527647 PECOS PAC ID: 6204008436 Enrollment ID: I20111013000038 |
| Provider Name | Eleanor M. Mccurdy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467471771 PECOS PAC ID: 8820262934 Enrollment ID: I20111129000231 |
| Provider Name | Joseph L Trask |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871580688 PECOS PAC ID: 9234214875 Enrollment ID: I20120131000585 |
| Provider Name | Ajike Ogunsulire Etumadu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457316168 PECOS PAC ID: 3173538097 Enrollment ID: I20120525000172 |
| Provider Name | Erin M Stone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679734065 PECOS PAC ID: 6800050147 Enrollment ID: I20120618000020 |
| Provider Name | Eric R Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235401035 PECOS PAC ID: 9133385305 Enrollment ID: I20120717000253 |
| Provider Name | Nizar Darwish Noureddine |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659334530 PECOS PAC ID: 0547455867 Enrollment ID: I20120821000267 |
| Provider Name | Michael S Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184890451 PECOS PAC ID: 1850548918 Enrollment ID: I20120823000823 |
| Provider Name | Barbara J Paolucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851650196 PECOS PAC ID: 3779730668 Enrollment ID: I20120828000899 |
| Provider Name | Tiffani Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801056841 PECOS PAC ID: 0547417040 Enrollment ID: I20120905000387 |
| Provider Name | Kari Hewat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750557021 PECOS PAC ID: 9032367586 Enrollment ID: I20120907000322 |
| Provider Name | Latoya N Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538332077 PECOS PAC ID: 0749438836 Enrollment ID: I20120914000219 |
| Provider Name | Sumit Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497941025 PECOS PAC ID: 1759539885 Enrollment ID: I20120914000670 |
| Provider Name | Shannon M St Clair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003073396 PECOS PAC ID: 2668620402 Enrollment ID: I20120919000680 |
| Provider Name | Adam D Houser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962676221 PECOS PAC ID: 2769631050 Enrollment ID: I20121002000173 |
| Provider Name | Kay Anne Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154666402 PECOS PAC ID: 3779737978 Enrollment ID: I20130215000113 |
| Provider Name | Lori G Scott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033357868 PECOS PAC ID: 7416006333 Enrollment ID: I20130723000186 |
| Provider Name | Jennifer D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508107707 PECOS PAC ID: 7810139391 Enrollment ID: I20130813000361 |
| Provider Name | Kathleen Persavich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689808123 PECOS PAC ID: 3678715836 Enrollment ID: I20130819000061 |
| Provider Name | Juwairiyah Foxx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316244106 PECOS PAC ID: 2567635840 Enrollment ID: I20131016000643 |
| Provider Name | Adrian Cristian Dusa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730232471 PECOS PAC ID: 2860590908 Enrollment ID: I20131113001869 |
| Provider Name | Kimberly H Hopkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891956744 PECOS PAC ID: 3678709979 Enrollment ID: I20131114001699 |
| Provider Name | Kenneth E Bodek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871587923 PECOS PAC ID: 1951293166 Enrollment ID: I20131223000096 |
| Provider Name | Meredith S Snapp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356587661 PECOS PAC ID: 3678701885 Enrollment ID: I20140115001550 |
| Provider Name | Carrie E Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871920686 PECOS PAC ID: 1759519861 Enrollment ID: I20140117001445 |
| Provider Name | Sharmetris K Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376979369 PECOS PAC ID: 3072742006 Enrollment ID: I20140214000749 |
| Provider Name | Catherine Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407285349 PECOS PAC ID: 3971733692 Enrollment ID: I20140225001767 |
| Provider Name | Julie M Wentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093760324 PECOS PAC ID: 5991718165 Enrollment ID: I20140311001768 |
| Provider Name | Nichole L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295052843 PECOS PAC ID: 2860623527 Enrollment ID: I20140320002335 |
| Provider Name | Candice H Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962831651 PECOS PAC ID: 9335370733 Enrollment ID: I20140328000585 |
| Provider Name | Hardik Jaswantial Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619297595 PECOS PAC ID: 2567693815 Enrollment ID: I20140329000060 |
| Provider Name | Kathryn Jessica Hull Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609083849 PECOS PAC ID: 8426245515 Enrollment ID: I20140603000825 |
| Provider Name | Gabriel Angel Delgado |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376511659 PECOS PAC ID: 0749186195 Enrollment ID: I20140707001509 |
| Provider Name | Josie Christine Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841600699 PECOS PAC ID: 0648495234 Enrollment ID: I20140716001072 |
| Provider Name | Mousumi Medda Andersen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740577915 PECOS PAC ID: 7517185929 Enrollment ID: I20140827000873 |
| Provider Name | Taiwona L Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730358805 PECOS PAC ID: 0941440861 Enrollment ID: I20140828001125 |
| Provider Name | Jessica J Deane-wyman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366769044 PECOS PAC ID: 3971724063 Enrollment ID: I20141014000855 |
| Provider Name | Richard S Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902125131 PECOS PAC ID: 7214171891 Enrollment ID: I20141016002494 |
| Provider Name | Colleen W Cardella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528385218 PECOS PAC ID: 1254552698 Enrollment ID: I20141028000982 |
| Provider Name | Alex V Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467573980 PECOS PAC ID: 3870666829 Enrollment ID: I20141031002065 |
| Provider Name | Leela M Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376771360 PECOS PAC ID: 9830311802 Enrollment ID: I20141106000507 |
| Provider Name | Cheryl N Onwuchuruba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285953125 PECOS PAC ID: 3173767860 Enrollment ID: I20141210000071 |
| Provider Name | Justin E Asbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370192 PECOS PAC ID: 7517136096 Enrollment ID: I20141213000278 |
| Provider Name | Barbara A Metzelaars |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992990279 PECOS PAC ID: 6709969686 Enrollment ID: I20141220000367 |
| Provider Name | Peter Sami Salib |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639480569 PECOS PAC ID: 8729301601 Enrollment ID: I20141229001843 |
| Provider Name | Pacharo N Ndupu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194167080 PECOS PAC ID: 7618107335 Enrollment ID: I20150106001574 |
| Provider Name | Jacqueline Ploszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649678624 PECOS PAC ID: 5395060511 Enrollment ID: I20150211000568 |
| Provider Name | Kathryn Alice Lofland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235536210 PECOS PAC ID: 7315262136 Enrollment ID: I20150218001912 |
| Provider Name | Lisa Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871982157 PECOS PAC ID: 9638496441 Enrollment ID: I20150316000635 |
| Provider Name | Kelley V Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700049079 PECOS PAC ID: 8426375585 Enrollment ID: I20150330000948 |
| Provider Name | Alexandria N Montgomery |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366695496 PECOS PAC ID: 4789902826 Enrollment ID: I20150421001655 |
| Provider Name | Candace A Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144573486 PECOS PAC ID: 7214256973 Enrollment ID: I20150430000390 |
| Provider Name | Jennifer Schweer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053702076 PECOS PAC ID: 6608197553 Enrollment ID: I20150604001001 |
| Provider Name | Nicholas B Bodenheimer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457642134 PECOS PAC ID: 5395979579 Enrollment ID: I20150630002191 |
| Provider Name | Erin Grey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063711224 PECOS PAC ID: 1658684808 Enrollment ID: I20150717001012 |
| Provider Name | Karen A Schooler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699034983 PECOS PAC ID: 2567683972 Enrollment ID: I20150728005008 |
| Provider Name | Ebony N Parson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588950729 PECOS PAC ID: 2264748078 Enrollment ID: I20150824002379 |
| Provider Name | Victoria Elliott Lore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568754422 PECOS PAC ID: 6103132519 Enrollment ID: I20150831002613 |
| Provider Name | Michael D Stadler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184849416 PECOS PAC ID: 9133272545 Enrollment ID: I20150909002841 |
| Provider Name | Joseph J Thompson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1114124716 PECOS PAC ID: 2163686932 Enrollment ID: I20150910003070 |
| Provider Name | Jennifer S Martyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114302817 PECOS PAC ID: 3476860818 Enrollment ID: I20150916002841 |
| Provider Name | Jarrod T Sheatsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427343730 PECOS PAC ID: 4789802281 Enrollment ID: I20150918001304 |
| Provider Name | Tiffany H Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255711297 PECOS PAC ID: 7911214978 Enrollment ID: I20150923002649 |
| Provider Name | Stephanie A Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770968273 PECOS PAC ID: 3072821370 Enrollment ID: I20151007000751 |
| Provider Name | Mildred Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548644826 PECOS PAC ID: 4688983646 Enrollment ID: I20151014002440 |
| Provider Name | James P Robson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184009797 PECOS PAC ID: 6800105768 Enrollment ID: I20151016001224 |
| Provider Name | Mark L Higdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598857187 PECOS PAC ID: 3678754231 Enrollment ID: I20151023001673 |
| Provider Name | Jad Georges Skaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770813719 PECOS PAC ID: 7012181639 Enrollment ID: I20151027002364 |
| Provider Name | Carol Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265426696 PECOS PAC ID: 1850424953 Enrollment ID: I20151028001650 |
| Provider Name | Sandy Charles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578706685 PECOS PAC ID: 3375853153 Enrollment ID: I20151106000525 |
| Provider Name | Anjalee K Dave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396008066 PECOS PAC ID: 7214170331 Enrollment ID: I20151116000083 |
| Provider Name | Heather J Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104089952 PECOS PAC ID: 8527215839 Enrollment ID: I20151214002631 |
| Provider Name | Modupe A Cassandra Ogunjimi Popoola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427074970 PECOS PAC ID: 5294770160 Enrollment ID: I20151218002071 |
| Provider Name | Gregory T Means |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790045268 PECOS PAC ID: 5395963599 Enrollment ID: I20160105000491 |
| Provider Name | Heather Elaine Bane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679707111 PECOS PAC ID: 5799927141 Enrollment ID: I20160106000364 |
| Provider Name | Julia B Truman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891040341 PECOS PAC ID: 2264735737 Enrollment ID: I20160119000267 |
| Provider Name | Bradley Walton Clark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639431307 PECOS PAC ID: 9335361302 Enrollment ID: I20160208001278 |
| Provider Name | Linda G Royston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053786558 PECOS PAC ID: 1951605195 Enrollment ID: I20160208001702 |
| Provider Name | Kristen Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396103958 PECOS PAC ID: 2264738558 Enrollment ID: I20160314000357 |
| Provider Name | Swati S Adawadkar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902004583 PECOS PAC ID: 9032366729 Enrollment ID: I20160323002713 |
| Provider Name | Lindsay A Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205294568 PECOS PAC ID: 7618274820 Enrollment ID: I20160401000271 |
| Provider Name | Barbara Lee Navarro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497113690 PECOS PAC ID: 3274830484 Enrollment ID: I20160401000504 |
| Provider Name | Juliana Efua Quagraine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194184523 PECOS PAC ID: 6800195504 Enrollment ID: I20160502001622 |
| Provider Name | Marisa Colleen Clancy Larimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023025699 PECOS PAC ID: 4385864552 Enrollment ID: I20160715000948 |
| Provider Name | Ryan C Tighe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164866588 PECOS PAC ID: 9931342649 Enrollment ID: I20160719000624 |
| Provider Name | Sean Michael Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043656044 PECOS PAC ID: 1052605490 Enrollment ID: I20160809000457 |
| Provider Name | Stephanie Barbadora-froelich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750727293 PECOS PAC ID: 6103110341 Enrollment ID: I20160810001567 |
| Provider Name | Shari A Levesque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306103262 PECOS PAC ID: 5890950430 Enrollment ID: I20160829000243 |
| Provider Name | Carly J Donahue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790121796 PECOS PAC ID: 5193010148 Enrollment ID: I20160830000705 |
| Provider Name | Nathan C Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881955102 PECOS PAC ID: 2769778125 Enrollment ID: I20160912000187 |
| Provider Name | Lara Aboulhosn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134489396 PECOS PAC ID: 8820385974 Enrollment ID: I20160917000459 |
| Provider Name | Oluseun O Alli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053524967 PECOS PAC ID: 6002940103 Enrollment ID: I20160921000761 |
| Provider Name | Kimberly E Spatola |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447689468 PECOS PAC ID: 9335437094 Enrollment ID: I20161012001086 |
| Provider Name | Sarah A Schubert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639624018 PECOS PAC ID: 1850689126 Enrollment ID: I20161019002461 |
| Provider Name | Michelle A Balmaceda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164659819 PECOS PAC ID: 7517106933 Enrollment ID: I20161025001831 |
| Provider Name | Kelly J Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107536 PECOS PAC ID: 9830477439 Enrollment ID: I20161102002191 |
| Provider Name | Denzil A Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750565933 PECOS PAC ID: 5799816864 Enrollment ID: I20161107000558 |
| Provider Name | Natasha N Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184934465 PECOS PAC ID: 0547549701 Enrollment ID: I20161111000976 |
| Provider Name | Michael Dan Cantor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760635486 PECOS PAC ID: 4284672536 Enrollment ID: I20161114001577 |
| Provider Name | Laura M Walby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588749634 PECOS PAC ID: 9133215452 Enrollment ID: I20170112001114 |
| Provider Name | Laura K Lenard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043753312 PECOS PAC ID: 4082997879 Enrollment ID: I20170201000556 |
| Provider Name | Keyeriashon Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801271713 PECOS PAC ID: 9032492343 Enrollment ID: I20170213000422 |
| Provider Name | Melissa Y Coggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053783415 PECOS PAC ID: 2264716752 Enrollment ID: I20170301000214 |
| Provider Name | Margaret Stephanie Dutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235222704 PECOS PAC ID: 8729057831 Enrollment ID: I20170310000904 |
| Provider Name | Shontay L Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730624875 PECOS PAC ID: 7012292469 Enrollment ID: I20170327001120 |
| Provider Name | Matthew J Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245776814 PECOS PAC ID: 0143506238 Enrollment ID: I20170403001948 |
| Provider Name | Shannon N Scandone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881138873 PECOS PAC ID: 0648556340 Enrollment ID: I20170412001032 |
| Provider Name | Shannon L Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780071373 PECOS PAC ID: 7911274410 Enrollment ID: I20170606000047 |
| Provider Name | Peter M Giftos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447246004 PECOS PAC ID: 4688815459 Enrollment ID: I20170606001648 |
| Provider Name | Kaustubh C Dabhadkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932498581 PECOS PAC ID: 8123245701 Enrollment ID: I20170721000875 |
| Provider Name | Laura Ecklund |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760829246 PECOS PAC ID: 9638440100 Enrollment ID: I20170801002979 |
| Provider Name | Bhalaghuru Chokkalingam Mani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336370808 PECOS PAC ID: 1153622485 Enrollment ID: I20170814002259 |
| Provider Name | Amjad Almahameed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780793828 PECOS PAC ID: 2567472889 Enrollment ID: I20170815000379 |
| Provider Name | Un Ju Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447543632 PECOS PAC ID: 2365714730 Enrollment ID: I20170818002307 |
| Provider Name | Ashley Kaiser Rickey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063732634 PECOS PAC ID: 4486875952 Enrollment ID: I20170823001879 |
| Provider Name | Christopher C Felton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730222332 PECOS PAC ID: 8628211596 Enrollment ID: I20170828001542 |
| Provider Name | Chancy Gulott Lucas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467899948 PECOS PAC ID: 0547532434 Enrollment ID: I20170828003502 |
| Provider Name | James Ferrigan Fraser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033409842 PECOS PAC ID: 1254621154 Enrollment ID: I20170905000377 |
| Provider Name | Kathleen W Lagesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316496862 PECOS PAC ID: 0648543082 Enrollment ID: I20170906001835 |
| Provider Name | Tesfaldet Tecle Michael |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376702522 PECOS PAC ID: 7113168592 Enrollment ID: I20170918000212 |
| Provider Name | Joseph Michael Gentile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871757724 PECOS PAC ID: 8921247388 Enrollment ID: I20170920002351 |
| Provider Name | Seth Hayden Richman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538459128 PECOS PAC ID: 5294035036 Enrollment ID: I20170927000522 |
| Provider Name | James Desimone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312279 PECOS PAC ID: 6002181989 Enrollment ID: I20171003004642 |
| Provider Name | Thomas Ryan Kambur |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376863910 PECOS PAC ID: 7113225673 Enrollment ID: I20171006001503 |
| Provider Name | Kobina Wilmot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356667505 PECOS PAC ID: 6507131133 Enrollment ID: I20171009001194 |
| Provider Name | Sameer Shadashiv Chaudhari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467680918 PECOS PAC ID: 5890942429 Enrollment ID: I20171010002802 |
| Provider Name | Heather Jean Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053830448 PECOS PAC ID: 4587920541 Enrollment ID: I20171107001730 |
| Provider Name | Jill R Yandle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083133417 PECOS PAC ID: 2769741610 Enrollment ID: I20180122002828 |
| Provider Name | Tiffany S Bates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437597176 PECOS PAC ID: 9436448719 Enrollment ID: I20180201000973 |
| Provider Name | Margaret Therese Sass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831465509 PECOS PAC ID: 5395053193 Enrollment ID: I20180319001615 |
| Provider Name | Holly A Barden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043728660 PECOS PAC ID: 6002974367 Enrollment ID: I20180326002439 |
| Provider Name | Michael Winfree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619271681 PECOS PAC ID: 0941489652 Enrollment ID: I20180516001064 |
| Provider Name | Timothy James Ewald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265660120 PECOS PAC ID: 1052506144 Enrollment ID: I20180521000158 |
| Provider Name | Sarah Marie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255589099 PECOS PAC ID: 9234484239 Enrollment ID: I20180614003070 |
| Provider Name | Rebecca Lynn Kelso |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902928799 PECOS PAC ID: 7113072000 Enrollment ID: I20180615002143 |
| Provider Name | Stephanie A Godfrey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417340886 PECOS PAC ID: 3971858556 Enrollment ID: I20180622001119 |
| Provider Name | Olatokunbo Efunsami Soyode-etomi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326132804 PECOS PAC ID: 6406080332 Enrollment ID: I20180626001423 |
| Provider Name | Pamela L Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982100376 PECOS PAC ID: 9739435074 Enrollment ID: I20180628003357 |
| Provider Name | Kashmira P Wankhedkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063761351 PECOS PAC ID: 7810200839 Enrollment ID: I20180712003445 |
| Provider Name | Marie Elizabeth Watson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336667146 PECOS PAC ID: 5294082822 Enrollment ID: I20180727000291 |
| Provider Name | Patricia Ann Convery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093973075 PECOS PAC ID: 2466609532 Enrollment ID: I20180807000805 |
| Provider Name | Amelia Louise Maple Sutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962605360 PECOS PAC ID: 1254489248 Enrollment ID: I20180808001063 |
| Provider Name | Branson William Hyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659783496 PECOS PAC ID: 0244588168 Enrollment ID: I20180808002198 |
| Provider Name | Karen Elizabeth Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164659322 PECOS PAC ID: 2264781475 Enrollment ID: I20180822000392 |
| Provider Name | Susan Wilhelm Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750875928 PECOS PAC ID: 1850641135 Enrollment ID: I20180906003578 |
| Provider Name | Jennifer Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952894792 PECOS PAC ID: 5597016436 Enrollment ID: I20180917001131 |
| Provider Name | Alyssa A Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821330903 PECOS PAC ID: 5092066340 Enrollment ID: I20180925003202 |
| Provider Name | Vincent J Pompili |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720008360 PECOS PAC ID: 8224124615 Enrollment ID: I20180926000846 |
| Provider Name | Kristin W Gaines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679991657 PECOS PAC ID: 7214289636 Enrollment ID: I20181015000062 |
| Provider Name | Ashley Martinez Fento |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093125619 PECOS PAC ID: 8123396074 Enrollment ID: I20181023003661 |
| Provider Name | Katie Mellington Vemireddy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285048181 PECOS PAC ID: 8527326149 Enrollment ID: I20181030002291 |
| Provider Name | Christanna Rae Schuman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003255225 PECOS PAC ID: 1456642958 Enrollment ID: I20181105001892 |
| Provider Name | Lindsey Elizabeth Harward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871906123 PECOS PAC ID: 7315236056 Enrollment ID: I20181107003230 |
| Provider Name | Pallavi Sharma Gomadam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285994426 PECOS PAC ID: 7012229875 Enrollment ID: I20181111000023 |
| Provider Name | Patrick A. Cambier |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508828591 PECOS PAC ID: 2860457579 Enrollment ID: I20181119001045 |
| Provider Name | Julianne E Kenton-haney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841334091 PECOS PAC ID: 6507981784 Enrollment ID: I20181119002958 |
| Provider Name | Leena Jemba Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487137055 PECOS PAC ID: 6204170285 Enrollment ID: I20181203000097 |
| Provider Name | Elizabeth Mann Spencer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912277880 PECOS PAC ID: 8628312576 Enrollment ID: I20181203002906 |
| Provider Name | Jeffrey Richard Many |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003295072 PECOS PAC ID: 6002150935 Enrollment ID: I20181204002980 |
| Provider Name | Eileen Catherine Frager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255806030 PECOS PAC ID: 1951645720 Enrollment ID: I20181205001011 |
| Provider Name | Lysa A Long |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619110418 PECOS PAC ID: 9335485655 Enrollment ID: I20190108001594 |
| Provider Name | Denise Kaymara Dennis-coke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689010894 PECOS PAC ID: 1355636697 Enrollment ID: I20190115000297 |
| Provider Name | Jennifer M Mitch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639580996 PECOS PAC ID: 3274870977 Enrollment ID: I20190201002118 |
| Provider Name | Kelly Burke Flett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356497945 PECOS PAC ID: 6709923949 Enrollment ID: I20190205000192 |
| Provider Name | Ashish K Jain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619268430 PECOS PAC ID: 0244450351 Enrollment ID: I20190211001910 |
| Provider Name | Crystal Ammons Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457590507 PECOS PAC ID: 5698013639 Enrollment ID: I20190215002724 |
| Provider Name | Joanne E Perry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770050841 PECOS PAC ID: 5597005942 Enrollment ID: I20190320003489 |
| Provider Name | Mohammad Khalil Kasaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194987677 PECOS PAC ID: 9739313602 Enrollment ID: I20190327000225 |
| Provider Name | Sarah Marie Rumbaugh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144795444 PECOS PAC ID: 3072854157 Enrollment ID: I20190418001849 |
| Provider Name | Mary Rudd Crichton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598220907 PECOS PAC ID: 8224370994 Enrollment ID: I20190429001755 |
| Provider Name | Erica Lorrine Segers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982189460 PECOS PAC ID: 0345573093 Enrollment ID: I20190611003406 |
| Provider Name | Marlisa Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134555139 PECOS PAC ID: 8729387642 Enrollment ID: I20190615000196 |
| Provider Name | Sarah Soroosh Vandergoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679037071 PECOS PAC ID: 8123354644 Enrollment ID: I20190722002549 |
| Provider Name | Joann Wong Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437538386 PECOS PAC ID: 7810286069 Enrollment ID: I20190724000519 |
| Provider Name | James T Dugas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598320863 PECOS PAC ID: 7315273448 Enrollment ID: I20190729000392 |
| Provider Name | Carly Lynne Waller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649765389 PECOS PAC ID: 9436485398 Enrollment ID: I20190730003093 |
| Provider Name | Alexandra Boster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366837098 PECOS PAC ID: 5092011148 Enrollment ID: I20190812003821 |
| Provider Name | Frances Richardson Yancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801453923 PECOS PAC ID: 9638406663 Enrollment ID: I20190813002512 |
| Provider Name | Rafael Cavalcanti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417248089 PECOS PAC ID: 4880941947 Enrollment ID: I20190823000381 |
| Provider Name | Christian Tyler Kirkland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760879472 PECOS PAC ID: 5294056206 Enrollment ID: I20190827002815 |
| Provider Name | Laura Lynn Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245793546 PECOS PAC ID: 3375871478 Enrollment ID: I20190828000988 |
| Provider Name | Ashikaben K Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891180105 PECOS PAC ID: 7719280437 Enrollment ID: I20190828001485 |
| Provider Name | Larona Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669789772 PECOS PAC ID: 4981883014 Enrollment ID: I20190912000296 |
| Provider Name | Jason L Seitchik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891158598 PECOS PAC ID: 7315225877 Enrollment ID: I20190916001840 |
| Provider Name | Erin Elizabeth Straight |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427445527 PECOS PAC ID: 2668764036 Enrollment ID: I20190916002482 |
| Provider Name | Rebecca Caldwell Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467014175 PECOS PAC ID: 5991035578 Enrollment ID: I20190924003349 |
| Provider Name | Michael John Sexton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548240963 PECOS PAC ID: 2668702929 Enrollment ID: I20190930001131 |
| Provider Name | Elizabeth L Montague-farwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043690480 PECOS PAC ID: 6608167093 Enrollment ID: I20191003000923 |
| Provider Name | John Fani Srour |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982633178 PECOS PAC ID: 4082617626 Enrollment ID: I20191007000958 |
| Provider Name | Hillary A Robinowitz-elins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376511394 PECOS PAC ID: 8921109240 Enrollment ID: I20191009002057 |
| Provider Name | Lisa E Dunton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629637061 PECOS PAC ID: 3375874902 Enrollment ID: I20191014001819 |
| Provider Name | Nicholas Joseph Costa |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629368931 PECOS PAC ID: 0042513970 Enrollment ID: I20191017000030 |
| Provider Name | Melissa Rohrer Tungare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457904575 PECOS PAC ID: 9436480621 Enrollment ID: I20191021000900 |
| Provider Name | Leann Uon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689227936 PECOS PAC ID: 9638401714 Enrollment ID: I20191022001991 |
| Provider Name | Taisha C'mone Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884803 PECOS PAC ID: 6103123278 Enrollment ID: I20191106002562 |
| Provider Name | James T Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396745535 PECOS PAC ID: 3971608787 Enrollment ID: I20191111002419 |
| Provider Name | Kelly C. Wormer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497072177 PECOS PAC ID: 3072734946 Enrollment ID: I20191125000423 |
| Provider Name | Rashida A Mungin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467006999 PECOS PAC ID: 1951734920 Enrollment ID: I20191204003135 |
| Provider Name | Wendy S Bowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881880045 PECOS PAC ID: 1052491172 Enrollment ID: I20191211003100 |
| Provider Name | Hannah E Barnhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629619812 PECOS PAC ID: 1052744562 Enrollment ID: I20191213000333 |
| Provider Name | Margeaux Roman Mcgraw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104207802 PECOS PAC ID: 0840508669 Enrollment ID: I20200114002809 |
| Provider Name | Rahel Haimanot Alemu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194039636 PECOS PAC ID: 6709028640 Enrollment ID: I20200406002183 |
| Provider Name | Lisa Cannada |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205895513 PECOS PAC ID: 0042240749 Enrollment ID: I20200409000057 |
| Provider Name | Mercede Abrams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437784667 PECOS PAC ID: 4284064163 Enrollment ID: I20200416001129 |
| Provider Name | Gocha Saliashvili |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891999488 PECOS PAC ID: 6103996913 Enrollment ID: I20200501001504 |
| Provider Name | Meagan Tremblay Dameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215584784 PECOS PAC ID: 0042641516 Enrollment ID: I20200518000745 |
| Provider Name | Swiyyah Muhammad |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285283762 PECOS PAC ID: 7517388531 Enrollment ID: I20200529002515 |
| Provider Name | Daniel Pu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982960746 PECOS PAC ID: 3779816376 Enrollment ID: I20200601002607 |
| Provider Name | Aku Emefa Bedu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942737127 PECOS PAC ID: 4880965375 Enrollment ID: I20200626000211 |
| Provider Name | Whitney Ford Mcgarry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467811950 PECOS PAC ID: 6901228576 Enrollment ID: I20200629000503 |
| Provider Name | Oktay Rifki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679992416 PECOS PAC ID: 3971843640 Enrollment ID: I20200630002234 |
| Provider Name | Adam Strickland |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851657324 PECOS PAC ID: 1052543402 Enrollment ID: I20200701003106 |
| Provider Name | Natalie Lynn Bott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255794574 PECOS PAC ID: 1850687427 Enrollment ID: I20200707002225 |
| Provider Name | Jheel V Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396108411 PECOS PAC ID: 6103106885 Enrollment ID: I20200714001761 |
| Provider Name | Corey Scott Mottesheard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578098232 PECOS PAC ID: 5092088377 Enrollment ID: I20200721000713 |
| Provider Name | Ankita Patel Langan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790077311 PECOS PAC ID: 7315252855 Enrollment ID: I20200723000999 |
| Provider Name | Kelli Mccann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265964274 PECOS PAC ID: 8729364674 Enrollment ID: I20200724000006 |
| Provider Name | Kartik Shatagopam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083905061 PECOS PAC ID: 2961635750 Enrollment ID: I20200803000165 |
| Provider Name | Kyle W Ashland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025322 PECOS PAC ID: 4385939263 Enrollment ID: I20200807002224 |
| Provider Name | Samuel Tajiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720515760 PECOS PAC ID: 2264702539 Enrollment ID: I20200808000149 |
| Provider Name | David Mcnease George |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598175382 PECOS PAC ID: 6608099742 Enrollment ID: I20200812002143 |
| Provider Name | Mark Albert Amalfitano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952388266 PECOS PAC ID: 6204720287 Enrollment ID: I20200831000841 |
| Provider Name | Brittney Chantel Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265965727 PECOS PAC ID: 4880971480 Enrollment ID: I20200831001164 |
| Provider Name | Elizabeth Bates Ausbeck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548478019 PECOS PAC ID: 8426241027 Enrollment ID: I20200914001901 |
| Provider Name | Sara E Clymer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083938419 PECOS PAC ID: 9032339619 Enrollment ID: I20200914002071 |
| Provider Name | Erin Elizabeth Graham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235554098 PECOS PAC ID: 3870911480 Enrollment ID: I20200915000280 |
| Provider Name | Onyinye Obianuju Igbokwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609014133 PECOS PAC ID: 4486828290 Enrollment ID: I20201016001415 |
| Provider Name | Shannon Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407223712 PECOS PAC ID: 0446530653 Enrollment ID: I20201021001394 |
| Provider Name | Krystal Henley Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606361 PECOS PAC ID: 9931511318 Enrollment ID: I20201208002148 |
| Provider Name | Mitchell William Spahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447249735 PECOS PAC ID: 5294647665 Enrollment ID: I20201223000403 |
| Provider Name | Erin Elizabeth Hanks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467056416 PECOS PAC ID: 0345652954 Enrollment ID: I20201223000530 |
| Provider Name | Ana Carter Rainey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649875113 PECOS PAC ID: 1052724176 Enrollment ID: I20210111001503 |
| Provider Name | Julia Ann Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970574 PECOS PAC ID: 0345653358 Enrollment ID: I20210113000431 |
| Provider Name | Heather D Detrizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184236218 PECOS PAC ID: 0749696821 Enrollment ID: I20210316002638 |
| Provider Name | Alesha Lamm Respess |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306438957 PECOS PAC ID: 5395151351 Enrollment ID: I20210317001143 |
| Provider Name | Allison Farrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235721549 PECOS PAC ID: 3173931938 Enrollment ID: I20210415000143 |
| Provider Name | Rupesh Manam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184079519 PECOS PAC ID: 9638464217 Enrollment ID: I20210503000187 |
| Provider Name | Oliver Canahuate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144815606 PECOS PAC ID: 2668871567 Enrollment ID: I20210526000944 |
| Provider Name | Nicole Ashley Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942880778 PECOS PAC ID: 6103227640 Enrollment ID: I20210622001998 |
| Provider Name | Josiah Zubairu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376954776 PECOS PAC ID: 5496972374 Enrollment ID: I20210706000537 |
| Provider Name | Anish Vani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003227000 PECOS PAC ID: 4981939204 Enrollment ID: I20210708002097 |
| Provider Name | Savannah Rose Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750812434 PECOS PAC ID: 7911282074 Enrollment ID: I20210713002404 |
| Provider Name | Radoslava Djigrova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093203952 PECOS PAC ID: 7810240983 Enrollment ID: I20210720003975 |
| Provider Name | Christina Brose |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588044911 PECOS PAC ID: 2062721566 Enrollment ID: I20210727001366 |
| Provider Name | Morgan E Ferruzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366935728 PECOS PAC ID: 4981957057 Enrollment ID: I20210804000112 |
| Provider Name | Jasjeet Khural |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922492909 PECOS PAC ID: 1355649567 Enrollment ID: I20210805003177 |
| Provider Name | Christopher Michael Guido |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073018750 PECOS PAC ID: 6608123443 Enrollment ID: I20210810001817 |
| Provider Name | Rachel S Katzmark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316479090 PECOS PAC ID: 6507143617 Enrollment ID: I20210816001432 |
| Provider Name | Mark T Inda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659877678 PECOS PAC ID: 1355699349 Enrollment ID: I20210817000901 |
| Provider Name | Jacquelyne Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033640610 PECOS PAC ID: 3678850716 Enrollment ID: I20210820000931 |
| Provider Name | Jessica Van Kooten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740720317 PECOS PAC ID: 6204232242 Enrollment ID: I20210831001148 |
| Provider Name | Jennifer Ifeoma Obi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538663554 PECOS PAC ID: 1456609213 Enrollment ID: I20210901000201 |
| Provider Name | Manuel Tapia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740572106 PECOS PAC ID: 5294007258 Enrollment ID: I20210901003194 |
| Provider Name | Progga Das |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881126027 PECOS PAC ID: 6305242074 Enrollment ID: I20210903000469 |
| Provider Name | Kimberly Brown Holshouser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932872223 PECOS PAC ID: 3870999527 Enrollment ID: I20210907000661 |
| Provider Name | Kara Mia Villanueva Stratton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619401940 PECOS PAC ID: 4880960624 Enrollment ID: I20210910001533 |
| Provider Name | Emily Noelle Ellington |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407523772 PECOS PAC ID: 3577961978 Enrollment ID: I20211015002052 |
| Provider Name | Nikki Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609547652 PECOS PAC ID: 3870984404 Enrollment ID: I20211215001842 |
| Provider Name | Anjan Chakrabarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902111412 PECOS PAC ID: 8921237975 Enrollment ID: I20211217000278 |
| Provider Name | Katherine Sydney Menezes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811428154 PECOS PAC ID: 5496026478 Enrollment ID: I20211227000886 |
| Provider Name | Holly T Rabon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114689791 PECOS PAC ID: 6103218169 Enrollment ID: I20220125000644 |
| Provider Name | Marissa C Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700452943 PECOS PAC ID: 0345636031 Enrollment ID: I20220406000012 |
| Provider Name | Michael Ellsworth Drennen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598026551 PECOS PAC ID: 7719270321 Enrollment ID: I20220411000287 |
| Provider Name | Jaime Leigh Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386932499 PECOS PAC ID: 0941473854 Enrollment ID: I20220414001524 |
| Provider Name | Taria Battle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912590852 PECOS PAC ID: 9830505189 Enrollment ID: I20220428001163 |
| Provider Name | Rachel Findley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265174544 PECOS PAC ID: 8921485723 Enrollment ID: I20220517001846 |
| Provider Name | Pawan D Sarda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063720993 PECOS PAC ID: 5890018758 Enrollment ID: I20220527001678 |
| Provider Name | Jedediah K Mcmunn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992123772 PECOS PAC ID: 7113147711 Enrollment ID: I20220627001175 |
| Provider Name | Jack Xu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790239101 PECOS PAC ID: 5092049684 Enrollment ID: I20220711001738 |
| Provider Name | Kaitlyn Hurst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518317668 PECOS PAC ID: 0840582813 Enrollment ID: I20220712001474 |
| Provider Name | Bianca L. Stewart |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487151338 PECOS PAC ID: 0345598124 Enrollment ID: I20220712002366 |
| Provider Name | Lindsey M Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629632278 PECOS PAC ID: 9133554785 Enrollment ID: I20220718002781 |
| Provider Name | Elizabeth Joyce Trout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568955912 PECOS PAC ID: 3072866888 Enrollment ID: I20220719000521 |
| Provider Name | David Charles Mcalpine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831198134 PECOS PAC ID: 3870509284 Enrollment ID: I20220719000879 |
| Provider Name | Sunita Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457650566 PECOS PAC ID: 5991950719 Enrollment ID: I20220719003638 |
| Provider Name | Ifeoma Anulika Ilo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154609170 PECOS PAC ID: 8426215211 Enrollment ID: I20220803002625 |
| Provider Name | Rachel Alessandra Newsome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306409255 PECOS PAC ID: 2961737929 Enrollment ID: I20220804000131 |
| Provider Name | Macy Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750945978 PECOS PAC ID: 2365777554 Enrollment ID: I20220805002561 |
| Provider Name | Alexa K Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407343627 PECOS PAC ID: 3971854340 Enrollment ID: I20220809002009 |
| Provider Name | Rajat Dhungana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528369543 PECOS PAC ID: 1658515945 Enrollment ID: I20220813000122 |
| Provider Name | James Thomas Chapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861058927 PECOS PAC ID: 8729413372 Enrollment ID: I20220815000635 |
| Provider Name | Kristi T Balavage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104320563 PECOS PAC ID: 8123375284 Enrollment ID: I20220818001944 |
| Provider Name | Valentina Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861060667 PECOS PAC ID: 3476936733 Enrollment ID: I20220818002434 |
| Provider Name | Kyla Freeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225522758 PECOS PAC ID: 3274886965 Enrollment ID: I20220902001482 |
| Provider Name | Allison M Ring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013969955 PECOS PAC ID: 0143233973 Enrollment ID: I20220906002199 |
| Provider Name | Tyler M Harrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770043192 PECOS PAC ID: 8527472117 Enrollment ID: I20220919001676 |
| Provider Name | Jennifer Marie Shean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134866825 PECOS PAC ID: 3971989146 Enrollment ID: I20220926003672 |
| Provider Name | Percy T Causey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477655876 PECOS PAC ID: 7810094877 Enrollment ID: I20220929003632 |
| Provider Name | Danielle S Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750702072 PECOS PAC ID: 4789965344 Enrollment ID: I20221026002175 |
| Provider Name | Jin Zhao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083061923 PECOS PAC ID: 9638422017 Enrollment ID: I20221031000346 |
| Provider Name | Trina M Manalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073174066 PECOS PAC ID: 2567797780 Enrollment ID: I20221031003026 |
| Provider Name | John A Galat |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1326079674 PECOS PAC ID: 3779475595 Enrollment ID: I20221111001543 |
| Provider Name | Belinda J Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598480592 PECOS PAC ID: 5294103313 Enrollment ID: I20221122000501 |
| Provider Name | Leslie A Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528790425 PECOS PAC ID: 7214305143 Enrollment ID: I20221123002315 |
| Provider Name | Madan K Badal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457664880 PECOS PAC ID: 6305086760 Enrollment ID: I20221128002751 |
| Provider Name | Carlin Renee Leneave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528783552 PECOS PAC ID: 8325417694 Enrollment ID: I20221208000104 |
| Provider Name | Prakash Harikrishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053687954 PECOS PAC ID: 2668723529 Enrollment ID: I20221208000817 |
| Provider Name | Jada Mcgirt Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194422329 PECOS PAC ID: 6709251994 Enrollment ID: I20230330002026 |
| Provider Name | Virginia Gaulden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942962956 PECOS PAC ID: 9830588367 Enrollment ID: I20230331001605 |
| Provider Name | Patrice Nicole Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679298327 PECOS PAC ID: 4082089966 Enrollment ID: I20230406000467 |
| Provider Name | Haley Akin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760878524 PECOS PAC ID: 7618264094 Enrollment ID: I20230406000571 |
| Provider Name | Mawuse K Gbegnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982095881 PECOS PAC ID: 1759716301 Enrollment ID: I20230502000848 |
| Provider Name | Kara Simpson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346939212 PECOS PAC ID: 2365801610 Enrollment ID: I20230705000312 |
| Provider Name | Matthew Hall Rankin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285950782 PECOS PAC ID: 2961861133 Enrollment ID: I20230706001307 |
| Provider Name | Priyank Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285946988 PECOS PAC ID: 1052610631 Enrollment ID: I20230712000697 |
| Provider Name | Erin Marie Stein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598168486 PECOS PAC ID: 6901266725 Enrollment ID: I20230712001312 |
| Provider Name | Robert P Neubauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902435571 PECOS PAC ID: 1153781711 Enrollment ID: I20230714002048 |
| Provider Name | Adrienne Wiggins-metcalf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184144321 PECOS PAC ID: 8729353446 Enrollment ID: I20230724003331 |
| Provider Name | Erin Casey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528626777 PECOS PAC ID: 4183956162 Enrollment ID: I20230801003083 |
| Provider Name | Kaylee Vandommelen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063972180 PECOS PAC ID: 3678800174 Enrollment ID: I20230801003416 |
| Provider Name | Bria Blake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255990719 PECOS PAC ID: 4789914847 Enrollment ID: I20230803001951 |
| Provider Name | Hailey Mackenzie Brinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932883642 PECOS PAC ID: 8729449848 Enrollment ID: I20230804000955 |
| Provider Name | Stephanie Welsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952861098 PECOS PAC ID: 2062749138 Enrollment ID: I20230805000007 |
| Provider Name | Daniel Bernard Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255372090 PECOS PAC ID: 0840262978 Enrollment ID: I20230810001179 |
| Provider Name | Jay Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003378332 PECOS PAC ID: 8921460486 Enrollment ID: I20230815002895 |
| Provider Name | Alyssa Clare Zeitouni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801413380 PECOS PAC ID: 7618330614 Enrollment ID: I20230823003485 |
| Provider Name | Shana Rosal Greif |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447644885 PECOS PAC ID: 4688037351 Enrollment ID: I20230828004155 |
| Provider Name | Philip Cheung Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063699460 PECOS PAC ID: 1052589629 Enrollment ID: I20230831003335 |
| Provider Name | Solange Raejhon-doldron Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396421855 PECOS PAC ID: 9739543323 Enrollment ID: I20230914004287 |
| Provider Name | Brian W Clair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932460235 PECOS PAC ID: 1850699398 Enrollment ID: I20230918000224 |
| Provider Name | Rocio Claribel Tavarez Angeles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528629490 PECOS PAC ID: 1456705649 Enrollment ID: I20230921001444 |
| Provider Name | Arabindra Bahadur Katwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710010343 PECOS PAC ID: 2062546070 Enrollment ID: I20231002001781 |
| Provider Name | Merideth Courtney Lahoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275211070 PECOS PAC ID: 5294181319 Enrollment ID: I20231026000705 |
| Provider Name | Vamsee Lakkakula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902283013 PECOS PAC ID: 5294020152 Enrollment ID: I20231101003309 |
| Provider Name | Nardin Nabil Khalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386932838 PECOS PAC ID: 4587882378 Enrollment ID: I20231130001456 |
| Provider Name | Nancy Viola James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214124 PECOS PAC ID: 9032569348 Enrollment ID: I20231228003882 |
| Provider Name | Hannah Stocks Disano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669244794 PECOS PAC ID: 7517310691 Enrollment ID: I20240124004082 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |