| Oregon Medical Group | |
|
1580 Valley River Dr Eugene OR 97401-2116 | |
| (541) 746-5437 | |
| Not Available |
| Full Name | Oregon Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1580 Valley River Dr, Eugene, Oregon |
| Authorized Official Name and Position | Emily Castillo (ASSOC. DIRECTOR) |
| Authorized Official Contact | 7025793253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Medical Group Po Box 35380 Las Vegas NV 89133-5380 | Oregon Medical Group 1580 Valley River Dr Eugene OR 97401-2116 Ph: (541) 746-5437 |
| NPI Number | 1982907572 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 05/07/2026 |
| Certification Date | 05/07/2026 |
| Medicare PECOS PAC ID | 4486835477 |
|---|---|
| Medicare Enrollment ID | O20110223001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982907572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Lonnie Smucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548293087 PECOS PAC ID: 2062326614 Enrollment ID: I20031118000170 |
| Provider Name | Cody K Wasner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245222322 PECOS PAC ID: 6800795055 Enrollment ID: I20040107000189 |
| Provider Name | Marc Garant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285614909 PECOS PAC ID: 2466354758 Enrollment ID: I20040126000942 |
| Provider Name | Sarah H Schram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932187564 PECOS PAC ID: 3072597608 Enrollment ID: I20040614000384 |
| Provider Name | Anita a Geisler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588634323 PECOS PAC ID: 9133102056 Enrollment ID: I20040614000468 |
| Provider Name | Shadi Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346228830 PECOS PAC ID: 8820074727 Enrollment ID: I20040629001185 |
| Provider Name | Michelle T Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699713412 PECOS PAC ID: 2961489620 Enrollment ID: I20040701000513 |
| Provider Name | John R Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396749859 PECOS PAC ID: 4880673789 Enrollment ID: I20040715000109 |
| Provider Name | Sharon H Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184694812 PECOS PAC ID: 3779563606 Enrollment ID: I20040722000009 |
| Provider Name | William D Tom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265410799 PECOS PAC ID: 1052383809 Enrollment ID: I20040811000860 |
| Provider Name | Douglas D Huntley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043365513 PECOS PAC ID: 1254309156 Enrollment ID: I20040920000149 |
| Provider Name | Lisa a Moeller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881674323 PECOS PAC ID: 3274572573 Enrollment ID: I20050426001426 |
| Provider Name | Clyde E Byfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174503601 PECOS PAC ID: 0042251639 Enrollment ID: I20050513000121 |
| Provider Name | Richard D Cunliffe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154330215 PECOS PAC ID: 6204852296 Enrollment ID: I20051019000429 |
| Provider Name | Jean a Edsall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073591574 PECOS PAC ID: 6406874494 Enrollment ID: I20051108000831 |
| Provider Name | Hyungki H Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497719165 PECOS PAC ID: 2668480260 Enrollment ID: I20060323000335 |
| Provider Name | Corey D Judd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417055476 PECOS PAC ID: 9638189921 Enrollment ID: I20060502000143 |
| Provider Name | Stacy R Chance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356399190 PECOS PAC ID: 4486659927 Enrollment ID: I20060915000447 |
| Provider Name | Melissa S Defreest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407960388 PECOS PAC ID: 1850398884 Enrollment ID: I20061103000280 |
| Provider Name | James M Kassube |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1720005382 PECOS PAC ID: 3173521986 Enrollment ID: I20061109000537 |
| Provider Name | Michael J Milstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780657981 PECOS PAC ID: 0345240768 Enrollment ID: I20070109000576 |
| Provider Name | William R Balsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427028448 PECOS PAC ID: 0749382562 Enrollment ID: I20070226000554 |
| Provider Name | Laura R Sanderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972581593 PECOS PAC ID: 7911001466 Enrollment ID: I20070322000583 |
| Provider Name | Gary E Brandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871571703 PECOS PAC ID: 2264536606 Enrollment ID: I20070326000013 |
| Provider Name | Karen Weiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114997111 PECOS PAC ID: 3971607334 Enrollment ID: I20070326000115 |
| Provider Name | Sylvia a Emory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881664803 PECOS PAC ID: 7315041647 Enrollment ID: I20070327000221 |
| Provider Name | Steven E Koester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336119494 PECOS PAC ID: 0042314262 Enrollment ID: I20070328000355 |
| Provider Name | Rolanda R Everett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700856606 PECOS PAC ID: 3173627114 Enrollment ID: I20070330000113 |
| Provider Name | Michael a Diehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508836503 PECOS PAC ID: 5496859423 Enrollment ID: I20070402000326 |
| Provider Name | Richard H Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174501761 PECOS PAC ID: 5597860544 Enrollment ID: I20070419000277 |
| Provider Name | Scott H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785149 PECOS PAC ID: 5597860577 Enrollment ID: I20070419000557 |
| Provider Name | Susan L Urben |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316925829 PECOS PAC ID: 0547365538 Enrollment ID: I20070419000615 |
| Provider Name | Clayton W Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215907050 PECOS PAC ID: 5698871317 Enrollment ID: I20070426000138 |
| Provider Name | Amy Mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154309748 PECOS PAC ID: 0345346490 Enrollment ID: I20070507000055 |
| Provider Name | Michelle J Taube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834336 PECOS PAC ID: 0547368714 Enrollment ID: I20070612000333 |
| Provider Name | Scott E Wagnon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407951668 PECOS PAC ID: 9537260195 Enrollment ID: I20070726000196 |
| Provider Name | Deona L Bridgeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306842919 PECOS PAC ID: 0547352809 Enrollment ID: I20070816000752 |
| Provider Name | Cynthia J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003036757 PECOS PAC ID: 4880787795 Enrollment ID: I20070910000228 |
| Provider Name | Katherine Crenwelge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447477823 PECOS PAC ID: 4981797636 Enrollment ID: I20070911000569 |
| Provider Name | Prashant P Vivek |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164520870 PECOS PAC ID: 0648200865 Enrollment ID: I20070912000118 |
| Provider Name | Amy T Clifton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730383167 PECOS PAC ID: 8224122569 Enrollment ID: I20070918000452 |
| Provider Name | Alec I Fedorov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467401554 PECOS PAC ID: 1153415153 Enrollment ID: I20070921000294 |
| Provider Name | Susan M Vockert-burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419399 PECOS PAC ID: 4486743218 Enrollment ID: I20071203000099 |
| Provider Name | Leah W Gaedeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336185677 PECOS PAC ID: 3072505346 Enrollment ID: I20080717000251 |
| Provider Name | Harold Perez Gil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265641393 PECOS PAC ID: 2567538523 Enrollment ID: I20080828000065 |
| Provider Name | Sara F Stanford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437306628 PECOS PAC ID: 7012084569 Enrollment ID: I20080924000713 |
| Provider Name | Diane M Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083603575 PECOS PAC ID: 6406923770 Enrollment ID: I20080929000382 |
| Provider Name | Katria L Mertz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043351992 PECOS PAC ID: 3779641261 Enrollment ID: I20081028000487 |
| Provider Name | Zoltan Teglassy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497951909 PECOS PAC ID: 4981767860 Enrollment ID: I20090121000093 |
| Provider Name | Elizabeth a Strubel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336394949 PECOS PAC ID: 7810047008 Enrollment ID: I20090609000683 |
| Provider Name | George W Go |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447353693 PECOS PAC ID: 4183616550 Enrollment ID: I20100129000140 |
| Provider Name | John R Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508186669 PECOS PAC ID: 8123152485 Enrollment ID: I20100823000487 |
| Provider Name | Anne N Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528124120 PECOS PAC ID: 1557466729 Enrollment ID: I20101110000641 |
| Provider Name | Kurt Duffens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013003045 PECOS PAC ID: 4880880186 Enrollment ID: I20101129001005 |
| Provider Name | Craig Adam Lash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235128471 PECOS PAC ID: 8426065327 Enrollment ID: I20110107000176 |
| Provider Name | Darrin L Dallegge |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740335728 PECOS PAC ID: 7113824236 Enrollment ID: I20110310000859 |
| Provider Name | Amanda C Nielsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528355765 PECOS PAC ID: 6709056583 Enrollment ID: I20110906000191 |
| Provider Name | William a Hinz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538345145 PECOS PAC ID: 8325210545 Enrollment ID: I20111012000747 |
| Provider Name | Jessica Leigh Versage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144453143 PECOS PAC ID: 7315104296 Enrollment ID: I20120203000572 |
| Provider Name | Trisha K Kosloff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982962700 PECOS PAC ID: 6800052697 Enrollment ID: I20120723000921 |
| Provider Name | Laura J Hurn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073873857 PECOS PAC ID: 0446406581 Enrollment ID: I20120806000823 |
| Provider Name | Naiman a Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063640266 PECOS PAC ID: 8820247000 Enrollment ID: I20121003000358 |
| Provider Name | Serena a Luce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821067489 PECOS PAC ID: 8820009863 Enrollment ID: I20121219000545 |
| Provider Name | Timothy J Tseng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386948347 PECOS PAC ID: 0345495420 Enrollment ID: I20130220000340 |
| Provider Name | Joseph MJ Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730424805 PECOS PAC ID: 0143465708 Enrollment ID: I20130402000286 |
| Provider Name | Patrick a Dahl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619214871 PECOS PAC ID: 8729224696 Enrollment ID: I20130419000102 |
| Provider Name | Lea DM Vanlue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619125341 PECOS PAC ID: 9335387612 Enrollment ID: I20130528000302 |
| Provider Name | Eric E Colgrove |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881674869 PECOS PAC ID: 8820187438 Enrollment ID: I20130617000404 |
| Provider Name | Marissa L Simard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972784486 PECOS PAC ID: 0345401733 Enrollment ID: I20130805000903 |
| Provider Name | Tracy E Hardwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659380566 PECOS PAC ID: 4082894613 Enrollment ID: I20130807000770 |
| Provider Name | Desmond T Tee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174834832 PECOS PAC ID: 2567606056 Enrollment ID: I20130924000370 |
| Provider Name | Becky J Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629067756 PECOS PAC ID: 0941434286 Enrollment ID: I20130927000720 |
| Provider Name | Maureen M Paulus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003249905 PECOS PAC ID: 0941435192 Enrollment ID: I20131024001648 |
| Provider Name | Kelly H Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346591898 PECOS PAC ID: 4981855343 Enrollment ID: I20131120001896 |
| Provider Name | Adam Twaddell Sherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679913677 PECOS PAC ID: 2769612746 Enrollment ID: I20140313001756 |
| Provider Name | William Brus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427007632 PECOS PAC ID: 2567567555 Enrollment ID: I20140322000104 |
| Provider Name | Melissa Noble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629109335 PECOS PAC ID: 8628010766 Enrollment ID: I20140402000333 |
| Provider Name | Carrie F Meadowcroft |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639430887 PECOS PAC ID: 6901029644 Enrollment ID: I20140527000433 |
| Provider Name | Luke William O Rourke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336463108 PECOS PAC ID: 1052536810 Enrollment ID: I20140710002150 |
| Provider Name | Nancy a Brus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952412702 PECOS PAC ID: 1052411030 Enrollment ID: I20140811000416 |
| Provider Name | Vipul T Lakhani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336150804 PECOS PAC ID: 3072557255 Enrollment ID: I20140912002115 |
| Provider Name | Jennifer L Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295138444 PECOS PAC ID: 8820310360 Enrollment ID: I20141211000833 |
| Provider Name | Kaylene M Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275505398 PECOS PAC ID: 3678590825 Enrollment ID: I20141217002613 |
| Provider Name | Trina J Viner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003195389 PECOS PAC ID: 2062658776 Enrollment ID: I20150328000163 |
| Provider Name | Samuel G Cornell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659616555 PECOS PAC ID: 8224281530 Enrollment ID: I20150527001971 |
| Provider Name | Zachary A. Winter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659682722 PECOS PAC ID: 0143541748 Enrollment ID: I20150608002610 |
| Provider Name | Matthew Tommack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063645570 PECOS PAC ID: 8224349048 Enrollment ID: I20150622000334 |
| Provider Name | Amandajo Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932462686 PECOS PAC ID: 6507170149 Enrollment ID: I20150727002817 |
| Provider Name | Tracy Beckmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093196438 PECOS PAC ID: 7214241926 Enrollment ID: I20150807014373 |
| Provider Name | Leah C Conchieri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225413263 PECOS PAC ID: 6406161694 Enrollment ID: I20150818003379 |
| Provider Name | Steven D Aguilu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851397830 PECOS PAC ID: 4385774686 Enrollment ID: I20150902000164 |
| Provider Name | Janet K Dear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306943196 PECOS PAC ID: 5799742185 Enrollment ID: I20150908001846 |
| Provider Name | Julie Ann a Galinato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477816908 PECOS PAC ID: 8224347208 Enrollment ID: I20151013001525 |
| Provider Name | Ian M Horner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245756 PECOS PAC ID: 2264676154 Enrollment ID: I20151021003179 |
| Provider Name | Matthew J Gramzow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902231665 PECOS PAC ID: 0749405827 Enrollment ID: I20151028001186 |
| Provider Name | Mary K Hunt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669413340 PECOS PAC ID: 0244235281 Enrollment ID: I20151104002067 |
| Provider Name | Hesham a Elmergawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811246176 PECOS PAC ID: 6709196215 Enrollment ID: I20151113000405 |
| Provider Name | Moushumi Devyani Camille Reerslev |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033588363 PECOS PAC ID: 2668770694 Enrollment ID: I20160407001216 |
| Provider Name | Nathaniel J Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023483419 PECOS PAC ID: 5496045262 Enrollment ID: I20160607001284 |
| Provider Name | Matthew M Dooley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558656199 PECOS PAC ID: 7012237829 Enrollment ID: I20160616001597 |
| Provider Name | Thomas D Strini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811346034 PECOS PAC ID: 2567753403 Enrollment ID: I20160623000582 |
| Provider Name | Madelaine M Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073961074 PECOS PAC ID: 8729371117 Enrollment ID: I20160722000326 |
| Provider Name | Dane H Dougherty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518251370 PECOS PAC ID: 2163715467 Enrollment ID: I20160725001508 |
| Provider Name | Diman Raj Lamichhane |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700067360 PECOS PAC ID: 8729102231 Enrollment ID: I20160808001943 |
| Provider Name | Anna T Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265710537 PECOS PAC ID: 4981871373 Enrollment ID: I20160819002047 |
| Provider Name | Rebecca W May |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043564701 PECOS PAC ID: 6901050012 Enrollment ID: I20160912002032 |
| Provider Name | Tanya N Bedward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689011108 PECOS PAC ID: 7810293909 Enrollment ID: I20160930002001 |
| Provider Name | Pamela J Versage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548634934 PECOS PAC ID: 7911288329 Enrollment ID: I20161223000092 |
| Provider Name | Ronald Wang-ho Kwong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609129022 PECOS PAC ID: 0648551432 Enrollment ID: I20170110003029 |
| Provider Name | Megan Barckert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649348160 PECOS PAC ID: 5193008977 Enrollment ID: I20170202001315 |
| Provider Name | Shugi Zheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578714861 PECOS PAC ID: 1355480013 Enrollment ID: I20170227001992 |
| Provider Name | Elizabeth L Dhungana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780135939 PECOS PAC ID: 0143507582 Enrollment ID: I20170511002437 |
| Provider Name | Jodi L Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760764658 PECOS PAC ID: 1951561430 Enrollment ID: I20170613001579 |
| Provider Name | Nancy J Maloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083705479 PECOS PAC ID: 9638352966 Enrollment ID: I20170621001146 |
| Provider Name | Rebecca E Reveal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205991916 PECOS PAC ID: 7911276613 Enrollment ID: I20170712002517 |
| Provider Name | Laura E Labonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497168991 PECOS PAC ID: 0042431330 Enrollment ID: I20170717002852 |
| Provider Name | Shelli L Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629481734 PECOS PAC ID: 1951606821 Enrollment ID: I20170926003437 |
| Provider Name | Heidi Marie Semple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205355740 PECOS PAC ID: 9032485735 Enrollment ID: I20171025000553 |
| Provider Name | Stephanie Nicole D'andrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497125884 PECOS PAC ID: 0941589691 Enrollment ID: I20171227001565 |
| Provider Name | Nelya D Curry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174875934 PECOS PAC ID: 9638438922 Enrollment ID: I20180111002940 |
| Provider Name | Jeanine Ann Sommerville |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669467304 PECOS PAC ID: 9931276045 Enrollment ID: I20180221002355 |
| Provider Name | Jessica Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356841233 PECOS PAC ID: 2769744358 Enrollment ID: I20180319002635 |
| Provider Name | Joseph D O'hala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306346804 PECOS PAC ID: 4082976501 Enrollment ID: I20180321002695 |
| Provider Name | Amanda M O'hala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831643105 PECOS PAC ID: 1355621376 Enrollment ID: I20180418001336 |
| Provider Name | Nathan W Scadlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235571936 PECOS PAC ID: 3375779622 Enrollment ID: I20190320000969 |
| Provider Name | Megan Lynn Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912075060 PECOS PAC ID: 8325360019 Enrollment ID: I20190619001983 |
| Provider Name | Lauren Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912396086 PECOS PAC ID: 6002132503 Enrollment ID: I20190709001950 |
| Provider Name | Yien Chiong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205068012 PECOS PAC ID: 2769628254 Enrollment ID: I20190820001121 |
| Provider Name | William E Wilkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023085503 PECOS PAC ID: 7517869225 Enrollment ID: I20190823001788 |
| Provider Name | Lisette F Collings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619405305 PECOS PAC ID: 3274891288 Enrollment ID: I20190829004440 |
| Provider Name | Sara Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346882925 PECOS PAC ID: 9133552417 Enrollment ID: I20191126002438 |
| Provider Name | Jacob D Gelrod |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922657824 PECOS PAC ID: 3072946045 Enrollment ID: I20191204002978 |
| Provider Name | Amanda J Kamery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851788400 PECOS PAC ID: 4385070739 Enrollment ID: I20200204001501 |
| Provider Name | Naomi Light |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528454311 PECOS PAC ID: 7113275728 Enrollment ID: I20200403002474 |
| Provider Name | Christal Vanessa Crooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366975559 PECOS PAC ID: 9638590045 Enrollment ID: I20200610000943 |
| Provider Name | Rie Takahashi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528476322 PECOS PAC ID: 1951724632 Enrollment ID: I20200714001607 |
| Provider Name | Samuel Jackson Balin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518254481 PECOS PAC ID: 3870863319 Enrollment ID: I20200721001294 |
| Provider Name | Cassandra C Elizondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919704 PECOS PAC ID: 8628496288 Enrollment ID: I20200914001305 |
| Provider Name | Justin Ebmeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982216206 PECOS PAC ID: 0648698092 Enrollment ID: I20200916001790 |
| Provider Name | Soojung Samantha Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558718262 PECOS PAC ID: 9638467251 Enrollment ID: I20200916003202 |
| Provider Name | John Calvin Lundeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093162711 PECOS PAC ID: 0749569044 Enrollment ID: I20200928000241 |
| Provider Name | Justin David Hudson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063822583 PECOS PAC ID: 9032404512 Enrollment ID: I20201014002003 |
| Provider Name | Dominick Amandus Post |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225645898 PECOS PAC ID: 1850711649 Enrollment ID: I20201016000518 |
| Provider Name | Lisa Mai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902412505 PECOS PAC ID: 2668892217 Enrollment ID: I20201020001864 |
| Provider Name | William Richard Haake |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356831184 PECOS PAC ID: 4082965736 Enrollment ID: I20201112001211 |
| Provider Name | Laura Gregg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134289390 PECOS PAC ID: 0042234445 Enrollment ID: I20210118000351 |
| Provider Name | Jeffrey Noel Canter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124091095 PECOS PAC ID: 2769575794 Enrollment ID: I20210324001556 |
| Provider Name | Amy Marie Newton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518314756 PECOS PAC ID: 6800295213 Enrollment ID: I20210603003224 |
| Provider Name | Thomas Lewis Kincheloe |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1962908004 PECOS PAC ID: 5294134912 Enrollment ID: I20210616002975 |
| Provider Name | Justin John Bucci |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508285099 PECOS PAC ID: 3870717283 Enrollment ID: I20210714001679 |
| Provider Name | Kelly M Fairchild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760913222 PECOS PAC ID: 5991059412 Enrollment ID: I20210727000844 |
| Provider Name | Bradley Lynn Stoker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306283056 PECOS PAC ID: 2365745965 Enrollment ID: I20210923001593 |
| Provider Name | Cameron R Metzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962170159 PECOS PAC ID: 3173911393 Enrollment ID: I20211020002663 |
| Provider Name | Ranilla F Mori |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730700683 PECOS PAC ID: 8426446501 Enrollment ID: I20211021002085 |
| Provider Name | Althea Marie Hinds-cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811511306 PECOS PAC ID: 4880082940 Enrollment ID: I20211022001903 |
| Provider Name | Jerome John Lux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417629684 PECOS PAC ID: 0840688206 Enrollment ID: I20211104000497 |
| Provider Name | Jackson B Demler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528590619 PECOS PAC ID: 3476943697 Enrollment ID: I20211202001286 |
| Provider Name | James Scott Rankin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023453156 PECOS PAC ID: 5890047856 Enrollment ID: I20220323000038 |
| Provider Name | Randy Scott Parkhurst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598920118 PECOS PAC ID: 6608990056 Enrollment ID: I20220325000394 |
| Provider Name | Ann Holly Cecil Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124769823 PECOS PAC ID: 3678950466 Enrollment ID: I20220517001287 |
| Provider Name | Zachary Brooks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215420625 PECOS PAC ID: 6507244647 Enrollment ID: I20220602000790 |
| Provider Name | Jesse David Winslow Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659040590 PECOS PAC ID: 5092193144 Enrollment ID: I20220602001339 |
| Provider Name | Lindsey Nicole Carpenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366111676 PECOS PAC ID: 2567840515 Enrollment ID: I20220602001717 |
| Provider Name | Brooke Kathleen Matteo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386385839 PECOS PAC ID: 0042699738 Enrollment ID: I20220627002834 |
| Provider Name | Adina H Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063150704 PECOS PAC ID: 1355722968 Enrollment ID: I20220713003397 |
| Provider Name | Jennifer J Goodrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588221642 PECOS PAC ID: 5092112367 Enrollment ID: I20220727000898 |
| Provider Name | Tory L Toles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922568443 PECOS PAC ID: 3779901350 Enrollment ID: I20220727001809 |
| Provider Name | Grace C Grogman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194220103 PECOS PAC ID: 9638427057 Enrollment ID: I20220728001796 |
| Provider Name | Meagan Kristine Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649520313 PECOS PAC ID: 7113334277 Enrollment ID: I20220801000829 |
| Provider Name | Faith Dieleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942860994 PECOS PAC ID: 1658778568 Enrollment ID: I20220830003880 |
| Provider Name | Kavita Krishnakant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659937266 PECOS PAC ID: 9436533502 Enrollment ID: I20220908003515 |
| Provider Name | Genevieve Marie Birang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659830735 PECOS PAC ID: 6204211204 Enrollment ID: I20220912001927 |
| Provider Name | Editha C Setiawan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821574625 PECOS PAC ID: 1557615556 Enrollment ID: I20220916002073 |
| Provider Name | Colleen Mcelhenny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801184049 PECOS PAC ID: 3779755806 Enrollment ID: I20221006003353 |
| Provider Name | Taylor Carman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912629940 PECOS PAC ID: 5890171219 Enrollment ID: I20221007000717 |
| Provider Name | Nicole L Dane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255954277 PECOS PAC ID: 3779952098 Enrollment ID: I20221208001809 |
| Provider Name | Marisa Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992326136 PECOS PAC ID: 0345644548 Enrollment ID: I20221216001761 |
| Provider Name | Laurel J Langfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417687922 PECOS PAC ID: 7113396870 Enrollment ID: I20221220000912 |
| Provider Name | Richard P Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861655284 PECOS PAC ID: 6800947508 Enrollment ID: I20230124002819 |
| Provider Name | Pushpender Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891925921 PECOS PAC ID: 7315180189 Enrollment ID: I20230125002795 |
| Provider Name | Patrick Edward Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699801720 PECOS PAC ID: 6901078153 Enrollment ID: I20230125003375 |
| Provider Name | Marc Brian Bruce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386746998 PECOS PAC ID: 1759473515 Enrollment ID: I20230127000754 |
| Provider Name | Richard F Kennard |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083876353 PECOS PAC ID: 7113211954 Enrollment ID: I20230127000876 |
| Provider Name | Edward M Iuliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154359156 PECOS PAC ID: 2860405925 Enrollment ID: I20230127000959 |
| Provider Name | Ben Hamblin Lecheminant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811378664 PECOS PAC ID: 8628383320 Enrollment ID: I20230131000887 |
| Provider Name | Seth Brian Gillham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588944847 PECOS PAC ID: 9032417589 Enrollment ID: I20230202000237 |
| Provider Name | James Eaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205826120 PECOS PAC ID: 7618152323 Enrollment ID: I20230202000320 |
| Provider Name | James T Buratto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467438044 PECOS PAC ID: 3971687823 Enrollment ID: I20230202000473 |
| Provider Name | Sean C Koskinen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407821853 PECOS PAC ID: 4284646308 Enrollment ID: I20230214001092 |
| Provider Name | Lawrence Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467653766 PECOS PAC ID: 6406074749 Enrollment ID: I20230222002085 |
| Provider Name | Marlissa Lauren House |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215652706 PECOS PAC ID: 9931572765 Enrollment ID: I20230227001112 |
| Provider Name | Chet R Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235310269 PECOS PAC ID: 4789755984 Enrollment ID: I20230314002155 |
| Provider Name | Lela Wight Fossett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912611146 PECOS PAC ID: 9133588635 Enrollment ID: I20230630001702 |
| Provider Name | Jaclyn S Keefer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265007744 PECOS PAC ID: 8224431853 Enrollment ID: I20230710002852 |
| Provider Name | Anne Phuong Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775800 PECOS PAC ID: 4486076114 Enrollment ID: I20230801004410 |
| Provider Name | Paul Lentz |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1538455977 PECOS PAC ID: 9931422078 Enrollment ID: I20230802004208 |
| Provider Name | Samantha Perry Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235704537 PECOS PAC ID: 9739580804 Enrollment ID: I20230807000030 |
| Provider Name | Elizabeth D Morrison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740223304 PECOS PAC ID: 1153691159 Enrollment ID: I20230816003805 |
| Provider Name | Kaitlin Alyse Geck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134689318 PECOS PAC ID: 2567795321 Enrollment ID: I20230818003139 |
| Provider Name | Logan Beebe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871970277 PECOS PAC ID: 8628499407 Enrollment ID: I20230914001787 |
| Provider Name | David Holt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942680830 PECOS PAC ID: 1355656877 Enrollment ID: I20230919003497 |
| Provider Name | Afsaneh Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962286237 PECOS PAC ID: 3476908856 Enrollment ID: I20231005001747 |
| Provider Name | Amelia W Huntsberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184887036 PECOS PAC ID: 9830342583 Enrollment ID: I20231006003287 |
| Provider Name | Robert Montgomery Townsend |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871029785 PECOS PAC ID: 3577941269 Enrollment ID: I20231016000340 |
| Provider Name | Shane K Orelski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487415204 PECOS PAC ID: 5991141434 Enrollment ID: I20240307000505 |
| Provider Name | Cameron K Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114075819 PECOS PAC ID: 8325121569 Enrollment ID: I20240406000463 |
| Provider Name | Lamin Y Ceesay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386175891 PECOS PAC ID: 0345517199 Enrollment ID: I20240502002936 |
| Provider Name | Julie a Golbek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124556667 PECOS PAC ID: 5890061790 Enrollment ID: I20240506004391 |
| Provider Name | Joshua D Munro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356563837 PECOS PAC ID: 1355496282 Enrollment ID: I20240507003632 |
| Provider Name | Jacqueline M Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437774338 PECOS PAC ID: 7618392788 Enrollment ID: I20240522001955 |
| Provider Name | Peter Arellano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295814325 PECOS PAC ID: 0648467456 Enrollment ID: I20240729000277 |
| Provider Name | Steve E Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588673073 PECOS PAC ID: 3870488695 Enrollment ID: I20240805003431 |
| Provider Name | Monique Tiandra Mcgaffeny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245662907 PECOS PAC ID: 0749503787 Enrollment ID: I20240806002162 |
| Provider Name | Amanda P Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366451999 PECOS PAC ID: 0547356156 Enrollment ID: I20240807002914 |
| Provider Name | Stephen Winter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669961835 PECOS PAC ID: 0941551956 Enrollment ID: I20240814001425 |
| Provider Name | Kari D Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124053871 PECOS PAC ID: 1254336100 Enrollment ID: I20240815001703 |
| Provider Name | Kimberly a Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862098 PECOS PAC ID: 7214086602 Enrollment ID: I20240815002360 |
| Provider Name | Katelyn J Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063021137 PECOS PAC ID: 9931528833 Enrollment ID: I20240828000915 |
| Provider Name | Marina a Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073190773 PECOS PAC ID: 7113328303 Enrollment ID: I20240828002533 |
| Provider Name | Eun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588975239 PECOS PAC ID: 1951601186 Enrollment ID: I20240828003651 |
| Provider Name | Robert L Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235193376 PECOS PAC ID: 2365586245 Enrollment ID: I20240905001909 |
| Provider Name | Alexandra Petrova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588218580 PECOS PAC ID: 6103249818 Enrollment ID: I20240910002035 |
| Provider Name | Amy Y Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962807511 PECOS PAC ID: 3971826553 Enrollment ID: I20240918002561 |
| Provider Name | Graciela E Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992357958 PECOS PAC ID: 9931430220 Enrollment ID: I20240919000690 |
| Provider Name | William W Galbraith |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1740715101 PECOS PAC ID: 6507307329 Enrollment ID: I20240920000352 |
| Provider Name | Melinda Lou Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538187901 PECOS PAC ID: 7214930940 Enrollment ID: I20240920000504 |
| Provider Name | Holly a Bernstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912518093 PECOS PAC ID: 1557780145 Enrollment ID: I20240920002097 |
| Provider Name | Jessica E Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063726701 PECOS PAC ID: 5092907675 Enrollment ID: I20240923001930 |
| Provider Name | Jessica Wai Teng Mau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922667658 PECOS PAC ID: 0840521712 Enrollment ID: I20240923003285 |
| Provider Name | Mary E Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013990860 PECOS PAC ID: 1951366749 Enrollment ID: I20240926003014 |
| Provider Name | Kayla Otworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770137580 PECOS PAC ID: 8820328545 Enrollment ID: I20241006000056 |
| Provider Name | Hanna Mousley Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578307898 PECOS PAC ID: 8921530395 Enrollment ID: I20241010002741 |
| Provider Name | Jill Kristine Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720603954 PECOS PAC ID: 7012328289 Enrollment ID: I20241011001549 |
| Provider Name | Arnold Heng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023086659 PECOS PAC ID: 8729273065 Enrollment ID: I20241011001616 |
| Provider Name | Tul Kalayanamit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932171527 PECOS PAC ID: 3577526011 Enrollment ID: I20241015000597 |
| Provider Name | Bonnie Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477872141 PECOS PAC ID: 1456585736 Enrollment ID: I20241017002525 |
| Provider Name | Katherine a Ewing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477969319 PECOS PAC ID: 6608177035 Enrollment ID: I20241030000150 |
| Provider Name | Samuel Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215420518 PECOS PAC ID: 7113260514 Enrollment ID: I20241104003723 |
| Provider Name | Patricia M Callahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023010543 PECOS PAC ID: 8123283512 Enrollment ID: I20241118002515 |
| Provider Name | Allison Brooke Bushey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760167324 PECOS PAC ID: 8729513114 Enrollment ID: I20241121003256 |
| Provider Name | Alexandra R Heffley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336926336 PECOS PAC ID: 3779018163 Enrollment ID: I20241121003469 |
| Provider Name | Katlin Wojnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548517105 PECOS PAC ID: 5395996607 Enrollment ID: I20241217001419 |
| Provider Name | Jessica Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255115564 PECOS PAC ID: 5092236869 Enrollment ID: I20250310001226 |
| Provider Name | Leanne Brink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043304363 PECOS PAC ID: 2062433535 Enrollment ID: I20250313003929 |
| Provider Name | Melissa Bowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245749613 PECOS PAC ID: 5698013449 Enrollment ID: I20250317001696 |
| Provider Name | Alison D Vasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972957553 PECOS PAC ID: 0244522670 Enrollment ID: I20250321003353 |
| Provider Name | Adriana Linares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558577130 PECOS PAC ID: 3678644168 Enrollment ID: I20250514001552 |
| Provider Name | Erika Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992107536 PECOS PAC ID: 1557796273 Enrollment ID: I20250520004176 |
| Provider Name | Melissa Pendergraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770107161 PECOS PAC ID: 4981009495 Enrollment ID: I20250521002624 |
| Provider Name | Sheryl Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679399612 PECOS PAC ID: 1759890460 Enrollment ID: I20250604000951 |
| Provider Name | Leigh Gatons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548994213 PECOS PAC ID: 4789056631 Enrollment ID: I20250623002575 |
| Provider Name | Teura Keeno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326721127 PECOS PAC ID: 2062928443 Enrollment ID: I20250722003877 |
| Provider Name | Scarlett Jewell Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285377614 PECOS PAC ID: 0244617108 Enrollment ID: I20250826005137 |
| Provider Name | Jamelani U'i Launa 'ole Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477356681 PECOS PAC ID: 2961903752 Enrollment ID: I20250902003781 |
| Provider Name | Felix Achille Gouanette Tankeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437799871 PECOS PAC ID: 2860865045 Enrollment ID: I20250926002969 |
| Provider Name | Stacey Lyn Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649531112 PECOS PAC ID: 6800176371 Enrollment ID: I20251007003465 |
| Provider Name | Anna Fehm Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922873330 PECOS PAC ID: 6002313731 Enrollment ID: I20251008004131 |
| Provider Name | Sophie Savagemagee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407693880 PECOS PAC ID: 3971091448 Enrollment ID: I20251024003676 |
| Provider Name | Bradley Alexander Wieland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710793419 PECOS PAC ID: 9638668890 Enrollment ID: I20251028003412 |
| Provider Name | Shayda Hariri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114807070 PECOS PAC ID: 8527557685 Enrollment ID: I20251029001367 |
| Provider Name | Andreea Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558654988 PECOS PAC ID: 9436459872 Enrollment ID: I20251124004513 |
| Provider Name | Helin T Dollar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083457949 PECOS PAC ID: 3779076906 Enrollment ID: I20251204004851 |
| Provider Name | Gary Sulioti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578053534 PECOS PAC ID: 4486909231 Enrollment ID: I20260306002500 |
| Provider Name | Douglas Lorenzo Handley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831552157 PECOS PAC ID: 0244630416 Enrollment ID: I20260507001618 |
| Provider Name | Scott H Bruschwein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659799732 PECOS PAC ID: 4981930989 Enrollment ID: I20260507002017 |
| Provider Name | Wilson Bowlby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720538937 PECOS PAC ID: 7315297587 Enrollment ID: I20260507002788 |
| Provider Name | Brian D Petersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538138516 PECOS PAC ID: 3779528542 Enrollment ID: I20260507002814 |
| Provider Name | Sarah Freathy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235634262 PECOS PAC ID: 9739444209 Enrollment ID: I20260507002918 |
| Provider Name | Paula J Shepherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164566675 PECOS PAC ID: 8022113513 Enrollment ID: I20260507003011 |
| Provider Name | Adam P Skibinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558725648 PECOS PAC ID: 2365733359 Enrollment ID: I20260507003239 |
| Provider Name | Matthew Stegman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508363318 PECOS PAC ID: 4486901576 Enrollment ID: I20260507003280 |
| Provider Name | George William Keng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982091427 PECOS PAC ID: 2163714213 Enrollment ID: I20260507003352 |
| Provider Name | Steven J Wilhelm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962737528 PECOS PAC ID: 6901120211 Enrollment ID: I20260507003472 |
| Provider Name | Julie R Kaczmark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124077029 PECOS PAC ID: 8527079979 Enrollment ID: I20260507003655 |
| Provider Name | Sadaf F Zaidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104129071 PECOS PAC ID: 4981893104 Enrollment ID: I20260507003691 |
| Provider Name | Cory Rasmussen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376992438 PECOS PAC ID: 7719271964 Enrollment ID: I20260507003910 |
| Provider Name | Allison a Tillack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821417544 PECOS PAC ID: 9638485436 Enrollment ID: I20260507004111 |
| Provider Name | Jeffrey S Nackos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548451362 PECOS PAC ID: 6507943552 Enrollment ID: I20260507004281 |
| Provider Name | David Keaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578856449 PECOS PAC ID: 1254623671 Enrollment ID: I20260508000678 |
| Provider Name | Dallin Johansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831686740 PECOS PAC ID: 0345599551 Enrollment ID: I20260508000971 |
| Provider Name | Bryce Gagliano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629573654 PECOS PAC ID: 6103171186 Enrollment ID: I20260508001149 |
| Provider Name | Paul Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801020672 PECOS PAC ID: 1254565955 Enrollment ID: I20260508001222 |
| Provider Name | Terry Chun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194737429 PECOS PAC ID: 6305938119 Enrollment ID: I20260508001596 |
| Provider Name | Norbert K Yee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437191004 PECOS PAC ID: 2769453521 Enrollment ID: I20260508001602 |
| Provider Name | Richard W Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770554859 PECOS PAC ID: 5991891335 Enrollment ID: I20260508001783 |
| Provider Name | Wendy L Ehieli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588963946 PECOS PAC ID: 9335431360 Enrollment ID: I20260508001905 |
| Provider Name | Alexander J Kurdi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356877476 PECOS PAC ID: 6305116278 Enrollment ID: I20260508002001 |
| Provider Name | Nathan S Doyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407381890 PECOS PAC ID: 1153700489 Enrollment ID: I20260508002125 |
| Provider Name | Jace D Hilton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225473465 PECOS PAC ID: 2163720897 Enrollment ID: I20260508002477 |
| Provider Name | Ryan Goff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972823573 PECOS PAC ID: 4183865090 Enrollment ID: I20260508002598 |
| Provider Name | Scott N King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740359231 PECOS PAC ID: 3173792413 Enrollment ID: I20260512000346 |
| Provider Name | Brian W Rich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356334809 PECOS PAC ID: 5395631568 Enrollment ID: I20260513000342 |
| Provider Name | Gregory Kujawski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982054813 PECOS PAC ID: 4284929142 Enrollment ID: I20260513000794 |
| Provider Name | Scott Bryk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336245943 PECOS PAC ID: 5698719789 Enrollment ID: I20260513001160 |
| Provider Name | Timothy S Gormley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043200686 PECOS PAC ID: 5799710158 Enrollment ID: I20260513002224 |
| Provider Name | Philip N Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992116842 PECOS PAC ID: 2769793041 Enrollment ID: I20260513002399 |
| Provider Name | Rupinder Penna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972982874 PECOS PAC ID: 9234446394 Enrollment ID: I20260513002771 |
| Provider Name | Anne Marie Mclellan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548590813 PECOS PAC ID: 6800066291 Enrollment ID: I20260513002896 |
| Provider Name | Joshua Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437320942 PECOS PAC ID: 1254588031 Enrollment ID: I20260513003011 |
| Provider Name | Trent a Sanders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164485504 PECOS PAC ID: 7113915208 Enrollment ID: I20260513003060 |
| Provider Name | Corey Kholi Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598041162 PECOS PAC ID: 6800167875 Enrollment ID: I20260513004189 |
| Provider Name | Eric William Graham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689069908 PECOS PAC ID: 2668880527 Enrollment ID: I20260515000778 |
Bello LLC. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2746 Shadow View Dr, Eugene, OR 97408 Phone: 541-345-0551 Fax: 541-465-3831 |
Healing Spirit Integrative Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Oak St Ste 100, Eugene, OR 97401 Phone: 541-683-1125 Fax: 541-683-2049 |
David A. Bove, ND PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 Lincoln St, Eugene, OR 97401 Phone: 541-683-2126 |
Scarborough Medical Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Patterson St Ste 2-b, Eugene, OR 97401 Phone: 541-687-6508 |
Joyous Doctors Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 E 5th Ave Ste 247, Eugene, OR 97401 Phone: 503-459-3323 |
Chiropractic Pain & Prevention Center P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1902 Jefferson St, Ste 1, Eugene, OR 97405 Phone: 541-687-2772 Fax: 888-857-2772 |