| Ohiohealth Corporation | |
|
3535 Olentangy River Rd Columbus OH 43214-3908 | |
| (614) 533-5500 | |
| Not Available |
| Full Name | Ohiohealth Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3535 Olentangy River Rd, Columbus, Ohio |
| Authorized Official Name and Position | Heather N Hainey (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 6145446161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohiohealth Corporation Po Box 7527 Dublin OH 43017-0727 Ph: () - | Ohiohealth Corporation 3535 Olentangy River Rd Columbus OH 43214-3908 Ph: (614) 533-5500 |
| NPI Number | 1578545273 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 6305758426 |
|---|---|
| Medicare Enrollment ID | O20031105000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578545273 | NPI | - | NPPES |
| 2083347 | Medicaid | OH |
| Provider Name | Mitchell Jon Silver |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265437628 PECOS PAC ID: 9032022835 Enrollment ID: I20031107000482 |
| Provider Name | Sudhathi Chennuru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689740326 PECOS PAC ID: 6800700915 Enrollment ID: I20031113000476 |
| Provider Name | Chaoyang Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376589515 PECOS PAC ID: 9739093477 Enrollment ID: I20031119000099 |
| Provider Name | Ward P Buster |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851385181 PECOS PAC ID: 0446154769 Enrollment ID: I20031119000924 |
| Provider Name | James H Uselman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336146513 PECOS PAC ID: 9032013677 Enrollment ID: I20031125000109 |
| Provider Name | John Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518949106 PECOS PAC ID: 0143124727 Enrollment ID: I20031125000308 |
| Provider Name | Robert Alan Fada |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679568372 PECOS PAC ID: 1951206101 Enrollment ID: I20031202000158 |
| Provider Name | Craig William Osullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083755169 PECOS PAC ID: 5193620979 Enrollment ID: I20031204000679 |
| Provider Name | Shivkamini Somasundaram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760437982 PECOS PAC ID: 4688579477 Enrollment ID: I20031205000062 |
| Provider Name | Kimberly Jo Mcaninch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689663957 PECOS PAC ID: 0941105530 Enrollment ID: I20031205000523 |
| Provider Name | Pradyumna Kumar Padival |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851321806 PECOS PAC ID: 7012813512 Enrollment ID: I20031208000279 |
| Provider Name | Melissa Shannon Kirven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417915703 PECOS PAC ID: 2567368871 Enrollment ID: I20031209000192 |
| Provider Name | Anil S Gokhale |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740353879 PECOS PAC ID: 0244136554 Enrollment ID: I20031209000205 |
| Provider Name | Gregory A Kidwell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285740696 PECOS PAC ID: 4385557156 Enrollment ID: I20031210000215 |
| Provider Name | Douglas B Vanfossen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629039698 PECOS PAC ID: 8527964352 Enrollment ID: I20031211000234 |
| Provider Name | Danilo Polonia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851389324 PECOS PAC ID: 3971409657 Enrollment ID: I20031211001106 |
| Provider Name | Angela D Dygert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194856005 PECOS PAC ID: 9537066931 Enrollment ID: I20031215000503 |
| Provider Name | Catherine M Romano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598894016 PECOS PAC ID: 1759288624 Enrollment ID: I20031217001105 |
| Provider Name | David D Howell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154413557 PECOS PAC ID: 2769389659 Enrollment ID: I20031218000065 |
| Provider Name | Curtis Lee Gingrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639169600 PECOS PAC ID: 9830096726 Enrollment ID: I20031218000076 |
| Provider Name | Ann Marie Aring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215925433 PECOS PAC ID: 5395642102 Enrollment ID: I20031218000249 |
| Provider Name | Jennifer Lynn James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245235696 PECOS PAC ID: 2769389436 Enrollment ID: I20031219000004 |
| Provider Name | Mark A Lang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659300119 PECOS PAC ID: 7517865082 Enrollment ID: I20031222000459 |
| Provider Name | Jane Ellery Broecker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548360852 PECOS PAC ID: 3779481122 Enrollment ID: I20031223000318 |
| Provider Name | Jose J Norberto |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942203153 PECOS PAC ID: 8729986856 Enrollment ID: I20031226000280 |
| Provider Name | Kevin J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114921988 PECOS PAC ID: 7911805858 Enrollment ID: I20031230000462 |
| Provider Name | Christie L Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306953120 PECOS PAC ID: 2062311731 Enrollment ID: I20040105000001 |
| Provider Name | Edward P Rapach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972592244 PECOS PAC ID: 1153220322 Enrollment ID: I20040107000334 |
| Provider Name | Robert B Chambers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629012430 PECOS PAC ID: 2961301163 Enrollment ID: I20040109000276 |
| Provider Name | Timothy F Peters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558385526 PECOS PAC ID: 2264332972 Enrollment ID: I20040109000834 |
| Provider Name | Mark E Knable |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518954387 PECOS PAC ID: 5092616003 Enrollment ID: I20040114000103 |
| Provider Name | Richard Klapchar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740238039 PECOS PAC ID: 2365341195 Enrollment ID: I20040114000165 |
| Provider Name | Vipin Badhwar Koshal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598756447 PECOS PAC ID: 0840193967 Enrollment ID: I20040128000190 |
| Provider Name | Jaina Rachel Lindauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811926447 PECOS PAC ID: 7012810039 Enrollment ID: I20040128000730 |
| Provider Name | Jason Victor Melillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164510228 PECOS PAC ID: 6507769544 Enrollment ID: I20040128000828 |
| Provider Name | Sangeeta Jhaver Crouser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295823433 PECOS PAC ID: 9335042365 Enrollment ID: I20040128000884 |
| Provider Name | Raymond D Fuller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356424899 PECOS PAC ID: 9537062666 Enrollment ID: I20040129000488 |
| Provider Name | Kathleen Q Lutter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588764799 PECOS PAC ID: 2163325176 Enrollment ID: I20040129000988 |
| Provider Name | Alyson H Leeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235167115 PECOS PAC ID: 9335042340 Enrollment ID: I20040129001018 |
| Provider Name | George T Ho |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255390852 PECOS PAC ID: 8527951714 Enrollment ID: I20040203000295 |
| Provider Name | Eric V Jelinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780647560 PECOS PAC ID: 1153214309 Enrollment ID: I20040203000657 |
| Provider Name | Ronald Lakatos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093771123 PECOS PAC ID: 0749173714 Enrollment ID: I20040204000257 |
| Provider Name | John J Passias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740221423 PECOS PAC ID: 0345133351 Enrollment ID: I20040204000450 |
| Provider Name | Christina Bohnert Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407844970 PECOS PAC ID: 2567355472 Enrollment ID: I20040204001007 |
| Provider Name | Andrew Millan Narcelles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861480337 PECOS PAC ID: 5991698805 Enrollment ID: I20040204001023 |
| Provider Name | Kimberly Frederick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427044726 PECOS PAC ID: 9931092780 Enrollment ID: I20040205000240 |
| Provider Name | Michael Alan Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871511873 PECOS PAC ID: 1557254117 Enrollment ID: I20040206000128 |
| Provider Name | Scott Henson Merryman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003873191 PECOS PAC ID: 2365336534 Enrollment ID: I20040209001329 |
| Provider Name | Carl A Krantz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548339021 PECOS PAC ID: 2961397138 Enrollment ID: I20040217000639 |
| Provider Name | Adam James Hanje |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043361298 PECOS PAC ID: 1557256344 Enrollment ID: I20040219000859 |
| Provider Name | Rajiv Sinai Hede |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922093004 PECOS PAC ID: 7719872431 Enrollment ID: I20040220000021 |
| Provider Name | Wendy L Summerhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881668218 PECOS PAC ID: 0840184537 Enrollment ID: I20040220000094 |
| Provider Name | Cregg Duaine Ashcraft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548275340 PECOS PAC ID: 3375438914 Enrollment ID: I20040220000886 |
| Provider Name | Bernard Lee Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801887740 PECOS PAC ID: 0648166280 Enrollment ID: I20040223000417 |
| Provider Name | Francis P Degenova |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134114838 PECOS PAC ID: 0840186235 Enrollment ID: I20040224000135 |
| Provider Name | Gary Martin Ansel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932104387 PECOS PAC ID: 1153223904 Enrollment ID: I20040224001208 |
| Provider Name | Charles Francis Botti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962406439 PECOS PAC ID: 1355237504 Enrollment ID: I20040224001250 |
| Provider Name | Muhammad Nadeem Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184849499 PECOS PAC ID: 6901792142 Enrollment ID: I20040225000467 |
| Provider Name | John G Blair |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710977798 PECOS PAC ID: 1557255817 Enrollment ID: I20040226000198 |
| Provider Name | Susan D Borchers |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386648186 PECOS PAC ID: 7416855366 Enrollment ID: I20040226000210 |
| Provider Name | Wagih M Shehata |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801866017 PECOS PAC ID: 3577460054 Enrollment ID: I20040227000052 |
| Provider Name | Christina L Charles-beery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073512034 PECOS PAC ID: 3274420898 Enrollment ID: I20040301000000 |
| Provider Name | Nathan H Kander |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073518940 PECOS PAC ID: 6204738057 Enrollment ID: I20040303000551 |
| Provider Name | Anthony T Chapekis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558366906 PECOS PAC ID: 0042112898 Enrollment ID: I20040303000587 |
| Provider Name | Sanjay Mehta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265416374 PECOS PAC ID: 2264329192 Enrollment ID: I20040303001192 |
| Provider Name | Amani A Ramahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740396605 PECOS PAC ID: 1759279466 Enrollment ID: I20040305000200 |
| Provider Name | Steven Petar Balaloski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639110778 PECOS PAC ID: 4385532902 Enrollment ID: I20040305000957 |
| Provider Name | Yoichi C Imamura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679687479 PECOS PAC ID: 5496643868 Enrollment ID: I20040308000662 |
| Provider Name | Sherri L Westenskow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750356424 PECOS PAC ID: 6709775026 Enrollment ID: I20040315000164 |
| Provider Name | Kimberly M Frazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396713285 PECOS PAC ID: 4981592110 Enrollment ID: I20040317000064 |
| Provider Name | Edward J Weisenberger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336146075 PECOS PAC ID: 5193615854 Enrollment ID: I20040317000310 |
| Provider Name | David R Richards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285631366 PECOS PAC ID: 2769372416 Enrollment ID: I20040317000846 |
| Provider Name | David C Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548358716 PECOS PAC ID: 8325941354 Enrollment ID: I20040317000854 |
| Provider Name | Deana S Solaiman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851659247 PECOS PAC ID: 8628968278 Enrollment ID: I20040317000878 |
| Provider Name | Neal J Nesbitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710942594 PECOS PAC ID: 7810886629 Enrollment ID: I20040318000979 |
| Provider Name | Moses S Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558325902 PECOS PAC ID: 8820989635 Enrollment ID: I20040322001540 |
| Provider Name | Geeta Srivastava |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447230065 PECOS PAC ID: 5698666246 Enrollment ID: I20040323000645 |
| Provider Name | W D Craske |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922089390 PECOS PAC ID: 7911899752 Enrollment ID: I20040326001020 |
| Provider Name | Farzin Foruhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942249594 PECOS PAC ID: 0941192512 Enrollment ID: I20040327000440 |
| Provider Name | Andrew V Grainger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912903386 PECOS PAC ID: 1254223704 Enrollment ID: I20040329000571 |
| Provider Name | Stephen P Lenehan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760416341 PECOS PAC ID: 5698767721 Enrollment ID: I20040331000287 |
| Provider Name | Eyra Adjoa Agudu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902923980 PECOS PAC ID: 9931191079 Enrollment ID: I20040331000314 |
| Provider Name | Fatuma Nabuti Midamba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982674602 PECOS PAC ID: 3274525134 Enrollment ID: I20040331001114 |
| Provider Name | Jeffrey D Harbrecht |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699749424 PECOS PAC ID: 5496747248 Enrollment ID: I20040409000008 |
| Provider Name | William E Wise |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1770594251 PECOS PAC ID: 8729072913 Enrollment ID: I20040412000605 |
| Provider Name | Linbee Valencia Sayat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255374971 PECOS PAC ID: 9830183441 Enrollment ID: I20040414001027 |
| Provider Name | Lucia Chowdhury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851346647 PECOS PAC ID: 1254326333 Enrollment ID: I20040419000010 |
| Provider Name | Catherine A Coats |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831192020 PECOS PAC ID: 5496749426 Enrollment ID: I20040419000623 |
| Provider Name | Karl W Kumler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558344374 PECOS PAC ID: 9638061195 Enrollment ID: I20040419000872 |
| Provider Name | Julianne Brackin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851360358 PECOS PAC ID: 7810983863 Enrollment ID: I20040423000776 |
| Provider Name | Karanvir S Grewal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184629537 PECOS PAC ID: 9638165608 Enrollment ID: I20040423000950 |
| Provider Name | Dennis Arthur Calnon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295730646 PECOS PAC ID: 3678560430 Enrollment ID: I20040426001324 |
| Provider Name | Glen E Cooke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275571754 PECOS PAC ID: 5395732861 Enrollment ID: I20040427001090 |
| Provider Name | Allan J Nichols |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184621575 PECOS PAC ID: 2466448766 Enrollment ID: I20040428000161 |
| Provider Name | Eugene Y Fu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376540807 PECOS PAC ID: 5991792384 Enrollment ID: I20040428000272 |
| Provider Name | Stevan A Walkowski |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1790865418 PECOS PAC ID: 2668469867 Enrollment ID: I20040429000191 |
| Provider Name | Jacob M Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396783080 PECOS PAC ID: 2163419284 Enrollment ID: I20040429000401 |
| Provider Name | Sanjay Yadav |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528177714 PECOS PAC ID: 9133014814 Enrollment ID: I20040429000931 |
| Provider Name | John J Costa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043219041 PECOS PAC ID: 1254328347 Enrollment ID: I20040429000958 |
| Provider Name | Seth Levin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992826440 PECOS PAC ID: 6002803046 Enrollment ID: I20040429001333 |
| Provider Name | Christopher Brown |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912958935 PECOS PAC ID: 2264421874 Enrollment ID: I20040510000435 |
| Provider Name | Bohdan W Chopko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932183332 PECOS PAC ID: 3375532906 Enrollment ID: I20040511000645 |
| Provider Name | Michael J Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275633513 PECOS PAC ID: 1254239692 Enrollment ID: I20040512000252 |
| Provider Name | Jack M Ramey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407957996 PECOS PAC ID: 9537067970 Enrollment ID: I20040512000360 |
| Provider Name | James K Mcgraw |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700865896 PECOS PAC ID: 1951391416 Enrollment ID: I20040517000120 |
| Provider Name | David Andrew Sabol |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902890569 PECOS PAC ID: 8426049602 Enrollment ID: I20040518001482 |
| Provider Name | Jeffrey T Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013944826 PECOS PAC ID: 4587655576 Enrollment ID: I20040519000831 |
| Provider Name | Ebaa S Rajab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669438172 PECOS PAC ID: 7315938255 Enrollment ID: I20040520000293 |
| Provider Name | Pamela Ross Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760471288 PECOS PAC ID: 0244221810 Enrollment ID: I20040521000587 |
| Provider Name | Mark Anstadt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255331138 PECOS PAC ID: 7416948823 Enrollment ID: I20040524000062 |
| Provider Name | Jeffrey Gerald Fusco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851366397 PECOS PAC ID: 9830180116 Enrollment ID: I20040524001365 |
| Provider Name | Donald Carl Lemay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164480208 PECOS PAC ID: 0547241762 Enrollment ID: I20040525000929 |
| Provider Name | Yvonne A Efebera |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1285612986 PECOS PAC ID: 4587645700 Enrollment ID: I20040525000974 |
| Provider Name | Jason J Diehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982661013 PECOS PAC ID: 4587645502 Enrollment ID: I20040526000710 |
| Provider Name | Marcus R Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518965474 PECOS PAC ID: 3779564174 Enrollment ID: I20040529000138 |
| Provider Name | Richard Lyn Gummer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104809771 PECOS PAC ID: 9133100530 Enrollment ID: I20040529000141 |
| Provider Name | Armand A Bermudez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952341117 PECOS PAC ID: 9133100589 Enrollment ID: I20040601000424 |
| Provider Name | Laura Lynn Hocter Ousley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165608 PECOS PAC ID: 0042292328 Enrollment ID: I20040601001463 |
| Provider Name | John Laird Oehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801974431 PECOS PAC ID: 9931181211 Enrollment ID: I20040601001470 |
| Provider Name | Pantelhs Pete Varlas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134156250 PECOS PAC ID: 8123000718 Enrollment ID: I20040607000649 |
| Provider Name | Susan Lynn Schmelzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861660888 PECOS PAC ID: 1850374877 Enrollment ID: I20040610001211 |
| Provider Name | Andrew Scott Macdowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306852173 PECOS PAC ID: 5698758936 Enrollment ID: I20040615001715 |
| Provider Name | H Craig Stevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578605762 PECOS PAC ID: 8022915685 Enrollment ID: I20040616000588 |
| Provider Name | Charles G Stockton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235112038 PECOS PAC ID: 6002890001 Enrollment ID: I20040616001354 |
| Provider Name | Aref M Amro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740266717 PECOS PAC ID: 3779568894 Enrollment ID: I20040622001707 |
| Provider Name | Gregory Seidensticker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457384307 PECOS PAC ID: 0840275889 Enrollment ID: I20040623000172 |
| Provider Name | Cornelia Michelle Kacir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699884452 PECOS PAC ID: 6709862410 Enrollment ID: I20040624001334 |
| Provider Name | Christine D Hudak |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1871583823 PECOS PAC ID: 2961488085 Enrollment ID: I20040628001464 |
| Provider Name | Adam Michael Zochowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427056399 PECOS PAC ID: 0749266880 Enrollment ID: I20040628001658 |
| Provider Name | Jessica Eve Spelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609887017 PECOS PAC ID: 8325024201 Enrollment ID: I20040629001675 |
| Provider Name | Holly Renee Recob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659466720 PECOS PAC ID: 0446243091 Enrollment ID: I20040630000426 |
| Provider Name | John H Sirak |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1568418622 PECOS PAC ID: 3577541051 Enrollment ID: I20040712000067 |
| Provider Name | Khaled Meloud Sleik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033221056 PECOS PAC ID: 9234117722 Enrollment ID: I20040712000219 |
| Provider Name | Rundsarah Tahboub |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730161498 PECOS PAC ID: 2769460153 Enrollment ID: I20040712001023 |
| Provider Name | Nicholas Parkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700860095 PECOS PAC ID: 3173501426 Enrollment ID: I20040712001518 |
| Provider Name | Jaymin C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780785568 PECOS PAC ID: 9638158751 Enrollment ID: I20040714000309 |
| Provider Name | Allan Reier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699727313 PECOS PAC ID: 0547249435 Enrollment ID: I20040714001656 |
| Provider Name | Peter B George |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275538621 PECOS PAC ID: 9234118142 Enrollment ID: I20040715000210 |
| Provider Name | Seref M Bornovali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508862244 PECOS PAC ID: 9234126350 Enrollment ID: I20040715000609 |
| Provider Name | Bradford B Mullin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518964790 PECOS PAC ID: 0244143022 Enrollment ID: I20040715001132 |
| Provider Name | Robert J Gewirtz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316944689 PECOS PAC ID: 4981683661 Enrollment ID: I20040715001461 |
| Provider Name | Gregory W Balturshot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043216724 PECOS PAC ID: 4284613944 Enrollment ID: I20040716000014 |
| Provider Name | Eric G Dolen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1497734628 PECOS PAC ID: 4789663287 Enrollment ID: I20040719000117 |
| Provider Name | Sherri Lynn Reynolds Torma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538279526 PECOS PAC ID: 4082694237 Enrollment ID: I20040720001327 |
| Provider Name | Pierre Sumit Barua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063495620 PECOS PAC ID: 2668452004 Enrollment ID: I20040724000445 |
| Provider Name | Steven B Duff |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518966506 PECOS PAC ID: 5294634572 Enrollment ID: I20040726000460 |
| Provider Name | Shefali N Jhaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841239571 PECOS PAC ID: 8325018609 Enrollment ID: I20040727000167 |
| Provider Name | Kenneth A Mankowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942261243 PECOS PAC ID: 1052381316 Enrollment ID: I20040727001617 |
| Provider Name | Shakir Sarwar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609827989 PECOS PAC ID: 4981674769 Enrollment ID: I20040728001746 |
| Provider Name | Steven Donald Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508868605 PECOS PAC ID: 0941270722 Enrollment ID: I20040729000015 |
| Provider Name | Timothy J Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235109828 PECOS PAC ID: 5294705703 Enrollment ID: I20040730000254 |
| Provider Name | Thomas Salamon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871583732 PECOS PAC ID: 6901876341 Enrollment ID: I20040730001131 |
| Provider Name | David Matthew Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689715781 PECOS PAC ID: 1759351109 Enrollment ID: I20040730001179 |
| Provider Name | Bruce Alan Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972544013 PECOS PAC ID: 7315846714 Enrollment ID: I20040730001180 |
| Provider Name | Hariklia Louvakis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003834938 PECOS PAC ID: 5698746766 Enrollment ID: I20040803000546 |
| Provider Name | Zachary C Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457340473 PECOS PAC ID: 2062404866 Enrollment ID: I20040804001691 |
| Provider Name | Maria R Lucarelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114030723 PECOS PAC ID: 3476524158 Enrollment ID: I20040804001959 |
| Provider Name | Mark Dougla Wells |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215926597 PECOS PAC ID: 9638140163 Enrollment ID: I20040805001229 |
| Provider Name | Jeffrey S Silber |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1831178938 PECOS PAC ID: 5395724561 Enrollment ID: I20040810000886 |
| Provider Name | Geoffrey A Eubank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992799167 PECOS PAC ID: 6406750710 Enrollment ID: I20040811001207 |
| Provider Name | Olugbenga F Tolani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255439675 PECOS PAC ID: 8426020041 Enrollment ID: I20040812000613 |
| Provider Name | Ryan Randall Ristow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134173701 PECOS PAC ID: 3577536135 Enrollment ID: I20040813000081 |
| Provider Name | Daniel P Melaragno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821075045 PECOS PAC ID: 1153394366 Enrollment ID: I20040817000032 |
| Provider Name | Thomas L Blosser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851378061 PECOS PAC ID: 7113990037 Enrollment ID: I20040818000219 |
| Provider Name | Randall W Franz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053300319 PECOS PAC ID: 2163310608 Enrollment ID: I20040818001475 |
| Provider Name | Cherri Hendricks Hostetler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871677286 PECOS PAC ID: 0547233322 Enrollment ID: I20040819000021 |
| Provider Name | Troy Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841274552 PECOS PAC ID: 1951374727 Enrollment ID: I20040819001460 |
| Provider Name | Seth M Kantor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104833656 PECOS PAC ID: 6305810086 Enrollment ID: I20040819001642 |
| Provider Name | Donald L Mcneil |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134199300 PECOS PAC ID: 3577553155 Enrollment ID: I20040819001658 |
| Provider Name | Ajay Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982636700 PECOS PAC ID: 9335113356 Enrollment ID: I20040824001216 |
| Provider Name | Pamella J Kibbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457438566 PECOS PAC ID: 3971577933 Enrollment ID: I20040824001491 |
| Provider Name | Brian S Cohen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801811096 PECOS PAC ID: 0648244582 Enrollment ID: I20040825000662 |
| Provider Name | Adnan A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679578975 PECOS PAC ID: 3173597937 Enrollment ID: I20040825001697 |
| Provider Name | Anne R Albers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508865635 PECOS PAC ID: 7315912102 Enrollment ID: I20040826000263 |
| Provider Name | James Anthony Torma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659303543 PECOS PAC ID: 7315935335 Enrollment ID: I20040826001048 |
| Provider Name | David A Sabgir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962401083 PECOS PAC ID: 7618942343 Enrollment ID: I20040826001452 |
| Provider Name | Michael Eric Yaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891772034 PECOS PAC ID: 7315912912 Enrollment ID: I20040827000548 |
| Provider Name | Kelly V Buchanan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457451577 PECOS PAC ID: 1759357817 Enrollment ID: I20040909000492 |
| Provider Name | Richard R Costin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699789388 PECOS PAC ID: 4183619208 Enrollment ID: I20040917001056 |
| Provider Name | Matthew A Hintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871600098 PECOS PAC ID: 9739156985 Enrollment ID: I20040917001086 |
| Provider Name | Philip Stephen Perona |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346296399 PECOS PAC ID: 7012985773 Enrollment ID: I20040921000270 |
| Provider Name | Kenneth Charles Graffeo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134217862 PECOS PAC ID: 7810965498 Enrollment ID: I20040921001099 |
| Provider Name | Stacey Anne Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972583870 PECOS PAC ID: 8527036946 Enrollment ID: I20040922000983 |
| Provider Name | David P Lynch |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013987049 PECOS PAC ID: 5890764948 Enrollment ID: I20040927000579 |
| Provider Name | Kimberly Brawshaw Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730299066 PECOS PAC ID: 3971572991 Enrollment ID: I20040927001158 |
| Provider Name | Veronica L Palcich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124008230 PECOS PAC ID: 4789653718 Enrollment ID: I20040928000027 |
| Provider Name | Carol S Oconnor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326043746 PECOS PAC ID: 4789653692 Enrollment ID: I20040928000687 |
| Provider Name | Mandana Emami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962437483 PECOS PAC ID: 3072572296 Enrollment ID: I20041007000283 |
| Provider Name | Jennifer Watter Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659334902 PECOS PAC ID: 9133189053 Enrollment ID: I20041014001197 |
| Provider Name | Kathy A Horava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215990775 PECOS PAC ID: 9436119369 Enrollment ID: I20041014001258 |
| Provider Name | Connie Ann Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902869274 PECOS PAC ID: 1153381082 Enrollment ID: I20041014001269 |
| Provider Name | Bushra Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447217542 PECOS PAC ID: 5698735330 Enrollment ID: I20041015000960 |
| Provider Name | Todd Nelson Cardwell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891794913 PECOS PAC ID: 4385604958 Enrollment ID: I20041018000825 |
| Provider Name | Judson S Millhon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366441461 PECOS PAC ID: 8224098728 Enrollment ID: I20041018001091 |
| Provider Name | Hyung Suk Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891794814 PECOS PAC ID: 1557321056 Enrollment ID: I20041018001117 |
| Provider Name | Patricia A Rabinowitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871582148 PECOS PAC ID: 9335100502 Enrollment ID: I20041020001429 |
| Provider Name | Mark Catton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508855875 PECOS PAC ID: 2567423502 Enrollment ID: I20041022000371 |
| Provider Name | Laurel Meyers Zulliger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508963059 PECOS PAC ID: 8426019167 Enrollment ID: I20041025001240 |
| Provider Name | Jill Sears Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700901451 PECOS PAC ID: 7416918156 Enrollment ID: I20041026000008 |
| Provider Name | John Grant Galbraith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851473706 PECOS PAC ID: 7416918396 Enrollment ID: I20041026000015 |
| Provider Name | Bradley Alan Bryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467432658 PECOS PAC ID: 7416919972 Enrollment ID: I20041028000105 |
| Provider Name | Jason Dapore |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497743496 PECOS PAC ID: 0446212831 Enrollment ID: I20041028000403 |
| Provider Name | Robert Kloos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912950197 PECOS PAC ID: 9436111564 Enrollment ID: I20041101000979 |
| Provider Name | George R Connell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669461661 PECOS PAC ID: 7416919469 Enrollment ID: I20041101001235 |
| Provider Name | Cheryl A Kovach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831188978 PECOS PAC ID: 3779545728 Enrollment ID: I20041101001239 |
| Provider Name | Norman A Smyke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477542488 PECOS PAC ID: 4688636632 Enrollment ID: I20041101001240 |
| Provider Name | Arvind Mark Malik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790774065 PECOS PAC ID: 6002898277 Enrollment ID: I20041101001243 |
| Provider Name | Bradley Getz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528044260 PECOS PAC ID: 8527046911 Enrollment ID: I20041102001231 |
| Provider Name | Michael Romanelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144203944 PECOS PAC ID: 5597727404 Enrollment ID: I20041102001239 |
| Provider Name | Jon T Preston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538159322 PECOS PAC ID: 2365404274 Enrollment ID: I20041102001288 |
| Provider Name | James G Wittig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285657098 PECOS PAC ID: 3870556277 Enrollment ID: I20041108000021 |
| Provider Name | Mark Terry Rothstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932102985 PECOS PAC ID: 0840253126 Enrollment ID: I20041108000814 |
| Provider Name | Richard S Marger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285604272 PECOS PAC ID: 7315901642 Enrollment ID: I20041117000017 |
| Provider Name | Randy M Jernejcic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972568053 PECOS PAC ID: 1850355181 Enrollment ID: I20041117000028 |
| Provider Name | Melissa Deanne Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396077103 PECOS PAC ID: 0042274235 Enrollment ID: I20041117000515 |
| Provider Name | Tariq Jamil Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831112473 PECOS PAC ID: 4183689920 Enrollment ID: I20041122000431 |
| Provider Name | James Cummins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093706947 PECOS PAC ID: 9931164688 Enrollment ID: I20041122001313 |
| Provider Name | Karen C Evans |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720003932 PECOS PAC ID: 0547225823 Enrollment ID: I20041129000443 |
| Provider Name | Imtiaz Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407916505 PECOS PAC ID: 8820053879 Enrollment ID: I20041201000522 |
| Provider Name | Michael J Howkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144334012 PECOS PAC ID: 5294632105 Enrollment ID: I20041201001117 |
| Provider Name | Clint Jeremy Koenig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124000781 PECOS PAC ID: 7113822131 Enrollment ID: I20041202001000 |
| Provider Name | Katherine K Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689613309 PECOS PAC ID: 4789640525 Enrollment ID: I20041203000474 |
| Provider Name | Mitchell I Ballin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104866565 PECOS PAC ID: 2668439449 Enrollment ID: I20041214000036 |
| Provider Name | Maurice C Mast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811069305 PECOS PAC ID: 0446234520 Enrollment ID: I20041215001070 |
| Provider Name | John D Blackman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174694749 PECOS PAC ID: 5193709277 Enrollment ID: I20041215001072 |
| Provider Name | Steven L Ballas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326039447 PECOS PAC ID: 0941282479 Enrollment ID: I20041221000030 |
| Provider Name | Marsha Jayne Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124067202 PECOS PAC ID: 4880592674 Enrollment ID: I20041227000120 |
| Provider Name | Dana Marie Kromer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992741466 PECOS PAC ID: 2769440619 Enrollment ID: I20041227000126 |
| Provider Name | D Matthew Koehler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316031594 PECOS PAC ID: 5698723435 Enrollment ID: I20050107000495 |
| Provider Name | David Brian Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326037334 PECOS PAC ID: 9436107844 Enrollment ID: I20050111001142 |
| Provider Name | Jocelyn M Wray |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538141783 PECOS PAC ID: 7810946134 Enrollment ID: I20050113000601 |
| Provider Name | Kristin L Oaks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801891643 PECOS PAC ID: 9830148030 Enrollment ID: I20050114000121 |
| Provider Name | Karin D Schwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972580595 PECOS PAC ID: 2264481118 Enrollment ID: I20050118000502 |
| Provider Name | Lakshmi Seshadri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174560593 PECOS PAC ID: 0446209340 Enrollment ID: I20050118000873 |
| Provider Name | Karen Joan Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154392793 PECOS PAC ID: 8224088281 Enrollment ID: I20050127000190 |
| Provider Name | Carol S Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205805520 PECOS PAC ID: 0042268260 Enrollment ID: I20050131000570 |
| Provider Name | Karin H Moorma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871562512 PECOS PAC ID: 3274583976 Enrollment ID: I20050131000589 |
| Provider Name | Earl L Driggs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033109418 PECOS PAC ID: 3678524824 Enrollment ID: I20050204000064 |
| Provider Name | Ngozi Osuagwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992749766 PECOS PAC ID: 1153373832 Enrollment ID: I20050210001020 |
| Provider Name | Belinda Kay Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821318338 PECOS PAC ID: 3375595705 Enrollment ID: I20050214001028 |
| Provider Name | Nneka S Anyanechi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982824207 PECOS PAC ID: 1052363223 Enrollment ID: I20050216000110 |
| Provider Name | Robert Le Roy Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437183597 PECOS PAC ID: 5294788386 Enrollment ID: I20050301000636 |
| Provider Name | Jennifer Lynn Zorio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205863974 PECOS PAC ID: 9739132820 Enrollment ID: I20050301000649 |
| Provider Name | Monica Maria Carmona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467491738 PECOS PAC ID: 1153375001 Enrollment ID: I20050303000792 |
| Provider Name | Kimberly D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093792228 PECOS PAC ID: 1456305689 Enrollment ID: I20050309001030 |
| Provider Name | Linda M Bertolini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023007309 PECOS PAC ID: 1153375324 Enrollment ID: I20050310000311 |
| Provider Name | Raghu Kolluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053495325 PECOS PAC ID: 1658326673 Enrollment ID: I20050314000024 |
| Provider Name | James J Perez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073543500 PECOS PAC ID: 0244225571 Enrollment ID: I20050316000103 |
| Provider Name | Karen L Wood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821102468 PECOS PAC ID: 3870548159 Enrollment ID: I20050321000026 |
| Provider Name | Lori Marie Ostmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780671230 PECOS PAC ID: 3375598402 Enrollment ID: I20050322000217 |
| Provider Name | Christina Sue Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770521627 PECOS PAC ID: 6103872056 Enrollment ID: I20050324000138 |
| Provider Name | William J Fanning |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861467102 PECOS PAC ID: 9234186057 Enrollment ID: I20050405000030 |
| Provider Name | Brian S Kelley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003811407 PECOS PAC ID: 3870540339 Enrollment ID: I20050406000774 |
| Provider Name | Ranie H Cropper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740285154 PECOS PAC ID: 7315994803 Enrollment ID: I20050406000971 |
| Provider Name | Susan M Harding |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801891221 PECOS PAC ID: 8820045321 Enrollment ID: I20050406001086 |
| Provider Name | Barbara Jeanne Looser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558407742 PECOS PAC ID: 6406803808 Enrollment ID: I20050407000663 |
| Provider Name | Scott W Jarvis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760466692 PECOS PAC ID: 5395782486 Enrollment ID: I20050411000798 |
| Provider Name | Dale Levy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487639043 PECOS PAC ID: 6709823644 Enrollment ID: I20050413000004 |
| Provider Name | Jerzy Sterkowicz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386638831 PECOS PAC ID: 6709823511 Enrollment ID: I20050413000757 |
| Provider Name | Tamas Juhasz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851385413 PECOS PAC ID: 9133166846 Enrollment ID: I20050414000269 |
| Provider Name | Richard Patrick Belch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396755906 PECOS PAC ID: 0749228856 Enrollment ID: I20050420000093 |
| Provider Name | William Everett Addington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003807033 PECOS PAC ID: 6305883950 Enrollment ID: I20050420001103 |
| Provider Name | Laura Ann Popelar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154315257 PECOS PAC ID: 9537107289 Enrollment ID: I20050421001609 |
| Provider Name | Jacob P Burkhart |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720073992 PECOS PAC ID: 8628066636 Enrollment ID: I20050422000281 |
| Provider Name | Umamahesh Yellamraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982607925 PECOS PAC ID: 3274571963 Enrollment ID: I20050422000393 |
| Provider Name | Jeanne Lange Ashworth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720065576 PECOS PAC ID: 4981590965 Enrollment ID: I20050425000410 |
| Provider Name | Grace Charit Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083610372 PECOS PAC ID: 9335188077 Enrollment ID: I20050502000750 |
| Provider Name | Ariel Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346296472 PECOS PAC ID: 1052359692 Enrollment ID: I20050504000018 |
| Provider Name | Cathy Gail Benninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437162872 PECOS PAC ID: 8729028972 Enrollment ID: I20050506000131 |
| Provider Name | Bruce Green French |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568447696 PECOS PAC ID: 4082654249 Enrollment ID: I20050506000142 |
| Provider Name | Piyush N Sheth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609801893 PECOS PAC ID: 5294776977 Enrollment ID: I20050513000015 |
| Provider Name | John M Hamill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861483703 PECOS PAC ID: 7214978600 Enrollment ID: I20050516000885 |
| Provider Name | Jill Y Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750340915 PECOS PAC ID: 5193767986 Enrollment ID: I20050523000447 |
| Provider Name | Deborah Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235218637 PECOS PAC ID: 5395786552 Enrollment ID: I20050524000210 |
| Provider Name | Vincent Anthony Romanelli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811986185 PECOS PAC ID: 3072556026 Enrollment ID: I20050609001043 |
| Provider Name | James S Bembry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962468165 PECOS PAC ID: 8325082167 Enrollment ID: I20050614000011 |
| Provider Name | Melanie R Drake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508817016 PECOS PAC ID: 3375587652 Enrollment ID: I20050616001239 |
| Provider Name | Bruce L Hennessy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891788386 PECOS PAC ID: 3476597634 Enrollment ID: I20050617000656 |
| Provider Name | Scott W Arlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962495465 PECOS PAC ID: 3173567336 Enrollment ID: I20050617000677 |
| Provider Name | Larry J Lilly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497791180 PECOS PAC ID: 3274577531 Enrollment ID: I20050620000164 |
| Provider Name | Sheri Anne Knepel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992751077 PECOS PAC ID: 9032153101 Enrollment ID: I20050620000484 |
| Provider Name | Eric Russell Grimes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275598013 PECOS PAC ID: 1759326887 Enrollment ID: I20050620001079 |
| Provider Name | Margaret Anne Tonkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467552315 PECOS PAC ID: 3577508506 Enrollment ID: I20050621000717 |
| Provider Name | Susan M Davy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598704215 PECOS PAC ID: 4284679135 Enrollment ID: I20050622000447 |
| Provider Name | Amit Babubhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609850049 PECOS PAC ID: 8628013091 Enrollment ID: I20050627000189 |
| Provider Name | Carrie R Soder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538164926 PECOS PAC ID: 5092750380 Enrollment ID: I20050627001311 |
| Provider Name | Aradhi U Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306829908 PECOS PAC ID: 7911942115 Enrollment ID: I20050628000000 |
| Provider Name | Anne Theresa Litrizza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831172402 PECOS PAC ID: 3971549197 Enrollment ID: I20050628001073 |
| Provider Name | Kenneth Odin Cayce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427053610 PECOS PAC ID: 8729024815 Enrollment ID: I20050705000008 |
| Provider Name | Tejas A Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952342438 PECOS PAC ID: 4981640422 Enrollment ID: I20050706000476 |
| Provider Name | Shalini P Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558350694 PECOS PAC ID: 7517993827 Enrollment ID: I20050708000552 |
| Provider Name | Pablo A Gamboa |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659350890 PECOS PAC ID: 0840226825 Enrollment ID: I20050712000017 |
| Provider Name | James W Kaehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184659708 PECOS PAC ID: 0547296758 Enrollment ID: I20050712000265 |
| Provider Name | M Nizar Nizar Orfahli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780676981 PECOS PAC ID: 0042112005 Enrollment ID: I20050713000550 |
| Provider Name | David C Dewalt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821106014 PECOS PAC ID: 8224064902 Enrollment ID: I20050713001203 |
| Provider Name | Melinda Eileen Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073508354 PECOS PAC ID: 3375579824 Enrollment ID: I20050715000242 |
| Provider Name | Katherine Uveges Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073503736 PECOS PAC ID: 6103852520 Enrollment ID: I20050715000985 |
| Provider Name | Jesse Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194714196 PECOS PAC ID: 8527095983 Enrollment ID: I20050718001055 |
| Provider Name | Aaron Michael Fritz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801854138 PECOS PAC ID: 9133157589 Enrollment ID: I20050727001249 |
| Provider Name | Kathleen Michelle Provanzana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891736013 PECOS PAC ID: 6507894862 Enrollment ID: I20050728001034 |
| Provider Name | Suzanne T Casa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902845142 PECOS PAC ID: 4981632155 Enrollment ID: I20050728001198 |
| Provider Name | Timothy J Storer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376501734 PECOS PAC ID: 1254369432 Enrollment ID: I20050728001284 |
| Provider Name | Diana L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295793735 PECOS PAC ID: 9335177518 Enrollment ID: I20050728001288 |
| Provider Name | Mark A Dewalt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497724918 PECOS PAC ID: 7810925963 Enrollment ID: I20050729000666 |
| Provider Name | David Marques |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821073651 PECOS PAC ID: 2668400540 Enrollment ID: I20050801001298 |
| Provider Name | Michelle Duong Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396734679 PECOS PAC ID: 0749218527 Enrollment ID: I20050802000923 |
| Provider Name | Gary Craig Reid |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1750371795 PECOS PAC ID: 7416985049 Enrollment ID: I20050803000798 |
| Provider Name | Emily Suzanne Seng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417984212 PECOS PAC ID: 6002845385 Enrollment ID: I20050808000079 |
| Provider Name | Dana M Moulton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396740742 PECOS PAC ID: 1658300942 Enrollment ID: I20050808000147 |
| Provider Name | Thomas C Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689606675 PECOS PAC ID: 5294764320 Enrollment ID: I20050809001054 |
| Provider Name | Jennifer Lynn Papp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376579250 PECOS PAC ID: 8820027857 Enrollment ID: I20050809001161 |
| Provider Name | Mario William Puleo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932181500 PECOS PAC ID: 0648209676 Enrollment ID: I20050809001164 |
| Provider Name | Edward James Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881700342 PECOS PAC ID: 3870559669 Enrollment ID: I20050809001174 |
| Provider Name | Heather D Hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851309538 PECOS PAC ID: 7113956053 Enrollment ID: I20050810000946 |
| Provider Name | Anthony W Spatar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023059912 PECOS PAC ID: 7214966175 Enrollment ID: I20050810001100 |
| Provider Name | Joseph Frederick Davis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649235656 PECOS PAC ID: 6507895497 Enrollment ID: I20050810001284 |
| Provider Name | James A Betz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376533315 PECOS PAC ID: 8325077217 Enrollment ID: I20050810001288 |
| Provider Name | Richard Julius Seidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134227143 PECOS PAC ID: 3173553823 Enrollment ID: I20050812000881 |
| Provider Name | Roberta E Galford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033296827 PECOS PAC ID: 8729018239 Enrollment ID: I20050815000785 |
| Provider Name | Dawn M Prall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508822487 PECOS PAC ID: 9638109069 Enrollment ID: I20050816000632 |
| Provider Name | Melissa Ann Lenko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730105065 PECOS PAC ID: 6800826181 Enrollment ID: I20050816001004 |
| Provider Name | Charles A Pue |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447228705 PECOS PAC ID: 9830129147 Enrollment ID: I20050816001220 |
| Provider Name | Thulasi Karakula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124077722 PECOS PAC ID: 8820029648 Enrollment ID: I20050822000986 |
| Provider Name | Denise Marie Cambier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932156155 PECOS PAC ID: 0244261022 Enrollment ID: I20050823000018 |
| Provider Name | Elizabeth T Walz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609817261 PECOS PAC ID: 5597796375 Enrollment ID: I20050823000037 |
| Provider Name | Julie R Vieta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851347207 PECOS PAC ID: 6608806534 Enrollment ID: I20050823000230 |
| Provider Name | Nutan K Ruegsegger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700998218 PECOS PAC ID: 1951332428 Enrollment ID: I20050824000613 |
| Provider Name | David C Weil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841228772 PECOS PAC ID: 0941232367 Enrollment ID: I20050907000478 |
| Provider Name | Paul Richard Beery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508918319 PECOS PAC ID: 1355373622 Enrollment ID: I20050907000979 |
| Provider Name | Amy Deanne Miracle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710980891 PECOS PAC ID: 2264465251 Enrollment ID: I20050912000022 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891770665 PECOS PAC ID: 0648203356 Enrollment ID: I20050914000058 |
| Provider Name | Wilbur Edward Sever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780603282 PECOS PAC ID: 1052344264 Enrollment ID: I20050916000643 |
| Provider Name | Regina A Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053352286 PECOS PAC ID: 9335172410 Enrollment ID: I20050919000364 |
| Provider Name | Sanjeev Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295724524 PECOS PAC ID: 6608855507 Enrollment ID: I20050921000124 |
| Provider Name | Larry Ray Hromalik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497796460 PECOS PAC ID: 2567365539 Enrollment ID: I20050922000774 |
| Provider Name | Thomas E Freundlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205877347 PECOS PAC ID: 9234163643 Enrollment ID: I20050926000127 |
| Provider Name | Albert J Hart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821037086 PECOS PAC ID: 9739114554 Enrollment ID: I20050929001387 |
| Provider Name | Rena Michelle Henriques |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851324644 PECOS PAC ID: 3173558806 Enrollment ID: I20051002000001 |
| Provider Name | Barbara A Wynkoop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982651220 PECOS PAC ID: 5991730624 Enrollment ID: I20051002000004 |
| Provider Name | Lance Heston Shoemaker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679558332 PECOS PAC ID: 0446275622 Enrollment ID: I20051006000559 |
| Provider Name | Richard Fikes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176686 PECOS PAC ID: 0648295782 Enrollment ID: I20051007000786 |
| Provider Name | Edith Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952346116 PECOS PAC ID: 2163447228 Enrollment ID: I20051007000901 |
| Provider Name | Robert Edward Sears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477590636 PECOS PAC ID: 3577588201 Enrollment ID: I20051011000945 |
| Provider Name | Peter M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457398612 PECOS PAC ID: 0941225635 Enrollment ID: I20051011001230 |
| Provider Name | Lilian Quaye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942296256 PECOS PAC ID: 4385669803 Enrollment ID: I20051013000139 |
| Provider Name | Thomas J Boes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417953332 PECOS PAC ID: 9335172840 Enrollment ID: I20051013000601 |
| Provider Name | Nathan Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932216561 PECOS PAC ID: 6406872779 Enrollment ID: I20051017000877 |
| Provider Name | Winnie N Moazampour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427006923 PECOS PAC ID: 9931125184 Enrollment ID: I20051020000006 |
| Provider Name | Karen R Bailey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386709996 PECOS PAC ID: 0345204798 Enrollment ID: I20051027000044 |
| Provider Name | Karen Debora Dangelo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427099241 PECOS PAC ID: 0648214759 Enrollment ID: I20051027000885 |
| Provider Name | Bassel F Shneker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780768085 PECOS PAC ID: 3476570342 Enrollment ID: I20051031000052 |
| Provider Name | Jane I Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912975293 PECOS PAC ID: 9032136932 Enrollment ID: I20051031000315 |
| Provider Name | Kevin J Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043204704 PECOS PAC ID: 4284607250 Enrollment ID: I20051031000538 |
| Provider Name | Henry D Rocco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568457505 PECOS PAC ID: 4183641913 Enrollment ID: I20051031000583 |
| Provider Name | Ray C Wasielewski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407841455 PECOS PAC ID: 6709803539 Enrollment ID: I20051031000596 |
| Provider Name | Della Jane Lane-rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033199104 PECOS PAC ID: 8921025552 Enrollment ID: I20051101001243 |
| Provider Name | Meredith Nicole Mucha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962449777 PECOS PAC ID: 6204854862 Enrollment ID: I20051102001102 |
| Provider Name | Kristine Kaye Wickes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316970007 PECOS PAC ID: 5092733154 Enrollment ID: I20051107000895 |
| Provider Name | Susan C Lorenz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952593592 PECOS PAC ID: 6406874593 Enrollment ID: I20051107001224 |
| Provider Name | Raymond Gathiuni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609927763 PECOS PAC ID: 0547288417 Enrollment ID: I20051109000469 |
| Provider Name | Jason C Keith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740208511 PECOS PAC ID: 4789603309 Enrollment ID: I20051114000347 |
| Provider Name | Mohammed S Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316937360 PECOS PAC ID: 1557302197 Enrollment ID: I20051114000715 |
| Provider Name | Marianne Monet Willey Trotter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578622031 PECOS PAC ID: 5597784710 Enrollment ID: I20051117000047 |
| Provider Name | Mario Ammirati |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730137043 PECOS PAC ID: 6103812417 Enrollment ID: I20051117000828 |
| Provider Name | Paramvir S Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093990335 PECOS PAC ID: 0244259026 Enrollment ID: I20051122000453 |
| Provider Name | Stephanie A Sekula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871692400 PECOS PAC ID: 2062432305 Enrollment ID: I20051130000969 |
| Provider Name | Douglas Alan Katula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982680567 PECOS PAC ID: 2769402882 Enrollment ID: I20051202000630 |
| Provider Name | Tracy L Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457420911 PECOS PAC ID: 9335034503 Enrollment ID: I20051202000695 |
| Provider Name | Mitchel Lee Fromm |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881604817 PECOS PAC ID: 1153388269 Enrollment ID: I20051206000129 |
| Provider Name | Melissa L Boyles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235176645 PECOS PAC ID: 6800873415 Enrollment ID: I20051206000897 |
| Provider Name | Michael Alan Burgin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831154491 PECOS PAC ID: 3173544756 Enrollment ID: I20051210000018 |
| Provider Name | Craig Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902880909 PECOS PAC ID: 0749201234 Enrollment ID: I20051212000898 |
| Provider Name | Sarah Anne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265478044 PECOS PAC ID: 6901827120 Enrollment ID: I20051215000007 |
| Provider Name | Sunitha Raghavapoorn Cherukupally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780724682 PECOS PAC ID: 1355335597 Enrollment ID: I20051215000155 |
| Provider Name | Komal Narula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184724890 PECOS PAC ID: 9234151127 Enrollment ID: I20051220001009 |
| Provider Name | Elaine Anne Paul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245272160 PECOS PAC ID: 0547247157 Enrollment ID: I20051221000878 |
| Provider Name | Ronda Marie Gaiser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376586446 PECOS PAC ID: 8729065339 Enrollment ID: I20051221000912 |
| Provider Name | Chauncey Ruthienee Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982758314 PECOS PAC ID: 5890717052 Enrollment ID: I20051230000672 |
| Provider Name | Robert Edwin Exten |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205832375 PECOS PAC ID: 1850311200 Enrollment ID: I20060103000850 |
| Provider Name | Carolyn R Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659350775 PECOS PAC ID: 0941223945 Enrollment ID: I20060105000110 |
| Provider Name | Theresa Ann Back |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336130277 PECOS PAC ID: 9931122496 Enrollment ID: I20060110001196 |
| Provider Name | Darrin L Bright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760468920 PECOS PAC ID: 9436172749 Enrollment ID: I20060112000115 |
| Provider Name | Stuart R Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437228087 PECOS PAC ID: 5698660868 Enrollment ID: I20060113000510 |
| Provider Name | Michael S Lefkowitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932280906 PECOS PAC ID: 3173564820 Enrollment ID: I20060118000091 |
| Provider Name | Daniel J Ianni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295816288 PECOS PAC ID: 1557385580 Enrollment ID: I20060118000114 |
| Provider Name | Robert Theodore Woodruff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831131879 PECOS PAC ID: 7719901032 Enrollment ID: I20060125000307 |
| Provider Name | Mary E Gaeke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134180664 PECOS PAC ID: 1951315217 Enrollment ID: I20060130000148 |
| Provider Name | Anita L Schrader |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518978915 PECOS PAC ID: 0143234765 Enrollment ID: I20060202000378 |
| Provider Name | Kailash K Narayan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932214707 PECOS PAC ID: 7719991348 Enrollment ID: I20060202000438 |
| Provider Name | Elizabeth N Koffler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376510917 PECOS PAC ID: 9032123633 Enrollment ID: I20060202000969 |
| Provider Name | Santo Anthony Gaeta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730306267 PECOS PAC ID: 6406861814 Enrollment ID: I20060207000171 |
| Provider Name | Christopher Arthur Kovell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215948336 PECOS PAC ID: 0941215099 Enrollment ID: I20060213000000 |
| Provider Name | Edward R Zinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225318314 PECOS PAC ID: 0840205787 Enrollment ID: I20060214000021 |
| Provider Name | Marco Joseph Bonta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295704161 PECOS PAC ID: 3476586587 Enrollment ID: I20060215000872 |
| Provider Name | Abby A Lamp |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023066271 PECOS PAC ID: 7618982323 Enrollment ID: I20060217000002 |
| Provider Name | William J Lutmer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245279876 PECOS PAC ID: 0345255998 Enrollment ID: I20060217000511 |
| Provider Name | Gubert L Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285621490 PECOS PAC ID: 4789699331 Enrollment ID: I20060217000527 |
| Provider Name | Jacinda M Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144292418 PECOS PAC ID: 5193731206 Enrollment ID: I20060227000797 |
| Provider Name | Yamani S Gunawardena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083773550 PECOS PAC ID: 4587620091 Enrollment ID: I20060308000357 |
| Provider Name | Sherri Gail Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205846847 PECOS PAC ID: 3678580123 Enrollment ID: I20060308000760 |
| Provider Name | Wissam Sabbagh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104873348 PECOS PAC ID: 2365459435 Enrollment ID: I20060314000688 |
| Provider Name | Karen M Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558409201 PECOS PAC ID: 5395752471 Enrollment ID: I20060314000744 |
| Provider Name | Samuel Duane Westenskow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487685186 PECOS PAC ID: 0446267579 Enrollment ID: I20060315000438 |
| Provider Name | Mark J Piacentini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568478626 PECOS PAC ID: 7214944289 Enrollment ID: I20060315000821 |
| Provider Name | Thomas Houston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043320070 PECOS PAC ID: 6204821515 Enrollment ID: I20060320000000 |
| Provider Name | Matthew L Moorman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386687804 PECOS PAC ID: 3375551088 Enrollment ID: I20060322000269 |
| Provider Name | Mark Henry Cripe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649296534 PECOS PAC ID: 3678581873 Enrollment ID: I20060329000787 |
| Provider Name | Alfredo Lopez Figueroa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457333221 PECOS PAC ID: 8729098678 Enrollment ID: I20060424000014 |
| Provider Name | Marty Michael Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396787362 PECOS PAC ID: 7810907441 Enrollment ID: I20060427000140 |
| Provider Name | Kiran Kumar Devulapally |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659326445 PECOS PAC ID: 0446260970 Enrollment ID: I20060428000187 |
| Provider Name | William J Resch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174514004 PECOS PAC ID: 1557372596 Enrollment ID: I20060505000411 |
| Provider Name | Ronney Abaza |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134173339 PECOS PAC ID: 5698787158 Enrollment ID: I20060627000112 |
| Provider Name | Susan W Feeney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750321469 PECOS PAC ID: 7012929466 Enrollment ID: I20060629000074 |
| Provider Name | Michele Lowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841235884 PECOS PAC ID: 0345253597 Enrollment ID: I20060711000290 |
| Provider Name | Jennifer Roncone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386687465 PECOS PAC ID: 9739192998 Enrollment ID: I20060711000360 |
| Provider Name | Randhir Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962457572 PECOS PAC ID: 4385657287 Enrollment ID: I20060718000421 |
| Provider Name | Edward Paul Dominguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467400697 PECOS PAC ID: 1658384110 Enrollment ID: I20060728000355 |
| Provider Name | Lori Lee Woolison Rutter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689605255 PECOS PAC ID: 5395758890 Enrollment ID: I20060731000291 |
| Provider Name | Julie M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548218092 PECOS PAC ID: 6103839519 Enrollment ID: I20060801000004 |
| Provider Name | Gretchen M Gallucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033167572 PECOS PAC ID: 7012920424 Enrollment ID: I20060801000005 |
| Provider Name | Brian J Boyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770505992 PECOS PAC ID: 2365445590 Enrollment ID: I20060808000601 |
| Provider Name | Thomas E Conte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558329516 PECOS PAC ID: 2365470747 Enrollment ID: I20060810000018 |
| Provider Name | Patrick R Wells |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1013945641 PECOS PAC ID: 4789687898 Enrollment ID: I20060810000218 |
| Provider Name | Albert M Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902887789 PECOS PAC ID: 9133122252 Enrollment ID: I20060810000339 |
| Provider Name | Brian R Zeno |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033149596 PECOS PAC ID: 6709889785 Enrollment ID: I20060811000149 |
| Provider Name | Suresh Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288465 PECOS PAC ID: 3971506643 Enrollment ID: I20060818000156 |
| Provider Name | Andrew P Eilerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962476457 PECOS PAC ID: 7810990447 Enrollment ID: I20060821000080 |
| Provider Name | Kimberly L Tartt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134107386 PECOS PAC ID: 7719980283 Enrollment ID: I20060823000260 |
| Provider Name | Laurel E Marques |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508864604 PECOS PAC ID: 4486672623 Enrollment ID: I20060823000493 |
| Provider Name | Brian Zimmerman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376586651 PECOS PAC ID: 2365445756 Enrollment ID: I20060825000241 |
| Provider Name | Karen G King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659300275 PECOS PAC ID: 7315840329 Enrollment ID: I20060830000559 |
| Provider Name | Fatima Ijaz Chawdry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790890010 PECOS PAC ID: 5496759615 Enrollment ID: I20060830000563 |
| Provider Name | Liza Bennett Canowitz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346213089 PECOS PAC ID: 8224032321 Enrollment ID: I20060901000276 |
| Provider Name | Ann M Sage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396753125 PECOS PAC ID: 4880698869 Enrollment ID: I20060905000584 |
| Provider Name | Kelley Lee Clem |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518973577 PECOS PAC ID: 4587668454 Enrollment ID: I20060907000209 |
| Provider Name | Alisia Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184643967 PECOS PAC ID: 9830193358 Enrollment ID: I20060914000103 |
| Provider Name | Majid Taj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295837367 PECOS PAC ID: 1456356831 Enrollment ID: I20060918000265 |
| Provider Name | Shirlien A Metersky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801996103 PECOS PAC ID: 7012913635 Enrollment ID: I20061004000479 |
| Provider Name | Joseph James Ruane |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144210006 PECOS PAC ID: 7214933555 Enrollment ID: I20061010000703 |
| Provider Name | Atteqa Haidar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992812028 PECOS PAC ID: 3870599921 Enrollment ID: I20061012000171 |
| Provider Name | Robin Cammarota Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386683373 PECOS PAC ID: 5092749507 Enrollment ID: I20061016000587 |
| Provider Name | Marvin S Im |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154436665 PECOS PAC ID: 0042216889 Enrollment ID: I20061018000361 |
| Provider Name | Crystal Francesca Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083633432 PECOS PAC ID: 5799781449 Enrollment ID: I20061020000044 |
| Provider Name | Ram Chandran Kalyanam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801860457 PECOS PAC ID: 0143227769 Enrollment ID: I20061024000531 |
| Provider Name | Stephany K Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376529347 PECOS PAC ID: 0840297313 Enrollment ID: I20061025000424 |
| Provider Name | Marjorie Devol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942267125 PECOS PAC ID: 5991702995 Enrollment ID: I20061106000306 |
| Provider Name | Geraldine N Urse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285616722 PECOS PAC ID: 7113924044 Enrollment ID: I20061107000044 |
| Provider Name | Douglas B Paul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851381362 PECOS PAC ID: 9830196708 Enrollment ID: I20061107000337 |
| Provider Name | James Emiel Decaestecker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376533463 PECOS PAC ID: 1355348228 Enrollment ID: I20061107000367 |
| Provider Name | Saijal Ligas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699788497 PECOS PAC ID: 0648206847 Enrollment ID: I20061108000298 |
| Provider Name | Matvey V Bobylev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952310559 PECOS PAC ID: 7618975400 Enrollment ID: I20061109000353 |
| Provider Name | Donald E Hura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639116015 PECOS PAC ID: 1355349150 Enrollment ID: I20061109000447 |
| Provider Name | Kamilah M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558473116 PECOS PAC ID: 3476551896 Enrollment ID: I20061120000269 |
| Provider Name | Tarlok S Purewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881678381 PECOS PAC ID: 8325947252 Enrollment ID: I20061129000000 |
| Provider Name | Michael D Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891792248 PECOS PAC ID: 7911905948 Enrollment ID: I20061129000175 |
| Provider Name | Roger M Macklis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457315103 PECOS PAC ID: 3476552266 Enrollment ID: I20061205000161 |
| Provider Name | Michael Yu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104816131 PECOS PAC ID: 7618976853 Enrollment ID: I20061215000275 |
| Provider Name | Raghuram P Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699752543 PECOS PAC ID: 1557378718 Enrollment ID: I20061219000237 |
| Provider Name | Thomas M Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003858234 PECOS PAC ID: 5991704942 Enrollment ID: I20061220000415 |
| Provider Name | Sagarika Nayak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558363218 PECOS PAC ID: 0840290250 Enrollment ID: I20070109000535 |
| Provider Name | Anita Preeti Somani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255387635 PECOS PAC ID: 9638179815 Enrollment ID: I20070111000663 |
| Provider Name | David J Nicholson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083779466 PECOS PAC ID: 7012918030 Enrollment ID: I20070118000036 |
| Provider Name | Sreedhar Billakanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760539985 PECOS PAC ID: 3173524675 Enrollment ID: I20070126000076 |
| Provider Name | Stella Ling |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871695700 PECOS PAC ID: 0941269997 Enrollment ID: I20070129000319 |
| Provider Name | Yadwinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083608830 PECOS PAC ID: 3779585765 Enrollment ID: I20070205000050 |
| Provider Name | Philip H Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750380598 PECOS PAC ID: 4385677491 Enrollment ID: I20070209000462 |
| Provider Name | Daniel Thomas Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629122916 PECOS PAC ID: 6709888324 Enrollment ID: I20070212000351 |
| Provider Name | Sara M Alderman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215012851 PECOS PAC ID: 4688776917 Enrollment ID: I20070216000450 |
| Provider Name | Sandra K Thrasher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427100197 PECOS PAC ID: 0941104509 Enrollment ID: I20070220000023 |
| Provider Name | Arnold Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740274539 PECOS PAC ID: 4587766647 Enrollment ID: I20070221000252 |
| Provider Name | Edward T Arcy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316992662 PECOS PAC ID: 2062515109 Enrollment ID: I20070312000084 |
| Provider Name | Brenda S Rarick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396729422 PECOS PAC ID: 7618070103 Enrollment ID: I20070322000024 |
| Provider Name | James P Mackessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841226727 PECOS PAC ID: 0840394532 Enrollment ID: I20070406000330 |
| Provider Name | Nicholas John Tierney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821145848 PECOS PAC ID: 5092819672 Enrollment ID: I20070410000013 |
| Provider Name | Sherry L Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255407151 PECOS PAC ID: 2264537893 Enrollment ID: I20070410000466 |
| Provider Name | Donald A Fouts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811972532 PECOS PAC ID: 4183729437 Enrollment ID: I20070417000027 |
| Provider Name | Brent P Riscili |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245378611 PECOS PAC ID: 1052416823 Enrollment ID: I20070424000257 |
| Provider Name | Melinda K Jack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760543177 PECOS PAC ID: 0244335941 Enrollment ID: I20070424000548 |
| Provider Name | David Benjamin Goldfarb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578557310 PECOS PAC ID: 9638275654 Enrollment ID: I20070508000036 |
| Provider Name | Benjamin C Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659595866 PECOS PAC ID: 1355447269 Enrollment ID: I20070509000075 |
| Provider Name | Gregory D Gibbons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861486102 PECOS PAC ID: 3577669407 Enrollment ID: I20070509000308 |
| Provider Name | Brian M Isler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225022569 PECOS PAC ID: 3375649213 Enrollment ID: I20070509000329 |
| Provider Name | Victor J Jochem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932193620 PECOS PAC ID: 9537265475 Enrollment ID: I20070509000356 |
| Provider Name | Thomas C Ransbottom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043204381 PECOS PAC ID: 9739170887 Enrollment ID: I20070510000016 |
| Provider Name | Richard T Sheets |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316931652 PECOS PAC ID: 1557467446 Enrollment ID: I20070510000048 |
| Provider Name | Leena Tarigopula |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023002714 PECOS PAC ID: 6305942202 Enrollment ID: I20070510000114 |
| Provider Name | John J Ward |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013901354 PECOS PAC ID: 0244336048 Enrollment ID: I20070510000169 |
| Provider Name | David G Stockwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225069875 PECOS PAC ID: 2365446283 Enrollment ID: I20070514000455 |
| Provider Name | Matthew Lawrence Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598971665 PECOS PAC ID: 3375640592 Enrollment ID: I20070523000558 |
| Provider Name | Amy L Mcnaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255475349 PECOS PAC ID: 2668579723 Enrollment ID: I20070524000186 |
| Provider Name | Paul Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467679365 PECOS PAC ID: 7315045069 Enrollment ID: I20070605000098 |
| Provider Name | Gunwant S Mallik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376527663 PECOS PAC ID: 5294639514 Enrollment ID: I20070607000349 |
| Provider Name | Erin M Bertino |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043355688 PECOS PAC ID: 7012015381 Enrollment ID: I20070611000150 |
| Provider Name | Nathaniel K Long |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396860136 PECOS PAC ID: 0042318271 Enrollment ID: I20070612000005 |
| Provider Name | Steven Joseph Yakubov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316942782 PECOS PAC ID: 1052213808 Enrollment ID: I20070618000343 |
| Provider Name | Simrit Bhullar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417079450 PECOS PAC ID: 5395844237 Enrollment ID: I20070619000172 |
| Provider Name | Joel R Simmons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487861688 PECOS PAC ID: 6406955236 Enrollment ID: I20070620000196 |
| Provider Name | Rajalakshmi Esakky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942340849 PECOS PAC ID: 3870692338 Enrollment ID: I20070625000086 |
| Provider Name | Matthew J Mingione |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740210806 PECOS PAC ID: 2961443122 Enrollment ID: I20070702000659 |
| Provider Name | Eric Jason Okum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184737520 PECOS PAC ID: 1658345673 Enrollment ID: I20070709000310 |
| Provider Name | Robert Russell Brightwell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487602694 PECOS PAC ID: 1658471321 Enrollment ID: I20070710000812 |
| Provider Name | Glenn Robert Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649277039 PECOS PAC ID: 2264532969 Enrollment ID: I20070710001025 |
| Provider Name | Yun You Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972727568 PECOS PAC ID: 2466552104 Enrollment ID: I20070711000352 |
| Provider Name | Lisa S Gaines |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124008792 PECOS PAC ID: 1759481302 Enrollment ID: I20070711000523 |
| Provider Name | Troy D Fate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174514269 PECOS PAC ID: 9931200136 Enrollment ID: I20070718000252 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Thomas Goodlive |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033186960 PECOS PAC ID: 9638180987 Enrollment ID: I20070719000246 |
| Provider Name | Ahmad F Sabbagh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528180825 PECOS PAC ID: 4385745017 Enrollment ID: I20070725000619 |
| Provider Name | Terry Grogg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023019775 PECOS PAC ID: 4486567419 Enrollment ID: I20070726000313 |
| Provider Name | Julie A Bonko |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285667998 PECOS PAC ID: 0547361875 Enrollment ID: I20070731000025 |
| Provider Name | Christopher Meyer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1841238094 PECOS PAC ID: 2264416924 Enrollment ID: I20070801000503 |
| Provider Name | Samar Bir Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518168764 PECOS PAC ID: 7911098066 Enrollment ID: I20070803000585 |
| Provider Name | Jennifer L Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174609481 PECOS PAC ID: 4880785872 Enrollment ID: I20070806000345 |
| Provider Name | Bradley R Harrold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013068261 PECOS PAC ID: 0547351405 Enrollment ID: I20070807000138 |
| Provider Name | Twila D Pike |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982695821 PECOS PAC ID: 9638260573 Enrollment ID: I20070808000050 |
| Provider Name | Christian L Bonasso |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164429718 PECOS PAC ID: 7416048038 Enrollment ID: I20070810000104 |
| Provider Name | Loretta J Scism |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336346865 PECOS PAC ID: 9032200423 Enrollment ID: I20070814000892 |
| Provider Name | Thomas Edwin Baker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659330827 PECOS PAC ID: 9335135367 Enrollment ID: I20070814000895 |
| Provider Name | Yunpeng Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083732523 PECOS PAC ID: 9032201413 Enrollment ID: I20070815000885 |
| Provider Name | Vikram Tamaskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891735817 PECOS PAC ID: 0840382081 Enrollment ID: I20070817000468 |
| Provider Name | Mark T Isaac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083804199 PECOS PAC ID: 1254423270 Enrollment ID: I20070822001211 |
| Provider Name | Carrie Lembach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770668857 PECOS PAC ID: 4880786573 Enrollment ID: I20070827000288 |
| Provider Name | James E Sammons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134150097 PECOS PAC ID: 3476645045 Enrollment ID: I20070828000092 |
| Provider Name | Jacqueline T Rohl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164510533 PECOS PAC ID: 0547201311 Enrollment ID: I20070828000738 |
| Provider Name | Jamie K Waselenko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710911847 PECOS PAC ID: 4385687623 Enrollment ID: I20070829000297 |
| Provider Name | Jennifer Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629278601 PECOS PAC ID: 2769575901 Enrollment ID: I20070905000204 |
| Provider Name | Ahmed Mohamed Mosalem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730239021 PECOS PAC ID: 0143313114 Enrollment ID: I20070906000793 |
| Provider Name | Sara Ann Sukalich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316986243 PECOS PAC ID: 2860585650 Enrollment ID: I20070910001020 |
| Provider Name | Rebecca Elizabeth Devillers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366492589 PECOS PAC ID: 1759474547 Enrollment ID: I20070910001030 |
| Provider Name | Gregory S Mangen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386856581 PECOS PAC ID: 9931293321 Enrollment ID: I20070917000036 |
| Provider Name | Joseph George Lutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386610269 PECOS PAC ID: 9739273186 Enrollment ID: I20070917000456 |
| Provider Name | Jen-tzer Gau |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790757268 PECOS PAC ID: 5395734370 Enrollment ID: I20070919000034 |
| Provider Name | Douglas D Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982632022 PECOS PAC ID: 8123113727 Enrollment ID: I20070927000373 |
| Provider Name | Timothy R Holmes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356546790 PECOS PAC ID: 5597850883 Enrollment ID: I20071002000226 |
| Provider Name | Sarah H Bonza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487694709 PECOS PAC ID: 2264527142 Enrollment ID: I20071008000256 |
| Provider Name | Joel L Shaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457330078 PECOS PAC ID: 0941395750 Enrollment ID: I20071008000592 |
| Provider Name | Mihir R Bakhru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609074681 PECOS PAC ID: 0547355364 Enrollment ID: I20071009000020 |
| Provider Name | Luis Vaccarello |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225034622 PECOS PAC ID: 3971511759 Enrollment ID: I20071010000252 |
| Provider Name | Samih Bittar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992920524 PECOS PAC ID: 0042306631 Enrollment ID: I20071011000720 |
| Provider Name | Geetha Conjeevaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316940364 PECOS PAC ID: 7618064452 Enrollment ID: I20071026000155 |
| Provider Name | Bela Bhatt Koshal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487628954 PECOS PAC ID: 4880781509 Enrollment ID: I20071029000066 |
| Provider Name | Eric M Layne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316164817 PECOS PAC ID: 9032206792 Enrollment ID: I20071029000344 |
| Provider Name | Syed Zamir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093761926 PECOS PAC ID: 1759390099 Enrollment ID: I20071029000367 |
| Provider Name | David Terrence Applegate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225087513 PECOS PAC ID: 6901899558 Enrollment ID: I20071101000557 |
| Provider Name | Patrick P Flannagan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255324232 PECOS PAC ID: 2860493061 Enrollment ID: I20071106000079 |
| Provider Name | John M Holsinger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992997548 PECOS PAC ID: 5193813095 Enrollment ID: I20071109000410 |
| Provider Name | Kenneth V Gatto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972663003 PECOS PAC ID: 1658268685 Enrollment ID: I20071113000053 |
| Provider Name | Howard B Levin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548320690 PECOS PAC ID: 9133217946 Enrollment ID: I20071113000057 |
| Provider Name | Marjorie M Jasinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316131535 PECOS PAC ID: 6608964440 Enrollment ID: I20071113000500 |
| Provider Name | Jason L Barfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033314026 PECOS PAC ID: 4486742889 Enrollment ID: I20071119000493 |
| Provider Name | James Edward Silone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487657342 PECOS PAC ID: 9931297264 Enrollment ID: I20071120000137 |
| Provider Name | Thomas Edward Mceldowney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760573810 PECOS PAC ID: 9830156207 Enrollment ID: I20071120000149 |
| Provider Name | David Audet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316997828 PECOS PAC ID: 1658382452 Enrollment ID: I20071121000411 |
| Provider Name | Jeffrey D Hutchison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609824267 PECOS PAC ID: 6103915947 Enrollment ID: I20071203000203 |
| Provider Name | Steven M Frame |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881642874 PECOS PAC ID: 6709975550 Enrollment ID: I20071203000234 |
| Provider Name | Cynthia S Mellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891980801 PECOS PAC ID: 6103915541 Enrollment ID: I20071207000563 |
| Provider Name | Bill G Gegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285786418 PECOS PAC ID: 0143319319 Enrollment ID: I20071211000480 |
| Provider Name | Matthew Mchugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053459958 PECOS PAC ID: 7315036589 Enrollment ID: I20071211000490 |
| Provider Name | Julie Cantrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740328590 PECOS PAC ID: 5496844664 Enrollment ID: I20071211000500 |
| Provider Name | Abdul Basit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578555769 PECOS PAC ID: 2567552235 Enrollment ID: I20071218000408 |
| Provider Name | Jon P Walker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588716237 PECOS PAC ID: 6103924295 Enrollment ID: I20080110000270 |
| Provider Name | Jeffrey Kaufman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437157088 PECOS PAC ID: 6204916661 Enrollment ID: I20080110000409 |
| Provider Name | Lilly A Mcsweeny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992993547 PECOS PAC ID: 6406937135 Enrollment ID: I20080118000346 |
| Provider Name | Robert S Pema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194838458 PECOS PAC ID: 6608864616 Enrollment ID: I20080123000180 |
| Provider Name | Kevin D Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689677874 PECOS PAC ID: 3274615570 Enrollment ID: I20080125000119 |
| Provider Name | Julie Christine Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386622785 PECOS PAC ID: 0840372405 Enrollment ID: I20080205000115 |
| Provider Name | William Schirmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225049976 PECOS PAC ID: 7719060912 Enrollment ID: I20080212000050 |
| Provider Name | Joseph Ferrara Amato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215976055 PECOS PAC ID: 1456254424 Enrollment ID: I20080212000739 |
| Provider Name | Eric S Ward |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194811182 PECOS PAC ID: 9931282688 Enrollment ID: I20080219000139 |
| Provider Name | Karen A Glasgow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598749541 PECOS PAC ID: 2860576956 Enrollment ID: I20080228000004 |
| Provider Name | Joseph Bocka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386784270 PECOS PAC ID: 6305730672 Enrollment ID: I20080229000331 |
| Provider Name | Patricia L Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588834584 PECOS PAC ID: 7618963976 Enrollment ID: I20080312000161 |
| Provider Name | Leroy William Essig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093765653 PECOS PAC ID: 1052496254 Enrollment ID: I20080312000379 |
| Provider Name | Amol Arora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538365846 PECOS PAC ID: 5193800084 Enrollment ID: I20080318000174 |
| Provider Name | Jeffrey Alexander Meiring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639237332 PECOS PAC ID: 7618865197 Enrollment ID: I20080321000003 |
| Provider Name | Craig E Hanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578600565 PECOS PAC ID: 6608886874 Enrollment ID: I20080327000470 |
| Provider Name | Shane Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548309503 PECOS PAC ID: 1355427584 Enrollment ID: I20080327000491 |
| Provider Name | Emily T Klatte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548474406 PECOS PAC ID: 4284710302 Enrollment ID: I20080328000487 |
| Provider Name | Harvinder S Gill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346356821 PECOS PAC ID: 3274532676 Enrollment ID: I20080402000072 |
| Provider Name | Andreea Simona Herbei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215106950 PECOS PAC ID: 6406934330 Enrollment ID: I20080417000488 |
| Provider Name | Brian J Fornadel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194780981 PECOS PAC ID: 5698853265 Enrollment ID: I20080422000845 |
| Provider Name | Venkatakrishnan Rajaram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205939741 PECOS PAC ID: 2365520699 Enrollment ID: I20080425000680 |
| Provider Name | Katherine J Kropf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669578837 PECOS PAC ID: 5092813188 Enrollment ID: I20080506000264 |
| Provider Name | Michelle Ayo Dihoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326219130 PECOS PAC ID: 4688743875 Enrollment ID: I20080514000101 |
| Provider Name | Mona Rani Prasad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386771723 PECOS PAC ID: 0446329460 Enrollment ID: I20080516000546 |
| Provider Name | Donald Patrick Deep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679556245 PECOS PAC ID: 3779652516 Enrollment ID: I20080520000006 |
| Provider Name | Ian Mcnicoll Baird |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427034008 PECOS PAC ID: 6103995956 Enrollment ID: I20080520000130 |
| Provider Name | Joseph Michael Gastaldo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417933094 PECOS PAC ID: 9638248495 Enrollment ID: I20080520000148 |
| Provider Name | George James Gianakopoulos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407832082 PECOS PAC ID: 4880763648 Enrollment ID: I20080520000169 |
| Provider Name | Angela D Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730356536 PECOS PAC ID: 5193895191 Enrollment ID: I20080603000307 |
| Provider Name | Mark N Malinowski |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1457575961 PECOS PAC ID: 9032289624 Enrollment ID: I20080609000702 |
| Provider Name | Arinze Echezona Akusoba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366517591 PECOS PAC ID: 5092886374 Enrollment ID: I20080613000031 |
| Provider Name | Tobi Jo Toler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205003134 PECOS PAC ID: 3971674250 Enrollment ID: I20080613000061 |
| Provider Name | Jennifer Ann Dickerson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598887341 PECOS PAC ID: 1355412214 Enrollment ID: I20080619000659 |
| Provider Name | Michael J Harrigal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720264682 PECOS PAC ID: 2769553510 Enrollment ID: I20080623000034 |
| Provider Name | Clarice R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801060892 PECOS PAC ID: 3375614969 Enrollment ID: I20080625000770 |
| Provider Name | Jason Cappuzzello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215112149 PECOS PAC ID: 8224100839 Enrollment ID: I20080626000247 |
| Provider Name | Alaa Alahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538332796 PECOS PAC ID: 9830261353 Enrollment ID: I20080627000434 |
| Provider Name | Karen A Montgomery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952373052 PECOS PAC ID: 4688690191 Enrollment ID: I20080630000130 |
| Provider Name | Dhruti C Cramer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346411766 PECOS PAC ID: 9335211721 Enrollment ID: I20080630000322 |
| Provider Name | Adam N Ueberroth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316113491 PECOS PAC ID: 3375615487 Enrollment ID: I20080707000700 |
| Provider Name | Deepika Bathini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447347158 PECOS PAC ID: 7113940230 Enrollment ID: I20080709000216 |
| Provider Name | Deborah Jane Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205879129 PECOS PAC ID: 4183601792 Enrollment ID: I20080709000472 |
| Provider Name | Derek Edward Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053526889 PECOS PAC ID: 5395817274 Enrollment ID: I20080709000606 |
| Provider Name | Rahim Rahman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174725626 PECOS PAC ID: 5890867774 Enrollment ID: I20080709000643 |
| Provider Name | Jeremy Gene Daugherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548481799 PECOS PAC ID: 2769554658 Enrollment ID: I20080709000682 |
| Provider Name | Charles Wade Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427027770 PECOS PAC ID: 0244251874 Enrollment ID: I20080714000285 |
| Provider Name | Steven Neil Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578562153 PECOS PAC ID: 9436144771 Enrollment ID: I20080714000366 |
| Provider Name | Shawn R Kerger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164459186 PECOS PAC ID: 5698791838 Enrollment ID: I20080714000419 |
| Provider Name | Kristin Marie Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700091543 PECOS PAC ID: 5698848182 Enrollment ID: I20080716000491 |
| Provider Name | Ronald J Dorbish |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932301678 PECOS PAC ID: 2769555069 Enrollment ID: I20080721000025 |
| Provider Name | Judith Spieldenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467489823 PECOS PAC ID: 8921171711 Enrollment ID: I20080728000299 |
| Provider Name | John A Cocumelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629162763 PECOS PAC ID: 9032283890 Enrollment ID: I20080729000156 |
| Provider Name | Nseobong I Ntukidem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447474523 PECOS PAC ID: 8426048802 Enrollment ID: I20080729000397 |
| Provider Name | Vamsee Amirneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346400058 PECOS PAC ID: 1254405889 Enrollment ID: I20080731000085 |
| Provider Name | Katherine Elaine Binns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760697676 PECOS PAC ID: 8628143278 Enrollment ID: I20080818000346 |
| Provider Name | James Pulvino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194759548 PECOS PAC ID: 7911971114 Enrollment ID: I20080818000379 |
| Provider Name | Praveen Dubey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114957552 PECOS PAC ID: 2264507771 Enrollment ID: I20080819000173 |
| Provider Name | Krisanna L Deppen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003007741 PECOS PAC ID: 7214029727 Enrollment ID: I20080822000228 |
| Provider Name | Kanishka B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740491596 PECOS PAC ID: 2365517406 Enrollment ID: I20080825000125 |
| Provider Name | Elizabeth J Moffitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124195441 PECOS PAC ID: 7416059159 Enrollment ID: I20080904000011 |
| Provider Name | Mark A Hickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073516605 PECOS PAC ID: 8527134253 Enrollment ID: I20080904000199 |
| Provider Name | Peter R Bachwich |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366435463 PECOS PAC ID: 4486630191 Enrollment ID: I20080910000277 |
| Provider Name | Michelle L Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407054802 PECOS PAC ID: 7517033889 Enrollment ID: I20080910000506 |
| Provider Name | Kathleen Bertuna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770784613 PECOS PAC ID: 6305912551 Enrollment ID: I20080911000648 |
| Provider Name | Michael R Murnane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720041148 PECOS PAC ID: 1658447727 Enrollment ID: I20080915000226 |
| Provider Name | Rita M Mccloskey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801811922 PECOS PAC ID: 6204823248 Enrollment ID: I20080916000096 |
| Provider Name | Christopher M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437322013 PECOS PAC ID: 1759458730 Enrollment ID: I20080916000658 |
| Provider Name | Susan Julian |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730374729 PECOS PAC ID: 6800963828 Enrollment ID: I20080917000330 |
| Provider Name | Cynthia A Dorsey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114909421 PECOS PAC ID: 8123925641 Enrollment ID: I20080917000464 |
| Provider Name | Vismai C Sinha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609033661 PECOS PAC ID: 0941377808 Enrollment ID: I20080919000041 |
| Provider Name | Joaquin A Castaneda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801932447 PECOS PAC ID: 9032202569 Enrollment ID: I20080919000064 |
| Provider Name | Vinayak Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619181096 PECOS PAC ID: 1355418211 Enrollment ID: I20080919000083 |
| Provider Name | Joshua Braveman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1639151053 PECOS PAC ID: 3678522406 Enrollment ID: I20080919000321 |
| Provider Name | Rohit Makkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568636991 PECOS PAC ID: 1052488871 Enrollment ID: I20080922000009 |
| Provider Name | Jaena L Newman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598713679 PECOS PAC ID: 1052488806 Enrollment ID: I20080922000205 |
| Provider Name | Michelle P Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396914552 PECOS PAC ID: 9133296882 Enrollment ID: I20080922000300 |
| Provider Name | Mark Fetko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871563072 PECOS PAC ID: 7810891462 Enrollment ID: I20080922000497 |
| Provider Name | Marisa Dreisbach Maffett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619153103 PECOS PAC ID: 2860569555 Enrollment ID: I20080923000003 |
| Provider Name | Elizabeth A Zmuda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063612968 PECOS PAC ID: 2769559459 Enrollment ID: I20080923000010 |
| Provider Name | Thomas J Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598912628 PECOS PAC ID: 2163599879 Enrollment ID: I20080923000166 |
| Provider Name | Dawn Merritt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750573986 PECOS PAC ID: 6901973361 Enrollment ID: I20080926000240 |
| Provider Name | Aaron L Boster |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760641740 PECOS PAC ID: 6507933710 Enrollment ID: I20080930000065 |
| Provider Name | Thomas M Brady |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700865391 PECOS PAC ID: 5092772640 Enrollment ID: I20081018000272 |
| Provider Name | William Ballinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730167602 PECOS PAC ID: 5193883239 Enrollment ID: I20081018000275 |
| Provider Name | Anna K Wright |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1639326804 PECOS PAC ID: 0042378101 Enrollment ID: I20081020000169 |
| Provider Name | Mary Lou Garey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447436183 PECOS PAC ID: 0143388504 Enrollment ID: I20081029000428 |
| Provider Name | Beth A Boyles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871535799 PECOS PAC ID: 1456338060 Enrollment ID: I20081129000059 |
| Provider Name | Sara Ellen Bazan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568613263 PECOS PAC ID: 7113088741 Enrollment ID: I20081201000700 |
| Provider Name | Caroline Jane Maxey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902056286 PECOS PAC ID: 0840351987 Enrollment ID: I20081208000112 |
| Provider Name | Jennifer L Cartmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699925669 PECOS PAC ID: 1052472172 Enrollment ID: I20081208000759 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427168814 PECOS PAC ID: 4385706951 Enrollment ID: I20081217000060 |
| Provider Name | Suzanne H Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447272836 PECOS PAC ID: 9638231103 Enrollment ID: I20081217000193 |
| Provider Name | Sarah Leann Sams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881673010 PECOS PAC ID: 7618901729 Enrollment ID: I20090106000156 |
| Provider Name | Jennifer Heise Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942456348 PECOS PAC ID: 1355404955 Enrollment ID: I20090108000071 |
| Provider Name | Stacie L Presser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336384023 PECOS PAC ID: 4880757772 Enrollment ID: I20090121000110 |
| Provider Name | Albert Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154312718 PECOS PAC ID: 7012938392 Enrollment ID: I20090121000234 |
| Provider Name | Teri A Gharrity |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477705697 PECOS PAC ID: 8527122431 Enrollment ID: I20090121000475 |
| Provider Name | Regina R Whitfield Kekessi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831220524 PECOS PAC ID: 2163586025 Enrollment ID: I20090122000112 |
| Provider Name | Alok M Chaudhari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629290697 PECOS PAC ID: 0446314017 Enrollment ID: I20090126000602 |
| Provider Name | Marion Schuda |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265421531 PECOS PAC ID: 4587576640 Enrollment ID: I20090126000624 |
| Provider Name | Vicki Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548283088 PECOS PAC ID: 3274436282 Enrollment ID: I20090127000054 |
| Provider Name | Kim Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457337842 PECOS PAC ID: 0244394831 Enrollment ID: I20090127000060 |
| Provider Name | Linda Lemaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518941533 PECOS PAC ID: 3678637261 Enrollment ID: I20090127000078 |
| Provider Name | Daryl Cottrell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174507123 PECOS PAC ID: 6204990898 Enrollment ID: I20090127000094 |
| Provider Name | James O Neal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538159520 PECOS PAC ID: 8022172626 Enrollment ID: I20090127000101 |
| Provider Name | Teresa M George |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033193081 PECOS PAC ID: 1759445356 Enrollment ID: I20090127000107 |
| Provider Name | Robert Skully |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447362967 PECOS PAC ID: 5193889798 Enrollment ID: I20090127000123 |
| Provider Name | Mrunal Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710977756 PECOS PAC ID: 6608930177 Enrollment ID: I20090128000073 |
| Provider Name | William Carroll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669462446 PECOS PAC ID: 8921162207 Enrollment ID: I20090202000020 |
| Provider Name | Ruth Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679555247 PECOS PAC ID: 5890859177 Enrollment ID: I20090202000057 |
| Provider Name | Michael R Jennings |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386633170 PECOS PAC ID: 6507920881 Enrollment ID: I20090202000076 |
| Provider Name | Boris Pomerants |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164475034 PECOS PAC ID: 1153354337 Enrollment ID: I20090202000116 |
| Provider Name | Bradley D Arnold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629227509 PECOS PAC ID: 7315001344 Enrollment ID: I20090205000403 |
| Provider Name | Michael D Brogan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922091594 PECOS PAC ID: 8628965886 Enrollment ID: I20090205000696 |
| Provider Name | David Mcclure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023124369 PECOS PAC ID: 7618862764 Enrollment ID: I20090210000015 |
| Provider Name | Michael Jarosick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477693364 PECOS PAC ID: 5698830503 Enrollment ID: I20090210000146 |
| Provider Name | Shanda Welch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912159658 PECOS PAC ID: 6305900978 Enrollment ID: I20090210000553 |
| Provider Name | Marguerite W Weston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740491364 PECOS PAC ID: 5991860652 Enrollment ID: I20090211000817 |
| Provider Name | Leah Nicole Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124273677 PECOS PAC ID: 6406911833 Enrollment ID: I20090218000156 |
| Provider Name | Joseph Minarchek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558471557 PECOS PAC ID: 9830254150 Enrollment ID: I20090219000354 |
| Provider Name | Seth David Hoffman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932140696 PECOS PAC ID: 6103856307 Enrollment ID: I20090223000386 |
| Provider Name | Michael L Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114988540 PECOS PAC ID: 5092749721 Enrollment ID: I20090224000633 |
| Provider Name | William Michael Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225130917 PECOS PAC ID: 5890729024 Enrollment ID: I20090227000002 |
| Provider Name | Francisco Sosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376512657 PECOS PAC ID: 2365432952 Enrollment ID: I20090304000585 |
| Provider Name | Barbara Susan Harness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770735110 PECOS PAC ID: 8729144365 Enrollment ID: I20090305000280 |
| Provider Name | Dawn Sperling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851543185 PECOS PAC ID: 3476619032 Enrollment ID: I20090305000490 |
| Provider Name | Daniel R Colopy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669569547 PECOS PAC ID: 0547326886 Enrollment ID: I20090311000446 |
| Provider Name | William B Hammett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902827579 PECOS PAC ID: 4385700681 Enrollment ID: I20090312000230 |
| Provider Name | Kacy Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659347466 PECOS PAC ID: 2466519616 Enrollment ID: I20090316000401 |
| Provider Name | Ronobir R Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760698567 PECOS PAC ID: 1951468057 Enrollment ID: I20090317000194 |
| Provider Name | Melissa Blankenship |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457505984 PECOS PAC ID: 3274690938 Enrollment ID: I20090324000472 |
| Provider Name | Jaydeep Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578785903 PECOS PAC ID: 8325105687 Enrollment ID: I20090401000165 |
| Provider Name | Melissa Peters-marcus Nines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972753010 PECOS PAC ID: 7214084235 Enrollment ID: I20090408000695 |
| Provider Name | Patricia Hollingsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730117276 PECOS PAC ID: 5294737730 Enrollment ID: I20090409000002 |
| Provider Name | Timothy L Rheinscheld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790811727 PECOS PAC ID: 8325195225 Enrollment ID: I20090410000201 |
| Provider Name | Melissa Sue Jefferis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154504868 PECOS PAC ID: 5294882916 Enrollment ID: I20090416000113 |
| Provider Name | Jeannie L Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437300720 PECOS PAC ID: 8325196728 Enrollment ID: I20090423000019 |
| Provider Name | Anthony J Ewald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407048085 PECOS PAC ID: 1254489495 Enrollment ID: I20090428000413 |
| Provider Name | Brian E Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295929842 PECOS PAC ID: 8325196280 Enrollment ID: I20090501000475 |
| Provider Name | Michelle L Guilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306081948 PECOS PAC ID: 1052469889 Enrollment ID: I20090504000552 |
| Provider Name | Craig N Czyz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205043684 PECOS PAC ID: 6608944871 Enrollment ID: I20090508000276 |
| Provider Name | Tamara K Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295970366 PECOS PAC ID: 1052469566 Enrollment ID: I20090511000102 |
| Provider Name | Michael Poland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992813463 PECOS PAC ID: 9234162405 Enrollment ID: I20090512000447 |
| Provider Name | Satish Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669573168 PECOS PAC ID: 9234288564 Enrollment ID: I20090518000019 |
| Provider Name | Melinda A Henry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457514077 PECOS PAC ID: 2062561319 Enrollment ID: I20090518000088 |
| Provider Name | Brandy N Younge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669613253 PECOS PAC ID: 4486703527 Enrollment ID: I20090521000026 |
| Provider Name | Barbara J Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851536924 PECOS PAC ID: 9537218516 Enrollment ID: I20090521000432 |
| Provider Name | Richard Gerrit Bakker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528244357 PECOS PAC ID: 9436208345 Enrollment ID: I20090526000476 |
| Provider Name | David E Mcmahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033174339 PECOS PAC ID: 2264581867 Enrollment ID: I20090529000434 |
| Provider Name | Urmil B Pandya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619137601 PECOS PAC ID: 0345399960 Enrollment ID: I20090601000117 |
| Provider Name | Shay L Price |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013113836 PECOS PAC ID: 0345321741 Enrollment ID: I20090601000543 |
| Provider Name | Robert T Sickles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235116831 PECOS PAC ID: 2668522293 Enrollment ID: I20090602000561 |
| Provider Name | Thomas G Hospel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376529453 PECOS PAC ID: 5890845424 Enrollment ID: I20090602000594 |
| Provider Name | Alysia C Herzog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972585388 PECOS PAC ID: 8527118942 Enrollment ID: I20090605000343 |
| Provider Name | Saad A Hagras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740460161 PECOS PAC ID: 4880744143 Enrollment ID: I20090608000147 |
| Provider Name | Sharon Lynn Roble |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548474471 PECOS PAC ID: 5597815530 Enrollment ID: I20090611000793 |
| Provider Name | Shelley Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750327565 PECOS PAC ID: 9133279177 Enrollment ID: I20090612000001 |
| Provider Name | Christine E Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508008533 PECOS PAC ID: 8628128691 Enrollment ID: I20090612000267 |
| Provider Name | Richard B Fries |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033321567 PECOS PAC ID: 9739230400 Enrollment ID: I20090621000006 |
| Provider Name | Thomas Joseph Sweeney |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093711103 PECOS PAC ID: 0547311169 Enrollment ID: I20090622000441 |
| Provider Name | Peter J Kourlas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700882818 PECOS PAC ID: 4486705035 Enrollment ID: I20090623000003 |
| Provider Name | Joseph K Hofmeister |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710983002 PECOS PAC ID: 7012068661 Enrollment ID: I20090623000016 |
| Provider Name | Christopher George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679579981 PECOS PAC ID: 8022068683 Enrollment ID: I20090623000083 |
| Provider Name | Scott C Blair |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922004399 PECOS PAC ID: 1759331317 Enrollment ID: I20090623000111 |
| Provider Name | James Carlton Foster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770700320 PECOS PAC ID: 0446301006 Enrollment ID: I20090623000152 |
| Provider Name | Beth D Bajus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871728832 PECOS PAC ID: 1254482664 Enrollment ID: I20090625000084 |
| Provider Name | Douglas Diorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699751859 PECOS PAC ID: 1759432099 Enrollment ID: I20090629000014 |
| Provider Name | Ebunoluwa B Wion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194939694 PECOS PAC ID: 4284783143 Enrollment ID: I20090701000474 |
| Provider Name | Lorena K Donofrio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174731186 PECOS PAC ID: 9830240647 Enrollment ID: I20090707000466 |
| Provider Name | Gina Zilioli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427183029 PECOS PAC ID: 4183775919 Enrollment ID: I20090707000606 |
| Provider Name | John C Novak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619195880 PECOS PAC ID: 4688725450 Enrollment ID: I20090708000215 |
| Provider Name | Jody Gerome |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154531275 PECOS PAC ID: 1557413150 Enrollment ID: I20090713000238 |
| Provider Name | Elizabeth Y. Auyang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700026069 PECOS PAC ID: 9830241488 Enrollment ID: I20090714000084 |
| Provider Name | Elizabeth A Krall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275759631 PECOS PAC ID: 2264584812 Enrollment ID: I20090714000115 |
| Provider Name | Kristy Blum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629234034 PECOS PAC ID: 7214089796 Enrollment ID: I20090714000494 |
| Provider Name | Xingyi Que |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972694388 PECOS PAC ID: 6901957513 Enrollment ID: I20090720000139 |
| Provider Name | Bashar Alalao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720236862 PECOS PAC ID: 4981756020 Enrollment ID: I20090721000090 |
| Provider Name | Sung Ho Yi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265642961 PECOS PAC ID: 6608928650 Enrollment ID: I20090722000308 |
| Provider Name | Douglas Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215931704 PECOS PAC ID: 2365595162 Enrollment ID: I20090727000388 |
| Provider Name | Zulfikar Amin Sharif |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275570640 PECOS PAC ID: 0042213258 Enrollment ID: I20090728000144 |
| Provider Name | Suzanne M Barnhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639231616 PECOS PAC ID: 0345312757 Enrollment ID: I20090729000684 |
| Provider Name | Annette Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285823385 PECOS PAC ID: 7719030345 Enrollment ID: I20090730000008 |
| Provider Name | Anish K Amin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750509774 PECOS PAC ID: 8628121829 Enrollment ID: I20090806000002 |
| Provider Name | Henry Wehrum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033213137 PECOS PAC ID: 6507778404 Enrollment ID: I20090812000368 |
| Provider Name | Ann Eaton Pema |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275529075 PECOS PAC ID: 9739233404 Enrollment ID: I20090814000071 |
| Provider Name | Gregory Figg |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508080938 PECOS PAC ID: 7113092362 Enrollment ID: I20090814000380 |
| Provider Name | Heather M Lake |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295857043 PECOS PAC ID: 3173677739 Enrollment ID: I20090817000060 |
| Provider Name | Faisal A Rahman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447417126 PECOS PAC ID: 7618022708 Enrollment ID: I20090825000417 |
| Provider Name | Edward M Chernick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376547182 PECOS PAC ID: 2961300819 Enrollment ID: I20090826000063 |
| Provider Name | Leah Heinlen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245215094 PECOS PAC ID: 9335294362 Enrollment ID: I20090827000276 |
| Provider Name | Aaron W Haney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134214984 PECOS PAC ID: 0840345807 Enrollment ID: I20090827000542 |
| Provider Name | Brad S Efaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841275229 PECOS PAC ID: 2466507439 Enrollment ID: I20090827000663 |
| Provider Name | Jayme Rock-willoughby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598924573 PECOS PAC ID: 7012062912 Enrollment ID: I20090828000104 |
| Provider Name | Elwood Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841477171 PECOS PAC ID: 2062585227 Enrollment ID: I20090902000564 |
| Provider Name | Amanda D Maynard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457559171 PECOS PAC ID: 0749335198 Enrollment ID: I20090908000529 |
| Provider Name | Narcis A Papadopol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982823928 PECOS PAC ID: 4880749126 Enrollment ID: I20090910000003 |
| Provider Name | Sharistha I Peerzade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700010972 PECOS PAC ID: 1052467230 Enrollment ID: I20090914000675 |
| Provider Name | Angela S Casey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467572743 PECOS PAC ID: 3173612876 Enrollment ID: I20090915000109 |
| Provider Name | Pragna Bharat Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952533622 PECOS PAC ID: 7618023763 Enrollment ID: I20090915000660 |
| Provider Name | Nancy Henceroth-gatto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164497335 PECOS PAC ID: 0244221539 Enrollment ID: I20090916000009 |
| Provider Name | Carolyn R Yost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396955498 PECOS PAC ID: 5698821668 Enrollment ID: I20090916000036 |
| Provider Name | Patricia Annette Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639307721 PECOS PAC ID: 8527114586 Enrollment ID: I20090917000021 |
| Provider Name | Edmund Kassis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568518538 PECOS PAC ID: 4981686433 Enrollment ID: I20090917000471 |
| Provider Name | Hetul Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720289952 PECOS PAC ID: 6204982093 Enrollment ID: I20090921000035 |
| Provider Name | Gregory K.w. Lam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255319760 PECOS PAC ID: 5395760912 Enrollment ID: I20090921000252 |
| Provider Name | Amy H Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821055575 PECOS PAC ID: 6406823442 Enrollment ID: I20090924000119 |
| Provider Name | Katherine A Able-perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174751143 PECOS PAC ID: 1254487739 Enrollment ID: I20090924000591 |
| Provider Name | Julie Anne Glatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881662427 PECOS PAC ID: 0042294498 Enrollment ID: I20090928000350 |
| Provider Name | Nitin Gera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699902122 PECOS PAC ID: 1759437072 Enrollment ID: I20090928000633 |
| Provider Name | Nicolay Kazimirko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881697142 PECOS PAC ID: 2062558356 Enrollment ID: I20090929000514 |
| Provider Name | Nisha G Seck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235356775 PECOS PAC ID: 3779629019 Enrollment ID: I20090930000305 |
| Provider Name | Francisco C Buendia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588606784 PECOS PAC ID: 1153467113 Enrollment ID: I20091005000371 |
| Provider Name | Satish Gonela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952561755 PECOS PAC ID: 7618013616 Enrollment ID: I20091006000014 |
| Provider Name | Steven A Santanello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316936263 PECOS PAC ID: 4082646419 Enrollment ID: I20091006000324 |
| Provider Name | George N Onderko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689863409 PECOS PAC ID: 4587700471 Enrollment ID: I20091007000154 |
| Provider Name | Svetlana Onderko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225217235 PECOS PAC ID: 6709922602 Enrollment ID: I20091007000217 |
| Provider Name | Nosayaba Agidigbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356572879 PECOS PAC ID: 3779629696 Enrollment ID: I20091007000368 |
| Provider Name | Kelly H Tyler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952523722 PECOS PAC ID: 7315038197 Enrollment ID: I20091013000027 |
| Provider Name | Sarah B Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649444621 PECOS PAC ID: 2961548573 Enrollment ID: I20091013000542 |
| Provider Name | Nicholas Davakis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730120205 PECOS PAC ID: 1951394931 Enrollment ID: I20091020000003 |
| Provider Name | Bruce Fleishman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508812769 PECOS PAC ID: 2769475748 Enrollment ID: I20091020000005 |
| Provider Name | Lucas D Beeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629279500 PECOS PAC ID: 5597802702 Enrollment ID: I20091021000067 |
| Provider Name | Fayyaz Hashmi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790757847 PECOS PAC ID: 5193788446 Enrollment ID: I20091021000352 |
| Provider Name | Rhonda Tipple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467786210 PECOS PAC ID: 6204973316 Enrollment ID: I20091022000140 |
| Provider Name | Peter B Amsterdam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487692570 PECOS PAC ID: 5395882930 Enrollment ID: I20091030000091 |
| Provider Name | Abraham Parail |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073551909 PECOS PAC ID: 3779620224 Enrollment ID: I20091102000476 |
| Provider Name | Cory D Mehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154655595 PECOS PAC ID: 1052458510 Enrollment ID: I20091102000588 |
| Provider Name | Hari K Perali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194933192 PECOS PAC ID: 4082752423 Enrollment ID: I20091105000260 |
| Provider Name | Timothy L Timko |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508865593 PECOS PAC ID: 2769387786 Enrollment ID: I20091106000068 |
| Provider Name | Jeffery L Neuhauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326080821 PECOS PAC ID: 5991854952 Enrollment ID: I20091106000174 |
| Provider Name | Shannon Christine Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730414962 PECOS PAC ID: 9335287663 Enrollment ID: I20091106000389 |
| Provider Name | Keith D Levendorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164527362 PECOS PAC ID: 9537072475 Enrollment ID: I20091110000174 |
| Provider Name | Ajay Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023258381 PECOS PAC ID: 4688712482 Enrollment ID: I20091116000625 |
| Provider Name | Michael Shannon Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396070769 PECOS PAC ID: 4688712359 Enrollment ID: I20091117000711 |
| Provider Name | Tiffany J Reusser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437483625 PECOS PAC ID: 7719026186 Enrollment ID: I20091124000098 |
| Provider Name | John Kevin Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063642205 PECOS PAC ID: 2062551237 Enrollment ID: I20091201000232 |
| Provider Name | Leeanna K Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164759502 PECOS PAC ID: 1658410782 Enrollment ID: I20091203000391 |
| Provider Name | Monique C Ganucheau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881921674 PECOS PAC ID: 4981743952 Enrollment ID: I20091204000010 |
| Provider Name | Jesse J Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922056407 PECOS PAC ID: 6305985029 Enrollment ID: I20091209000177 |
| Provider Name | Jennifer L Bourne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871829291 PECOS PAC ID: 7315087616 Enrollment ID: I20091217000409 |
| Provider Name | Julie H Coffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487830329 PECOS PAC ID: 2365582574 Enrollment ID: I20091221000073 |
| Provider Name | Gina Springer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619203528 PECOS PAC ID: 1355482050 Enrollment ID: I20100104000032 |
| Provider Name | Katherine E Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508912361 PECOS PAC ID: 8628980927 Enrollment ID: I20100104000272 |
| Provider Name | Puran Karra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083940019 PECOS PAC ID: 9931240587 Enrollment ID: I20100105000567 |
| Provider Name | Anil Jagetia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023019486 PECOS PAC ID: 6204908809 Enrollment ID: I20100119000189 |
| Provider Name | Ernesto O Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922047125 PECOS PAC ID: 7113069824 Enrollment ID: I20100119000329 |
| Provider Name | Terry Scott Slayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538137740 PECOS PAC ID: 0547239030 Enrollment ID: I20100121000764 |
| Provider Name | Louis C Keiler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033322219 PECOS PAC ID: 0648348706 Enrollment ID: I20100202000164 |
| Provider Name | Karen E Kirkham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609832484 PECOS PAC ID: 8729121538 Enrollment ID: I20100202000533 |
| Provider Name | Miranda L Coey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538498050 PECOS PAC ID: 5395888036 Enrollment ID: I20100203000822 |
| Provider Name | Phillip Carl Rosmarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962507830 PECOS PAC ID: 0042353591 Enrollment ID: I20100205000082 |
| Provider Name | Heather B Hawley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437488954 PECOS PAC ID: 0143363499 Enrollment ID: I20100209000089 |
| Provider Name | Amish S Oza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396953956 PECOS PAC ID: 0345383485 Enrollment ID: I20100211000342 |
| Provider Name | Prity S Vaidya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003874090 PECOS PAC ID: 0446394886 Enrollment ID: I20100223000279 |
| Provider Name | Mary E Alton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003817370 PECOS PAC ID: 6709920119 Enrollment ID: I20100224000055 |
| Provider Name | Christopher A Lyons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750612412 PECOS PAC ID: 8921143918 Enrollment ID: I20100302000423 |
| Provider Name | Peter C Koma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366773921 PECOS PAC ID: 6901941954 Enrollment ID: I20100303000008 |
| Provider Name | Michael Benjamin Hallet |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518905330 PECOS PAC ID: 8022153964 Enrollment ID: I20100303000937 |
| Provider Name | Edward Michael Cordasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164428090 PECOS PAC ID: 5799718201 Enrollment ID: I20100304000221 |
| Provider Name | Raymond Joseph Tesner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578558284 PECOS PAC ID: 0143124552 Enrollment ID: I20100305000666 |
| Provider Name | Margaret Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20100309000238 |
| Provider Name | Caleb Gray Mackey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104085000 PECOS PAC ID: 4981749280 Enrollment ID: I20100310000617 |
| Provider Name | Gregory Eaton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740281021 PECOS PAC ID: 7719022052 Enrollment ID: I20100311000022 |
| Provider Name | Thomas E Wanko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407854144 PECOS PAC ID: 5597890848 Enrollment ID: I20100311001083 |
| Provider Name | Amanda A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104157346 PECOS PAC ID: 1658406848 Enrollment ID: I20100312000538 |
| Provider Name | James P Bacon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063413474 PECOS PAC ID: 4082749650 Enrollment ID: I20100322000273 |
| Provider Name | Kevin A Valent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366774424 PECOS PAC ID: 3072648658 Enrollment ID: I20100322000396 |
| Provider Name | Gregory Heins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366443657 PECOS PAC ID: 8527193945 Enrollment ID: I20100323000985 |
| Provider Name | Andrew Fahmy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104827336 PECOS PAC ID: 0244366037 Enrollment ID: I20100331000706 |
| Provider Name | Edward F Tappel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144298639 PECOS PAC ID: 3678460391 Enrollment ID: I20100405000224 |
| Provider Name | Jason Patrick Straus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942380936 PECOS PAC ID: 8729153374 Enrollment ID: I20100415000502 |
| Provider Name | Daniel Earl Detrich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780661793 PECOS PAC ID: 4587608104 Enrollment ID: I20100419000122 |
| Provider Name | Antoine Said Munther |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740267798 PECOS PAC ID: 7810024106 Enrollment ID: I20100419000152 |
| Provider Name | Sara S Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568535003 PECOS PAC ID: 1254468820 Enrollment ID: I20100430000203 |
| Provider Name | Robert Lance Drake |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194726224 PECOS PAC ID: 4789712209 Enrollment ID: I20100504000572 |
| Provider Name | Erick Arce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841284148 PECOS PAC ID: 1658409123 Enrollment ID: I20100505000212 |
| Provider Name | Robert Joseph Maxwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396722443 PECOS PAC ID: 3678517299 Enrollment ID: I20100505000284 |
| Provider Name | Rebecca P Brightman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891789236 PECOS PAC ID: 4789597568 Enrollment ID: I20100505000443 |
| Provider Name | Michael Meagher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013901198 PECOS PAC ID: 8921902230 Enrollment ID: I20100505001046 |
| Provider Name | Lindsey Renee Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730346008 PECOS PAC ID: 6406984624 Enrollment ID: I20100510000373 |
| Provider Name | Melissa A Nau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487606588 PECOS PAC ID: 8022146166 Enrollment ID: I20100511000061 |
| Provider Name | Michelle Leigh Boudoulas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053635664 PECOS PAC ID: 5597893545 Enrollment ID: I20100512000376 |
| Provider Name | Timothy Paul Drankwalter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841304102 PECOS PAC ID: 1355339367 Enrollment ID: I20100518000281 |
| Provider Name | Randy Hinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659319523 PECOS PAC ID: 4789713348 Enrollment ID: I20100520000494 |
| Provider Name | Andrea Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427383843 PECOS PAC ID: 8820127954 Enrollment ID: I20100527000268 |
| Provider Name | Rashad H El-dabh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316949266 PECOS PAC ID: 5395780696 Enrollment ID: I20100528000001 |
| Provider Name | George W Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487602389 PECOS PAC ID: 0749310480 Enrollment ID: I20100607000812 |
| Provider Name | Nicholas Franklin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417175662 PECOS PAC ID: 4385774538 Enrollment ID: I20100614000936 |
| Provider Name | Kevin Sellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306085220 PECOS PAC ID: 6608906573 Enrollment ID: I20100621000210 |
| Provider Name | Stephen R Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225058175 PECOS PAC ID: 8820992308 Enrollment ID: I20100623000585 |
| Provider Name | Mitesh H Parekh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053376764 PECOS PAC ID: 0446343545 Enrollment ID: I20100625000110 |
| Provider Name | Sarah L Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588871917 PECOS PAC ID: 4183755721 Enrollment ID: I20100626000186 |
| Provider Name | Yeshwant P Reddy |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1912991001 PECOS PAC ID: 5193866945 Enrollment ID: I20100629000233 |
| Provider Name | William T Mayr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235123555 PECOS PAC ID: 1557492949 Enrollment ID: I20100629000423 |
| Provider Name | Megan Beth Schabbing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831302140 PECOS PAC ID: 0547391740 Enrollment ID: I20100702000429 |
| Provider Name | Bruce M Grund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801894498 PECOS PAC ID: 0941331078 Enrollment ID: I20100706000338 |
| Provider Name | Judy L Kosnikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710204631 PECOS PAC ID: 2769513852 Enrollment ID: I20100707000178 |
| Provider Name | Mark Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912170721 PECOS PAC ID: 7810028859 Enrollment ID: I20100708000338 |
| Provider Name | Eyad Mahayri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316999477 PECOS PAC ID: 2062543044 Enrollment ID: I20100708000779 |
| Provider Name | Michael J Coen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023047438 PECOS PAC ID: 5597826560 Enrollment ID: I20100709000867 |
| Provider Name | Corrin M Knebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790002012 PECOS PAC ID: 9830221894 Enrollment ID: I20100709000880 |
| Provider Name | Mark Allan Renz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275773061 PECOS PAC ID: 6002948957 Enrollment ID: I20100713000494 |
| Provider Name | Joseph M Ginty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033197132 PECOS PAC ID: 2567514508 Enrollment ID: I20100719000198 |
| Provider Name | Mark T Tawil |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285620179 PECOS PAC ID: 4486786738 Enrollment ID: I20100722000006 |
| Provider Name | Joseph Carducci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306862370 PECOS PAC ID: 5193721744 Enrollment ID: I20100723000299 |
| Provider Name | John David Pelfrey Iii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895390 PECOS PAC ID: 6002812658 Enrollment ID: I20100723000327 |
| Provider Name | Jefferson M Lyons |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508085820 PECOS PAC ID: 0648303701 Enrollment ID: I20100727000553 |
| Provider Name | Geoffrey Blossom |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891794988 PECOS PAC ID: 2668371949 Enrollment ID: I20100727000554 |
| Provider Name | Gina Louise Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083926471 PECOS PAC ID: 7517090566 Enrollment ID: I20100728000757 |
| Provider Name | Katherine Elizabeth Hutchison-ulloa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699955518 PECOS PAC ID: 1052444940 Enrollment ID: I20100728001269 |
| Provider Name | Ryan Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013249952 PECOS PAC ID: 1557494002 Enrollment ID: I20100804000217 |
| Provider Name | Sean B Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164620290 PECOS PAC ID: 7810020260 Enrollment ID: I20100805000219 |
| Provider Name | Vijeth R Sringeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356371314 PECOS PAC ID: 7517090855 Enrollment ID: I20100806000215 |
| Provider Name | Lindsay D Rerko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184864431 PECOS PAC ID: 6406989615 Enrollment ID: I20100809000201 |
| Provider Name | Yunsheng Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487894747 PECOS PAC ID: 9032242227 Enrollment ID: I20100810000022 |
| Provider Name | Anthony J Michaels |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003998642 PECOS PAC ID: 7719011949 Enrollment ID: I20100810000636 |
| Provider Name | Stephen Arthur Stack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316985146 PECOS PAC ID: 5799741583 Enrollment ID: I20100810000733 |
| Provider Name | Annette Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518287069 PECOS PAC ID: 5092849984 Enrollment ID: I20100813000616 |
| Provider Name | Carol Ripley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255642757 PECOS PAC ID: 5799819538 Enrollment ID: I20100817000037 |
| Provider Name | Susan B Franano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528379021 PECOS PAC ID: 4385778125 Enrollment ID: I20100817000077 |
| Provider Name | Matthew Cole Bernhard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366524803 PECOS PAC ID: 0244323483 Enrollment ID: I20100819000349 |
| Provider Name | Thomas P Hubbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552657 PECOS PAC ID: 9234263682 Enrollment ID: I20100820000174 |
| Provider Name | James J Barr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255370581 PECOS PAC ID: 1658377205 Enrollment ID: I20100820000741 |
| Provider Name | Yanjuan Zhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316143498 PECOS PAC ID: 4385778695 Enrollment ID: I20100820001114 |
| Provider Name | Robert Louis Toscano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205835063 PECOS PAC ID: 0840223954 Enrollment ID: I20100824000063 |
| Provider Name | John David Leff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396744140 PECOS PAC ID: 2668405770 Enrollment ID: I20100824000104 |
| Provider Name | Richard Ko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710061742 PECOS PAC ID: 3173647427 Enrollment ID: I20100824000632 |
| Provider Name | Scott Douglas Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720160914 PECOS PAC ID: 5991829194 Enrollment ID: I20100825000036 |
| Provider Name | Girish Kotreshwar Hiremath |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811163603 PECOS PAC ID: 7315099124 Enrollment ID: I20100826000916 |
| Provider Name | George Trimble |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053581231 PECOS PAC ID: 6305960352 Enrollment ID: I20100827000979 |
| Provider Name | Gregory S Knudson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033284286 PECOS PAC ID: 5799884227 Enrollment ID: I20100902000159 |
| Provider Name | Robert Foster Lewe |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164404265 PECOS PAC ID: 5294757464 Enrollment ID: I20100902000433 |
| Provider Name | Holli B Pfeifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932413341 PECOS PAC ID: 2466576004 Enrollment ID: I20100902000704 |
| Provider Name | Joshua Hayden Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508044538 PECOS PAC ID: 2365566908 Enrollment ID: I20100902000714 |
| Provider Name | Martha Lynn Buckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386733244 PECOS PAC ID: 2668404039 Enrollment ID: I20100907000715 |
| Provider Name | Jay R Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518147495 PECOS PAC ID: 0749304111 Enrollment ID: I20100908000310 |
| Provider Name | Barrington L Arthurs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215151741 PECOS PAC ID: 0648394023 Enrollment ID: I20100908000434 |
| Provider Name | Karie Lynn Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033435847 PECOS PAC ID: 2163547514 Enrollment ID: I20100909000250 |
| Provider Name | Beth G Lafont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073758421 PECOS PAC ID: 1951426980 Enrollment ID: I20100915000140 |
| Provider Name | Amanda N Pohar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306150628 PECOS PAC ID: 3173648045 Enrollment ID: I20100915000740 |
| Provider Name | Donna F Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548573959 PECOS PAC ID: 5092831354 Enrollment ID: I20100924000297 |
| Provider Name | James Massullo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689793747 PECOS PAC ID: 3173675311 Enrollment ID: I20100927000694 |
| Provider Name | Michelle A Kovalaske |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306023882 PECOS PAC ID: 2769558642 Enrollment ID: I20100927001194 |
| Provider Name | Todd Gregg Matros |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417953068 PECOS PAC ID: 5991789679 Enrollment ID: I20100928000219 |
| Provider Name | Patti A Sprang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497818058 PECOS PAC ID: 9830215771 Enrollment ID: I20100928001089 |
| Provider Name | John Matyas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649262684 PECOS PAC ID: 0345399572 Enrollment ID: I20100928001663 |
| Provider Name | Rebecca Kate Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659546786 PECOS PAC ID: 7012033723 Enrollment ID: I20100929001585 |
| Provider Name | Jason R Bisping |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295919819 PECOS PAC ID: 8527184241 Enrollment ID: I20100929001653 |
| Provider Name | Stella E Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316259245 PECOS PAC ID: 2264624634 Enrollment ID: I20101005000336 |
| Provider Name | David C.w. Yehsakul |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619126026 PECOS PAC ID: 6406048578 Enrollment ID: I20101007000529 |
| Provider Name | Michael R Viau |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134180722 PECOS PAC ID: 9739086711 Enrollment ID: I20101008000784 |
| Provider Name | Shiva Daneshmand Rahmanian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235152273 PECOS PAC ID: 8921003666 Enrollment ID: I20101011001177 |
| Provider Name | William J Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538107313 PECOS PAC ID: 1759573587 Enrollment ID: I20101012000169 |
| Provider Name | Deana Fanello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184770810 PECOS PAC ID: 5799977542 Enrollment ID: I20101012000402 |
| Provider Name | John Frank Vitullo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982870804 PECOS PAC ID: 4082807540 Enrollment ID: I20101018000565 |
| Provider Name | Shaunta N Stanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346567393 PECOS PAC ID: 4082807466 Enrollment ID: I20101018000850 |
| Provider Name | Michael Bauml |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720254543 PECOS PAC ID: 5597958959 Enrollment ID: I20101019000474 |
| Provider Name | Monique S Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114182540 PECOS PAC ID: 3779776919 Enrollment ID: I20101020001383 |
| Provider Name | James G Sivard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992707475 PECOS PAC ID: 8729117858 Enrollment ID: I20101025000804 |
| Provider Name | Amita Maturu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962600833 PECOS PAC ID: 0547453243 Enrollment ID: I20101026000245 |
| Provider Name | Sarah Froman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215925912 PECOS PAC ID: 9335037282 Enrollment ID: I20101028000672 |
| Provider Name | David Arrese |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669602058 PECOS PAC ID: 4880888197 Enrollment ID: I20101101000671 |
| Provider Name | Mohiuddin Ghazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598869174 PECOS PAC ID: 9830383165 Enrollment ID: I20101101000901 |
| Provider Name | Laurel J Santino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386632099 PECOS PAC ID: 6800080144 Enrollment ID: I20101101001086 |
| Provider Name | Dorothy Jackson Bair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902111727 PECOS PAC ID: 9436344181 Enrollment ID: I20101108001472 |
| Provider Name | Christopher S Saunders |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023076171 PECOS PAC ID: 4587604053 Enrollment ID: I20101109001255 |
| Provider Name | James J Murtagh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20101111000874 |
| Provider Name | Kalyan K Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124042916 PECOS PAC ID: 5597950725 Enrollment ID: I20101112000518 |
| Provider Name | Michael D Sarap |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275615296 PECOS PAC ID: 5294823324 Enrollment ID: I20101118000783 |
| Provider Name | Clark J Leslie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417039454 PECOS PAC ID: 4183657695 Enrollment ID: I20101118001097 |
| Provider Name | Kwang Suh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679631170 PECOS PAC ID: 7012098973 Enrollment ID: I20101129000542 |
| Provider Name | Laura Lee Wolery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689761991 PECOS PAC ID: 0345274403 Enrollment ID: I20101206000823 |
| Provider Name | Michelle L Diederich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356659213 PECOS PAC ID: 6507053121 Enrollment ID: I20101208001151 |
| Provider Name | Christopher M Frank |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699942474 PECOS PAC ID: 0648288985 Enrollment ID: I20101208001316 |
| Provider Name | Christopher Ambrosino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720395239 PECOS PAC ID: 3375730898 Enrollment ID: I20101209001203 |
| Provider Name | Xiaosong Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386865111 PECOS PAC ID: 9335337138 Enrollment ID: I20101221000438 |
| Provider Name | Lori B Muetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033314950 PECOS PAC ID: 5991994162 Enrollment ID: I20110104001257 |
| Provider Name | Heather R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558661439 PECOS PAC ID: 1153510276 Enrollment ID: I20110105000635 |
| Provider Name | Vincent C. Daniel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548315666 PECOS PAC ID: 9931398823 Enrollment ID: I20110107000310 |
| Provider Name | David Eric Rumbalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053327767 PECOS PAC ID: 0244429025 Enrollment ID: I20110110000389 |
| Provider Name | Julie M Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992947550 PECOS PAC ID: 8820287568 Enrollment ID: I20110111000342 |
| Provider Name | Guillermina Napolitano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801197967 PECOS PAC ID: 1254520752 Enrollment ID: I20110114000448 |
| Provider Name | James Thompson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578774691 PECOS PAC ID: 5395934871 Enrollment ID: I20110121000616 |
| Provider Name | Mary Mischler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912094368 PECOS PAC ID: 2163456229 Enrollment ID: I20110124000873 |
| Provider Name | Lisha M Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548461593 PECOS PAC ID: 5597944397 Enrollment ID: I20110126000250 |
| Provider Name | Jennifer Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437484235 PECOS PAC ID: 7911186390 Enrollment ID: I20110201000619 |
| Provider Name | Ryan B Gaible |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366564197 PECOS PAC ID: 3779677711 Enrollment ID: I20110203000356 |
| Provider Name | Andrew Bokor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477523454 PECOS PAC ID: 2466580121 Enrollment ID: I20110209000379 |
| Provider Name | Mario Oreste Brunicardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245270552 PECOS PAC ID: 7719167451 Enrollment ID: I20110211000640 |
| Provider Name | Sherry M Voet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760564306 PECOS PAC ID: 1355362583 Enrollment ID: I20110211000679 |
| Provider Name | Amy N Barrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245534031 PECOS PAC ID: 8224218797 Enrollment ID: I20110216000050 |
| Provider Name | Richard John Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457652943 PECOS PAC ID: 6103007133 Enrollment ID: I20110224000393 |
| Provider Name | James A Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598068546 PECOS PAC ID: 8022299908 Enrollment ID: I20110224001003 |
| Provider Name | Megan Brittany Arbogast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023334893 PECOS PAC ID: 7517148265 Enrollment ID: I20110301000195 |
| Provider Name | Fernando Aguila |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942499280 PECOS PAC ID: 7517149123 Enrollment ID: I20110302001079 |
| Provider Name | Kelli S Riser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891091062 PECOS PAC ID: 9638351109 Enrollment ID: I20110305000097 |
| Provider Name | Brian M Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376848028 PECOS PAC ID: 6901088475 Enrollment ID: I20110307000004 |
| Provider Name | Miryam L Burelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568692564 PECOS PAC ID: 8325220320 Enrollment ID: I20110312000004 |
| Provider Name | Maurice-pierre Page |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013177815 PECOS PAC ID: 3870775877 Enrollment ID: I20110312000010 |
| Provider Name | Huma N Naikoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467682468 PECOS PAC ID: 2567644578 Enrollment ID: I20110314000032 |
| Provider Name | Babak Jalali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588977037 PECOS PAC ID: 8022290048 Enrollment ID: I20110314000138 |
| Provider Name | Ravindra Malhotra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821090655 PECOS PAC ID: 6305865668 Enrollment ID: I20110315000553 |
| Provider Name | Derek Cooley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669526406 PECOS PAC ID: 0345254066 Enrollment ID: I20110317000130 |
| Provider Name | Lindsay M. Castle |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1881808806 PECOS PAC ID: 4385826072 Enrollment ID: I20110317000254 |
| Provider Name | Abdul Elhabyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104847144 PECOS PAC ID: 6901805043 Enrollment ID: I20110321000658 |
| Provider Name | Margaret M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023092269 PECOS PAC ID: 9739169558 Enrollment ID: I20110323000838 |
| Provider Name | Kristi Phillips-burkhart |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811292733 PECOS PAC ID: 9234313701 Enrollment ID: I20110407000049 |
| Provider Name | Matthew J Majzun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629276142 PECOS PAC ID: 1557545050 Enrollment ID: I20110407000326 |
| Provider Name | Deanna M Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801193743 PECOS PAC ID: 3274717467 Enrollment ID: I20110413000264 |
| Provider Name | Jason Douglas Retzke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710156377 PECOS PAC ID: 0345425138 Enrollment ID: I20110420000491 |
| Provider Name | Sherilyn M Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184922452 PECOS PAC ID: 9234314824 Enrollment ID: I20110426000008 |
| Provider Name | Vitold George Zochowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912909268 PECOS PAC ID: 6800829888 Enrollment ID: I20110511000408 |
| Provider Name | Bryan M Cairns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841419165 PECOS PAC ID: 9133305618 Enrollment ID: I20110518000086 |
| Provider Name | Kellie S Rath |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1770784795 PECOS PAC ID: 4587841283 Enrollment ID: I20110607000009 |
| Provider Name | Nicholas Maksim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497968655 PECOS PAC ID: 9931386489 Enrollment ID: I20110609000213 |
| Provider Name | Scott Michael Reineck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023282068 PECOS PAC ID: 9739366154 Enrollment ID: I20110610000363 |
| Provider Name | Kavita S Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013192343 PECOS PAC ID: 4688851033 Enrollment ID: I20110611000001 |
| Provider Name | Jaret D Tyler |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073737672 PECOS PAC ID: 7113104571 Enrollment ID: I20110613000015 |
| Provider Name | Kevin L Stiver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356502280 PECOS PAC ID: 3476730839 Enrollment ID: I20110613000035 |
| Provider Name | Krista Duval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063740090 PECOS PAC ID: 7416134895 Enrollment ID: I20110613000337 |
| Provider Name | Daniel Mudrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457378325 PECOS PAC ID: 4385641190 Enrollment ID: I20110613000793 |
| Provider Name | Kathryn S Pool |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699883579 PECOS PAC ID: 8325225642 Enrollment ID: I20110613000844 |
| Provider Name | Lawand Saadulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801009451 PECOS PAC ID: 0749313096 Enrollment ID: I20110624000416 |
| Provider Name | Jessica R Thiessen Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285873919 PECOS PAC ID: 6608054143 Enrollment ID: I20110701000231 |
| Provider Name | Gregory J Lowe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073729521 PECOS PAC ID: 1951594407 Enrollment ID: I20110712000504 |
| Provider Name | Laurie Am Hommema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407092042 PECOS PAC ID: 7618145947 Enrollment ID: I20110712000619 |
| Provider Name | Julie Ann Holinga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558487330 PECOS PAC ID: 1254509599 Enrollment ID: I20110712000768 |
| Provider Name | Obinna Ifeanyichukwu Moneme |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316168743 PECOS PAC ID: 0648448894 Enrollment ID: I20110714000445 |
| Provider Name | Shane M Matheny |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831301548 PECOS PAC ID: 5597933762 Enrollment ID: I20110714000672 |
| Provider Name | Brian F Seaman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952510968 PECOS PAC ID: 4587832449 Enrollment ID: I20110719000874 |
| Provider Name | John Mathhew Castor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093987257 PECOS PAC ID: 7911175708 Enrollment ID: I20110721000670 |
| Provider Name | Rebecca L Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912161860 PECOS PAC ID: 9638347420 Enrollment ID: I20110721000681 |
| Provider Name | Allison M Quick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295898971 PECOS PAC ID: 5092983742 Enrollment ID: I20110722000559 |
| Provider Name | Srividya Viswanathan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699868877 PECOS PAC ID: 7810165412 Enrollment ID: I20110726000947 |
| Provider Name | Kalki Bommaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609029511 PECOS PAC ID: 9638347032 Enrollment ID: I20110728000584 |
| Provider Name | David Yung-an Lo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720161854 PECOS PAC ID: 3375711781 Enrollment ID: I20110729000055 |
| Provider Name | Kathy Jo Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871887463 PECOS PAC ID: 5294903621 Enrollment ID: I20110729000186 |
| Provider Name | Daniel G Gorbett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487816518 PECOS PAC ID: 5193993566 Enrollment ID: I20110730000022 |
| Provider Name | Alfred Perez Vargas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144406687 PECOS PAC ID: 6709055031 Enrollment ID: I20110803000231 |
| Provider Name | Mark A Jump |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457564742 PECOS PAC ID: 3274702428 Enrollment ID: I20110804000737 |
| Provider Name | Brian James Hamburg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437270709 PECOS PAC ID: 0941348890 Enrollment ID: I20110805000477 |
| Provider Name | Erin R Macrae |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033273040 PECOS PAC ID: 3173792108 Enrollment ID: I20110809000588 |
| Provider Name | John A Phillips |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922120732 PECOS PAC ID: 0345419289 Enrollment ID: I20110809000733 |
| Provider Name | Gerald T French |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710075510 PECOS PAC ID: 1759315674 Enrollment ID: I20110810000355 |
| Provider Name | Jennifer Keswani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972733764 PECOS PAC ID: 3577732486 Enrollment ID: I20110810000646 |
| Provider Name | Linda S Ross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750516621 PECOS PAC ID: 1658540109 Enrollment ID: I20110817000929 |
| Provider Name | Aroub Y Shanaah |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629218987 PECOS PAC ID: 2264602721 Enrollment ID: I20110819000460 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20110823000432 |
| Provider Name | David F Ott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427371202 PECOS PAC ID: 5294905642 Enrollment ID: I20110823000540 |
| Provider Name | Lavanya Amirneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856229 PECOS PAC ID: 1153591425 Enrollment ID: I20110823000872 |
| Provider Name | Annemarie B Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366651804 PECOS PAC ID: 4486824786 Enrollment ID: I20110824000252 |
| Provider Name | Nilanjana Dey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639457104 PECOS PAC ID: 2668642836 Enrollment ID: I20110825000234 |
| Provider Name | Rebecca P Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881803872 PECOS PAC ID: 4789765033 Enrollment ID: I20110825000459 |
| Provider Name | Piyush Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275618803 PECOS PAC ID: 9830369040 Enrollment ID: I20110825000645 |
| Provider Name | James Alford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790751998 PECOS PAC ID: 6002952652 Enrollment ID: I20110901000558 |
| Provider Name | Shannon C Trotter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124231154 PECOS PAC ID: 1254526478 Enrollment ID: I20110907001569 |
| Provider Name | Lenard Presutti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184619454 PECOS PAC ID: 1850561473 Enrollment ID: I20110908002018 |
| Provider Name | Mykola O Prykhodko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679766034 PECOS PAC ID: 3072783638 Enrollment ID: I20110909002474 |
| Provider Name | Jane Balbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396941043 PECOS PAC ID: 3173649225 Enrollment ID: I20110909002711 |
| Provider Name | Kristin M Ryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245443720 PECOS PAC ID: 0446421028 Enrollment ID: I20110913000370 |
| Provider Name | Gretchen K Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689714586 PECOS PAC ID: 4587835988 Enrollment ID: I20110915000175 |
| Provider Name | Michael John Jourden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669646907 PECOS PAC ID: 2668643081 Enrollment ID: I20110915000317 |
| Provider Name | Susan Joan Chinworth Martig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528016227 PECOS PAC ID: 5294784138 Enrollment ID: I20110915000609 |
| Provider Name | Nanette Lacuesta-kimmel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629232574 PECOS PAC ID: 9931370087 Enrollment ID: I20110921000160 |
| Provider Name | Thomas E Sonnanstine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396852927 PECOS PAC ID: 7315917077 Enrollment ID: I20110921000759 |
| Provider Name | Melissa B Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851698591 PECOS PAC ID: 4587835525 Enrollment ID: I20110922000397 |
| Provider Name | David Banas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447471164 PECOS PAC ID: 5799839528 Enrollment ID: I20110923000421 |
| Provider Name | Heather A Knueve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740569896 PECOS PAC ID: 9931370749 Enrollment ID: I20110927000228 |
| Provider Name | Eileen R Faulds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972803211 PECOS PAC ID: 2668643412 Enrollment ID: I20110927000623 |
| Provider Name | Charles E Pugar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932350626 PECOS PAC ID: 8426229279 Enrollment ID: I20110927000698 |
| Provider Name | Diana M Topolnycky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609075159 PECOS PAC ID: 3173795754 Enrollment ID: I20111003000501 |
| Provider Name | Jenny R Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548549827 PECOS PAC ID: 9537332267 Enrollment ID: I20111025000676 |
| Provider Name | Mary E Dumouchelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568744753 PECOS PAC ID: 0446423172 Enrollment ID: I20111025000677 |
| Provider Name | Sandra K Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114200813 PECOS PAC ID: 4789857376 Enrollment ID: I20111026000613 |
| Provider Name | Janette L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295068989 PECOS PAC ID: 4880867340 Enrollment ID: I20111027000597 |
| Provider Name | Jeannette C Dagam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477760056 PECOS PAC ID: 8527248772 Enrollment ID: I20111108000265 |
| Provider Name | Camille Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821236498 PECOS PAC ID: 0143371039 Enrollment ID: I20111108000772 |
| Provider Name | Jennifer L Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326183393 PECOS PAC ID: 8325132004 Enrollment ID: I20111110000385 |
| Provider Name | Priya Roy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043492895 PECOS PAC ID: 8729252697 Enrollment ID: I20111111000305 |
| Provider Name | Kimberly A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902194293 PECOS PAC ID: 1153595954 Enrollment ID: I20111112000028 |
| Provider Name | Jahanzeb Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336353929 PECOS PAC ID: 3870675374 Enrollment ID: I20111115000581 |
| Provider Name | Melissa A Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508099045 PECOS PAC ID: 6103090667 Enrollment ID: I20111117000767 |
| Provider Name | Paul Kalogerou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376535914 PECOS PAC ID: 7618889353 Enrollment ID: I20111121000431 |
| Provider Name | Yolanda Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801179312 PECOS PAC ID: 1456525740 Enrollment ID: I20111123000208 |
| Provider Name | Esther K Baumann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013903319 PECOS PAC ID: 8628242898 Enrollment ID: I20111128000466 |
| Provider Name | Karin Lynne Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528343266 PECOS PAC ID: 9537334537 Enrollment ID: I20111201000775 |
| Provider Name | Leigh S Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164703732 PECOS PAC ID: 0648445429 Enrollment ID: I20111206000340 |
| Provider Name | Harold Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447252077 PECOS PAC ID: 7810162237 Enrollment ID: I20111214000449 |
| Provider Name | Jigna N Janani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023278413 PECOS PAC ID: 8921273137 Enrollment ID: I20111215000668 |
| Provider Name | Matthew Tong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760613954 PECOS PAC ID: 4688849839 Enrollment ID: I20111216000197 |
| Provider Name | Scott D Shie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619167236 PECOS PAC ID: 9739357526 Enrollment ID: I20111227000693 |
| Provider Name | Joseph M Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770553612 PECOS PAC ID: 2668376229 Enrollment ID: I20111228000749 |
| Provider Name | Mary Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316226426 PECOS PAC ID: 3870769532 Enrollment ID: I20111229000564 |
| Provider Name | Kimberly C Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720160716 PECOS PAC ID: 3971490046 Enrollment ID: I20111229000671 |
| Provider Name | Aderonke Oninku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962631465 PECOS PAC ID: 0547447161 Enrollment ID: I20111229000766 |
| Provider Name | Rachael S H Gray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376825471 PECOS PAC ID: 9830365469 Enrollment ID: I20120104000219 |
| Provider Name | Patricia A Bacon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033291026 PECOS PAC ID: 9436046505 Enrollment ID: I20120104000521 |
| Provider Name | Tonya R Kittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154606879 PECOS PAC ID: 5092982082 Enrollment ID: I20120113000556 |
| Provider Name | Timothy J Nash |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649383969 PECOS PAC ID: 2163410176 Enrollment ID: I20120120000638 |
| Provider Name | Calley Raetzke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770723025 PECOS PAC ID: 3577730837 Enrollment ID: I20120127000221 |
| Provider Name | Joseph A Ottaviano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942368816 PECOS PAC ID: 3577578939 Enrollment ID: I20120131000475 |
| Provider Name | Christina Dipiero |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184992885 PECOS PAC ID: 5496912420 Enrollment ID: I20120202000810 |
| Provider Name | Kimberley K Fryfogle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215214648 PECOS PAC ID: 9133386972 Enrollment ID: I20120206000451 |
| Provider Name | Christine Habib |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083625164 PECOS PAC ID: 1951325448 Enrollment ID: I20120206000584 |
| Provider Name | Sarah K West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154690048 PECOS PAC ID: 2365609146 Enrollment ID: I20120206000879 |
| Provider Name | Zachary E Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275810608 PECOS PAC ID: 8325205057 Enrollment ID: I20120207000585 |
| Provider Name | Diane M Masciangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447520218 PECOS PAC ID: 2860659372 Enrollment ID: I20120209000836 |
| Provider Name | Ann M Riffle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033489851 PECOS PAC ID: 3173781598 Enrollment ID: I20120214000828 |
| Provider Name | Natalie B Jones |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1104032903 PECOS PAC ID: 1759549116 Enrollment ID: I20120215000333 |
| Provider Name | Daniel D Burwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720066103 PECOS PAC ID: 8224296488 Enrollment ID: I20120220001121 |
| Provider Name | Mary Sahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154692937 PECOS PAC ID: 9234397316 Enrollment ID: I20120221000282 |
| Provider Name | Gregory M Meis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417944125 PECOS PAC ID: 0042478141 Enrollment ID: I20120221000552 |
| Provider Name | Steven D House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881903607 PECOS PAC ID: 1355509290 Enrollment ID: I20120222000995 |
| Provider Name | Ammar Alahmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356460190 PECOS PAC ID: 0446432157 Enrollment ID: I20120222001055 |
| Provider Name | Daniel G Terbeek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194000588 PECOS PAC ID: 9335307222 Enrollment ID: I20120223000424 |
| Provider Name | Jacalyn M Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922315845 PECOS PAC ID: 5294993010 Enrollment ID: I20120225000083 |
| Provider Name | Chad R Bigony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811107691 PECOS PAC ID: 3971762444 Enrollment ID: I20120302000406 |
| Provider Name | Nathaniel A Walton |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164791950 PECOS PAC ID: 8426217902 Enrollment ID: I20120302000492 |
| Provider Name | Chad Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467477901 PECOS PAC ID: 4183522212 Enrollment ID: I20120302000632 |
| Provider Name | Laura M Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427342310 PECOS PAC ID: 0446419816 Enrollment ID: I20120306000153 |
| Provider Name | Kusum Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881696771 PECOS PAC ID: 3870752959 Enrollment ID: I20120308000667 |
| Provider Name | Chris Karas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174781587 PECOS PAC ID: 2264585371 Enrollment ID: I20120309000408 |
| Provider Name | Teresa M Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699757096 PECOS PAC ID: 9830359439 Enrollment ID: I20120319000590 |
| Provider Name | Andrea G Malone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316162472 PECOS PAC ID: 0143480541 Enrollment ID: I20120321000921 |
| Provider Name | Michael Omara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962486662 PECOS PAC ID: 5991874406 Enrollment ID: I20120328000398 |
| Provider Name | Sarah E Grim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508190646 PECOS PAC ID: 6901066703 Enrollment ID: I20120403000116 |
| Provider Name | Beth Grudell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952383630 PECOS PAC ID: 4880856376 Enrollment ID: I20120430000121 |
| Provider Name | Alex Tsai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740416304 PECOS PAC ID: 4486816758 Enrollment ID: I20120502000555 |
| Provider Name | Bryson Stair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245596238 PECOS PAC ID: 2668634999 Enrollment ID: I20120503000368 |
| Provider Name | Khaldon W Shaheen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699089631 PECOS PAC ID: 5496918054 Enrollment ID: I20120517000295 |
| Provider Name | Angela Marie Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659673093 PECOS PAC ID: 4981867215 Enrollment ID: I20120523000351 |
| Provider Name | Bradley C Herpolsheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518087881 PECOS PAC ID: 5496918518 Enrollment ID: I20120529000361 |
| Provider Name | Michelle M Birkenholz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083889216 PECOS PAC ID: 4981868726 Enrollment ID: I20120607000468 |
| Provider Name | Matthew T Kunar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639276322 PECOS PAC ID: 3375707045 Enrollment ID: I20120608000110 |
| Provider Name | Catherine D Lower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750533089 PECOS PAC ID: 1658535331 Enrollment ID: I20120608000216 |
| Provider Name | Britni L Lookabaugh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1437394665 PECOS PAC ID: 2466616164 Enrollment ID: I20120608000340 |
| Provider Name | Allison E Bonner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306086640 PECOS PAC ID: 1355505892 Enrollment ID: I20120612000548 |
| Provider Name | Kelly Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285860510 PECOS PAC ID: 4385808708 Enrollment ID: I20120615000338 |
| Provider Name | Michael R Velez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760618060 PECOS PAC ID: 0143484469 Enrollment ID: I20120615000415 |
| Provider Name | Basem William |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1952416505 PECOS PAC ID: 1456383728 Enrollment ID: I20120618000091 |
| Provider Name | Jonathan Stewart Pedrick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235375957 PECOS PAC ID: 7911161211 Enrollment ID: I20120618000710 |
| Provider Name | Jessica A Kynyk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679785398 PECOS PAC ID: 0143484451 Enrollment ID: I20120619000065 |
| Provider Name | Pina M Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063533495 PECOS PAC ID: 1850437120 Enrollment ID: I20120621000220 |
| Provider Name | Kristen Dimitris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114158813 PECOS PAC ID: 2567627557 Enrollment ID: I20120625000461 |
| Provider Name | Lisa Lloyd Minor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639458912 PECOS PAC ID: 1052582293 Enrollment ID: I20120627000154 |
| Provider Name | Jennifer L Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164797833 PECOS PAC ID: 5597920496 Enrollment ID: I20120627000201 |
| Provider Name | Constance A Nicastro-bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942448816 PECOS PAC ID: 9032374954 Enrollment ID: I20120627000330 |
| Provider Name | John A Bach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891990859 PECOS PAC ID: 8820253768 Enrollment ID: I20120627000635 |
| Provider Name | Nicole M Book |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508041518 PECOS PAC ID: 0345405023 Enrollment ID: I20120702000270 |
| Provider Name | David C Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851517031 PECOS PAC ID: 4486819919 Enrollment ID: I20120706000185 |
| Provider Name | Rachael E Zanotti-morocco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609038744 PECOS PAC ID: 3274798723 Enrollment ID: I20120706000348 |
| Provider Name | Mario Matos-cruz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588868616 PECOS PAC ID: 9931011293 Enrollment ID: I20120706000409 |
| Provider Name | Patrick S Rheaume |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306009170 PECOS PAC ID: 1456516954 Enrollment ID: I20120709000305 |
| Provider Name | Charles J Hoehn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205192192 PECOS PAC ID: 8426213935 Enrollment ID: I20120709000348 |
| Provider Name | Ryan Squier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295051894 PECOS PAC ID: 5496911539 Enrollment ID: I20120718000373 |
| Provider Name | Karthika Rajan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457450595 PECOS PAC ID: 6305860842 Enrollment ID: I20120719000418 |
| Provider Name | Jaclyn M Laine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316146988 PECOS PAC ID: 6002072881 Enrollment ID: I20120723000810 |
| Provider Name | Bryan K Berger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861692329 PECOS PAC ID: 6507022332 Enrollment ID: I20120724000317 |
| Provider Name | Caroline Criswell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851650881 PECOS PAC ID: 5193981892 Enrollment ID: I20120725000147 |
| Provider Name | Bahzat F Youssef |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487886719 PECOS PAC ID: 8325204894 Enrollment ID: I20120727000367 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Austen Musick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477712883 PECOS PAC ID: 4981860483 Enrollment ID: I20120727000707 |
| Provider Name | Erin E Piontkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184988743 PECOS PAC ID: 5799941118 Enrollment ID: I20120730000144 |
| Provider Name | James B Fleming |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245448083 PECOS PAC ID: 9133385511 Enrollment ID: I20120730000768 |
| Provider Name | Jenny L Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497010086 PECOS PAC ID: 0749446078 Enrollment ID: I20120731000580 |
| Provider Name | Jillian S Kunar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295992279 PECOS PAC ID: 8022274364 Enrollment ID: I20120801000156 |
| Provider Name | James M Flaherty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972731610 PECOS PAC ID: 6204082340 Enrollment ID: I20120806000781 |
| Provider Name | Upender Gehlot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376706531 PECOS PAC ID: 2769669431 Enrollment ID: I20120813000428 |
| Provider Name | Xuan N Huang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639308232 PECOS PAC ID: 3678729217 Enrollment ID: I20120814000245 |
| Provider Name | Rajitha Dasari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699904292 PECOS PAC ID: 7618123209 Enrollment ID: I20120815000105 |
| Provider Name | Sudhir Duvuru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073742672 PECOS PAC ID: 3678729274 Enrollment ID: I20120815000165 |
| Provider Name | Frank Morocco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659508018 PECOS PAC ID: 9638325145 Enrollment ID: I20120815000446 |
| Provider Name | Amber Healy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447488622 PECOS PAC ID: 7315193844 Enrollment ID: I20120815000626 |
| Provider Name | Dorienna M. Alfred |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770723462 PECOS PAC ID: 4385890839 Enrollment ID: I20120815000827 |
| Provider Name | Melanie A Dahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366703068 PECOS PAC ID: 2365698867 Enrollment ID: I20120816000668 |
| Provider Name | Sarah Andrea Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821255993 PECOS PAC ID: 8820245004 Enrollment ID: I20120822000677 |
| Provider Name | Nataya M Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871757468 PECOS PAC ID: 1951478767 Enrollment ID: I20120828000083 |
| Provider Name | Marshall C Spalding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316261100 PECOS PAC ID: 4789831678 Enrollment ID: I20120828000885 |
| Provider Name | Casey Alexander Chamberlain |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144436858 PECOS PAC ID: 2466622477 Enrollment ID: I20120830000288 |
| Provider Name | Anna M Squibb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073740353 PECOS PAC ID: 7810144417 Enrollment ID: I20120905000254 |
| Provider Name | William J Hicks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184826448 PECOS PAC ID: 3072761931 Enrollment ID: I20120918000608 |
| Provider Name | Douglas Woo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871540310 PECOS PAC ID: 4688687247 Enrollment ID: I20120918000773 |
| Provider Name | Carla Rae Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952692725 PECOS PAC ID: 6103074885 Enrollment ID: I20120921000508 |
| Provider Name | Miriam L Garcellano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710107180 PECOS PAC ID: 1850451840 Enrollment ID: I20120926000291 |
| Provider Name | Colleen M O Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104156082 PECOS PAC ID: 4880843465 Enrollment ID: I20120926000403 |
| Provider Name | Jessica E Caputo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407105364 PECOS PAC ID: 1951550490 Enrollment ID: I20120927000331 |
| Provider Name | Amanda J Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346527843 PECOS PAC ID: 1951550300 Enrollment ID: I20121001000054 |
| Provider Name | Caroline Marie Powers Cockrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457601981 PECOS PAC ID: 1759530611 Enrollment ID: I20121009000538 |
| Provider Name | Marcy A Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487909156 PECOS PAC ID: 6305095274 Enrollment ID: I20121009000639 |
| Provider Name | Jeremiah J Meeks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497010565 PECOS PAC ID: 7113176942 Enrollment ID: I20121011000069 |
| Provider Name | Pradita Manandhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770783219 PECOS PAC ID: 1951596030 Enrollment ID: I20121011000614 |
| Provider Name | Timothy T Kermode |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376705616 PECOS PAC ID: 0244480804 Enrollment ID: I20121017000593 |
| Provider Name | Carey Susi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578813820 PECOS PAC ID: 1254581796 Enrollment ID: I20121018000712 |
| Provider Name | Ahmed Mohamed Ghany |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1275730285 PECOS PAC ID: 0749341451 Enrollment ID: I20121018000830 |
| Provider Name | Emily R Blackmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659620490 PECOS PAC ID: 7416107883 Enrollment ID: I20121019000303 |
| Provider Name | Therese E. Hopkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073865481 PECOS PAC ID: 0547410920 Enrollment ID: I20121019000394 |
| Provider Name | Farrukh Ashraf |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972730885 PECOS PAC ID: 4981854239 Enrollment ID: I20121022000476 |
| Provider Name | Nenna Egboh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104053800 PECOS PAC ID: 2163672239 Enrollment ID: I20121025000673 |
| Provider Name | Jennifer Balingcongan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154675122 PECOS PAC ID: 1850541954 Enrollment ID: I20121026000132 |
| Provider Name | Timothy Edward Iorio |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1497964142 PECOS PAC ID: 6608026547 Enrollment ID: I20121030000375 |
| Provider Name | Bashar A Alawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396024121 PECOS PAC ID: 4688825334 Enrollment ID: I20121106000648 |
| Provider Name | Rhonda Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629327234 PECOS PAC ID: 9032360615 Enrollment ID: I20121107000392 |
| Provider Name | Fadel S Elkhairi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841456654 PECOS PAC ID: 5890946016 Enrollment ID: I20121117000006 |
| Provider Name | Susan M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851643472 PECOS PAC ID: 0941451165 Enrollment ID: I20121117000055 |
| Provider Name | Greena Scaria Pallithanam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699058297 PECOS PAC ID: 3375795636 Enrollment ID: I20121212000508 |
| Provider Name | Emily R Krings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922352897 PECOS PAC ID: 7315199379 Enrollment ID: I20121220000385 |
| Provider Name | Jessica M Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114245289 PECOS PAC ID: 5092968875 Enrollment ID: I20130102000385 |
| Provider Name | Carrie Huber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679884100 PECOS PAC ID: 3971756792 Enrollment ID: I20130103000344 |
| Provider Name | Michelle Wood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962600916 PECOS PAC ID: 1658524103 Enrollment ID: I20130111000107 |
| Provider Name | Ravi Gurujal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467563957 PECOS PAC ID: 5890777361 Enrollment ID: I20130115000004 |
| Provider Name | Arash Arshi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902098262 PECOS PAC ID: 9335392752 Enrollment ID: I20130116000163 |
| Provider Name | Shari R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477809408 PECOS PAC ID: 4587817853 Enrollment ID: I20130117000197 |
| Provider Name | Katherine J Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093059347 PECOS PAC ID: 7416101571 Enrollment ID: I20130125000479 |
| Provider Name | Koteswara R Nalluri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396715439 PECOS PAC ID: 5092969840 Enrollment ID: I20130204000390 |
| Provider Name | Dawn Haque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740530583 PECOS PAC ID: 1557515137 Enrollment ID: I20130206000646 |
| Provider Name | Sileshi Admassu Belay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962616631 PECOS PAC ID: 6305991332 Enrollment ID: I20130211000318 |
| Provider Name | Beena Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649453820 PECOS PAC ID: 6406931922 Enrollment ID: I20130212000281 |
| Provider Name | Elaine M Hudak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396080842 PECOS PAC ID: 3678727054 Enrollment ID: I20130212000447 |
| Provider Name | Sulaiman Mapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538405998 PECOS PAC ID: 5395999502 Enrollment ID: I20130215000266 |
| Provider Name | Sarah Joy Dorian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801140306 PECOS PAC ID: 5193970168 Enrollment ID: I20130222000251 |
| Provider Name | Austin Al-kazaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679803290 PECOS PAC ID: 0244499721 Enrollment ID: I20130223000085 |
| Provider Name | Lee Ann Penix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508105784 PECOS PAC ID: 3678718962 Enrollment ID: I20130313000513 |
| Provider Name | Gregg Weidner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609862085 PECOS PAC ID: 9335112705 Enrollment ID: I20130313000533 |
| Provider Name | Erin M Mckinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881959195 PECOS PAC ID: 4688819998 Enrollment ID: I20130314000120 |
| Provider Name | Matthew C Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932400306 PECOS PAC ID: 0648415968 Enrollment ID: I20130314000171 |
| Provider Name | Nirav A Vora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033254636 PECOS PAC ID: 5890869283 Enrollment ID: I20130314000514 |
| Provider Name | Samer M Abubakr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235260464 PECOS PAC ID: 4880689140 Enrollment ID: I20130315000350 |
| Provider Name | Julie A Colella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396073292 PECOS PAC ID: 5294970430 Enrollment ID: I20130318000366 |
| Provider Name | Charles Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730475401 PECOS PAC ID: 8527203256 Enrollment ID: I20130328000143 |
| Provider Name | Adam C Necker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619279775 PECOS PAC ID: 5799920336 Enrollment ID: I20130402000068 |
| Provider Name | Mark A Thoma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821259987 PECOS PAC ID: 8820142177 Enrollment ID: I20130402000079 |
| Provider Name | Dylan J Wirtz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982895975 PECOS PAC ID: 9931345394 Enrollment ID: I20130410000115 |
| Provider Name | Charles F Von Gunten |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1215003843 PECOS PAC ID: 2466592852 Enrollment ID: I20130412000240 |
| Provider Name | Nagesh Chopra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427276930 PECOS PAC ID: 1254429228 Enrollment ID: I20130413000066 |
| Provider Name | Eucharia C Akusoba-davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053545269 PECOS PAC ID: 5890931059 Enrollment ID: I20130415000275 |
| Provider Name | Elizabeth Ann Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457690364 PECOS PAC ID: 9032355102 Enrollment ID: I20130416000010 |
| Provider Name | Matthew Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962742148 PECOS PAC ID: 7012153000 Enrollment ID: I20130417000517 |
| Provider Name | Carlton W Herald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053302836 PECOS PAC ID: 9739087867 Enrollment ID: I20130424000315 |
| Provider Name | Bryan Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588824387 PECOS PAC ID: 4789708629 Enrollment ID: I20130424000346 |
| Provider Name | Donna M Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104005719 PECOS PAC ID: 2961648530 Enrollment ID: I20130426000543 |
| Provider Name | Jessica Yurasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287584 PECOS PAC ID: 5395981815 Enrollment ID: I20130429000213 |
| Provider Name | Joseph Michael Geskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497705941 PECOS PAC ID: 8022050103 Enrollment ID: I20130501000560 |
| Provider Name | Grace J Walton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851419816 PECOS PAC ID: 8820269939 Enrollment ID: I20130501000651 |
| Provider Name | Todd E Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770832404 PECOS PAC ID: 5496992695 Enrollment ID: I20130507000577 |
| Provider Name | Debra N Larry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477602050 PECOS PAC ID: 3779720990 Enrollment ID: I20130507000676 |
| Provider Name | Kristie L Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388315 PECOS PAC ID: 9739326950 Enrollment ID: I20130507000721 |
| Provider Name | Afton Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548505704 PECOS PAC ID: 5597902577 Enrollment ID: I20130510000423 |
| Provider Name | Teresa M Matzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154321420 PECOS PAC ID: 1052374832 Enrollment ID: I20130513000633 |
| Provider Name | Melissa A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346561974 PECOS PAC ID: 5991942732 Enrollment ID: I20130514000691 |
| Provider Name | Maysa E El-sayyid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962638122 PECOS PAC ID: 3971740671 Enrollment ID: I20130517000210 |
| Provider Name | Yun Hui Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851533954 PECOS PAC ID: 2466690789 Enrollment ID: I20130528000776 |
| Provider Name | Sonia Marie Abuzakhm |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659571065 PECOS PAC ID: 0749428563 Enrollment ID: I20130605000757 |
| Provider Name | John Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861711509 PECOS PAC ID: 6103065123 Enrollment ID: I20130622000039 |
| Provider Name | Andrea K Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417390998 PECOS PAC ID: 7517106545 Enrollment ID: I20130622000081 |
| Provider Name | Sonya M Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902006422 PECOS PAC ID: 1052551876 Enrollment ID: I20130627000878 |
| Provider Name | Ketul K Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265630230 PECOS PAC ID: 9234385485 Enrollment ID: I20130708000619 |
| Provider Name | David K Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568699387 PECOS PAC ID: 7214177518 Enrollment ID: I20130710000364 |
| Provider Name | Matthew Fuerst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104143528 PECOS PAC ID: 5294975215 Enrollment ID: I20130715000605 |
| Provider Name | Jacqueline A Nicholas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740457886 PECOS PAC ID: 0345480257 Enrollment ID: I20130716000909 |
| Provider Name | William Schnackel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063723328 PECOS PAC ID: 7810135050 Enrollment ID: I20130717000822 |
| Provider Name | Alberto Jose Delgado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205966538 PECOS PAC ID: 2062508708 Enrollment ID: I20130725000186 |
| Provider Name | Ricky Vega |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780926238 PECOS PAC ID: 3072754563 Enrollment ID: I20130725000613 |
| Provider Name | Era Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790914737 PECOS PAC ID: 1658512173 Enrollment ID: I20130725000961 |
| Provider Name | Eugenia L Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063732956 PECOS PAC ID: 7810134335 Enrollment ID: I20130729000505 |
| Provider Name | Angela D Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013356013 PECOS PAC ID: 0042451346 Enrollment ID: I20130730000177 |
| Provider Name | Patrick Gross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962644054 PECOS PAC ID: 9931359684 Enrollment ID: I20130730000498 |
| Provider Name | Paul Y Paik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669635256 PECOS PAC ID: 5395986517 Enrollment ID: I20130730000573 |
| Provider Name | Jacqueline Wunderlich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437384708 PECOS PAC ID: 5294976486 Enrollment ID: I20130731000326 |
| Provider Name | Julia E Mustillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609197615 PECOS PAC ID: 2264674233 Enrollment ID: I20130805000617 |
| Provider Name | Candice Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581572 PECOS PAC ID: 5991947962 Enrollment ID: I20130805000621 |
| Provider Name | Jackie L Quach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396096418 PECOS PAC ID: 2264674134 Enrollment ID: I20130806000918 |
| Provider Name | Simeon J Hain |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1548598469 PECOS PAC ID: 0840432696 Enrollment ID: I20130807001047 |
| Provider Name | Sergio A Ulloa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912187626 PECOS PAC ID: 7012159718 Enrollment ID: I20130808000637 |
| Provider Name | Jamie L Stoughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083057988 PECOS PAC ID: 7719129394 Enrollment ID: I20130810000030 |
| Provider Name | Shabana J Dewani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306928817 PECOS PAC ID: 9830331396 Enrollment ID: I20130813000182 |
| Provider Name | Rosemari Kauser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740620459 PECOS PAC ID: 1153563671 Enrollment ID: I20130813000766 |
| Provider Name | Kori Nicole Devoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417397704 PECOS PAC ID: 1052553492 Enrollment ID: I20130814000173 |
| Provider Name | Daniel E Wade |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144468711 PECOS PAC ID: 3476795865 Enrollment ID: I20130814000782 |
| Provider Name | Molly M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336581784 PECOS PAC ID: 8325280613 Enrollment ID: I20130815000929 |
| Provider Name | Marc Palagallo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154580132 PECOS PAC ID: 1951556034 Enrollment ID: I20130820000703 |
| Provider Name | Michael E Johansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831358365 PECOS PAC ID: 6901065564 Enrollment ID: I20130820000733 |
| Provider Name | Kelli J Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811337058 PECOS PAC ID: 5991948002 Enrollment ID: I20130821000188 |
| Provider Name | Crystal Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447579669 PECOS PAC ID: 9133362171 Enrollment ID: I20130823000612 |
| Provider Name | Dhairya Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265745038 PECOS PAC ID: 2365685203 Enrollment ID: I20130826000449 |
| Provider Name | William J Geiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326099854 PECOS PAC ID: 0648301770 Enrollment ID: I20130826001027 |
| Provider Name | Anirban Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871891614 PECOS PAC ID: 1355584004 Enrollment ID: I20130827000790 |
| Provider Name | Ashley E Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821313222 PECOS PAC ID: 1557502002 Enrollment ID: I20130827000987 |
| Provider Name | John F Hedge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104029917 PECOS PAC ID: 7719073600 Enrollment ID: I20130827001000 |
| Provider Name | Michael W Tempelhof |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063688539 PECOS PAC ID: 8123161189 Enrollment ID: I20130828000507 |
| Provider Name | Maria A Reber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528409174 PECOS PAC ID: 6002059748 Enrollment ID: I20130828001005 |
| Provider Name | Sylvia A Zucco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467893735 PECOS PAC ID: 7315180924 Enrollment ID: I20130829000790 |
| Provider Name | Regina Sayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073945366 PECOS PAC ID: 3577706043 Enrollment ID: I20130830000734 |
| Provider Name | Christina N Wasiluk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740628650 PECOS PAC ID: 4385887751 Enrollment ID: I20130904000400 |
| Provider Name | Ryan Matthew Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104265040 PECOS PAC ID: 4385887785 Enrollment ID: I20130904000801 |
| Provider Name | Kathryn E Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023454469 PECOS PAC ID: 6002059417 Enrollment ID: I20130904000950 |
| Provider Name | Karen L Foertmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205187655 PECOS PAC ID: 1456594795 Enrollment ID: I20130905000369 |
| Provider Name | Jennifer M Doles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063651099 PECOS PAC ID: 7315180650 Enrollment ID: I20130905000432 |
| Provider Name | Mitesh N Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235397779 PECOS PAC ID: 8224271572 Enrollment ID: I20130905000543 |
| Provider Name | Bryce M Fincham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285899039 PECOS PAC ID: 5294913745 Enrollment ID: I20130909000770 |
| Provider Name | Rose Tress Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184944373 PECOS PAC ID: 4880838994 Enrollment ID: I20130911000362 |
| Provider Name | Samuel E Lindsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316171788 PECOS PAC ID: 6901040047 Enrollment ID: I20130911000735 |
| Provider Name | Melissa Ann Strickengloss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811259492 PECOS PAC ID: 6901040054 Enrollment ID: I20130911000865 |
| Provider Name | Michael Jolly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639295462 PECOS PAC ID: 9638313794 Enrollment ID: I20130912000061 |
| Provider Name | Melissa O'ryan Mekesa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083908602 PECOS PAC ID: 8527202449 Enrollment ID: I20130916000548 |
| Provider Name | Daniel G Straka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437388139 PECOS PAC ID: 5092959924 Enrollment ID: I20130916000657 |
| Provider Name | Jennifer Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053685479 PECOS PAC ID: 4486898244 Enrollment ID: I20130917000347 |
| Provider Name | Jorge Arzola |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205856382 PECOS PAC ID: 1951557750 Enrollment ID: I20130917000753 |
| Provider Name | Abigail Lynch Lowther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285891655 PECOS PAC ID: 1456530955 Enrollment ID: I20130918000434 |
| Provider Name | Natalie A Dick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295067395 PECOS PAC ID: 5597909234 Enrollment ID: I20130918000577 |
| Provider Name | Ileah R Reichert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063783876 PECOS PAC ID: 2264676956 Enrollment ID: I20130919000278 |
| Provider Name | Steven Ronald Huff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316941156 PECOS PAC ID: 6901090737 Enrollment ID: I20130925000859 |
| Provider Name | Frank Douglas Ferris |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1275609000 PECOS PAC ID: 9931343233 Enrollment ID: I20130925000936 |
| Provider Name | Shahed Hasnat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770915951 PECOS PAC ID: 0345474524 Enrollment ID: I20130930000594 |
| Provider Name | Rachel C Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598198277 PECOS PAC ID: 5496989600 Enrollment ID: I20131001000417 |
| Provider Name | Stephanie Dunkle-blatter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942276944 PECOS PAC ID: 8325080575 Enrollment ID: I20131002000575 |
| Provider Name | Patti Timlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699107821 PECOS PAC ID: 0648404756 Enrollment ID: I20131003000183 |
| Provider Name | Heather M Strickling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306278445 PECOS PAC ID: 5698909737 Enrollment ID: I20131003000534 |
| Provider Name | Aimee P Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366882219 PECOS PAC ID: 3779717780 Enrollment ID: I20131007000794 |
| Provider Name | Scott A Brill |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1508872508 PECOS PAC ID: 1254338577 Enrollment ID: I20131008000659 |
| Provider Name | Robert S Huff |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568779924 PECOS PAC ID: 4284868050 Enrollment ID: I20131009002132 |
| Provider Name | Kristen R Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194165266 PECOS PAC ID: 6103050844 Enrollment ID: I20131011000181 |
| Provider Name | Kelli Kulp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447592977 PECOS PAC ID: 1759515372 Enrollment ID: I20131014000904 |
| Provider Name | Lyndi A Forsythe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225344765 PECOS PAC ID: 7810121332 Enrollment ID: I20131015002134 |
| Provider Name | Nicole M Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528332400 PECOS PAC ID: 6507090941 Enrollment ID: I20131017001943 |
| Provider Name | David Alan Hinkle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013981430 PECOS PAC ID: 3971588773 Enrollment ID: I20131021001017 |
| Provider Name | Jonathan M Enlow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811164619 PECOS PAC ID: 0648405001 Enrollment ID: I20131021001635 |
| Provider Name | Eric R Trinter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275889842 PECOS PAC ID: 3678708054 Enrollment ID: I20131022000242 |
| Provider Name | Anthony H Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295177194 PECOS PAC ID: 1355576737 Enrollment ID: I20131022000386 |
| Provider Name | Jessica L Rudlosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891129920 PECOS PAC ID: 5395970685 Enrollment ID: I20131022001000 |
| Provider Name | Teresa R Recker Gross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942520499 PECOS PAC ID: 5991930133 Enrollment ID: I20131024001434 |
| Provider Name | Lindsey Yokum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437583069 PECOS PAC ID: 1850526963 Enrollment ID: I20131025001628 |
| Provider Name | Mohamed A Hamza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427334838 PECOS PAC ID: 6709052731 Enrollment ID: I20131028001445 |
| Provider Name | Linda S Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043590565 PECOS PAC ID: 1759516701 Enrollment ID: I20131028001566 |
| Provider Name | Elaine K Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124391636 PECOS PAC ID: 7911132683 Enrollment ID: I20131105001165 |
| Provider Name | Dashayne L Wadsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750623070 PECOS PAC ID: 4688809395 Enrollment ID: I20131106000409 |
| Provider Name | Jennifer E Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225349343 PECOS PAC ID: 3870733058 Enrollment ID: I20131107000941 |
| Provider Name | Justin B Weiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780874487 PECOS PAC ID: 3173601523 Enrollment ID: I20131112000366 |
| Provider Name | Kelleen Marie Graver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639518806 PECOS PAC ID: 9234365677 Enrollment ID: I20131113001778 |
| Provider Name | Lauren K Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245679562 PECOS PAC ID: 6305072687 Enrollment ID: I20131114001005 |
| Provider Name | Madiha Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306897 PECOS PAC ID: 5799911046 Enrollment ID: I20131115000857 |
| Provider Name | Bethany C Hahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952564700 PECOS PAC ID: 7618130915 Enrollment ID: I20131127001654 |
| Provider Name | Melissa A Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821392614 PECOS PAC ID: 1557598190 Enrollment ID: I20131205001573 |
| Provider Name | Cortney L. Cahoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336573971 PECOS PAC ID: 1254568769 Enrollment ID: I20131207000243 |
| Provider Name | Anne N Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326365214 PECOS PAC ID: 4880838960 Enrollment ID: I20131211001162 |
| Provider Name | Maxine V Wanzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245660992 PECOS PAC ID: 1759518020 Enrollment ID: I20131211001451 |
| Provider Name | Kimberly K Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174952022 PECOS PAC ID: 6305073404 Enrollment ID: I20131217001210 |
| Provider Name | Brittany N Sweigart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467708347 PECOS PAC ID: 4981831922 Enrollment ID: I20131218000775 |
| Provider Name | Ishwarya Karra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013222553 PECOS PAC ID: 2163660390 Enrollment ID: I20131227001825 |
| Provider Name | Craig J Parris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400595 PECOS PAC ID: 3072741735 Enrollment ID: I20140102001398 |
| Provider Name | Tabitha N Kelker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609209451 PECOS PAC ID: 8921236514 Enrollment ID: I20140103001026 |
| Provider Name | Julia A Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295176873 PECOS PAC ID: 4486882966 Enrollment ID: I20140107001145 |
| Provider Name | Nirav R Rana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710203781 PECOS PAC ID: 6002930427 Enrollment ID: I20140107001204 |
| Provider Name | Tammy L Canfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053100 PECOS PAC ID: 2062640584 Enrollment ID: I20140108000928 |
| Provider Name | Lisa R Meiring |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144561903 PECOS PAC ID: 4082842513 Enrollment ID: I20140108001251 |
| Provider Name | Patrick Nduaguba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922319706 PECOS PAC ID: 1951539162 Enrollment ID: I20140115001505 |
| Provider Name | Molly A Shoemaker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942548243 PECOS PAC ID: 8820226954 Enrollment ID: I20140116000894 |
| Provider Name | Lisa M Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326460361 PECOS PAC ID: 4082842984 Enrollment ID: I20140123001238 |
| Provider Name | Lance Miles Maynard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154520013 PECOS PAC ID: 7113174038 Enrollment ID: I20140131001580 |
| Provider Name | Brian Jennings |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801045208 PECOS PAC ID: 6204075054 Enrollment ID: I20140207000363 |
| Provider Name | Patricia L Zuniga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205263944 PECOS PAC ID: 3779712815 Enrollment ID: I20140212000973 |
| Provider Name | Carl T Ortman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205139391 PECOS PAC ID: 4789822974 Enrollment ID: I20140218000175 |
| Provider Name | Dustin E Alspach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598067209 PECOS PAC ID: 3173704848 Enrollment ID: I20140224001500 |
| Provider Name | Sheila E Santa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932363777 PECOS PAC ID: 6103097381 Enrollment ID: I20140311000269 |
| Provider Name | Elizabeth R Bolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093144115 PECOS PAC ID: 4880824960 Enrollment ID: I20140312000416 |
| Provider Name | Vivian E Ruszkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336585512 PECOS PAC ID: 0840421624 Enrollment ID: I20140319001574 |
| Provider Name | Yan Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255777470 PECOS PAC ID: 1557592342 Enrollment ID: I20140319001647 |
| Provider Name | Indira Subramaniam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093155061 PECOS PAC ID: 5698906493 Enrollment ID: I20140319002308 |
| Provider Name | Deidre J Arms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790100931 PECOS PAC ID: 0648401406 Enrollment ID: I20140320002053 |
| Provider Name | Michele L Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083811830 PECOS PAC ID: 1052493566 Enrollment ID: I20140324000501 |
| Provider Name | Brenda J Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346665577 PECOS PAC ID: 4284865833 Enrollment ID: I20140324001290 |
| Provider Name | Fan Ny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629414974 PECOS PAC ID: 2062643695 Enrollment ID: I20140325001332 |
| Provider Name | Babafunmilayo A Kasali |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609024579 PECOS PAC ID: 5991992265 Enrollment ID: I20140402001840 |
| Provider Name | Azure S Koehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871910596 PECOS PAC ID: 1254562333 Enrollment ID: I20140403000522 |
| Provider Name | Vijay Jayanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003112657 PECOS PAC ID: 4688828742 Enrollment ID: I20140404000583 |
| Provider Name | Sammy Tabbah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205025632 PECOS PAC ID: 8527297027 Enrollment ID: I20140417001484 |
| Provider Name | Charlotte Rose Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902128358 PECOS PAC ID: 3173755352 Enrollment ID: I20140423000525 |
| Provider Name | Maurice Aaron Alston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184999021 PECOS PAC ID: 2961649728 Enrollment ID: I20140430002313 |
| Provider Name | Danielle R Wadkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245651165 PECOS PAC ID: 4587897848 Enrollment ID: I20140512002123 |
| Provider Name | Michael James Hake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417259805 PECOS PAC ID: 2961625173 Enrollment ID: I20140515001121 |
| Provider Name | Erin C May |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124332002 PECOS PAC ID: 1456574474 Enrollment ID: I20140520002450 |
| Provider Name | Jeremy S Watkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508159369 PECOS PAC ID: 6709064066 Enrollment ID: I20140521000823 |
| Provider Name | Erin K Binner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043630544 PECOS PAC ID: 5698998375 Enrollment ID: I20140527002007 |
| Provider Name | Mary E Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518377522 PECOS PAC ID: 2961626213 Enrollment ID: I20140606001742 |
| Provider Name | Victor M Awuor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316110604 PECOS PAC ID: 4688811730 Enrollment ID: I20140612001763 |
| Provider Name | Deepa Halaharvi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043485253 PECOS PAC ID: 7911890447 Enrollment ID: I20140612002300 |
| Provider Name | Tejal R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497047419 PECOS PAC ID: 8426272428 Enrollment ID: I20140613000552 |
| Provider Name | Carlos E Sanchez Soto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023277043 PECOS PAC ID: 8325262348 Enrollment ID: I20140613001014 |
| Provider Name | Kristin Elizabeth Lowe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972625432 PECOS PAC ID: 9234387358 Enrollment ID: I20140613001108 |
| Provider Name | Michelle D Mead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710208830 PECOS PAC ID: 0042434896 Enrollment ID: I20140617001762 |
| Provider Name | Michelle Y Kincaid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396943601 PECOS PAC ID: 4284875626 Enrollment ID: I20140618001320 |
| Provider Name | Andrew Z Smock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023245123 PECOS PAC ID: 0345482568 Enrollment ID: I20140618002132 |
| Provider Name | Nicholas A Mckenzie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689931206 PECOS PAC ID: 4880845213 Enrollment ID: I20140618002224 |
| Provider Name | Shannon C Codispoti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568752962 PECOS PAC ID: 8325297062 Enrollment ID: I20140618002482 |
| Provider Name | Joseph Daniel Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083876288 PECOS PAC ID: 5991973034 Enrollment ID: I20140619001525 |
| Provider Name | Kimberly M Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558656819 PECOS PAC ID: 5991943060 Enrollment ID: I20140623000236 |
| Provider Name | Joseph O Ohanlon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427287325 PECOS PAC ID: 8628221876 Enrollment ID: I20140624002191 |
| Provider Name | Amber M Mack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811209828 PECOS PAC ID: 8123243656 Enrollment ID: I20140625002143 |
| Provider Name | Amy M Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992949150 PECOS PAC ID: 2860629979 Enrollment ID: I20140626002344 |
| Provider Name | Katherine Holter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093139958 PECOS PAC ID: 9537384961 Enrollment ID: I20140627000552 |
| Provider Name | Jamal Saleh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275859555 PECOS PAC ID: 9234354200 Enrollment ID: I20140707001714 |
| Provider Name | Amanda Mcaleer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639355258 PECOS PAC ID: 2860666518 Enrollment ID: I20140707001918 |
| Provider Name | Michael Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790105914 PECOS PAC ID: 6608091699 Enrollment ID: I20140708000431 |
| Provider Name | Cassandra N Grenade |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770744807 PECOS PAC ID: 7315186434 Enrollment ID: I20140709001831 |
| Provider Name | Brian Gregory Turner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174557821 PECOS PAC ID: 5294802120 Enrollment ID: I20140709002122 |
| Provider Name | Courtney N Rengel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427460039 PECOS PAC ID: 3971728783 Enrollment ID: I20140711001258 |
| Provider Name | Laurie A Schnipke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164834065 PECOS PAC ID: 0244455848 Enrollment ID: I20140715000342 |
| Provider Name | Brianne N Plante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225340938 PECOS PAC ID: 8325263973 Enrollment ID: I20140715002291 |
| Provider Name | Aine E Clements |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225294689 PECOS PAC ID: 4082853858 Enrollment ID: I20140717002532 |
| Provider Name | David B Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326331448 PECOS PAC ID: 7719127513 Enrollment ID: I20140721001250 |
| Provider Name | David A Epstein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063448991 PECOS PAC ID: 9830157858 Enrollment ID: I20140723001501 |
| Provider Name | Alex Perchuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295960086 PECOS PAC ID: 5991944712 Enrollment ID: I20140723001839 |
| Provider Name | John Ross Scherer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861653701 PECOS PAC ID: 0345480125 Enrollment ID: I20140723002456 |
| Provider Name | Shannon N Crow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225455041 PECOS PAC ID: 4183840390 Enrollment ID: I20140724001139 |
| Provider Name | Elizabeth West Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427477694 PECOS PAC ID: 5092931204 Enrollment ID: I20140724001144 |
| Provider Name | Corrie Malcom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114330313 PECOS PAC ID: 6507082625 Enrollment ID: I20140725002396 |
| Provider Name | John R Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518142843 PECOS PAC ID: 5991976425 Enrollment ID: I20140728001591 |
| Provider Name | Kristen E Naples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881007300 PECOS PAC ID: 0345466272 Enrollment ID: I20140729001631 |
| Provider Name | Shannon Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255743001 PECOS PAC ID: 8628294576 Enrollment ID: I20140729002339 |
| Provider Name | Timothy Dwight Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982883344 PECOS PAC ID: 0840359709 Enrollment ID: I20140730001079 |
| Provider Name | Hayden Hung-tan Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124319272 PECOS PAC ID: 2961628698 Enrollment ID: I20140801000308 |
| Provider Name | Dianna M Kinnik-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225444284 PECOS PAC ID: 9830316546 Enrollment ID: I20140804001094 |
| Provider Name | Lucy K Bucher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578882486 PECOS PAC ID: 0648497172 Enrollment ID: I20140807000338 |
| Provider Name | Izaak W. Granger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780095281 PECOS PAC ID: 0749407187 Enrollment ID: I20140808001279 |
| Provider Name | Tyler Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720240633 PECOS PAC ID: 9638318629 Enrollment ID: I20140812002320 |
| Provider Name | Brian M Torma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790078723 PECOS PAC ID: 4981841897 Enrollment ID: I20140813001183 |
| Provider Name | William Abouhassan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598956104 PECOS PAC ID: 6800026394 Enrollment ID: I20140814000661 |
| Provider Name | Nicholas H.e. Mezitis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265527295 PECOS PAC ID: 7618996174 Enrollment ID: I20140814001356 |
| Provider Name | Timothy James Robert Rust |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306071899 PECOS PAC ID: 9537309034 Enrollment ID: I20140814002381 |
| Provider Name | Jessica Gligora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750796884 PECOS PAC ID: 2860619616 Enrollment ID: I20140819000884 |
| Provider Name | Jesse Capone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396039103 PECOS PAC ID: 7012135874 Enrollment ID: I20140820002025 |
| Provider Name | Senai Negassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255604609 PECOS PAC ID: 8820216542 Enrollment ID: I20140821001470 |
| Provider Name | Anitha Nallari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881649879 PECOS PAC ID: 8729984240 Enrollment ID: I20140827000423 |
| Provider Name | Aileen Theresa Ruffino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437424496 PECOS PAC ID: 4082850664 Enrollment ID: I20140827001527 |
| Provider Name | Stephanie A Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194131417 PECOS PAC ID: 8123246493 Enrollment ID: I20140828000293 |
| Provider Name | Amanda E Wilkins-butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407264682 PECOS PAC ID: 4587882899 Enrollment ID: I20140828001442 |
| Provider Name | Katherine A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568879435 PECOS PAC ID: 0244458438 Enrollment ID: I20140829002171 |
| Provider Name | Catherine Romanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659574192 PECOS PAC ID: 6507059243 Enrollment ID: I20140903001115 |
| Provider Name | Anupam Basuray |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1659536894 PECOS PAC ID: 5698826345 Enrollment ID: I20140903001940 |
| Provider Name | Sandy F Kovacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295090272 PECOS PAC ID: 4183842131 Enrollment ID: I20140904001126 |
| Provider Name | Randall C Thomas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013201417 PECOS PAC ID: 0446496004 Enrollment ID: I20140905002063 |
| Provider Name | Jason A Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194955658 PECOS PAC ID: 7719105683 Enrollment ID: I20140908000242 |
| Provider Name | Amy E Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104084821 PECOS PAC ID: 0446479224 Enrollment ID: I20140909001429 |
| Provider Name | Courtney Kresge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851705784 PECOS PAC ID: 3971722760 Enrollment ID: I20140909001888 |
| Provider Name | Asim Salim Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427340355 PECOS PAC ID: 6103062864 Enrollment ID: I20140910001322 |
| Provider Name | Gretchen A Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972919546 PECOS PAC ID: 5395964076 Enrollment ID: I20140910002701 |
| Provider Name | Jason W Foster |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528350691 PECOS PAC ID: 2062643521 Enrollment ID: I20140911001213 |
| Provider Name | Ashley N Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639583727 PECOS PAC ID: 4789803396 Enrollment ID: I20140915000247 |
| Provider Name | Emily B Saul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598050908 PECOS PAC ID: 2668610809 Enrollment ID: I20140917002435 |
| Provider Name | William C Wu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891984654 PECOS PAC ID: 7719106137 Enrollment ID: I20140917002546 |
| Provider Name | Yelena Feldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619260445 PECOS PAC ID: 8527287952 Enrollment ID: I20140917002616 |
| Provider Name | Fredrick H Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083021166 PECOS PAC ID: 1759500085 Enrollment ID: I20140917003141 |
| Provider Name | Laura E Avery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184855298 PECOS PAC ID: 6204055353 Enrollment ID: I20140922002650 |
| Provider Name | Roshini Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932516606 PECOS PAC ID: 1850510876 Enrollment ID: I20140923002624 |
| Provider Name | David Kast |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033420765 PECOS PAC ID: 5597985556 Enrollment ID: I20140925002276 |
| Provider Name | Nora Alghothani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780837963 PECOS PAC ID: 5698957686 Enrollment ID: I20140926001990 |
| Provider Name | Michael Ryan Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629317532 PECOS PAC ID: 9234376062 Enrollment ID: I20140929002587 |
| Provider Name | Caleb T Wagner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124310826 PECOS PAC ID: 9335391002 Enrollment ID: I20140930001057 |
| Provider Name | Noi Francesca Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144666702 PECOS PAC ID: 1658591417 Enrollment ID: I20140930002066 |
| Provider Name | Eleanor Beatrix Byrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073921995 PECOS PAC ID: 6709006323 Enrollment ID: I20141002002203 |
| Provider Name | Amit Arora |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619143799 PECOS PAC ID: 1759530215 Enrollment ID: I20141003002224 |
| Provider Name | Janina Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013201672 PECOS PAC ID: 2668619545 Enrollment ID: I20141007000392 |
| Provider Name | Briana C Donaldson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669663829 PECOS PAC ID: 4486788718 Enrollment ID: I20141007000480 |
| Provider Name | Jessica Ann Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497041800 PECOS PAC ID: 0042458564 Enrollment ID: I20141008002646 |
| Provider Name | Amanda R Stover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730473257 PECOS PAC ID: 7517105646 Enrollment ID: I20141010002067 |
| Provider Name | Janice Tsen-ee Feng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518250539 PECOS PAC ID: 5496992315 Enrollment ID: I20141013001906 |
| Provider Name | Andrew Benton Freeman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386854875 PECOS PAC ID: 0042489452 Enrollment ID: I20141016000810 |
| Provider Name | Joseph Duffy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386897544 PECOS PAC ID: 6800035817 Enrollment ID: I20141016001606 |
| Provider Name | Amy Joann Secor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043611197 PECOS PAC ID: 9638390685 Enrollment ID: I20141016001822 |
| Provider Name | Abdulmajid Y Adam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528362258 PECOS PAC ID: 1355510751 Enrollment ID: I20141021002866 |
| Provider Name | Frederick P Korpi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477993947 PECOS PAC ID: 6800017443 Enrollment ID: I20141022002758 |
| Provider Name | Michele L Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497167449 PECOS PAC ID: 8729209234 Enrollment ID: I20141027002227 |
| Provider Name | Rodolfo Jose Denadai Benatti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437407012 PECOS PAC ID: 7618198938 Enrollment ID: I20141029001554 |
| Provider Name | Cody Douglas Fulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427459494 PECOS PAC ID: 3072735042 Enrollment ID: I20141106000297 |
| Provider Name | Cheryal L Haas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235533894 PECOS PAC ID: 0244452191 Enrollment ID: I20141110002219 |
| Provider Name | Jayanta T Mukherjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023120250 PECOS PAC ID: 3375587074 Enrollment ID: I20141117000772 |
| Provider Name | Nancy S Sample |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275953408 PECOS PAC ID: 3870715311 Enrollment ID: I20141117001387 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538125372 PECOS PAC ID: 1850382433 Enrollment ID: I20141122000397 |
| Provider Name | Ryan E Schodorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164825907 PECOS PAC ID: 8729300934 Enrollment ID: I20141125000644 |
| Provider Name | Todd A Jamrose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972868487 PECOS PAC ID: 2264670033 Enrollment ID: I20141126001084 |
| Provider Name | Bobbi J. Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279363 PECOS PAC ID: 6002138146 Enrollment ID: I20141201001296 |
| Provider Name | Christina I Ussai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891106951 PECOS PAC ID: 5890017818 Enrollment ID: I20141202002284 |
| Provider Name | Rekha Durairaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831479963 PECOS PAC ID: 3971745308 Enrollment ID: I20141204002376 |
| Provider Name | Sarah A Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619380862 PECOS PAC ID: 3870815657 Enrollment ID: I20141205000599 |
| Provider Name | Beth A Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669878534 PECOS PAC ID: 9739401258 Enrollment ID: I20141211000409 |
| Provider Name | Amy Michelle Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134520315 PECOS PAC ID: 9436471919 Enrollment ID: I20141212000259 |
| Provider Name | Colleen Patricia Zombek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578966347 PECOS PAC ID: 5991027344 Enrollment ID: I20141215000398 |
| Provider Name | Samuel Albert Morgos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144364076 PECOS PAC ID: 5294764817 Enrollment ID: I20141215002067 |
| Provider Name | Jessica Leigh Gutsjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346658432 PECOS PAC ID: 4981927225 Enrollment ID: I20141218000152 |
| Provider Name | Rachel C Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649615006 PECOS PAC ID: 7911220108 Enrollment ID: I20141218002107 |
| Provider Name | Natali Erminy Falcon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447544150 PECOS PAC ID: 2264671197 Enrollment ID: I20141219001054 |
| Provider Name | Sean Edgar Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417366535 PECOS PAC ID: 8325361108 Enrollment ID: I20141231001331 |
| Provider Name | Dionysios Klironomos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447438650 PECOS PAC ID: 1951487859 Enrollment ID: I20150106002117 |
| Provider Name | George Kallingal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871869214 PECOS PAC ID: 6709024557 Enrollment ID: I20150106002141 |
| Provider Name | Stephanie D Diehlmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790885283 PECOS PAC ID: 8224139621 Enrollment ID: I20150107001298 |
| Provider Name | Heather R Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134535776 PECOS PAC ID: 8123342490 Enrollment ID: I20150114001038 |
| Provider Name | Allison R Harting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150272 PECOS PAC ID: 0143446864 Enrollment ID: I20150116001304 |
| Provider Name | Ryan Chadler Hedgepeth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326225301 PECOS PAC ID: 2466535984 Enrollment ID: I20150122001941 |
| Provider Name | Pooja Lahoti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750657524 PECOS PAC ID: 7214174135 Enrollment ID: I20150122002567 |
| Provider Name | Candice Critser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568868073 PECOS PAC ID: 7113241977 Enrollment ID: I20150127000499 |
| Provider Name | Lindsay R Eckman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134525124 PECOS PAC ID: 9335463108 Enrollment ID: I20150127001158 |
| Provider Name | Daniel Jaeung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508094707 PECOS PAC ID: 1355578196 Enrollment ID: I20150202001867 |
| Provider Name | Scott Michael Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275739575 PECOS PAC ID: 6507999885 Enrollment ID: I20150203001692 |
| Provider Name | Karen A Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279546 PECOS PAC ID: 9133444664 Enrollment ID: I20150204001665 |
| Provider Name | Van W Adamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417161126 PECOS PAC ID: 6709924376 Enrollment ID: I20150205000732 |
| Provider Name | Brian Dewayne Dishong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194037440 PECOS PAC ID: 1759527310 Enrollment ID: I20150205001763 |
| Provider Name | Geoffrey A Swiger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982094181 PECOS PAC ID: 1951626290 Enrollment ID: I20150209002014 |
| Provider Name | Ali Imani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285921858 PECOS PAC ID: 8325290760 Enrollment ID: I20150209002158 |
| Provider Name | David F Sypert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205102795 PECOS PAC ID: 0042459968 Enrollment ID: I20150223000171 |
| Provider Name | Ciara Staunton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376933812 PECOS PAC ID: 1052637188 Enrollment ID: I20150306001343 |
| Provider Name | Christa Michele Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699167965 PECOS PAC ID: 1456677442 Enrollment ID: I20150310002512 |
| Provider Name | Adam Jerrod Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275925547 PECOS PAC ID: 0446576433 Enrollment ID: I20150310002536 |
| Provider Name | Diana Lyn Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002380 PECOS PAC ID: 5698091437 Enrollment ID: I20150313000680 |
| Provider Name | Kimberly Sue Sprott |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861882805 PECOS PAC ID: 4880911635 Enrollment ID: I20150316002640 |
| Provider Name | Eric Britain Miller |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1245551498 PECOS PAC ID: 1951628569 Enrollment ID: I20150319001104 |
| Provider Name | Stefani E Yudasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619360161 PECOS PAC ID: 6709103872 Enrollment ID: I20150330001413 |
| Provider Name | Daniel L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144618380 PECOS PAC ID: 4880911841 Enrollment ID: I20150401000164 |
| Provider Name | Andrew M Sitzmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356636203 PECOS PAC ID: 5496907883 Enrollment ID: I20150403000862 |
| Provider Name | Jaime L Heisterkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710382775 PECOS PAC ID: 2668790643 Enrollment ID: I20150423001971 |
| Provider Name | Melissa T Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285940700 PECOS PAC ID: 6305165242 Enrollment ID: I20150428000257 |
| Provider Name | Amy D Bishop |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639565724 PECOS PAC ID: 4789903642 Enrollment ID: I20150428000951 |
| Provider Name | Tina R Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720356116 PECOS PAC ID: 6204093479 Enrollment ID: I20150506000753 |
| Provider Name | Brian S. Katz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962723437 PECOS PAC ID: 1456524818 Enrollment ID: I20150512001865 |
| Provider Name | Angela M Staker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538553854 PECOS PAC ID: 5496075483 Enrollment ID: I20150514001111 |
| Provider Name | Nicole Michele Laccheo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972916716 PECOS PAC ID: 5092035907 Enrollment ID: I20150515002171 |
| Provider Name | Brent J Goslin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073741195 PECOS PAC ID: 5294963625 Enrollment ID: I20150601000787 |
| Provider Name | Emdad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508125519 PECOS PAC ID: 9335460443 Enrollment ID: I20150601002933 |
| Provider Name | Shashi Yellappa Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831452887 PECOS PAC ID: 8628399466 Enrollment ID: I20150605000975 |
| Provider Name | Sumit Kapoor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376777433 PECOS PAC ID: 6608197389 Enrollment ID: I20150605002351 |
| Provider Name | Charles Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306110150 PECOS PAC ID: 6507003662 Enrollment ID: I20150605002538 |
| Provider Name | Lena Gibson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548496359 PECOS PAC ID: 7911228523 Enrollment ID: I20150608003027 |
| Provider Name | Christopher Sanders Taylor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235391830 PECOS PAC ID: 4688815400 Enrollment ID: I20150608003064 |
| Provider Name | Katie E Steele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023302254 PECOS PAC ID: 9234450560 Enrollment ID: I20150611001348 |
| Provider Name | Kevin Joseph Reuscher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467830760 PECOS PAC ID: 8224349196 Enrollment ID: I20150618001291 |
| Provider Name | Lacey Dawn Synk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760878672 PECOS PAC ID: 6204147127 Enrollment ID: I20150618002785 |
| Provider Name | Brian B Oloizia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588924625 PECOS PAC ID: 6901046366 Enrollment ID: I20150623000638 |
| Provider Name | Amanda L Quisno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265799217 PECOS PAC ID: 2769620673 Enrollment ID: I20150623002377 |
| Provider Name | Julie Cole |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053790766 PECOS PAC ID: 3577874023 Enrollment ID: I20150624001956 |
| Provider Name | Jarred T Burkart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205102001 PECOS PAC ID: 7911149810 Enrollment ID: I20150625002124 |
| Provider Name | Rebekah Lynn Young |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285950873 PECOS PAC ID: 2860703303 Enrollment ID: I20150626000778 |
| Provider Name | Breanna M Detrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427438829 PECOS PAC ID: 3678885076 Enrollment ID: I20150626000962 |
| Provider Name | Benjamin J Burkam |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164717260 PECOS PAC ID: 6901045590 Enrollment ID: I20150702001657 |
| Provider Name | Edan Gilat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497046841 PECOS PAC ID: 7810123700 Enrollment ID: I20150708000444 |
| Provider Name | Thanh V Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073755294 PECOS PAC ID: 2062652407 Enrollment ID: I20150708002417 |
| Provider Name | Parikshit Thakur Hameer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477822799 PECOS PAC ID: 8325350846 Enrollment ID: I20150710002257 |
| Provider Name | Eric Ackah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700081353 PECOS PAC ID: 5395861165 Enrollment ID: I20150710002325 |
| Provider Name | Kerrie Lynn Rodgers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750777678 PECOS PAC ID: 6709198278 Enrollment ID: I20150713000775 |
| Provider Name | Christopher Ryan Selinsky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922328962 PECOS PAC ID: 9931349750 Enrollment ID: I20150713000860 |
| Provider Name | Jeffrey J Archer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578877031 PECOS PAC ID: 8820236789 Enrollment ID: I20150713002631 |
| Provider Name | Nicholas W Creasap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659670107 PECOS PAC ID: 8628223708 Enrollment ID: I20150714002643 |
| Provider Name | Troy S Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669332 PECOS PAC ID: 5799098091 Enrollment ID: I20150715001933 |
| Provider Name | Douglas R Closser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982839312 PECOS PAC ID: 8022257989 Enrollment ID: I20150717001816 |
| Provider Name | Harsh Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790962116 PECOS PAC ID: 3577743707 Enrollment ID: I20150717002726 |
| Provider Name | Shnehal C Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972820447 PECOS PAC ID: 1355654328 Enrollment ID: I20150720002403 |
| Provider Name | Abigail Rose Mahoney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740675958 PECOS PAC ID: 7618280462 Enrollment ID: I20150722004874 |
| Provider Name | Allison Clardy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558742205 PECOS PAC ID: 0345553137 Enrollment ID: I20150722006388 |
| Provider Name | Emily A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336529411 PECOS PAC ID: 3870806474 Enrollment ID: I20150724010410 |
| Provider Name | Megan Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649544727 PECOS PAC ID: 0547407033 Enrollment ID: I20150727000663 |
| Provider Name | Alexander Yeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619241684 PECOS PAC ID: 9638317787 Enrollment ID: I20150728005105 |
| Provider Name | April L Tipton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790042224 PECOS PAC ID: 1355655721 Enrollment ID: I20150729007646 |
| Provider Name | William Burgette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326289257 PECOS PAC ID: 6204140460 Enrollment ID: I20150731015373 |
| Provider Name | Christy Nicole Lesmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245617380 PECOS PAC ID: 2769796812 Enrollment ID: I20150803000893 |
| Provider Name | Scott A Jenkinson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265425698 PECOS PAC ID: 9032160791 Enrollment ID: I20150803001598 |
| Provider Name | Eugenia Kay Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003295270 PECOS PAC ID: 8022322080 Enrollment ID: I20150804005103 |
| Provider Name | Cassondra Leigh Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134503899 PECOS PAC ID: 9335453323 Enrollment ID: I20150804006106 |
| Provider Name | Justin T O'grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104218718 PECOS PAC ID: 7810201746 Enrollment ID: I20150805007283 |
| Provider Name | Eric M Vikingstad |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396976858 PECOS PAC ID: 4789998642 Enrollment ID: I20150805008602 |
| Provider Name | Kevin Thomas Gulley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770859969 PECOS PAC ID: 5092952853 Enrollment ID: I20150805009390 |
| Provider Name | Hazem Nassar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740412246 PECOS PAC ID: 7911153010 Enrollment ID: I20150806011502 |
| Provider Name | Jaynine Diane Vado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073808408 PECOS PAC ID: 2062726821 Enrollment ID: I20150806012348 |
| Provider Name | Neil Jyoti Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457617854 PECOS PAC ID: 8224276464 Enrollment ID: I20150806012917 |
| Provider Name | Ryan Siegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184830598 PECOS PAC ID: 3870733637 Enrollment ID: I20150807015443 |
| Provider Name | Monique C. Judy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619149663 PECOS PAC ID: 4981918661 Enrollment ID: I20150810000973 |
| Provider Name | Marsha L Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750554481 PECOS PAC ID: 9335454925 Enrollment ID: I20150811004876 |
| Provider Name | Rebecca J Nduaguba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891055117 PECOS PAC ID: 5496060014 Enrollment ID: I20150811006002 |
| Provider Name | Sean T Mccarthy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962664722 PECOS PAC ID: 2466693221 Enrollment ID: I20150812008241 |
| Provider Name | Carrie Hamner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982084471 PECOS PAC ID: 2769797182 Enrollment ID: I20150813012152 |
| Provider Name | Paul He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346502648 PECOS PAC ID: 2264747518 Enrollment ID: I20150814013341 |
| Provider Name | Jill E Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629477732 PECOS PAC ID: 3476876384 Enrollment ID: I20150817000142 |
| Provider Name | Adham S Jammoul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316247364 PECOS PAC ID: 3971818204 Enrollment ID: I20150817000784 |
| Provider Name | Kevin P Mcaninch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104183649 PECOS PAC ID: 3476705344 Enrollment ID: I20150817002181 |
| Provider Name | Vineet Bhasker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942594502 PECOS PAC ID: 5092952911 Enrollment ID: I20150818004026 |
| Provider Name | Max Hugo Saenz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093009987 PECOS PAC ID: 6800033663 Enrollment ID: I20150818004425 |
| Provider Name | Holly Patricia Mckibben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265810618 PECOS PAC ID: 7214242346 Enrollment ID: I20150818004841 |
| Provider Name | Joseph Edward Sauder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477937332 PECOS PAC ID: 9335454446 Enrollment ID: I20150819007129 |
| Provider Name | Tristan Michael Erb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700260866 PECOS PAC ID: 3173838299 Enrollment ID: I20150819007736 |
| Provider Name | Shannon J Ho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922273887 PECOS PAC ID: 3971818972 Enrollment ID: I20150820010104 |
| Provider Name | Raul Zamora |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538484415 PECOS PAC ID: 7416262332 Enrollment ID: I20150820010963 |
| Provider Name | Raul Raudales |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568751790 PECOS PAC ID: 1658510219 Enrollment ID: I20150820011132 |
| Provider Name | Brian T Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518345149 PECOS PAC ID: 7719292580 Enrollment ID: I20150824000817 |
| Provider Name | Samvel Nersisyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184982357 PECOS PAC ID: 7810148764 Enrollment ID: I20150824001531 |
| Provider Name | Fara Bellows |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083935118 PECOS PAC ID: 3678889417 Enrollment ID: I20150825003502 |
| Provider Name | Erika M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053729855 PECOS PAC ID: 4082920822 Enrollment ID: I20150825003678 |
| Provider Name | Kavya Krishna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194987537 PECOS PAC ID: 7315187754 Enrollment ID: I20150825004627 |
| Provider Name | Jessica M Guinness |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710270715 PECOS PAC ID: 6709192321 Enrollment ID: I20150827001806 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20150828001924 |
| Provider Name | Nicholas R Styn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396861241 PECOS PAC ID: 4587829817 Enrollment ID: I20150902000353 |
| Provider Name | Anurag Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639313331 PECOS PAC ID: 8628200847 Enrollment ID: I20150909001451 |
| Provider Name | Jessica Christoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760867618 PECOS PAC ID: 3476860396 Enrollment ID: I20150909002537 |
| Provider Name | Sarah Elizabeth Parthemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881061331 PECOS PAC ID: 5294042164 Enrollment ID: I20150910001000 |
| Provider Name | Andrew C Trout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891061495 PECOS PAC ID: 2668613290 Enrollment ID: I20150910001091 |
| Provider Name | Roberta J Ridolfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760732572 PECOS PAC ID: 1153638929 Enrollment ID: I20150911001344 |
| Provider Name | Lisa D Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770961740 PECOS PAC ID: 0446567689 Enrollment ID: I20150921000592 |
| Provider Name | Courtney Shane Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154618569 PECOS PAC ID: 3375763063 Enrollment ID: I20150923000053 |
| Provider Name | Audrey Katherine Larrimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407236193 PECOS PAC ID: 9537476544 Enrollment ID: I20150923000704 |
| Provider Name | Valentina Viktorovna Sushyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245616820 PECOS PAC ID: 6901114818 Enrollment ID: I20150925001770 |
| Provider Name | Sheila M South |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962887307 PECOS PAC ID: 6305154873 Enrollment ID: I20151002000223 |
| Provider Name | Trisha Marie Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265810659 PECOS PAC ID: 2062720576 Enrollment ID: I20151002001642 |
| Provider Name | Shailesh C Pinto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750447157 PECOS PAC ID: 0547355620 Enrollment ID: I20151006002192 |
| Provider Name | Jessica L Hone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194168625 PECOS PAC ID: 8022326305 Enrollment ID: I20151006002849 |
| Provider Name | Sarah Ann Jannot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538545314 PECOS PAC ID: 2567770787 Enrollment ID: I20151007001905 |
| Provider Name | Jennifer L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558748145 PECOS PAC ID: 6608185426 Enrollment ID: I20151019001271 |
| Provider Name | Eric Alvarez Lirio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659578508 PECOS PAC ID: 3072680826 Enrollment ID: I20151020002742 |
| Provider Name | Audrey B Warmbrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801272497 PECOS PAC ID: 5799094413 Enrollment ID: I20151021000152 |
| Provider Name | Pollyanna Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174991327 PECOS PAC ID: 8426367046 Enrollment ID: I20151022000817 |
| Provider Name | Robert A Schwartz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982605747 PECOS PAC ID: 0941299283 Enrollment ID: I20151026002330 |
| Provider Name | Joshua R Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366769879 PECOS PAC ID: 9133438443 Enrollment ID: I20151027000849 |
| Provider Name | Joshua T Bordner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275902207 PECOS PAC ID: 7113236456 Enrollment ID: I20151027002512 |
| Provider Name | Muhammad Adeel Mahmood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659505535 PECOS PAC ID: 6608014204 Enrollment ID: I20151104000254 |
| Provider Name | Catherine E Hyatt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689637274 PECOS PAC ID: 8628036720 Enrollment ID: I20151104001804 |
| Provider Name | Emily M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841677168 PECOS PAC ID: 7911217500 Enrollment ID: I20151111001263 |
| Provider Name | Matthew Steele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770963308 PECOS PAC ID: 7810297033 Enrollment ID: I20151119001956 |
| Provider Name | Kimberly M Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174996003 PECOS PAC ID: 3375843469 Enrollment ID: I20151120001806 |
| Provider Name | John P Hegarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437525631 PECOS PAC ID: 8123328259 Enrollment ID: I20151123000204 |
| Provider Name | Erin Kay Weyandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336511617 PECOS PAC ID: 7113227083 Enrollment ID: I20151125000500 |
| Provider Name | Nyoka S Fauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235506023 PECOS PAC ID: 3375843840 Enrollment ID: I20151207000131 |
| Provider Name | Jed Rivers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215035811 PECOS PAC ID: 3971500588 Enrollment ID: I20151210002609 |
| Provider Name | Seretha Maria Ransom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699060764 PECOS PAC ID: 7517115181 Enrollment ID: I20151214001235 |
| Provider Name | Tracy Lea King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194195545 PECOS PAC ID: 9638470750 Enrollment ID: I20151215001507 |
| Provider Name | Kathleen A Locher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076311 PECOS PAC ID: 9739480732 Enrollment ID: I20151216002020 |
| Provider Name | Taylor Davis Whetstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013385012 PECOS PAC ID: 8921309808 Enrollment ID: I20151217002457 |
| Provider Name | Virginia M Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194107177 PECOS PAC ID: 1759682560 Enrollment ID: I20151221002533 |
| Provider Name | Carolyn M Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962872143 PECOS PAC ID: 3577864263 Enrollment ID: I20151222002617 |
| Provider Name | Shruti Kapoor |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1285836171 PECOS PAC ID: 0143492611 Enrollment ID: I20151228001930 |
| Provider Name | Michael N Fomenky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053781575 PECOS PAC ID: 1850693789 Enrollment ID: I20160108000576 |
| Provider Name | Chelsea Renee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784041 PECOS PAC ID: 2567764426 Enrollment ID: I20160108001260 |
| Provider Name | Kimberly M O Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245639152 PECOS PAC ID: 8426350208 Enrollment ID: I20160111002514 |
| Provider Name | John G Hatanelas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225379795 PECOS PAC ID: 8022311554 Enrollment ID: I20160115002234 |
| Provider Name | Stephanie A Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336514769 PECOS PAC ID: 0345543633 Enrollment ID: I20160120001425 |
| Provider Name | Tonja R Chase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982898946 PECOS PAC ID: 5698861672 Enrollment ID: I20160122001972 |
| Provider Name | Denise Andrea Maria Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881064251 PECOS PAC ID: 9436452422 Enrollment ID: I20160126000741 |
| Provider Name | Amber Leah Rose Ream |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912370883 PECOS PAC ID: 0244533065 Enrollment ID: I20160127002490 |
| Provider Name | Deborah N Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467867325 PECOS PAC ID: 8224351846 Enrollment ID: I20160129000228 |
| Provider Name | Gretchen Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467840975 PECOS PAC ID: 8325350267 Enrollment ID: I20160129001381 |
| Provider Name | Ryan C Kamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063686814 PECOS PAC ID: 7618044728 Enrollment ID: I20160129002185 |
| Provider Name | Stacie Carruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578920815 PECOS PAC ID: 1254635477 Enrollment ID: I20160209002256 |
| Provider Name | Kristin N Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043675770 PECOS PAC ID: 6507160645 Enrollment ID: I20160210000116 |
| Provider Name | Shannon N Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467835934 PECOS PAC ID: 2860796729 Enrollment ID: I20160212001909 |
| Provider Name | Allyson E Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821453390 PECOS PAC ID: 7517262280 Enrollment ID: I20160218001142 |
| Provider Name | Jessica L Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104284801 PECOS PAC ID: 2567767239 Enrollment ID: I20160218001320 |
| Provider Name | Keshav K Deshpande |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285958611 PECOS PAC ID: 8123264678 Enrollment ID: I20160223001007 |
| Provider Name | Stephanie Pritchard Shaffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013375880 PECOS PAC ID: 4284930173 Enrollment ID: I20160302001123 |
| Provider Name | Vihang Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184967598 PECOS PAC ID: 2062653322 Enrollment ID: I20160303001362 |
| Provider Name | Jacquelyn M Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013376474 PECOS PAC ID: 1355647009 Enrollment ID: I20160307002638 |
| Provider Name | Rachel Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053796094 PECOS PAC ID: 0345546727 Enrollment ID: I20160310001704 |
| Provider Name | Rhyan E Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760840045 PECOS PAC ID: 8527364520 Enrollment ID: I20160316001523 |
| Provider Name | Man K Phung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508153776 PECOS PAC ID: 8123293289 Enrollment ID: I20160317001084 |
| Provider Name | Melissa Lynn Paskey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841580511 PECOS PAC ID: 3870890692 Enrollment ID: I20160322002451 |
| Provider Name | Kathy J Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922268150 PECOS PAC ID: 9436383593 Enrollment ID: I20160331001144 |
| Provider Name | James Addington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467741082 PECOS PAC ID: 9830328632 Enrollment ID: I20160401000974 |
| Provider Name | Kristen M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629437355 PECOS PAC ID: 5092013870 Enrollment ID: I20160411002333 |
| Provider Name | Andrea M Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013379668 PECOS PAC ID: 1850699331 Enrollment ID: I20160418000077 |
| Provider Name | Maggie Behanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532643 PECOS PAC ID: 4183923352 Enrollment ID: I20160422001419 |
| Provider Name | Breanne Anstine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013371814 PECOS PAC ID: 1153620240 Enrollment ID: I20160422002225 |
| Provider Name | Jennifer Jane Tippy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306222310 PECOS PAC ID: 0941509731 Enrollment ID: I20160428002263 |
| Provider Name | Shravan Agrawal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053563684 PECOS PAC ID: 3870759723 Enrollment ID: I20160428002407 |
| Provider Name | Christy L Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891168738 PECOS PAC ID: 2163722489 Enrollment ID: I20160503000263 |
| Provider Name | Rupali Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588928360 PECOS PAC ID: 9739488263 Enrollment ID: I20160504001160 |
| Provider Name | Karim T Attia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801139217 PECOS PAC ID: 6305087636 Enrollment ID: I20160510001185 |
| Provider Name | Brooke S Swart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881057370 PECOS PAC ID: 0840589198 Enrollment ID: I20160510001677 |
| Provider Name | Michael H Doan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588906036 PECOS PAC ID: 9638468994 Enrollment ID: I20160510002084 |
| Provider Name | Kiran T Bidari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083847826 PECOS PAC ID: 0345480265 Enrollment ID: I20160517000900 |
| Provider Name | Deeksha Agrawal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780972372 PECOS PAC ID: 1456658582 Enrollment ID: I20160520001455 |
| Provider Name | Stephanie K Fabbro |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164798500 PECOS PAC ID: 4880835503 Enrollment ID: I20160526001892 |
| Provider Name | Ramy Hany Fouad |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1114181237 PECOS PAC ID: 8325286073 Enrollment ID: I20160526002247 |
| Provider Name | Andrew Murray |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639329980 PECOS PAC ID: 7810141215 Enrollment ID: I20160527001827 |
| Provider Name | Valerie Cnm Floro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972967099 PECOS PAC ID: 7810287711 Enrollment ID: I20160606001501 |
| Provider Name | Michelle K Crawford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184980104 PECOS PAC ID: 5395035208 Enrollment ID: I20160606001741 |
| Provider Name | Jill S Pluciniczak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477796993 PECOS PAC ID: 2062702855 Enrollment ID: I20160607001873 |
| Provider Name | Daniel F. Skully |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851667935 PECOS PAC ID: 9436387768 Enrollment ID: I20160607001882 |
| Provider Name | Larry Van Fossen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497778054 PECOS PAC ID: 3072516863 Enrollment ID: I20160607002365 |
| Provider Name | Arrika J Mains |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194081109 PECOS PAC ID: 1456641117 Enrollment ID: I20160608001401 |
| Provider Name | Sonal Sinha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336495258 PECOS PAC ID: 4486944188 Enrollment ID: I20160608002596 |
| Provider Name | Charles Hamilton Dabbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992020598 PECOS PAC ID: 8921236084 Enrollment ID: I20160613002175 |
| Provider Name | Vincent Nardy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073808903 PECOS PAC ID: 2961793005 Enrollment ID: I20160621002458 |
| Provider Name | Brett W Sleesman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295050136 PECOS PAC ID: 9436469202 Enrollment ID: I20160622001615 |
| Provider Name | Molly Ann Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679918510 PECOS PAC ID: 7911298930 Enrollment ID: I20160622002434 |
| Provider Name | Stephen Ernest Auciello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689916868 PECOS PAC ID: 2062653892 Enrollment ID: I20160622002583 |
| Provider Name | Christopher M Esber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578806337 PECOS PAC ID: 9537397351 Enrollment ID: I20160624000651 |
| Provider Name | Ashita Gehlot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700177748 PECOS PAC ID: 6305158262 Enrollment ID: I20160627002520 |
| Provider Name | Daniel Dinneen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598126690 PECOS PAC ID: 8224329842 Enrollment ID: I20160628002869 |
| Provider Name | Benjamin Vincent Bring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689930802 PECOS PAC ID: 4789822925 Enrollment ID: I20160630002459 |
| Provider Name | Christopher G Smallwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700221835 PECOS PAC ID: 2961631247 Enrollment ID: I20160705001639 |
| Provider Name | Allen R Reeves |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902148166 PECOS PAC ID: 7618106881 Enrollment ID: I20160705001863 |
| Provider Name | David W Tessier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326483447 PECOS PAC ID: 4880917103 Enrollment ID: I20160708000813 |
| Provider Name | Matthew T Paulus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689022303 PECOS PAC ID: 9436441565 Enrollment ID: I20160711002422 |
| Provider Name | Gloria Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679835201 PECOS PAC ID: 0648562678 Enrollment ID: I20160712000515 |
| Provider Name | Joseph Bernard Gladwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932542123 PECOS PAC ID: 1850683681 Enrollment ID: I20160714001001 |
| Provider Name | Dora Isabel Gonzales-tolly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730440314 PECOS PAC ID: 0648562413 Enrollment ID: I20160714002075 |
| Provider Name | James M Wellbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326481342 PECOS PAC ID: 7618269499 Enrollment ID: I20160714002547 |
| Provider Name | Jasminder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851731525 PECOS PAC ID: 8628372158 Enrollment ID: I20160715001307 |
| Provider Name | Daniel E. Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649560350 PECOS PAC ID: 2567779507 Enrollment ID: I20160719001076 |
| Provider Name | James V Diaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700248010 PECOS PAC ID: 2062705650 Enrollment ID: I20160719002323 |
| Provider Name | Patricia Newton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801103098 PECOS PAC ID: 8729277017 Enrollment ID: I20160720000213 |
| Provider Name | Colleen A Fox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780940353 PECOS PAC ID: 4486891397 Enrollment ID: I20160720002939 |
| Provider Name | Jessica A Rollings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821087487 PECOS PAC ID: 8224069026 Enrollment ID: I20160721001522 |
| Provider Name | Brianna R Donlon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114286721 PECOS PAC ID: 6406007285 Enrollment ID: I20160725001689 |
| Provider Name | Dana L Robinson-street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235250218 PECOS PAC ID: 4789833781 Enrollment ID: I20160727000571 |
| Provider Name | Jeffery A Madachy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124369483 PECOS PAC ID: 6204129232 Enrollment ID: I20160727002762 |
| Provider Name | Kirti Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700227113 PECOS PAC ID: 4284957465 Enrollment ID: I20160728001209 |
| Provider Name | Lori L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871956144 PECOS PAC ID: 0547553547 Enrollment ID: I20160728001773 |
| Provider Name | James Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386987741 PECOS PAC ID: 8628219920 Enrollment ID: I20160728002319 |
| Provider Name | David Boley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750602132 PECOS PAC ID: 2264603323 Enrollment ID: I20160728002320 |
| Provider Name | Kaleigh A Cullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679935571 PECOS PAC ID: 0547553380 Enrollment ID: I20160801001570 |
| Provider Name | Jeremiah Dillon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720321540 PECOS PAC ID: 6901190735 Enrollment ID: I20160802001905 |
| Provider Name | Lauren Marie Fuller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790050011 PECOS PAC ID: 3173760378 Enrollment ID: I20160803002086 |
| Provider Name | Shailendra Kumar Jain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174970883 PECOS PAC ID: 2365736030 Enrollment ID: I20160803003272 |
| Provider Name | Amanda M Pedrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023363736 PECOS PAC ID: 7911134689 Enrollment ID: I20160805001919 |
| Provider Name | Harman Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851551576 PECOS PAC ID: 2668644899 Enrollment ID: I20160805002032 |
| Provider Name | Angela Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265882492 PECOS PAC ID: 5496049819 Enrollment ID: I20160808002867 |
| Provider Name | Matthew S Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235591116 PECOS PAC ID: 9234423526 Enrollment ID: I20160809002845 |
| Provider Name | Joel Mikus Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831546142 PECOS PAC ID: 5395039457 Enrollment ID: I20160811002312 |
| Provider Name | Brittani Byce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497105720 PECOS PAC ID: 9739474636 Enrollment ID: I20160816002959 |
| Provider Name | Ashlee M Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891158838 PECOS PAC ID: 1557656469 Enrollment ID: I20160816002995 |
| Provider Name | Carrie K Jividen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447616438 PECOS PAC ID: 3971898834 Enrollment ID: I20160817001865 |
| Provider Name | Prachi Biyani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508185398 PECOS PAC ID: 0547564734 Enrollment ID: I20160822001667 |
| Provider Name | Christina M Crum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215270236 PECOS PAC ID: 4789817735 Enrollment ID: I20160823001415 |
| Provider Name | Thura T.a. Harfi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992964951 PECOS PAC ID: 2365687951 Enrollment ID: I20160823002825 |
| Provider Name | Ziad M Alsokary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972772184 PECOS PAC ID: 7810076403 Enrollment ID: I20160823003224 |
| Provider Name | Margaret Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386900470 PECOS PAC ID: 0941448187 Enrollment ID: I20160824002790 |
| Provider Name | George Maidaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790093797 PECOS PAC ID: 0244474997 Enrollment ID: I20160824003120 |
| Provider Name | Benjamin M Winfree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639102742 PECOS PAC ID: 3476559188 Enrollment ID: I20160825000669 |
| Provider Name | Matthew Richard Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356607311 PECOS PAC ID: 3870730195 Enrollment ID: I20160825001342 |
| Provider Name | Emily Nicole Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609229459 PECOS PAC ID: 6507151883 Enrollment ID: I20160825001542 |
| Provider Name | Megan E Buller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275857823 PECOS PAC ID: 3971744517 Enrollment ID: I20160825002470 |
| Provider Name | Perry Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649513193 PECOS PAC ID: 5890938203 Enrollment ID: I20160830003166 |
| Provider Name | Daniel J Bobek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619420148 PECOS PAC ID: 3274829189 Enrollment ID: I20160901000182 |
| Provider Name | Joyce A Morckel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790138055 PECOS PAC ID: 0143516955 Enrollment ID: I20160902001575 |
| Provider Name | Sean M Niederst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724235 PECOS PAC ID: 7012203714 Enrollment ID: I20160906002702 |
| Provider Name | Victoria Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689028524 PECOS PAC ID: 6507152246 Enrollment ID: I20160907001186 |
| Provider Name | Katelyn E Krivchenia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164721601 PECOS PAC ID: 3779724356 Enrollment ID: I20160907001497 |
| Provider Name | Svetlana T Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598008179 PECOS PAC ID: 9032342977 Enrollment ID: I20160909002132 |
| Provider Name | Adam Christopher Longberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932554078 PECOS PAC ID: 1850687062 Enrollment ID: I20160913002959 |
| Provider Name | Ky L Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619421716 PECOS PAC ID: 2163718354 Enrollment ID: I20160914003006 |
| Provider Name | Kathryn Palermo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982052668 PECOS PAC ID: 7012203144 Enrollment ID: I20160915001114 |
| Provider Name | Antonio Sortino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043281181 PECOS PAC ID: 9537050182 Enrollment ID: I20160915002377 |
| Provider Name | Eric D Egnot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942542006 PECOS PAC ID: 9335380609 Enrollment ID: I20160915002710 |
| Provider Name | Neil Mangat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144661406 PECOS PAC ID: 1951601004 Enrollment ID: I20160919001187 |
| Provider Name | Lee Ann Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750834495 PECOS PAC ID: 6002103082 Enrollment ID: I20160919001510 |
| Provider Name | Jennifer N Prebish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942656483 PECOS PAC ID: 2264729284 Enrollment ID: I20160919002797 |
| Provider Name | Imran A Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760798268 PECOS PAC ID: 4082856968 Enrollment ID: I20160920000450 |
| Provider Name | Jill S Mayrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154770246 PECOS PAC ID: 5597052563 Enrollment ID: I20160920001500 |
| Provider Name | Harkiran Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073956140 PECOS PAC ID: 8729229182 Enrollment ID: I20160920001918 |
| Provider Name | Brandon Joseph Crouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730479718 PECOS PAC ID: 6901193804 Enrollment ID: I20160920002822 |
| Provider Name | Jeremy T Wilks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669748844 PECOS PAC ID: 7416194238 Enrollment ID: I20160921001309 |
| Provider Name | Jessica A Lill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427409283 PECOS PAC ID: 9133416928 Enrollment ID: I20160921003020 |
| Provider Name | Scott Magnuson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1962859389 PECOS PAC ID: 0345537155 Enrollment ID: I20160922000600 |
| Provider Name | Christine Zazon Silcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487109534 PECOS PAC ID: 7012204563 Enrollment ID: I20160927001159 |
| Provider Name | Dale W Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528511359 PECOS PAC ID: 1254628712 Enrollment ID: I20160927001347 |
| Provider Name | Stephanie M Conway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558628487 PECOS PAC ID: 0648567156 Enrollment ID: I20160927003252 |
| Provider Name | Jamie Ullmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215480934 PECOS PAC ID: 2466749668 Enrollment ID: I20160930001410 |
| Provider Name | Clinton Norris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679921894 PECOS PAC ID: 4385931500 Enrollment ID: I20160930002201 |
| Provider Name | Colin J Mccluney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992141139 PECOS PAC ID: 9436470515 Enrollment ID: I20161004001952 |
| Provider Name | Kathryn M Knill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326492042 PECOS PAC ID: 2062700065 Enrollment ID: I20161006001450 |
| Provider Name | Judit Marton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962620476 PECOS PAC ID: 2163517889 Enrollment ID: I20161011000179 |
| Provider Name | Meghan Nicole Yahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235685751 PECOS PAC ID: 2264720069 Enrollment ID: I20161011001987 |
| Provider Name | Craig Fortman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073889903 PECOS PAC ID: 5193961878 Enrollment ID: I20161011002961 |
| Provider Name | Abhishek P Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366760662 PECOS PAC ID: 1850532227 Enrollment ID: I20161012002883 |
| Provider Name | Jennifer A Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871944108 PECOS PAC ID: 9931497468 Enrollment ID: I20161014002182 |
| Provider Name | Katherine Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902257983 PECOS PAC ID: 9638457872 Enrollment ID: I20161024000797 |
| Provider Name | Kayla Ann Steveley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679939821 PECOS PAC ID: 2264710367 Enrollment ID: I20161025000206 |
| Provider Name | Asher Zelikson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306239066 PECOS PAC ID: 4284955915 Enrollment ID: I20161028001926 |
| Provider Name | Steven C Burks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467414060 PECOS PAC ID: 8628090685 Enrollment ID: I20161028001953 |
| Provider Name | Sarah Garee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225583511 PECOS PAC ID: 4981982618 Enrollment ID: I20161031001077 |
| Provider Name | Courtney L Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144778499 PECOS PAC ID: 2860770583 Enrollment ID: I20161101001616 |
| Provider Name | Rachel Lynn Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689124067 PECOS PAC ID: 4284912742 Enrollment ID: I20161103001488 |
| Provider Name | Amanda Marie Filler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861949083 PECOS PAC ID: 7719265271 Enrollment ID: I20161103001525 |
| Provider Name | Emily Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144778754 PECOS PAC ID: 9830478247 Enrollment ID: I20161107002606 |
| Provider Name | Kendra M Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578012993 PECOS PAC ID: 0941589378 Enrollment ID: I20161108000696 |
| Provider Name | Lea Jones Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757718 PECOS PAC ID: 3072892306 Enrollment ID: I20161109001676 |
| Provider Name | Junyang Gong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801021183 PECOS PAC ID: 6406135763 Enrollment ID: I20161109002704 |
| Provider Name | Denise Marie Arndt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508312232 PECOS PAC ID: 7214216381 Enrollment ID: I20161111001633 |
| Provider Name | Chidinma O Akusoba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457799074 PECOS PAC ID: 1759660780 Enrollment ID: I20161116000342 |
| Provider Name | Amy Zidron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356661599 PECOS PAC ID: 3577842509 Enrollment ID: I20161116000360 |
| Provider Name | Kathryn A Cunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831364587 PECOS PAC ID: 8426118860 Enrollment ID: I20161116003027 |
| Provider Name | Scott E Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871910083 PECOS PAC ID: 9133442098 Enrollment ID: I20161118001518 |
| Provider Name | Staci James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114284973 PECOS PAC ID: 0749569556 Enrollment ID: I20161118001778 |
| Provider Name | Tiffany A Saylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740738590 PECOS PAC ID: 4284913005 Enrollment ID: I20161118002200 |
| Provider Name | Andrea Mceldowney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265986194 PECOS PAC ID: 9234418740 Enrollment ID: I20161123001903 |
| Provider Name | Todd A Holland Falcone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780137562 PECOS PAC ID: 9931488400 Enrollment ID: I20161128001996 |
| Provider Name | Julie Lynn Wischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720538085 PECOS PAC ID: 2365722758 Enrollment ID: I20161130001377 |
| Provider Name | Amie L Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538519517 PECOS PAC ID: 9739469123 Enrollment ID: I20161130001635 |
| Provider Name | Bethani M Knipfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538521232 PECOS PAC ID: 0143500397 Enrollment ID: I20161206001429 |
| Provider Name | Kelly C Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568917532 PECOS PAC ID: 8729368832 Enrollment ID: I20161207001385 |
| Provider Name | Jennifer Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407303423 PECOS PAC ID: 7911287032 Enrollment ID: I20161207001759 |
| Provider Name | Fatmah H Albaaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023373081 PECOS PAC ID: 8325274889 Enrollment ID: I20161209001743 |
| Provider Name | Stephanie Leigh Stiffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700336849 PECOS PAC ID: 5991085722 Enrollment ID: I20161213000629 |
| Provider Name | Katherine Lorine Redick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700334786 PECOS PAC ID: 9739469560 Enrollment ID: I20161213000938 |
| Provider Name | Laura Ann Hullinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154701647 PECOS PAC ID: 7719292283 Enrollment ID: I20161214000511 |
| Provider Name | Krista J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699124784 PECOS PAC ID: 9931489697 Enrollment ID: I20161215000492 |
| Provider Name | Peter R Unkovic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114269180 PECOS PAC ID: 1951682582 Enrollment ID: I20161220000181 |
| Provider Name | Michael J Fay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720530538 PECOS PAC ID: 2466733894 Enrollment ID: I20161227000435 |
| Provider Name | Stacey Marie Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811441264 PECOS PAC ID: 8527349844 Enrollment ID: I20161228002265 |
| Provider Name | Keely M Burrer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558814103 PECOS PAC ID: 8123309853 Enrollment ID: I20170111001802 |
| Provider Name | Eric W Saheli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720538697 PECOS PAC ID: 5597046235 Enrollment ID: I20170111002383 |
| Provider Name | Lindsey Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628159 PECOS PAC ID: 4183906886 Enrollment ID: I20170112001246 |
| Provider Name | Patricia L Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952856163 PECOS PAC ID: 5890077457 Enrollment ID: I20170117001550 |
| Provider Name | Gina J Wilberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104368679 PECOS PAC ID: 6608158985 Enrollment ID: I20170120002354 |
| Provider Name | Tina M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962954347 PECOS PAC ID: 4486936572 Enrollment ID: I20170125001933 |
| Provider Name | Todd Michael Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841744760 PECOS PAC ID: 0143502997 Enrollment ID: I20170131001772 |
| Provider Name | Andrea Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205379047 PECOS PAC ID: 5698057479 Enrollment ID: I20170131002858 |
| Provider Name | Jennifer E Hetrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669685004 PECOS PAC ID: 4587569504 Enrollment ID: I20170202001152 |
| Provider Name | Jose S Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740725506 PECOS PAC ID: 8123301884 Enrollment ID: I20170203001873 |
| Provider Name | Mathew B Christman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750763561 PECOS PAC ID: 4082928643 Enrollment ID: I20170203002467 |
| Provider Name | Lisa Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558808436 PECOS PAC ID: 0749563021 Enrollment ID: I20170210001852 |
| Provider Name | Jessica Eason Farrar Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952846073 PECOS PAC ID: 2264715549 Enrollment ID: I20170210001995 |
| Provider Name | Brett Craig Sklaw |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982839775 PECOS PAC ID: 7911146881 Enrollment ID: I20170213001552 |
| Provider Name | Tracy Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366716078 PECOS PAC ID: 2365604949 Enrollment ID: I20170215002953 |
| Provider Name | Jill Swinning |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902161128 PECOS PAC ID: 3678856549 Enrollment ID: I20170220002196 |
| Provider Name | Rebecca E Ulery Tanner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366988990 PECOS PAC ID: 4789967662 Enrollment ID: I20170220002450 |
| Provider Name | Erin Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609313170 PECOS PAC ID: 3678857315 Enrollment ID: I20170224001669 |
| Provider Name | Stefanie A. Simeone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699229591 PECOS PAC ID: 4385928969 Enrollment ID: I20170227001266 |
| Provider Name | Margaret Freeman Juett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700324456 PECOS PAC ID: 7810271392 Enrollment ID: I20170228002481 |
| Provider Name | Kimberly A Heuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696572 PECOS PAC ID: 4587948708 Enrollment ID: I20170307000146 |
| Provider Name | Amber Gokkaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104071 PECOS PAC ID: 4284919283 Enrollment ID: I20170313002412 |
| Provider Name | Ekaterina Alexandra Mould |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922546639 PECOS PAC ID: 4385929710 Enrollment ID: I20170327000272 |
| Provider Name | Kelley M Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720431224 PECOS PAC ID: 7113203209 Enrollment ID: I20170403002089 |
| Provider Name | Young Mi Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215475462 PECOS PAC ID: 9234415183 Enrollment ID: I20170407002033 |
| Provider Name | Kathryn L Truax |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720295926 PECOS PAC ID: 0840587853 Enrollment ID: I20170410002211 |
| Provider Name | Lauren R Matheny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003350752 PECOS PAC ID: 0143502617 Enrollment ID: I20170411000764 |
| Provider Name | Brittany J Adkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942748900 PECOS PAC ID: 1658657267 Enrollment ID: I20170414000442 |
| Provider Name | Becky L Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427598788 PECOS PAC ID: 6406132851 Enrollment ID: I20170419001213 |
| Provider Name | Megan T Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656459 PECOS PAC ID: 5597041970 Enrollment ID: I20170419002307 |
| Provider Name | Sommer M Shutek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508265869 PECOS PAC ID: 1355663188 Enrollment ID: I20170420002473 |
| Provider Name | Adrienne C Clemens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578007381 PECOS PAC ID: 6406132687 Enrollment ID: I20170425000857 |
| Provider Name | Brandie Jo Keynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225460710 PECOS PAC ID: 9739462367 Enrollment ID: I20170428001829 |
| Provider Name | Shawna Hipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528505336 PECOS PAC ID: 0244517241 Enrollment ID: I20170428001968 |
| Provider Name | Varun Ashok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271297 PECOS PAC ID: 6901183821 Enrollment ID: I20170502002527 |
| Provider Name | Courtney M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508303470 PECOS PAC ID: 3779860572 Enrollment ID: I20170504000628 |
| Provider Name | Jennifer Bando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841734589 PECOS PAC ID: 1052698883 Enrollment ID: I20170504001503 |
| Provider Name | Zoe Z Zhang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407080138 PECOS PAC ID: 9739483231 Enrollment ID: I20170511000662 |
| Provider Name | Abdulfatah Abdul Issak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720406325 PECOS PAC ID: 1254551617 Enrollment ID: I20170515001033 |
| Provider Name | Delica Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972036119 PECOS PAC ID: 1557638772 Enrollment ID: I20170518001375 |
| Provider Name | Latisha J Lashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407387699 PECOS PAC ID: 8224305487 Enrollment ID: I20170519000129 |
| Provider Name | Edward Qiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194068072 PECOS PAC ID: 8729372974 Enrollment ID: I20170523001028 |
| Provider Name | Melinda K Everman-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376077370 PECOS PAC ID: 7517234537 Enrollment ID: I20170523002157 |
| Provider Name | Kristen Timmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972038719 PECOS PAC ID: 3375810294 Enrollment ID: I20170525000695 |
| Provider Name | Jamil Manzar Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699026195 PECOS PAC ID: 9537477450 Enrollment ID: I20170526001845 |
| Provider Name | Andrew Thomas Gedeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801139266 PECOS PAC ID: 2466689377 Enrollment ID: I20170526002028 |
| Provider Name | Diana Trease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578002481 PECOS PAC ID: 4789951591 Enrollment ID: I20170526002069 |
| Provider Name | Emily L Exten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205051141 PECOS PAC ID: 2567627623 Enrollment ID: I20170601002692 |
| Provider Name | Matthew C Ferroni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700171675 PECOS PAC ID: 4587931167 Enrollment ID: I20170602000482 |
| Provider Name | Nicholas V Mizenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326465790 PECOS PAC ID: 1456673292 Enrollment ID: I20170605001657 |
| Provider Name | Courtney J Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255868162 PECOS PAC ID: 8921375379 Enrollment ID: I20170606002259 |
| Provider Name | Edwin Vargas Velandia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073874939 PECOS PAC ID: 8729392105 Enrollment ID: I20170606002563 |
| Provider Name | Brian Albany |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710424866 PECOS PAC ID: 5496023822 Enrollment ID: I20170607003128 |
| Provider Name | Christian S Greco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093130809 PECOS PAC ID: 2961770292 Enrollment ID: I20170609001483 |
| Provider Name | Jennifer C Lam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073879730 PECOS PAC ID: 9032438528 Enrollment ID: I20170612001634 |
| Provider Name | Vijay Kudithipudi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457618548 PECOS PAC ID: 3072891704 Enrollment ID: I20170614001125 |
| Provider Name | Abigail Joy Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649704834 PECOS PAC ID: 2365710365 Enrollment ID: I20170615001879 |
| Provider Name | Stephen J Ching |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720321391 PECOS PAC ID: 8426370586 Enrollment ID: I20170619002742 |
| Provider Name | Devin Poncsak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043757222 PECOS PAC ID: 6800164641 Enrollment ID: I20170619002814 |
| Provider Name | Alan Szymanski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164865069 PECOS PAC ID: 9133441298 Enrollment ID: I20170620002071 |
| Provider Name | John Brockman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942563069 PECOS PAC ID: 6305075672 Enrollment ID: I20170620003015 |
| Provider Name | Stephanie Goare |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801181482 PECOS PAC ID: 4385883800 Enrollment ID: I20170620003337 |
| Provider Name | Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003234766 PECOS PAC ID: 3476821299 Enrollment ID: I20170620003414 |
| Provider Name | Lauren Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114454303 PECOS PAC ID: 6901174648 Enrollment ID: I20170621000753 |
| Provider Name | Jacqueline Ann Yunker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194263616 PECOS PAC ID: 2860760402 Enrollment ID: I20170622001714 |
| Provider Name | Hassan A Al-shammaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497173850 PECOS PAC ID: 1951600030 Enrollment ID: I20170626002212 |
| Provider Name | Jonathan Bean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356583413 PECOS PAC ID: 9133439177 Enrollment ID: I20170628002980 |
| Provider Name | Katie Navarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154852044 PECOS PAC ID: 4789953084 Enrollment ID: I20170629001907 |
| Provider Name | Brienne Noelle Williford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538457676 PECOS PAC ID: 1658503644 Enrollment ID: I20170630002344 |
| Provider Name | Britta L Buchenroth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962744045 PECOS PAC ID: 4587808191 Enrollment ID: I20170703001662 |
| Provider Name | Maxwel Trickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346789039 PECOS PAC ID: 9436428687 Enrollment ID: I20170703001924 |
| Provider Name | Abayomi Ogunderu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346656741 PECOS PAC ID: 5991074080 Enrollment ID: I20170705002306 |
| Provider Name | Jeremy Lynn Stoller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326337809 PECOS PAC ID: 4284938705 Enrollment ID: I20170705002854 |
| Provider Name | Thushara Paul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518370709 PECOS PAC ID: 2860761806 Enrollment ID: I20170706001236 |
| Provider Name | Britney Iannantuono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810648 PECOS PAC ID: 4981973831 Enrollment ID: I20170707002492 |
| Provider Name | Stephanie Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881131324 PECOS PAC ID: 4082983804 Enrollment ID: I20170710001887 |
| Provider Name | Hillor Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922449529 PECOS PAC ID: 4385922632 Enrollment ID: I20170710002571 |
| Provider Name | Joseph Potter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669714911 PECOS PAC ID: 9638474810 Enrollment ID: I20170711003305 |
| Provider Name | Jon C Henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689833360 PECOS PAC ID: 0547400756 Enrollment ID: I20170713000743 |
| Provider Name | Sarah Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699191585 PECOS PAC ID: 4789954389 Enrollment ID: I20170713003248 |
| Provider Name | Scott Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548797608 PECOS PAC ID: 9032489638 Enrollment ID: I20170713003302 |
| Provider Name | Akira Wada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649595356 PECOS PAC ID: 6800037664 Enrollment ID: I20170714000183 |
| Provider Name | Melissa Meleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760809693 PECOS PAC ID: 9739401589 Enrollment ID: I20170718002453 |
| Provider Name | Laura Payne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114465689 PECOS PAC ID: 5294005658 Enrollment ID: I20170719000150 |
| Provider Name | Nicole Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417477704 PECOS PAC ID: 0648540955 Enrollment ID: I20170719002725 |
| Provider Name | Zohib Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972920817 PECOS PAC ID: 8224347059 Enrollment ID: I20170720000295 |
| Provider Name | Zachary Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740218 PECOS PAC ID: 7911277140 Enrollment ID: I20170721000187 |
| Provider Name | Brian Colopy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881019792 PECOS PAC ID: 2567732605 Enrollment ID: I20170721001103 |
| Provider Name | Matthew Benjamin Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265844690 PECOS PAC ID: 2062711336 Enrollment ID: I20170721002504 |
| Provider Name | Thomas M Cowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558655423 PECOS PAC ID: 6709005481 Enrollment ID: I20170724001402 |
| Provider Name | Haley Bittner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306263272 PECOS PAC ID: 4284956673 Enrollment ID: I20170725003344 |
| Provider Name | Caroline Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891227328 PECOS PAC ID: 3678843414 Enrollment ID: I20170726003775 |
| Provider Name | Alyssa Pastorino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619242310 PECOS PAC ID: 9537307046 Enrollment ID: I20170727003978 |
| Provider Name | Kathryn Ann Viglietta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366970550 PECOS PAC ID: 6901176650 Enrollment ID: I20170727004103 |
| Provider Name | Katherine R. Exten |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982996237 PECOS PAC ID: 2365683893 Enrollment ID: I20170731003033 |
| Provider Name | Chelsey Rose Gable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518491752 PECOS PAC ID: 1052682689 Enrollment ID: I20170801000698 |
| Provider Name | Katherine Guran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568729549 PECOS PAC ID: 3678877701 Enrollment ID: I20170804002783 |
| Provider Name | Bridget Lombard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821431511 PECOS PAC ID: 5092020057 Enrollment ID: I20170807001883 |
| Provider Name | Sally Passerby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881957652 PECOS PAC ID: 1052544970 Enrollment ID: I20170811000595 |
| Provider Name | Michael Thomas Cray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629213327 PECOS PAC ID: 0345488821 Enrollment ID: I20170811001739 |
| Provider Name | Allison M Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962744060 PECOS PAC ID: 0244470284 Enrollment ID: I20170811002577 |
| Provider Name | Virenkumar M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225320609 PECOS PAC ID: 0648412320 Enrollment ID: I20170811002613 |
| Provider Name | Michelle K Aquillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730601519 PECOS PAC ID: 7810268653 Enrollment ID: I20170811002644 |
| Provider Name | Durga Reddy Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336550078 PECOS PAC ID: 4688961303 Enrollment ID: I20170814001913 |
| Provider Name | Donnamarie Packer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811251515 PECOS PAC ID: 9335446517 Enrollment ID: I20170815001376 |
| Provider Name | Melissa A. Schimmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194253476 PECOS PAC ID: 5890067516 Enrollment ID: I20170815004318 |
| Provider Name | Lynn Ranea Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295074441 PECOS PAC ID: 8022380757 Enrollment ID: I20170816004464 |
| Provider Name | Brandi Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184146854 PECOS PAC ID: 5395017800 Enrollment ID: I20170817003709 |
| Provider Name | Jennifer Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295275717 PECOS PAC ID: 1355613878 Enrollment ID: I20170817004296 |
| Provider Name | Starr N Smith-drummonds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780108969 PECOS PAC ID: 0648542035 Enrollment ID: I20170818003123 |
| Provider Name | Jared Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730617820 PECOS PAC ID: 3274805684 Enrollment ID: I20170821000536 |
| Provider Name | Jeremy W Cayton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679837983 PECOS PAC ID: 7012164387 Enrollment ID: I20170824001196 |
| Provider Name | Jennifer Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386841716 PECOS PAC ID: 7012105943 Enrollment ID: I20170824001949 |
| Provider Name | Julie Marcinek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649513367 PECOS PAC ID: 2365730082 Enrollment ID: I20170824002131 |
| Provider Name | Ankur Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013332857 PECOS PAC ID: 5698047652 Enrollment ID: I20170825001421 |
| Provider Name | Farrynn Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427573161 PECOS PAC ID: 1850663758 Enrollment ID: I20170825003433 |
| Provider Name | Jamie Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003338336 PECOS PAC ID: 9335411222 Enrollment ID: I20170828003160 |
| Provider Name | Gabriella Domka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588192041 PECOS PAC ID: 1850664764 Enrollment ID: I20170829000091 |
| Provider Name | Chika Amuche Ezigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952666257 PECOS PAC ID: 2961620737 Enrollment ID: I20170829003639 |
| Provider Name | Nicole M Shirilla |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538452321 PECOS PAC ID: 3678886553 Enrollment ID: I20170830003066 |
| Provider Name | Emily Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467981977 PECOS PAC ID: 1355614124 Enrollment ID: I20170830003222 |
| Provider Name | Amanda E Herlihy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851827984 PECOS PAC ID: 3870866478 Enrollment ID: I20170901001771 |
| Provider Name | Tammy J Sroufe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376069765 PECOS PAC ID: 3274806898 Enrollment ID: I20170901002504 |
| Provider Name | Jenna K Secor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558885806 PECOS PAC ID: 1153694666 Enrollment ID: I20170905003516 |
| Provider Name | Caitlin Rose Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538699053 PECOS PAC ID: 8022381268 Enrollment ID: I20170908003062 |
| Provider Name | Chase Hardwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558890517 PECOS PAC ID: 8123391208 Enrollment ID: I20170912002170 |
| Provider Name | Kathryn Nagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225554454 PECOS PAC ID: 4981977063 Enrollment ID: I20170912002504 |
| Provider Name | Binyam Gebremedhin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396150926 PECOS PAC ID: 4587883111 Enrollment ID: I20170913001931 |
| Provider Name | Jacqueline Vanderburgh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922356864 PECOS PAC ID: 0648412585 Enrollment ID: I20170914001283 |
| Provider Name | David C Sahadevan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346595196 PECOS PAC ID: 4486895216 Enrollment ID: I20170919002780 |
| Provider Name | Paige E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952827693 PECOS PAC ID: 7810261567 Enrollment ID: I20170920000752 |
| Provider Name | Eniko B. Ungureanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568985661 PECOS PAC ID: 4789958281 Enrollment ID: I20170921003863 |
| Provider Name | Melinda Heiligmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174937486 PECOS PAC ID: 3375848880 Enrollment ID: I20170922001329 |
| Provider Name | Jonathan D Kanam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679988166 PECOS PAC ID: 0648497743 Enrollment ID: I20170927002797 |
| Provider Name | Kim Marie Runser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770003964 PECOS PAC ID: 8224302369 Enrollment ID: I20170927004672 |
| Provider Name | Reginald Anunobi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144506239 PECOS PAC ID: 9537434618 Enrollment ID: I20170929002549 |
| Provider Name | Christine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366965600 PECOS PAC ID: 9638444607 Enrollment ID: I20171002003549 |
| Provider Name | Stephen P Wiseman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851683429 PECOS PAC ID: 0749577906 Enrollment ID: I20171004002297 |
| Provider Name | Lyndsay Litman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053840355 PECOS PAC ID: 3779858402 Enrollment ID: I20171005003587 |
| Provider Name | Valerie E Niedermier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356784458 PECOS PAC ID: 7315985389 Enrollment ID: I20171006002716 |
| Provider Name | Andrea L. Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346534583 PECOS PAC ID: 2163653312 Enrollment ID: I20171009003453 |
| Provider Name | Eric Liu |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902122880 PECOS PAC ID: 2769799568 Enrollment ID: I20171009003489 |
| Provider Name | Benjamin R Ahrens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295152296 PECOS PAC ID: 6709108533 Enrollment ID: I20171010002238 |
| Provider Name | Matthew A Adkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124446323 PECOS PAC ID: 3971878315 Enrollment ID: I20171010003624 |
| Provider Name | Kristen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760901169 PECOS PAC ID: 0840565214 Enrollment ID: I20171011001032 |
| Provider Name | Lakshmi Rangaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962745984 PECOS PAC ID: 7719127752 Enrollment ID: I20171011002457 |
| Provider Name | Natalee A Noche |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467845966 PECOS PAC ID: 9537461926 Enrollment ID: I20171011002616 |
| Provider Name | Kathleen C Hager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255779393 PECOS PAC ID: 5496989972 Enrollment ID: I20171011002992 |
| Provider Name | Andrew T Wasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053831800 PECOS PAC ID: 9133494446 Enrollment ID: I20171011003165 |
| Provider Name | Patricia L. Granchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174040331 PECOS PAC ID: 8224303540 Enrollment ID: I20171011003749 |
| Provider Name | Philip D Myers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003254525 PECOS PAC ID: 1951530096 Enrollment ID: I20171011003936 |
| Provider Name | Megan Wilson Stover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740423425 PECOS PAC ID: 2062727506 Enrollment ID: I20171012003233 |
| Provider Name | Ahmed Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407264476 PECOS PAC ID: 6406154806 Enrollment ID: I20171013000426 |
| Provider Name | Julie Brawer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750811568 PECOS PAC ID: 3779858915 Enrollment ID: I20171013001923 |
| Provider Name | Tiffany C. Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710404652 PECOS PAC ID: 9638445711 Enrollment ID: I20171017001993 |
| Provider Name | Kaitlin Marie Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790203370 PECOS PAC ID: 0042586141 Enrollment ID: I20171017002671 |
| Provider Name | Monica Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922417591 PECOS PAC ID: 7911127808 Enrollment ID: I20171017002900 |
| Provider Name | Giavanna N. De Larosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174043731 PECOS PAC ID: 7618243627 Enrollment ID: I20171018003528 |
| Provider Name | Katherine Failor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871948000 PECOS PAC ID: 6901172956 Enrollment ID: I20171019001502 |
| Provider Name | Kristie J Nies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568504967 PECOS PAC ID: 1759548456 Enrollment ID: I20171019002812 |
| Provider Name | Abigail Wolf Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154832947 PECOS PAC ID: 0749556140 Enrollment ID: I20171031001462 |
| Provider Name | Angie E Starline |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275798647 PECOS PAC ID: 7315014941 Enrollment ID: I20171031001561 |
| Provider Name | Pratik K Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114337425 PECOS PAC ID: 0648536912 Enrollment ID: I20171102002855 |
| Provider Name | Summer Lea Banzhaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295148260 PECOS PAC ID: 6002172228 Enrollment ID: I20171103001706 |
| Provider Name | Krystal Lane Heggestad |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093225997 PECOS PAC ID: 5890051031 Enrollment ID: I20171103002866 |
| Provider Name | Luke D Menner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487071957 PECOS PAC ID: 1759500200 Enrollment ID: I20171109001484 |
| Provider Name | Brian Viet Dinh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427444561 PECOS PAC ID: 7416261201 Enrollment ID: I20171110000334 |
| Provider Name | Thomas A Koroscil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588058408 PECOS PAC ID: 1951615749 Enrollment ID: I20171114002634 |
| Provider Name | Cassandra Marie Wolfinger Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366954513 PECOS PAC ID: 4284990714 Enrollment ID: I20171115003072 |
| Provider Name | Kyla Bope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458318 PECOS PAC ID: 4284990722 Enrollment ID: I20171115003523 |
| Provider Name | Sarah Campos-monell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20171115003710 |
| Provider Name | Natalie Lynn Schuiteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649782731 PECOS PAC ID: 0143586511 Enrollment ID: I20171117002319 |
| Provider Name | Tommy John Petros |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295029387 PECOS PAC ID: 6406113810 Enrollment ID: I20171120001513 |
| Provider Name | Angela Earley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508873548 PECOS PAC ID: 4880636216 Enrollment ID: I20171120002799 |
| Provider Name | Srinath Sriram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689990764 PECOS PAC ID: 8224322649 Enrollment ID: I20171121003366 |
| Provider Name | Jeevan Sekhar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598802852 PECOS PAC ID: 5092984179 Enrollment ID: I20171122002157 |
| Provider Name | Andrew C Macmillan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245625979 PECOS PAC ID: 9436468691 Enrollment ID: I20171127002705 |
| Provider Name | Nicole Claire Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760906101 PECOS PAC ID: 7012274160 Enrollment ID: I20171128003795 |
| Provider Name | Amy Elizabeth Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184137788 PECOS PAC ID: 6406113497 Enrollment ID: I20171129002275 |
| Provider Name | Virginia Kennedy Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811372428 PECOS PAC ID: 7416264999 Enrollment ID: I20171204002914 |
| Provider Name | Jason Tagliarina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466915 PECOS PAC ID: 4486911153 Enrollment ID: I20171205002123 |
| Provider Name | Alok Md Tripathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629465067 PECOS PAC ID: 8022318468 Enrollment ID: I20171207002774 |
| Provider Name | Ian M Barron |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124448535 PECOS PAC ID: 3173745700 Enrollment ID: I20171211002756 |
| Provider Name | Luke Dinan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073037131 PECOS PAC ID: 9234497652 Enrollment ID: I20171212003151 |
| Provider Name | Amanda Adepalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730442245 PECOS PAC ID: 5698914372 Enrollment ID: I20171213000986 |
| Provider Name | Corinthia Shupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591936 PECOS PAC ID: 6901164276 Enrollment ID: I20171213003132 |
| Provider Name | Hiral A. Shah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689985871 PECOS PAC ID: 7416267901 Enrollment ID: I20171214001479 |
| Provider Name | Krista L Thatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518495977 PECOS PAC ID: 1557629722 Enrollment ID: I20171215001496 |
| Provider Name | Christopher Morris Huff |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831366996 PECOS PAC ID: 8820216187 Enrollment ID: I20171218002885 |
| Provider Name | Natalie Ottavio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801308937 PECOS PAC ID: 0345508404 Enrollment ID: I20171218003186 |
| Provider Name | Leeanne A. Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386159903 PECOS PAC ID: 7618235359 Enrollment ID: I20171229000842 |
| Provider Name | Heather Theibert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568841765 PECOS PAC ID: 7416216007 Enrollment ID: I20180104000561 |
| Provider Name | Vivek Rai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902035819 PECOS PAC ID: 9133342439 Enrollment ID: I20180104001182 |
| Provider Name | Andrea L Chambers-chrisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922510130 PECOS PAC ID: 6103185749 Enrollment ID: I20180105000656 |
| Provider Name | John Robert Stuber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528579497 PECOS PAC ID: 5092074633 Enrollment ID: I20180105000742 |
| Provider Name | Rachel M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598279739 PECOS PAC ID: 1153680541 Enrollment ID: I20180110000787 |
| Provider Name | Victoria L Murnane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578071163 PECOS PAC ID: 2163781865 Enrollment ID: I20180125000133 |
| Provider Name | Michelle C. Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548771793 PECOS PAC ID: 1951660620 Enrollment ID: I20180125003108 |
| Provider Name | Amy E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437660354 PECOS PAC ID: 7911267471 Enrollment ID: I20180201002856 |
| Provider Name | Jonathan A Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376939421 PECOS PAC ID: 9335458918 Enrollment ID: I20180205001591 |
| Provider Name | Emily B Alexeev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689180051 PECOS PAC ID: 1557621372 Enrollment ID: I20180215001573 |
| Provider Name | Candace L Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891169348 PECOS PAC ID: 0345501904 Enrollment ID: I20180223000727 |
| Provider Name | Vinati Gujral Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790012557 PECOS PAC ID: 9234385980 Enrollment ID: I20180223001664 |
| Provider Name | Lindsey Dyan Hoosic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487153714 PECOS PAC ID: 9436410776 Enrollment ID: I20180228001889 |
| Provider Name | Trevor David Mock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538677950 PECOS PAC ID: 7113288465 Enrollment ID: I20180228002627 |
| Provider Name | Mabel Aggoe-opoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477877645 PECOS PAC ID: 1254692411 Enrollment ID: I20180302001980 |
| Provider Name | Tyler Nathan Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265943880 PECOS PAC ID: 3577824614 Enrollment ID: I20180306000748 |
| Provider Name | Lindsey Gilkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699293340 PECOS PAC ID: 5193087906 Enrollment ID: I20180314001682 |
| Provider Name | Christopher Lee Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972021509 PECOS PAC ID: 9739441478 Enrollment ID: I20180316002394 |
| Provider Name | Augustine Paul Hong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457730863 PECOS PAC ID: 7517267065 Enrollment ID: I20180319002181 |
| Provider Name | Tessie Anna Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801315940 PECOS PAC ID: 4486916079 Enrollment ID: I20180319002701 |
| Provider Name | Shannon G. Hoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487172086 PECOS PAC ID: 3173885597 Enrollment ID: I20180323001540 |
| Provider Name | Joanna Kazmierczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518130962 PECOS PAC ID: 3072875038 Enrollment ID: I20180403001031 |
| Provider Name | Mohammed Asghar Hussain |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225126535 PECOS PAC ID: 8022088145 Enrollment ID: I20180406002121 |
| Provider Name | Katherine Jeanne Kendjorsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700128899 PECOS PAC ID: 1759525793 Enrollment ID: I20180411003065 |
| Provider Name | Emma Susanne Gano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356735781 PECOS PAC ID: 3971811357 Enrollment ID: I20180417001842 |
| Provider Name | Chelsia Danielle Derenard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972008662 PECOS PAC ID: 5395008775 Enrollment ID: I20180417002537 |
| Provider Name | Von I Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962919340 PECOS PAC ID: 4082977269 Enrollment ID: I20180423001151 |
| Provider Name | Bobi J Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356841472 PECOS PAC ID: 8022372036 Enrollment ID: I20180427001158 |
| Provider Name | Kaitlyn Marie Siekmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568961795 PECOS PAC ID: 2163786005 Enrollment ID: I20180501002204 |
| Provider Name | Nana Yaa A Koram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518349885 PECOS PAC ID: 7214291756 Enrollment ID: I20180508002673 |
| Provider Name | Jennifer Jean Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164927315 PECOS PAC ID: 2860756343 Enrollment ID: I20180509001561 |
| Provider Name | Ruchi Bhatia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003194093 PECOS PAC ID: 1850694316 Enrollment ID: I20180509003069 |
| Provider Name | Sowmya Kuppathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861763831 PECOS PAC ID: 6608017991 Enrollment ID: I20180511000419 |
| Provider Name | Jessie Kichigin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144718636 PECOS PAC ID: 2163786435 Enrollment ID: I20180514002819 |
| Provider Name | Lana Alghothani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992061915 PECOS PAC ID: 2466693940 Enrollment ID: I20180515002391 |
| Provider Name | Sean N Jerig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437479896 PECOS PAC ID: 5890916050 Enrollment ID: I20180516001183 |
| Provider Name | Whitney Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912425786 PECOS PAC ID: 1355606542 Enrollment ID: I20180516002714 |
| Provider Name | Nour Tashtish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477935989 PECOS PAC ID: 5799040952 Enrollment ID: I20180517003184 |
| Provider Name | Thomas Edward Plas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134647738 PECOS PAC ID: 7113282278 Enrollment ID: I20180521002529 |
| Provider Name | Patrick Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942463401 PECOS PAC ID: 2264680883 Enrollment ID: I20180522002806 |
| Provider Name | Ashley Christine Elliott Armitage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043715113 PECOS PAC ID: 5597020529 Enrollment ID: I20180522002943 |
| Provider Name | Branden W Luna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518231927 PECOS PAC ID: 7012155252 Enrollment ID: I20180525000614 |
| Provider Name | Sara Xiaoxin Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477964609 PECOS PAC ID: 1254631989 Enrollment ID: I20180525001359 |
| Provider Name | Joseph C Kuhn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295044113 PECOS PAC ID: 4284863374 Enrollment ID: I20180529001314 |
| Provider Name | Jessica Leigh Barrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386087302 PECOS PAC ID: 0244471548 Enrollment ID: I20180605001895 |
| Provider Name | Anne C Worth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366839268 PECOS PAC ID: 0042529265 Enrollment ID: I20180606001245 |
| Provider Name | Rupa N Baro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851706402 PECOS PAC ID: 8729344908 Enrollment ID: I20180607000802 |
| Provider Name | Joe Edward Hilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720579089 PECOS PAC ID: 0648535997 Enrollment ID: I20180607001617 |
| Provider Name | Mica Ayana Alexander |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215320874 PECOS PAC ID: 6709104888 Enrollment ID: I20180619001225 |
| Provider Name | Timothy Randolph Verrilli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730561598 PECOS PAC ID: 4284925074 Enrollment ID: I20180620001450 |
| Provider Name | William Phillip Main |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013279488 PECOS PAC ID: 2466707153 Enrollment ID: I20180620003519 |
| Provider Name | Syed Zohaib Haider Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215313556 PECOS PAC ID: 9335494970 Enrollment ID: I20180621002346 |
| Provider Name | Linda Monique Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295118867 PECOS PAC ID: 0345541496 Enrollment ID: I20180622001577 |
| Provider Name | Michelle Lynn Rapach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124518535 PECOS PAC ID: 1254686751 Enrollment ID: I20180625003077 |
| Provider Name | Michelle Renae West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790283570 PECOS PAC ID: 0941555320 Enrollment ID: I20180626003398 |
| Provider Name | Trisha Dickey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194143495 PECOS PAC ID: 5092061432 Enrollment ID: I20180627002600 |
| Provider Name | Andrea Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629560107 PECOS PAC ID: 5092061325 Enrollment ID: I20180628002891 |
| Provider Name | Andre Mikael De Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922281633 PECOS PAC ID: 0749475648 Enrollment ID: I20180703000432 |
| Provider Name | Jay C Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356736011 PECOS PAC ID: 7911215397 Enrollment ID: I20180709001782 |
| Provider Name | Eamonn Elmen Bahnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578906970 PECOS PAC ID: 3375787492 Enrollment ID: I20180709003150 |
| Provider Name | Nealie Farber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962991968 PECOS PAC ID: 3678829306 Enrollment ID: I20180710002922 |
| Provider Name | Patrick Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265859243 PECOS PAC ID: 5799907838 Enrollment ID: I20180712001945 |
| Provider Name | Matthew Adegboye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881071827 PECOS PAC ID: 3971899527 Enrollment ID: I20180717001677 |
| Provider Name | Amy Nicole Jarosz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659786481 PECOS PAC ID: 3274856869 Enrollment ID: I20180719001742 |
| Provider Name | William B Devoe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770849507 PECOS PAC ID: 6002055712 Enrollment ID: I20180719002111 |
| Provider Name | Aaron Isaac Loochtan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124360474 PECOS PAC ID: 8921370503 Enrollment ID: I20180719002571 |
| Provider Name | Alexandra Mcguinness Mckenna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598157547 PECOS PAC ID: 5193072007 Enrollment ID: I20180724002533 |
| Provider Name | Robert Halpin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003109810 PECOS PAC ID: 8921328980 Enrollment ID: I20180724004040 |
| Provider Name | Melinda Cadd Rogers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144515925 PECOS PAC ID: 0345519658 Enrollment ID: I20180725003416 |
| Provider Name | Abimbola A Shofu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861788432 PECOS PAC ID: 7618293473 Enrollment ID: I20180726001686 |
| Provider Name | Mindy Lynn Hickenbottom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881182632 PECOS PAC ID: 7416204045 Enrollment ID: I20180727000512 |
| Provider Name | Zachary M Rossfeld |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942542881 PECOS PAC ID: 1456588748 Enrollment ID: I20180727001648 |
| Provider Name | Thomas Calloway Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154687952 PECOS PAC ID: 6406094572 Enrollment ID: I20180727002130 |
| Provider Name | Amy Rak |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699193474 PECOS PAC ID: 8729300041 Enrollment ID: I20180730000517 |
| Provider Name | Alexis Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477937829 PECOS PAC ID: 4587912019 Enrollment ID: I20180731002604 |
| Provider Name | Sarah Ann Vengal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518300094 PECOS PAC ID: 8022381573 Enrollment ID: I20180731003015 |
| Provider Name | Wesley Nicholas Sivak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629209184 PECOS PAC ID: 4284982661 Enrollment ID: I20180801000915 |
| Provider Name | Mohamed E Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164681201 PECOS PAC ID: 2961670245 Enrollment ID: I20180801003438 |
| Provider Name | Tara D Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538650486 PECOS PAC ID: 6709134067 Enrollment ID: I20180802000229 |
| Provider Name | Nisarg V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861886301 PECOS PAC ID: 1355602186 Enrollment ID: I20180806003072 |
| Provider Name | Naveen Kumar Saha |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407175029 PECOS PAC ID: 5092930909 Enrollment ID: I20180807001756 |
| Provider Name | Brian David Steginsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104191220 PECOS PAC ID: 6103198312 Enrollment ID: I20180809004329 |
| Provider Name | Craig Matthew Honigford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801385992 PECOS PAC ID: 6507115227 Enrollment ID: I20180814001093 |
| Provider Name | Robert Steven Gerhard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134562630 PECOS PAC ID: 8527362193 Enrollment ID: I20180814001286 |
| Provider Name | Roma Pranay Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902292451 PECOS PAC ID: 1951672419 Enrollment ID: I20180814003108 |
| Provider Name | Benjamin Ryan Blakeslee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568849107 PECOS PAC ID: 0446564124 Enrollment ID: I20180816000990 |
| Provider Name | Tricia Olaes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992191092 PECOS PAC ID: 7113228115 Enrollment ID: I20180816002058 |
| Provider Name | Elizabeth A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467945220 PECOS PAC ID: 9032468475 Enrollment ID: I20180820000314 |
| Provider Name | Monali D Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194111997 PECOS PAC ID: 3375836208 Enrollment ID: I20180820001892 |
| Provider Name | Melissa Vlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750879789 PECOS PAC ID: 7315296647 Enrollment ID: I20180821000392 |
| Provider Name | Jay G Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679968788 PECOS PAC ID: 2860700267 Enrollment ID: I20180821000856 |
| Provider Name | Michelle Mulroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376039362 PECOS PAC ID: 7719236058 Enrollment ID: I20180821001062 |
| Provider Name | Katherine Jane Millen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578725669 PECOS PAC ID: 0840429338 Enrollment ID: I20180823000584 |
| Provider Name | Stephanie Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538651641 PECOS PAC ID: 3476802273 Enrollment ID: I20180827002712 |
| Provider Name | Joseph Daniel Campbell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790006039 PECOS PAC ID: 1355638032 Enrollment ID: I20180827003323 |
| Provider Name | Randall Burgett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932524980 PECOS PAC ID: 0143541367 Enrollment ID: I20180827003573 |
| Provider Name | Julia S Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952888232 PECOS PAC ID: 3779833595 Enrollment ID: I20180829000472 |
| Provider Name | Alexis Annamarie Grill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922504430 PECOS PAC ID: 9739439423 Enrollment ID: I20180829004204 |
| Provider Name | Shaleen I Rathod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508252776 PECOS PAC ID: 5193034775 Enrollment ID: I20180831001407 |
| Provider Name | Lindsey M Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356840102 PECOS PAC ID: 8921358581 Enrollment ID: I20180904000605 |
| Provider Name | Vamsi Koduri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922398049 PECOS PAC ID: 1658621149 Enrollment ID: I20180904001916 |
| Provider Name | Kelly Leigh Pearl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538654744 PECOS PAC ID: 8022368547 Enrollment ID: I20180904003346 |
| Provider Name | Sara Jo Doran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043705387 PECOS PAC ID: 5496005852 Enrollment ID: I20180905002044 |
| Provider Name | Jessica Quade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114313327 PECOS PAC ID: 9335410687 Enrollment ID: I20180905002121 |
| Provider Name | Michael Stephen Nickoli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831452580 PECOS PAC ID: 2567766405 Enrollment ID: I20180905003949 |
| Provider Name | Tara Leigh Hendren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043705239 PECOS PAC ID: 1658621099 Enrollment ID: I20180906001313 |
| Provider Name | Rachael Lonnae Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962995936 PECOS PAC ID: 5294085577 Enrollment ID: I20180906003261 |
| Provider Name | Amanda Susan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811484280 PECOS PAC ID: 9436409711 Enrollment ID: I20180906003411 |
| Provider Name | Caroline Nicole Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053897330 PECOS PAC ID: 2668722976 Enrollment ID: I20180907001037 |
| Provider Name | Stevanna N Murnane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063990729 PECOS PAC ID: 4284984436 Enrollment ID: I20180910000116 |
| Provider Name | Beatrice E. Opiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134617202 PECOS PAC ID: 5597015792 Enrollment ID: I20180910002052 |
| Provider Name | Lauren Elizabeth Hamman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437543964 PECOS PAC ID: 0042560120 Enrollment ID: I20180911002654 |
| Provider Name | Kristie Jimenez Blake |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871030262 PECOS PAC ID: 8527345636 Enrollment ID: I20180913001788 |
| Provider Name | Pamela Joan Mahaffey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164836763 PECOS PAC ID: 0446500326 Enrollment ID: I20180914000772 |
| Provider Name | Tara Menon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477879948 PECOS PAC ID: 6103041488 Enrollment ID: I20180914002678 |
| Provider Name | Militsa B Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265938989 PECOS PAC ID: 7012268832 Enrollment ID: I20180918002352 |
| Provider Name | Emily Christine Keesecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396223079 PECOS PAC ID: 1254682958 Enrollment ID: I20180919001815 |
| Provider Name | James D Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578818779 PECOS PAC ID: 9234361759 Enrollment ID: I20180921001013 |
| Provider Name | Jessica Vincent Hoy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528405586 PECOS PAC ID: 5193035889 Enrollment ID: I20180925000831 |
| Provider Name | Megan R Mosher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588145965 PECOS PAC ID: 8527319839 Enrollment ID: I20180926001759 |
| Provider Name | Ryan K Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457711780 PECOS PAC ID: 1052687498 Enrollment ID: I20180926002856 |
| Provider Name | Nicole Renee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548763162 PECOS PAC ID: 8325399579 Enrollment ID: I20180926003930 |
| Provider Name | Joy Peacock Walker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861727455 PECOS PAC ID: 3173771300 Enrollment ID: I20180926004229 |
| Provider Name | Thuy Dan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992069017 PECOS PAC ID: 2668604588 Enrollment ID: I20181002000778 |
| Provider Name | Tyler G Hegarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851885909 PECOS PAC ID: 5597017590 Enrollment ID: I20181002002107 |
| Provider Name | Snigdha Bollampally Weinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215198775 PECOS PAC ID: 7719022144 Enrollment ID: I20181002002222 |
| Provider Name | Jennifer C Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427534296 PECOS PAC ID: 1254683154 Enrollment ID: I20181003002968 |
| Provider Name | Kevin James Kuisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770064461 PECOS PAC ID: 6709138621 Enrollment ID: I20181004000111 |
| Provider Name | Jennifer M Neike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790270460 PECOS PAC ID: 0749532604 Enrollment ID: I20181004001751 |
| Provider Name | Kevin Andrew Torma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801276951 PECOS PAC ID: 4981918935 Enrollment ID: I20181004001843 |
| Provider Name | Shannon L Storey Petros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339421 PECOS PAC ID: 7810260809 Enrollment ID: I20181005001689 |
| Provider Name | John D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871089748 PECOS PAC ID: 2365794914 Enrollment ID: I20181009001772 |
| Provider Name | Danielle Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508342429 PECOS PAC ID: 4981956489 Enrollment ID: I20181011000703 |
| Provider Name | Anthony Quinn Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003301524 PECOS PAC ID: 9931451440 Enrollment ID: I20181011000959 |
| Provider Name | Deepa Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982990081 PECOS PAC ID: 4486943891 Enrollment ID: I20181022003460 |
| Provider Name | Megan Marie Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952880593 PECOS PAC ID: 6709139389 Enrollment ID: I20181029001995 |
| Provider Name | Stephanie Ann Mitchem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437632452 PECOS PAC ID: 3870846314 Enrollment ID: I20181030001581 |
| Provider Name | David Benjamin Blankenbeckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043798937 PECOS PAC ID: 4688927155 Enrollment ID: I20181030003218 |
| Provider Name | Andrea K Mantell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407330541 PECOS PAC ID: 7618220039 Enrollment ID: I20181031001967 |
| Provider Name | Shannon Oyster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023593787 PECOS PAC ID: 4981957305 Enrollment ID: I20181031001992 |
| Provider Name | Rebecca Elizabeth Ganzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528554235 PECOS PAC ID: 5890048284 Enrollment ID: I20181101001790 |
| Provider Name | Nicole Rae Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518432954 PECOS PAC ID: 4385998590 Enrollment ID: I20181106002914 |
| Provider Name | Coreena Kaye Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396239687 PECOS PAC ID: 8921352931 Enrollment ID: I20181109002034 |
| Provider Name | Victoria Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073016390 PECOS PAC ID: 7012261076 Enrollment ID: I20181112001081 |
| Provider Name | Jennifer Lyn Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518459254 PECOS PAC ID: 1759625064 Enrollment ID: I20181127002334 |
| Provider Name | Stephanie Ellen Rajchel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821380783 PECOS PAC ID: 7012223795 Enrollment ID: I20181128002910 |
| Provider Name | Susan E Bernot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104261536 PECOS PAC ID: 3971747056 Enrollment ID: I20181129001838 |
| Provider Name | Amelia Faye Johnson Grund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659518991 PECOS PAC ID: 1153584164 Enrollment ID: I20181204000727 |
| Provider Name | Tonya Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205303815 PECOS PAC ID: 0648514232 Enrollment ID: I20181210000398 |
| Provider Name | Tabitha Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649746629 PECOS PAC ID: 0840534293 Enrollment ID: I20181212000206 |
| Provider Name | Laurel Leligdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538646492 PECOS PAC ID: 9133463581 Enrollment ID: I20181212000570 |
| Provider Name | Abigail Oberla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154897072 PECOS PAC ID: 3779828058 Enrollment ID: I20181213002577 |
| Provider Name | Iryna V Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104392281 PECOS PAC ID: 8123363348 Enrollment ID: I20181217001630 |
| Provider Name | Mackenzie Hirst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760854319 PECOS PAC ID: 3577808690 Enrollment ID: I20181218002823 |
| Provider Name | Jessica Lynn Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417424789 PECOS PAC ID: 4880939842 Enrollment ID: I20181219000868 |
| Provider Name | Rasha Elhag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821475054 PECOS PAC ID: 6709181969 Enrollment ID: I20181220002881 |
| Provider Name | Paula Ann Severns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013484351 PECOS PAC ID: 6103162565 Enrollment ID: I20190107002603 |
| Provider Name | Ashley Elizabeth Clegg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235618398 PECOS PAC ID: 8921344540 Enrollment ID: I20190117003173 |
| Provider Name | Aaron E. Thomas Breedlove |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518052729 PECOS PAC ID: 1759627391 Enrollment ID: I20190117003677 |
| Provider Name | Laura Leigh Pond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356812796 PECOS PAC ID: 1254678501 Enrollment ID: I20190124003369 |
| Provider Name | Karrie Joanne Lansing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497223192 PECOS PAC ID: 8921345927 Enrollment ID: I20190129003400 |
| Provider Name | Asma Mahavash Moheet |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588840862 PECOS PAC ID: 6800954645 Enrollment ID: I20190129003875 |
| Provider Name | Swati Dutta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225054679 PECOS PAC ID: 7315936135 Enrollment ID: I20190204002047 |
| Provider Name | Patricia Grenier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669952016 PECOS PAC ID: 7719225432 Enrollment ID: I20190205001089 |
| Provider Name | Brenda M Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134690837 PECOS PAC ID: 0345588000 Enrollment ID: I20190205003019 |
| Provider Name | Brien John Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740355486 PECOS PAC ID: 5799854741 Enrollment ID: I20190206002288 |
| Provider Name | Adel Aziz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366609794 PECOS PAC ID: 2062667249 Enrollment ID: I20190211002486 |
| Provider Name | Sergio Hernando Pulido |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770925083 PECOS PAC ID: 4486992757 Enrollment ID: I20190212000897 |
| Provider Name | Garrison R Trainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205390721 PECOS PAC ID: 2860730165 Enrollment ID: I20190212002081 |
| Provider Name | Julie L Kiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023503356 PECOS PAC ID: 5597003897 Enrollment ID: I20190212002088 |
| Provider Name | Elizabeth Dale Weaver |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629580618 PECOS PAC ID: 1153669387 Enrollment ID: I20190214000654 |
| Provider Name | Morgan Elizabeth Piacquadio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225500515 PECOS PAC ID: 3173861259 Enrollment ID: I20190214003147 |
| Provider Name | David Charles Stastny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780671206 PECOS PAC ID: 7315913498 Enrollment ID: I20190218001577 |
| Provider Name | Saida Osman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164818621 PECOS PAC ID: 0840561171 Enrollment ID: I20190222000650 |
| Provider Name | Roofan Alsayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477841641 PECOS PAC ID: 6507098530 Enrollment ID: I20190226002882 |
| Provider Name | Brynn Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093286361 PECOS PAC ID: 0840539284 Enrollment ID: I20190304000452 |
| Provider Name | Angela Hardwick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497964498 PECOS PAC ID: 3577728773 Enrollment ID: I20190306001614 |
| Provider Name | Sarah Lendvay |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578020327 PECOS PAC ID: 4688914427 Enrollment ID: I20190314000811 |
| Provider Name | Vincent W Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922410364 PECOS PAC ID: 5991001927 Enrollment ID: I20190321000513 |
| Provider Name | Catherine Ann Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710460142 PECOS PAC ID: 7214277581 Enrollment ID: I20190322002215 |
| Provider Name | Geno Frank Kordic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780048538 PECOS PAC ID: 2961793708 Enrollment ID: I20190325001830 |
| Provider Name | Rupinder K Gill |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1386897734 PECOS PAC ID: 0840449989 Enrollment ID: I20190329002093 |
| Provider Name | Gregory Kovach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932698941 PECOS PAC ID: 5890036842 Enrollment ID: I20190401002122 |
| Provider Name | Kristen L Fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689909152 PECOS PAC ID: 5193066090 Enrollment ID: I20190402001688 |
| Provider Name | Jillian Lee Pattison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528420783 PECOS PAC ID: 4082904552 Enrollment ID: I20190403002138 |
| Provider Name | Ali Tahir Hashmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477831287 PECOS PAC ID: 1951526920 Enrollment ID: I20190408000670 |
| Provider Name | Alma Rosa Simmons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972004414 PECOS PAC ID: 5698016996 Enrollment ID: I20190415002686 |
| Provider Name | David Kantorowitz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316959646 PECOS PAC ID: 3173416518 Enrollment ID: I20190418001298 |
| Provider Name | Nancy Mathieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669835922 PECOS PAC ID: 1658664032 Enrollment ID: I20190422000394 |
| Provider Name | Aaron Andrew Musson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922564285 PECOS PAC ID: 9335481373 Enrollment ID: I20190423002785 |
| Provider Name | Jennifer M Kassay |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1265910186 PECOS PAC ID: 1456603745 Enrollment ID: I20190426002025 |
| Provider Name | Darcie Engler Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689131807 PECOS PAC ID: 7315289097 Enrollment ID: I20190429002223 |
| Provider Name | Sandra J Hebenthal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366405557 PECOS PAC ID: 1254340508 Enrollment ID: I20190509002285 |
| Provider Name | Calvin Ralph Spott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699124420 PECOS PAC ID: 4284977414 Enrollment ID: I20190509002804 |
| Provider Name | Carla M Linsenbigler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629064902 PECOS PAC ID: 5799671145 Enrollment ID: I20190513000305 |
| Provider Name | April Isaac Vachio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992271654 PECOS PAC ID: 9537402516 Enrollment ID: I20190514001970 |
| Provider Name | Sagar Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588026637 PECOS PAC ID: 4082901772 Enrollment ID: I20190515000584 |
| Provider Name | Jon Daniel Montemayor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306208020 PECOS PAC ID: 2860783123 Enrollment ID: I20190515002496 |
| Provider Name | Tobias Lee Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083009336 PECOS PAC ID: 4284946377 Enrollment ID: I20190515003274 |
| Provider Name | Taylor R Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710448097 PECOS PAC ID: 5193068096 Enrollment ID: I20190516001216 |
| Provider Name | Nathaniel Robert Overmire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700240199 PECOS PAC ID: 6204120629 Enrollment ID: I20190516001620 |
| Provider Name | Shail Mahendra Govani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841317526 PECOS PAC ID: 1557414125 Enrollment ID: I20190516002094 |
| Provider Name | Jeffrey Ryan Papiernik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710396239 PECOS PAC ID: 2769603778 Enrollment ID: I20190516002210 |
| Provider Name | Donald Andrew Bowsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730460528 PECOS PAC ID: 2163681131 Enrollment ID: I20190516002458 |
| Provider Name | Renea Nichole Older |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937712 PECOS PAC ID: 0547503484 Enrollment ID: I20190516002988 |
| Provider Name | Julia Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023020591 PECOS PAC ID: 9436492212 Enrollment ID: I20190517001615 |
| Provider Name | Wayne K Robbins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720002132 PECOS PAC ID: 5799888632 Enrollment ID: I20190520001019 |
| Provider Name | Holly Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407314925 PECOS PAC ID: 8820331663 Enrollment ID: I20190520001857 |
| Provider Name | Sara Pasquinelli Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457844987 PECOS PAC ID: 3779826078 Enrollment ID: I20190529001805 |
| Provider Name | Leonid Levertov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720552714 PECOS PAC ID: 4082957311 Enrollment ID: I20190529003021 |
| Provider Name | Kristen R Kilbarger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477947695 PECOS PAC ID: 5193035020 Enrollment ID: I20190530000289 |
| Provider Name | Ernest Howard Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295390789 PECOS PAC ID: 2062755333 Enrollment ID: I20190530001522 |
| Provider Name | Zachary N Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245692714 PECOS PAC ID: 4385936152 Enrollment ID: I20190530003099 |
| Provider Name | Meharsi Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922462449 PECOS PAC ID: 2769776954 Enrollment ID: I20190530003120 |
| Provider Name | Justin D Laudick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609393818 PECOS PAC ID: 0143553131 Enrollment ID: I20190606000344 |
| Provider Name | Jennifer Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144710252 PECOS PAC ID: 0749513760 Enrollment ID: I20190606001461 |
| Provider Name | Christopher Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844306 PECOS PAC ID: 7214283209 Enrollment ID: I20190606002176 |
| Provider Name | Scott Gspandl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043607500 PECOS PAC ID: 3173833001 Enrollment ID: I20190610000840 |
| Provider Name | Suzanna Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376753822 PECOS PAC ID: 4587705777 Enrollment ID: I20190610001653 |
| Provider Name | Yohannes Bayissa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093022451 PECOS PAC ID: 6800013566 Enrollment ID: I20190611002129 |
| Provider Name | James R Foster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376961656 PECOS PAC ID: 6709104987 Enrollment ID: I20190611003061 |
| Provider Name | Courtney Jayne Cook |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508120296 PECOS PAC ID: 0244551836 Enrollment ID: I20190612002829 |
| Provider Name | Marc D Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679928527 PECOS PAC ID: 0143516427 Enrollment ID: I20190612003929 |
| Provider Name | Stuart Richard Pierce |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1487914552 PECOS PAC ID: 6002038254 Enrollment ID: I20190613003311 |
| Provider Name | Yuanjie Mao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720493190 PECOS PAC ID: 6608177894 Enrollment ID: I20190613003326 |
| Provider Name | Laura Emily Roache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003297383 PECOS PAC ID: 1052628930 Enrollment ID: I20190613003327 |
| Provider Name | Mohamed Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790938868 PECOS PAC ID: 2860660495 Enrollment ID: I20190618000612 |
| Provider Name | Elizabeth Michelle Kander |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487917522 PECOS PAC ID: 0244551703 Enrollment ID: I20190618002073 |
| Provider Name | Madeleine M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396301891 PECOS PAC ID: 6103150446 Enrollment ID: I20190620001633 |
| Provider Name | Andrea Uradu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1467742502 PECOS PAC ID: 4587924931 Enrollment ID: I20190624001039 |
| Provider Name | Saurabh Khurana |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1851656292 PECOS PAC ID: 3072807155 Enrollment ID: I20190625002173 |
| Provider Name | Victoria Powis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457746372 PECOS PAC ID: 4880960558 Enrollment ID: I20190626002901 |
| Provider Name | Anish B Parikh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609136688 PECOS PAC ID: 4789921909 Enrollment ID: I20190626002997 |
| Provider Name | Sarah Anne Wittry |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588907224 PECOS PAC ID: 5395060545 Enrollment ID: I20190626003617 |
| Provider Name | Brian Walter Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619418837 PECOS PAC ID: 6305116518 Enrollment ID: I20190626003805 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427168814 PECOS PAC ID: 4385706951 Enrollment ID: I20190627002251 |
| Provider Name | Rachel Glynnis Muir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225695638 PECOS PAC ID: 9739413527 Enrollment ID: I20190627002911 |
| Provider Name | Frances Comer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609239961 PECOS PAC ID: 8123313913 Enrollment ID: I20190715002143 |
| Provider Name | Vincent Mandas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114389152 PECOS PAC ID: 1759676422 Enrollment ID: I20190715003519 |
| Provider Name | Kimberly K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861059305 PECOS PAC ID: 1850626516 Enrollment ID: I20190717002377 |
| Provider Name | Mary C Willison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902463573 PECOS PAC ID: 5395070056 Enrollment ID: I20190717002403 |
| Provider Name | Matthew Thomas Morrin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598007130 PECOS PAC ID: 2668774894 Enrollment ID: I20190717002893 |
| Provider Name | Timothy Lance Underwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063876779 PECOS PAC ID: 0749572220 Enrollment ID: I20190719002046 |
| Provider Name | Omkar Hirekhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124414503 PECOS PAC ID: 2668743121 Enrollment ID: I20190724001436 |
| Provider Name | Jodi Marie Oostra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578908901 PECOS PAC ID: 7719209659 Enrollment ID: I20190724001811 |
| Provider Name | Shylaja Mani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891052205 PECOS PAC ID: 9931411121 Enrollment ID: I20190724001969 |
| Provider Name | Daniel Buchan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972929164 PECOS PAC ID: 0648546614 Enrollment ID: I20190724002687 |
| Provider Name | Christine A Kolodziejski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902269921 PECOS PAC ID: 1951694983 Enrollment ID: I20190724003994 |
| Provider Name | Mason A Murrey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073177275 PECOS PAC ID: 8224364401 Enrollment ID: I20190725001765 |
| Provider Name | Obinna Victor Obiekezie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861844201 PECOS PAC ID: 7618203852 Enrollment ID: I20190725003505 |
| Provider Name | Sarah L Elswick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972169415 PECOS PAC ID: 3870829922 Enrollment ID: I20190726000516 |
| Provider Name | Evelyn Ann Eakin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033571765 PECOS PAC ID: 7012207871 Enrollment ID: I20190726001224 |
| Provider Name | Vamsi K Emani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841599768 PECOS PAC ID: 1355582891 Enrollment ID: I20190729001517 |
| Provider Name | Craig Alan Miller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932149507 PECOS PAC ID: 3779497029 Enrollment ID: I20190730000326 |
| Provider Name | Raunak D Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992123509 PECOS PAC ID: 6305168907 Enrollment ID: I20190730001821 |
| Provider Name | Glenn Christopher Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205498268 PECOS PAC ID: 1153657986 Enrollment ID: I20190731001882 |
| Provider Name | Garrett Randolph Heinz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720441082 PECOS PAC ID: 2062703242 Enrollment ID: I20190731002987 |
| Provider Name | Emily Christine Kumazec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720630536 PECOS PAC ID: 5092041731 Enrollment ID: I20190801002469 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20190805001149 |
| Provider Name | Michael F Yellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205489812 PECOS PAC ID: 8820325301 Enrollment ID: I20190806003117 |
| Provider Name | Ruth Adekemi Egwakhe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720441025 PECOS PAC ID: 7810280849 Enrollment ID: I20190807000950 |
| Provider Name | Caitlin Elizabeth Kready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427617208 PECOS PAC ID: 7214264761 Enrollment ID: I20190807001299 |
| Provider Name | Cody Thomas Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660388 PECOS PAC ID: 1759618176 Enrollment ID: I20190808000391 |
| Provider Name | Kassandra Lee Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891347258 PECOS PAC ID: 9436486867 Enrollment ID: I20190808000950 |
| Provider Name | Chaitanya Vadlamudi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598183410 PECOS PAC ID: 6305173758 Enrollment ID: I20190808001559 |
| Provider Name | Brian Harmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134580012 PECOS PAC ID: 4587932272 Enrollment ID: I20190808002199 |
| Provider Name | Ahmad Hijazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497118244 PECOS PAC ID: 5597052852 Enrollment ID: I20190808004117 |
| Provider Name | Benjamin Keith Gudorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740704857 PECOS PAC ID: 7113254392 Enrollment ID: I20190809002747 |
| Provider Name | Kerry Ann Bertke |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376938571 PECOS PAC ID: 1052611902 Enrollment ID: I20190812002123 |
| Provider Name | Jay P Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699135376 PECOS PAC ID: 0547555450 Enrollment ID: I20190812002554 |
| Provider Name | Michal A Radomski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740508092 PECOS PAC ID: 2961624382 Enrollment ID: I20190812004108 |
| Provider Name | Natalie Jo Schwieterman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417332172 PECOS PAC ID: 4284949496 Enrollment ID: I20190813001987 |
| Provider Name | Katherine Leigh Lemke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851943666 PECOS PAC ID: 9436486453 Enrollment ID: I20190813002081 |
| Provider Name | Bryan C Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134461247 PECOS PAC ID: 4880823400 Enrollment ID: I20190814004183 |
| Provider Name | Hannah B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687025 PECOS PAC ID: 2961730759 Enrollment ID: I20190816002490 |
| Provider Name | Isabel Marie Manzanillo-devore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154664167 PECOS PAC ID: 5597057695 Enrollment ID: I20190816002966 |
| Provider Name | Dina Sabry Keeler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366893687 PECOS PAC ID: 4688902380 Enrollment ID: I20190819004028 |
| Provider Name | Carrie Anne Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700447158 PECOS PAC ID: 5294063871 Enrollment ID: I20190820003476 |
| Provider Name | Sara Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982194809 PECOS PAC ID: 9133476542 Enrollment ID: I20190820004011 |
| Provider Name | Laura Hallstrom |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609253525 PECOS PAC ID: 4587919535 Enrollment ID: I20190820004054 |
| Provider Name | Alexander Andrew Chapman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518200690 PECOS PAC ID: 9234379272 Enrollment ID: I20190820004255 |
| Provider Name | Megan L Cochran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013308634 PECOS PAC ID: 7810263464 Enrollment ID: I20190821004895 |
| Provider Name | Nirav Rajanikant Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588017537 PECOS PAC ID: 4981990009 Enrollment ID: I20190822003906 |
| Provider Name | Fatima Sarwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649627746 PECOS PAC ID: 3274871983 Enrollment ID: I20190822004447 |
| Provider Name | Divya Akshintala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215343603 PECOS PAC ID: 4981925724 Enrollment ID: I20190822004479 |
| Provider Name | Kyle David Lineberry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205192267 PECOS PAC ID: 7719128776 Enrollment ID: I20190823001630 |
| Provider Name | Melissa Sue List |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053970541 PECOS PAC ID: 9234467549 Enrollment ID: I20190824000353 |
| Provider Name | Jill Allison Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659923563 PECOS PAC ID: 4789912098 Enrollment ID: I20190824000370 |
| Provider Name | Chelsea Joy Fazekas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275996324 PECOS PAC ID: 1658664149 Enrollment ID: I20190826003356 |
| Provider Name | Sanjay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457667875 PECOS PAC ID: 8921243700 Enrollment ID: I20190826004011 |
| Provider Name | Amy A Picolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265542534 PECOS PAC ID: 1153483623 Enrollment ID: I20190827002347 |
| Provider Name | Tabitha Dawn Hofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518523695 PECOS PAC ID: 4183952104 Enrollment ID: I20190828002026 |
| Provider Name | Kasey M Palm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386038586 PECOS PAC ID: 5395053870 Enrollment ID: I20190828003418 |
| Provider Name | Jennifer Ellen Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445949 PECOS PAC ID: 7214265255 Enrollment ID: I20190828003448 |
| Provider Name | Jaclyn Rose Geddes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861053639 PECOS PAC ID: 9133457039 Enrollment ID: I20190829002065 |
| Provider Name | Melissa Ann Falcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861855280 PECOS PAC ID: 0143513374 Enrollment ID: I20190829003360 |
| Provider Name | Jeremy Wachenschwanz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538420120 PECOS PAC ID: 8729343124 Enrollment ID: I20190829003641 |
| Provider Name | Meghan Kathryn O'grady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356897144 PECOS PAC ID: 5496034449 Enrollment ID: I20190830002610 |
| Provider Name | Amy Renee Bennie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447681580 PECOS PAC ID: 5294064101 Enrollment ID: I20190830002976 |
| Provider Name | Ryan Lucero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366785727 PECOS PAC ID: 4385874668 Enrollment ID: I20190904001431 |
| Provider Name | Victor Obijuru Njoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104175009 PECOS PAC ID: 3274758610 Enrollment ID: I20190904001762 |
| Provider Name | Mendy Lafon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851943724 PECOS PAC ID: 2769711480 Enrollment ID: I20190905002140 |
| Provider Name | Michelle Lynn Schiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760991202 PECOS PAC ID: 3779812409 Enrollment ID: I20190905002620 |
| Provider Name | Lisa C Hoyman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659939973 PECOS PAC ID: 6002145604 Enrollment ID: I20190906002235 |
| Provider Name | Rahma Abdalla Anchimbon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487018511 PECOS PAC ID: 2365787678 Enrollment ID: I20190906002309 |
| Provider Name | Susan Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235540477 PECOS PAC ID: 6709183296 Enrollment ID: I20190909002325 |
| Provider Name | Abigail Marie Stevens |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578124558 PECOS PAC ID: 8628307121 Enrollment ID: I20190909003002 |
| Provider Name | Emily Ann Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265895866 PECOS PAC ID: 5092007252 Enrollment ID: I20190909003404 |
| Provider Name | Jared Matthew Stroud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053705020 PECOS PAC ID: 7012226517 Enrollment ID: I20190910000703 |
| Provider Name | Brandi L Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407326903 PECOS PAC ID: 7416286646 Enrollment ID: I20190912001734 |
| Provider Name | Jesse W Vandyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957631 PECOS PAC ID: 1951630037 Enrollment ID: I20190916001499 |
| Provider Name | Shawn Thomas Cuevas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700279171 PECOS PAC ID: 4587930698 Enrollment ID: I20190916002124 |
| Provider Name | Sarah E Morgan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629414081 PECOS PAC ID: 9032358015 Enrollment ID: I20190916003599 |
| Provider Name | Andrea Mcgaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558704445 PECOS PAC ID: 4183867849 Enrollment ID: I20190924001629 |
| Provider Name | Danica Ann Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396301982 PECOS PAC ID: 4486985587 Enrollment ID: I20191003001708 |
| Provider Name | Alex P. Kegelmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427613959 PECOS PAC ID: 4587995691 Enrollment ID: I20191003002027 |
| Provider Name | Deborah J Saltus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225685191 PECOS PAC ID: 0840521951 Enrollment ID: I20191003002045 |
| Provider Name | Tabbitha Danielle Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457910184 PECOS PAC ID: 9830420959 Enrollment ID: I20191003002147 |
| Provider Name | Jessica M Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881081214 PECOS PAC ID: 8224328034 Enrollment ID: I20191003003446 |
| Provider Name | Sarah A Lavalette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811921125 PECOS PAC ID: 4789658469 Enrollment ID: I20191007003467 |
| Provider Name | Danielle K. Trego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942865449 PECOS PAC ID: 5092046722 Enrollment ID: I20191011000150 |
| Provider Name | Andrew Lawrence Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518251198 PECOS PAC ID: 5294003828 Enrollment ID: I20191016001248 |
| Provider Name | Emily M Latta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295383123 PECOS PAC ID: 5092046243 Enrollment ID: I20191018002468 |
| Provider Name | Hafez Saeid Khalili |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194160937 PECOS PAC ID: 0143444919 Enrollment ID: I20191023002380 |
| Provider Name | Erica Lynne Fog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972153153 PECOS PAC ID: 3173855160 Enrollment ID: I20191023003543 |
| Provider Name | Krista Jensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093112583 PECOS PAC ID: 8921374406 Enrollment ID: I20191023003774 |
| Provider Name | Joshua T Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457703100 PECOS PAC ID: 1850671645 Enrollment ID: I20191101000197 |
| Provider Name | Hayley A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558912840 PECOS PAC ID: 0941632202 Enrollment ID: I20191107002072 |
| Provider Name | Yuko Iwanaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235534314 PECOS PAC ID: 9133474539 Enrollment ID: I20191113002663 |
| Provider Name | Jennifer L Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922658780 PECOS PAC ID: 4981036829 Enrollment ID: I20191115000169 |
| Provider Name | Jerrod Steimle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639584949 PECOS PAC ID: 6507181039 Enrollment ID: I20191125002202 |
| Provider Name | Ashley Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235621681 PECOS PAC ID: 3678906021 Enrollment ID: I20191126000542 |
| Provider Name | Farhana Afrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730720160 PECOS PAC ID: 3173956521 Enrollment ID: I20191126000781 |
| Provider Name | Chelsea A Mooreland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316300452 PECOS PAC ID: 2163702077 Enrollment ID: I20191126002180 |
| Provider Name | Lyndsay J Crispin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164072963 PECOS PAC ID: 8628401965 Enrollment ID: I20191127001674 |
| Provider Name | Heather N Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154704 PECOS PAC ID: 7719310069 Enrollment ID: I20191127002112 |
| Provider Name | Mitchell Stelzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689035669 PECOS PAC ID: 2961778386 Enrollment ID: I20191205002839 |
| Provider Name | Christina Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821632217 PECOS PAC ID: 6507930419 Enrollment ID: I20191209002974 |
| Provider Name | Ramesh Babu Jasti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871531996 PECOS PAC ID: 3375556517 Enrollment ID: I20191210002282 |
| Provider Name | Sarah Christine Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871135939 PECOS PAC ID: 7416381736 Enrollment ID: I20191219001724 |
| Provider Name | Jennifer Mast |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861811242 PECOS PAC ID: 3173845930 Enrollment ID: I20191219002916 |
| Provider Name | Christopher G Janson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659425148 PECOS PAC ID: 8022322726 Enrollment ID: I20191226001605 |
| Provider Name | Ashley Courtney Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982248522 PECOS PAC ID: 1052745197 Enrollment ID: I20191226001887 |
| Provider Name | Fady S. Yacoub |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467833392 PECOS PAC ID: 9830495951 Enrollment ID: I20191230000412 |
| Provider Name | Justin A Kelley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205256187 PECOS PAC ID: 7416258728 Enrollment ID: I20200107000778 |
| Provider Name | Catherine A Taliani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992192322 PECOS PAC ID: 8729397906 Enrollment ID: I20200108002733 |
| Provider Name | Abdirahim Mohamed Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255713871 PECOS PAC ID: 3375857196 Enrollment ID: I20200110002478 |
| Provider Name | Deborah Rae Hartnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144876129 PECOS PAC ID: 9537594965 Enrollment ID: I20200114000142 |
| Provider Name | Tapan Ravindra Kavi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780008748 PECOS PAC ID: 9931413804 Enrollment ID: I20200116001826 |
| Provider Name | Farah A Jama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881056034 PECOS PAC ID: 3870883572 Enrollment ID: I20200117002300 |
| Provider Name | Ashya Trotter Walden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306488374 PECOS PAC ID: 7214362094 Enrollment ID: I20200124001746 |
| Provider Name | Sadia Tanveer Butt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619485984 PECOS PAC ID: 8527306836 Enrollment ID: I20200203001122 |
| Provider Name | Tracy Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245792498 PECOS PAC ID: 7719313576 Enrollment ID: I20200214001368 |
| Provider Name | Syed T Hussain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518506377 PECOS PAC ID: 7911334776 Enrollment ID: I20200218000487 |
| Provider Name | Sadie Margaret Beougher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770123747 PECOS PAC ID: 1951738517 Enrollment ID: I20200221000414 |
| Provider Name | Kelsey Gosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336789015 PECOS PAC ID: 5890122261 Enrollment ID: I20200224002743 |
| Provider Name | Charity Heilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588188239 PECOS PAC ID: 5991066789 Enrollment ID: I20200228002380 |
| Provider Name | Mistique Chantay Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902456650 PECOS PAC ID: 1153759006 Enrollment ID: I20200309000410 |
| Provider Name | Mariah P Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326420894 PECOS PAC ID: 2365797701 Enrollment ID: I20200309002162 |
| Provider Name | Michael Evans Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053859108 PECOS PAC ID: 0042581696 Enrollment ID: I20200313001438 |
| Provider Name | Emily Giesler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669905204 PECOS PAC ID: 4981975208 Enrollment ID: I20200320002744 |
| Provider Name | Brandi Fields |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174162291 PECOS PAC ID: 8426486671 Enrollment ID: I20200321000469 |
| Provider Name | Uchechukwu Oba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154771368 PECOS PAC ID: 3779877667 Enrollment ID: I20200321000563 |
| Provider Name | Alexandra Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407240567 PECOS PAC ID: 0042514390 Enrollment ID: I20200328000150 |
| Provider Name | Xin S Xin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467748277 PECOS PAC ID: 2769752526 Enrollment ID: I20200401003464 |
| Provider Name | Jeffrey Sobecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245779099 PECOS PAC ID: 8729359161 Enrollment ID: I20200402000338 |
| Provider Name | Frank K Boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609025527 PECOS PAC ID: 7719169713 Enrollment ID: I20200408002101 |
| Provider Name | Daphne Maria Hadjivassiliou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821624677 PECOS PAC ID: 6608206453 Enrollment ID: I20200420001606 |
| Provider Name | Kaitlin Kathleen Charlotte Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891351425 PECOS PAC ID: 8628408374 Enrollment ID: I20200420002077 |
| Provider Name | Sarah Marie Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255848784 PECOS PAC ID: 8628332723 Enrollment ID: I20200420003495 |
| Provider Name | Amanda Beth Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316502255 PECOS PAC ID: 5799115481 Enrollment ID: I20200421000688 |
| Provider Name | Alexandra Elizabeth Weimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417515362 PECOS PAC ID: 9032549605 Enrollment ID: I20200422001595 |
| Provider Name | Morgan Steiskal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013558097 PECOS PAC ID: 3577993997 Enrollment ID: I20200424002261 |
| Provider Name | Nicholas Peter Amata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003349291 PECOS PAC ID: 3375813553 Enrollment ID: I20200425000090 |
| Provider Name | Nicole Leigh Ksiazkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396384640 PECOS PAC ID: 7911337258 Enrollment ID: I20200428001662 |
| Provider Name | Anthony Dean Agra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649279373 PECOS PAC ID: 8123912888 Enrollment ID: I20200428001770 |
| Provider Name | Ryan Brinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265963292 PECOS PAC ID: 5092084806 Enrollment ID: I20200504000476 |
| Provider Name | Adam Boggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578095527 PECOS PAC ID: 5991074478 Enrollment ID: I20200511001828 |
| Provider Name | Brooke Nicole Drewes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447589528 PECOS PAC ID: 4284065970 Enrollment ID: I20200513001422 |
| Provider Name | Alesha Marie Thrush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184158370 PECOS PAC ID: 3870924426 Enrollment ID: I20200514001208 |
| Provider Name | Amanda Marie Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144868910 PECOS PAC ID: 2769813310 Enrollment ID: I20200514001300 |
| Provider Name | Maria Martinez Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639606353 PECOS PAC ID: 5193156750 Enrollment ID: I20200514001475 |
| Provider Name | Laura N Golian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336567700 PECOS PAC ID: 5991026767 Enrollment ID: I20200516000274 |
| Provider Name | Ahmad N Anaizi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821417239 PECOS PAC ID: 5890012546 Enrollment ID: I20200516000340 |
| Provider Name | Randi Michele Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346766243 PECOS PAC ID: 4587095054 Enrollment ID: I20200518000378 |
| Provider Name | Paul Kogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023377736 PECOS PAC ID: 8022254788 Enrollment ID: I20200521002325 |
| Provider Name | Joseph Peter Scheschuk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275961088 PECOS PAC ID: 8527311844 Enrollment ID: I20200522002471 |
| Provider Name | Kyle A Kocher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124659925 PECOS PAC ID: 7113348491 Enrollment ID: I20200522002632 |
| Provider Name | Brandon M Kinnamon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386275188 PECOS PAC ID: 4789005992 Enrollment ID: I20200526001588 |
| Provider Name | Shilpkumar Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194365 PECOS PAC ID: 8921379264 Enrollment ID: I20200527003208 |
| Provider Name | Ann Igoe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972946143 PECOS PAC ID: 1658509559 Enrollment ID: I20200528001528 |
| Provider Name | Stacy Lynn Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952722316 PECOS PAC ID: 6800217753 Enrollment ID: I20200601000785 |
| Provider Name | Samuel Knight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720362999 PECOS PAC ID: 1658548144 Enrollment ID: I20200604000822 |
| Provider Name | Kari Lynn Gorder |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568881464 PECOS PAC ID: 3476770710 Enrollment ID: I20200604003068 |
| Provider Name | Nicole Lynn Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023656642 PECOS PAC ID: 4284064601 Enrollment ID: I20200605001573 |
| Provider Name | Abdulmagid Sherif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902333867 PECOS PAC ID: 7810231412 Enrollment ID: I20200608001047 |
| Provider Name | Stephanie Elaine Daman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326440587 PECOS PAC ID: 9830311844 Enrollment ID: I20200611001507 |
| Provider Name | Daniel Zachary Adams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093941726 PECOS PAC ID: 6204052459 Enrollment ID: I20200612000511 |
| Provider Name | Wesley Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285976597 PECOS PAC ID: 0345481008 Enrollment ID: I20200612002516 |
| Provider Name | Jonathan Eberle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487195103 PECOS PAC ID: 5698046159 Enrollment ID: I20200615000667 |
| Provider Name | Rachael Bethany Gale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992336796 PECOS PAC ID: 1850713181 Enrollment ID: I20200615002664 |
| Provider Name | Westley Cameron Mullins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247348 PECOS PAC ID: 5496025835 Enrollment ID: I20200616003170 |
| Provider Name | Anatoliy J Shakh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952746455 PECOS PAC ID: 3577812528 Enrollment ID: I20200622001557 |
| Provider Name | Lindsey Knapke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447607932 PECOS PAC ID: 1153618160 Enrollment ID: I20200624002021 |
| Provider Name | Morgan M Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275166688 PECOS PAC ID: 6709208358 Enrollment ID: I20200626002380 |
| Provider Name | Amanda W Alzayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629500814 PECOS PAC ID: 8628347614 Enrollment ID: I20200701001418 |
| Provider Name | Nicole M Nolan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861981094 PECOS PAC ID: 2466875943 Enrollment ID: I20200701001584 |
| Provider Name | Nikita Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760002695 PECOS PAC ID: 2163845397 Enrollment ID: I20200707002371 |
| Provider Name | Kevin F Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366982290 PECOS PAC ID: 5092084921 Enrollment ID: I20200707002461 |
| Provider Name | Dalia Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215459326 PECOS PAC ID: 2961772157 Enrollment ID: I20200707003027 |
| Provider Name | Tariq Khemees |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700229747 PECOS PAC ID: 9638305857 Enrollment ID: I20200708003236 |
| Provider Name | Allie R Branham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093337875 PECOS PAC ID: 2062835093 Enrollment ID: I20200709002720 |
| Provider Name | Rahim Z Mangalji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811420342 PECOS PAC ID: 8426328881 Enrollment ID: I20200709003663 |
| Provider Name | Jinna Deslandes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548618978 PECOS PAC ID: 9638503378 Enrollment ID: I20200710000916 |
| Provider Name | Ghassoub H Rifai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215468517 PECOS PAC ID: 7618247073 Enrollment ID: I20200710001539 |
| Provider Name | Angela M Parsons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992115372 PECOS PAC ID: 0143449454 Enrollment ID: I20200710002223 |
| Provider Name | Verneda Troyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831622455 PECOS PAC ID: 7911278015 Enrollment ID: I20200710002412 |
| Provider Name | Rafia Shafqat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558737346 PECOS PAC ID: 3173859634 Enrollment ID: I20200710003171 |
| Provider Name | Morgan Raeann Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952841355 PECOS PAC ID: 6507135449 Enrollment ID: I20200713003123 |
| Provider Name | Lauren M Sagaria |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699137380 PECOS PAC ID: 2769762442 Enrollment ID: I20200714001712 |
| Provider Name | Deidra Carolina Momeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982231775 PECOS PAC ID: 3870917404 Enrollment ID: I20200715003417 |
| Provider Name | Keya Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922626753 PECOS PAC ID: 1052735594 Enrollment ID: I20200716003860 |
| Provider Name | Abby Marie Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881125680 PECOS PAC ID: 0143599878 Enrollment ID: I20200717002003 |
| Provider Name | Michael John Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861885592 PECOS PAC ID: 9638425663 Enrollment ID: I20200721003436 |
| Provider Name | Jakai Mcewen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649634015 PECOS PAC ID: 3779871603 Enrollment ID: I20200722001044 |
| Provider Name | Alexandra Blood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962935866 PECOS PAC ID: 5092086462 Enrollment ID: I20200722001551 |
| Provider Name | Pramita Kothakota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124559687 PECOS PAC ID: 3971873159 Enrollment ID: I20200722002646 |
| Provider Name | Dwight Justin Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407835572 PECOS PAC ID: 9931150356 Enrollment ID: I20200723003524 |
| Provider Name | Rabia Toor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235669664 PECOS PAC ID: 0345664231 Enrollment ID: I20200724001595 |
| Provider Name | Jessica Michelle Peer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083243216 PECOS PAC ID: 2668896341 Enrollment ID: I20200728002566 |
| Provider Name | Charlotte Venious |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053774901 PECOS PAC ID: 7113219403 Enrollment ID: I20200728003202 |
| Provider Name | Tonya Tressa Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003059072 PECOS PAC ID: 3173948825 Enrollment ID: I20200729001287 |
| Provider Name | Sara Elizabeth Mckeltar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730701616 PECOS PAC ID: 4385069772 Enrollment ID: I20200731002504 |
| Provider Name | Atish Mathur |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588895064 PECOS PAC ID: 9739492638 Enrollment ID: I20200803000902 |
| Provider Name | Megan Ashley Jones-sheets |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649629692 PECOS PAC ID: 3274829825 Enrollment ID: I20200803001429 |
| Provider Name | Sherri A Cardellino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326664814 PECOS PAC ID: 3971928094 Enrollment ID: I20200806002780 |
| Provider Name | Kerri Ann Gerding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437769635 PECOS PAC ID: 5294150256 Enrollment ID: I20200807000902 |
| Provider Name | Angelo Manuele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164959656 PECOS PAC ID: 3870856099 Enrollment ID: I20200810003495 |
| Provider Name | Erika Boothman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316394752 PECOS PAC ID: 8527354422 Enrollment ID: I20200811000743 |
| Provider Name | Alexandra M Schueler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447612783 PECOS PAC ID: 2668752346 Enrollment ID: I20200811001187 |
| Provider Name | Kristen Mary Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962856302 PECOS PAC ID: 3678807799 Enrollment ID: I20200813003214 |
| Provider Name | Seema Sannesy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699180547 PECOS PAC ID: 0143579953 Enrollment ID: I20200820003037 |
| Provider Name | Daniel J Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821415753 PECOS PAC ID: 5597065540 Enrollment ID: I20200825001316 |
| Provider Name | Tariq Lescouflair |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154616175 PECOS PAC ID: 3779889126 Enrollment ID: I20200827000495 |
| Provider Name | Kavita Shah |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205299823 PECOS PAC ID: 1658665849 Enrollment ID: I20200827000893 |
| Provider Name | Laura H Schafer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649639600 PECOS PAC ID: 3476829532 Enrollment ID: I20200901000297 |
| Provider Name | Eric Fichtenbaum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073932091 PECOS PAC ID: 7810114329 Enrollment ID: I20200901002122 |
| Provider Name | Justin T. Goranovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285054999 PECOS PAC ID: 7315164506 Enrollment ID: I20200901003000 |
| Provider Name | Nikita Dedhia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073925038 PECOS PAC ID: 0446678387 Enrollment ID: I20200909003140 |
| Provider Name | Hailey Lyn Vonderahe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174134332 PECOS PAC ID: 2769800556 Enrollment ID: I20200910001579 |
| Provider Name | Kara Keplinger Rossfeld |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1043500846 PECOS PAC ID: 3971744418 Enrollment ID: I20200910002671 |
| Provider Name | Jaimie Rodger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881056513 PECOS PAC ID: 2668744186 Enrollment ID: I20200910003047 |
| Provider Name | Katherine Lewis Zane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932725348 PECOS PAC ID: 1456779016 Enrollment ID: I20200914001292 |
| Provider Name | Adam Jara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629423975 PECOS PAC ID: 6305133737 Enrollment ID: I20200917000274 |
| Provider Name | Antoniya Borislavova Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902419930 PECOS PAC ID: 2769801836 Enrollment ID: I20200923002865 |
| Provider Name | Haileigh Danielle Ross |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1013362722 PECOS PAC ID: 2860785003 Enrollment ID: I20200924002858 |
| Provider Name | Alexandria Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780293506 PECOS PAC ID: 8426477480 Enrollment ID: I20200924003266 |
| Provider Name | Anna Vigil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356968804 PECOS PAC ID: 9830518612 Enrollment ID: I20200928002599 |
| Provider Name | Nishant Rohit Dagli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194173864 PECOS PAC ID: 8325332968 Enrollment ID: I20200930001731 |
| Provider Name | Sarah Janelle May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760013197 PECOS PAC ID: 7810316361 Enrollment ID: I20201001002267 |
| Provider Name | Heather Nicole Nickell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386256717 PECOS PAC ID: 8527487719 Enrollment ID: I20201008000589 |
| Provider Name | Holly Lecklider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700493251 PECOS PAC ID: 4981024130 Enrollment ID: I20201009000641 |
| Provider Name | Angela Tedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700491081 PECOS PAC ID: 2466872247 Enrollment ID: I20201015003200 |
| Provider Name | Benjapond Pinittanond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811502982 PECOS PAC ID: 5193145894 Enrollment ID: I20201019002642 |
| Provider Name | Jessica Lea Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417480203 PECOS PAC ID: 5991076093 Enrollment ID: I20201028001202 |
| Provider Name | Emily Ann Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972100287 PECOS PAC ID: 9739599937 Enrollment ID: I20201028003057 |
| Provider Name | Konstantinos Demertzis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922502285 PECOS PAC ID: 6901161744 Enrollment ID: I20201030001205 |
| Provider Name | Melissa Rene Wonorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720685803 PECOS PAC ID: 3173933900 Enrollment ID: I20201106001963 |
| Provider Name | Caley M. Parobek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255938569 PECOS PAC ID: 1557771136 Enrollment ID: I20201110003159 |
| Provider Name | Akhil Singhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841724978 PECOS PAC ID: 8527328368 Enrollment ID: I20201112001937 |
| Provider Name | Anthony Michael Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134766520 PECOS PAC ID: 9931510286 Enrollment ID: I20201118001023 |
| Provider Name | Christina M Pfeifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970038 PECOS PAC ID: 8921419102 Enrollment ID: I20201118003009 |
| Provider Name | Yan Zhao Renninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508470519 PECOS PAC ID: 4981015955 Enrollment ID: I20201123002246 |
| Provider Name | Aimee Elizabeth Sisinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629676457 PECOS PAC ID: 6709297658 Enrollment ID: I20201124002668 |
| Provider Name | Derik Michael Falk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679734610 PECOS PAC ID: 1355507609 Enrollment ID: I20201202001350 |
| Provider Name | Cody Paul Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174012132 PECOS PAC ID: 7315359684 Enrollment ID: I20201209003155 |
| Provider Name | Courtney Phillips Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063015394 PECOS PAC ID: 0143632406 Enrollment ID: I20201210002576 |
| Provider Name | Jessica Lynn Hack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114528171 PECOS PAC ID: 4688086895 Enrollment ID: I20201211002494 |
| Provider Name | Marina Beach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851903611 PECOS PAC ID: 5092127183 Enrollment ID: I20201214003031 |
| Provider Name | Grace Laszlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255948667 PECOS PAC ID: 8527470616 Enrollment ID: I20201214003063 |
| Provider Name | Jennifer A. Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770801466 PECOS PAC ID: 0749312155 Enrollment ID: I20201218001900 |
| Provider Name | Mohamad Hassouni Sadeq Muhailan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588186951 PECOS PAC ID: 0446662175 Enrollment ID: I20201221003014 |
| Provider Name | Stephanie Jean Hoheisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922533538 PECOS PAC ID: 6103195581 Enrollment ID: I20201222002179 |
| Provider Name | Brianna Nicole Gurick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699332866 PECOS PAC ID: 4789913948 Enrollment ID: I20210107000594 |
| Provider Name | Hannah Kerr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114123593 PECOS PAC ID: 7012133911 Enrollment ID: I20210111001884 |
| Provider Name | Tanisha Mathur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669634671 PECOS PAC ID: 8123252863 Enrollment ID: I20210115001004 |
| Provider Name | Tonja Ramona Plew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699370312 PECOS PAC ID: 4981017696 Enrollment ID: I20210119000473 |
| Provider Name | Trellie Tunacao Hartsel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477157931 PECOS PAC ID: 7416361100 Enrollment ID: I20210120001192 |
| Provider Name | Joshua Mitchell Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225677552 PECOS PAC ID: 4880008598 Enrollment ID: I20210120002133 |
| Provider Name | Beth Bonarrigo Loessin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013519404 PECOS PAC ID: 6406260173 Enrollment ID: I20210121001002 |
| Provider Name | Trisha A Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821303116 PECOS PAC ID: 0143634220 Enrollment ID: I20210201002383 |
| Provider Name | Padmavathi V Rudraraju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588136790 PECOS PAC ID: 1658785571 Enrollment ID: I20210203002837 |
| Provider Name | Nicole Marie Hershey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912501073 PECOS PAC ID: 0547598583 Enrollment ID: I20210204003047 |
| Provider Name | Andrea Louise Newport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598276842 PECOS PAC ID: 3779998463 Enrollment ID: I20210210000755 |
| Provider Name | Candice Kilbarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417575200 PECOS PAC ID: 5597170126 Enrollment ID: I20210212000747 |
| Provider Name | Chastity Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164065215 PECOS PAC ID: 1850706300 Enrollment ID: I20210216002186 |
| Provider Name | Amie Butcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952893489 PECOS PAC ID: 6103231451 Enrollment ID: I20210218000823 |
| Provider Name | Carter Ellis Battista |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487049318 PECOS PAC ID: 3971817651 Enrollment ID: I20210219002010 |
| Provider Name | James J Calevro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598372856 PECOS PAC ID: 6406262344 Enrollment ID: I20210301002679 |
| Provider Name | Amy Michelle Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134718182 PECOS PAC ID: 8426464801 Enrollment ID: I20210309003300 |
| Provider Name | Malaika Rochelle Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932704848 PECOS PAC ID: 3274949458 Enrollment ID: I20210312002007 |
| Provider Name | Jenna Chinnock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700367869 PECOS PAC ID: 4183031628 Enrollment ID: I20210329001441 |
| Provider Name | Joseph Gene Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487279196 PECOS PAC ID: 2567870595 Enrollment ID: I20210412002652 |
| Provider Name | Amanda Catherine Rupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295333102 PECOS PAC ID: 9537577564 Enrollment ID: I20210412002727 |
| Provider Name | Rachel A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153429 PECOS PAC ID: 1951719350 Enrollment ID: I20210423002270 |
| Provider Name | Joseph Payton Lamb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932605367 PECOS PAC ID: 9739435090 Enrollment ID: I20210428002979 |
| Provider Name | Okechukwu Anochie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346772894 PECOS PAC ID: 0345659587 Enrollment ID: I20210429001568 |
| Provider Name | Susan June Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821422742 PECOS PAC ID: 8123437274 Enrollment ID: I20210503000793 |
| Provider Name | Ashley Leann Miley Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073019949 PECOS PAC ID: 3476962176 Enrollment ID: I20210510002564 |
| Provider Name | Patrick Naaman Salibi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891112272 PECOS PAC ID: 8527381219 Enrollment ID: I20210512001256 |
| Provider Name | Ava Dirienzo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811412984 PECOS PAC ID: 2062773872 Enrollment ID: I20210521002016 |
| Provider Name | Brittany Nicole Bourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285247460 PECOS PAC ID: 5890194955 Enrollment ID: I20210524000938 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336755990 PECOS PAC ID: 0840699823 Enrollment ID: I20210524002604 |
| Provider Name | Jignesh Niranjan Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790732113 PECOS PAC ID: 4587667290 Enrollment ID: I20210526002177 |
| Provider Name | Stacy Mccullough Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704875 PECOS PAC ID: 2769728542 Enrollment ID: I20210527000465 |
| Provider Name | Jessica King Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275803066 PECOS PAC ID: 6406255215 Enrollment ID: I20210527002424 |
| Provider Name | Raghu Gottipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730687336 PECOS PAC ID: 7618228537 Enrollment ID: I20210527003133 |
| Provider Name | Preston James Eibling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558723072 PECOS PAC ID: 1355633033 Enrollment ID: I20210602001449 |
| Provider Name | Jordan Hoenig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801391958 PECOS PAC ID: 1759637093 Enrollment ID: I20210602001511 |
| Provider Name | Talon Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174062236 PECOS PAC ID: 9234403502 Enrollment ID: I20210602001647 |
| Provider Name | Stephen Elliott Gee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043630130 PECOS PAC ID: 5890004709 Enrollment ID: I20210602002526 |
| Provider Name | Kiley Deanne Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154900314 PECOS PAC ID: 7618376161 Enrollment ID: I20210603000668 |
| Provider Name | Fatima Zehra Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194220053 PECOS PAC ID: 9931464807 Enrollment ID: I20210603001371 |
| Provider Name | Amanda Nichole Bliemeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770157992 PECOS PAC ID: 1355741646 Enrollment ID: I20210608001215 |
| Provider Name | Stanley Chidiebere Eziukwu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669901450 PECOS PAC ID: 9537437124 Enrollment ID: I20210608001581 |
| Provider Name | Jessica Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821680455 PECOS PAC ID: 8820498090 Enrollment ID: I20210609001187 |
| Provider Name | Michael Ryan Douglas Farrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023499415 PECOS PAC ID: 3274823034 Enrollment ID: I20210609001626 |
| Provider Name | Tony Tre Lybarger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003408287 PECOS PAC ID: 4486054608 Enrollment ID: I20210609003004 |
| Provider Name | Alivia Rene Benfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669047593 PECOS PAC ID: 9739589821 Enrollment ID: I20210610002481 |
| Provider Name | Brittany Marie Vonau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083226393 PECOS PAC ID: 1850791963 Enrollment ID: I20210610003174 |
| Provider Name | Autumn Louise Haynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942701701 PECOS PAC ID: 3274898689 Enrollment ID: I20210610003196 |
| Provider Name | Meghan E. Hubert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053773218 PECOS PAC ID: 5890080980 Enrollment ID: I20210610003329 |
| Provider Name | Maggie Rechel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104367333 PECOS PAC ID: 6103190707 Enrollment ID: I20210611001888 |
| Provider Name | Christian Matthew Molzahn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467984641 PECOS PAC ID: 2860769338 Enrollment ID: I20210614001359 |
| Provider Name | Jhosye P Naranjo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679077598 PECOS PAC ID: 3971859299 Enrollment ID: I20210614002406 |
| Provider Name | James A Ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831553320 PECOS PAC ID: 9234413964 Enrollment ID: I20210614002744 |
| Provider Name | Bethany Gargon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326568387 PECOS PAC ID: 5597038646 Enrollment ID: I20210615002678 |
| Provider Name | Hussein Adly Hussein Adly |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013460575 PECOS PAC ID: 1153666508 Enrollment ID: I20210616000545 |
| Provider Name | Sarah Touvell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538717665 PECOS PAC ID: 3476953290 Enrollment ID: I20210616002125 |
| Provider Name | Carolyn Cook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235711243 PECOS PAC ID: 9931509650 Enrollment ID: I20210616002449 |
| Provider Name | William L Aurand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508353681 PECOS PAC ID: 8527316728 Enrollment ID: I20210621002906 |
| Provider Name | Sarah L Isenhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790282515 PECOS PAC ID: 9133475908 Enrollment ID: I20210622003370 |
| Provider Name | Rebecca Anne Zoner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962906925 PECOS PAC ID: 2062768401 Enrollment ID: I20210623000218 |
| Provider Name | Todd Matthew Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679002497 PECOS PAC ID: 8426328931 Enrollment ID: I20210625001765 |
| Provider Name | Matthew Jeffery Mathias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316512502 PECOS PAC ID: 7012318264 Enrollment ID: I20210625001805 |
| Provider Name | Jonathan Grant Sefton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437699386 PECOS PAC ID: 5395016737 Enrollment ID: I20210625001939 |
| Provider Name | Valerie Andrus Schott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609317817 PECOS PAC ID: 2264701895 Enrollment ID: I20210702002390 |
| Provider Name | Laura Alexandria Masimore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740861624 PECOS PAC ID: 9638571201 Enrollment ID: I20210706002555 |
| Provider Name | Yousef Alghothani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518497718 PECOS PAC ID: 1456619261 Enrollment ID: I20210706002846 |
| Provider Name | Sara J Burggraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073128146 PECOS PAC ID: 6800298357 Enrollment ID: I20210707001722 |
| Provider Name | Kathryn Elizabeth Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741380 PECOS PAC ID: 7517369994 Enrollment ID: I20210707002875 |
| Provider Name | Nicole A Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669975918 PECOS PAC ID: 1456609007 Enrollment ID: I20210707003925 |
| Provider Name | Aniket Natekar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730530767 PECOS PAC ID: 0648564849 Enrollment ID: I20210707003981 |
| Provider Name | Caitlin Dacey Stuber |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558715458 PECOS PAC ID: 2062705452 Enrollment ID: I20210708003289 |
| Provider Name | Valerie Busick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134651581 PECOS PAC ID: 0042589756 Enrollment ID: I20210709001038 |
| Provider Name | Brian T Dusseau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073907564 PECOS PAC ID: 5294137469 Enrollment ID: I20210709002296 |
| Provider Name | Scott Varga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528593043 PECOS PAC ID: 9638448731 Enrollment ID: I20210709002432 |
| Provider Name | Lisa Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255906707 PECOS PAC ID: 0143622050 Enrollment ID: I20210715000809 |
| Provider Name | Sukhmit Kaur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477088680 PECOS PAC ID: 3678827763 Enrollment ID: I20210715002432 |
| Provider Name | Nathan Beck Williams |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1548623044 PECOS PAC ID: 4284928318 Enrollment ID: I20210716002432 |
| Provider Name | John Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114131778 PECOS PAC ID: 2062559735 Enrollment ID: I20210716002679 |
| Provider Name | Bryce Lloyd Coombs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326451071 PECOS PAC ID: 2769608553 Enrollment ID: I20210716002710 |
| Provider Name | Joseph Robert Liput |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518499169 PECOS PAC ID: 5799054508 Enrollment ID: I20210719000893 |
| Provider Name | Gabrielle Ann Langmann |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366848566 PECOS PAC ID: 6800103920 Enrollment ID: I20210719002484 |
| Provider Name | Derek Alan Lapp |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679936819 PECOS PAC ID: 7719277292 Enrollment ID: I20210719002922 |
| Provider Name | Norma Jeanine Nneoma Ogbonna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417452483 PECOS PAC ID: 1456616846 Enrollment ID: I20210719003431 |
| Provider Name | Andrew Fanding Zheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063916450 PECOS PAC ID: 5496006025 Enrollment ID: I20210720002346 |
| Provider Name | Garrett Lee Gilmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093291148 PECOS PAC ID: 8123367927 Enrollment ID: I20210720004002 |
| Provider Name | Todd M Corbey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801392956 PECOS PAC ID: 5698023398 Enrollment ID: I20210722001379 |
| Provider Name | Margaret Arlene Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144801341 PECOS PAC ID: 5294138608 Enrollment ID: I20210722002695 |
| Provider Name | Anas G Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841797750 PECOS PAC ID: 4688922883 Enrollment ID: I20210723003274 |
| Provider Name | Marie Elizabeth Micham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649853276 PECOS PAC ID: 7810390002 Enrollment ID: I20210726002521 |
| Provider Name | Heather Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275102006 PECOS PAC ID: 8628471786 Enrollment ID: I20210727001755 |
| Provider Name | Devon Jean Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548842487 PECOS PAC ID: 3678976776 Enrollment ID: I20210727003294 |
| Provider Name | Abbie Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326569765 PECOS PAC ID: 3779859814 Enrollment ID: I20210729002590 |
| Provider Name | Megan M Early |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720581531 PECOS PAC ID: 9133476898 Enrollment ID: I20210729003946 |
| Provider Name | Kelsey Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235713439 PECOS PAC ID: 4385047190 Enrollment ID: I20210730000401 |
| Provider Name | Sarah U Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750874467 PECOS PAC ID: 9830434562 Enrollment ID: I20210730001570 |
| Provider Name | Dana S Hardin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568418952 PECOS PAC ID: 0547217424 Enrollment ID: I20210804001667 |
| Provider Name | Cristina Diana Ghinda |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497355879 PECOS PAC ID: 1254735897 Enrollment ID: I20210804002882 |
| Provider Name | Allison Gase Wernekinck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336643568 PECOS PAC ID: 3971858317 Enrollment ID: I20210806002858 |
| Provider Name | Matthew Scott Lamb |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538595178 PECOS PAC ID: 3375838527 Enrollment ID: I20210809000164 |
| Provider Name | Laura D Flannery |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891058582 PECOS PAC ID: 8921251018 Enrollment ID: I20210809003841 |
| Provider Name | Christopher Busuito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235665068 PECOS PAC ID: 1951677863 Enrollment ID: I20210810002464 |
| Provider Name | Jeffrey A Planchard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306102991 PECOS PAC ID: 2264715705 Enrollment ID: I20210810003330 |
| Provider Name | Gary James Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487150249 PECOS PAC ID: 9335494087 Enrollment ID: I20210811003438 |
| Provider Name | Mohammad Kamran Zaheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376032268 PECOS PAC ID: 8325443104 Enrollment ID: I20210817000914 |
| Provider Name | Amy Katherine Harper |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447677687 PECOS PAC ID: 8921307950 Enrollment ID: I20210817002272 |
| Provider Name | Laura A Corrodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841861044 PECOS PAC ID: 7517362353 Enrollment ID: I20210817003757 |
| Provider Name | Tiffany Joyce Abreu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093241150 PECOS PAC ID: 6002151172 Enrollment ID: I20210817003928 |
| Provider Name | Veronica Stacey Nicole Poffel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518461235 PECOS PAC ID: 9537424106 Enrollment ID: I20210818003868 |
| Provider Name | Allen Douglas Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104328343 PECOS PAC ID: 3375718216 Enrollment ID: I20210820002015 |
| Provider Name | Spencer Scott Conte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197198 PECOS PAC ID: 5698046050 Enrollment ID: I20210823003068 |
| Provider Name | Katherine Dodd |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1568738557 PECOS PAC ID: 6305159468 Enrollment ID: I20210824002223 |
| Provider Name | Nikola T Alain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437159241 PECOS PAC ID: 3476521386 Enrollment ID: I20210825000523 |
| Provider Name | Brittany Anne Wheitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965386 PECOS PAC ID: 1153726435 Enrollment ID: I20210825000927 |
| Provider Name | Auroa Badin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790097376 PECOS PAC ID: 5991974453 Enrollment ID: I20210825001836 |
| Provider Name | Alexandra A Sutula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568968188 PECOS PAC ID: 3173873940 Enrollment ID: I20210825002101 |
| Provider Name | Sarah Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356911408 PECOS PAC ID: 3971908146 Enrollment ID: I20210826000512 |
| Provider Name | Sher N Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558899708 PECOS PAC ID: 1254744964 Enrollment ID: I20210826002685 |
| Provider Name | Roopa Kartan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164411609 PECOS PAC ID: 2466541503 Enrollment ID: I20210827001065 |
| Provider Name | Jennifer Jeng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699155234 PECOS PAC ID: 8820390149 Enrollment ID: I20210907001015 |
| Provider Name | Samantha Kimberly Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639666076 PECOS PAC ID: 1951707298 Enrollment ID: I20210910002621 |
| Provider Name | Vikram Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548670961 PECOS PAC ID: 8729484811 Enrollment ID: I20210915002802 |
| Provider Name | Stephen Edward Berling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467848754 PECOS PAC ID: 4587973102 Enrollment ID: I20210917001905 |
| Provider Name | Jason Billington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508320409 PECOS PAC ID: 4486992351 Enrollment ID: I20210924000500 |
| Provider Name | Paul A Bonner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033570965 PECOS PAC ID: 6002182128 Enrollment ID: I20210924001601 |
| Provider Name | Diana Marie Mamula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730856220 PECOS PAC ID: 0244637783 Enrollment ID: I20210924002722 |
| Provider Name | Colleen Victoria Duncan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902570286 PECOS PAC ID: 0345647764 Enrollment ID: I20210927002529 |
| Provider Name | Charles French |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245736552 PECOS PAC ID: 0840555058 Enrollment ID: I20210927003155 |
| Provider Name | Jared Noroozi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669772539 PECOS PAC ID: 4587929377 Enrollment ID: I20210928001430 |
| Provider Name | Tiffany Nicole Corbean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871052621 PECOS PAC ID: 0446584452 Enrollment ID: I20210928001440 |
| Provider Name | Stacee Marie Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316439664 PECOS PAC ID: 4981001278 Enrollment ID: I20210929002875 |
| Provider Name | Erin Lynn Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841968377 PECOS PAC ID: 3072910207 Enrollment ID: I20210930000840 |
| Provider Name | Imran Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881961563 PECOS PAC ID: 4587818273 Enrollment ID: I20211006002723 |
| Provider Name | Kaley Lynn Guendouz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184222838 PECOS PAC ID: 9830597400 Enrollment ID: I20211012002170 |
| Provider Name | Erin L Spurr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619646288 PECOS PAC ID: 4789082371 Enrollment ID: I20211012003357 |
| Provider Name | Eric Michael Wiech |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932506383 PECOS PAC ID: 6305162124 Enrollment ID: I20211018002088 |
| Provider Name | Marie-josee Page |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093102147 PECOS PAC ID: 4385953744 Enrollment ID: I20211020001484 |
| Provider Name | Carissa R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053081703 PECOS PAC ID: 6800284035 Enrollment ID: I20211020003180 |
| Provider Name | Emilee Marie Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710558994 PECOS PAC ID: 8325436470 Enrollment ID: I20211022001467 |
| Provider Name | Stephanie Lynn Garrett |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1689625535 PECOS PAC ID: 1951365824 Enrollment ID: I20211026000360 |
| Provider Name | Cody M. Ellis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083294250 PECOS PAC ID: 8729476452 Enrollment ID: I20211028001758 |
| Provider Name | Wei Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821445016 PECOS PAC ID: 1658705199 Enrollment ID: I20211101002261 |
| Provider Name | Mayank H. Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659539799 PECOS PAC ID: 9638350994 Enrollment ID: I20211102000743 |
| Provider Name | Erika G. Mahone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710569306 PECOS PAC ID: 8628467073 Enrollment ID: I20211105001374 |
| Provider Name | Janel C Trovato-vass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346246766 PECOS PAC ID: 0446234785 Enrollment ID: I20211109000003 |
| Provider Name | Misha Dilip Yajnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851612709 PECOS PAC ID: 6800285164 Enrollment ID: I20211109000343 |
| Provider Name | Katherine Larson Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376214171 PECOS PAC ID: 3577952787 Enrollment ID: I20211109002737 |
| Provider Name | Michelle Perchinske Burkert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891457818 PECOS PAC ID: 6901295922 Enrollment ID: I20211112002456 |
| Provider Name | Patrick Schaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487117107 PECOS PAC ID: 5597092320 Enrollment ID: I20211117001590 |
| Provider Name | Kendra Kaye Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215694856 PECOS PAC ID: 3577953074 Enrollment ID: I20211123002543 |
| Provider Name | Katherine Stemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013472059 PECOS PAC ID: 5597155895 Enrollment ID: I20211130002603 |
| Provider Name | Alexandra Rasey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790452514 PECOS PAC ID: 8224428487 Enrollment ID: I20211201002189 |
| Provider Name | Molly Nierlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558030171 PECOS PAC ID: 3779973912 Enrollment ID: I20211202001977 |
| Provider Name | Catherine Seyfert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861410789 PECOS PAC ID: 1052312113 Enrollment ID: I20211208001250 |
| Provider Name | Allison Brighton Sayre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790177822 PECOS PAC ID: 8527386184 Enrollment ID: I20211208003547 |
| Provider Name | Georgette L. Prichard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780928788 PECOS PAC ID: 6608900576 Enrollment ID: I20211209002240 |
| Provider Name | Sangita Teena Bajpayee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346761921 PECOS PAC ID: 9133519820 Enrollment ID: I20211213001462 |
| Provider Name | Bethany Heffelfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376122531 PECOS PAC ID: 1355731043 Enrollment ID: I20211213001742 |
| Provider Name | Melissa Ann Caulfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184296808 PECOS PAC ID: 6507256146 Enrollment ID: I20211214001182 |
| Provider Name | Serena Marie Day |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669715348 PECOS PAC ID: 1951539931 Enrollment ID: I20211216002956 |
| Provider Name | Rachel Marie Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376206730 PECOS PAC ID: 5092106450 Enrollment ID: I20211220002576 |
| Provider Name | Jeffrey Dean Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598352288 PECOS PAC ID: 4082005152 Enrollment ID: I20211228000606 |
| Provider Name | Anna M Ricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598436321 PECOS PAC ID: 8224435599 Enrollment ID: I20211230000496 |
| Provider Name | Abigail Wells Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982360855 PECOS PAC ID: 1052702057 Enrollment ID: I20211230001059 |
| Provider Name | Jimmy D Taylor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528039898 PECOS PAC ID: 2961302856 Enrollment ID: I20211230001849 |
| Provider Name | Joseph A Runyan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295306140 PECOS PAC ID: 1759784648 Enrollment ID: I20220103001749 |
| Provider Name | John S Delong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841302353 PECOS PAC ID: 6305144742 Enrollment ID: I20220105003041 |
| Provider Name | Keith J Haws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295498079 PECOS PAC ID: 8820480536 Enrollment ID: I20220108000000 |
| Provider Name | Aidin Kashigar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932664281 PECOS PAC ID: 5395072334 Enrollment ID: I20220118002136 |
| Provider Name | Vashti Terese Mensah Otuya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336494814 PECOS PAC ID: 0143519496 Enrollment ID: I20220124000682 |
| Provider Name | Robert Szulawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346694015 PECOS PAC ID: 0547554669 Enrollment ID: I20220126002992 |
| Provider Name | Ruben Morejon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881198372 PECOS PAC ID: 9234484866 Enrollment ID: I20220128002086 |
| Provider Name | Jayna Elizabeth Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073264867 PECOS PAC ID: 3870986565 Enrollment ID: I20220201001401 |
| Provider Name | Greeballa Mohamed Ahmed Magzoub |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790131738 PECOS PAC ID: 6204229917 Enrollment ID: I20220201002434 |
| Provider Name | Ashley Ann Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447910690 PECOS PAC ID: 8820481427 Enrollment ID: I20220202003041 |
| Provider Name | Kara D Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528563533 PECOS PAC ID: 8123453628 Enrollment ID: I20220203002750 |
| Provider Name | Robert Tyler Kuhlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043770357 PECOS PAC ID: 6406199132 Enrollment ID: I20220207000419 |
| Provider Name | Jonathan Yun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235574369 PECOS PAC ID: 1254653645 Enrollment ID: I20220209002169 |
| Provider Name | Kimberly Cnp Moritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891458485 PECOS PAC ID: 2860886777 Enrollment ID: I20220218000326 |
| Provider Name | Stephana Maria Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235899485 PECOS PAC ID: 3971997891 Enrollment ID: I20220218000679 |
| Provider Name | Rachel Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902433360 PECOS PAC ID: 6406240209 Enrollment ID: I20220221001449 |
| Provider Name | Youness Tolaymat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366731283 PECOS PAC ID: 2264651736 Enrollment ID: I20220223002339 |
| Provider Name | Kellen R Fessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093466252 PECOS PAC ID: 9537553011 Enrollment ID: I20220225002088 |
| Provider Name | Laura D Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346907078 PECOS PAC ID: 5799179289 Enrollment ID: I20220226000174 |
| Provider Name | Skylar Rae Vanfossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437824737 PECOS PAC ID: 0244624468 Enrollment ID: I20220303000776 |
| Provider Name | Morgan Leigh Crank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215689013 PECOS PAC ID: 9739573999 Enrollment ID: I20220303002197 |
| Provider Name | Natasha Chand Mehta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417377706 PECOS PAC ID: 6901026038 Enrollment ID: I20220304001498 |
| Provider Name | Shinal Dilip Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336892405 PECOS PAC ID: 7618361718 Enrollment ID: I20220307002261 |
| Provider Name | Amanda Lynn Hertzberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326646670 PECOS PAC ID: 9032504923 Enrollment ID: I20220310002311 |
| Provider Name | Jessica Lee Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124793872 PECOS PAC ID: 3476948365 Enrollment ID: I20220310002399 |
| Provider Name | Lauren Elizabeth Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073185054 PECOS PAC ID: 1456746353 Enrollment ID: I20220310002554 |
| Provider Name | William Coleman Nace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801423645 PECOS PAC ID: 5496186272 Enrollment ID: I20220314002073 |
| Provider Name | Christina Nicole Gambrel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750037586 PECOS PAC ID: 7315332061 Enrollment ID: I20220316003366 |
| Provider Name | Erin Leanne Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932854049 PECOS PAC ID: 4688069263 Enrollment ID: I20220317000980 |
| Provider Name | Stephanie A Mccurdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316511082 PECOS PAC ID: 4688062110 Enrollment ID: I20220321002619 |
| Provider Name | Erin Nicole Branfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972259539 PECOS PAC ID: 1355736463 Enrollment ID: I20220325002291 |
| Provider Name | Anna Martha Chichura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003348756 PECOS PAC ID: 0749558617 Enrollment ID: I20220330002519 |
| Provider Name | Candace Adriane Rich Carrle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982084927 PECOS PAC ID: 6800190422 Enrollment ID: I20220401001211 |
| Provider Name | Hannah Rose Kuklenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841963436 PECOS PAC ID: 0143616789 Enrollment ID: I20220406002395 |
| Provider Name | Sara Elizabeth Kissling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205587383 PECOS PAC ID: 1850787409 Enrollment ID: I20220406003093 |
| Provider Name | Muayad Alzamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578127320 PECOS PAC ID: 3274867544 Enrollment ID: I20220408001633 |
| Provider Name | Shannon Douglas Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215602628 PECOS PAC ID: 8325434624 Enrollment ID: I20220414000741 |
| Provider Name | Jami Lynn Keister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821555012 PECOS PAC ID: 4486980331 Enrollment ID: I20220414002590 |
| Provider Name | Nicholas G Capaldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932662400 PECOS PAC ID: 4688903651 Enrollment ID: I20220419002943 |
| Provider Name | Benjamin Booker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629530084 PECOS PAC ID: 7618204447 Enrollment ID: I20220421000154 |
| Provider Name | Andrew Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548910847 PECOS PAC ID: 5597152413 Enrollment ID: I20220425000372 |
| Provider Name | Erin P Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114421559 PECOS PAC ID: 2961759626 Enrollment ID: I20220426000816 |
| Provider Name | Aaron O Brooks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740775980 PECOS PAC ID: 3577964188 Enrollment ID: I20220502002358 |
| Provider Name | Andrew John Park |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730610718 PECOS PAC ID: 9436403656 Enrollment ID: I20220512001004 |
| Provider Name | Anna Kemler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831708965 PECOS PAC ID: 3870903859 Enrollment ID: I20220512002665 |
| Provider Name | Thais Piassa Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841567898 PECOS PAC ID: 2062899875 Enrollment ID: I20220517002556 |
| Provider Name | Janice A Loney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134896251 PECOS PAC ID: 6103203864 Enrollment ID: I20220518001301 |
| Provider Name | Samer A Gobreial |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811457260 PECOS PAC ID: 0840522058 Enrollment ID: I20220520000707 |
| Provider Name | Michael A. Lam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336190883 PECOS PAC ID: 2062492390 Enrollment ID: I20220523001039 |
| Provider Name | Angel Renee Primm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225598295 PECOS PAC ID: 1658605654 Enrollment ID: I20220523002539 |
| Provider Name | Rebecca Dionisio |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396911418 PECOS PAC ID: 2961665922 Enrollment ID: I20220531002149 |
| Provider Name | Zachary Lee Pattison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306209986 PECOS PAC ID: 3274911292 Enrollment ID: I20220603001144 |
| Provider Name | Chad Liber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699208504 PECOS PAC ID: 3678842465 Enrollment ID: I20220606001586 |
| Provider Name | Meryem Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356861835 PECOS PAC ID: 7012286974 Enrollment ID: I20220607000551 |
| Provider Name | Andre Benjamin Bown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922502616 PECOS PAC ID: 6608123484 Enrollment ID: I20220607002428 |
| Provider Name | Menachem Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457812208 PECOS PAC ID: 9234466061 Enrollment ID: I20220608002382 |
| Provider Name | Darian Denise Curren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265177604 PECOS PAC ID: 9638557127 Enrollment ID: I20220613002100 |
| Provider Name | Patricia Denise Amorado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801392774 PECOS PAC ID: 6608124854 Enrollment ID: I20220614001695 |
| Provider Name | Brittany Lauren Adamic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316365968 PECOS PAC ID: 9436473824 Enrollment ID: I20220615001938 |
| Provider Name | Michael Robert Siedow |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891227567 PECOS PAC ID: 6406103241 Enrollment ID: I20220616000857 |
| Provider Name | Meredith L Kromer-edwards |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003556507 PECOS PAC ID: 9931588100 Enrollment ID: I20220617001112 |
| Provider Name | Paige Elise Sutton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215469366 PECOS PAC ID: 9830591262 Enrollment ID: I20220617002048 |
| Provider Name | Michael Miller Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720583909 PECOS PAC ID: 5496134694 Enrollment ID: I20220617002098 |
| Provider Name | Jennifer Lynn Klubnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669101754 PECOS PAC ID: 9032598180 Enrollment ID: I20220620001193 |
| Provider Name | Lauren Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982065603 PECOS PAC ID: 7911296082 Enrollment ID: I20220620002008 |
| Provider Name | Jacob Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598266801 PECOS PAC ID: 5294082087 Enrollment ID: I20220621001187 |
| Provider Name | Matthew Clayton Friend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538628300 PECOS PAC ID: 8820322738 Enrollment ID: I20220621002027 |
| Provider Name | Anna Moriah Baston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184124489 PECOS PAC ID: 0345573747 Enrollment ID: I20220622001309 |
| Provider Name | Abigalle Ryan Sparrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386395168 PECOS PAC ID: 0840679643 Enrollment ID: I20220624002236 |
| Provider Name | Mia Addison Duncan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134239262 PECOS PAC ID: 9537250162 Enrollment ID: I20220628001640 |
| Provider Name | Kaleb R Kohler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538553888 PECOS PAC ID: 1658656939 Enrollment ID: I20220628003109 |
| Provider Name | Jennifer B Kingery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366625444 PECOS PAC ID: 7911088109 Enrollment ID: I20220629000967 |
| Provider Name | Katonya Cierra Peiffer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063163848 PECOS PAC ID: 3274913801 Enrollment ID: I20220629001222 |
| Provider Name | Matthew Franklin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023540556 PECOS PAC ID: 1254688872 Enrollment ID: I20220629002937 |
| Provider Name | Melinda Jenniece Hunkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164031308 PECOS PAC ID: 5395125876 Enrollment ID: I20220629003408 |
| Provider Name | Allison Marie Bruce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891446670 PECOS PAC ID: 9830579374 Enrollment ID: I20220630001376 |
| Provider Name | Zachary William Orlins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932606787 PECOS PAC ID: 3072869163 Enrollment ID: I20220701000782 |
| Provider Name | Christopher J Hassmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386107894 PECOS PAC ID: 1658751078 Enrollment ID: I20220701001289 |
| Provider Name | Michelle S. Anthony |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831687979 PECOS PAC ID: 3476897570 Enrollment ID: I20220705002305 |
| Provider Name | Kelsey Sicker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073072070 PECOS PAC ID: 8628301595 Enrollment ID: I20220705003211 |
| Provider Name | Rebecca Rose Guilkey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437656931 PECOS PAC ID: 8426306473 Enrollment ID: I20220707001668 |
| Provider Name | Sarah Marie Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811394216 PECOS PAC ID: 7416269881 Enrollment ID: I20220708002090 |
| Provider Name | Stephanie Lynn Mcgill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619472875 PECOS PAC ID: 2668727512 Enrollment ID: I20220712002801 |
| Provider Name | Kathleen Mae Adams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659932598 PECOS PAC ID: 1456732197 Enrollment ID: I20220713000865 |
| Provider Name | Kristen Blakey Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649927765 PECOS PAC ID: 2466833116 Enrollment ID: I20220713001185 |
| Provider Name | Logan C Beckett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063071611 PECOS PAC ID: 2365770518 Enrollment ID: I20220713001670 |
| Provider Name | Joshua David Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093275042 PECOS PAC ID: 1355676669 Enrollment ID: I20220714003108 |
| Provider Name | Justin David Stumph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134619810 PECOS PAC ID: 8527313311 Enrollment ID: I20220714004082 |
| Provider Name | David Michael Nemer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558709857 PECOS PAC ID: 8527296276 Enrollment ID: I20220715001505 |
| Provider Name | Taylor Allys Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700530623 PECOS PAC ID: 1153702527 Enrollment ID: I20220715001648 |
| Provider Name | Christopher Thomas Miranda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487158606 PECOS PAC ID: 6204183965 Enrollment ID: I20220720000830 |
| Provider Name | Madison Ann Groom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699421768 PECOS PAC ID: 6103207246 Enrollment ID: I20220720001655 |
| Provider Name | Wesley William Boyette |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952807885 PECOS PAC ID: 4284015124 Enrollment ID: I20220722002196 |
| Provider Name | Olexiy Gonchar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194457507 PECOS PAC ID: 7719368521 Enrollment ID: I20220725001872 |
| Provider Name | Jennifer Taylor Wajahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306342019 PECOS PAC ID: 9931464401 Enrollment ID: I20220726003046 |
| Provider Name | Kelsey Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942769922 PECOS PAC ID: 3678809415 Enrollment ID: I20220726003903 |
| Provider Name | Jessica Brooke Suber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548600950 PECOS PAC ID: 6709017692 Enrollment ID: I20220727000740 |
| Provider Name | Taylor Anne Musselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003555475 PECOS PAC ID: 5193107811 Enrollment ID: I20220727003631 |
| Provider Name | Listowell Sarfo Ababio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629538293 PECOS PAC ID: 3779965397 Enrollment ID: I20220729000162 |
| Provider Name | Karmela Marie Dalisay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518426683 PECOS PAC ID: 9739421991 Enrollment ID: I20220729002389 |
| Provider Name | Kimberly Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770234544 PECOS PAC ID: 0749662278 Enrollment ID: I20220801001170 |
| Provider Name | Nicholas J Brickner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508270323 PECOS PAC ID: 0749662138 Enrollment ID: I20220802000588 |
| Provider Name | Julie Cnp Creusen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487388666 PECOS PAC ID: 2961884382 Enrollment ID: I20220802001891 |
| Provider Name | Ridhima Monga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124541024 PECOS PAC ID: 5193159036 Enrollment ID: I20220802002741 |
| Provider Name | Margaret Watt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437618329 PECOS PAC ID: 0547596488 Enrollment ID: I20220802002841 |
| Provider Name | Jordan Knight |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467743906 PECOS PAC ID: 8426378167 Enrollment ID: I20220802002911 |
| Provider Name | Nicholas Robert Polley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679036552 PECOS PAC ID: 9931435559 Enrollment ID: I20220802002979 |
| Provider Name | Peter Paik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689108615 PECOS PAC ID: 4385915321 Enrollment ID: I20220805000528 |
| Provider Name | Anum Choudhry |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427546118 PECOS PAC ID: 4082963905 Enrollment ID: I20220805001958 |
| Provider Name | Simon Rainer Fraser |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659764280 PECOS PAC ID: 3274890801 Enrollment ID: I20220809000591 |
| Provider Name | Nikki G Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518616861 PECOS PAC ID: 5193108041 Enrollment ID: I20220810002411 |
| Provider Name | Alece Leeshanna Andrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013571827 PECOS PAC ID: 8426385253 Enrollment ID: I20220813000582 |
| Provider Name | Danielle Lenay Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720722093 PECOS PAC ID: 3577946086 Enrollment ID: I20220816003236 |
| Provider Name | Manik Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184183238 PECOS PAC ID: 0648697243 Enrollment ID: I20220818002612 |
| Provider Name | Kiersten L Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700389491 PECOS PAC ID: 2466709191 Enrollment ID: I20220819000249 |
| Provider Name | Erika Reese Zolman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780945816 PECOS PAC ID: 1850618042 Enrollment ID: I20220819001802 |
| Provider Name | Lisa Bobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598403479 PECOS PAC ID: 6305229550 Enrollment ID: I20220820000103 |
| Provider Name | Pradheep Vemula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619473964 PECOS PAC ID: 7517370596 Enrollment ID: I20220824001841 |
| Provider Name | Emily Renkel Aldrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881080737 PECOS PAC ID: 2668781584 Enrollment ID: I20220824003372 |
| Provider Name | Morgan Wiland-gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871226605 PECOS PAC ID: 7416331392 Enrollment ID: I20220825003080 |
| Provider Name | Victoria Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376004879 PECOS PAC ID: 1254667199 Enrollment ID: I20220827000175 |
| Provider Name | Lamrot Shenkutie Greffie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548720543 PECOS PAC ID: 0042694887 Enrollment ID: I20220829001864 |
| Provider Name | Megan Elizabeth Zaworski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134623846 PECOS PAC ID: 4789939968 Enrollment ID: I20220829003508 |
| Provider Name | Anne Marie Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003236811 PECOS PAC ID: 0547489973 Enrollment ID: I20220831001112 |
| Provider Name | Jonathan Shrader |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952046468 PECOS PAC ID: 8022492644 Enrollment ID: I20220831002226 |
| Provider Name | Jarek Paul Marva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902366214 PECOS PAC ID: 5395070460 Enrollment ID: I20220902000340 |
| Provider Name | Luke Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245734532 PECOS PAC ID: 7012262967 Enrollment ID: I20220907000366 |
| Provider Name | Anna Marie Connair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891203600 PECOS PAC ID: 0446511976 Enrollment ID: I20220907003039 |
| Provider Name | Cody Pack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295296978 PECOS PAC ID: 8729314695 Enrollment ID: I20220909001367 |
| Provider Name | Rebecca Marie Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437816774 PECOS PAC ID: 0840675567 Enrollment ID: I20220916000922 |
| Provider Name | Ezra Hoover |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922590264 PECOS PAC ID: 4880079524 Enrollment ID: I20220916001852 |
| Provider Name | Dewansh Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194286518 PECOS PAC ID: 6406231075 Enrollment ID: I20220917000552 |
| Provider Name | Mohammed Jundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588126452 PECOS PAC ID: 9739418708 Enrollment ID: I20220919000918 |
| Provider Name | Sheila V. Belardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700197126 PECOS PAC ID: 0941569958 Enrollment ID: I20220919001684 |
| Provider Name | Julie Chorpenning Catanzaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659003432 PECOS PAC ID: 7416332812 Enrollment ID: I20220921002785 |
| Provider Name | Zachary Scott Morton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659832814 PECOS PAC ID: 4981938842 Enrollment ID: I20220921002849 |
| Provider Name | Ashley Brynn Cremona-simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639630643 PECOS PAC ID: 9032594387 Enrollment ID: I20220922001629 |
| Provider Name | Rachel Livecchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407416621 PECOS PAC ID: 3577898907 Enrollment ID: I20220922002727 |
| Provider Name | Ambria Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033722517 PECOS PAC ID: 8628485521 Enrollment ID: I20220923001420 |
| Provider Name | Corinne A Calo |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1619361896 PECOS PAC ID: 1951610120 Enrollment ID: I20220923002310 |
| Provider Name | Kirstin Bennehoof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316670664 PECOS PAC ID: 4486030327 Enrollment ID: I20220930000422 |
| Provider Name | Scott Eugene Cyders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083348437 PECOS PAC ID: 8426434184 Enrollment ID: I20221003003023 |
| Provider Name | Megan Dorothy Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053803775 PECOS PAC ID: 1153742747 Enrollment ID: I20221004003152 |
| Provider Name | Lauren Yvonne Bourne Kirby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518426311 PECOS PAC ID: 9830423714 Enrollment ID: I20221005002095 |
| Provider Name | Megan Elaine Jashinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326501248 PECOS PAC ID: 5395078158 Enrollment ID: I20221010002368 |
| Provider Name | Jenna Lee Dorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063132041 PECOS PAC ID: 3476929746 Enrollment ID: I20221012001942 |
| Provider Name | Caitlin Christine Marstrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306568472 PECOS PAC ID: 2264808476 Enrollment ID: I20221012003964 |
| Provider Name | Robyn Gayle Gebhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891415378 PECOS PAC ID: 3375919301 Enrollment ID: I20221017002256 |
| Provider Name | Ali Abbas Fadhil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144684374 PECOS PAC ID: 2668767328 Enrollment ID: I20221026002887 |
| Provider Name | Kyle Allen Litteral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093345076 PECOS PAC ID: 0547670069 Enrollment ID: I20221108001725 |
| Provider Name | Samantha Erin Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669196515 PECOS PAC ID: 8820465446 Enrollment ID: I20221110000709 |
| Provider Name | Timothy Patrick Mccann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235628025 PECOS PAC ID: 6305197120 Enrollment ID: I20221117001866 |
| Provider Name | Caytlyn Cierra Veletean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568179760 PECOS PAC ID: 7719355890 Enrollment ID: I20221121002081 |
| Provider Name | Ogochukwu Udorji |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275065849 PECOS PAC ID: 3072882232 Enrollment ID: I20221122000642 |
| Provider Name | Laura Vanblaircom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326755141 PECOS PAC ID: 9638547417 Enrollment ID: I20221129001640 |
| Provider Name | Andrew John Graef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518595404 PECOS PAC ID: 1759712078 Enrollment ID: I20221201001329 |
| Provider Name | Kyle Wasil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295443612 PECOS PAC ID: 5698144202 Enrollment ID: I20221202002036 |
| Provider Name | Jesse Rae Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316663859 PECOS PAC ID: 9638548001 Enrollment ID: I20221206002746 |
| Provider Name | Kathryn Wittel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598483125 PECOS PAC ID: 4880063189 Enrollment ID: I20221208001245 |
| Provider Name | Ghiath Alnouri |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235670951 PECOS PAC ID: 2466878400 Enrollment ID: I20221215002098 |
| Provider Name | Shawnda Rae Ruffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780392266 PECOS PAC ID: 1759750581 Enrollment ID: I20221216001870 |
| Provider Name | Aaron Wood |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1750745154 PECOS PAC ID: 2264796986 Enrollment ID: I20221229000429 |
| Provider Name | Taehwan Yoo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295091270 PECOS PAC ID: 7113168840 Enrollment ID: I20221229002705 |
| Provider Name | Sydney Lane Lierz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871108712 PECOS PAC ID: 7911325170 Enrollment ID: I20230104003001 |
| Provider Name | Maurice Hinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205221199 PECOS PAC ID: 1658626783 Enrollment ID: I20230113001558 |
| Provider Name | Fred Moeslein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053435321 PECOS PAC ID: 7517059561 Enrollment ID: I20230117001705 |
| Provider Name | Brittney Leigh Yontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578231080 PECOS PAC ID: 3577934017 Enrollment ID: I20230120001619 |
| Provider Name | Lisa Michelle Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295452639 PECOS PAC ID: 0648641092 Enrollment ID: I20230120002677 |
| Provider Name | Shari Lynn Kitzmiller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922715770 PECOS PAC ID: 4981075140 Enrollment ID: I20230125003492 |
| Provider Name | Lisa M Fraraccio |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598479024 PECOS PAC ID: 9537530720 Enrollment ID: I20230126001265 |
| Provider Name | Kimberly A Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881194223 PECOS PAC ID: 3678838471 Enrollment ID: I20230202002131 |
| Provider Name | Brittany Nicole Stump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730890120 PECOS PAC ID: 5092187435 Enrollment ID: I20230210001169 |
| Provider Name | Alan K David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043261530 PECOS PAC ID: 4385831379 Enrollment ID: I20230224002387 |
| Provider Name | Navkaranbir Singh Bajaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023321023 PECOS PAC ID: 2264666445 Enrollment ID: I20230308002266 |
| Provider Name | Jordan M Luli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831691914 PECOS PAC ID: 2961759782 Enrollment ID: I20230324001989 |
| Provider Name | Krithiga Hasbrook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215370010 PECOS PAC ID: 0648542704 Enrollment ID: I20230331001768 |
| Provider Name | Laura Emily Polsean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316672843 PECOS PAC ID: 6901271824 Enrollment ID: I20230406002387 |
| Provider Name | Christopher Lewis Germon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982336764 PECOS PAC ID: 4284009135 Enrollment ID: I20230407000934 |
| Provider Name | Megan Walley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407218811 PECOS PAC ID: 6305130428 Enrollment ID: I20230412001467 |
| Provider Name | Derek Ebbeskotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437853249 PECOS PAC ID: 7517322704 Enrollment ID: I20230421001262 |
| Provider Name | Lindsey Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972252229 PECOS PAC ID: 1850756040 Enrollment ID: I20230421001430 |
| Provider Name | Otto Villa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669461414 PECOS PAC ID: 8527151497 Enrollment ID: I20230424001045 |
| Provider Name | Rebecca Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811569924 PECOS PAC ID: 9234535238 Enrollment ID: I20230424001371 |
| Provider Name | Xiaosong Liu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205583705 PECOS PAC ID: 8224493481 Enrollment ID: I20230424001484 |
| Provider Name | Andrew Gail Beougher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124723945 PECOS PAC ID: 4486019643 Enrollment ID: I20230424001610 |
| Provider Name | Jessica Faye Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346952546 PECOS PAC ID: 9739551201 Enrollment ID: I20230425002067 |
| Provider Name | Pavel Viktorovich Shishlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497340582 PECOS PAC ID: 4789049222 Enrollment ID: I20230505000217 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20230505001309 |
| Provider Name | Daniel Richard Lind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104553726 PECOS PAC ID: 5092171439 Enrollment ID: I20230510000661 |
| Provider Name | Raj A Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255727244 PECOS PAC ID: 1850642539 Enrollment ID: I20230511002987 |
| Provider Name | Ahmad Esam Alkhawaga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578182259 PECOS PAC ID: 2860812831 Enrollment ID: I20230513000010 |
| Provider Name | Collette Danielle Robbins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942808803 PECOS PAC ID: 7618382003 Enrollment ID: I20230515001481 |
| Provider Name | Thomas James Valentine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972063105 PECOS PAC ID: 1951644871 Enrollment ID: I20230516001673 |
| Provider Name | Seth Allen Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659908515 PECOS PAC ID: 5597196378 Enrollment ID: I20230517002754 |
| Provider Name | Zhao Liu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861999385 PECOS PAC ID: 5799040606 Enrollment ID: I20230518001123 |
| Provider Name | Nkongho Collins Binda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194353409 PECOS PAC ID: 7012339112 Enrollment ID: I20230518001207 |
| Provider Name | Bo Cheng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558361568 PECOS PAC ID: 1456680487 Enrollment ID: I20230519000482 |
| Provider Name | Lavinia Mitulescu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205122579 PECOS PAC ID: 4587955869 Enrollment ID: I20230523001889 |
| Provider Name | Shady Geris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831727411 PECOS PAC ID: 2769848472 Enrollment ID: I20230523002018 |
| Provider Name | Justin Morrison |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326467010 PECOS PAC ID: 3375829245 Enrollment ID: I20230525000691 |
| Provider Name | Alicia Monahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033735493 PECOS PAC ID: 1557727088 Enrollment ID: I20230525000861 |
| Provider Name | Rachel Pugar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912613142 PECOS PAC ID: 6406213925 Enrollment ID: I20230526002099 |
| Provider Name | Lindsay Marie Mcbride |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871773309 PECOS PAC ID: 5799838207 Enrollment ID: I20230607000761 |
| Provider Name | Mackenah C Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699476697 PECOS PAC ID: 1355708256 Enrollment ID: I20230608001369 |
| Provider Name | Robert Pali Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831894708 PECOS PAC ID: 5496112211 Enrollment ID: I20230608002576 |
| Provider Name | Lauren Elizabeth Zaleski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679288237 PECOS PAC ID: 4981061751 Enrollment ID: I20230609001123 |
| Provider Name | Adam Michael Brosious |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180824 PECOS PAC ID: 8628435435 Enrollment ID: I20230609003025 |
| Provider Name | Ajay Kumar Ravichandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942761820 PECOS PAC ID: 0941538755 Enrollment ID: I20230614001868 |
| Provider Name | Eduardo Ivan Avena Arevalo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215564893 PECOS PAC ID: 0840612545 Enrollment ID: I20230621002420 |
| Provider Name | Alexander Evan Aldrich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356735278 PECOS PAC ID: 2466755129 Enrollment ID: I20230622002701 |
| Provider Name | Anahit Hamazaspyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376171090 PECOS PAC ID: 2163843384 Enrollment ID: I20230623001222 |
| Provider Name | Nateka A Faison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376002246 PECOS PAC ID: 3375870025 Enrollment ID: I20230623001450 |
| Provider Name | Rebecca Lynn Winzenread |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689363293 PECOS PAC ID: 8820456833 Enrollment ID: I20230623001735 |
| Provider Name | Jacob Nathaniel O'day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073140901 PECOS PAC ID: 5799116448 Enrollment ID: I20230626003236 |
| Provider Name | Kyle Matthew Toth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730748385 PECOS PAC ID: 4789912973 Enrollment ID: I20230628000651 |
| Provider Name | Carolyn Elizabeth Comes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306473822 PECOS PAC ID: 6204267875 Enrollment ID: I20230629000609 |
| Provider Name | Evan S Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952930364 PECOS PAC ID: 0749605541 Enrollment ID: I20230630001971 |
| Provider Name | Nathan Marzlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871956318 PECOS PAC ID: 3971850280 Enrollment ID: I20230703002695 |
| Provider Name | Justin Momeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679229629 PECOS PAC ID: 7012376361 Enrollment ID: I20230705000236 |
| Provider Name | Jacob Misenheimer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154564557 PECOS PAC ID: 2365683786 Enrollment ID: I20230705001034 |
| Provider Name | Isha Kaul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194384057 PECOS PAC ID: 6103151469 Enrollment ID: I20230705001698 |
| Provider Name | Sally Adel George |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861996365 PECOS PAC ID: 4880959196 Enrollment ID: I20230705003039 |
| Provider Name | Francisco Joya-estrella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841827201 PECOS PAC ID: 3072944669 Enrollment ID: I20230710002479 |
| Provider Name | Aaron James Heber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588368674 PECOS PAC ID: 8022477983 Enrollment ID: I20230710003395 |
| Provider Name | Charles Fennie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619478336 PECOS PAC ID: 7517214448 Enrollment ID: I20230714000998 |
| Provider Name | Lana Jesic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245778356 PECOS PAC ID: 7214208925 Enrollment ID: I20230714002186 |
| Provider Name | Nicole Erica Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790246833 PECOS PAC ID: 3678809530 Enrollment ID: I20230717002819 |
| Provider Name | Ashley Wingert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891488193 PECOS PAC ID: 2062872369 Enrollment ID: I20230718003890 |
| Provider Name | Emre Resat Cakmak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336630011 PECOS PAC ID: 5991174146 Enrollment ID: I20230720001482 |
| Provider Name | Natoya Mayrecia Tavernier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437848850 PECOS PAC ID: 6305206483 Enrollment ID: I20230720003165 |
| Provider Name | Jay Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457973133 PECOS PAC ID: 7810318607 Enrollment ID: I20230721000144 |
| Provider Name | Joy Tang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679006019 PECOS PAC ID: 8325478795 Enrollment ID: I20230724001331 |
| Provider Name | Mianna Marie Armstrong Gilmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417416520 PECOS PAC ID: 3870836315 Enrollment ID: I20230724001875 |
| Provider Name | Dana Chonghyun Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194352757 PECOS PAC ID: 5193146710 Enrollment ID: I20230725001528 |
| Provider Name | Adil Faqih |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972044170 PECOS PAC ID: 4587025499 Enrollment ID: I20230725001958 |
| Provider Name | Kasey Parker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740711621 PECOS PAC ID: 6406108786 Enrollment ID: I20230725002916 |
| Provider Name | Farrah Naz Hussain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780098053 PECOS PAC ID: 2567866783 Enrollment ID: I20230726001707 |
| Provider Name | Zachary D Mchenry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518454529 PECOS PAC ID: 9931456738 Enrollment ID: I20230727000717 |
| Provider Name | David Hixson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083242523 PECOS PAC ID: 3779905161 Enrollment ID: I20230728000897 |
| Provider Name | Monica Ramos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831483429 PECOS PAC ID: 2062647621 Enrollment ID: I20230731001144 |
| Provider Name | Kaitlyn Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841974094 PECOS PAC ID: 8628439130 Enrollment ID: I20230801000584 |
| Provider Name | Amith Mulkanoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922637362 PECOS PAC ID: 6608291497 Enrollment ID: I20230801002344 |
| Provider Name | Nishad Mohamed Shaheid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891272696 PECOS PAC ID: 4688035041 Enrollment ID: I20230801003150 |
| Provider Name | Anna Catherine Falls |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104322825 PECOS PAC ID: 4587919311 Enrollment ID: I20230808002416 |
| Provider Name | Rachel Randall Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831691732 PECOS PAC ID: 4981967585 Enrollment ID: I20230810003039 |
| Provider Name | Jeffrey Boyang Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639699903 PECOS PAC ID: 8921366733 Enrollment ID: I20230811003362 |
| Provider Name | Joshua Arpad Lukas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760923932 PECOS PAC ID: 1456713171 Enrollment ID: I20230811003399 |
| Provider Name | Aditya Kesari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578191227 PECOS PAC ID: 9133540982 Enrollment ID: I20230814001162 |
| Provider Name | Lacey Leann Takhtay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258966 PECOS PAC ID: 6507290137 Enrollment ID: I20230814001840 |
| Provider Name | Ellen Christine Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629607791 PECOS PAC ID: 8527489764 Enrollment ID: I20230814003869 |
| Provider Name | Rachel Ann Staker-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164051926 PECOS PAC ID: 0446681035 Enrollment ID: I20230815002240 |
| Provider Name | Amina Rasheen Joyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407010341 PECOS PAC ID: 2062675036 Enrollment ID: I20230816003106 |
| Provider Name | Jenna M Rimko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396241014 PECOS PAC ID: 7810235405 Enrollment ID: I20230818002494 |
| Provider Name | Jennifer Bianca Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003502121 PECOS PAC ID: 2769844919 Enrollment ID: I20230821000276 |
| Provider Name | Andrea Lynn Grile |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629525993 PECOS PAC ID: 6002279197 Enrollment ID: I20230822002906 |
| Provider Name | David W Laubli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851955389 PECOS PAC ID: 7810225729 Enrollment ID: I20230824002313 |
| Provider Name | Ayush Kedia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649808510 PECOS PAC ID: 1153743323 Enrollment ID: I20230824004042 |
| Provider Name | Andrew Christopher Look |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659791218 PECOS PAC ID: 3173923752 Enrollment ID: I20230831000759 |
| Provider Name | Rebecca Noelle Zitko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316654866 PECOS PAC ID: 3678936176 Enrollment ID: I20230831001152 |
| Provider Name | Louis Robert Hahn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649899717 PECOS PAC ID: 9436573995 Enrollment ID: I20230831002169 |
| Provider Name | Kristin George |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619484995 PECOS PAC ID: 2961865357 Enrollment ID: I20230901000739 |
| Provider Name | Luke James Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073194288 PECOS PAC ID: 7618330879 Enrollment ID: I20230906000707 |
| Provider Name | Nicholas Ralston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982280343 PECOS PAC ID: 1355740200 Enrollment ID: I20230906003108 |
| Provider Name | Aubrey Alexandra Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134706336 PECOS PAC ID: 7012318694 Enrollment ID: I20230907000496 |
| Provider Name | Jack William Weick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376071449 PECOS PAC ID: 7911268131 Enrollment ID: I20230907001548 |
| Provider Name | Brittany R Tidwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639630023 PECOS PAC ID: 6507191780 Enrollment ID: I20230907002635 |
| Provider Name | Dorvan Troy Byler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649808080 PECOS PAC ID: 5890125363 Enrollment ID: I20230911002396 |
| Provider Name | Caylie Marie Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770368904 PECOS PAC ID: 7214391192 Enrollment ID: I20230911003014 |
| Provider Name | Emma Elizabeth Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578190898 PECOS PAC ID: 9133541295 Enrollment ID: I20230918001453 |
| Provider Name | Scott J Mckeon |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710927967 PECOS PAC ID: 8527967728 Enrollment ID: I20230921001986 |
| Provider Name | Joseph Robert Temperato |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023463700 PECOS PAC ID: 5092119891 Enrollment ID: I20230922002685 |
| Provider Name | Veronica Alexandra Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265894364 PECOS PAC ID: 4183918071 Enrollment ID: I20230925002096 |
| Provider Name | Cameron Alvin Gachett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093343899 PECOS PAC ID: 9638591464 Enrollment ID: I20230925002929 |
| Provider Name | Yasamine Y Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215565106 PECOS PAC ID: 3173944691 Enrollment ID: I20230926002187 |
| Provider Name | Samantha Jeanne Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972285310 PECOS PAC ID: 6507210200 Enrollment ID: I20230928004121 |
| Provider Name | Michael William Spraul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740990480 PECOS PAC ID: 3375998750 Enrollment ID: I20231005001804 |
| Provider Name | Amanda Leigh Monaghan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942914692 PECOS PAC ID: 0941655195 Enrollment ID: I20231009002360 |
| Provider Name | Shaylyn Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477814069 PECOS PAC ID: 9830325463 Enrollment ID: I20231010002845 |
| Provider Name | David Christopher Metzger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568490464 PECOS PAC ID: 8921187915 Enrollment ID: I20231011000504 |
| Provider Name | Tori J Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326735937 PECOS PAC ID: 4880049873 Enrollment ID: I20231011001872 |
| Provider Name | Andre B Lamyaithong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134755176 PECOS PAC ID: 5799130662 Enrollment ID: I20231012001430 |
| Provider Name | Shairani Subarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891316386 PECOS PAC ID: 9638591431 Enrollment ID: I20231016002995 |
| Provider Name | Courtney Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942985825 PECOS PAC ID: 2769837319 Enrollment ID: I20231017002056 |
| Provider Name | Andrew Stephen Detty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740818046 PECOS PAC ID: 5193146595 Enrollment ID: I20231019000925 |
| Provider Name | Alexandria Christian Fister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326822651 PECOS PAC ID: 8426404401 Enrollment ID: I20231026004108 |
| Provider Name | Chelsea Miller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598150708 PECOS PAC ID: 6002126257 Enrollment ID: I20231028000401 |
| Provider Name | Allison Kaye Hoynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255968624 PECOS PAC ID: 0143651463 Enrollment ID: I20231108000773 |
| Provider Name | Erica Jane Kelly Mantell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568924264 PECOS PAC ID: 8224371950 Enrollment ID: I20231108000820 |
| Provider Name | Katherine Swank |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548781255 PECOS PAC ID: 1951732296 Enrollment ID: I20231108002518 |
| Provider Name | Alexandria Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033981071 PECOS PAC ID: 4486001732 Enrollment ID: I20231108003360 |
| Provider Name | Molly K Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619580842 PECOS PAC ID: 0244641843 Enrollment ID: I20231114000532 |
| Provider Name | Stephanie Marie Gantner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649984394 PECOS PAC ID: 1254789993 Enrollment ID: I20231120000218 |
| Provider Name | Ameeta Fischer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841376472 PECOS PAC ID: 8325143597 Enrollment ID: I20231127000416 |
| Provider Name | Amber Christine Catalogna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932981651 PECOS PAC ID: 9234587445 Enrollment ID: I20231129000856 |
| Provider Name | Lindsay B Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124790274 PECOS PAC ID: 8820446842 Enrollment ID: I20231130002264 |
| Provider Name | Kiersten Nicole Brell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235915919 PECOS PAC ID: 3779932561 Enrollment ID: I20231205002178 |
| Provider Name | Brenda Watson-dodd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154711182 PECOS PAC ID: 8123477700 Enrollment ID: I20231207002210 |
| Provider Name | Nadya Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790228666 PECOS PAC ID: 5294019246 Enrollment ID: I20231208000820 |
| Provider Name | Jacqueline Kara Mostow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225698558 PECOS PAC ID: 3678957982 Enrollment ID: I20231213003847 |
| Provider Name | Tzvetan Fatchikov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013132281 PECOS PAC ID: 4789771908 Enrollment ID: I20231222000256 |
| Provider Name | Shawn Renae Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134669336 PECOS PAC ID: 8426325697 Enrollment ID: I20240102001182 |
| Provider Name | Charles Abreu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942837323 PECOS PAC ID: 0547691099 Enrollment ID: I20240102002305 |
| Provider Name | Denise M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538358676 PECOS PAC ID: 3870944382 Enrollment ID: I20240109003825 |
| Provider Name | Michaela Nichole Kindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306610613 PECOS PAC ID: 7012369135 Enrollment ID: I20240113000586 |
| Provider Name | Kenneth Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669424552 PECOS PAC ID: 4082500970 Enrollment ID: I20240116002493 |
| Provider Name | Allyn Marie Checovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255743258 PECOS PAC ID: 9537450820 Enrollment ID: I20240118002088 |
| Provider Name | Johanna Nora Voutyras |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356669634 PECOS PAC ID: 3971729328 Enrollment ID: I20240127000692 |
| Provider Name | Geoffrey Bass |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740600279 PECOS PAC ID: 3971809161 Enrollment ID: I20240201002618 |
| Provider Name | Matthew Christian Killingsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972051282 PECOS PAC ID: 2668755075 Enrollment ID: I20240201003296 |
| Provider Name | Ryan Patrick Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225518608 PECOS PAC ID: 7214278043 Enrollment ID: I20240201004579 |
| Provider Name | Sanju Riti Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255951380 PECOS PAC ID: 0648692269 Enrollment ID: I20240202003370 |
| Provider Name | Austin Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598386344 PECOS PAC ID: 9638512825 Enrollment ID: I20240205001718 |
| Provider Name | Rayan El-zein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871096784 PECOS PAC ID: 5597012500 Enrollment ID: I20240207003859 |
| Provider Name | Laura Weakland |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1073591525 PECOS PAC ID: 1153339528 Enrollment ID: I20240208001981 |
| Provider Name | Phillip Immesoete |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609089317 PECOS PAC ID: 3870673643 Enrollment ID: I20240208004420 |
| Provider Name | Komal Motwani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427425669 PECOS PAC ID: 0345573499 Enrollment ID: I20240208004475 |
| Provider Name | Sitara Kishore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831551993 PECOS PAC ID: 2668715244 Enrollment ID: I20240213002683 |
| Provider Name | Michelle Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679033757 PECOS PAC ID: 0446584429 Enrollment ID: I20240214000985 |
| Provider Name | Robert Rice |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699720136 PECOS PAC ID: 7810900305 Enrollment ID: I20240219000775 |
| Provider Name | Trisha Lynn Clum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730543257 PECOS PAC ID: 6204270994 Enrollment ID: I20240221002597 |
| Provider Name | Chandar Bhimani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871654509 PECOS PAC ID: 1052363298 Enrollment ID: I20240222001698 |
| Provider Name | Alexandra Nicole Duran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053707976 PECOS PAC ID: 3476884628 Enrollment ID: I20240301002614 |
| Provider Name | Samantha Grzybowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821549361 PECOS PAC ID: 5698110377 Enrollment ID: I20240304003568 |
| Provider Name | Zachary Bernard Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750091872 PECOS PAC ID: 5991141442 Enrollment ID: I20240307000805 |
| Provider Name | Jane Elizabeth Sande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063516656 PECOS PAC ID: 2961554266 Enrollment ID: I20240321002021 |
| Provider Name | Adam Jacob Reitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922684562 PECOS PAC ID: 8325447634 Enrollment ID: I20240321002088 |
| Provider Name | Amy Rebecca Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932975604 PECOS PAC ID: 2860839149 Enrollment ID: I20240321003742 |
| Provider Name | Mark Browning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629041199 PECOS PAC ID: 8123024593 Enrollment ID: I20240327003845 |
| Provider Name | Veronica Fernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063083707 PECOS PAC ID: 9133564545 Enrollment ID: I20240328003207 |
| Provider Name | Kushak Suchdev |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689806846 PECOS PAC ID: 0941515100 Enrollment ID: I20240329002019 |
| Provider Name | Jillian A Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992561039 PECOS PAC ID: 5294173068 Enrollment ID: I20240329002486 |
| Provider Name | Randy F Sweis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093034498 PECOS PAC ID: 0446553515 Enrollment ID: I20240402003851 |
| Provider Name | Cody Houseman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962068858 PECOS PAC ID: 2567795206 Enrollment ID: I20240405003577 |
| Provider Name | Stephen Cass Lavalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508623653 PECOS PAC ID: 5698113868 Enrollment ID: I20240406000386 |
| Provider Name | Seth Delton Benge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801404207 PECOS PAC ID: 2264842244 Enrollment ID: I20240406000465 |
| Provider Name | Rajaninder Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679905202 PECOS PAC ID: 9436441615 Enrollment ID: I20240412003958 |
| Provider Name | Shelbi Lynn Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255194247 PECOS PAC ID: 1951741669 Enrollment ID: I20240429002234 |
| Provider Name | Jonathan Andrew Digby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699270363 PECOS PAC ID: 6406103399 Enrollment ID: I20240509002686 |
| Provider Name | Linh Mairal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160956 PECOS PAC ID: 5991146417 Enrollment ID: I20240515003194 |
| Provider Name | Holly Elizabeth Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194578211 PECOS PAC ID: 3476994880 Enrollment ID: I20240516002276 |
| Provider Name | Michael Paul Ozga |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760986673 PECOS PAC ID: 9436407863 Enrollment ID: I20240516003487 |
| Provider Name | Senait Yismaw Zewdu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609554518 PECOS PAC ID: 8628410545 Enrollment ID: I20240523002369 |
| Provider Name | Naseeb George Shaheen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922637164 PECOS PAC ID: 3779900717 Enrollment ID: I20240529002751 |
| Provider Name | Mohamad Karnib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801316914 PECOS PAC ID: 2466721287 Enrollment ID: I20240530003433 |
| Provider Name | Rema Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194914804 PECOS PAC ID: 9830270644 Enrollment ID: I20240610000313 |
| Provider Name | Amanda Leigh Smidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457955338 PECOS PAC ID: 2567875578 Enrollment ID: I20240624003997 |
| Provider Name | Rebecca Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814925 PECOS PAC ID: 6608149943 Enrollment ID: I20240625003003 |
| Provider Name | Morgan Ashley Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689242802 PECOS PAC ID: 5698151041 Enrollment ID: I20240626002710 |
| Provider Name | Mark Allen Fletcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477181097 PECOS PAC ID: 6406274356 Enrollment ID: I20240626002803 |
| Provider Name | Michael Richard Bann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396203550 PECOS PAC ID: 5991031627 Enrollment ID: I20240628001456 |
| Provider Name | Ana B. Emiliano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255548616 PECOS PAC ID: 1658497631 Enrollment ID: I20240628002485 |
| Provider Name | Matthew Taylor Harbrecht |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245737113 PECOS PAC ID: 0840734927 Enrollment ID: I20240701000402 |
| Provider Name | Sarah Hecht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811473093 PECOS PAC ID: 3274077920 Enrollment ID: I20240705000300 |
| Provider Name | Stephanie Michelle Orahood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740429471 PECOS PAC ID: 8325583685 Enrollment ID: I20240710003948 |
| Provider Name | Herman S Dyal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720335110 PECOS PAC ID: 9436382660 Enrollment ID: I20240711000228 |
| Provider Name | Brianna Brianna Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184471757 PECOS PAC ID: 5698210516 Enrollment ID: I20240715003202 |
| Provider Name | Mosam Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215655667 PECOS PAC ID: 1355704701 Enrollment ID: I20240716001335 |
| Provider Name | Pamela Rani Sud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003149568 PECOS PAC ID: 2961643622 Enrollment ID: I20240718002934 |
| Provider Name | Varun Yeshwant Rawal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205397353 PECOS PAC ID: 4880921808 Enrollment ID: I20240719002702 |
| Provider Name | Anvita Potluri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487216503 PECOS PAC ID: 1658609003 Enrollment ID: I20240722002798 |
| Provider Name | Harsha Subban Iyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710553433 PECOS PAC ID: 8224574637 Enrollment ID: I20240722003248 |
| Provider Name | Allison Nicole Nostrant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487282752 PECOS PAC ID: 7214359157 Enrollment ID: I20240725001923 |
| Provider Name | Sarah Elizabeth Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255917241 PECOS PAC ID: 5496155699 Enrollment ID: I20240725003054 |
| Provider Name | Andrew Ching-zhong Go |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710482922 PECOS PAC ID: 0840548814 Enrollment ID: I20240725003908 |
| Provider Name | Marcia Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518593441 PECOS PAC ID: 9032540588 Enrollment ID: I20240726001791 |
| Provider Name | Mitchell Turner Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922854322 PECOS PAC ID: 9335685262 Enrollment ID: I20240726002085 |
| Provider Name | Jennifer Marie Waldroupe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245816057 PECOS PAC ID: 8921417908 Enrollment ID: I20240726002941 |
| Provider Name | Anoop Prabhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083814982 PECOS PAC ID: 8224254198 Enrollment ID: I20240726002982 |
| Provider Name | Andrew James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558935155 PECOS PAC ID: 8426434481 Enrollment ID: I20240729002610 |
| Provider Name | Nathanael Rollison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134700701 PECOS PAC ID: 5193124022 Enrollment ID: I20240801000498 |
| Provider Name | Allen Green |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043848260 PECOS PAC ID: 5193177335 Enrollment ID: I20240803000496 |
| Provider Name | Logan Xavier Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376306258 PECOS PAC ID: 1557808896 Enrollment ID: I20240804000055 |
| Provider Name | Carrie Nicole Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740690916 PECOS PAC ID: 4688984610 Enrollment ID: I20240805003865 |
| Provider Name | David O Oye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902483092 PECOS PAC ID: 3577000751 Enrollment ID: I20240806001108 |
| Provider Name | Alex Pilkinton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477182152 PECOS PAC ID: 4284171208 Enrollment ID: I20240807003491 |
| Provider Name | Vivek Jasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508444217 PECOS PAC ID: 4385043108 Enrollment ID: I20240808003060 |
| Provider Name | Michael Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811423957 PECOS PAC ID: 8325458664 Enrollment ID: I20240809000667 |
| Provider Name | Brynna Michelle Pack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396599403 PECOS PAC ID: 8325586225 Enrollment ID: I20240809001756 |
| Provider Name | Poornima Oruganti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518498732 PECOS PAC ID: 9537433263 Enrollment ID: I20240813003719 |
| Provider Name | Tejas Sinha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821443359 PECOS PAC ID: 3072892157 Enrollment ID: I20240813003814 |
| Provider Name | Brian L Meyerson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366902132 PECOS PAC ID: 3173865888 Enrollment ID: I20240819002986 |
| Provider Name | William Flinn Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750967329 PECOS PAC ID: 4486063708 Enrollment ID: I20240820003138 |
| Provider Name | Robert Michael Beatty |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447264122 PECOS PAC ID: 0941254445 Enrollment ID: I20240821000642 |
| Provider Name | Ciara M Catalano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841873635 PECOS PAC ID: 5799189627 Enrollment ID: I20240822003827 |
| Provider Name | Lisette Dominguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578023842 PECOS PAC ID: 7012242654 Enrollment ID: I20240823001526 |
| Provider Name | Grant Charles Gase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750918884 PECOS PAC ID: 9335570076 Enrollment ID: I20240828003032 |
| Provider Name | Danielle Renee Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770326027 PECOS PAC ID: 0345789673 Enrollment ID: I20240829003309 |
| Provider Name | Nana Ama Ofei-tenkorang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093393936 PECOS PAC ID: 3173920519 Enrollment ID: I20240903001502 |
| Provider Name | Danielle Justine Thornsberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255891891 PECOS PAC ID: 8325381783 Enrollment ID: I20240903002575 |
| Provider Name | Mikyong Megan Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912584756 PECOS PAC ID: 9830599588 Enrollment ID: I20240903003669 |
| Provider Name | Ahmed Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154914745 PECOS PAC ID: 7719427871 Enrollment ID: I20240904003641 |
| Provider Name | Zeryab Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558998393 PECOS PAC ID: 7113349135 Enrollment ID: I20240904004157 |
| Provider Name | Scott Makoto Nishimura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871179242 PECOS PAC ID: 2668871294 Enrollment ID: I20240904004415 |
| Provider Name | Pranav Penninti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699200436 PECOS PAC ID: 2466720859 Enrollment ID: I20240905003288 |
| Provider Name | Katelyn Renee Bennett Levi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619553534 PECOS PAC ID: 3678013547 Enrollment ID: I20240905003617 |
| Provider Name | Nandar Mon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255894978 PECOS PAC ID: 9537498076 Enrollment ID: I20240905004603 |
| Provider Name | Rachel Marie Wester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730649179 PECOS PAC ID: 3971838657 Enrollment ID: I20240906000683 |
| Provider Name | Neal B Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215774203 PECOS PAC ID: 3072053768 Enrollment ID: I20240909003113 |
| Provider Name | Bruce Tawil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073191029 PECOS PAC ID: 7618376187 Enrollment ID: I20240910003873 |
| Provider Name | Sarah Grebennikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659959849 PECOS PAC ID: 0446650899 Enrollment ID: I20240910004139 |
| Provider Name | Sholom-ber Chernyak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124581343 PECOS PAC ID: 1355678095 Enrollment ID: I20240911000475 |
| Provider Name | Alba Guevara |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063867398 PECOS PAC ID: 8921391285 Enrollment ID: I20240911004264 |
| Provider Name | Nathaniel Preston |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437577764 PECOS PAC ID: 9830311109 Enrollment ID: I20240911004309 |
| Provider Name | Rebekah S Wever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083175178 PECOS PAC ID: 5799012712 Enrollment ID: I20240912002713 |
| Provider Name | Winnie Ernest Temu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700467081 PECOS PAC ID: 9234679515 Enrollment ID: I20240912004434 |
| Provider Name | Amanda Marie Disabato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962039578 PECOS PAC ID: 1951732627 Enrollment ID: I20240916000423 |
| Provider Name | Aimee Elizabeth Willett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386221034 PECOS PAC ID: 6002216462 Enrollment ID: I20240916003259 |
| Provider Name | Sarah Cremeans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134701915 PECOS PAC ID: 2264973361 Enrollment ID: I20240917000727 |
| Provider Name | Christopher Paul Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134705080 PECOS PAC ID: 1456750975 Enrollment ID: I20240917002756 |
| Provider Name | Geoffrey Stoner Newcomb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588197016 PECOS PAC ID: 5294088506 Enrollment ID: I20240917003650 |
| Provider Name | Aisha Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487230322 PECOS PAC ID: 3779992136 Enrollment ID: I20240920002108 |
| Provider Name | Jessie Marie Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720820012 PECOS PAC ID: 9133660541 Enrollment ID: I20240925000184 |
| Provider Name | Jordan L Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902486681 PECOS PAC ID: 9032513163 Enrollment ID: I20240926004283 |
| Provider Name | Shailesh Zaveri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104898345 PECOS PAC ID: 8729015557 Enrollment ID: I20240927000986 |
| Provider Name | Hibba Zubeer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952988974 PECOS PAC ID: 4183024920 Enrollment ID: I20241001004227 |
| Provider Name | Irfath Iftehar Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245868223 PECOS PAC ID: 8325469133 Enrollment ID: I20241002000149 |
| Provider Name | Brooklyn Paige Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508614892 PECOS PAC ID: 2769913557 Enrollment ID: I20241003002892 |
| Provider Name | Mollie Hunt Newbern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780213314 PECOS PAC ID: 6507288438 Enrollment ID: I20241003003647 |
| Provider Name | David R Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285488205 PECOS PAC ID: 3173054897 Enrollment ID: I20241007000462 |
| Provider Name | Deepak Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104404607 PECOS PAC ID: 5496158248 Enrollment ID: I20241008002253 |
| Provider Name | Noble Vondee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922585538 PECOS PAC ID: 8527460393 Enrollment ID: I20241009001569 |
| Provider Name | Emily Singer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679009245 PECOS PAC ID: 9931470085 Enrollment ID: I20241009002551 |
| Provider Name | Michael John Frerick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215514153 PECOS PAC ID: 3779983002 Enrollment ID: I20241010002200 |
| Provider Name | Matthew John Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205400926 PECOS PAC ID: 4486053386 Enrollment ID: I20241010003730 |
| Provider Name | Devon Elizabeth Chosky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124606579 PECOS PAC ID: 7810398641 Enrollment ID: I20241011002390 |
| Provider Name | Eric N Kiza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841828068 PECOS PAC ID: 0042612905 Enrollment ID: I20241011003831 |
| Provider Name | Zachary Daniel Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356923718 PECOS PAC ID: 3375941230 Enrollment ID: I20241014001619 |
| Provider Name | Eleonora Demyda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528681384 PECOS PAC ID: 3274065222 Enrollment ID: I20241015002312 |
| Provider Name | Erica Villa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578025474 PECOS PAC ID: 2062749898 Enrollment ID: I20241021001000 |
| Provider Name | Monica Lyn Gallik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063258317 PECOS PAC ID: 3779016126 Enrollment ID: I20241024000765 |
| Provider Name | Iqraa Ansar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154908895 PECOS PAC ID: 8527476720 Enrollment ID: I20241029003963 |
| Provider Name | Ryda M. Hendawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134624034 PECOS PAC ID: 8224438601 Enrollment ID: I20241030002437 |
| Provider Name | Louise Mae Owen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215167358 PECOS PAC ID: 9436345550 Enrollment ID: I20241031003157 |
| Provider Name | Wasif Elahi Shamsi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346736345 PECOS PAC ID: 8527314145 Enrollment ID: I20241031004128 |
| Provider Name | Anna M Clem-badhwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255403887 PECOS PAC ID: 7911002803 Enrollment ID: I20241104003214 |
| Provider Name | Ferdous Barlaskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184981490 PECOS PAC ID: 3072826312 Enrollment ID: I20241106003169 |
| Provider Name | Bradley Mitchell Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629834601 PECOS PAC ID: 0648704023 Enrollment ID: I20241107001468 |
| Provider Name | Abigail Bilbrey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427889666 PECOS PAC ID: 0840724233 Enrollment ID: I20241107001888 |
| Provider Name | John Tucker Allred |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356796866 PECOS PAC ID: 8022397173 Enrollment ID: I20241108001064 |
| Provider Name | Amir Qader Dada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518544295 PECOS PAC ID: 5890194633 Enrollment ID: I20241108001517 |
| Provider Name | Rachel Birchard Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720815343 PECOS PAC ID: 5193259349 Enrollment ID: I20241111000786 |
| Provider Name | Andrew S Ea |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992201966 PECOS PAC ID: 3274869425 Enrollment ID: I20241111001343 |
| Provider Name | Matthew Michael Finneran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720348998 PECOS PAC ID: 0244526143 Enrollment ID: I20241111003618 |
| Provider Name | Anna Melissa Murillo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316139090 PECOS PAC ID: 4981860178 Enrollment ID: I20241114000231 |
| Provider Name | Bailey Erin Plieninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578399473 PECOS PAC ID: 1557895471 Enrollment ID: I20241114000420 |
| Provider Name | Jacqueline Vuky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851462998 PECOS PAC ID: 8022001585 Enrollment ID: I20241114003207 |
| Provider Name | Mandeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104310945 PECOS PAC ID: 2264779008 Enrollment ID: I20241118003202 |
| Provider Name | Michael W Becker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689692691 PECOS PAC ID: 8022032937 Enrollment ID: I20241125002374 |
| Provider Name | Arpan Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497312342 PECOS PAC ID: 7012442148 Enrollment ID: I20241126000614 |
| Provider Name | Jennifer E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285454629 PECOS PAC ID: 3678008794 Enrollment ID: I20241127000080 |
| Provider Name | Youssef Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063876506 PECOS PAC ID: 2961802632 Enrollment ID: I20241127003368 |
| Provider Name | Rebecca Ann Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619790078 PECOS PAC ID: 0244765246 Enrollment ID: I20241127003558 |
| Provider Name | Heather Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811553662 PECOS PAC ID: 3173856432 Enrollment ID: I20241205004069 |
| Provider Name | Michael Michael Wheaton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659506459 PECOS PAC ID: 9436375300 Enrollment ID: I20241209000592 |
| Provider Name | Jaydip Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467032045 PECOS PAC ID: 3870997794 Enrollment ID: I20241211003972 |
| Provider Name | Jessica Leigh Motley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831414069 PECOS PAC ID: 2860814050 Enrollment ID: I20241212001949 |
| Provider Name | Kelly Lynn Nell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437993128 PECOS PAC ID: 0345777090 Enrollment ID: I20241219002854 |
| Provider Name | Megan C Balla |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679331672 PECOS PAC ID: 7113454133 Enrollment ID: I20250102001644 |
| Provider Name | Amanda N Colbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720441181 PECOS PAC ID: 1456641299 Enrollment ID: I20250122000925 |
| Provider Name | Erin N Spalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306471727 PECOS PAC ID: 5799114781 Enrollment ID: I20250128001582 |
| Provider Name | Jordyn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124888706 PECOS PAC ID: 5395265953 Enrollment ID: I20250226000831 |
| Provider Name | Boma Ugwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023538576 PECOS PAC ID: 9739598368 Enrollment ID: I20250226001868 |
| Provider Name | Rebecca Jean Espasandin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275344327 PECOS PAC ID: 3476074766 Enrollment ID: I20250303002393 |
| Provider Name | Jessica Marie Fakhoury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821585613 PECOS PAC ID: 0547518029 Enrollment ID: I20250303002592 |
| Provider Name | Allison G Heenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225766546 PECOS PAC ID: 4587033097 Enrollment ID: I20250310000497 |
| Provider Name | Sharon Denese Simmons-nolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245090927 PECOS PAC ID: 7012439441 Enrollment ID: I20250314002085 |
Absolutecare Of Ohio, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4715 Hilton Corporate Drive, Columbus, OH 43232 Phone: 404-231-4431 | |
Integrated Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Olentangy River Rd, Suite 1, Columbus, OH 43214 Phone: 614-818-1477 Fax: 614-642-0807 | |
Charles Tweel Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Olentangy River Rd, Columbus, OH 43214 Phone: 614-459-1976 Fax: 614-442-8256 | |
Total Health Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1365 Bethel Rd, Columbus, OH 43220 Phone: 614-457-5477 | |
Cityblock Medical Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 E Main St Ste 110, Columbus, OH 43213 Phone: 833-904-0620 | |
The Millhon Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7630 Rivers Edge Dr, Columbus, OH 43235 Phone: 614-540-3944 Fax: 614-540-3979 | |
Maplewood Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2052 Cleveland Ave, Columbus, OH 43211 Phone: 614-294-6238 Fax: 614-294-6230 |