| OSF Multi-specialty Group | |
|
8600 N State Route 91 Peoria IL 61615-9541 | |
| (309) 683-5050 | |
| (309) 683-4739 |
| Full Name | OSF Multi-specialty Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 8600 N State Route 91, Peoria, Illinois |
| Authorized Official Name and Position | Kirsten Marie Largent (CFO) |
| Authorized Official Contact | 3093085255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| OSF Multi-specialty Group 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | OSF Multi-specialty Group 8600 N State Route 91 Peoria IL 61615-9541 Ph: (309) 683-5050 |
| NPI Number | 1922445527 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Medicare PECOS PAC ID | 3678889789 |
|---|---|
| Medicare Enrollment ID | O20150904000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922445527 | NPI | - | NPPES |
| 000 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | John W Rinker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255449393 PECOS PAC ID: 0749193555 Enrollment ID: I20031107000498 |
| Provider Name | James E Probst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194729517 PECOS PAC ID: 7517871361 Enrollment ID: I20031117000068 |
| Provider Name | Nichole Butler Mooyoung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245222108 PECOS PAC ID: 1557275096 Enrollment ID: I20031118000608 |
| Provider Name | Tiffani C Dillard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871695684 PECOS PAC ID: 3779487996 Enrollment ID: I20031120000443 |
| Provider Name | Ashraf Hasan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033220678 PECOS PAC ID: 5496650806 Enrollment ID: I20031126000622 |
| Provider Name | John C Elser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154366839 PECOS PAC ID: 6901701259 Enrollment ID: I20031201000513 |
| Provider Name | David C Hulsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316992969 PECOS PAC ID: 8426955667 Enrollment ID: I20031216000809 |
| Provider Name | James a Kolka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114966447 PECOS PAC ID: 3577460104 Enrollment ID: I20031218000440 |
| Provider Name | Stathis J Poulakidas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508833344 PECOS PAC ID: 9537067608 Enrollment ID: I20031229000098 |
| Provider Name | Craig Risser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437285475 PECOS PAC ID: 3971402744 Enrollment ID: I20031231000435 |
| Provider Name | Jeffrey Akeson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356342257 PECOS PAC ID: 4284533985 Enrollment ID: I20040106000340 |
| Provider Name | Jeffrey a Goldstein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689756900 PECOS PAC ID: 9739088675 Enrollment ID: I20040108000676 |
| Provider Name | Matthew J Gorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427130392 PECOS PAC ID: 0143122242 Enrollment ID: I20040121000187 |
| Provider Name | Rick S Cernovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508824723 PECOS PAC ID: 4587566245 Enrollment ID: I20040122001134 |
| Provider Name | Ketan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114910528 PECOS PAC ID: 4082525696 Enrollment ID: I20040126000068 |
| Provider Name | Brett J Wilkerson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871582940 PECOS PAC ID: 0345142519 Enrollment ID: I20040127000458 |
| Provider Name | Aamir Banday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467477810 PECOS PAC ID: 0648163337 Enrollment ID: I20040205001056 |
| Provider Name | Manish B Sawlani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063501906 PECOS PAC ID: 7911890322 Enrollment ID: I20040207000172 |
| Provider Name | Michael Ahearn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184687717 PECOS PAC ID: 8224921648 Enrollment ID: I20040207000230 |
| Provider Name | Laurie P Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124019286 PECOS PAC ID: 6608761754 Enrollment ID: I20040217001097 |
| Provider Name | Griffith Hsu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669448056 PECOS PAC ID: 0042105652 Enrollment ID: I20040220000739 |
| Provider Name | Mark G Vaselakos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295754257 PECOS PAC ID: 1254227234 Enrollment ID: I20040226000047 |
| Provider Name | George Z Hevesy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881654937 PECOS PAC ID: 4183511850 Enrollment ID: I20040228000242 |
| Provider Name | Nicole Mourillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669456018 PECOS PAC ID: 5496642621 Enrollment ID: I20040302001338 |
| Provider Name | Sohail Hanif |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770559031 PECOS PAC ID: 0648167783 Enrollment ID: I20040303000021 |
| Provider Name | Nasaraiah Nallamothu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427130426 PECOS PAC ID: 8022905017 Enrollment ID: I20040303000926 |
| Provider Name | Robert Christopher Lawler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386758506 PECOS PAC ID: 4789584814 Enrollment ID: I20040305000054 |
| Provider Name | William P Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902911027 PECOS PAC ID: 7810885035 Enrollment ID: I20040309000923 |
| Provider Name | Richard S Seaboch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043227846 PECOS PAC ID: 2860380904 Enrollment ID: I20040309001079 |
| Provider Name | John S Shallat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942381306 PECOS PAC ID: 7911895065 Enrollment ID: I20040309001109 |
| Provider Name | Michael Schifano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679507818 PECOS PAC ID: 8820987738 Enrollment ID: I20040310001415 |
| Provider Name | Sharon E Aycock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104813997 PECOS PAC ID: 2567351299 Enrollment ID: I20040311001088 |
| Provider Name | Adel Samy Raheb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265418982 PECOS PAC ID: 7012805211 Enrollment ID: I20040312000058 |
| Provider Name | Serge Golber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861464992 PECOS PAC ID: 5294637740 Enrollment ID: I20040313000408 |
| Provider Name | Todd Guynn |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578559068 PECOS PAC ID: 3476443458 Enrollment ID: I20040316000524 |
| Provider Name | Dana C Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265434658 PECOS PAC ID: 3870484629 Enrollment ID: I20040322001834 |
| Provider Name | Robert Bruha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043340367 PECOS PAC ID: 3577454776 Enrollment ID: I20040324001091 |
| Provider Name | Abraham R Frenkel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861584542 PECOS PAC ID: 7315839099 Enrollment ID: I20040326001238 |
| Provider Name | Earl J Wipfler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639284995 PECOS PAC ID: 3971595661 Enrollment ID: I20040401001081 |
| Provider Name | Rajnikant K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770570095 PECOS PAC ID: 1456343987 Enrollment ID: I20040402000256 |
| Provider Name | Joseph R Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639108129 PECOS PAC ID: 1557354255 Enrollment ID: I20040407001064 |
| Provider Name | Calvin E Atwell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972574028 PECOS PAC ID: 7214824143 Enrollment ID: I20040407001326 |
| Provider Name | Sharon R Wissler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700823556 PECOS PAC ID: 4880688134 Enrollment ID: I20040412000282 |
| Provider Name | Tami L Harker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346299849 PECOS PAC ID: 5193719318 Enrollment ID: I20040412000820 |
| Provider Name | Troy S Cutler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639108020 PECOS PAC ID: 7012902232 Enrollment ID: I20040417000140 |
| Provider Name | Linda M Auer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114038072 PECOS PAC ID: 8729073150 Enrollment ID: I20040421000077 |
| Provider Name | Mark W Hiser |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538184924 PECOS PAC ID: 4981516390 Enrollment ID: I20040421000089 |
| Provider Name | Francois J Geoffroy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871593434 PECOS PAC ID: 3274529854 Enrollment ID: I20040421000108 |
| Provider Name | Jeffrey D Hershkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922101104 PECOS PAC ID: 4880689462 Enrollment ID: I20040421000214 |
| Provider Name | Thomas J Whittle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154422988 PECOS PAC ID: 3971598459 Enrollment ID: I20040421000495 |
| Provider Name | Mark a Meeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225139058 PECOS PAC ID: 8123013604 Enrollment ID: I20040421000528 |
| Provider Name | Kishorbhai K Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396846853 PECOS PAC ID: 6507851086 Enrollment ID: I20040421000639 |
| Provider Name | Elizabeth J Puthenveetil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417058256 PECOS PAC ID: 6507852977 Enrollment ID: I20040421001455 |
| Provider Name | Amy S Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356442172 PECOS PAC ID: 5193711570 Enrollment ID: I20040421001503 |
| Provider Name | Nancy L Dehaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447267919 PECOS PAC ID: 0749276137 Enrollment ID: I20040421001566 |
| Provider Name | Marianne Mikatstevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598735904 PECOS PAC ID: 5193712610 Enrollment ID: I20040427001445 |
| Provider Name | Kraig Alan Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760467773 PECOS PAC ID: 9931196235 Enrollment ID: I20040428001148 |
| Provider Name | Damian W Grivetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518970847 PECOS PAC ID: 4789672114 Enrollment ID: I20040504001455 |
| Provider Name | Vijay Kumar Goyal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407966484 PECOS PAC ID: 5496743528 Enrollment ID: I20040505001321 |
| Provider Name | Mark Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225130933 PECOS PAC ID: 2163411133 Enrollment ID: I20040506001315 |
| Provider Name | Jason S Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982639621 PECOS PAC ID: 6204721251 Enrollment ID: I20040510000277 |
| Provider Name | Brian L Bostwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891768636 PECOS PAC ID: 2668461195 Enrollment ID: I20040510001387 |
| Provider Name | Pamela a Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245306166 PECOS PAC ID: 3274522693 Enrollment ID: I20040511000534 |
| Provider Name | Robert J Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467491092 PECOS PAC ID: 8022007350 Enrollment ID: I20040511000649 |
| Provider Name | Patricia a Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043303399 PECOS PAC ID: 7719976026 Enrollment ID: I20040511001221 |
| Provider Name | David Rzepczynski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497862817 PECOS PAC ID: 1850380007 Enrollment ID: I20040511001561 |
| Provider Name | Gueorgui S Gueorguiev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356336952 PECOS PAC ID: 4981694064 Enrollment ID: I20040512001483 |
| Provider Name | Hady E Sfeir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952491243 PECOS PAC ID: 8527058361 Enrollment ID: I20040514000257 |
| Provider Name | Anju Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952335671 PECOS PAC ID: 4789674458 Enrollment ID: I20040514000475 |
| Provider Name | Mazen Kawji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518915842 PECOS PAC ID: 7810988664 Enrollment ID: I20040520000474 |
| Provider Name | Joseph M Welty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861460586 PECOS PAC ID: 1759372303 Enrollment ID: I20040521000464 |
| Provider Name | William P Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568430460 PECOS PAC ID: 5991796591 Enrollment ID: I20040521000834 |
| Provider Name | Stephen D Gabriel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255302568 PECOS PAC ID: 7517958127 Enrollment ID: I20040521000866 |
| Provider Name | Nicole M Dalton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326109992 PECOS PAC ID: 6608857792 Enrollment ID: I20040525001501 |
| Provider Name | Maureen L Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457451957 PECOS PAC ID: 6709867658 Enrollment ID: I20040526000983 |
| Provider Name | David C Lieber |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558462408 PECOS PAC ID: 2860473543 Enrollment ID: I20040527001186 |
| Provider Name | Joyce Turley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871609677 PECOS PAC ID: 2466433180 Enrollment ID: I20040528000061 |
| Provider Name | Robert G Vottero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902832025 PECOS PAC ID: 1153303201 Enrollment ID: I20040603000187 |
| Provider Name | Susan M Mettille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790727410 PECOS PAC ID: 1355323072 Enrollment ID: I20040604000766 |
| Provider Name | Kamal Kishore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215059977 PECOS PAC ID: 1153305552 Enrollment ID: I20040615000089 |
| Provider Name | Wayne K Manness |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710936497 PECOS PAC ID: 5092797803 Enrollment ID: I20040616000031 |
| Provider Name | George Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928714 PECOS PAC ID: 4284619784 Enrollment ID: I20040621000071 |
| Provider Name | John J Farrell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043284649 PECOS PAC ID: 8123004504 Enrollment ID: I20040626000052 |
| Provider Name | Michael Monfils |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023120144 PECOS PAC ID: 2062498454 Enrollment ID: I20040626000146 |
| Provider Name | Courtney M Mcfarlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831183334 PECOS PAC ID: 7911894142 Enrollment ID: I20040628000605 |
| Provider Name | Maria Lourdes P Rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073581971 PECOS PAC ID: 7517944390 Enrollment ID: I20040630000285 |
| Provider Name | Usman a Cheema |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518071760 PECOS PAC ID: 1456338284 Enrollment ID: I20040630000616 |
| Provider Name | Edward a Telfer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1700805249 PECOS PAC ID: 9133106552 Enrollment ID: I20040702000956 |
| Provider Name | Lori a Teverbaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427037209 PECOS PAC ID: 1254318090 Enrollment ID: I20040706000253 |
| Provider Name | Tawfik Barakat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306895644 PECOS PAC ID: 3476531955 Enrollment ID: I20040712000077 |
| Provider Name | Aaron J Shiels |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467448324 PECOS PAC ID: 5395723662 Enrollment ID: I20040713000008 |
| Provider Name | David J Powers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003804006 PECOS PAC ID: 7113905381 Enrollment ID: I20040713000940 |
| Provider Name | Cyrus D Solhkhah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174710347 PECOS PAC ID: 0547249088 Enrollment ID: I20040717000052 |
| Provider Name | Marcus Weeks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518903798 PECOS PAC ID: 4587643986 Enrollment ID: I20040719000876 |
| Provider Name | Pasupathy Padmanabhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952331993 PECOS PAC ID: 1456331628 Enrollment ID: I20040720001475 |
| Provider Name | Ajeet D Gordhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306892369 PECOS PAC ID: 9436139409 Enrollment ID: I20040721000579 |
| Provider Name | Nasser Zakieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245294818 PECOS PAC ID: 0446152870 Enrollment ID: I20040723001198 |
| Provider Name | Kannan Sundar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942424486 PECOS PAC ID: 0446230734 Enrollment ID: I20040726001020 |
| Provider Name | Ian K Kang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699856450 PECOS PAC ID: 2466422688 Enrollment ID: I20040727000559 |
| Provider Name | David a Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669489878 PECOS PAC ID: 5092785162 Enrollment ID: I20040727001020 |
| Provider Name | John N Edwards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053421248 PECOS PAC ID: 6901876424 Enrollment ID: I20040730000277 |
| Provider Name | Adriana P Dumitrescu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376591933 PECOS PAC ID: 5890767230 Enrollment ID: I20040806001135 |
| Provider Name | Susan Marie Canty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952351256 PECOS PAC ID: 6901879576 Enrollment ID: I20040813000166 |
| Provider Name | Aseem Saklecha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730131889 PECOS PAC ID: 8628041100 Enrollment ID: I20040813000292 |
| Provider Name | Teresa D Mejorado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518118140 PECOS PAC ID: 2365415809 Enrollment ID: I20040813000764 |
| Provider Name | Isabel a Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225148414 PECOS PAC ID: 8921071325 Enrollment ID: I20040813001210 |
| Provider Name | Brian Jacquot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053369546 PECOS PAC ID: 7214900398 Enrollment ID: I20040817000633 |
| Provider Name | Anthony F Molinari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043290158 PECOS PAC ID: 2567435795 Enrollment ID: I20040818000181 |
| Provider Name | Wade D Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275557498 PECOS PAC ID: 2365416419 Enrollment ID: I20040824000640 |
| Provider Name | Jon C Michel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437244555 PECOS PAC ID: 1951375013 Enrollment ID: I20040824000722 |
| Provider Name | Frank J Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174673123 PECOS PAC ID: 6406820406 Enrollment ID: I20040825000256 |
| Provider Name | Thomas P Carmody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275534406 PECOS PAC ID: 9032107727 Enrollment ID: I20040825000310 |
| Provider Name | Jacqueline M Deffenbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174535306 PECOS PAC ID: 3072587997 Enrollment ID: I20040825000494 |
| Provider Name | Jason a Castator |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972693059 PECOS PAC ID: 8820063563 Enrollment ID: I20040827000024 |
| Provider Name | Richard D Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740259068 PECOS PAC ID: 5092780163 Enrollment ID: I20040901000177 |
| Provider Name | Daniel Katz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013919737 PECOS PAC ID: 0840265930 Enrollment ID: I20040901000298 |
| Provider Name | Scott M Guth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568422962 PECOS PAC ID: 1850367434 Enrollment ID: I20040903001161 |
| Provider Name | Tinoy J Kizhakekuttu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558336214 PECOS PAC ID: 0648246231 Enrollment ID: I20040903001195 |
| Provider Name | Christine C Perks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033383070 PECOS PAC ID: 0042286635 Enrollment ID: I20040903001233 |
| Provider Name | Venkata Chowdary Jampala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235138579 PECOS PAC ID: 2769458355 Enrollment ID: I20040903001243 |
| Provider Name | Anna M Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447437702 PECOS PAC ID: 8123094174 Enrollment ID: I20040909001190 |
| Provider Name | Daniel P Lange |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972522720 PECOS PAC ID: 7618944513 Enrollment ID: I20040913000259 |
| Provider Name | David D Morland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720178007 PECOS PAC ID: 6608843867 Enrollment ID: I20040916000126 |
| Provider Name | Kathryn C Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568471241 PECOS PAC ID: 8325015506 Enrollment ID: I20040916000234 |
| Provider Name | Frank J Peppers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821097395 PECOS PAC ID: 6305814427 Enrollment ID: I20040917000039 |
| Provider Name | Keith E Peachey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184623746 PECOS PAC ID: 5294635504 Enrollment ID: I20040921000457 |
| Provider Name | Robert H Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588663017 PECOS PAC ID: 7719955426 Enrollment ID: I20040921000503 |
| Provider Name | Ramaprasad Konanur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336172121 PECOS PAC ID: 9739158932 Enrollment ID: I20040924000788 |
| Provider Name | Stephen E Lehnert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154369478 PECOS PAC ID: 6800795774 Enrollment ID: I20040927000007 |
| Provider Name | Melissa E Fraley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164455127 PECOS PAC ID: 8527037670 Enrollment ID: I20040927000581 |
| Provider Name | Bamidele Ayodeeji Ogunleye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831209584 PECOS PAC ID: 5395714067 Enrollment ID: I20040929000584 |
| Provider Name | Brett L Keller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407870876 PECOS PAC ID: 2668441098 Enrollment ID: I20041001000143 |
| Provider Name | Teressa L Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851387328 PECOS PAC ID: 6901865260 Enrollment ID: I20041004000783 |
| Provider Name | Jonas V Sidrys |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124068275 PECOS PAC ID: 1557320959 Enrollment ID: I20041008001426 |
| Provider Name | Chariece Lasalle Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124150370 PECOS PAC ID: 7012977242 Enrollment ID: I20041013000097 |
| Provider Name | Jasmine N Bhurgri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821046186 PECOS PAC ID: 1254306723 Enrollment ID: I20041015000070 |
| Provider Name | Esther a Sy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659358703 PECOS PAC ID: 3577523273 Enrollment ID: I20041018000232 |
| Provider Name | Therese M Lucietto-sieradzki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699708636 PECOS PAC ID: 5395706774 Enrollment ID: I20041019001296 |
| Provider Name | Teresa J Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104894906 PECOS PAC ID: 1153382387 Enrollment ID: I20041021000514 |
| Provider Name | Paul V Byskosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699850768 PECOS PAC ID: 0042108359 Enrollment ID: I20041022000678 |
| Provider Name | Sylvia J Moscoso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689649105 PECOS PAC ID: 5698737898 Enrollment ID: I20041030000195 |
| Provider Name | John Alexander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144256017 PECOS PAC ID: 9335101054 Enrollment ID: I20041103000939 |
| Provider Name | Glenett M Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770663346 PECOS PAC ID: 8527021930 Enrollment ID: I20041108000088 |
| Provider Name | Allan L Ong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760411367 PECOS PAC ID: 0244293546 Enrollment ID: I20041108000944 |
| Provider Name | Aristides Delahera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134177447 PECOS PAC ID: 6507778792 Enrollment ID: I20041111000390 |
| Provider Name | Randall Fortuna |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285607986 PECOS PAC ID: 6406810076 Enrollment ID: I20041113000079 |
| Provider Name | Kenneth Korcek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396850657 PECOS PAC ID: 7719941210 Enrollment ID: I20041115000942 |
| Provider Name | Amber B Oberheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174684278 PECOS PAC ID: 5890759997 Enrollment ID: I20041118000250 |
| Provider Name | Syed M Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144216243 PECOS PAC ID: 6305801747 Enrollment ID: I20041124000336 |
| Provider Name | Melisa S Mcclintic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700836509 PECOS PAC ID: 6608831052 Enrollment ID: I20041124000412 |
| Provider Name | Tamra J Brisbin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932161965 PECOS PAC ID: 9931164118 Enrollment ID: I20041130000298 |
| Provider Name | Debra Lynn Pyszka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720161524 PECOS PAC ID: 0648235689 Enrollment ID: I20041201000435 |
| Provider Name | William V Novak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740367895 PECOS PAC ID: 6800852427 Enrollment ID: I20041206000855 |
| Provider Name | Joseph H Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669564738 PECOS PAC ID: 4981660230 Enrollment ID: I20041208000333 |
| Provider Name | Christine E Larson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285668723 PECOS PAC ID: 2365409489 Enrollment ID: I20041210000074 |
| Provider Name | Theresa M Regan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598785644 PECOS PAC ID: 2860459690 Enrollment ID: I20041214000331 |
| Provider Name | Sidney P Rohrscheib |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073580122 PECOS PAC ID: 7810954245 Enrollment ID: I20041216000657 |
| Provider Name | Matthew Bruno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104854066 PECOS PAC ID: 4981662046 Enrollment ID: I20041221000926 |
| Provider Name | Tondalaya L Gamble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154334209 PECOS PAC ID: 0143288167 Enrollment ID: I20041222000375 |
| Provider Name | Anna Mullens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437165966 PECOS PAC ID: 7012975972 Enrollment ID: I20041222000701 |
| Provider Name | Deirdre E Casagrande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063448082 PECOS PAC ID: 7416915236 Enrollment ID: I20041228000039 |
| Provider Name | Heberto Z Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366419194 PECOS PAC ID: 0840258588 Enrollment ID: I20041229000134 |
| Provider Name | Vuong a Dang-duc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588630719 PECOS PAC ID: 7113985854 Enrollment ID: I20041229000150 |
| Provider Name | Prasad K Kilaru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003910423 PECOS PAC ID: 3173571007 Enrollment ID: I20050107000388 |
| Provider Name | Leela L Narra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225001571 PECOS PAC ID: 2567410343 Enrollment ID: I20050107000790 |
| Provider Name | Kristin a Mock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255380762 PECOS PAC ID: 3971552217 Enrollment ID: I20050113000769 |
| Provider Name | Kara Oprian Fess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700843950 PECOS PAC ID: 7113976283 Enrollment ID: I20050117000129 |
| Provider Name | James Vernon Piephoff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225144827 PECOS PAC ID: 5991754475 Enrollment ID: I20050121000834 |
| Provider Name | Lindsay D Barth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437142635 PECOS PAC ID: 7517937345 Enrollment ID: I20050131000016 |
| Provider Name | Sherine F Hanna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003886417 PECOS PAC ID: 6002867512 Enrollment ID: I20050202000250 |
| Provider Name | Pushpa Mamtani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376527168 PECOS PAC ID: 9032160395 Enrollment ID: I20050203000349 |
| Provider Name | Matthew Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538199187 PECOS PAC ID: 1052362340 Enrollment ID: I20050203000569 |
| Provider Name | Daniel Knight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932124997 PECOS PAC ID: 9739178005 Enrollment ID: I20050207000775 |
| Provider Name | Berry E Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669456729 PECOS PAC ID: 3476504424 Enrollment ID: I20050207000816 |
| Provider Name | Craig W Carmichael |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497761100 PECOS PAC ID: 8527042571 Enrollment ID: I20050214000730 |
| Provider Name | William P Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659355972 PECOS PAC ID: 6406808716 Enrollment ID: I20050215000678 |
| Provider Name | Clarissa F Rhode |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326026030 PECOS PAC ID: 4880593755 Enrollment ID: I20050218000043 |
| Provider Name | Greg Mendrek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144227406 PECOS PAC ID: 5395797203 Enrollment ID: I20050218000123 |
| Provider Name | John F Rashid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386674349 PECOS PAC ID: 0345293825 Enrollment ID: I20050224000331 |
| Provider Name | Darrel C Gumm |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669406054 PECOS PAC ID: 8527970987 Enrollment ID: I20050224000526 |
| Provider Name | Leela S Dhanekula |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801826938 PECOS PAC ID: 2163475674 Enrollment ID: I20050224000606 |
| Provider Name | Joseph J Sarmiento |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588691877 PECOS PAC ID: 6002728441 Enrollment ID: I20050224000985 |
| Provider Name | Ronald R Rabjohns |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972533925 PECOS PAC ID: 9638081086 Enrollment ID: I20050301000140 |
| Provider Name | Maria G Bayas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972740660 PECOS PAC ID: 9638123227 Enrollment ID: I20050307000453 |
| Provider Name | Cristin M Rassi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316930001 PECOS PAC ID: 6709831597 Enrollment ID: I20050315000217 |
| Provider Name | Feiteng Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477572733 PECOS PAC ID: 7012962574 Enrollment ID: I20050317000261 |
| Provider Name | Rudolph Altergott |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417910803 PECOS PAC ID: 5991617276 Enrollment ID: I20050317000281 |
| Provider Name | Parker K Jain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902882764 PECOS PAC ID: 5294639100 Enrollment ID: I20050322000248 |
| Provider Name | Girish G Deshpande |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225100977 PECOS PAC ID: 1254386386 Enrollment ID: I20050322000257 |
| Provider Name | Sharon L Duval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366634487 PECOS PAC ID: 5799731311 Enrollment ID: I20050328000325 |
| Provider Name | Monther F El Bzour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912978222 PECOS PAC ID: 0345217998 Enrollment ID: I20050405001190 |
| Provider Name | Robert S Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164431904 PECOS PAC ID: 6002853306 Enrollment ID: I20050408000224 |
| Provider Name | Juan C Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780650176 PECOS PAC ID: 3577500503 Enrollment ID: I20050412000518 |
| Provider Name | Bharat S Jailwala |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134233950 PECOS PAC ID: 6800833583 Enrollment ID: I20050415000203 |
| Provider Name | Jeffrey E Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396713590 PECOS PAC ID: 2961476189 Enrollment ID: I20050425000299 |
| Provider Name | Serge Peter Marinkovic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093705501 PECOS PAC ID: 4082653498 Enrollment ID: I20050426000616 |
| Provider Name | Shelly S Shallat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184706988 PECOS PAC ID: 6507805801 Enrollment ID: I20050426001463 |
| Provider Name | Christopher Leonard Vulin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801870126 PECOS PAC ID: 2668411356 Enrollment ID: I20050502001229 |
| Provider Name | Paul H Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508935701 PECOS PAC ID: 2961441548 Enrollment ID: I20050503000658 |
| Provider Name | Steven P Lukancic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447329669 PECOS PAC ID: 5597704171 Enrollment ID: I20050503000665 |
| Provider Name | Sabet Siddiqui |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1598819575 PECOS PAC ID: 0749220804 Enrollment ID: I20050509000164 |
| Provider Name | John a Mattingly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952355786 PECOS PAC ID: 7315987468 Enrollment ID: I20050509000257 |
| Provider Name | James G Szudera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518072867 PECOS PAC ID: 4981644812 Enrollment ID: I20050510000452 |
| Provider Name | Raul V Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053307660 PECOS PAC ID: 3274573951 Enrollment ID: I20050512000275 |
| Provider Name | Soliman a Soliman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164591947 PECOS PAC ID: 3779524095 Enrollment ID: I20050517000932 |
| Provider Name | Howard I Roth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043381239 PECOS PAC ID: 1456263011 Enrollment ID: I20050517000965 |
| Provider Name | Ramkrishna G Mehendale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003929126 PECOS PAC ID: 6406898006 Enrollment ID: I20050524000932 |
| Provider Name | Anil J Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780604900 PECOS PAC ID: 0840233508 Enrollment ID: I20050603000956 |
| Provider Name | Richard Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699703892 PECOS PAC ID: 5294625745 Enrollment ID: I20050610000201 |
| Provider Name | Edward Koo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326028507 PECOS PAC ID: 3173567971 Enrollment ID: I20050613001077 |
| Provider Name | Robert Paresi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891902359 PECOS PAC ID: 3173503141 Enrollment ID: I20050614000187 |
| Provider Name | Othman Abbas Jibril |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801871967 PECOS PAC ID: 3072557651 Enrollment ID: I20050614001315 |
| Provider Name | Estrellita Velez Jo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427012004 PECOS PAC ID: 0345200424 Enrollment ID: I20050615000054 |
| Provider Name | George a Zaverdas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295798742 PECOS PAC ID: 1557306149 Enrollment ID: I20050623000806 |
| Provider Name | Arnold Herskovic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538185095 PECOS PAC ID: 5496734691 Enrollment ID: I20050624000279 |
| Provider Name | Yogesh K Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336142017 PECOS PAC ID: 0547206393 Enrollment ID: I20050701000026 |
| Provider Name | Joanna C Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104852631 PECOS PAC ID: 6406892934 Enrollment ID: I20050706000418 |
| Provider Name | Steven F Domiano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578582532 PECOS PAC ID: 8325084882 Enrollment ID: I20050706000693 |
| Provider Name | Gene Edmund Quirini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124047188 PECOS PAC ID: 9638115637 Enrollment ID: I20050706000823 |
| Provider Name | Brian S Curtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730272964 PECOS PAC ID: 2365478609 Enrollment ID: I20050708000808 |
| Provider Name | Savitha S Reddy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841208568 PECOS PAC ID: 0143257220 Enrollment ID: I20050720000542 |
| Provider Name | William E Hauter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902895048 PECOS PAC ID: 2961439997 Enrollment ID: I20050721000497 |
| Provider Name | John W Hafner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255360715 PECOS PAC ID: 8325075146 Enrollment ID: I20050725000129 |
| Provider Name | James R Hubler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861428492 PECOS PAC ID: 8527095264 Enrollment ID: I20050725000372 |
| Provider Name | Travis William Swink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619060977 PECOS PAC ID: 2769420231 Enrollment ID: I20050725000505 |
| Provider Name | Marc D Squillante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477599272 PECOS PAC ID: 8426085184 Enrollment ID: I20050725000531 |
| Provider Name | Paul M Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619906146 PECOS PAC ID: 7214964998 Enrollment ID: I20050725000664 |
| Provider Name | James T Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699704122 PECOS PAC ID: 2668409368 Enrollment ID: I20050725000835 |
| Provider Name | Gregory J Tudor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356377626 PECOS PAC ID: 6800823410 Enrollment ID: I20050725000986 |
| Provider Name | Fouad Al-qawasmi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093709438 PECOS PAC ID: 2062449598 Enrollment ID: I20050726000774 |
| Provider Name | Cheng Chung Hsieh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093702094 PECOS PAC ID: 9032147582 Enrollment ID: I20050727000390 |
| Provider Name | Sonu Dhillon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225017593 PECOS PAC ID: 9133158751 Enrollment ID: I20050804000396 |
| Provider Name | John D Baer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255331773 PECOS PAC ID: 0244138071 Enrollment ID: I20050805000421 |
| Provider Name | Frank I Russo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669537155 PECOS PAC ID: 7911936075 Enrollment ID: I20050809000448 |
| Provider Name | Lucille a Fendrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982633202 PECOS PAC ID: 3678503356 Enrollment ID: I20050813000051 |
| Provider Name | Guy J Petruzzelli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528045481 PECOS PAC ID: 9234169814 Enrollment ID: I20050813000130 |
| Provider Name | Frank Lutrin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770549420 PECOS PAC ID: 2567492945 Enrollment ID: I20050816000384 |
| Provider Name | Diane C Krall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144215708 PECOS PAC ID: 7214967538 Enrollment ID: I20050816001274 |
| Provider Name | Vanessa L Pitts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588691687 PECOS PAC ID: 4183654346 Enrollment ID: I20050817000328 |
| Provider Name | Rick a Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396772976 PECOS PAC ID: 1456381656 Enrollment ID: I20050817000682 |
| Provider Name | Joshua a Croland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215916093 PECOS PAC ID: 1153351937 Enrollment ID: I20050822000519 |
| Provider Name | Jyoti S Kalra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619079670 PECOS PAC ID: 6305877176 Enrollment ID: I20050822001399 |
| Provider Name | Anthony R. Horinek |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609907195 PECOS PAC ID: 3678504339 Enrollment ID: I20050823000688 |
| Provider Name | Christopher J Rink |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063521169 PECOS PAC ID: 3375574999 Enrollment ID: I20050824000038 |
| Provider Name | Bryan Foy |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1972569754 PECOS PAC ID: 0547172827 Enrollment ID: I20050824000221 |
| Provider Name | Brian R Pope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275533820 PECOS PAC ID: 1355372889 Enrollment ID: I20050824001135 |
| Provider Name | Trina D Croland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205936879 PECOS PAC ID: 3274564620 Enrollment ID: I20050825000208 |
| Provider Name | Leonardo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376643007 PECOS PAC ID: 7810928280 Enrollment ID: I20050825000273 |
| Provider Name | Lisa T Barker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477580116 PECOS PAC ID: 7719918994 Enrollment ID: I20050826000870 |
| Provider Name | Kevin a Snow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275533317 PECOS PAC ID: 3971534082 Enrollment ID: I20050829000720 |
| Provider Name | Jane a Kalmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205876166 PECOS PAC ID: 5991736944 Enrollment ID: I20050830000072 |
| Provider Name | Samer B. Sader |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831220318 PECOS PAC ID: 4183656051 Enrollment ID: I20050831000760 |
| Provider Name | Meredith Ann Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922046101 PECOS PAC ID: 3476580739 Enrollment ID: I20050906000665 |
| Provider Name | Jacinda a Cornick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124121371 PECOS PAC ID: 9436181526 Enrollment ID: I20050909000479 |
| Provider Name | Rami E Lutfi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447237425 PECOS PAC ID: 3678505690 Enrollment ID: I20050909000730 |
| Provider Name | Thomas a Farrell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659304970 PECOS PAC ID: 4486687191 Enrollment ID: I20050914000033 |
| Provider Name | Marco a Barzallo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316971823 PECOS PAC ID: 3577544881 Enrollment ID: I20050920001103 |
| Provider Name | Steven J Lichtenstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093702649 PECOS PAC ID: 0941234843 Enrollment ID: I20050920001325 |
| Provider Name | Jill C Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295908259 PECOS PAC ID: 9638147176 Enrollment ID: I20050928000645 |
| Provider Name | James N Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558421875 PECOS PAC ID: 1658306394 Enrollment ID: I20051003000354 |
| Provider Name | Richard I Saylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316030679 PECOS PAC ID: 2668497041 Enrollment ID: I20051014000227 |
| Provider Name | Jomel S Labayog |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326053299 PECOS PAC ID: 0042236424 Enrollment ID: I20051017000061 |
| Provider Name | Lynessa a Alonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679665020 PECOS PAC ID: 1658397302 Enrollment ID: I20051021000219 |
| Provider Name | Mohammed Asif Mahkri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659351278 PECOS PAC ID: 9436175262 Enrollment ID: I20051021000765 |
| Provider Name | Michelle Delgado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851349831 PECOS PAC ID: 5597781005 Enrollment ID: I20051024000200 |
| Provider Name | Lakshmi M Anubrolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083683700 PECOS PAC ID: 8628094141 Enrollment ID: I20051024000243 |
| Provider Name | Gabor Matos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639251747 PECOS PAC ID: 2860419934 Enrollment ID: I20051027000970 |
| Provider Name | Sarah N Zallek |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1467543942 PECOS PAC ID: 8022035781 Enrollment ID: I20051101000600 |
| Provider Name | Zeeshan Ahmad |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134126451 PECOS PAC ID: 5496723553 Enrollment ID: I20051102000939 |
| Provider Name | Kevin M Fahey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861561672 PECOS PAC ID: 2961464102 Enrollment ID: I20051103000682 |
| Provider Name | Wilbert M Leonard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710098652 PECOS PAC ID: 7517985997 Enrollment ID: I20051103000887 |
| Provider Name | Kristin R Reese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891715959 PECOS PAC ID: 3476571704 Enrollment ID: I20051104000759 |
| Provider Name | Sanjay Sutaria |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407913684 PECOS PAC ID: 0941229595 Enrollment ID: I20051114000543 |
| Provider Name | Ramon Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710928700 PECOS PAC ID: 7911926357 Enrollment ID: I20051115000996 |
| Provider Name | Mary E Keller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275567703 PECOS PAC ID: 5799704938 Enrollment ID: I20051116000657 |
| Provider Name | Therese Doyle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215048970 PECOS PAC ID: 2264452077 Enrollment ID: I20051122000796 |
| Provider Name | Deidra Lewandowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750466710 PECOS PAC ID: 4789604364 Enrollment ID: I20051128000609 |
| Provider Name | John D Marshall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144219171 PECOS PAC ID: 4688694714 Enrollment ID: I20051202000709 |
| Provider Name | Mohammad Tarik a Firozi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962481648 PECOS PAC ID: 6800782517 Enrollment ID: I20051207000319 |
| Provider Name | Emily C Crebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003821448 PECOS PAC ID: 3173545654 Enrollment ID: I20051227000517 |
| Provider Name | Rashid F Kysia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225141005 PECOS PAC ID: 4183646698 Enrollment ID: I20051228000089 |
| Provider Name | Steven S Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316988934 PECOS PAC ID: 0547169765 Enrollment ID: I20051228000544 |
| Provider Name | Shawn M Fry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659467793 PECOS PAC ID: 1052334703 Enrollment ID: I20060109000314 |
| Provider Name | Donna J Sweetland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740374909 PECOS PAC ID: 2860412392 Enrollment ID: I20060109000810 |
| Provider Name | Elena Pirozhnik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073612800 PECOS PAC ID: 6406870658 Enrollment ID: I20060116000103 |
| Provider Name | Nancy G Dagefoerde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073532511 PECOS PAC ID: 1355365206 Enrollment ID: I20060119000149 |
| Provider Name | Christian E Villadolid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013133685 PECOS PAC ID: 2668496316 Enrollment ID: I20060120000233 |
| Provider Name | Rajyalaxmi V Mullapudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013953546 PECOS PAC ID: 1052335643 Enrollment ID: I20060123000457 |
| Provider Name | Roger D Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932207859 PECOS PAC ID: 6709800071 Enrollment ID: I20060125000777 |
| Provider Name | Michele E Masching Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194830695 PECOS PAC ID: 5193739126 Enrollment ID: I20060130000520 |
| Provider Name | Matthew W Wols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427020544 PECOS PAC ID: 1456366053 Enrollment ID: I20060220000174 |
| Provider Name | Gail E Donley-urita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699810390 PECOS PAC ID: 5991734576 Enrollment ID: I20060301000314 |
| Provider Name | Andrew Todd Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447222146 PECOS PAC ID: 3375559248 Enrollment ID: I20060301000640 |
| Provider Name | Ramon B Inciong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891707998 PECOS PAC ID: 3173511599 Enrollment ID: I20060310000034 |
| Provider Name | Yolanda R Renfroe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518043280 PECOS PAC ID: 9830106871 Enrollment ID: I20060315000582 |
| Provider Name | Farhad Farokhi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639153216 PECOS PAC ID: 4385675115 Enrollment ID: I20060316000200 |
| Provider Name | Hosam Khayal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144271206 PECOS PAC ID: 0042285298 Enrollment ID: I20060317000040 |
| Provider Name | Jeremy D Marks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962552901 PECOS PAC ID: 6305853151 Enrollment ID: I20060320000385 |
| Provider Name | Sudhir Sriram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033392725 PECOS PAC ID: 5092722736 Enrollment ID: I20060321000399 |
| Provider Name | Vanessa R Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033101753 PECOS PAC ID: 8325056914 Enrollment ID: I20060323000237 |
| Provider Name | Basheeruddin M Farooki |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720038979 PECOS PAC ID: 2860400405 Enrollment ID: I20060323000574 |
| Provider Name | Binoy Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295805174 PECOS PAC ID: 5799793212 Enrollment ID: I20060324000569 |
| Provider Name | Edward W Pegg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043392160 PECOS PAC ID: 8527076389 Enrollment ID: I20060405000344 |
| Provider Name | Basava P Ancha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265488647 PECOS PAC ID: 4486663945 Enrollment ID: I20060411000352 |
| Provider Name | Ruheri Perez Tamayo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1881655397 PECOS PAC ID: 5092724377 Enrollment ID: I20060413000657 |
| Provider Name | William E Maloney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609810548 PECOS PAC ID: 9739126368 Enrollment ID: I20060421000381 |
| Provider Name | Glenn Milos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285602516 PECOS PAC ID: 0143237511 Enrollment ID: I20060425000676 |
| Provider Name | Christopher Adam Westphal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750334306 PECOS PAC ID: 8224085030 Enrollment ID: I20060519000004 |
| Provider Name | Samer F Najjar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346292547 PECOS PAC ID: 3173534393 Enrollment ID: I20060531000132 |
| Provider Name | Kevin J Peifer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699751446 PECOS PAC ID: 7315983905 Enrollment ID: I20060605000041 |
| Provider Name | Thomas M Schroyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306827829 PECOS PAC ID: 4981678349 Enrollment ID: I20060606000264 |
| Provider Name | Krystyna Kiel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679549349 PECOS PAC ID: 9638181795 Enrollment ID: I20060608000256 |
| Provider Name | Carl Backer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760477608 PECOS PAC ID: 7618989567 Enrollment ID: I20060615000223 |
| Provider Name | Jeffrey David Klopfenstein |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578508354 PECOS PAC ID: 4981616711 Enrollment ID: I20060619000222 |
| Provider Name | Arun V Talkad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629015532 PECOS PAC ID: 2961414602 Enrollment ID: I20060622000015 |
| Provider Name | Fadi M Mustapha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508801986 PECOS PAC ID: 8123030525 Enrollment ID: I20060630000046 |
| Provider Name | Waseem Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124063375 PECOS PAC ID: 8527071398 Enrollment ID: I20060720000302 |
| Provider Name | Kashif M Zaheer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417996729 PECOS PAC ID: 2163435629 Enrollment ID: I20060728000389 |
| Provider Name | Rebecca a Ala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154353498 PECOS PAC ID: 2567465404 Enrollment ID: I20060816000121 |
| Provider Name | Jeremiah S Anders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194757831 PECOS PAC ID: 7719980531 Enrollment ID: I20060817000288 |
| Provider Name | Diane J Santorineos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518991066 PECOS PAC ID: 9335142041 Enrollment ID: I20060818000433 |
| Provider Name | Saima Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487671103 PECOS PAC ID: 5092718460 Enrollment ID: I20060825000043 |
| Provider Name | Azra M Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700804028 PECOS PAC ID: 3678577020 Enrollment ID: I20060828000160 |
| Provider Name | Pamela S Pecenka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669418380 PECOS PAC ID: 0345244794 Enrollment ID: I20060828000204 |
| Provider Name | Sheri L Noonan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902890932 PECOS PAC ID: 7618971987 Enrollment ID: I20060830000091 |
| Provider Name | Jesse L Vanle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366435224 PECOS PAC ID: 7214931583 Enrollment ID: I20060830000118 |
| Provider Name | Glen B Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326031105 PECOS PAC ID: 0941271415 Enrollment ID: I20060830000130 |
| Provider Name | Amy M Matheis Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376566539 PECOS PAC ID: 8325042500 Enrollment ID: I20060830000290 |
| Provider Name | Daren J Rauch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174544407 PECOS PAC ID: 2769486950 Enrollment ID: I20060830000403 |
| Provider Name | Brad a Stoecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508887860 PECOS PAC ID: 1153325352 Enrollment ID: I20060830000470 |
| Provider Name | Steven S J Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538189261 PECOS PAC ID: 4385648542 Enrollment ID: I20060831000367 |
| Provider Name | Mukesh V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780602946 PECOS PAC ID: 3476557521 Enrollment ID: I20060905000235 |
| Provider Name | Scott W Mox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043210701 PECOS PAC ID: 5092725010 Enrollment ID: I20060906000134 |
| Provider Name | Lisa R Emm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386665966 PECOS PAC ID: 3173527066 Enrollment ID: I20060907000354 |
| Provider Name | Samer Kassar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902839525 PECOS PAC ID: 3375547128 Enrollment ID: I20060908000292 |
| Provider Name | Ty E Hasselman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861438434 PECOS PAC ID: 3274537071 Enrollment ID: I20060911000214 |
| Provider Name | Saad Y Blaney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003846981 PECOS PAC ID: 1254335078 Enrollment ID: I20060911000345 |
| Provider Name | Genene P Radden |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710917422 PECOS PAC ID: 9335143064 Enrollment ID: I20060911000501 |
| Provider Name | Amy L Christison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720029267 PECOS PAC ID: 6800890468 Enrollment ID: I20060913000197 |
| Provider Name | Elisabeth G Beyer Nolen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306853684 PECOS PAC ID: 7618971284 Enrollment ID: I20060913000293 |
| Provider Name | Antoine G Daccache |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336255611 PECOS PAC ID: 0345244919 Enrollment ID: I20060913000295 |
| Provider Name | Pia a Ong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831207174 PECOS PAC ID: 4486658986 Enrollment ID: I20060913000570 |
| Provider Name | James S Lindbom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740205954 PECOS PAC ID: 2567467525 Enrollment ID: I20060926000035 |
| Provider Name | Sujal G Desai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215036330 PECOS PAC ID: 9830195445 Enrollment ID: I20061004000469 |
| Provider Name | Matthew S Keene |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508967621 PECOS PAC ID: 1355347576 Enrollment ID: I20061011000642 |
| Provider Name | Jack P Spaniol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356379184 PECOS PAC ID: 9739185810 Enrollment ID: I20061012000384 |
| Provider Name | Jessica D Higgs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588687800 PECOS PAC ID: 5294731139 Enrollment ID: I20061017000047 |
| Provider Name | Syed Muhammad Irfan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508895897 PECOS PAC ID: 0143227868 Enrollment ID: I20061023000111 |
| Provider Name | Jenny H Steffen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700998622 PECOS PAC ID: 7315944048 Enrollment ID: I20061023000197 |
| Provider Name | Denise M Johnson Dechow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477562866 PECOS PAC ID: 0042217622 Enrollment ID: I20061024000131 |
| Provider Name | Linda S Batek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619077328 PECOS PAC ID: 0244237246 Enrollment ID: I20061106000245 |
| Provider Name | David Czukerberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578515839 PECOS PAC ID: 7012915846 Enrollment ID: I20061110000016 |
| Provider Name | Bethany N Toth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053421701 PECOS PAC ID: 6507865235 Enrollment ID: I20061207000111 |
| Provider Name | Christopher M Herman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588734842 PECOS PAC ID: 1658370119 Enrollment ID: I20061211000187 |
| Provider Name | Sandra M Valino Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922036441 PECOS PAC ID: 0840299129 Enrollment ID: I20061214000222 |
| Provider Name | Mete Korkmaz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902833999 PECOS PAC ID: 7517967508 Enrollment ID: I20061221000232 |
| Provider Name | Niko I Keys |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881783793 PECOS PAC ID: 9436159266 Enrollment ID: I20070102000027 |
| Provider Name | Laura L Kula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396813010 PECOS PAC ID: 1759381411 Enrollment ID: I20070102000320 |
| Provider Name | Sudhir Mungee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023113743 PECOS PAC ID: 2264432855 Enrollment ID: I20070104000382 |
| Provider Name | Dawn C Tanner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295898591 PECOS PAC ID: 6103826748 Enrollment ID: I20070105000227 |
| Provider Name | Aras D Tijunelis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932133451 PECOS PAC ID: 2961402409 Enrollment ID: I20070105000306 |
| Provider Name | Dorcas S Yost |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124189865 PECOS PAC ID: 8426058926 Enrollment ID: I20070108000155 |
| Provider Name | Michele L Knappe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609937143 PECOS PAC ID: 2466452719 Enrollment ID: I20070110000304 |
| Provider Name | Rushdi H Alul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649365529 PECOS PAC ID: 6608876917 Enrollment ID: I20070111000140 |
| Provider Name | Durre S Raja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689689093 PECOS PAC ID: 1951301019 Enrollment ID: I20070116000211 |
| Provider Name | Abel R Castellano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508838145 PECOS PAC ID: 5799731899 Enrollment ID: I20070123000088 |
| Provider Name | Kenneth E Carpenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689723918 PECOS PAC ID: 9739180043 Enrollment ID: I20070129000406 |
| Provider Name | Charles W Lagoski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164479424 PECOS PAC ID: 6002719481 Enrollment ID: I20070201000452 |
| Provider Name | Martha Anne Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942279252 PECOS PAC ID: 1658384599 Enrollment ID: I20070205000167 |
| Provider Name | Kierre R Honore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942221890 PECOS PAC ID: 7517969918 Enrollment ID: I20070214000253 |
| Provider Name | Virginia Luisa Velazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609952670 PECOS PAC ID: 1759483340 Enrollment ID: I20070228000533 |
| Provider Name | Gianluca Lazzaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235288416 PECOS PAC ID: 7517069065 Enrollment ID: I20070301000314 |
| Provider Name | Mufaddal Muhammad Hashim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245283035 PECOS PAC ID: 4789787946 Enrollment ID: I20070309000056 |
| Provider Name | Denise M Mammolito |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972604221 PECOS PAC ID: 2062515166 Enrollment ID: I20070309000471 |
| Provider Name | Juliette a Kalweit |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740216001 PECOS PAC ID: 4486758141 Enrollment ID: I20070406000056 |
| Provider Name | Tamara G Helfer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932102969 PECOS PAC ID: 3678510823 Enrollment ID: I20070409000153 |
| Provider Name | Anupama Upadhyay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467407890 PECOS PAC ID: 3173576709 Enrollment ID: I20070411000199 |
| Provider Name | Daryl D Chenoweth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902871312 PECOS PAC ID: 8729183207 Enrollment ID: I20070411000212 |
| Provider Name | David C Finnegan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477579563 PECOS PAC ID: 8123123460 Enrollment ID: I20070416000531 |
| Provider Name | Elena Guiao Gozum |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275534471 PECOS PAC ID: 7214032945 Enrollment ID: I20070425000100 |
| Provider Name | Pamela J Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275625865 PECOS PAC ID: 4880790153 Enrollment ID: I20070502000492 |
| Provider Name | Dana J Deshon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578645537 PECOS PAC ID: 9032215173 Enrollment ID: I20070507000006 |
| Provider Name | Muhammad Ali Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467571497 PECOS PAC ID: 8820195100 Enrollment ID: I20070522000027 |
| Provider Name | Lisa M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982797254 PECOS PAC ID: 8022116961 Enrollment ID: I20070531000206 |
| Provider Name | Robert S Bevill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700886280 PECOS PAC ID: 1557352101 Enrollment ID: I20070605000488 |
| Provider Name | Julie L Obrien |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457485328 PECOS PAC ID: 9931207446 Enrollment ID: I20070607000097 |
| Provider Name | Dawn M Vernon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376751735 PECOS PAC ID: 0345348462 Enrollment ID: I20070613000040 |
| Provider Name | James R Battenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851387443 PECOS PAC ID: 8123034584 Enrollment ID: I20070613000770 |
| Provider Name | Fredric C Kullberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912010273 PECOS PAC ID: 4486753373 Enrollment ID: I20070618000326 |
| Provider Name | Theodore S Ingrassia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437263662 PECOS PAC ID: 6002915998 Enrollment ID: I20070618000337 |
| Provider Name | Kim Veronica Arellano Villarreal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275543456 PECOS PAC ID: 7315943586 Enrollment ID: I20070625000388 |
| Provider Name | Kavitha Subramanian |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891817441 PECOS PAC ID: 7214036607 Enrollment ID: I20070626000467 |
| Provider Name | Nadeem Hanif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972617181 PECOS PAC ID: 5597864793 Enrollment ID: I20070629000174 |
| Provider Name | Pier C Giulianotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992906218 PECOS PAC ID: 5193824290 Enrollment ID: I20070629000306 |
| Provider Name | Kathleen M Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447223789 PECOS PAC ID: 2163521253 Enrollment ID: I20070702000265 |
| Provider Name | Jeffery Mendell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629285556 PECOS PAC ID: 1759481625 Enrollment ID: I20070706000032 |
| Provider Name | Charles K Boley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912126640 PECOS PAC ID: 2860592359 Enrollment ID: I20070712000725 |
| Provider Name | Christy a Oliphant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184836561 PECOS PAC ID: 8921108374 Enrollment ID: I20070713000426 |
| Provider Name | Matthew Zopel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609090208 PECOS PAC ID: 9335249713 Enrollment ID: I20070713000755 |
| Provider Name | Robert Brewer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457355315 PECOS PAC ID: 2264532662 Enrollment ID: I20070714000085 |
| Provider Name | Shawn E Piers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720160500 PECOS PAC ID: 7618077876 Enrollment ID: I20070717000571 |
| Provider Name | Alexander J Alonso |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124152707 PECOS PAC ID: 7911008149 Enrollment ID: I20070718000462 |
| Provider Name | Michael S Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790834737 PECOS PAC ID: 6608977657 Enrollment ID: I20070720000704 |
| Provider Name | Chandrashekhar Thukral |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942263827 PECOS PAC ID: 1951387430 Enrollment ID: I20070720000893 |
| Provider Name | David Bayley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316918923 PECOS PAC ID: 8325149289 Enrollment ID: I20070720000900 |
| Provider Name | Jason E Becker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922215920 PECOS PAC ID: 4688775489 Enrollment ID: I20070724000308 |
| Provider Name | Rajesh Alla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154462224 PECOS PAC ID: 9537052915 Enrollment ID: I20070727000744 |
| Provider Name | Julia J Choo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114094042 PECOS PAC ID: 1759316284 Enrollment ID: I20070731000591 |
| Provider Name | Marko a Lekovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689739781 PECOS PAC ID: 6002907391 Enrollment ID: I20070731000630 |
| Provider Name | Ushasri Koganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992917009 PECOS PAC ID: 5991896102 Enrollment ID: I20070802000117 |
| Provider Name | Pranjal Mukesh Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174723290 PECOS PAC ID: 3577655463 Enrollment ID: I20070823000247 |
| Provider Name | Bradley H Gleason |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659428464 PECOS PAC ID: 0547352031 Enrollment ID: I20070829000235 |
| Provider Name | Robert R Riech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437225935 PECOS PAC ID: 1355433848 Enrollment ID: I20070829000246 |
| Provider Name | Azeem S Pasha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619915147 PECOS PAC ID: 5294828224 Enrollment ID: I20070907000417 |
| Provider Name | Yusuf a Mohyuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851516306 PECOS PAC ID: 7315030160 Enrollment ID: I20070910000750 |
| Provider Name | James J Klemens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508065558 PECOS PAC ID: 3274627146 Enrollment ID: I20070922000133 |
| Provider Name | V Aravind Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588858815 PECOS PAC ID: 9638264021 Enrollment ID: I20071001000061 |
| Provider Name | Michael B Maloney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164452611 PECOS PAC ID: 3577658855 Enrollment ID: I20071002000148 |
| Provider Name | Bradley J Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942392675 PECOS PAC ID: 3577658806 Enrollment ID: I20071002000578 |
| Provider Name | Parthasarathy Srinivasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134199359 PECOS PAC ID: 1759476732 Enrollment ID: I20071005000276 |
| Provider Name | Gaurav Kapoor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245225192 PECOS PAC ID: 6800869322 Enrollment ID: I20071005000561 |
| Provider Name | Crystal L Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649466111 PECOS PAC ID: 5698861169 Enrollment ID: I20071013000021 |
| Provider Name | Christopher S Workman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619957412 PECOS PAC ID: 5799871737 Enrollment ID: I20071022000556 |
| Provider Name | Jonathan L Ferguson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669452934 PECOS PAC ID: 0840184982 Enrollment ID: I20071022000590 |
| Provider Name | Michele K Jones Fassett |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235119538 PECOS PAC ID: 9830285881 Enrollment ID: I20071022000610 |
| Provider Name | Stephanie J Epperson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396934451 PECOS PAC ID: 8729175542 Enrollment ID: I20071025000628 |
| Provider Name | Preethi Donakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376559161 PECOS PAC ID: 2163519703 Enrollment ID: I20071030000384 |
| Provider Name | Kidanu Birhanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710073952 PECOS PAC ID: 0143317685 Enrollment ID: I20071031000477 |
| Provider Name | Lisa a Flier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093902744 PECOS PAC ID: 4587751920 Enrollment ID: I20071031000573 |
| Provider Name | David H Naour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174552228 PECOS PAC ID: 8224125505 Enrollment ID: I20071102000481 |
| Provider Name | Bhuvaneswari Subramanian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174712673 PECOS PAC ID: 0042308728 Enrollment ID: I20071113000671 |
| Provider Name | Jennifer Deanne Gutshall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073524328 PECOS PAC ID: 7315035979 Enrollment ID: I20071114000547 |
| Provider Name | Wakas N Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447446521 PECOS PAC ID: 1456449925 Enrollment ID: I20071116000156 |
| Provider Name | Sterlon a Matheny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508045626 PECOS PAC ID: 0042308314 Enrollment ID: I20071120000471 |
| Provider Name | Laila Amin Budhwani |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043355498 PECOS PAC ID: 7719075027 Enrollment ID: I20071121000056 |
| Provider Name | Brett J Cassidy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649256975 PECOS PAC ID: 0042309197 Enrollment ID: I20071128000050 |
| Provider Name | Kren K Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447443544 PECOS PAC ID: 2961592100 Enrollment ID: I20071212000348 |
| Provider Name | Rachel M Nagra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285823690 PECOS PAC ID: 0648360529 Enrollment ID: I20071214000671 |
| Provider Name | Lyle a Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235324450 PECOS PAC ID: 0840380721 Enrollment ID: I20071214000724 |
| Provider Name | Sangtae Park |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356300487 PECOS PAC ID: 6800831603 Enrollment ID: I20071221000141 |
| Provider Name | Robin Maniurski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508977133 PECOS PAC ID: 6406817253 Enrollment ID: I20071227000375 |
| Provider Name | Alpa Mehendra Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356543375 PECOS PAC ID: 6901986082 Enrollment ID: I20080102000012 |
| Provider Name | Travis L Bullock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699810507 PECOS PAC ID: 8325144272 Enrollment ID: I20080115000058 |
| Provider Name | Marjorie G Michel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407038367 PECOS PAC ID: 4587746821 Enrollment ID: I20080125000412 |
| Provider Name | George T Bryan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447287495 PECOS PAC ID: 1951391556 Enrollment ID: I20080126000097 |
| Provider Name | Megha Mungee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760670913 PECOS PAC ID: 2668554809 Enrollment ID: I20080128000450 |
| Provider Name | Marc S Katchen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447266564 PECOS PAC ID: 6608958368 Enrollment ID: I20080204000104 |
| Provider Name | Jessica M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174739205 PECOS PAC ID: 6800978586 Enrollment ID: I20080204000259 |
| Provider Name | Richard a Ginnetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336231836 PECOS PAC ID: 9032291646 Enrollment ID: I20080204000556 |
| Provider Name | Michele D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407039167 PECOS PAC ID: 8224111547 Enrollment ID: I20080211000178 |
| Provider Name | Peter Fecht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144224429 PECOS PAC ID: 7911080114 Enrollment ID: I20080212000038 |
| Provider Name | Paul E Pedersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053403675 PECOS PAC ID: 5799868907 Enrollment ID: I20080212000154 |
| Provider Name | Ryan E Parnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003015447 PECOS PAC ID: 2163506544 Enrollment ID: I20080223000060 |
| Provider Name | Summer Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114196904 PECOS PAC ID: 7012093974 Enrollment ID: I20080318000787 |
| Provider Name | David Deboer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1346242559 PECOS PAC ID: 6305893926 Enrollment ID: I20080326000807 |
| Provider Name | Gustavo a Galue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295903359 PECOS PAC ID: 4486730561 Enrollment ID: I20080331000020 |
| Provider Name | Ronald P Oberfoell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760472898 PECOS PAC ID: 1355350935 Enrollment ID: I20080404000327 |
| Provider Name | Maureen L Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457416752 PECOS PAC ID: 0547362055 Enrollment ID: I20080404000414 |
| Provider Name | Chad M Kovash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275618639 PECOS PAC ID: 2961589684 Enrollment ID: I20080404000754 |
| Provider Name | Daniel Magdziarz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689674079 PECOS PAC ID: 1052498276 Enrollment ID: I20080411000204 |
| Provider Name | Joan Marie Luckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881767762 PECOS PAC ID: 7113004391 Enrollment ID: I20080411000656 |
| Provider Name | Rebecca a Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306899182 PECOS PAC ID: 5092893339 Enrollment ID: I20080428000005 |
| Provider Name | Benali G Deshpande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841489929 PECOS PAC ID: 4587743349 Enrollment ID: I20080505000529 |
| Provider Name | Bhupinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932250446 PECOS PAC ID: 7113096140 Enrollment ID: I20080516000598 |
| Provider Name | Sara Ferrera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356510788 PECOS PAC ID: 7315016938 Enrollment ID: I20080521000678 |
| Provider Name | Jack W Lenox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508979345 PECOS PAC ID: 7113097429 Enrollment ID: I20080529000366 |
| Provider Name | Kimberly J Duttlinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548439623 PECOS PAC ID: 5395815534 Enrollment ID: I20080530000605 |
| Provider Name | Craig Louis-albert Higgs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649488925 PECOS PAC ID: 1557453032 Enrollment ID: I20080602000559 |
| Provider Name | Leann B Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104835768 PECOS PAC ID: 0042381451 Enrollment ID: I20080612000326 |
| Provider Name | Arun Jagannathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891817961 PECOS PAC ID: 3173618105 Enrollment ID: I20080623000205 |
| Provider Name | Bennett Y Lum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497774459 PECOS PAC ID: 3375615875 Enrollment ID: I20080627000253 |
| Provider Name | Thomas M Meersman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609072883 PECOS PAC ID: 9133291404 Enrollment ID: I20080701000409 |
| Provider Name | Michelle M Sandine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457540379 PECOS PAC ID: 2668544818 Enrollment ID: I20080702000506 |
| Provider Name | Vasantha L Gona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114983798 PECOS PAC ID: 7214939834 Enrollment ID: I20080710000728 |
| Provider Name | Mark J Wolfmeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427266279 PECOS PAC ID: 4880766583 Enrollment ID: I20080711000133 |
| Provider Name | Karen Cadet Saintilus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003936766 PECOS PAC ID: 5193707339 Enrollment ID: I20080711000284 |
| Provider Name | Jason H Trager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063535417 PECOS PAC ID: 2567535842 Enrollment ID: I20080718000689 |
| Provider Name | Ilche T Nonevski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588834519 PECOS PAC ID: 3173696168 Enrollment ID: I20080724000301 |
| Provider Name | Todd D Mccall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508054297 PECOS PAC ID: 7012081268 Enrollment ID: I20080806000099 |
| Provider Name | Matthew J Mischler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174747885 PECOS PAC ID: 3971699760 Enrollment ID: I20080815000545 |
| Provider Name | Matthew Valente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942469598 PECOS PAC ID: 1557436284 Enrollment ID: I20080815000648 |
| Provider Name | Troy E Pequette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184714487 PECOS PAC ID: 7618042235 Enrollment ID: I20080818000066 |
| Provider Name | Ramesh C Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649458712 PECOS PAC ID: 9335214709 Enrollment ID: I20080819000829 |
| Provider Name | Anna M Taravella |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467543181 PECOS PAC ID: 8426123829 Enrollment ID: I20080820000143 |
| Provider Name | Travis Figanbaum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881603165 PECOS PAC ID: 8921002932 Enrollment ID: I20080820000656 |
| Provider Name | Ryan J Tremb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568638989 PECOS PAC ID: 8729154778 Enrollment ID: I20080827000728 |
| Provider Name | Andrew J Blint |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619181120 PECOS PAC ID: 4880760206 Enrollment ID: I20080909000668 |
| Provider Name | Stacey Linn Waddington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154578615 PECOS PAC ID: 9133296742 Enrollment ID: I20080924000199 |
| Provider Name | Michael D Kouimelis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033373907 PECOS PAC ID: 9032286570 Enrollment ID: I20080924000594 |
| Provider Name | Virginia a Hinegardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215944459 PECOS PAC ID: 4688740004 Enrollment ID: I20080925000708 |
| Provider Name | Samuel a Grampsas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386618833 PECOS PAC ID: 7911075007 Enrollment ID: I20081002000215 |
| Provider Name | Daryl L Oconnor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154323541 PECOS PAC ID: 7214004704 Enrollment ID: I20081002000512 |
| Provider Name | Priya Pullukat Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821289315 PECOS PAC ID: 5698843290 Enrollment ID: I20081009000404 |
| Provider Name | Mary Yee Chow |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1609896380 PECOS PAC ID: 9739257262 Enrollment ID: I20081009000819 |
| Provider Name | Edward J Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20081020000548 |
| Provider Name | Muhammad J Javed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699807685 PECOS PAC ID: 6103984844 Enrollment ID: I20081023000694 |
| Provider Name | Amir H Vafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881818326 PECOS PAC ID: 2365501350 Enrollment ID: I20081105000617 |
| Provider Name | Julian J Lin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437104593 PECOS PAC ID: 7416016274 Enrollment ID: I20081107000492 |
| Provider Name | Ruth E Towns |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639328495 PECOS PAC ID: 8628138021 Enrollment ID: I20081114000424 |
| Provider Name | Viquar U Ahmed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811148059 PECOS PAC ID: 9537229588 Enrollment ID: I20081120000133 |
| Provider Name | Sharon a Benivegna |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164674701 PECOS PAC ID: 9537229299 Enrollment ID: I20081125000616 |
| Provider Name | Bhavana Thota Kandikattu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447452180 PECOS PAC ID: 6901967199 Enrollment ID: I20081205000617 |
| Provider Name | Elsa L Vazquez Melendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356542864 PECOS PAC ID: 4082775770 Enrollment ID: I20081213000187 |
| Provider Name | Thomas R Arndt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487614210 PECOS PAC ID: 1355374851 Enrollment ID: I20081222000389 |
| Provider Name | Amanda K Hillebrand |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558514398 PECOS PAC ID: 9739241928 Enrollment ID: I20081223000067 |
| Provider Name | Dzung H Dinh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679513642 PECOS PAC ID: 3971665951 Enrollment ID: I20081230000079 |
| Provider Name | Marie B Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124210448 PECOS PAC ID: 2567526304 Enrollment ID: I20090123000039 |
| Provider Name | Margaret M Kipta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356587117 PECOS PAC ID: 2668536392 Enrollment ID: I20090126000165 |
| Provider Name | Jessica R Hanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952525222 PECOS PAC ID: 0042374530 Enrollment ID: I20090128000265 |
| Provider Name | Shannon Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285715847 PECOS PAC ID: 8224003017 Enrollment ID: I20090202000380 |
| Provider Name | Steven W Parkes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982840211 PECOS PAC ID: 8123183134 Enrollment ID: I20090206000491 |
| Provider Name | Edison U Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215966858 PECOS PAC ID: 4082779913 Enrollment ID: I20090210000305 |
| Provider Name | James Pinto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780898858 PECOS PAC ID: 8527123454 Enrollment ID: I20090210000698 |
| Provider Name | Jocelyn R Go-lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255376471 PECOS PAC ID: 3072678820 Enrollment ID: I20090211000744 |
| Provider Name | Meghann Schwartz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154567733 PECOS PAC ID: 2466517222 Enrollment ID: I20090211000801 |
| Provider Name | Jill a Colontuono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619161916 PECOS PAC ID: 4587729215 Enrollment ID: I20090212000650 |
| Provider Name | Karen J Englund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407872591 PECOS PAC ID: 9032274287 Enrollment ID: I20090223000311 |
| Provider Name | Mary Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841287588 PECOS PAC ID: 5799736559 Enrollment ID: I20090223000588 |
| Provider Name | Deana M Giacalone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598918583 PECOS PAC ID: 4789749854 Enrollment ID: I20090224000702 |
| Provider Name | Ryan Jacob Meiners |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295791515 PECOS PAC ID: 5193736502 Enrollment ID: I20090310000573 |
| Provider Name | Mark P Gaudio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053514414 PECOS PAC ID: 6103982483 Enrollment ID: I20090312000034 |
| Provider Name | Carrie L Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336215938 PECOS PAC ID: 9830256676 Enrollment ID: I20090324000284 |
| Provider Name | Aarti J Raut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902813546 PECOS PAC ID: 2769488501 Enrollment ID: I20090325000507 |
| Provider Name | Peter B Baumgartel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932276672 PECOS PAC ID: 9537226865 Enrollment ID: I20090331000497 |
| Provider Name | Jennica M Finchum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932382652 PECOS PAC ID: 7911054309 Enrollment ID: I20090422000574 |
| Provider Name | Lizabeth J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417019084 PECOS PAC ID: 8123121480 Enrollment ID: I20090504000561 |
| Provider Name | Jennifer K Horinek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861658668 PECOS PAC ID: 1557424066 Enrollment ID: I20090506000128 |
| Provider Name | Sherri a Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396939492 PECOS PAC ID: 9931258258 Enrollment ID: I20090515000458 |
| Provider Name | Paul Perona |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558476010 PECOS PAC ID: 5193894533 Enrollment ID: I20090521000194 |
| Provider Name | Armando a San Juan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235220518 PECOS PAC ID: 7214087667 Enrollment ID: I20090605000597 |
| Provider Name | Rajbir K Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871615096 PECOS PAC ID: 2163572066 Enrollment ID: I20090616000302 |
| Provider Name | Chenglu Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437334208 PECOS PAC ID: 0749353647 Enrollment ID: I20090618000339 |
| Provider Name | Terry a Ho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104027572 PECOS PAC ID: 4688725377 Enrollment ID: I20090618000679 |
| Provider Name | Norah Toraason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619082948 PECOS PAC ID: 6103977541 Enrollment ID: I20090625000349 |
| Provider Name | Hrachya Nersesyan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497957468 PECOS PAC ID: 3678624855 Enrollment ID: I20090629000452 |
| Provider Name | Dustin W Kern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750517488 PECOS PAC ID: 0547311615 Enrollment ID: I20090701000052 |
| Provider Name | Jessica a Welsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346330339 PECOS PAC ID: 4880745983 Enrollment ID: I20090701000351 |
| Provider Name | Alyas P Chaudhry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184874620 PECOS PAC ID: 9830241785 Enrollment ID: I20090723000472 |
| Provider Name | Daniel Eric Obrien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275741829 PECOS PAC ID: 6608929435 Enrollment ID: I20090727000717 |
| Provider Name | Todd O Kettering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972619526 PECOS PAC ID: 3678626280 Enrollment ID: I20090729000743 |
| Provider Name | John Jeffrey Williamson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245338896 PECOS PAC ID: 7315091295 Enrollment ID: I20090811000586 |
| Provider Name | Ioannis Karkatzounis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639335235 PECOS PAC ID: 9032263835 Enrollment ID: I20090813000167 |
| Provider Name | Kimberly L Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053549873 PECOS PAC ID: 5294889853 Enrollment ID: I20090817000130 |
| Provider Name | Julie a Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013068667 PECOS PAC ID: 2860546207 Enrollment ID: I20090819000319 |
| Provider Name | Saroosh Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639335078 PECOS PAC ID: 1759435100 Enrollment ID: I20090819000439 |
| Provider Name | Scott Ferry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417178385 PECOS PAC ID: 1153475496 Enrollment ID: I20090820000401 |
| Provider Name | Agnieszka Kulikowska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518132968 PECOS PAC ID: 1951456722 Enrollment ID: I20090831000220 |
| Provider Name | Aaron Settler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235175779 PECOS PAC ID: 3779638119 Enrollment ID: I20090908000489 |
| Provider Name | Tammy F Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962642504 PECOS PAC ID: 6709932817 Enrollment ID: I20090915000261 |
| Provider Name | Sergio Eli Morales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902096142 PECOS PAC ID: 2860540382 Enrollment ID: I20090916000390 |
| Provider Name | Rajeev S Kalsi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447464292 PECOS PAC ID: 8820144736 Enrollment ID: I20090917000635 |
| Provider Name | Amy E Allegretti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033193883 PECOS PAC ID: 2365478872 Enrollment ID: I20090921000440 |
| Provider Name | Elizabeth Yepez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518108059 PECOS PAC ID: 3577619022 Enrollment ID: I20090924000318 |
| Provider Name | Kelly L Klein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376775262 PECOS PAC ID: 9032265467 Enrollment ID: I20090925000388 |
| Provider Name | Priti M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740483627 PECOS PAC ID: 1951447267 Enrollment ID: I20090930000022 |
| Provider Name | Jeffrey E Stedwill |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497775373 PECOS PAC ID: 4587701560 Enrollment ID: I20091023000246 |
| Provider Name | Thomas C Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891997110 PECOS PAC ID: 3274670989 Enrollment ID: I20091029000472 |
| Provider Name | Mark Chwajol |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356575690 PECOS PAC ID: 9032257407 Enrollment ID: I20091105000484 |
| Provider Name | Valerie a Corwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871725515 PECOS PAC ID: 9234277567 Enrollment ID: I20091106000396 |
| Provider Name | Chad S Osborne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235249921 PECOS PAC ID: 1153469382 Enrollment ID: I20091110000082 |
| Provider Name | Todd C Snoeyink |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811097033 PECOS PAC ID: 4284772427 Enrollment ID: I20091110000118 |
| Provider Name | Kristen Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972681245 PECOS PAC ID: 9436297272 Enrollment ID: I20091116000124 |
| Provider Name | Alan R Glatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417187659 PECOS PAC ID: 8820136542 Enrollment ID: I20091117000319 |
| Provider Name | Adarsh Bairsetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285856278 PECOS PAC ID: 4183762867 Enrollment ID: I20091118000165 |
| Provider Name | Cynthia a Anagnos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558500579 PECOS PAC ID: 5092854141 Enrollment ID: I20091202000324 |
| Provider Name | John E Podzamsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225013840 PECOS PAC ID: 6204975360 Enrollment ID: I20091202000501 |
| Provider Name | Sharon R Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780669309 PECOS PAC ID: 2062551138 Enrollment ID: I20091202000586 |
| Provider Name | Rebecca J Byler-dann |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1114126364 PECOS PAC ID: 9537245063 Enrollment ID: I20091231000398 |
| Provider Name | Caleb Ross Lippman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598703910 PECOS PAC ID: 1951378009 Enrollment ID: I20100106000436 |
| Provider Name | Jeremiah E Crabb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073509824 PECOS PAC ID: 8426033283 Enrollment ID: I20100111000065 |
| Provider Name | Patrick E Whitten |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366438087 PECOS PAC ID: 1456311539 Enrollment ID: I20100115000110 |
| Provider Name | Fazal a Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669430567 PECOS PAC ID: 2163564980 Enrollment ID: I20100116000161 |
| Provider Name | Amanda Cross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093925026 PECOS PAC ID: 2163564766 Enrollment ID: I20100120000455 |
| Provider Name | Thomas Kevin Brattain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285613463 PECOS PAC ID: 1658334313 Enrollment ID: I20100120000738 |
| Provider Name | James M Nesselroad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164521928 PECOS PAC ID: 2264574672 Enrollment ID: I20100123000116 |
| Provider Name | Gavish N Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821080078 PECOS PAC ID: 8123004553 Enrollment ID: I20100127000327 |
| Provider Name | Steven K Below |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649270711 PECOS PAC ID: 5799826210 Enrollment ID: I20100129000250 |
| Provider Name | Subramanyam Chittivelu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932195880 PECOS PAC ID: 6709846884 Enrollment ID: I20100129000479 |
| Provider Name | Stephen Charles Doughty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255327631 PECOS PAC ID: 0042353096 Enrollment ID: I20100130000008 |
| Provider Name | Alissa Rachel Gorelick-wisniewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417167354 PECOS PAC ID: 9436292406 Enrollment ID: I20100130000319 |
| Provider Name | Shai J Nyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073606323 PECOS PAC ID: 5496898991 Enrollment ID: I20100205000423 |
| Provider Name | Venkat Eswaran Sekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114974441 PECOS PAC ID: 5799843975 Enrollment ID: I20100205000689 |
| Provider Name | Bhaskar Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588607014 PECOS PAC ID: 1254499437 Enrollment ID: I20100205000710 |
| Provider Name | Rachel Woker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891025557 PECOS PAC ID: 3779626114 Enrollment ID: I20100206000180 |
| Provider Name | Jorge C Kattah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750489050 PECOS PAC ID: 8426192139 Enrollment ID: I20100218000784 |
| Provider Name | Ira L Halperin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548352107 PECOS PAC ID: 2567506116 Enrollment ID: I20100219000421 |
| Provider Name | Susan K Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811225261 PECOS PAC ID: 8820132392 Enrollment ID: I20100222000471 |
| Provider Name | James K Adams |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1275613689 PECOS PAC ID: 7911041116 Enrollment ID: I20100225000167 |
| Provider Name | Stephen R Orlevitch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841290913 PECOS PAC ID: 1456411693 Enrollment ID: I20100225000504 |
| Provider Name | Robert Sawicki |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184638009 PECOS PAC ID: 0345385142 Enrollment ID: I20100304000463 |
| Provider Name | Rhett L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871675645 PECOS PAC ID: 8729123534 Enrollment ID: I20100304000557 |
| Provider Name | Andrew M Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104895788 PECOS PAC ID: 7113062878 Enrollment ID: I20100305000090 |
| Provider Name | Lisa M Fritcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700112521 PECOS PAC ID: 7416092069 Enrollment ID: I20100306000271 |
| Provider Name | Brian Maurer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225038532 PECOS PAC ID: 1557260445 Enrollment ID: I20100310000770 |
| Provider Name | Gregory M Blume |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326146994 PECOS PAC ID: 5698810976 Enrollment ID: I20100311000370 |
| Provider Name | Lawrence Pradeep Prabhaker |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467482828 PECOS PAC ID: 9436284619 Enrollment ID: I20100312000372 |
| Provider Name | Kenneth L Arnett |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1437249760 PECOS PAC ID: 5597890715 Enrollment ID: I20100312000819 |
| Provider Name | Samir Saxena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902883648 PECOS PAC ID: 0446203251 Enrollment ID: I20100316000885 |
| Provider Name | Brian S Rosborough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881643948 PECOS PAC ID: 2466424791 Enrollment ID: I20100317000353 |
| Provider Name | Timothy D Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407956758 PECOS PAC ID: 3173658945 Enrollment ID: I20100318000254 |
| Provider Name | Michael R Leonardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033295738 PECOS PAC ID: 2466587134 Enrollment ID: I20100319000337 |
| Provider Name | Bhagat Aulakh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750420758 PECOS PAC ID: 5991875072 Enrollment ID: I20100327000073 |
| Provider Name | Gerald J Mcshane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669553012 PECOS PAC ID: 2264344332 Enrollment ID: I20100414000963 |
| Provider Name | Vijaya Somaraju |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033187216 PECOS PAC ID: 1850428392 Enrollment ID: I20100414000990 |
| Provider Name | Sameer Ansar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942485735 PECOS PAC ID: 9739256298 Enrollment ID: I20100423000450 |
| Provider Name | Terry E Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861582165 PECOS PAC ID: 4880722362 Enrollment ID: I20100504000050 |
| Provider Name | Christopher M Zallek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548368822 PECOS PAC ID: 4486782208 Enrollment ID: I20100514000247 |
| Provider Name | Clyde M Grady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851484075 PECOS PAC ID: 9335278886 Enrollment ID: I20100521000651 |
| Provider Name | James J Magee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770521007 PECOS PAC ID: 8325012438 Enrollment ID: I20100525001053 |
| Provider Name | Barry L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891885190 PECOS PAC ID: 5597894766 Enrollment ID: I20100526000574 |
| Provider Name | Tiffani L Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447589650 PECOS PAC ID: 5294864328 Enrollment ID: I20100527000265 |
| Provider Name | Casey L Sepich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255663225 PECOS PAC ID: 9739215682 Enrollment ID: I20100527000781 |
| Provider Name | Betty L Hsia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871588137 PECOS PAC ID: 7618943119 Enrollment ID: I20100604000824 |
| Provider Name | Alain W Vilatte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417039736 PECOS PAC ID: 3274663042 Enrollment ID: I20100605000166 |
| Provider Name | Colin M Butterfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952417578 PECOS PAC ID: 3870660111 Enrollment ID: I20100612000197 |
| Provider Name | Steven R Daube |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427144310 PECOS PAC ID: 8426188657 Enrollment ID: I20100614000613 |
| Provider Name | Malini Chavali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245311778 PECOS PAC ID: 4284764119 Enrollment ID: I20100618000690 |
| Provider Name | Robert S Wojcik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770673204 PECOS PAC ID: 2769386242 Enrollment ID: I20100618000836 |
| Provider Name | Robert M Bonaminio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427001486 PECOS PAC ID: 2860523776 Enrollment ID: I20100621000761 |
| Provider Name | Joseph W Chuprevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942313804 PECOS PAC ID: 1850422478 Enrollment ID: I20100625000768 |
| Provider Name | Florie Ann Gonsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831144476 PECOS PAC ID: 7618008236 Enrollment ID: I20100625000817 |
| Provider Name | Ayman Rawda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902911050 PECOS PAC ID: 0941205611 Enrollment ID: I20100626000095 |
| Provider Name | Jeffrey a Parres |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619951027 PECOS PAC ID: 3678460169 Enrollment ID: I20100629000801 |
| Provider Name | Michael J Gootee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720050982 PECOS PAC ID: 4486661212 Enrollment ID: I20100702000377 |
| Provider Name | Sunil Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699809806 PECOS PAC ID: 3971603036 Enrollment ID: I20100714000120 |
| Provider Name | Lisa E Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790715092 PECOS PAC ID: 4880727890 Enrollment ID: I20100728000220 |
| Provider Name | Renee Alwan Percell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588653935 PECOS PAC ID: 5698794741 Enrollment ID: I20100728000436 |
| Provider Name | Benjamin O Kemp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699095067 PECOS PAC ID: 9234262270 Enrollment ID: I20100728000641 |
| Provider Name | Jean B Vahey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407843055 PECOS PAC ID: 1456484831 Enrollment ID: I20100805000571 |
| Provider Name | Timothy Allen Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073719357 PECOS PAC ID: 0547341455 Enrollment ID: I20100811000414 |
| Provider Name | Yan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366540684 PECOS PAC ID: 1759436496 Enrollment ID: I20100813000983 |
| Provider Name | Harry Karydes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659582146 PECOS PAC ID: 9335273275 Enrollment ID: I20100814000121 |
| Provider Name | Elizabeth G Bockewitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811190556 PECOS PAC ID: 2466587530 Enrollment ID: I20100817000584 |
| Provider Name | Daniel R Jameson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376670315 PECOS PAC ID: 9739134560 Enrollment ID: I20100817001553 |
| Provider Name | Michael P Meaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073840799 PECOS PAC ID: 8820122203 Enrollment ID: I20100820000536 |
| Provider Name | Mikala Brinkman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366651192 PECOS PAC ID: 9638226343 Enrollment ID: I20100823001125 |
| Provider Name | Mark a Wargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457304156 PECOS PAC ID: 2264599687 Enrollment ID: I20100824000234 |
| Provider Name | Mousab Almusaddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699720896 PECOS PAC ID: 9335123173 Enrollment ID: I20100826001127 |
| Provider Name | Dean a Gravlin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1053315861 PECOS PAC ID: 1254425390 Enrollment ID: I20100827000601 |
| Provider Name | Colleen Heniff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972509594 PECOS PAC ID: 5092839977 Enrollment ID: I20100830000295 |
| Provider Name | Jennifer Lynn Tillberg-mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982919122 PECOS PAC ID: 7315061801 Enrollment ID: I20100907000339 |
| Provider Name | Dawn R Lemmert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891888145 PECOS PAC ID: 1153446232 Enrollment ID: I20100913000821 |
| Provider Name | Rachel N Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013149889 PECOS PAC ID: 5698890523 Enrollment ID: I20100916000173 |
| Provider Name | Michele K Beekman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962660076 PECOS PAC ID: 3274658976 Enrollment ID: I20100918000085 |
| Provider Name | Jennifer L Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982933974 PECOS PAC ID: 6800911454 Enrollment ID: I20100920000410 |
| Provider Name | Joseph Anthony Novotny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881601144 PECOS PAC ID: 9032107313 Enrollment ID: I20100923001394 |
| Provider Name | Mark John Hanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548276256 PECOS PAC ID: 0042336364 Enrollment ID: I20100923001422 |
| Provider Name | Steve Chungsheng Hong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154536530 PECOS PAC ID: 0042336224 Enrollment ID: I20100924000644 |
| Provider Name | Sonya Nichole Ephraim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396992400 PECOS PAC ID: 4284750415 Enrollment ID: I20100924001304 |
| Provider Name | Sikander Hayat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902872104 PECOS PAC ID: 2163548280 Enrollment ID: I20100927000846 |
| Provider Name | Catherine a Ruetten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891744439 PECOS PAC ID: 4183761430 Enrollment ID: I20100929000027 |
| Provider Name | Richard M Flacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407955362 PECOS PAC ID: 8022134865 Enrollment ID: I20100929000641 |
| Provider Name | Karen D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386636090 PECOS PAC ID: 4284826231 Enrollment ID: I20101008000241 |
| Provider Name | R Michael Gulley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316028855 PECOS PAC ID: 5597957316 Enrollment ID: I20101011001207 |
| Provider Name | Elizabeth R Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790802429 PECOS PAC ID: 8325199888 Enrollment ID: I20101014001466 |
| Provider Name | Steven K Schell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578553251 PECOS PAC ID: 0840483301 Enrollment ID: I20101018000503 |
| Provider Name | Srinivas R Puli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326069824 PECOS PAC ID: 7416928593 Enrollment ID: I20101019001417 |
| Provider Name | Cynthia M Waickus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639127459 PECOS PAC ID: 8022201367 Enrollment ID: I20101019001607 |
| Provider Name | Rachel George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639109002 PECOS PAC ID: 7315006376 Enrollment ID: I20101028000079 |
| Provider Name | Diana Goodwine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780840397 PECOS PAC ID: 3173717519 Enrollment ID: I20101029001343 |
| Provider Name | Nikhil R Kalva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255524419 PECOS PAC ID: 9739373093 Enrollment ID: I20101101000036 |
| Provider Name | Eduardo a Iglesias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659538700 PECOS PAC ID: 0648464404 Enrollment ID: I20101105000262 |
| Provider Name | Mohammad Kamel Omari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790715894 PECOS PAC ID: 9335142231 Enrollment ID: I20101108000111 |
| Provider Name | Dionna M Pendleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063668994 PECOS PAC ID: 4183817752 Enrollment ID: I20101112000683 |
| Provider Name | Geetha Dodda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528056181 PECOS PAC ID: 5496762551 Enrollment ID: I20101112000877 |
| Provider Name | Bryan P Tully |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134442213 PECOS PAC ID: 3375738594 Enrollment ID: I20101115000109 |
| Provider Name | Kathryn R Carlovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306030119 PECOS PAC ID: 9638364714 Enrollment ID: I20101115000959 |
| Provider Name | Vikas K Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235349598 PECOS PAC ID: 2668667510 Enrollment ID: I20101117000662 |
| Provider Name | Andrew J Tsung |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760685390 PECOS PAC ID: 2567657414 Enrollment ID: I20101117000672 |
| Provider Name | Robert K Seidl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215046313 PECOS PAC ID: 7810082138 Enrollment ID: I20101117000961 |
| Provider Name | Ketan Morker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275652240 PECOS PAC ID: 7315133022 Enrollment ID: I20101119001144 |
| Provider Name | Iftekhar U Ahmad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164641791 PECOS PAC ID: 5698961357 Enrollment ID: I20101122000200 |
| Provider Name | Angela Zak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073824504 PECOS PAC ID: 9032305495 Enrollment ID: I20101124000305 |
| Provider Name | David W Kelton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821296237 PECOS PAC ID: 2961697917 Enrollment ID: I20101129000345 |
| Provider Name | Adnan a Muhsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942278502 PECOS PAC ID: 2062608177 Enrollment ID: I20101130001339 |
| Provider Name | Gregory D Reckamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649248543 PECOS PAC ID: 8628264645 Enrollment ID: I20101201001298 |
| Provider Name | Shylendra B Sreenivasappa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972706604 PECOS PAC ID: 3476740242 Enrollment ID: I20101206000580 |
| Provider Name | Teresa J Morrell Riech |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336104884 PECOS PAC ID: 0345437158 Enrollment ID: I20101206001052 |
| Provider Name | Gordon W. James |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124158431 PECOS PAC ID: 5991607640 Enrollment ID: I20101208000934 |
| Provider Name | Timothy a Pflederer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154451573 PECOS PAC ID: 9234030586 Enrollment ID: I20101208001035 |
| Provider Name | Anthony C Zalduendo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205844602 PECOS PAC ID: 8123215753 Enrollment ID: I20101208001306 |
| Provider Name | Andreas J Fischer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235139452 PECOS PAC ID: 1355334525 Enrollment ID: I20101210000513 |
| Provider Name | James L Mcgee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245244862 PECOS PAC ID: 2365639754 Enrollment ID: I20101210000754 |
| Provider Name | Brad C White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205810512 PECOS PAC ID: 8325935810 Enrollment ID: I20101214000940 |
| Provider Name | Kirk Michael Bott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376655019 PECOS PAC ID: 3072700129 Enrollment ID: I20101215000385 |
| Provider Name | Kyle W Boerke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225340805 PECOS PAC ID: 0840488862 Enrollment ID: I20101217000099 |
| Provider Name | David L Crawford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306874128 PECOS PAC ID: 0941190490 Enrollment ID: I20101221000112 |
| Provider Name | Harleena K Kendhari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265629760 PECOS PAC ID: 4981892619 Enrollment ID: I20101222000769 |
| Provider Name | Shawna Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508198706 PECOS PAC ID: 4880882398 Enrollment ID: I20101228000799 |
| Provider Name | Mark Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619945193 PECOS PAC ID: 5395933725 Enrollment ID: I20101229000186 |
| Provider Name | Tanveer H Shan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861599342 PECOS PAC ID: 3577751809 Enrollment ID: I20101230000393 |
| Provider Name | David Ulaszek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215912316 PECOS PAC ID: 1254520471 Enrollment ID: I20110104000645 |
| Provider Name | Courtney Shands |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902880362 PECOS PAC ID: 1850288341 Enrollment ID: I20110104000799 |
| Provider Name | Kimberli J Guelde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497726707 PECOS PAC ID: 9133318363 Enrollment ID: I20110104000810 |
| Provider Name | Michael J Mcdonnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467436972 PECOS PAC ID: 9931398179 Enrollment ID: I20110104000843 |
| Provider Name | Matthew Spellman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205810520 PECOS PAC ID: 3274545843 Enrollment ID: I20110105000708 |
| Provider Name | Albert C England |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699782953 PECOS PAC ID: 8921297805 Enrollment ID: I20110107000189 |
| Provider Name | Jeffrey R Desanto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992908586 PECOS PAC ID: 8527131598 Enrollment ID: I20110110000388 |
| Provider Name | Abdulhamid H Alkhalaf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043237035 PECOS PAC ID: 2365471554 Enrollment ID: I20110118000302 |
| Provider Name | Jay M Brooker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235180894 PECOS PAC ID: 5991984999 Enrollment ID: I20110124000297 |
| Provider Name | Michael L Glavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376629741 PECOS PAC ID: 0648459156 Enrollment ID: I20110128000633 |
| Provider Name | Carey L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013226794 PECOS PAC ID: 5193904563 Enrollment ID: I20110201000471 |
| Provider Name | Carole J Eatock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588964712 PECOS PAC ID: 5597945923 Enrollment ID: I20110202000365 |
| Provider Name | Omar Khokhar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386865244 PECOS PAC ID: 9133276728 Enrollment ID: I20110209001099 |
| Provider Name | Nadeem Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376546804 PECOS PAC ID: 9032029848 Enrollment ID: I20110210000486 |
| Provider Name | Victor O Mensah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366657702 PECOS PAC ID: 5496824120 Enrollment ID: I20110211000977 |
| Provider Name | Brenda K Young |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336441047 PECOS PAC ID: 0244410868 Enrollment ID: I20110214000536 |
| Provider Name | Heather L Finnegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417267832 PECOS PAC ID: 1254511793 Enrollment ID: I20110215000992 |
| Provider Name | Brian Ruiz De Luzuriaga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063627370 PECOS PAC ID: 9931252871 Enrollment ID: I20110216001128 |
| Provider Name | Ossama I Ikladios |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316991193 PECOS PAC ID: 7214913573 Enrollment ID: I20110217000083 |
| Provider Name | Fritz Henry Volmar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447351077 PECOS PAC ID: 2668404567 Enrollment ID: I20110217000331 |
| Provider Name | Jaycie N Liebendorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124329206 PECOS PAC ID: 5890976294 Enrollment ID: I20110217000678 |
| Provider Name | Terrence R Loughlin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124141825 PECOS PAC ID: 5991986234 Enrollment ID: I20110221000439 |
| Provider Name | Keattiyoat Wattanakit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407821077 PECOS PAC ID: 9234163544 Enrollment ID: I20110222000539 |
| Provider Name | Imad Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841468394 PECOS PAC ID: 8820140585 Enrollment ID: I20110224000915 |
| Provider Name | Faran Bokhari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508987868 PECOS PAC ID: 1254512056 Enrollment ID: I20110228000531 |
| Provider Name | Arlene J Norris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649484072 PECOS PAC ID: 5991987547 Enrollment ID: I20110303000500 |
| Provider Name | Christina M Pica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750580718 PECOS PAC ID: 8426230830 Enrollment ID: I20110307000518 |
| Provider Name | Sylvia a Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588800700 PECOS PAC ID: 8921280272 Enrollment ID: I20110308001021 |
| Provider Name | Jeremy T Winget |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295060150 PECOS PAC ID: 7214119288 Enrollment ID: I20110311000619 |
| Provider Name | Saif U Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396914065 PECOS PAC ID: 0345422333 Enrollment ID: I20110311000803 |
| Provider Name | Vladimir Strunin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104002690 PECOS PAC ID: 4688856446 Enrollment ID: I20110315000955 |
| Provider Name | Soumiya Prakasam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497914949 PECOS PAC ID: 8527110501 Enrollment ID: I20110321000457 |
| Provider Name | Danielle J Vanderveen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215235007 PECOS PAC ID: 9436332707 Enrollment ID: I20110323000823 |
| Provider Name | Vijay Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992858617 PECOS PAC ID: 8123123353 Enrollment ID: I20110325000625 |
| Provider Name | Anne M Lauterjung |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881614857 PECOS PAC ID: 2668657826 Enrollment ID: I20110503000526 |
| Provider Name | George Ira Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760474225 PECOS PAC ID: 6305811191 Enrollment ID: I20110503000637 |
| Provider Name | Stephanie C Meuser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598062689 PECOS PAC ID: 5092990119 Enrollment ID: I20110504000453 |
| Provider Name | Marcella a Lindstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730175712 PECOS PAC ID: 1052596186 Enrollment ID: I20110504000627 |
| Provider Name | Mohammad Matarbazi Almonajed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164634531 PECOS PAC ID: 6305930744 Enrollment ID: I20110504000732 |
| Provider Name | Joseph Hauter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366673436 PECOS PAC ID: 1456538107 Enrollment ID: I20110606000340 |
| Provider Name | Rachel B Wayne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124311345 PECOS PAC ID: 3971780438 Enrollment ID: I20110609000286 |
| Provider Name | John Buczyna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952352031 PECOS PAC ID: 4082611199 Enrollment ID: I20110609000431 |
| Provider Name | Jessica a Guingrich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639258619 PECOS PAC ID: 2860576550 Enrollment ID: I20110616000315 |
| Provider Name | Steven J Ullenius |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063581882 PECOS PAC ID: 1557444247 Enrollment ID: I20110616000758 |
| Provider Name | Lawrence C Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013086859 PECOS PAC ID: 6002999794 Enrollment ID: I20110621000713 |
| Provider Name | Bradley a Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326127317 PECOS PAC ID: 4587748272 Enrollment ID: I20110622000098 |
| Provider Name | Camille D Dicostanzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306884952 PECOS PAC ID: 5092993022 Enrollment ID: I20110622000471 |
| Provider Name | Teresa a Lane |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417247776 PECOS PAC ID: 7517145436 Enrollment ID: I20110624000097 |
| Provider Name | Eric M Bugaieski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891896189 PECOS PAC ID: 6608788971 Enrollment ID: I20110624000514 |
| Provider Name | Randall S Sutter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518165406 PECOS PAC ID: 3971781238 Enrollment ID: I20110711000323 |
| Provider Name | Marissa D Weaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700110996 PECOS PAC ID: 0941478267 Enrollment ID: I20110712000529 |
| Provider Name | Timir Sudhaker Baman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831230812 PECOS PAC ID: 2062591530 Enrollment ID: I20110718000499 |
| Provider Name | Raj Haribhai Ughreja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982857926 PECOS PAC ID: 9830367788 Enrollment ID: I20110719000749 |
| Provider Name | Steven S Tsoraides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760689764 PECOS PAC ID: 5991973851 Enrollment ID: I20110719000805 |
| Provider Name | Samer M Bashiti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770744831 PECOS PAC ID: 4385812023 Enrollment ID: I20110722000520 |
| Provider Name | Peter Edward Shile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568531382 PECOS PAC ID: 7618145368 Enrollment ID: I20110722000569 |
| Provider Name | Victoria L Steinkoenig |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982997904 PECOS PAC ID: 7214105915 Enrollment ID: I20110725000427 |
| Provider Name | Terrance M Brady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124030705 PECOS PAC ID: 2466364724 Enrollment ID: I20110801000556 |
| Provider Name | Thomas C Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104087394 PECOS PAC ID: 1658540828 Enrollment ID: I20110803000811 |
| Provider Name | Shaun Kurien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285608976 PECOS PAC ID: 2567496581 Enrollment ID: I20110804000452 |
| Provider Name | Ifeanyi Obianyo Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20110808000828 |
| Provider Name | David W Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477717247 PECOS PAC ID: 4789853573 Enrollment ID: I20110812000067 |
| Provider Name | Kenneth W Fraser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194826115 PECOS PAC ID: 6406768795 Enrollment ID: I20110812000672 |
| Provider Name | James L Swischuk |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265501035 PECOS PAC ID: 6103738489 Enrollment ID: I20110812000682 |
| Provider Name | David Gerald Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063673515 PECOS PAC ID: 3870762537 Enrollment ID: I20110815000278 |
| Provider Name | Amanda Joy Ohnesorge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841578143 PECOS PAC ID: 0143499715 Enrollment ID: I20110816000811 |
| Provider Name | Debra L Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578858718 PECOS PAC ID: 0941470017 Enrollment ID: I20110826000741 |
| Provider Name | Brandon R Gumbiner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154583177 PECOS PAC ID: 6305979170 Enrollment ID: I20110829000036 |
| Provider Name | Christopher G Yenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912162314 PECOS PAC ID: 5799955696 Enrollment ID: I20110901000580 |
| Provider Name | Kyle Bertrand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265698450 PECOS PAC ID: 1850424482 Enrollment ID: I20110902000573 |
| Provider Name | Jamie L Plett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033412531 PECOS PAC ID: 0840460655 Enrollment ID: I20110906000513 |
| Provider Name | Valeria C Benavides Lopez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043487192 PECOS PAC ID: 2860662442 Enrollment ID: I20110909002645 |
| Provider Name | Thomas J Shula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760486245 PECOS PAC ID: 4183792567 Enrollment ID: I20110912000709 |
| Provider Name | Holly Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083899710 PECOS PAC ID: 6204918162 Enrollment ID: I20110913000056 |
| Provider Name | Laurel Kietzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336331222 PECOS PAC ID: 7214108273 Enrollment ID: I20110922000662 |
| Provider Name | Nimisha S Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265698914 PECOS PAC ID: 3870765522 Enrollment ID: I20111003000110 |
| Provider Name | Priya Kumaraguru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902062862 PECOS PAC ID: 4385816834 Enrollment ID: I20111006000076 |
| Provider Name | Deepak S Nair |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003019209 PECOS PAC ID: 9032381249 Enrollment ID: I20111012000625 |
| Provider Name | Jeffrey C Benson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851342208 PECOS PAC ID: 1355424060 Enrollment ID: I20111024000320 |
| Provider Name | Maryelizabeth Taylor James |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689817371 PECOS PAC ID: 8224154323 Enrollment ID: I20111026000881 |
| Provider Name | Sarah a Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881974541 PECOS PAC ID: 6305019936 Enrollment ID: I20111027000078 |
| Provider Name | Sunil Arora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609018217 PECOS PAC ID: 8527231091 Enrollment ID: I20111027000722 |
| Provider Name | Rebecca J Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932497922 PECOS PAC ID: 5496929622 Enrollment ID: I20111128000015 |
| Provider Name | Emily Laraine Albright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407942352 PECOS PAC ID: 2163546516 Enrollment ID: I20111130000860 |
| Provider Name | Jeremy R Carrier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871753921 PECOS PAC ID: 5496929473 Enrollment ID: I20111201000472 |
| Provider Name | Alyse C Ringenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578848925 PECOS PAC ID: 4486829306 Enrollment ID: I20111205000462 |
| Provider Name | Megan M San Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558641662 PECOS PAC ID: 9133394646 Enrollment ID: I20111212000883 |
| Provider Name | Meropi I Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457634693 PECOS PAC ID: 6709051055 Enrollment ID: I20111214000874 |
| Provider Name | Steven E Coventry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609942333 PECOS PAC ID: 6002082922 Enrollment ID: I20111227000396 |
| Provider Name | Eric M Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821275074 PECOS PAC ID: 4284800749 Enrollment ID: I20120104000605 |
| Provider Name | Sarah B Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194006635 PECOS PAC ID: 9739355900 Enrollment ID: I20120110000703 |
| Provider Name | Katherine I Carlson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306123757 PECOS PAC ID: 6507033131 Enrollment ID: I20120121000067 |
| Provider Name | Chittaranjan V Reddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992737084 PECOS PAC ID: 4688841232 Enrollment ID: I20120123000186 |
| Provider Name | Abbi D Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437434982 PECOS PAC ID: 3375710874 Enrollment ID: I20120125000062 |
| Provider Name | Mark a Wille |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295969111 PECOS PAC ID: 4981861200 Enrollment ID: I20120128000015 |
| Provider Name | Roland Williby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235439514 PECOS PAC ID: 9234396656 Enrollment ID: I20120213000469 |
| Provider Name | Marco Antonio Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669615241 PECOS PAC ID: 7517125917 Enrollment ID: I20120214000599 |
| Provider Name | Christopher W Nau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104023092 PECOS PAC ID: 6103084926 Enrollment ID: I20120225000084 |
| Provider Name | Amit B Jamnadas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104072305 PECOS PAC ID: 4880852508 Enrollment ID: I20120225000138 |
| Provider Name | Julie a Quam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447527882 PECOS PAC ID: 4789843087 Enrollment ID: I20120306000552 |
| Provider Name | Christine L Kage-willis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013289354 PECOS PAC ID: 7719146810 Enrollment ID: I20120308000848 |
| Provider Name | Christine Fredrickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417967993 PECOS PAC ID: 7810156437 Enrollment ID: I20120316000373 |
| Provider Name | Peter a Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891864625 PECOS PAC ID: 0749192003 Enrollment ID: I20120319000299 |
| Provider Name | Cheryl a Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427353598 PECOS PAC ID: 5092975102 Enrollment ID: I20120328000151 |
| Provider Name | Christopher B Beach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649245564 PECOS PAC ID: 7113187170 Enrollment ID: I20120328000823 |
| Provider Name | Kaninika Verma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265503429 PECOS PAC ID: 1052313889 Enrollment ID: I20120402000619 |
| Provider Name | Tayyaba Irshad |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1629035829 PECOS PAC ID: 5890790430 Enrollment ID: I20120418000675 |
| Provider Name | Jennifer L Dinges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720148281 PECOS PAC ID: 8123289014 Enrollment ID: I20120420000224 |
| Provider Name | Laura K Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023346582 PECOS PAC ID: 0244492981 Enrollment ID: I20120425000815 |
| Provider Name | Mark Kellen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023178647 PECOS PAC ID: 3577725134 Enrollment ID: I20120427000472 |
| Provider Name | Ernest W Waintraub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740454552 PECOS PAC ID: 2860673449 Enrollment ID: I20120514000660 |
| Provider Name | Richard Todd Kerr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881662385 PECOS PAC ID: 5395908008 Enrollment ID: I20120516000423 |
| Provider Name | Neelofer Shafi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316104813 PECOS PAC ID: 3971782194 Enrollment ID: I20120517000155 |
| Provider Name | Amanda M Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376829010 PECOS PAC ID: 4981867595 Enrollment ID: I20120518000071 |
| Provider Name | Lisa F Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124302435 PECOS PAC ID: 9931362480 Enrollment ID: I20120518000577 |
| Provider Name | Tarak R Chokshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235190216 PECOS PAC ID: 4183659105 Enrollment ID: I20120522001208 |
| Provider Name | Susie M White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851661862 PECOS PAC ID: 1355505371 Enrollment ID: I20120604000072 |
| Provider Name | Kathleen F Schlack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821369596 PECOS PAC ID: 0547424509 Enrollment ID: I20120604000515 |
| Provider Name | Kristin a Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174772552 PECOS PAC ID: 5496823148 Enrollment ID: I20120613000363 |
| Provider Name | Neal D Rushforth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811121361 PECOS PAC ID: 3577727874 Enrollment ID: I20120618000694 |
| Provider Name | Tamara D Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811274756 PECOS PAC ID: 9133383342 Enrollment ID: I20120619000183 |
| Provider Name | Carrie N Stalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982914834 PECOS PAC ID: 7012171101 Enrollment ID: I20120621000597 |
| Provider Name | Audra J Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760630420 PECOS PAC ID: 2062579113 Enrollment ID: I20120622000492 |
| Provider Name | Jon P Strotkamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336315761 PECOS PAC ID: 4486827235 Enrollment ID: I20120626000313 |
| Provider Name | Nastane Le Bec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518123843 PECOS PAC ID: 0042475915 Enrollment ID: I20120626000642 |
| Provider Name | Tammy S Neys |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720353691 PECOS PAC ID: 6507022761 Enrollment ID: I20120717000134 |
| Provider Name | Emmanuel a Amulraj |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407005176 PECOS PAC ID: 9335305820 Enrollment ID: I20120727000611 |
| Provider Name | Kristen a Chambers Damm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447485693 PECOS PAC ID: 7113183534 Enrollment ID: I20120730000184 |
| Provider Name | Henry a San German |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205928397 PECOS PAC ID: 6507020336 Enrollment ID: I20120731000578 |
| Provider Name | Regina N Wan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306117213 PECOS PAC ID: 4688820673 Enrollment ID: I20120807000549 |
| Provider Name | Suresh Alla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134339203 PECOS PAC ID: 3274426655 Enrollment ID: I20120808000514 |
| Provider Name | Naser M Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437270253 PECOS PAC ID: 0244338317 Enrollment ID: I20120808000544 |
| Provider Name | Leon J Wise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023221926 PECOS PAC ID: 3072777101 Enrollment ID: I20120809000493 |
| Provider Name | Xu Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558577460 PECOS PAC ID: 7012058209 Enrollment ID: I20120820000649 |
| Provider Name | Thomas Hernandez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851513089 PECOS PAC ID: 7618124975 Enrollment ID: I20120822000340 |
| Provider Name | Gillian M Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174782437 PECOS PAC ID: 2961659057 Enrollment ID: I20120824000186 |
| Provider Name | Kimberly L French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962757799 PECOS PAC ID: 4385891357 Enrollment ID: I20120827000335 |
| Provider Name | Marc D Knepp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568686277 PECOS PAC ID: 0446421960 Enrollment ID: I20120828000835 |
| Provider Name | John H Plescia |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366671463 PECOS PAC ID: 5799933123 Enrollment ID: I20120910000701 |
| Provider Name | Chrissa Summers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881952646 PECOS PAC ID: 6103074547 Enrollment ID: I20120910000774 |
| Provider Name | Rachel M Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659632958 PECOS PAC ID: 4981852324 Enrollment ID: I20120910000818 |
| Provider Name | Angela M Vezzetti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699005678 PECOS PAC ID: 3971751272 Enrollment ID: I20120911000638 |
| Provider Name | Erika D Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932340247 PECOS PAC ID: 8123164746 Enrollment ID: I20120917000680 |
| Provider Name | Kumarpal C Shrishrimal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023217551 PECOS PAC ID: 7416049853 Enrollment ID: I20120919000832 |
| Provider Name | Anastasia Lvovna Khoubaeva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053643106 PECOS PAC ID: 7214185933 Enrollment ID: I20120920000710 |
| Provider Name | Ami M Dose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548429509 PECOS PAC ID: 1759539406 Enrollment ID: I20120921000155 |
| Provider Name | John M Rinker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316173636 PECOS PAC ID: 4082862750 Enrollment ID: I20120921000436 |
| Provider Name | Peter Mauricio Arrazola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245473057 PECOS PAC ID: 5092964304 Enrollment ID: I20121002000337 |
| Provider Name | Syed Haq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063655686 PECOS PAC ID: 8820247034 Enrollment ID: I20121003000736 |
| Provider Name | Rebecca a Sierra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417186420 PECOS PAC ID: 8123277340 Enrollment ID: I20121003000836 |
| Provider Name | Annevay D Conlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053540237 PECOS PAC ID: 9537318753 Enrollment ID: I20121003000887 |
| Provider Name | Catherine Beratio Nullmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629200753 PECOS PAC ID: 2163671090 Enrollment ID: I20121009000247 |
| Provider Name | Jennifer L Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972732246 PECOS PAC ID: 7012166861 Enrollment ID: I20121011000203 |
| Provider Name | Henry Lawrence a Dumbab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841495785 PECOS PAC ID: 5294984969 Enrollment ID: I20121012000754 |
| Provider Name | Mary C Baldauf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447271911 PECOS PAC ID: 3779569165 Enrollment ID: I20121015000710 |
| Provider Name | Harshad M Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407930100 PECOS PAC ID: 1951205566 Enrollment ID: I20121017000253 |
| Provider Name | Molly M Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114187705 PECOS PAC ID: 3173773603 Enrollment ID: I20121018000576 |
| Provider Name | Lindsay a Jin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598096190 PECOS PAC ID: 5092965558 Enrollment ID: I20121019000133 |
| Provider Name | Kavitha Kalvakuri-meduru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780811513 PECOS PAC ID: 9931359312 Enrollment ID: I20121019000458 |
| Provider Name | Jennifer L Besse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043536204 PECOS PAC ID: 8729238837 Enrollment ID: I20121026000308 |
| Provider Name | Patricia a Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104171529 PECOS PAC ID: 5597915595 Enrollment ID: I20121029000660 |
| Provider Name | Charles J Aprahamian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033323902 PECOS PAC ID: 0244481059 Enrollment ID: I20121102000435 |
| Provider Name | Mohammed M Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679703797 PECOS PAC ID: 4789835331 Enrollment ID: I20121108000332 |
| Provider Name | Julie E Ashbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114051455 PECOS PAC ID: 7517118060 Enrollment ID: I20121110000207 |
| Provider Name | Guoxiang Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295946580 PECOS PAC ID: 6204087638 Enrollment ID: I20121113000378 |
| Provider Name | Anne Catherine Risk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871754309 PECOS PAC ID: 8022269364 Enrollment ID: I20121113000624 |
| Provider Name | Dana M Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275881385 PECOS PAC ID: 7416109343 Enrollment ID: I20121128000635 |
| Provider Name | Jessica L White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902048986 PECOS PAC ID: 8224280862 Enrollment ID: I20121206000299 |
| Provider Name | Deepak Taneja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841492394 PECOS PAC ID: 3779679766 Enrollment ID: I20121206000544 |
| Provider Name | Jessica L Johann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083962500 PECOS PAC ID: 6002068558 Enrollment ID: I20121206000583 |
| Provider Name | Mussarat J Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225266422 PECOS PAC ID: 6901058460 Enrollment ID: I20121206000602 |
| Provider Name | Heather R Brenart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164777835 PECOS PAC ID: 7810149267 Enrollment ID: I20121211000038 |
| Provider Name | Cheryl a Carmack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851640825 PECOS PAC ID: 2163674466 Enrollment ID: I20121213000313 |
| Provider Name | Sidney a Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447411509 PECOS PAC ID: 8022261023 Enrollment ID: I20121226000049 |
| Provider Name | Lylla Shahab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114214145 PECOS PAC ID: 4486826518 Enrollment ID: I20121228000199 |
| Provider Name | Katherine R Ford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073869475 PECOS PAC ID: 1951554856 Enrollment ID: I20121228000336 |
| Provider Name | Megan M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760730576 PECOS PAC ID: 3779736673 Enrollment ID: I20121228000338 |
| Provider Name | Holly Swisher |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316294648 PECOS PAC ID: 3779736277 Enrollment ID: I20130111000481 |
| Provider Name | Jenny L Gaworski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942551312 PECOS PAC ID: 6901059419 Enrollment ID: I20130114000076 |
| Provider Name | John Millichap |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225211600 PECOS PAC ID: 4688827009 Enrollment ID: I20130116000187 |
| Provider Name | Andrea C Sheley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063768513 PECOS PAC ID: 7315190550 Enrollment ID: I20130121000084 |
| Provider Name | Qamar U Saleheen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194700567 PECOS PAC ID: 4082620190 Enrollment ID: I20130121000205 |
| Provider Name | Bharat a Motwani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902885445 PECOS PAC ID: 1355375742 Enrollment ID: I20130130000186 |
| Provider Name | Megan M Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598019010 PECOS PAC ID: 2769636547 Enrollment ID: I20130201000214 |
| Provider Name | Diana E Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043554918 PECOS PAC ID: 4587818091 Enrollment ID: I20130211000261 |
| Provider Name | Rebecca Wigant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528318128 PECOS PAC ID: 9234383621 Enrollment ID: I20130212000535 |
| Provider Name | Denise M Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699002709 PECOS PAC ID: 6103070370 Enrollment ID: I20130218000238 |
| Provider Name | Mindy M Nesemeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518218361 PECOS PAC ID: 7315192531 Enrollment ID: I20130219000290 |
| Provider Name | Andrew Lee Vincent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487974424 PECOS PAC ID: 7113172339 Enrollment ID: I20130219000303 |
| Provider Name | Danielle E Beer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114271905 PECOS PAC ID: 0648425694 Enrollment ID: I20130225000277 |
| Provider Name | Colleen R Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154674380 PECOS PAC ID: 8325293970 Enrollment ID: I20130305000123 |
| Provider Name | Michelle M Prince |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841264454 PECOS PAC ID: 0244287332 Enrollment ID: I20130326000084 |
| Provider Name | Jennifer Marie Uphoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487993390 PECOS PAC ID: 3870738479 Enrollment ID: I20130403000076 |
| Provider Name | Jessica L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518202373 PECOS PAC ID: 6103061635 Enrollment ID: I20130403000550 |
| Provider Name | Kayla a Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659620342 PECOS PAC ID: 3678718145 Enrollment ID: I20130404000232 |
| Provider Name | Colleen S Cushing Ragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073804217 PECOS PAC ID: 4981849387 Enrollment ID: I20130405000061 |
| Provider Name | Mohammed Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639456122 PECOS PAC ID: 8729224720 Enrollment ID: I20130417000630 |
| Provider Name | Rehan Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356511901 PECOS PAC ID: 9739357179 Enrollment ID: I20130502000308 |
| Provider Name | Diana L Lowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144347717 PECOS PAC ID: 7012015332 Enrollment ID: I20130503000134 |
| Provider Name | Mohammed Sabit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992918577 PECOS PAC ID: 0143467407 Enrollment ID: I20130506000530 |
| Provider Name | David Vallejo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699085381 PECOS PAC ID: 2466699541 Enrollment ID: I20130508000640 |
| Provider Name | Jessica Bara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457698961 PECOS PAC ID: 6305083155 Enrollment ID: I20130515000087 |
| Provider Name | Kaleena D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679919542 PECOS PAC ID: 9133366735 Enrollment ID: I20130517000345 |
| Provider Name | Steven R Evelhoch |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972667160 PECOS PAC ID: 0143273201 Enrollment ID: I20130522000164 |
| Provider Name | Cynthia L Bednarchik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801231741 PECOS PAC ID: 3274771654 Enrollment ID: I20130523000581 |
| Provider Name | Carole L Vilchis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568703593 PECOS PAC ID: 2668610916 Enrollment ID: I20130529000330 |
| Provider Name | Ginny L Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487883831 PECOS PAC ID: 3779721808 Enrollment ID: I20130601000088 |
| Provider Name | Syed Rafe Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285949800 PECOS PAC ID: 2961641659 Enrollment ID: I20130610000109 |
| Provider Name | Adam Kyle Jelinek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912251653 PECOS PAC ID: 0547409880 Enrollment ID: I20130618000733 |
| Provider Name | Sudha Cherukuri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629126222 PECOS PAC ID: 8527126051 Enrollment ID: I20130621000453 |
| Provider Name | Venkata R Dodda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013194042 PECOS PAC ID: 9638319429 Enrollment ID: I20130627000578 |
| Provider Name | Trisha C Stetzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932449345 PECOS PAC ID: 8921248741 Enrollment ID: I20130627000811 |
| Provider Name | Leticia Mota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699011189 PECOS PAC ID: 4880834621 Enrollment ID: I20130628000182 |
| Provider Name | Jessica E Garceau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194161992 PECOS PAC ID: 5092955781 Enrollment ID: I20130628000760 |
| Provider Name | Ashvarya Mangla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457580680 PECOS PAC ID: 6305086059 Enrollment ID: I20130701000621 |
| Provider Name | Mary E Stapel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891922571 PECOS PAC ID: 8426298977 Enrollment ID: I20130708000049 |
| Provider Name | Pratip K. Nag |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437261963 PECOS PAC ID: 9335148386 Enrollment ID: I20130712000430 |
| Provider Name | Jeffrey Earhart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124284898 PECOS PAC ID: 6800051004 Enrollment ID: I20130715000059 |
| Provider Name | Samuel a Sears |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689994162 PECOS PAC ID: 1557501665 Enrollment ID: I20130715000374 |
| Provider Name | Jonathan Garlovsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801058979 PECOS PAC ID: 6103066188 Enrollment ID: I20130716000450 |
| Provider Name | Imran L Balouch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467783290 PECOS PAC ID: 2668503442 Enrollment ID: I20130717000424 |
| Provider Name | Amy J Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396183786 PECOS PAC ID: 0749421642 Enrollment ID: I20130718000287 |
| Provider Name | Sarah E Hyde |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548508187 PECOS PAC ID: 3173764024 Enrollment ID: I20130719000051 |
| Provider Name | Sarojini Kamaraju Ratnakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679524672 PECOS PAC ID: 2466410279 Enrollment ID: I20130723000398 |
| Provider Name | Sharon M Damron |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841638855 PECOS PAC ID: 2567603160 Enrollment ID: I20130724000479 |
| Provider Name | Justin J Holschbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623330 PECOS PAC ID: 7315188943 Enrollment ID: I20130724000786 |
| Provider Name | Mauro Vido Montevecchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871770537 PECOS PAC ID: 4082877154 Enrollment ID: I20130725000945 |
| Provider Name | Dawn K Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901536 PECOS PAC ID: 1951542281 Enrollment ID: I20130729000449 |
| Provider Name | Daniel K Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578874293 PECOS PAC ID: 1254572480 Enrollment ID: I20130730000654 |
| Provider Name | Hani E Habal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912101684 PECOS PAC ID: 4880835032 Enrollment ID: I20130730000888 |
| Provider Name | Eyad Karzoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649470196 PECOS PAC ID: 2466693403 Enrollment ID: I20130802000270 |
| Provider Name | Diana L Warnecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396183687 PECOS PAC ID: 8921240821 Enrollment ID: I20130806000090 |
| Provider Name | Anne Celner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992057251 PECOS PAC ID: 3577705490 Enrollment ID: I20130806000242 |
| Provider Name | Don C Arnold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457501926 PECOS PAC ID: 7517137995 Enrollment ID: I20130807000388 |
| Provider Name | Cecilia a Albaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497879290 PECOS PAC ID: 4284876004 Enrollment ID: I20130807000662 |
| Provider Name | Rhonda C Schiestel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386947026 PECOS PAC ID: 3870735426 Enrollment ID: I20130809000419 |
| Provider Name | James B Mikeworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790927309 PECOS PAC ID: 2567604135 Enrollment ID: I20130809000734 |
| Provider Name | M Bassel Atassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689876328 PECOS PAC ID: 3577705011 Enrollment ID: I20130812000766 |
| Provider Name | James Rybak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801042700 PECOS PAC ID: 6103068564 Enrollment ID: I20130814000394 |
| Provider Name | Mohammed S Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942466545 PECOS PAC ID: 9830331206 Enrollment ID: I20130814000516 |
| Provider Name | Ashley E Messmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669818415 PECOS PAC ID: 8820230097 Enrollment ID: I20130819000215 |
| Provider Name | Manpreet Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316233265 PECOS PAC ID: 8820230915 Enrollment ID: I20130820000987 |
| Provider Name | Douglas J Kasper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447414008 PECOS PAC ID: 8820231855 Enrollment ID: I20130823000528 |
| Provider Name | Benjamin J Richter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053658377 PECOS PAC ID: 8022252253 Enrollment ID: I20130910000212 |
| Provider Name | Sharjeel Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568672426 PECOS PAC ID: 7315072014 Enrollment ID: I20130918000440 |
| Provider Name | Laura E James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477985547 PECOS PAC ID: 8729212089 Enrollment ID: I20130930000278 |
| Provider Name | Mark E Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023237476 PECOS PAC ID: 2769616853 Enrollment ID: I20131003000046 |
| Provider Name | Kristin M Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437499803 PECOS PAC ID: 6901030931 Enrollment ID: I20131007001292 |
| Provider Name | Hamid R Sagha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265644371 PECOS PAC ID: 2860568904 Enrollment ID: I20131008000379 |
| Provider Name | Karna D Sherwood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619105293 PECOS PAC ID: 9638303472 Enrollment ID: I20131009001426 |
| Provider Name | Robin a Alley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659689461 PECOS PAC ID: 8325272834 Enrollment ID: I20131015001924 |
| Provider Name | Brian Sellers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518288547 PECOS PAC ID: 8729213194 Enrollment ID: I20131022000000 |
| Provider Name | Chandra a Norder Brandli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932532009 PECOS PAC ID: 2567697683 Enrollment ID: I20131028000172 |
| Provider Name | Sidra M Bhutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326358748 PECOS PAC ID: 8921233073 Enrollment ID: I20131028001271 |
| Provider Name | Rachael M Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902110265 PECOS PAC ID: 9436384443 Enrollment ID: I20131029001402 |
| Provider Name | Amy K Hill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609213628 PECOS PAC ID: 3577798453 Enrollment ID: I20131030001739 |
| Provider Name | Udit Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750619672 PECOS PAC ID: 0143415836 Enrollment ID: I20131105000646 |
| Provider Name | Julie a Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750716734 PECOS PAC ID: 8123253812 Enrollment ID: I20131105001750 |
| Provider Name | George L Trilikis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891958757 PECOS PAC ID: 4082766993 Enrollment ID: I20131106000711 |
| Provider Name | Etai Goldenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669663605 PECOS PAC ID: 6901055854 Enrollment ID: I20131108000881 |
| Provider Name | Jeffrey Loeb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200025 PECOS PAC ID: 0446263677 Enrollment ID: I20131111000205 |
| Provider Name | Mary M Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972944510 PECOS PAC ID: 3375779895 Enrollment ID: I20131111001268 |
| Provider Name | Sushmita N Prathipati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740581776 PECOS PAC ID: 7113153537 Enrollment ID: I20131113000919 |
| Provider Name | Jacquelyn M Herbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922436682 PECOS PAC ID: 1850527169 Enrollment ID: I20131114002039 |
| Provider Name | Hamid K Nazeer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215148002 PECOS PAC ID: 0648441543 Enrollment ID: I20131118000870 |
| Provider Name | Karechia N Chagoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699112508 PECOS PAC ID: 6406082635 Enrollment ID: I20131118001868 |
| Provider Name | Mackenzie C Mcgee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407010333 PECOS PAC ID: 3870729601 Enrollment ID: I20131126000751 |
| Provider Name | Stacia Langan Sackmaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912330895 PECOS PAC ID: 3870729247 Enrollment ID: I20131126001328 |
| Provider Name | Frank W Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104069277 PECOS PAC ID: 6204062854 Enrollment ID: I20131204000514 |
| Provider Name | Corrie E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689000424 PECOS PAC ID: 2365679982 Enrollment ID: I20131205000897 |
| Provider Name | Divyesh N Morker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629399399 PECOS PAC ID: 6800023219 Enrollment ID: I20131210001508 |
| Provider Name | Shital R Ughreja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467766253 PECOS PAC ID: 4880821172 Enrollment ID: I20131211001935 |
| Provider Name | Jennifer Durst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902236623 PECOS PAC ID: 4284861394 Enrollment ID: I20131217001642 |
| Provider Name | Timothy J Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508893595 PECOS PAC ID: 2567434384 Enrollment ID: I20131223000150 |
| Provider Name | Christine E Hermosillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838862 PECOS PAC ID: 7911134770 Enrollment ID: I20131226001054 |
| Provider Name | Melissa Renee Stockton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1922362052 PECOS PAC ID: 6800023516 Enrollment ID: I20131227001568 |
| Provider Name | Jailson S Nascimento |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881912392 PECOS PAC ID: 8426285131 Enrollment ID: I20131227001605 |
| Provider Name | Nicholas Holwey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093143869 PECOS PAC ID: 3779711452 Enrollment ID: I20140103000219 |
| Provider Name | Angella M Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437586096 PECOS PAC ID: 4385872670 Enrollment ID: I20140113001047 |
| Provider Name | Taariq a Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437445202 PECOS PAC ID: 6709014012 Enrollment ID: I20140114000000 |
| Provider Name | Sheila R Feaster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972739548 PECOS PAC ID: 2264660125 Enrollment ID: I20140122001953 |
| Provider Name | Jacqueline R Kaufman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679872477 PECOS PAC ID: 3779712500 Enrollment ID: I20140127001416 |
| Provider Name | Kirsten D Clerkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730515578 PECOS PAC ID: 4789813478 Enrollment ID: I20140128001895 |
| Provider Name | Jennifer a Berkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295088391 PECOS PAC ID: 2062641723 Enrollment ID: I20140129001866 |
| Provider Name | Shelley a Scaff- Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801148416 PECOS PAC ID: 2769611334 Enrollment ID: I20140130000494 |
| Provider Name | Stephan W Shane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447332424 PECOS PAC ID: 4183787336 Enrollment ID: I20140131001139 |
| Provider Name | Sarah E. Dominique |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114348620 PECOS PAC ID: 4385873710 Enrollment ID: I20140206000694 |
| Provider Name | Melanie a Reeves |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144564188 PECOS PAC ID: 0042449332 Enrollment ID: I20140207001208 |
| Provider Name | Victor W Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942596192 PECOS PAC ID: 1951530963 Enrollment ID: I20140213001455 |
| Provider Name | Wendy Carlton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538582572 PECOS PAC ID: 4587894183 Enrollment ID: I20140227000552 |
| Provider Name | Monica a Joseph-griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326112277 PECOS PAC ID: 8729218359 Enrollment ID: I20140227001532 |
| Provider Name | Jack S Harweger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396170205 PECOS PAC ID: 1153388087 Enrollment ID: I20140311001642 |
| Provider Name | Carolyn Ann Calhoun |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811326317 PECOS PAC ID: 3375773336 Enrollment ID: I20140313001135 |
| Provider Name | Raji Jacob |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538325477 PECOS PAC ID: 3678606258 Enrollment ID: I20140318000805 |
| Provider Name | Nicole Emily Nyberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841615770 PECOS PAC ID: 9436381514 Enrollment ID: I20140404000759 |
| Provider Name | Kelsey a Newman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609205806 PECOS PAC ID: 2163653874 Enrollment ID: I20140409000933 |
| Provider Name | Michele Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659701704 PECOS PAC ID: 4284866856 Enrollment ID: I20140414000629 |
| Provider Name | Kristine M Papis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669897930 PECOS PAC ID: 2769614023 Enrollment ID: I20140421000710 |
| Provider Name | Sarah Dutta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083648240 PECOS PAC ID: 5193621811 Enrollment ID: I20140421001972 |
| Provider Name | Melissa J Joos |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821234238 PECOS PAC ID: 4789816992 Enrollment ID: I20140422000537 |
| Provider Name | Kelsey B Wickenhauser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972849321 PECOS PAC ID: 1153575287 Enrollment ID: I20140425000878 |
| Provider Name | Daniel P Montemayor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922394121 PECOS PAC ID: 3274766175 Enrollment ID: I20140430000498 |
| Provider Name | Heather M Mclauchlan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356319479 PECOS PAC ID: 1850524281 Enrollment ID: I20140508002095 |
| Provider Name | Linda S Jennette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891110532 PECOS PAC ID: 0244463685 Enrollment ID: I20140509000123 |
| Provider Name | Matthew T Wilson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295045425 PECOS PAC ID: 6204069693 Enrollment ID: I20140509001614 |
| Provider Name | Austin J Lamb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013202530 PECOS PAC ID: 2062645468 Enrollment ID: I20140509001809 |
| Provider Name | Vivian C Lau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437443777 PECOS PAC ID: 1456584788 Enrollment ID: I20140512001079 |
| Provider Name | Stephanie J Kok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740575976 PECOS PAC ID: 7911120282 Enrollment ID: I20140514001924 |
| Provider Name | Melissa G Kulp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232489 PECOS PAC ID: 4587887716 Enrollment ID: I20140515001549 |
| Provider Name | Zlatina G Manov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477701639 PECOS PAC ID: 3072762251 Enrollment ID: I20140515001820 |
| Provider Name | George C Tannous |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710140041 PECOS PAC ID: 1153544929 Enrollment ID: I20140523000438 |
| Provider Name | David E Lieberman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922046747 PECOS PAC ID: 2264445451 Enrollment ID: I20140524000147 |
| Provider Name | Larry V Najera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962638494 PECOS PAC ID: 0143443812 Enrollment ID: I20140527001619 |
| Provider Name | Sheila Y Standfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033537352 PECOS PAC ID: 5193948719 Enrollment ID: I20140528001575 |
| Provider Name | Peter S Cenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245526250 PECOS PAC ID: 3476776915 Enrollment ID: I20140602000441 |
| Provider Name | Audra L Rushforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877407 PECOS PAC ID: 4385867845 Enrollment ID: I20140602001234 |
| Provider Name | Mary a Harvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215037890 PECOS PAC ID: 9830312271 Enrollment ID: I20140603001552 |
| Provider Name | Jane H Maksimovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184828360 PECOS PAC ID: 6507012036 Enrollment ID: I20140613000119 |
| Provider Name | Stephanie a Woodfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609294297 PECOS PAC ID: 0244454189 Enrollment ID: I20140614000000 |
| Provider Name | Eric Richard Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245323005 PECOS PAC ID: 8123242070 Enrollment ID: I20140616000342 |
| Provider Name | Fahad M Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285848291 PECOS PAC ID: 1759438963 Enrollment ID: I20140616001505 |
| Provider Name | John E Player |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285965905 PECOS PAC ID: 9931235801 Enrollment ID: I20140616001777 |
| Provider Name | Heather Lynn Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306273685 PECOS PAC ID: 9234353780 Enrollment ID: I20140624001381 |
| Provider Name | Bryce Andrew Paschold |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003103045 PECOS PAC ID: 2961627252 Enrollment ID: I20140630000519 |
| Provider Name | James P Maletich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235426826 PECOS PAC ID: 5496984627 Enrollment ID: I20140702000408 |
| Provider Name | Alejandro Marchini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740326719 PECOS PAC ID: 1052536091 Enrollment ID: I20140707000606 |
| Provider Name | Kathleen J Hagenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053649574 PECOS PAC ID: 5991920860 Enrollment ID: I20140709000740 |
| Provider Name | Anna L Cicciarelli |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942557285 PECOS PAC ID: 3375778905 Enrollment ID: I20140710001526 |
| Provider Name | Emilee J Bocker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265726327 PECOS PAC ID: 8628293495 Enrollment ID: I20140710002391 |
| Provider Name | Charles Arthur Ambelang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477718377 PECOS PAC ID: 6800039413 Enrollment ID: I20140711001467 |
| Provider Name | Robert Arthur Kinzinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225287428 PECOS PAC ID: 7517100845 Enrollment ID: I20140714000731 |
| Provider Name | Sumeet K Tewani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154597284 PECOS PAC ID: 1456576016 Enrollment ID: I20140715002598 |
| Provider Name | Jilma L Patrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497980452 PECOS PAC ID: 0446475032 Enrollment ID: I20140716001161 |
| Provider Name | Melvy Sarah Mathew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437312477 PECOS PAC ID: 6103066758 Enrollment ID: I20140717002057 |
| Provider Name | Konrad a Bienia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538329677 PECOS PAC ID: 5799901153 Enrollment ID: I20140722000598 |
| Provider Name | Brittany M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275958373 PECOS PAC ID: 9436375755 Enrollment ID: I20140723000655 |
| Provider Name | Venkat R Kakollu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447681044 PECOS PAC ID: 7315163565 Enrollment ID: I20140723001822 |
| Provider Name | Michelle F Keutzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295841310 PECOS PAC ID: 9032102850 Enrollment ID: I20140725000000 |
| Provider Name | William C Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679904858 PECOS PAC ID: 9133345127 Enrollment ID: I20140728002663 |
| Provider Name | Wendy O Olson Padilla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871752501 PECOS PAC ID: 6507082476 Enrollment ID: I20140730000195 |
| Provider Name | Jessica a Tonozzi Kinzinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447424791 PECOS PAC ID: 1951570480 Enrollment ID: I20140806001381 |
| Provider Name | Karen T Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821411208 PECOS PAC ID: 4880811066 Enrollment ID: I20140812001288 |
| Provider Name | Jay T Rohde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457671745 PECOS PAC ID: 3274750237 Enrollment ID: I20140814001881 |
| Provider Name | Angela C Onion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447586052 PECOS PAC ID: 5698992659 Enrollment ID: I20140814002026 |
| Provider Name | Thomas M Graney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447664099 PECOS PAC ID: 9436376407 Enrollment ID: I20140814002294 |
| Provider Name | Ashok K Maini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184910325 PECOS PAC ID: 6901023779 Enrollment ID: I20140819001476 |
| Provider Name | Kelly M Skender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265660716 PECOS PAC ID: 3072731793 Enrollment ID: I20140821001559 |
| Provider Name | Josia Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063709236 PECOS PAC ID: 9537388343 Enrollment ID: I20140909002563 |
| Provider Name | Jennifer M Mool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396150280 PECOS PAC ID: 3779702212 Enrollment ID: I20140916002122 |
| Provider Name | Adrian Zhubi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861634990 PECOS PAC ID: 9032338009 Enrollment ID: I20140924001424 |
| Provider Name | Colette a Lehn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336589514 PECOS PAC ID: 1355560327 Enrollment ID: I20140924001566 |
| Provider Name | Danielle Pagano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760891766 PECOS PAC ID: 5395965016 Enrollment ID: I20141001001041 |
| Provider Name | Jessica B Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396144846 PECOS PAC ID: 5193945657 Enrollment ID: I20141003001332 |
| Provider Name | Justine E Mucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659771863 PECOS PAC ID: 6305066754 Enrollment ID: I20141007000325 |
| Provider Name | Susan Marie Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396144663 PECOS PAC ID: 3870713233 Enrollment ID: I20141007000613 |
| Provider Name | Martine a Schultheis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275829178 PECOS PAC ID: 4587804612 Enrollment ID: I20141009000437 |
| Provider Name | Lynnette a Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225260920 PECOS PAC ID: 0749400844 Enrollment ID: I20141010002295 |
| Provider Name | Ehab El-khabiry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023306230 PECOS PAC ID: 7113148131 Enrollment ID: I20141016000609 |
| Provider Name | Farhana a Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215184353 PECOS PAC ID: 5193871655 Enrollment ID: I20141016001795 |
| Provider Name | Stephanie Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710380258 PECOS PAC ID: 9830310473 Enrollment ID: I20141023000220 |
| Provider Name | Kristin N Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578964987 PECOS PAC ID: 9032330683 Enrollment ID: I20141023000599 |
| Provider Name | Anthony J Buecker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043504368 PECOS PAC ID: 0648491118 Enrollment ID: I20141027000586 |
| Provider Name | Ashley R Frerichs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982024394 PECOS PAC ID: 0547481921 Enrollment ID: I20141028002789 |
| Provider Name | April K Phillips Nohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427451624 PECOS PAC ID: 2567683725 Enrollment ID: I20141031002070 |
| Provider Name | Emily K Mckenna |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184026940 PECOS PAC ID: 9032331095 Enrollment ID: I20141107000835 |
| Provider Name | Muhammad Asad Ali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891750543 PECOS PAC ID: 5395967277 Enrollment ID: I20141108000068 |
| Provider Name | Aman Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073568259 PECOS PAC ID: 9537180633 Enrollment ID: I20141113000685 |
| Provider Name | Marissa C Myres |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073917258 PECOS PAC ID: 4789806308 Enrollment ID: I20141117000467 |
| Provider Name | Keli Elayne Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639571458 PECOS PAC ID: 5395967863 Enrollment ID: I20141118000790 |
| Provider Name | Mohamed M Abou Rayan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639356447 PECOS PAC ID: 9830361559 Enrollment ID: I20141119001073 |
| Provider Name | Michele M Toney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578966594 PECOS PAC ID: 5395967764 Enrollment ID: I20141119002092 |
| Provider Name | Kathleen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992109755 PECOS PAC ID: 7719209956 Enrollment ID: I20141125001735 |
| Provider Name | Lauren M Petoskey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285037929 PECOS PAC ID: 6507188638 Enrollment ID: I20141201001071 |
| Provider Name | Jennifer a Vissering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770983181 PECOS PAC ID: 0648592642 Enrollment ID: I20141202001421 |
| Provider Name | Linda M Schmidgall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003219932 PECOS PAC ID: 1254653207 Enrollment ID: I20141203000446 |
| Provider Name | Francisco a Quinteros |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427206689 PECOS PAC ID: 8022330968 Enrollment ID: I20141204001886 |
| Provider Name | Courtney Lockhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952689259 PECOS PAC ID: 0547582017 Enrollment ID: I20141211001972 |
| Provider Name | Amy L Mefford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164416012 PECOS PAC ID: 5092037499 Enrollment ID: I20141212001508 |
| Provider Name | Carissa R Gorham |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407259559 PECOS PAC ID: 8628391901 Enrollment ID: I20141217000703 |
| Provider Name | Mark D Plunkett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518991074 PECOS PAC ID: 2163591603 Enrollment ID: I20141218002207 |
| Provider Name | Mazen Hadid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477704252 PECOS PAC ID: 8527381508 Enrollment ID: I20141223001867 |
| Provider Name | Nausheen Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322215 PECOS PAC ID: 5991861312 Enrollment ID: I20141224000668 |
| Provider Name | Jennifer a Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336546969 PECOS PAC ID: 5890018824 Enrollment ID: I20141226000551 |
| Provider Name | Sharie M Harden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104821446 PECOS PAC ID: 3274856026 Enrollment ID: I20141230002584 |
| Provider Name | Athar M Saeed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639348881 PECOS PAC ID: 6204057177 Enrollment ID: I20150106002228 |
| Provider Name | Kristi N Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508181702 PECOS PAC ID: 9234453713 Enrollment ID: I20150112001454 |
| Provider Name | Mara K Arakelian |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437594314 PECOS PAC ID: 4082939699 Enrollment ID: I20150202001095 |
| Provider Name | Tamra J Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588066427 PECOS PAC ID: 4284959800 Enrollment ID: I20150202001470 |
| Provider Name | Korte Benjamin Knoblauch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598153512 PECOS PAC ID: 1456676618 Enrollment ID: I20150210000617 |
| Provider Name | Nicole M Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013319623 PECOS PAC ID: 7113242058 Enrollment ID: I20150217000945 |
| Provider Name | Jill Palko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093033011 PECOS PAC ID: 0446472989 Enrollment ID: I20150220001899 |
| Provider Name | Mario Masrur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811254568 PECOS PAC ID: 4284950221 Enrollment ID: I20150310000512 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20150316001253 |
| Provider Name | Ronald S Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476291 PECOS PAC ID: 1759386444 Enrollment ID: I20150317001761 |
| Provider Name | Abigail M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164812988 PECOS PAC ID: 4880911593 Enrollment ID: I20150317002438 |
| Provider Name | Alyssa S Arguelles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770988511 PECOS PAC ID: 9739406125 Enrollment ID: I20150324000603 |
| Provider Name | Anne M Orzechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588052369 PECOS PAC ID: 4688991847 Enrollment ID: I20150326002275 |
| Provider Name | Connie E Zurski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164813515 PECOS PAC ID: 5991022006 Enrollment ID: I20150331001007 |
| Provider Name | Samantha a Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093113854 PECOS PAC ID: 1153649900 Enrollment ID: I20150408000648 |
| Provider Name | Daniel R Mueller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225343171 PECOS PAC ID: 9335380245 Enrollment ID: I20150409001391 |
| Provider Name | Emily M Horvath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528324795 PECOS PAC ID: 0244559953 Enrollment ID: I20150430002378 |
| Provider Name | Ashley Lynn Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235422304 PECOS PAC ID: 8426236134 Enrollment ID: I20150504002460 |
| Provider Name | Amandeep Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568740033 PECOS PAC ID: 5092034488 Enrollment ID: I20150506002472 |
| Provider Name | Nicole M Lovin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063806412 PECOS PAC ID: 5890015960 Enrollment ID: I20150514000235 |
| Provider Name | Deborah a Gortowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679558886 PECOS PAC ID: 2567782394 Enrollment ID: I20150519002051 |
| Provider Name | Amber Hemminger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497141758 PECOS PAC ID: 0042530651 Enrollment ID: I20150521002676 |
| Provider Name | Bryan L Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780948786 PECOS PAC ID: 9436479789 Enrollment ID: I20150528000043 |
| Provider Name | Serageldin Raslan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053675827 PECOS PAC ID: 7315267663 Enrollment ID: I20150528000137 |
| Provider Name | Julie a Deibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548651490 PECOS PAC ID: 5092036053 Enrollment ID: I20150603001650 |
| Provider Name | Christel J Loyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588955983 PECOS PAC ID: 9830375294 Enrollment ID: I20150604001978 |
| Provider Name | Matthew J Ranzer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083939987 PECOS PAC ID: 7214258896 Enrollment ID: I20150608002004 |
| Provider Name | Shilpa Cheela |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952714560 PECOS PAC ID: 0749400232 Enrollment ID: I20150610002681 |
| Provider Name | Jacob R Hopping |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538471099 PECOS PAC ID: 0244551539 Enrollment ID: I20150611003158 |
| Provider Name | Caleb Wayne Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689061251 PECOS PAC ID: 1254642556 Enrollment ID: I20150612000295 |
| Provider Name | Maria a Kronlage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326364316 PECOS PAC ID: 6608187786 Enrollment ID: I20150616001043 |
| Provider Name | Allen L Neese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841261872 PECOS PAC ID: 9234393075 Enrollment ID: I20150616002349 |
| Provider Name | Emily S Richardson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750761458 PECOS PAC ID: 5294046975 Enrollment ID: I20150622002139 |
| Provider Name | Jill M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033500327 PECOS PAC ID: 8921319542 Enrollment ID: I20150623001062 |
| Provider Name | Viviane M Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952702474 PECOS PAC ID: 8123339751 Enrollment ID: I20150623001336 |
| Provider Name | Cara a Turnbull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316349830 PECOS PAC ID: 8820309461 Enrollment ID: I20150623001468 |
| Provider Name | Kristina L Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538424098 PECOS PAC ID: 9436470358 Enrollment ID: I20150623001525 |
| Provider Name | Imad Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346538345 PECOS PAC ID: 5193037216 Enrollment ID: I20150702000838 |
| Provider Name | Dilini C Reyhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508149816 PECOS PAC ID: 7517288319 Enrollment ID: I20150702001385 |
| Provider Name | Adeeb Zaer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073870739 PECOS PAC ID: 6305158205 Enrollment ID: I20150707001294 |
| Provider Name | Nathan D Ontrop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760778468 PECOS PAC ID: 7911219829 Enrollment ID: I20150707001683 |
| Provider Name | Pallavi Murari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245585322 PECOS PAC ID: 8628212529 Enrollment ID: I20150707002751 |
| Provider Name | Anthony Anibal Acosta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457615957 PECOS PAC ID: 9830401629 Enrollment ID: I20150708000878 |
| Provider Name | Elizabeth a Schrumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194106393 PECOS PAC ID: 3173836657 Enrollment ID: I20150714000927 |
| Provider Name | Samantha a Mooberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225411325 PECOS PAC ID: 6608189956 Enrollment ID: I20150716000691 |
| Provider Name | Christopher J Howse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942562889 PECOS PAC ID: 8325282734 Enrollment ID: I20150716001084 |
| Provider Name | Kolette Ann Kirkenmeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659639599 PECOS PAC ID: 6204082258 Enrollment ID: I20150716001262 |
| Provider Name | Sandra L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710365176 PECOS PAC ID: 7315250412 Enrollment ID: I20150720000066 |
| Provider Name | Leonor Delgadillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841679966 PECOS PAC ID: 3971816786 Enrollment ID: I20150723006988 |
| Provider Name | Maajid M Ekkiswala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104110436 PECOS PAC ID: 5890912224 Enrollment ID: I20150723009302 |
| Provider Name | Tiffani S Franada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871810291 PECOS PAC ID: 5395058986 Enrollment ID: I20150727000667 |
| Provider Name | Jennifer L Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942569959 PECOS PAC ID: 0840504908 Enrollment ID: I20150803001238 |
| Provider Name | Patrick Mote Elangwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114226958 PECOS PAC ID: 8325273055 Enrollment ID: I20150804004026 |
| Provider Name | Lea Anne Varble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023415213 PECOS PAC ID: 8123332194 Enrollment ID: I20150804005493 |
| Provider Name | Amanda L Weed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578942686 PECOS PAC ID: 0446564330 Enrollment ID: I20150805009608 |
| Provider Name | Miguel Angel Ramirez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982867388 PECOS PAC ID: 8022323559 Enrollment ID: I20150813009401 |
| Provider Name | Joshua Oramel David Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093076036 PECOS PAC ID: 0749431591 Enrollment ID: I20150814012907 |
| Provider Name | Robin Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558746701 PECOS PAC ID: 5991010258 Enrollment ID: I20150814013714 |
| Provider Name | Laura M Roe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073809695 PECOS PAC ID: 7113239740 Enrollment ID: I20150820009983 |
| Provider Name | Wynetta D Harris-castillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548520018 PECOS PAC ID: 9830325539 Enrollment ID: I20150820011504 |
| Provider Name | Jamie L Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346616372 PECOS PAC ID: 0749596559 Enrollment ID: I20150825002728 |
| Provider Name | Amit K Mehrotra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1639364474 PECOS PAC ID: 1456667286 Enrollment ID: I20150825003215 |
| Provider Name | Catherine E Bachtold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376926832 PECOS PAC ID: 9234445735 Enrollment ID: I20150828001477 |
| Provider Name | Michael Ginsburg |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417189549 PECOS PAC ID: 3779899158 Enrollment ID: I20150831001842 |
| Provider Name | Michele L Krieger-johnsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205219607 PECOS PAC ID: 1355657685 Enrollment ID: I20150902000410 |
| Provider Name | Syed W Jafri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174874291 PECOS PAC ID: 4789990946 Enrollment ID: I20150902001581 |
| Provider Name | Andrew P Tharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285013029 PECOS PAC ID: 5395051502 Enrollment ID: I20150902003258 |
| Provider Name | Alicia L Meinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606276 PECOS PAC ID: 0648586859 Enrollment ID: I20150902003304 |
| Provider Name | Abhista Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306102314 PECOS PAC ID: 6800102930 Enrollment ID: I20150903000706 |
| Provider Name | Melanie R Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497122378 PECOS PAC ID: 5395051296 Enrollment ID: I20150908001377 |
| Provider Name | Candace D Couri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447627773 PECOS PAC ID: 3072829951 Enrollment ID: I20150909001043 |
| Provider Name | Tracie M Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760859292 PECOS PAC ID: 0840507737 Enrollment ID: I20150909001571 |
| Provider Name | Tejas Sheth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083901375 PECOS PAC ID: 3476860362 Enrollment ID: I20150909001627 |
| Provider Name | Bharat N Raju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720217581 PECOS PAC ID: 9830346477 Enrollment ID: I20150910000175 |
| Provider Name | Branden J Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700160959 PECOS PAC ID: 3173765591 Enrollment ID: I20150910001499 |
| Provider Name | Renae Milhoan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477920353 PECOS PAC ID: 5799092466 Enrollment ID: I20150911001713 |
| Provider Name | Andrea N Sapron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205218823 PECOS PAC ID: 5991012635 Enrollment ID: I20150914001685 |
| Provider Name | Dexter Resurreccion Angeles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629335781 PECOS PAC ID: 5092022640 Enrollment ID: I20150915002850 |
| Provider Name | Carolyn Jean Gale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467640292 PECOS PAC ID: 9436286275 Enrollment ID: I20150921001104 |
| Provider Name | Amy M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457731127 PECOS PAC ID: 5294043196 Enrollment ID: I20150925001637 |
| Provider Name | Javeria Shaheen Qureshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255532784 PECOS PAC ID: 1052536331 Enrollment ID: I20150925001832 |
| Provider Name | Kaylee M Rosenbaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417210519 PECOS PAC ID: 8426379207 Enrollment ID: I20150930001997 |
| Provider Name | Shabirhusain S Abadin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467712596 PECOS PAC ID: 5496910531 Enrollment ID: I20151001002471 |
| Provider Name | Joyce Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033464987 PECOS PAC ID: 0840510079 Enrollment ID: I20151007002238 |
| Provider Name | Mary Kluever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598154247 PECOS PAC ID: 9335458256 Enrollment ID: I20151015002004 |
| Provider Name | Anahita S Zaer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851783054 PECOS PAC ID: 9436464930 Enrollment ID: I20151016001635 |
| Provider Name | Rone Chun Lin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245473701 PECOS PAC ID: 5496993867 Enrollment ID: I20151021000806 |
| Provider Name | Evan Ray Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265801393 PECOS PAC ID: 1254640840 Enrollment ID: I20151022000009 |
| Provider Name | Laura Darko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639443245 PECOS PAC ID: 3678882164 Enrollment ID: I20151023000953 |
| Provider Name | Jacob M Szafranski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457752230 PECOS PAC ID: 7113237397 Enrollment ID: I20151102000033 |
| Provider Name | Noel N Kamal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300369 PECOS PAC ID: 1759691686 Enrollment ID: I20151105001188 |
| Provider Name | Deena R Raithel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508237744 PECOS PAC ID: 8527378389 Enrollment ID: I20151105002678 |
| Provider Name | Luda Sorin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982870317 PECOS PAC ID: 3870803554 Enrollment ID: I20151109002038 |
| Provider Name | Lori Cornelius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275906828 PECOS PAC ID: 8921318569 Enrollment ID: I20151110002410 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750541892 PECOS PAC ID: 9032365713 Enrollment ID: I20151112000127 |
| Provider Name | Margaret a Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205206323 PECOS PAC ID: 5395055867 Enrollment ID: I20151112002239 |
| Provider Name | Jennifer M Kelsey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861860058 PECOS PAC ID: 6507166766 Enrollment ID: I20151120000349 |
| Provider Name | Matthew D Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881824647 PECOS PAC ID: 8921231408 Enrollment ID: I20151123000521 |
| Provider Name | Jigar B Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619267242 PECOS PAC ID: 5597901736 Enrollment ID: I20151123002261 |
| Provider Name | Bhavin C Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306078910 PECOS PAC ID: 1658671516 Enrollment ID: I20151125000176 |
| Provider Name | Robert Kocur |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689773541 PECOS PAC ID: 8224161013 Enrollment ID: I20151125001876 |
| Provider Name | Shanti P Subbarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910295 PECOS PAC ID: 9638484850 Enrollment ID: I20151130001274 |
| Provider Name | Jenny M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063885556 PECOS PAC ID: 2163723263 Enrollment ID: I20151215000741 |
| Provider Name | Jeremiah F Bushmaker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114133014 PECOS PAC ID: 2466524293 Enrollment ID: I20151215001169 |
| Provider Name | Gregory Ryan Garmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215301221 PECOS PAC ID: 9133420268 Enrollment ID: I20151215001728 |
| Provider Name | Omar Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104171149 PECOS PAC ID: 9931416427 Enrollment ID: I20151224000111 |
| Provider Name | Wanda Jean Rohl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053702365 PECOS PAC ID: 2567763121 Enrollment ID: I20151224000194 |
| Provider Name | Maria Khattak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740545441 PECOS PAC ID: 9335388172 Enrollment ID: I20151228000405 |
| Provider Name | Michele Lynn Mounce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366819971 PECOS PAC ID: 4981905577 Enrollment ID: I20151228001141 |
| Provider Name | Christopher L Mygatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255710885 PECOS PAC ID: 2062729122 Enrollment ID: I20151229001515 |
| Provider Name | Morgan Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013385079 PECOS PAC ID: 4981906922 Enrollment ID: I20160107000534 |
| Provider Name | Joy R Preciado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306216098 PECOS PAC ID: 1850595992 Enrollment ID: I20160108002309 |
| Provider Name | Muhammad Waqar Khattak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669648309 PECOS PAC ID: 9739254418 Enrollment ID: I20160115000133 |
| Provider Name | Derek J Maratea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699919118 PECOS PAC ID: 3375846777 Enrollment ID: I20160119001275 |
| Provider Name | Courtney L Rodich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649657024 PECOS PAC ID: 5193028520 Enrollment ID: I20160119002273 |
| Provider Name | Hailey M Grace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922498336 PECOS PAC ID: 7517260870 Enrollment ID: I20160120000441 |
| Provider Name | Sheri L West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942666169 PECOS PAC ID: 6901109198 Enrollment ID: I20160121001810 |
| Provider Name | Wajid Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316297948 PECOS PAC ID: 4789987801 Enrollment ID: I20160125000821 |
| Provider Name | Kyle F Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891134151 PECOS PAC ID: 4486975315 Enrollment ID: I20160127002740 |
| Provider Name | William S Mattox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720492507 PECOS PAC ID: 1254657562 Enrollment ID: I20160203001436 |
| Provider Name | Lindsay R Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189615 PECOS PAC ID: 8224332572 Enrollment ID: I20160205001411 |
| Provider Name | Caitlin J Engels-arteaga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790140580 PECOS PAC ID: 1153625298 Enrollment ID: I20160210000062 |
| Provider Name | Shawna C Waterstradt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790157014 PECOS PAC ID: 7416251582 Enrollment ID: I20160210001164 |
| Provider Name | Amy L Kroos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785790 PECOS PAC ID: 8921302928 Enrollment ID: I20160211002570 |
| Provider Name | Darlene G Esken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710346309 PECOS PAC ID: 6901101492 Enrollment ID: I20160222000669 |
| Provider Name | Samina F Yousuf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487012860 PECOS PAC ID: 1951606060 Enrollment ID: I20160229000625 |
| Provider Name | David Thorpe |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720315021 PECOS PAC ID: 0749585727 Enrollment ID: I20160301000041 |
| Provider Name | Morgan R Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962861187 PECOS PAC ID: 2567768278 Enrollment ID: I20160307001188 |
| Provider Name | Shamaila B Gorsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427338409 PECOS PAC ID: 7214233618 Enrollment ID: I20160310002216 |
| Provider Name | Skip M Dettman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013388255 PECOS PAC ID: 3577864701 Enrollment ID: I20160311000275 |
| Provider Name | Stevie Nicole Funk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104285196 PECOS PAC ID: 1254637564 Enrollment ID: I20160314000922 |
| Provider Name | Jennifer L Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023478047 PECOS PAC ID: 2668778895 Enrollment ID: I20160314001726 |
| Provider Name | Brittany N King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427441815 PECOS PAC ID: 4183942196 Enrollment ID: I20160318002224 |
| Provider Name | Moni Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255773198 PECOS PAC ID: 0648591313 Enrollment ID: I20160321002115 |
| Provider Name | Victoria Z Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326408436 PECOS PAC ID: 0042517898 Enrollment ID: I20160323000287 |
| Provider Name | Meghan Justine Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598124109 PECOS PAC ID: 5092012658 Enrollment ID: I20160324001616 |
| Provider Name | Muhammad Adnan Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144362773 PECOS PAC ID: 9537244579 Enrollment ID: I20160324002032 |
| Provider Name | Timothy J Belden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891974481 PECOS PAC ID: 8325111438 Enrollment ID: I20160330000523 |
| Provider Name | Ryan Bonham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225414667 PECOS PAC ID: 2567769854 Enrollment ID: I20160331002081 |
| Provider Name | Chetan Bhardwaj |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1891950713 PECOS PAC ID: 2860790607 Enrollment ID: I20160412001967 |
| Provider Name | Kristin M King |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538537444 PECOS PAC ID: 7214235969 Enrollment ID: I20160412002662 |
| Provider Name | Chandra Hassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508031824 PECOS PAC ID: 8820144223 Enrollment ID: I20160414001591 |
| Provider Name | Lydia J Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871954636 PECOS PAC ID: 2567761737 Enrollment ID: I20160422001346 |
| Provider Name | Celeste D Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518320993 PECOS PAC ID: 5496054900 Enrollment ID: I20160505000793 |
| Provider Name | Michael Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093178576 PECOS PAC ID: 0244529469 Enrollment ID: I20160511001672 |
| Provider Name | Jenna N Ford |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790139384 PECOS PAC ID: 0547559593 Enrollment ID: I20160516001237 |
| Provider Name | Oussama Itani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083640361 PECOS PAC ID: 8426064767 Enrollment ID: I20160517002528 |
| Provider Name | Wonil Tae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336301779 PECOS PAC ID: 7416002035 Enrollment ID: I20160520001695 |
| Provider Name | Keith a Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609211952 PECOS PAC ID: 6103041546 Enrollment ID: I20160525001107 |
| Provider Name | Brandon B Bleess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306284161 PECOS PAC ID: 3779804612 Enrollment ID: I20160527000120 |
| Provider Name | Mariah Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568604726 PECOS PAC ID: 0042483505 Enrollment ID: I20160601000530 |
| Provider Name | Ashley L Gallick-sokol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912368994 PECOS PAC ID: 3870883978 Enrollment ID: I20160601002807 |
| Provider Name | Eryn L Kilver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073973095 PECOS PAC ID: 9032409149 Enrollment ID: I20160601002883 |
| Provider Name | Harshavardhan R Ghadiam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437583077 PECOS PAC ID: 0446571343 Enrollment ID: I20160602000709 |
| Provider Name | Kaushik Gururajan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144541871 PECOS PAC ID: 3678876703 Enrollment ID: I20160608000481 |
| Provider Name | Kelly a Kennell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669790697 PECOS PAC ID: 5799006540 Enrollment ID: I20160608002257 |
| Provider Name | Jennifer P Plue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639523921 PECOS PAC ID: 9931499555 Enrollment ID: I20160609000947 |
| Provider Name | Andrea E Henrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750736039 PECOS PAC ID: 3274823778 Enrollment ID: I20160610001309 |
| Provider Name | Mubashir S Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518221654 PECOS PAC ID: 7214228600 Enrollment ID: I20160615000172 |
| Provider Name | Kevin Carlile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942511076 PECOS PAC ID: 4587979463 Enrollment ID: I20160615000916 |
| Provider Name | Tyler W Fitch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992068936 PECOS PAC ID: 6204157050 Enrollment ID: I20160616001366 |
| Provider Name | Ravinder Pal S Bhatti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659669240 PECOS PAC ID: 2163713538 Enrollment ID: I20160616001493 |
| Provider Name | Charalambos K Rammos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821298555 PECOS PAC ID: 1658528948 Enrollment ID: I20160616002083 |
| Provider Name | Tanmay Patwa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790071199 PECOS PAC ID: 1557652708 Enrollment ID: I20160620001813 |
| Provider Name | Ryan S Deushane |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124482252 PECOS PAC ID: 0345531497 Enrollment ID: I20160620001938 |
| Provider Name | Ahmad Zabad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780021774 PECOS PAC ID: 9638460306 Enrollment ID: I20160628000951 |
| Provider Name | Alicia M Szafranski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912361361 PECOS PAC ID: 2769773449 Enrollment ID: I20160628001172 |
| Provider Name | Amira Am Alfil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285045120 PECOS PAC ID: 8325339955 Enrollment ID: I20160629000097 |
| Provider Name | Riddhi R Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538401849 PECOS PAC ID: 1254636442 Enrollment ID: I20160706000636 |
| Provider Name | Traci L Keyster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255684072 PECOS PAC ID: 2567754716 Enrollment ID: I20160707002099 |
| Provider Name | Rujuta Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497891683 PECOS PAC ID: 4789736273 Enrollment ID: I20160707002224 |
| Provider Name | Nadia Shaikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275967721 PECOS PAC ID: 6204128309 Enrollment ID: I20160711001668 |
| Provider Name | Joseph R Mackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457615577 PECOS PAC ID: 2163743956 Enrollment ID: I20160713000448 |
| Provider Name | Rachael H Hudgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619331311 PECOS PAC ID: 0840582748 Enrollment ID: I20160713002624 |
| Provider Name | Rebecca L Baumann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275797078 PECOS PAC ID: 5698906766 Enrollment ID: I20160719000750 |
| Provider Name | Maulin G Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902149982 PECOS PAC ID: 5193018851 Enrollment ID: I20160719001154 |
| Provider Name | Heather M Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609227081 PECOS PAC ID: 6901199520 Enrollment ID: I20160720000343 |
| Provider Name | Paul S Moots |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083047401 PECOS PAC ID: 3971824731 Enrollment ID: I20160720002972 |
| Provider Name | Chadrick R Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588956635 PECOS PAC ID: 6305166364 Enrollment ID: I20160722002250 |
| Provider Name | Christine a Carlos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184986861 PECOS PAC ID: 6901104785 Enrollment ID: I20160728001351 |
| Provider Name | Amin Sharieff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700176450 PECOS PAC ID: 1355588062 Enrollment ID: I20160729002080 |
| Provider Name | Brittany N Hemmele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013369149 PECOS PAC ID: 0648564443 Enrollment ID: I20160802001120 |
| Provider Name | Soujanya Bogarapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992970271 PECOS PAC ID: 0648402107 Enrollment ID: I20160802002035 |
| Provider Name | Jane E Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831549443 PECOS PAC ID: 0547554313 Enrollment ID: I20160802003215 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619328614 PECOS PAC ID: 0840584306 Enrollment ID: I20160805000421 |
| Provider Name | Elise M Joos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558714154 PECOS PAC ID: 6103110556 Enrollment ID: I20160808000747 |
| Provider Name | Ameer Alwafai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255644779 PECOS PAC ID: 6901190362 Enrollment ID: I20160808000829 |
| Provider Name | Lindsay J Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245688209 PECOS PAC ID: 9739473109 Enrollment ID: I20160808001195 |
| Provider Name | Heather L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699128892 PECOS PAC ID: 4082908454 Enrollment ID: I20160808001269 |
| Provider Name | Lori K Verkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750737243 PECOS PAC ID: 8325332703 Enrollment ID: I20160808001748 |
| Provider Name | Mara L Bessine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508219361 PECOS PAC ID: 9335433721 Enrollment ID: I20160808002069 |
| Provider Name | Michelle M Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053764365 PECOS PAC ID: 7214221613 Enrollment ID: I20160808002191 |
| Provider Name | Sandra L Peach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003268897 PECOS PAC ID: 2466746805 Enrollment ID: I20160809000613 |
| Provider Name | Pooja R Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063865400 PECOS PAC ID: 4486948544 Enrollment ID: I20160811002309 |
| Provider Name | Jessica L Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033562558 PECOS PAC ID: 8729372701 Enrollment ID: I20160815001116 |
| Provider Name | Stephanie L Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073952396 PECOS PAC ID: 6507187358 Enrollment ID: I20160815002757 |
| Provider Name | Tejaswini Joginpally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013358639 PECOS PAC ID: 4880988716 Enrollment ID: I20160815003071 |
| Provider Name | Michelle Warning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871046516 PECOS PAC ID: 1658666565 Enrollment ID: I20160817000143 |
| Provider Name | Jennifer M Speirer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437502192 PECOS PAC ID: 7416242391 Enrollment ID: I20160817002283 |
| Provider Name | Venu Chennamaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376859884 PECOS PAC ID: 1355572462 Enrollment ID: I20160818000579 |
| Provider Name | Preeti Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336580273 PECOS PAC ID: 4385950484 Enrollment ID: I20160824002482 |
| Provider Name | Peter John Popovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649629072 PECOS PAC ID: 4183919350 Enrollment ID: I20160826001358 |
| Provider Name | Eric L Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945667 PECOS PAC ID: 4082909056 Enrollment ID: I20160830001540 |
| Provider Name | Gregory B Jasinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164735403 PECOS PAC ID: 0345495693 Enrollment ID: I20160831001772 |
| Provider Name | Heidi L Gendron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295280303 PECOS PAC ID: 3870889710 Enrollment ID: I20160901001631 |
| Provider Name | Angela Christine Nimke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093889792 PECOS PAC ID: 2062708910 Enrollment ID: I20160901001996 |
| Provider Name | Steven John Vander Naalt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245521442 PECOS PAC ID: 2961715214 Enrollment ID: I20160902000262 |
| Provider Name | Asifa Choudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265753867 PECOS PAC ID: 4385865377 Enrollment ID: I20160902000315 |
| Provider Name | Kerri J Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417401985 PECOS PAC ID: 7012203847 Enrollment ID: I20160902002072 |
| Provider Name | Lindsay Bustle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750836300 PECOS PAC ID: 8325334170 Enrollment ID: I20160906000525 |
| Provider Name | Aretha D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798332 PECOS PAC ID: 0547490583 Enrollment ID: I20160906001167 |
| Provider Name | Anusha R Akepati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245671783 PECOS PAC ID: 6002120722 Enrollment ID: I20160907000322 |
| Provider Name | Justin J Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922451681 PECOS PAC ID: 0446546196 Enrollment ID: I20160907001680 |
| Provider Name | Tressa L Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477009249 PECOS PAC ID: 8921394412 Enrollment ID: I20160909000480 |
| Provider Name | Natasha Noel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740597111 PECOS PAC ID: 4981990496 Enrollment ID: I20160909001286 |
| Provider Name | Katherine L Merila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083168447 PECOS PAC ID: 5294021408 Enrollment ID: I20160914000011 |
| Provider Name | Mark Monahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518998327 PECOS PAC ID: 7113106790 Enrollment ID: I20160920001816 |
| Provider Name | Travis E Towne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275986051 PECOS PAC ID: 0446547368 Enrollment ID: I20160921000429 |
| Provider Name | Nicole M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295188803 PECOS PAC ID: 0547557480 Enrollment ID: I20160921001166 |
| Provider Name | Michelle D Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871040923 PECOS PAC ID: 9032406863 Enrollment ID: I20160922001127 |
| Provider Name | Ashley P Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885570 PECOS PAC ID: 7113214776 Enrollment ID: I20160926000451 |
| Provider Name | Nicolas a Yemm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376091595 PECOS PAC ID: 6608163910 Enrollment ID: I20160929000808 |
| Provider Name | Stacy a Piller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508319914 PECOS PAC ID: 8527355783 Enrollment ID: I20161003001309 |
| Provider Name | Lynn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629521109 PECOS PAC ID: 7315235538 Enrollment ID: I20161004000956 |
| Provider Name | Merrick J. Donenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457647133 PECOS PAC ID: 5597055749 Enrollment ID: I20161004002310 |
| Provider Name | Suraj Bopanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740433291 PECOS PAC ID: 9436390325 Enrollment ID: I20161005000384 |
| Provider Name | Ashley Getz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982159901 PECOS PAC ID: 7719275809 Enrollment ID: I20161005000386 |
| Provider Name | Michelle Heal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215389531 PECOS PAC ID: 8628366606 Enrollment ID: I20161006000670 |
| Provider Name | Jennifer Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316492432 PECOS PAC ID: 5799073748 Enrollment ID: I20161007000416 |
| Provider Name | Uwais B Zaid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366777856 PECOS PAC ID: 8426280546 Enrollment ID: I20161007000746 |
| Provider Name | Shabaz Mohammad Begum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508291790 PECOS PAC ID: 9739477662 Enrollment ID: I20161010001536 |
| Provider Name | Anna Serafini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245633742 PECOS PAC ID: 8123316841 Enrollment ID: I20161013000310 |
| Provider Name | Michael J Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942543178 PECOS PAC ID: 2466753256 Enrollment ID: I20161014000330 |
| Provider Name | Christopher T Blanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306286950 PECOS PAC ID: 4587898101 Enrollment ID: I20161017000523 |
| Provider Name | Mohammad Sheraz Waris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427373638 PECOS PAC ID: 2860629243 Enrollment ID: I20161018002538 |
| Provider Name | Bethani J Christianson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003278581 PECOS PAC ID: 6002104403 Enrollment ID: I20161018002927 |
| Provider Name | Dragica Durman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275930299 PECOS PAC ID: 1951699271 Enrollment ID: I20161019000809 |
| Provider Name | Usman a Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437227543 PECOS PAC ID: 8921033713 Enrollment ID: I20161019001050 |
| Provider Name | Shanele Mcgowan Vaughn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902194822 PECOS PAC ID: 4688961675 Enrollment ID: I20161019002618 |
| Provider Name | Lori a Defreese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407304199 PECOS PAC ID: 9335427608 Enrollment ID: I20161021000480 |
| Provider Name | Lindsey a Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114475597 PECOS PAC ID: 7315225547 Enrollment ID: I20161024000598 |
| Provider Name | Mary L Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770030801 PECOS PAC ID: 3476831579 Enrollment ID: I20161025000117 |
| Provider Name | Dennis E Sands |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972585677 PECOS PAC ID: 4486687076 Enrollment ID: I20161102002419 |
| Provider Name | M'kenzee B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073064952 PECOS PAC ID: 1052690369 Enrollment ID: I20161109000884 |
| Provider Name | Amanda L Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124560727 PECOS PAC ID: 9739468919 Enrollment ID: I20161110001159 |
| Provider Name | Amanda Gilmour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093266108 PECOS PAC ID: 5890074447 Enrollment ID: I20161122001811 |
| Provider Name | Zachary a Miksanek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351315 PECOS PAC ID: 1153642889 Enrollment ID: I20161123000021 |
| Provider Name | Kristen M Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790760429 PECOS PAC ID: 7113816232 Enrollment ID: I20161130002643 |
| Provider Name | Swetha Vennavaram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194064279 PECOS PAC ID: 6103139308 Enrollment ID: I20161202002016 |
| Provider Name | Jayme Lee Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316331408 PECOS PAC ID: 0345559290 Enrollment ID: I20161202002132 |
| Provider Name | Carrie Cullick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770036584 PECOS PAC ID: 8325328420 Enrollment ID: I20161207001116 |
| Provider Name | Megan M Thibodeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851834196 PECOS PAC ID: 5092095034 Enrollment ID: I20161208000345 |
| Provider Name | Kimberly a Shrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349202 PECOS PAC ID: 7810277860 Enrollment ID: I20161208000353 |
| Provider Name | Sonal M Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033652243 PECOS PAC ID: 1052691763 Enrollment ID: I20161214001374 |
| Provider Name | Maggie E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407304397 PECOS PAC ID: 2567742240 Enrollment ID: I20161215001332 |
| Provider Name | Kimberly S Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306380555 PECOS PAC ID: 3577843127 Enrollment ID: I20161216002018 |
| Provider Name | Julie a Bredlau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033666920 PECOS PAC ID: 2264713163 Enrollment ID: I20170109002227 |
| Provider Name | Angela Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740725837 PECOS PAC ID: 3870874589 Enrollment ID: I20170111000712 |
| Provider Name | John C Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770025603 PECOS PAC ID: 5395027726 Enrollment ID: I20170120000002 |
| Provider Name | Mark Richard Stivers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417943523 PECOS PAC ID: 1951386184 Enrollment ID: I20170120002395 |
| Provider Name | Randall Grant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528370624 PECOS PAC ID: 0840451902 Enrollment ID: I20170124001945 |
| Provider Name | Kevin M Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356898951 PECOS PAC ID: 4981986114 Enrollment ID: I20170124002130 |
| Provider Name | Srinivas Gullapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932356763 PECOS PAC ID: 4385813468 Enrollment ID: I20170126001728 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20170130000865 |
| Provider Name | Jennifer Ingold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215479654 PECOS PAC ID: 9032491816 Enrollment ID: I20170201000022 |
| Provider Name | Nina N Trisilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215388137 PECOS PAC ID: 1456634237 Enrollment ID: I20170202001329 |
| Provider Name | Ahmad Al Moujahed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194813824 PECOS PAC ID: 9537113220 Enrollment ID: I20170208000146 |
| Provider Name | Wendy S Slick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144766817 PECOS PAC ID: 6507149820 Enrollment ID: I20170213000783 |
| Provider Name | Raquel Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427591726 PECOS PAC ID: 1052694247 Enrollment ID: I20170214001404 |
| Provider Name | Marjorie Hotopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487197356 PECOS PAC ID: 4082997036 Enrollment ID: I20170216002608 |
| Provider Name | Edyta Slodyczka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073051330 PECOS PAC ID: 3173807864 Enrollment ID: I20170223002406 |
| Provider Name | David J Kawior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326453093 PECOS PAC ID: 3476857715 Enrollment ID: I20170227001657 |
| Provider Name | Matthew J Kaminsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316292386 PECOS PAC ID: 4688958945 Enrollment ID: I20170306000244 |
| Provider Name | Stephanie Mcwhirter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376085365 PECOS PAC ID: 2466737333 Enrollment ID: I20170316001956 |
| Provider Name | Thomas S Magerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518407204 PECOS PAC ID: 5092090670 Enrollment ID: I20170322000608 |
| Provider Name | Aamir I Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396757928 PECOS PAC ID: 7911916762 Enrollment ID: I20170322002143 |
| Provider Name | Christine a Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578006953 PECOS PAC ID: 9739464355 Enrollment ID: I20170322002445 |
| Provider Name | Judi K Forner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194123679 PECOS PAC ID: 3577848035 Enrollment ID: I20170323001908 |
| Provider Name | Natalie J Ince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114467636 PECOS PAC ID: 2860777075 Enrollment ID: I20170329002524 |
| Provider Name | Bartholomew C Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588016067 PECOS PAC ID: 6204123722 Enrollment ID: I20170406000033 |
| Provider Name | Kamela a Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407387020 PECOS PAC ID: 9436435898 Enrollment ID: I20170419001524 |
| Provider Name | Grazelda Kwakye-ackah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972949584 PECOS PAC ID: 3678717642 Enrollment ID: I20170427000136 |
| Provider Name | Amanda K Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891232914 PECOS PAC ID: 0345517686 Enrollment ID: I20170517001152 |
| Provider Name | Shari S Mulvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871026450 PECOS PAC ID: 9436426616 Enrollment ID: I20170517002989 |
| Provider Name | Jennifer E Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147763 PECOS PAC ID: 8325315575 Enrollment ID: I20170518002437 |
| Provider Name | Ruben Cardoso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063831477 PECOS PAC ID: 0547570913 Enrollment ID: I20170519000800 |
| Provider Name | Alex C Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740570035 PECOS PAC ID: 0345547923 Enrollment ID: I20170524000298 |
| Provider Name | Anthony J Munaco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760688428 PECOS PAC ID: 3870725336 Enrollment ID: I20170526000633 |
| Provider Name | Christopher R Wakid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093120453 PECOS PAC ID: 6406160175 Enrollment ID: I20170607000109 |
| Provider Name | Ashish K Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194133850 PECOS PAC ID: 9830410596 Enrollment ID: I20170607000262 |
| Provider Name | Deana M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558897421 PECOS PAC ID: 7416225651 Enrollment ID: I20170613000478 |
| Provider Name | Mika Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063846467 PECOS PAC ID: 8022244797 Enrollment ID: I20170615000706 |
| Provider Name | Tulsi J Kotecha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447659800 PECOS PAC ID: 2264700830 Enrollment ID: I20170622002866 |
| Provider Name | Rishi R Chaudhuri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376891028 PECOS PAC ID: 1759659287 Enrollment ID: I20170623002563 |
| Provider Name | Ketan J Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891112231 PECOS PAC ID: 2062703846 Enrollment ID: I20170627002584 |
| Provider Name | Stosh T Eichenauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932514106 PECOS PAC ID: 7719208685 Enrollment ID: I20170628002312 |
| Provider Name | Ruchi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619317229 PECOS PAC ID: 2769605294 Enrollment ID: I20170703000254 |
| Provider Name | Katherine E Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336676303 PECOS PAC ID: 8325317142 Enrollment ID: I20170710001969 |
| Provider Name | Ilona a Kichko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730448481 PECOS PAC ID: 9234429028 Enrollment ID: I20170711000873 |
| Provider Name | Alyssa M Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336458959 PECOS PAC ID: 4981891827 Enrollment ID: I20170719000627 |
| Provider Name | Elizabeth E Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366860876 PECOS PAC ID: 3072892488 Enrollment ID: I20170726003730 |
| Provider Name | Summer Mustafa Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154736452 PECOS PAC ID: 3476857335 Enrollment ID: I20170727002901 |
| Provider Name | Ruth a Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568689511 PECOS PAC ID: 2365712098 Enrollment ID: I20170727003247 |
| Provider Name | Justin Lee Fischer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730456914 PECOS PAC ID: 0143514331 Enrollment ID: I20170801003819 |
| Provider Name | Matthew K Fischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497169338 PECOS PAC ID: 0648591586 Enrollment ID: I20170808002795 |
| Provider Name | Brandon a Hoffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548674476 PECOS PAC ID: 7810218690 Enrollment ID: I20170808003029 |
| Provider Name | Ameera Farhat Nauman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679992531 PECOS PAC ID: 6709157688 Enrollment ID: I20170810003718 |
| Provider Name | Manasa Kandula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942616578 PECOS PAC ID: 5597077503 Enrollment ID: I20170814001596 |
| Provider Name | David E Houser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629344064 PECOS PAC ID: 2365714169 Enrollment ID: I20170814001823 |
| Provider Name | Kathleen M Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962778332 PECOS PAC ID: 6608169636 Enrollment ID: I20170816001801 |
| Provider Name | Nathalie Dieudonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235413972 PECOS PAC ID: 9739478231 Enrollment ID: I20170816003246 |
| Provider Name | Kelley Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366874471 PECOS PAC ID: 4284946773 Enrollment ID: I20170829004296 |
| Provider Name | Anwaruddin K Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952700973 PECOS PAC ID: 1355614082 Enrollment ID: I20170831002046 |
| Provider Name | Paul M Jeziorczak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942472915 PECOS PAC ID: 8325311061 Enrollment ID: I20170831002225 |
| Provider Name | Christine C Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992227052 PECOS PAC ID: 9133492523 Enrollment ID: I20170906004062 |
| Provider Name | Elizabeth a Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974196 PECOS PAC ID: 2264705508 Enrollment ID: I20170907001870 |
| Provider Name | Mark D Miller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528359106 PECOS PAC ID: 1658644828 Enrollment ID: I20170911000525 |
| Provider Name | Christopher J Guerrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306287248 PECOS PAC ID: 8224311014 Enrollment ID: I20170918003616 |
| Provider Name | Craig D Koch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083020218 PECOS PAC ID: 8325369044 Enrollment ID: I20170919002869 |
| Provider Name | Anastasia Figura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023455680 PECOS PAC ID: 7416251814 Enrollment ID: I20170921000464 |
| Provider Name | Kaitlin Ann Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376075663 PECOS PAC ID: 8426322967 Enrollment ID: I20170921000962 |
| Provider Name | Kelly Nelson Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780979302 PECOS PAC ID: 7618275066 Enrollment ID: I20170921001806 |
| Provider Name | Deprince L Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346762101 PECOS PAC ID: 5496029852 Enrollment ID: I20170922002988 |
| Provider Name | Melinda Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073952172 PECOS PAC ID: 7618271875 Enrollment ID: I20170926003298 |
| Provider Name | Shana Elisha Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982022851 PECOS PAC ID: 7719296995 Enrollment ID: I20170927000036 |
| Provider Name | Laine Arms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295259901 PECOS PAC ID: 5597039750 Enrollment ID: I20170927000658 |
| Provider Name | Brandi L Alvord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659893527 PECOS PAC ID: 9133493224 Enrollment ID: I20170928001978 |
| Provider Name | Amber Marian Breitzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275057408 PECOS PAC ID: 0749555852 Enrollment ID: I20170928003774 |
| Provider Name | Emily Schieler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245752237 PECOS PAC ID: 4981979879 Enrollment ID: I20171003004807 |
| Provider Name | Matthew R Deniger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134650096 PECOS PAC ID: 1759656366 Enrollment ID: I20171009000446 |
| Provider Name | Ashley N Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497271035 PECOS PAC ID: 9537434089 Enrollment ID: I20171009002671 |
| Provider Name | Charles R Miller |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1164861308 PECOS PAC ID: 1850685405 Enrollment ID: I20171012000053 |
| Provider Name | Hannah K Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760909626 PECOS PAC ID: 9032484381 Enrollment ID: I20171012001200 |
| Provider Name | Grant Michael Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215354246 PECOS PAC ID: 2365750973 Enrollment ID: I20171012001968 |
| Provider Name | Amrita Shreeniwas Pandit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780905463 PECOS PAC ID: 7012230121 Enrollment ID: I20171013002006 |
| Provider Name | Casey Eichenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083131973 PECOS PAC ID: 4486920527 Enrollment ID: I20171018000313 |
| Provider Name | Aftab Awan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316971880 PECOS PAC ID: 2860473998 Enrollment ID: I20171018003682 |
| Provider Name | Amy Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890804 PECOS PAC ID: 3577839505 Enrollment ID: I20171019000497 |
| Provider Name | Jenna Lynn Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679944219 PECOS PAC ID: 6507166725 Enrollment ID: I20171020001192 |
| Provider Name | Montoya Kalpatrick Taylor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558523464 PECOS PAC ID: 8426297375 Enrollment ID: I20171020002443 |
| Provider Name | Laszlo Marco Hoesel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447452057 PECOS PAC ID: 4385816735 Enrollment ID: I20171020002647 |
| Provider Name | Laura Rachel Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081790 PECOS PAC ID: 8921374455 Enrollment ID: I20171027000106 |
| Provider Name | Melody a Bauman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487172409 PECOS PAC ID: 9931475365 Enrollment ID: I20171030001833 |
| Provider Name | Shannon Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316477326 PECOS PAC ID: 3072879253 Enrollment ID: I20171102003531 |
| Provider Name | Nikita Tihonov |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215128194 PECOS PAC ID: 6002087129 Enrollment ID: I20171103001060 |
| Provider Name | Pamela J Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477070456 PECOS PAC ID: 0345506341 Enrollment ID: I20171108000001 |
| Provider Name | Lee V Murrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477063519 PECOS PAC ID: 4587920533 Enrollment ID: I20171108001998 |
| Provider Name | Cynthia Guede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851818835 PECOS PAC ID: 5991061848 Enrollment ID: I20171108002259 |
| Provider Name | Brandon N Nierhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093233173 PECOS PAC ID: 1759647605 Enrollment ID: I20171108002462 |
| Provider Name | Christie Jo Gesin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709336 PECOS PAC ID: 7416213384 Enrollment ID: I20171108003389 |
| Provider Name | Manas Upadhyaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518212216 PECOS PAC ID: 9537480389 Enrollment ID: I20171115001004 |
| Provider Name | Uzma Yousaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376982082 PECOS PAC ID: 6204192800 Enrollment ID: I20171115001553 |
| Provider Name | Karen C Knaak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396254728 PECOS PAC ID: 7618233222 Enrollment ID: I20171115001779 |
| Provider Name | Sarah E Kneip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790294403 PECOS PAC ID: 9032475645 Enrollment ID: I20171115001945 |
| Provider Name | Blake E Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558650101 PECOS PAC ID: 5395046171 Enrollment ID: I20171116002190 |
| Provider Name | Shelby Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083154033 PECOS PAC ID: 3274890637 Enrollment ID: I20171121000080 |
| Provider Name | Morgan Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104298314 PECOS PAC ID: 2365747201 Enrollment ID: I20171127003089 |
| Provider Name | Faheemuddin a Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366619595 PECOS PAC ID: 3274756135 Enrollment ID: I20171128000678 |
| Provider Name | Briana R Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214712 PECOS PAC ID: 4284991381 Enrollment ID: I20171128001292 |
| Provider Name | Lindsey M Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104335546 PECOS PAC ID: 6507123601 Enrollment ID: I20171128001553 |
| Provider Name | Shanta T Hopson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184134462 PECOS PAC ID: 9830456953 Enrollment ID: I20171128002258 |
| Provider Name | Brittani Ann Seagren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467961326 PECOS PAC ID: 0244597102 Enrollment ID: I20171130001921 |
| Provider Name | Andrea a Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164934972 PECOS PAC ID: 1759649957 Enrollment ID: I20171215002545 |
| Provider Name | Jonathan Bean |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356583413 PECOS PAC ID: 9133439177 Enrollment ID: I20171218000224 |
| Provider Name | Syeda a Quadri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790070746 PECOS PAC ID: 0244459584 Enrollment ID: I20171220000206 |
| Provider Name | Radha Vanukuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316131196 PECOS PAC ID: 8729260203 Enrollment ID: I20171220000383 |
| Provider Name | Andrea P Rossow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659632917 PECOS PAC ID: 9234431123 Enrollment ID: I20171227000726 |
| Provider Name | Michele D Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417461260 PECOS PAC ID: 7416215256 Enrollment ID: I20171227001529 |
| Provider Name | Bethany E Huelskoetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548775109 PECOS PAC ID: 2365701968 Enrollment ID: I20180104000899 |
| Provider Name | Gregory Podolej |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407296270 PECOS PAC ID: 9931428521 Enrollment ID: I20180109000578 |
| Provider Name | Hope Merkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689180978 PECOS PAC ID: 0547529992 Enrollment ID: I20180111000442 |
| Provider Name | Sarah M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750802674 PECOS PAC ID: 7911266184 Enrollment ID: I20180116000030 |
| Provider Name | Niraj K Mavani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669813762 PECOS PAC ID: 0446543599 Enrollment ID: I20180116001214 |
| Provider Name | Melissa Garmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639681117 PECOS PAC ID: 3173882248 Enrollment ID: I20180117002437 |
| Provider Name | Jessica D Blair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497267207 PECOS PAC ID: 7416216502 Enrollment ID: I20180118000372 |
| Provider Name | Jake G Ruff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760897334 PECOS PAC ID: 7012277643 Enrollment ID: I20180130002379 |
| Provider Name | Chase a Holtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912418799 PECOS PAC ID: 6608136007 Enrollment ID: I20180202001873 |
| Provider Name | Nicole L. Stawicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205720 PECOS PAC ID: 8527328681 Enrollment ID: I20180209000884 |
| Provider Name | Theresa M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447758107 PECOS PAC ID: 9032479928 Enrollment ID: I20180214002939 |
| Provider Name | Daniel J Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578501573 PECOS PAC ID: 0042118762 Enrollment ID: I20180228000324 |
| Provider Name | Sara K Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447766050 PECOS PAC ID: 3072875228 Enrollment ID: I20180328000058 |
| Provider Name | Zeny J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780073700 PECOS PAC ID: 1951663079 Enrollment ID: I20180329000309 |
| Provider Name | Kamel a Gharaibeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20180329000901 |
| Provider Name | Valerie T Kale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285137653 PECOS PAC ID: 0345503215 Enrollment ID: I20180406001899 |
| Provider Name | Sara K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073015319 PECOS PAC ID: 2567725716 Enrollment ID: I20180420002164 |
| Provider Name | Elias Samaha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134535693 PECOS PAC ID: 2365763208 Enrollment ID: I20180420002368 |
| Provider Name | Angela B Klapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508360066 PECOS PAC ID: 3678836848 Enrollment ID: I20180423000585 |
| Provider Name | Alissa M Bartel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770025496 PECOS PAC ID: 2668735838 Enrollment ID: I20180423000612 |
| Provider Name | Kristine L Ray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104142777 PECOS PAC ID: 2567725690 Enrollment ID: I20180424000679 |
| Provider Name | Brittany S Simmons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629573878 PECOS PAC ID: 4082977145 Enrollment ID: I20180424002351 |
| Provider Name | Meredith P Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306344585 PECOS PAC ID: 4789947839 Enrollment ID: I20180426002332 |
| Provider Name | Brittiany E Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679074041 PECOS PAC ID: 2567726516 Enrollment ID: I20180430000407 |
| Provider Name | Abhimanyu Beri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336339381 PECOS PAC ID: 3476727348 Enrollment ID: I20180502000509 |
| Provider Name | Marisol Chirinos Tito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255833695 PECOS PAC ID: 2466716030 Enrollment ID: I20180507001679 |
| Provider Name | Kayla a Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730686015 PECOS PAC ID: 4284999475 Enrollment ID: I20180517000010 |
| Provider Name | Kayla M Hnilicka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366949224 PECOS PAC ID: 1658636766 Enrollment ID: I20180521000004 |
| Provider Name | Sara J Keiler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578618286 PECOS PAC ID: 9133342496 Enrollment ID: I20180522001559 |
| Provider Name | Lorrie R Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154828440 PECOS PAC ID: 8729343769 Enrollment ID: I20180523000404 |
| Provider Name | Dennis Michael Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366837379 PECOS PAC ID: 6002126919 Enrollment ID: I20180529000646 |
| Provider Name | Sravani Kamatam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962885095 PECOS PAC ID: 7810252228 Enrollment ID: I20180605001729 |
| Provider Name | Tanya Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245279405 PECOS PAC ID: 1052359668 Enrollment ID: I20180606003496 |
| Provider Name | John M Ruggero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932474848 PECOS PAC ID: 6901038264 Enrollment ID: I20180613001097 |
| Provider Name | Andrea Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730670936 PECOS PAC ID: 5193070068 Enrollment ID: I20180618000565 |
| Provider Name | Rasha Atallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750768685 PECOS PAC ID: 6204135270 Enrollment ID: I20180618001618 |
| Provider Name | Samer Mowakeaa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821223520 PECOS PAC ID: 2466750906 Enrollment ID: I20180626000583 |
| Provider Name | Firas Ramahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205102019 PECOS PAC ID: 0345510509 Enrollment ID: I20180626000989 |
| Provider Name | Joshua a Janek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457852683 PECOS PAC ID: 0547515975 Enrollment ID: I20180626001144 |
| Provider Name | Mohammed Muqeet Adnan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922369248 PECOS PAC ID: 5294958005 Enrollment ID: I20180626001671 |
| Provider Name | Joy L Meachum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053801191 PECOS PAC ID: 4688920804 Enrollment ID: I20180702000787 |
| Provider Name | Kenneth S Laput |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184138042 PECOS PAC ID: 8628339496 Enrollment ID: I20180703000097 |
| Provider Name | Douglas Robert Juvinall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023436995 PECOS PAC ID: 8921305046 Enrollment ID: I20180705003006 |
| Provider Name | Sterling Scott Reese |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1952307886 PECOS PAC ID: 7315926359 Enrollment ID: I20180710002884 |
| Provider Name | Lateisha Nicole Fort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275024523 PECOS PAC ID: 2466708102 Enrollment ID: I20180710003116 |
| Provider Name | Tyrone Robert Brand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285017947 PECOS PAC ID: 5799032181 Enrollment ID: I20180717000251 |
| Provider Name | Gregory B Auffenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396977328 PECOS PAC ID: 0941513402 Enrollment ID: I20180717000433 |
| Provider Name | Lori Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699262550 PECOS PAC ID: 8022365477 Enrollment ID: I20180717002653 |
| Provider Name | Amir Hossein Dorafshar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942415823 PECOS PAC ID: 6608063318 Enrollment ID: I20180724001072 |
| Provider Name | Andrew Joseph Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952783698 PECOS PAC ID: 4981916509 Enrollment ID: I20180726000254 |
| Provider Name | Richard D Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376988162 PECOS PAC ID: 8426281213 Enrollment ID: I20180726000454 |
| Provider Name | Adeel Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033502554 PECOS PAC ID: 7810244571 Enrollment ID: I20180726000758 |
| Provider Name | Megan Poth Mcardle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871911388 PECOS PAC ID: 6608158977 Enrollment ID: I20180726002047 |
| Provider Name | Sunanda R Kale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548755366 PECOS PAC ID: 7315294980 Enrollment ID: I20180727002163 |
| Provider Name | Nicole M Gowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750875340 PECOS PAC ID: 9133476724 Enrollment ID: I20180730000126 |
| Provider Name | Asma S Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568877678 PECOS PAC ID: 9931420841 Enrollment ID: I20180803000694 |
| Provider Name | Melinda Bahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033608872 PECOS PAC ID: 1355699521 Enrollment ID: I20180803000884 |
| Provider Name | Jacob Ark |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891053716 PECOS PAC ID: 3870896715 Enrollment ID: I20180806001223 |
| Provider Name | Bryan R Sweeney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396162756 PECOS PAC ID: 2264737048 Enrollment ID: I20180807000097 |
| Provider Name | Jubilee Phan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023308483 PECOS PAC ID: 8921245762 Enrollment ID: I20180807001143 |
| Provider Name | Raksha P Indorkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225355167 PECOS PAC ID: 5193966067 Enrollment ID: I20180807001355 |
| Provider Name | Christopher T Sparrow |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1457647810 PECOS PAC ID: 8022247733 Enrollment ID: I20180808000004 |
| Provider Name | David Butler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598789489 PECOS PAC ID: 7113082447 Enrollment ID: I20180809000340 |
| Provider Name | Amith George Jacob |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649534926 PECOS PAC ID: 0345554473 Enrollment ID: I20180809004754 |
| Provider Name | Diana M Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952897001 PECOS PAC ID: 4688922388 Enrollment ID: I20180810002313 |
| Provider Name | Noah J Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427426931 PECOS PAC ID: 8426306143 Enrollment ID: I20180811000297 |
| Provider Name | Tariq Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710970587 PECOS PAC ID: 2567414691 Enrollment ID: I20180813002841 |
| Provider Name | Zia Samad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639551195 PECOS PAC ID: 1557610243 Enrollment ID: I20180814000042 |
| Provider Name | Carrie M. Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760972715 PECOS PAC ID: 6507115201 Enrollment ID: I20180814000318 |
| Provider Name | Barbara L Weis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689150948 PECOS PAC ID: 4385993898 Enrollment ID: I20180816001507 |
| Provider Name | Kavitha S Jacob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770964736 PECOS PAC ID: 3971819954 Enrollment ID: I20180816003388 |
| Provider Name | Amy Rose Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861979700 PECOS PAC ID: 8426307752 Enrollment ID: I20180821000333 |
| Provider Name | Saila Moni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972899789 PECOS PAC ID: 6204185440 Enrollment ID: I20180821001365 |
| Provider Name | Ayesha Waqar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205216876 PECOS PAC ID: 5496060196 Enrollment ID: I20180822000010 |
| Provider Name | Ugonna T Nwankwo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356661433 PECOS PAC ID: 2466701545 Enrollment ID: I20180822003181 |
| Provider Name | Chandler D Wilfong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194017384 PECOS PAC ID: 5890044986 Enrollment ID: I20180822003809 |
| Provider Name | Lindsey R Klingbeil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902195829 PECOS PAC ID: 4385884600 Enrollment ID: I20180823003477 |
| Provider Name | Uche Frances Allanah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356750830 PECOS PAC ID: 7810246675 Enrollment ID: I20180828001411 |
| Provider Name | Brian C Bamberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427462324 PECOS PAC ID: 6507187432 Enrollment ID: I20180829000671 |
| Provider Name | Brandon J Strawn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609294701 PECOS PAC ID: 7214287903 Enrollment ID: I20180829004056 |
| Provider Name | Tariq a Gheith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609213909 PECOS PAC ID: 3173894417 Enrollment ID: I20180904000576 |
| Provider Name | Omobolawa Kukoyi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518349133 PECOS PAC ID: 1254634322 Enrollment ID: I20180905001681 |
| Provider Name | Clinton R Holaday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477997369 PECOS PAC ID: 1658687405 Enrollment ID: I20180911000704 |
| Provider Name | Elizabeth Kim Plocher |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1063655629 PECOS PAC ID: 5092935981 Enrollment ID: I20180911003072 |
| Provider Name | Alexandra V Lasky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285028118 PECOS PAC ID: 9133439938 Enrollment ID: I20180912001336 |
| Provider Name | Michelle a Gardner Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891073102 PECOS PAC ID: 3870843832 Enrollment ID: I20180912002623 |
| Provider Name | Matthew R Sehring |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629458526 PECOS PAC ID: 0345554085 Enrollment ID: I20180913001568 |
| Provider Name | Teona C Cozianu Cotan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932514023 PECOS PAC ID: 0345590295 Enrollment ID: I20180913002884 |
| Provider Name | Jay L Mathur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891182515 PECOS PAC ID: 6901104017 Enrollment ID: I20180918000037 |
| Provider Name | Shawn C Joseph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891172888 PECOS PAC ID: 1254646771 Enrollment ID: I20180920001152 |
| Provider Name | Andrea M Bartlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780952184 PECOS PAC ID: 5395096879 Enrollment ID: I20180921002279 |
| Provider Name | Karen Dyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003854530 PECOS PAC ID: 9234208059 Enrollment ID: I20180921002607 |
| Provider Name | Sheikh Muhammad Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104251321 PECOS PAC ID: 0840556882 Enrollment ID: I20180927001646 |
| Provider Name | Eric E Simpson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134381650 PECOS PAC ID: 7719286988 Enrollment ID: I20181001003310 |
| Provider Name | Jodi E Morse |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477047272 PECOS PAC ID: 7618229667 Enrollment ID: I20181003000329 |
| Provider Name | Heidi L Colton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841645066 PECOS PAC ID: 0840542635 Enrollment ID: I20181005000405 |
| Provider Name | Umair Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831579945 PECOS PAC ID: 7618229477 Enrollment ID: I20181008000090 |
| Provider Name | Laine E Galardini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265915474 PECOS PAC ID: 6305198722 Enrollment ID: I20181015000098 |
| Provider Name | Alaina M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851881908 PECOS PAC ID: 9234481565 Enrollment ID: I20181015000856 |
| Provider Name | Sarah Smock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710460944 PECOS PAC ID: 4587916820 Enrollment ID: I20181015001349 |
| Provider Name | Carrie B Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427531615 PECOS PAC ID: 8628320975 Enrollment ID: I20181015001561 |
| Provider Name | Colin M Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861975849 PECOS PAC ID: 9234481581 Enrollment ID: I20181015001682 |
| Provider Name | Roxanne Strohbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992289979 PECOS PAC ID: 9133471204 Enrollment ID: I20181018000231 |
| Provider Name | Jessica Knoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704172 PECOS PAC ID: 7113270224 Enrollment ID: I20181018002762 |
| Provider Name | Bradley J Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730573650 PECOS PAC ID: 4486954997 Enrollment ID: I20181022001404 |
| Provider Name | Samuel S Mortoti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154588762 PECOS PAC ID: 2264674076 Enrollment ID: I20181022002185 |
| Provider Name | Alisha N Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487197745 PECOS PAC ID: 2567715519 Enrollment ID: I20181022002454 |
| Provider Name | Ifrah Jamil |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821397720 PECOS PAC ID: 8921222605 Enrollment ID: I20181023000757 |
| Provider Name | Tombi Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306326616 PECOS PAC ID: 9335492297 Enrollment ID: I20181024000040 |
| Provider Name | Nicole Marie Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326524075 PECOS PAC ID: 4385997097 Enrollment ID: I20181026000766 |
| Provider Name | Amanda L Lahood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356826309 PECOS PAC ID: 2466705074 Enrollment ID: I20181030000057 |
| Provider Name | Gabriela a Ciofoaia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386027076 PECOS PAC ID: 1658624077 Enrollment ID: I20181031002231 |
| Provider Name | Irena Markovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811383573 PECOS PAC ID: 4688980774 Enrollment ID: I20181102002094 |
| Provider Name | Kathleen M Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205312790 PECOS PAC ID: 8022361237 Enrollment ID: I20181105001339 |
| Provider Name | Kevin Dean Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659790350 PECOS PAC ID: 9739404591 Enrollment ID: I20181106000245 |
| Provider Name | Ying Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225356033 PECOS PAC ID: 5799927893 Enrollment ID: I20181109000073 |
| Provider Name | Kate E Jaegle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487129318 PECOS PAC ID: 1850311218 Enrollment ID: I20181110000384 |
| Provider Name | Anushi a Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922413871 PECOS PAC ID: 7012261068 Enrollment ID: I20181112000547 |
| Provider Name | Tien T Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912473273 PECOS PAC ID: 3476807264 Enrollment ID: I20181114001102 |
| Provider Name | Adriana U Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821571811 PECOS PAC ID: 0345594164 Enrollment ID: I20181114002603 |
| Provider Name | Rebecca J Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235631763 PECOS PAC ID: 9436403102 Enrollment ID: I20181115001108 |
| Provider Name | Retta C Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649780446 PECOS PAC ID: 4880948421 Enrollment ID: I20181116001305 |
| Provider Name | Katy W Tinsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942783386 PECOS PAC ID: 1456605971 Enrollment ID: I20181119002200 |
| Provider Name | Seth Strope |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427109248 PECOS PAC ID: 9638271794 Enrollment ID: I20181120002351 |
| Provider Name | Donald R Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609090026 PECOS PAC ID: 3577654938 Enrollment ID: I20181128002318 |
| Provider Name | Nicholas Anthony Kusnezov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396185161 PECOS PAC ID: 3476803248 Enrollment ID: I20181130001792 |
| Provider Name | Taylor B Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578048377 PECOS PAC ID: 4183968159 Enrollment ID: I20181201000002 |
| Provider Name | Mary Beth Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851433700 PECOS PAC ID: 3375855489 Enrollment ID: I20181203000234 |
| Provider Name | Lee D Raube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861848871 PECOS PAC ID: 3971895046 Enrollment ID: I20181203000518 |
| Provider Name | Katelyn L Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841767977 PECOS PAC ID: 2769726785 Enrollment ID: I20181203001273 |
| Provider Name | Kendall E Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003391061 PECOS PAC ID: 6305180266 Enrollment ID: I20181204000097 |
| Provider Name | Brittany Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366919227 PECOS PAC ID: 4587908355 Enrollment ID: I20181205001076 |
| Provider Name | Michelle D Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477038743 PECOS PAC ID: 3870837446 Enrollment ID: I20181208000207 |
| Provider Name | Tomas Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710225263 PECOS PAC ID: 9032499314 Enrollment ID: I20181211002307 |
| Provider Name | Courtney M Montel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557341 PECOS PAC ID: 0648515049 Enrollment ID: I20181212002917 |
| Provider Name | Andrea M Shewalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180228 PECOS PAC ID: 7113262338 Enrollment ID: I20181217001667 |
| Provider Name | Caroline J Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082384 PECOS PAC ID: 7618212705 Enrollment ID: I20181218001690 |
| Provider Name | Matthew T Hefty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154633618 PECOS PAC ID: 3375771652 Enrollment ID: I20181221000571 |
| Provider Name | Cedric Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20181226000001 |
| Provider Name | Courtney Dawn Edsall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558830851 PECOS PAC ID: 6103161898 Enrollment ID: I20181228000479 |
| Provider Name | Heather Marie Godsil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780159046 PECOS PAC ID: 5294070801 Enrollment ID: I20181228001677 |
| Provider Name | Benjamin D Lemoine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497071872 PECOS PAC ID: 4587963228 Enrollment ID: I20181231001481 |
| Provider Name | Katelyn M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174093009 PECOS PAC ID: 1951646454 Enrollment ID: I20190102000957 |
| Provider Name | John H Greinwald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275547457 PECOS PAC ID: 9537215330 Enrollment ID: I20190103000621 |
| Provider Name | Rachel a Amsbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983500 PECOS PAC ID: 8325383813 Enrollment ID: I20190103001111 |
| Provider Name | Justin R Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255818258 PECOS PAC ID: 8820334014 Enrollment ID: I20190109000378 |
| Provider Name | Rawan Musaitif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811379597 PECOS PAC ID: 7517279862 Enrollment ID: I20190109000581 |
| Provider Name | Charles L Rosen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417057290 PECOS PAC ID: 0547292013 Enrollment ID: I20190115000761 |
| Provider Name | Kelly Joan Coderre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235601113 PECOS PAC ID: 4688911902 Enrollment ID: I20190124002229 |
| Provider Name | Timothy E Fahey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861756652 PECOS PAC ID: 8729309588 Enrollment ID: I20190125000449 |
| Provider Name | Michael J Grecula |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952480550 PECOS PAC ID: 2365505401 Enrollment ID: I20190128000793 |
| Provider Name | Sandra E Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083183677 PECOS PAC ID: 1254678345 Enrollment ID: I20190128002470 |
| Provider Name | Vinny Prem Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194165613 PECOS PAC ID: 6305077728 Enrollment ID: I20190129002628 |
| Provider Name | Shamila Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184663742 PECOS PAC ID: 9931160017 Enrollment ID: I20190131002398 |
| Provider Name | Kayla Brugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851875470 PECOS PAC ID: 2567700735 Enrollment ID: I20190213001541 |
| Provider Name | Stephanie S Beckstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487127734 PECOS PAC ID: 1951649722 Enrollment ID: I20190221000314 |
| Provider Name | Genevieve E Wessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396736 PECOS PAC ID: 4183963705 Enrollment ID: I20190226002519 |
| Provider Name | Katelyn J Stites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013480763 PECOS PAC ID: 4880933159 Enrollment ID: I20190304001981 |
| Provider Name | Stephanie L Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871862888 PECOS PAC ID: 7911135603 Enrollment ID: I20190304002419 |
| Provider Name | Andrea J Hoerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330596 PECOS PAC ID: 5597004804 Enrollment ID: I20190305000406 |
| Provider Name | Brittany N Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255895108 PECOS PAC ID: 5193064400 Enrollment ID: I20190305000563 |
| Provider Name | Randi M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003370990 PECOS PAC ID: 2163761487 Enrollment ID: I20190305001148 |
| Provider Name | Stephanie M Piquard-capranica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861956286 PECOS PAC ID: 2769721828 Enrollment ID: I20190307000749 |
| Provider Name | Rachel B Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275099160 PECOS PAC ID: 4183965916 Enrollment ID: I20190404001623 |
| Provider Name | Alok Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457627465 PECOS PAC ID: 5092061788 Enrollment ID: I20190405001793 |
| Provider Name | Zlatka K Jeliazkova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346403060 PECOS PAC ID: 2365681251 Enrollment ID: I20190409000028 |
| Provider Name | Jessica L Schupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962960393 PECOS PAC ID: 2769723295 Enrollment ID: I20190411000105 |
| Provider Name | James Francis Peculis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881168367 PECOS PAC ID: 3476894619 Enrollment ID: I20190416001512 |
| Provider Name | Carrie Anne Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285193441 PECOS PAC ID: 1153662333 Enrollment ID: I20190417000435 |
| Provider Name | Melinda Marie Feely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134449119 PECOS PAC ID: 7416198304 Enrollment ID: I20190417000755 |
| Provider Name | Rizan a Hajal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932150968 PECOS PAC ID: 1254359912 Enrollment ID: I20190418000718 |
| Provider Name | Hatem Desoky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558636860 PECOS PAC ID: 2466720578 Enrollment ID: I20190423000354 |
| Provider Name | Tracey Way Childers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053371021 PECOS PAC ID: 3375592553 Enrollment ID: I20190424001367 |
| Provider Name | Carmeka D Honorable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477988087 PECOS PAC ID: 8729320635 Enrollment ID: I20190424002997 |
| Provider Name | Drake R Steed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942748967 PECOS PAC ID: 6800166778 Enrollment ID: I20190425000012 |
| Provider Name | Lauren M Sladek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982164471 PECOS PAC ID: 6406198340 Enrollment ID: I20190425001072 |
| Provider Name | Angel Seehaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477016483 PECOS PAC ID: 8527300292 Enrollment ID: I20190429001578 |
| Provider Name | Julie a Maner Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164984225 PECOS PAC ID: 5496097073 Enrollment ID: I20190501000694 |
| Provider Name | Mohammad Daaif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720271331 PECOS PAC ID: 1850565714 Enrollment ID: I20190502000997 |
| Provider Name | Tasha R Besser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295297737 PECOS PAC ID: 7810239167 Enrollment ID: I20190507000955 |
| Provider Name | Garrett J Emery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306807300 PECOS PAC ID: 4789610007 Enrollment ID: I20190508002170 |
| Provider Name | Tara Marie Shutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528621265 PECOS PAC ID: 6608119813 Enrollment ID: I20190509002102 |
| Provider Name | Cameron Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043651516 PECOS PAC ID: 6103147046 Enrollment ID: I20190510000026 |
| Provider Name | Daniel S Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568818060 PECOS PAC ID: 4385932839 Enrollment ID: I20190510002189 |
| Provider Name | Emily L Dechow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770147738 PECOS PAC ID: 8921341025 Enrollment ID: I20190513001157 |
| Provider Name | Kimberly Helmkamp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447633128 PECOS PAC ID: 8325354905 Enrollment ID: I20190516000640 |
| Provider Name | Kevin P Peters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326525304 PECOS PAC ID: 9830432731 Enrollment ID: I20190516001109 |
| Provider Name | Tyler Cornelius |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593116 PECOS PAC ID: 4880987585 Enrollment ID: I20190516001317 |
| Provider Name | Stephen W Goth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285999334 PECOS PAC ID: 5890072268 Enrollment ID: I20190516001894 |
| Provider Name | Bradley R Oliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598170730 PECOS PAC ID: 9436470234 Enrollment ID: I20190516002533 |
| Provider Name | Tyler M Flessner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275979825 PECOS PAC ID: 1355606385 Enrollment ID: I20190520002964 |
| Provider Name | Raman Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386866853 PECOS PAC ID: 9638336225 Enrollment ID: I20190521000119 |
| Provider Name | Brandi L Vandivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073687653 PECOS PAC ID: 4082768676 Enrollment ID: I20190522001797 |
| Provider Name | Nathan L Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417512328 PECOS PAC ID: 4082957394 Enrollment ID: I20190529002087 |
| Provider Name | Vidita V Khatri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588072292 PECOS PAC ID: 8123314572 Enrollment ID: I20190531000385 |
| Provider Name | Jaclyn T Novak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457916124 PECOS PAC ID: 9335472513 Enrollment ID: I20190603000588 |
| Provider Name | Christina Jane Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467017749 PECOS PAC ID: 6103159306 Enrollment ID: I20190603001841 |
| Provider Name | Priyanka Gait |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679801856 PECOS PAC ID: 2668613548 Enrollment ID: I20190604000777 |
| Provider Name | Angela M Longeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548735988 PECOS PAC ID: 8527391697 Enrollment ID: I20190604001693 |
| Provider Name | Raymond Kwong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104396076 PECOS PAC ID: 3375888423 Enrollment ID: I20190604003319 |
| Provider Name | Annabelle Bedenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639630965 PECOS PAC ID: 9830422344 Enrollment ID: I20190614000181 |
| Provider Name | David Benjamin Pierce |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1295077196 PECOS PAC ID: 2163736018 Enrollment ID: I20190620000757 |
| Provider Name | Jeffrey B Miessau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689137671 PECOS PAC ID: 4183958283 Enrollment ID: I20190624002055 |
| Provider Name | Christopher Kenneth Johnson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407086283 PECOS PAC ID: 1456588763 Enrollment ID: I20190626001135 |
| Provider Name | Tracy a Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578129987 PECOS PAC ID: 3779817648 Enrollment ID: I20190626002273 |
| Provider Name | Amy L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619435252 PECOS PAC ID: 8224362017 Enrollment ID: I20190627002711 |
| Provider Name | Sammi Dali |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407825722 PECOS PAC ID: 5092793505 Enrollment ID: I20190701000262 |
| Provider Name | Jaclyn Keller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982066494 PECOS PAC ID: 7810281433 Enrollment ID: I20190701001824 |
| Provider Name | Chelsea M Krejci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043779861 PECOS PAC ID: 5698009165 Enrollment ID: I20190703000969 |
| Provider Name | Falgun Jagdishgiri Gosai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407302607 PECOS PAC ID: 4688962426 Enrollment ID: I20190709000378 |
| Provider Name | Kyle Dean Swanson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053763664 PECOS PAC ID: 4880929157 Enrollment ID: I20190709000860 |
| Provider Name | Sharon L Marguglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033360284 PECOS PAC ID: 9436218153 Enrollment ID: I20190709001636 |
| Provider Name | Amar Rawal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538591268 PECOS PAC ID: 6901131168 Enrollment ID: I20190710001256 |
| Provider Name | Aimee R Sarchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508055401 PECOS PAC ID: 0749516367 Enrollment ID: I20190719000744 |
| Provider Name | Elizabeth C Zook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215496914 PECOS PAC ID: 6709112147 Enrollment ID: I20190724000058 |
| Provider Name | Haleigh D Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497312672 PECOS PAC ID: 8123354446 Enrollment ID: I20190724003114 |
| Provider Name | Jason Gary Bill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285920017 PECOS PAC ID: 6103066782 Enrollment ID: I20190724003923 |
| Provider Name | Mohammad Sameer Zaheerullah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295978526 PECOS PAC ID: 5597905562 Enrollment ID: I20190724004023 |
| Provider Name | Arun Nagaraju |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861805871 PECOS PAC ID: 2668775966 Enrollment ID: I20190729000237 |
| Provider Name | Michael N Daley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992159206 PECOS PAC ID: 4981997707 Enrollment ID: I20190729000241 |
| Provider Name | Kathryn C Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679920250 PECOS PAC ID: 9739415662 Enrollment ID: I20190730001954 |
| Provider Name | Isaac C Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710336631 PECOS PAC ID: 4789976853 Enrollment ID: I20190730002108 |
| Provider Name | Louis a Aliperti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861810350 PECOS PAC ID: 5193022614 Enrollment ID: I20190730003012 |
| Provider Name | Michael J Endris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235588070 PECOS PAC ID: 5496047342 Enrollment ID: I20190730003367 |
| Provider Name | Keith Thomas Corpus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043552227 PECOS PAC ID: 9234421652 Enrollment ID: I20190730003656 |
| Provider Name | Barry Chang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386612000 PECOS PAC ID: 0446343735 Enrollment ID: I20190730004451 |
| Provider Name | Jayme S Kwak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750776233 PECOS PAC ID: 5890095269 Enrollment ID: I20190731000085 |
| Provider Name | Alexandra L Mathern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598149171 PECOS PAC ID: 5991011652 Enrollment ID: I20190731000240 |
| Provider Name | Connor Kasik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851631592 PECOS PAC ID: 1153615679 Enrollment ID: I20190731002988 |
| Provider Name | Jeanette T Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407408149 PECOS PAC ID: 7719213503 Enrollment ID: I20190801000213 |
| Provider Name | Lindsey a Pastorik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396397220 PECOS PAC ID: 6507192309 Enrollment ID: I20190801000410 |
| Provider Name | Andrew R Wherley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316300593 PECOS PAC ID: 8527359140 Enrollment ID: I20190802000090 |
| Provider Name | William a Critchlow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700296621 PECOS PAC ID: 5698994119 Enrollment ID: I20190802000297 |
| Provider Name | Amanda K Krutke |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861702532 PECOS PAC ID: 5193906550 Enrollment ID: I20190803000029 |
| Provider Name | John Michael Irish |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619318235 PECOS PAC ID: 9133474034 Enrollment ID: I20190806004139 |
| Provider Name | Javier Herrera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447605092 PECOS PAC ID: 8628365772 Enrollment ID: I20190807000169 |
| Provider Name | Patrick J Hoffmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447682703 PECOS PAC ID: 9032446109 Enrollment ID: I20190812004057 |
| Provider Name | Angela D Kitts-faron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609242049 PECOS PAC ID: 7113234030 Enrollment ID: I20190813002058 |
| Provider Name | Matthew Stier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902244791 PECOS PAC ID: 1850524760 Enrollment ID: I20190814003074 |
| Provider Name | Aida a Chicon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750842522 PECOS PAC ID: 3779811534 Enrollment ID: I20190819001463 |
| Provider Name | Asim Khan Babar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053755710 PECOS PAC ID: 3476881178 Enrollment ID: I20190820000067 |
| Provider Name | Benjamin Getz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285016923 PECOS PAC ID: 4486919594 Enrollment ID: I20190822003638 |
| Provider Name | Michael R Mandrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528537388 PECOS PAC ID: 6901134246 Enrollment ID: I20190823001351 |
| Provider Name | Jordan M Meiss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972947703 PECOS PAC ID: 2062740368 Enrollment ID: I20190824000234 |
| Provider Name | Katherine E Ellingson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881259943 PECOS PAC ID: 4082942180 Enrollment ID: I20190828001065 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376954693 PECOS PAC ID: 7113216326 Enrollment ID: I20190828003586 |
| Provider Name | Andres L Maldonado |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467765040 PECOS PAC ID: 9436442464 Enrollment ID: I20190829000562 |
| Provider Name | Carrie Roe-fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265084842 PECOS PAC ID: 7012245012 Enrollment ID: I20190829001693 |
| Provider Name | Angel L Bermudez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346781572 PECOS PAC ID: 3476823725 Enrollment ID: I20190830000883 |
| Provider Name | Kylie a Cavanah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598310492 PECOS PAC ID: 8820326705 Enrollment ID: I20190830000995 |
| Provider Name | Bilal Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669822318 PECOS PAC ID: 8325330509 Enrollment ID: I20190830001717 |
| Provider Name | Kimberley B Herzog |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134585441 PECOS PAC ID: 4082917125 Enrollment ID: I20190903000137 |
| Provider Name | Abby R Vladika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184194813 PECOS PAC ID: 7416286117 Enrollment ID: I20190905001588 |
| Provider Name | Ryan J Gluth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609307305 PECOS PAC ID: 2365714425 Enrollment ID: I20190909000052 |
| Provider Name | Tara Behrens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457904831 PECOS PAC ID: 3072842525 Enrollment ID: I20190909000860 |
| Provider Name | Alexandra Kindred |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366098188 PECOS PAC ID: 1052640513 Enrollment ID: I20190909001345 |
| Provider Name | Jamila Lyka Salvador |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235785031 PECOS PAC ID: 4082943576 Enrollment ID: I20190909002542 |
| Provider Name | Mohammad Amir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386036085 PECOS PAC ID: 6204146848 Enrollment ID: I20190910002079 |
| Provider Name | Melissa a Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518513605 PECOS PAC ID: 4789913161 Enrollment ID: I20190910002904 |
| Provider Name | Nikhia C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316593445 PECOS PAC ID: 6406185750 Enrollment ID: I20190911002053 |
| Provider Name | Staci M Knox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457604704 PECOS PAC ID: 4486983756 Enrollment ID: I20190911002700 |
| Provider Name | Shitaldas J Pamnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750739900 PECOS PAC ID: 9234416009 Enrollment ID: I20190911002838 |
| Provider Name | Matthew J Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857545 PECOS PAC ID: 2264761428 Enrollment ID: I20190912002991 |
| Provider Name | Elizabeth a Saunches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104472984 PECOS PAC ID: 1850620832 Enrollment ID: I20190917002540 |
| Provider Name | Emily E Cooper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578110680 PECOS PAC ID: 2668701657 Enrollment ID: I20190917003008 |
| Provider Name | Joseph D Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053976712 PECOS PAC ID: 8820328883 Enrollment ID: I20190918001768 |
| Provider Name | Gabriela Szatko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639528136 PECOS PAC ID: 1355629452 Enrollment ID: I20190920000627 |
| Provider Name | Charles Ghee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851659643 PECOS PAC ID: 3870865603 Enrollment ID: I20190927000524 |
| Provider Name | Stacy R Marriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981528 PECOS PAC ID: 9931439148 Enrollment ID: I20191001000587 |
| Provider Name | Deirdre Knobeloch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982947149 PECOS PAC ID: 6608175674 Enrollment ID: I20191001001203 |
| Provider Name | Brendan D Minardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097695 PECOS PAC ID: 6103132717 Enrollment ID: I20191002001041 |
| Provider Name | Ashley R Droege |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841726742 PECOS PAC ID: 6103174065 Enrollment ID: I20191002001439 |
| Provider Name | Brenda Beilfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275185142 PECOS PAC ID: 0446581433 Enrollment ID: I20191004001810 |
| Provider Name | Kasey Lynn Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821644683 PECOS PAC ID: 9234460239 Enrollment ID: I20191004002372 |
| Provider Name | Stephanie Y Amor-arteaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043862964 PECOS PAC ID: 4486985280 Enrollment ID: I20191009000908 |
| Provider Name | Brandi L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427609775 PECOS PAC ID: 3173854718 Enrollment ID: I20191011000601 |
| Provider Name | Matthew C Musielak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477781177 PECOS PAC ID: 2062720436 Enrollment ID: I20191014000115 |
| Provider Name | Angela B Catarinicchia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043659907 PECOS PAC ID: 1658595426 Enrollment ID: I20191016001543 |
| Provider Name | Janae L Hohbein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255727129 PECOS PAC ID: 5991005563 Enrollment ID: I20191017000066 |
| Provider Name | Juilo R Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841840352 PECOS PAC ID: 9436481553 Enrollment ID: I20191022003860 |
| Provider Name | Morgan K Asif |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306487178 PECOS PAC ID: 0143552117 Enrollment ID: I20191023002721 |
| Provider Name | Angela M Bickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669022752 PECOS PAC ID: 4183956113 Enrollment ID: I20191024001585 |
| Provider Name | Crystal D Reed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588626576 PECOS PAC ID: 0244240794 Enrollment ID: I20191025000758 |
| Provider Name | Andres Giovannetti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528408960 PECOS PAC ID: 0244535581 Enrollment ID: I20191028002544 |
| Provider Name | Ahmed U Sharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780034926 PECOS PAC ID: 3173816550 Enrollment ID: I20191030000349 |
| Provider Name | Peter Wrigley |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1144660572 PECOS PAC ID: 9931342425 Enrollment ID: I20191030000982 |
| Provider Name | Amanda L Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851932040 PECOS PAC ID: 9436481025 Enrollment ID: I20191031001741 |
| Provider Name | Amy a Homerin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569175 PECOS PAC ID: 4880026194 Enrollment ID: I20191107000085 |
| Provider Name | Kyle May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679075022 PECOS PAC ID: 1658703970 Enrollment ID: I20191107000277 |
| Provider Name | Alexis Diaz-ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669836706 PECOS PAC ID: 0345537361 Enrollment ID: I20191112000273 |
| Provider Name | Steven Fineberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760708895 PECOS PAC ID: 4082963731 Enrollment ID: I20191112002839 |
| Provider Name | Tamarra L Subyantoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942842018 PECOS PAC ID: 4385076397 Enrollment ID: I20191113001192 |
| Provider Name | Holly E Vannitamby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053831214 PECOS PAC ID: 4688006604 Enrollment ID: I20191113001637 |
| Provider Name | Rebecca a Mireles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972144715 PECOS PAC ID: 4284066960 Enrollment ID: I20191119000225 |
| Provider Name | Yaw Opoku-agyemang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107090 PECOS PAC ID: 0749612463 Enrollment ID: I20191119001959 |
| Provider Name | Jared Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487095659 PECOS PAC ID: 5395049134 Enrollment ID: I20191122002246 |
| Provider Name | Gabriela Trifan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023403565 PECOS PAC ID: 4587974696 Enrollment ID: I20191203003143 |
| Provider Name | Indira Kedlaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891771382 PECOS PAC ID: 8729086418 Enrollment ID: I20191212002413 |
| Provider Name | Anthony J Lahood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851825863 PECOS PAC ID: 8628342219 Enrollment ID: I20191213000801 |
| Provider Name | Maddison P Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023653342 PECOS PAC ID: 3577996099 Enrollment ID: I20191213000945 |
| Provider Name | Dustin Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017333 PECOS PAC ID: 6901230093 Enrollment ID: I20191226001027 |
| Provider Name | Taylor L Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356987135 PECOS PAC ID: 9931533767 Enrollment ID: I20200102001225 |
| Provider Name | Irene M Mcaleer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053313213 PECOS PAC ID: 2365342136 Enrollment ID: I20200106002550 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20200113001847 |
| Provider Name | Chad M Malinowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558918409 PECOS PAC ID: 4880029701 Enrollment ID: I20200122001960 |
| Provider Name | Leslie N Bowser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356989917 PECOS PAC ID: 3577998442 Enrollment ID: I20200123000080 |
| Provider Name | Kelsey E Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093365678 PECOS PAC ID: 7416382288 Enrollment ID: I20200124001621 |
| Provider Name | Katherine a Schlesinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821635566 PECOS PAC ID: 4981039484 Enrollment ID: I20200129000970 |
| Provider Name | Bhaskara Rao Yelamanchili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043325335 PECOS PAC ID: 6608014840 Enrollment ID: I20200203000798 |
| Provider Name | Ellen Michelle Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538708086 PECOS PAC ID: 1759717176 Enrollment ID: I20200204000265 |
| Provider Name | Noel Marie Chelsea Fischre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710333000 PECOS PAC ID: 9830480623 Enrollment ID: I20200204000617 |
| Provider Name | Sandra B Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629592258 PECOS PAC ID: 2961399456 Enrollment ID: I20200205000146 |
| Provider Name | Lauren J Hargrave |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295211548 PECOS PAC ID: 4981030715 Enrollment ID: I20200214000001 |
| Provider Name | Laura Anne Recob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609414119 PECOS PAC ID: 3870920622 Enrollment ID: I20200218000188 |
| Provider Name | Jessica K Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699313981 PECOS PAC ID: 9931536638 Enrollment ID: I20200218002889 |
| Provider Name | Chris a Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760022180 PECOS PAC ID: 8224465943 Enrollment ID: I20200219000471 |
| Provider Name | Punam Trivede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790258473 PECOS PAC ID: 0547697732 Enrollment ID: I20200228000326 |
| Provider Name | Valerie L Behrends |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700348349 PECOS PAC ID: 5698102622 Enrollment ID: I20200303001950 |
| Provider Name | Jennifer M Courts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073013629 PECOS PAC ID: 8426485475 Enrollment ID: I20200304000001 |
| Provider Name | Daniel C Leman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285264523 PECOS PAC ID: 6103253091 Enrollment ID: I20200306000295 |
| Provider Name | Sarah Beth Jarman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679105308 PECOS PAC ID: 9537597398 Enrollment ID: I20200310002736 |
| Provider Name | Philip L Mar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982999462 PECOS PAC ID: 6507141306 Enrollment ID: I20200318000149 |
| Provider Name | Ann K Church |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295700912 PECOS PAC ID: 2264465830 Enrollment ID: I20200320002016 |
| Provider Name | Taelor Stuedemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043856867 PECOS PAC ID: 1254769458 Enrollment ID: I20200323001786 |
| Provider Name | Joshua M Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477187946 PECOS PAC ID: 9638507759 Enrollment ID: I20200323002847 |
| Provider Name | Shannon Trosper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688870 PECOS PAC ID: 8123456274 Enrollment ID: I20200324000815 |
| Provider Name | Moriah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750920039 PECOS PAC ID: 8224466305 Enrollment ID: I20200324001733 |
| Provider Name | Luke Knapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790218527 PECOS PAC ID: 2668800913 Enrollment ID: I20200326001837 |
| Provider Name | Robert E Leysaht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265064612 PECOS PAC ID: 4183053986 Enrollment ID: I20200330002927 |
| Provider Name | Paul Noh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811089691 PECOS PAC ID: 9032140520 Enrollment ID: I20200401000425 |
| Provider Name | Rebekka J Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366077695 PECOS PAC ID: 0840629390 Enrollment ID: I20200403000878 |
| Provider Name | Tedi Vlahu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326335928 PECOS PAC ID: 2769610070 Enrollment ID: I20200407003558 |
| Provider Name | Paula L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336777515 PECOS PAC ID: 1951731801 Enrollment ID: I20200417000511 |
| Provider Name | Michael D Marcus |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588622773 PECOS PAC ID: 8628027596 Enrollment ID: I20200424001088 |
| Provider Name | Ramzyeh a Kaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20200430000209 |
| Provider Name | Stacey M Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760012637 PECOS PAC ID: 4183055155 Enrollment ID: I20200506001970 |
| Provider Name | Ross Alexander Ogilvie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144635855 PECOS PAC ID: 2567689250 Enrollment ID: I20200512003133 |
| Provider Name | Susana Meschede |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932553294 PECOS PAC ID: 5698068823 Enrollment ID: I20200519001436 |
| Provider Name | Lena M Beale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164078788 PECOS PAC ID: 3072841980 Enrollment ID: I20200522002623 |
| Provider Name | Yaimet V Bucknor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902030836 PECOS PAC ID: 4880745470 Enrollment ID: I20200528003290 |
| Provider Name | Amanda R Schaefer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467899278 PECOS PAC ID: 0840421590 Enrollment ID: I20200610002752 |
| Provider Name | Lavneet K Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720531718 PECOS PAC ID: 0648505487 Enrollment ID: I20200611000738 |
| Provider Name | Mohamed a Said |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699201160 PECOS PAC ID: 0941574594 Enrollment ID: I20200611000895 |
| Provider Name | Tracie R Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578197513 PECOS PAC ID: 6103247580 Enrollment ID: I20200611001029 |
| Provider Name | Kyle R Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801415864 PECOS PAC ID: 0648692038 Enrollment ID: I20200611001994 |
| Provider Name | Sean G Creeden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598104390 PECOS PAC ID: 7416246624 Enrollment ID: I20200612000157 |
| Provider Name | Ismail M Abbasi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427035989 PECOS PAC ID: 4789860065 Enrollment ID: I20200612002378 |
| Provider Name | Kinda Muslemani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669746988 PECOS PAC ID: 9931358116 Enrollment ID: I20200616000381 |
| Provider Name | Greg M Hermann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912392564 PECOS PAC ID: 9830405406 Enrollment ID: I20200619001293 |
| Provider Name | Margaret L Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215467154 PECOS PAC ID: 2163788043 Enrollment ID: I20200622002940 |
| Provider Name | James Seipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20200626000469 |
| Provider Name | Amber S Kowalsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164053484 PECOS PAC ID: 3870915457 Enrollment ID: I20200629000746 |
| Provider Name | David R Vandersteen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235190786 PECOS PAC ID: 8123922010 Enrollment ID: I20200707001038 |
| Provider Name | Charles Clayton Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265831192 PECOS PAC ID: 3779906912 Enrollment ID: I20200707002554 |
| Provider Name | Bindu Bathina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427573518 PECOS PAC ID: 2365716552 Enrollment ID: I20200708001332 |
| Provider Name | Chandra Kanth Chaturvedula |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215311683 PECOS PAC ID: 8729379193 Enrollment ID: I20200708001819 |
| Provider Name | Jennifer Elise Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649534009 PECOS PAC ID: 3678885837 Enrollment ID: I20200714003853 |
| Provider Name | Jennifer L Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205469988 PECOS PAC ID: 5193149235 Enrollment ID: I20200722000255 |
| Provider Name | Christopher D Powers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992702096 PECOS PAC ID: 2264345198 Enrollment ID: I20200723000106 |
| Provider Name | Craig J Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457733438 PECOS PAC ID: 9133423874 Enrollment ID: I20200723000440 |
| Provider Name | Frank Y Han |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801153952 PECOS PAC ID: 7517278948 Enrollment ID: I20200723003453 |
| Provider Name | Cathy Hinton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043227689 PECOS PAC ID: 2264484898 Enrollment ID: I20200724001189 |
| Provider Name | Tyler J Surma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568878965 PECOS PAC ID: 2062638893 Enrollment ID: I20200727002161 |
| Provider Name | Jac Cooper |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144583287 PECOS PAC ID: 0749429579 Enrollment ID: I20200729002586 |
| Provider Name | Abdul Rehman Sozzer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922413111 PECOS PAC ID: 1951622703 Enrollment ID: I20200731000535 |
| Provider Name | Alvin Joseph Gonzales Dandan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174835706 PECOS PAC ID: 3274836721 Enrollment ID: I20200805000204 |
| Provider Name | Abeer Almajali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396127718 PECOS PAC ID: 1153673306 Enrollment ID: I20200805001437 |
| Provider Name | Marc a Sarran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902283450 PECOS PAC ID: 4385959097 Enrollment ID: I20200811000326 |
| Provider Name | Matthew Winterton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740675552 PECOS PAC ID: 0749606291 Enrollment ID: I20200814001788 |
| Provider Name | Craig Akoh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467890145 PECOS PAC ID: 6406099019 Enrollment ID: I20200817000156 |
| Provider Name | Lena Khaled Alia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578926143 PECOS PAC ID: 6002232311 Enrollment ID: I20200818001045 |
| Provider Name | Tyson R Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790300515 PECOS PAC ID: 1052737285 Enrollment ID: I20200818002094 |
| Provider Name | Donald L Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386164739 PECOS PAC ID: 8921372426 Enrollment ID: I20200824003579 |
| Provider Name | Jacob P Holton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821527201 PECOS PAC ID: 6507137148 Enrollment ID: I20200826001331 |
| Provider Name | Josiah Z Han |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043744964 PECOS PAC ID: 0244504231 Enrollment ID: I20200827001638 |
| Provider Name | Benjamin Bienia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083033278 PECOS PAC ID: 1759672975 Enrollment ID: I20200828002087 |
| Provider Name | Leigh Ann Kowalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427402494 PECOS PAC ID: 0547556417 Enrollment ID: I20200910000281 |
| Provider Name | Mirza Uddin Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538697248 PECOS PAC ID: 3375811334 Enrollment ID: I20200910002194 |
| Provider Name | Abdulah Alrifai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265774616 PECOS PAC ID: 1052612405 Enrollment ID: I20200915002597 |
| Provider Name | Daniel L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285260414 PECOS PAC ID: 9234557752 Enrollment ID: I20200916000293 |
| Provider Name | Jantsen R Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174054415 PECOS PAC ID: 2567733934 Enrollment ID: I20200916001135 |
| Provider Name | Lisa Diane Lawrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720606973 PECOS PAC ID: 6103244520 Enrollment ID: I20200917001311 |
| Provider Name | Taylor M Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043665987 PECOS PAC ID: 5890032353 Enrollment ID: I20200917001357 |
| Provider Name | Salman Waheed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417131772 PECOS PAC ID: 1052487527 Enrollment ID: I20200923000873 |
| Provider Name | Jennifer Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053798264 PECOS PAC ID: 2860798915 Enrollment ID: I20200929000213 |
| Provider Name | Danielle Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952832735 PECOS PAC ID: 0749552289 Enrollment ID: I20200929000532 |
| Provider Name | Oscar Dean Norton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285606590 PECOS PAC ID: 5395705297 Enrollment ID: I20200930001384 |
| Provider Name | Tianna E Roig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154930436 PECOS PAC ID: 4789003336 Enrollment ID: I20200930002657 |
| Provider Name | Vernon Edmond Zurick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174556567 PECOS PAC ID: 5991738742 Enrollment ID: I20201001000850 |
| Provider Name | Christina M Spurgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403516 PECOS PAC ID: 9537588983 Enrollment ID: I20201002002911 |
| Provider Name | Hadeel Abdalla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689105330 PECOS PAC ID: 6709162605 Enrollment ID: I20201005000734 |
| Provider Name | David Christian Kelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124446687 PECOS PAC ID: 3678875267 Enrollment ID: I20201006000339 |
| Provider Name | Michelle M Lovsey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689283723 PECOS PAC ID: 4587083837 Enrollment ID: I20201006001525 |
| Provider Name | Jessica Lindsey Kass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265960959 PECOS PAC ID: 8426327172 Enrollment ID: I20201006001865 |
| Provider Name | Divya Jarugula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952824294 PECOS PAC ID: 0941571525 Enrollment ID: I20201006002280 |
| Provider Name | Sravantika Koneru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669886818 PECOS PAC ID: 9335464411 Enrollment ID: I20201007001982 |
| Provider Name | Hematheja Lanka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750801619 PECOS PAC ID: 2365862562 Enrollment ID: I20201008001687 |
| Provider Name | George Chiang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093773954 PECOS PAC ID: 7517048192 Enrollment ID: I20201013002095 |
| Provider Name | Ryan Whitney Dobbs |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669815593 PECOS PAC ID: 8820308414 Enrollment ID: I20201014000324 |
| Provider Name | Christopher K Cheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700175312 PECOS PAC ID: 8426320755 Enrollment ID: I20201014001907 |
| Provider Name | Mohsin Haseeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235496936 PECOS PAC ID: 6204154446 Enrollment ID: I20201015000564 |
| Provider Name | Lori Trilikis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932713435 PECOS PAC ID: 3971923822 Enrollment ID: I20201015001275 |
| Provider Name | Robert J Mazalewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841587540 PECOS PAC ID: 7012186703 Enrollment ID: I20201015003180 |
| Provider Name | Alethea C Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501824 PECOS PAC ID: 8224458971 Enrollment ID: I20201019000597 |
| Provider Name | Courtney L Button |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447877121 PECOS PAC ID: 1456771930 Enrollment ID: I20201022000734 |
| Provider Name | Jacob Bradley Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487815148 PECOS PAC ID: 1153473939 Enrollment ID: I20201027000743 |
| Provider Name | Kavya Moravineni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073993358 PECOS PAC ID: 6406160191 Enrollment ID: I20201027000809 |
| Provider Name | Keely K Zunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346856424 PECOS PAC ID: 4385054634 Enrollment ID: I20201028000544 |
| Provider Name | Katelynn M Madden |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720694094 PECOS PAC ID: 7416367776 Enrollment ID: I20201028000792 |
| Provider Name | Andrea Alyson Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030019 PECOS PAC ID: 2365852480 Enrollment ID: I20201030002455 |
| Provider Name | Muhammad Rehan Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265819601 PECOS PAC ID: 3375810997 Enrollment ID: I20201111001132 |
| Provider Name | Matthew R Heberer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033591565 PECOS PAC ID: 1658781059 Enrollment ID: I20201112002616 |
| Provider Name | Carol a Amfahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245305051 PECOS PAC ID: 6406805027 Enrollment ID: I20201113000453 |
| Provider Name | Stephanie M. Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063915882 PECOS PAC ID: 3375954761 Enrollment ID: I20201116000467 |
| Provider Name | Courtney Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598362980 PECOS PAC ID: 0042621492 Enrollment ID: I20201116002730 |
| Provider Name | Brett Eandi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558981951 PECOS PAC ID: 2860803210 Enrollment ID: I20201116002738 |
| Provider Name | Alaa Tahboub |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689225443 PECOS PAC ID: 3173934528 Enrollment ID: I20201116003050 |
| Provider Name | Christine R Stehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063485746 PECOS PAC ID: 0143493635 Enrollment ID: I20201118002301 |
| Provider Name | Marissa L Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639786270 PECOS PAC ID: 6901217090 Enrollment ID: I20201120001356 |
| Provider Name | Stephanie M Berlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639786288 PECOS PAC ID: 2668883703 Enrollment ID: I20201123000509 |
| Provider Name | Vijay P Roy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841372877 PECOS PAC ID: 2860442886 Enrollment ID: I20201202003035 |
| Provider Name | Valarie a Pfoutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063029247 PECOS PAC ID: 7214348887 Enrollment ID: I20201203000536 |
| Provider Name | Maggie H Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609474097 PECOS PAC ID: 9234540782 Enrollment ID: I20201204001552 |
| Provider Name | Tiffany L Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588270797 PECOS PAC ID: 6204248735 Enrollment ID: I20201207002228 |
| Provider Name | Anne C Kirchgessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215561089 PECOS PAC ID: 3779995212 Enrollment ID: I20201208000037 |
| Provider Name | Maryann Chinyelu Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578094090 PECOS PAC ID: 4486926748 Enrollment ID: I20201210002462 |
| Provider Name | Charles R Heinzmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376040477 PECOS PAC ID: 2668725193 Enrollment ID: I20201214000871 |
| Provider Name | Ramakrishna Nalluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396279725 PECOS PAC ID: 0143593442 Enrollment ID: I20201218000883 |
| Provider Name | Megan Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211478 PECOS PAC ID: 8022420801 Enrollment ID: I20201221000286 |
| Provider Name | Leah Marie Knabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164020491 PECOS PAC ID: 7214349885 Enrollment ID: I20201224000234 |
| Provider Name | Hinaben Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417583527 PECOS PAC ID: 4587076153 Enrollment ID: I20201224000269 |
| Provider Name | Christina Lynn David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030548 PECOS PAC ID: 1557774197 Enrollment ID: I20201229000145 |
| Provider Name | Margaret Frances Kaiser Ferguson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265049506 PECOS PAC ID: 2860805397 Enrollment ID: I20201230001659 |
| Provider Name | Natalie Ann Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619577657 PECOS PAC ID: 5698188977 Enrollment ID: I20210105002039 |
| Provider Name | Mohammad Zubair Malik |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174701411 PECOS PAC ID: 0840374310 Enrollment ID: I20210109000100 |
| Provider Name | Cynthia Mangubat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750505442 PECOS PAC ID: 2062587637 Enrollment ID: I20210110000013 |
| Provider Name | Abigail Leigh Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578161865 PECOS PAC ID: 9133532229 Enrollment ID: I20210111000569 |
| Provider Name | Janie Clary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053912188 PECOS PAC ID: 7416360458 Enrollment ID: I20210111003071 |
| Provider Name | Florence Regina Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851994263 PECOS PAC ID: 9638582695 Enrollment ID: I20210112000804 |
| Provider Name | Jason Bowie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184987794 PECOS PAC ID: 2365855376 Enrollment ID: I20210113000340 |
| Provider Name | Lisa Marie Weybright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831793850 PECOS PAC ID: 4880008499 Enrollment ID: I20210121003074 |
| Provider Name | Christina Dorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922603232 PECOS PAC ID: 9931513504 Enrollment ID: I20210122002347 |
| Provider Name | Kevin D Osterink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740878057 PECOS PAC ID: 9234543752 Enrollment ID: I20210125001884 |
| Provider Name | Alana Christina Desai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578643375 PECOS PAC ID: 6002981909 Enrollment ID: I20210126002160 |
| Provider Name | Brycie Weiden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003425786 PECOS PAC ID: 1355755570 Enrollment ID: I20210129002470 |
| Provider Name | Susan J Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508491663 PECOS PAC ID: 8527472661 Enrollment ID: I20210201000392 |
| Provider Name | Matthew Aue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699297606 PECOS PAC ID: 6507138518 Enrollment ID: I20210204000663 |
| Provider Name | Charles Prybylowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790381168 PECOS PAC ID: 1355756917 Enrollment ID: I20210213000067 |
| Provider Name | Cynthia D Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154649598 PECOS PAC ID: 2668887159 Enrollment ID: I20210216000215 |
| Provider Name | Jonathan Brett Worley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154819712 PECOS PAC ID: 2668721853 Enrollment ID: I20210217001153 |
| Provider Name | Steven Wenzel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750990495 PECOS PAC ID: 2567877814 Enrollment ID: I20210218000793 |
| Provider Name | Vijayasree Paleru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043417819 PECOS PAC ID: 2567486178 Enrollment ID: I20210218002046 |
| Provider Name | Lisa Ann Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588251144 PECOS PAC ID: 3870908957 Enrollment ID: I20210223002539 |
| Provider Name | Alyssa a Ceilesh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407273774 PECOS PAC ID: 3173828027 Enrollment ID: I20210301002484 |
| Provider Name | Catherine V. Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386607 PECOS PAC ID: 9739595547 Enrollment ID: I20210302002566 |
| Provider Name | Julian Paul Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841889037 PECOS PAC ID: 0042626665 Enrollment ID: I20210305001775 |
| Provider Name | Hollie Amber Balazs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659965804 PECOS PAC ID: 6608282058 Enrollment ID: I20210309002144 |
| Provider Name | Sara J Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447884481 PECOS PAC ID: 7012323470 Enrollment ID: I20210309002683 |
| Provider Name | Brianna Marie Schlupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427648807 PECOS PAC ID: 1355757733 Enrollment ID: I20210309003242 |
| Provider Name | Mary B Vojta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912590001 PECOS PAC ID: 8729494018 Enrollment ID: I20210311001012 |
| Provider Name | Harma Turbendian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811157993 PECOS PAC ID: 2466761242 Enrollment ID: I20210315002541 |
| Provider Name | Katie L. Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215521513 PECOS PAC ID: 3375959372 Enrollment ID: I20210316002164 |
| Provider Name | Amanda Michelle Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205420809 PECOS PAC ID: 5799192464 Enrollment ID: I20210324001852 |
| Provider Name | Mohammad Asim Mustafa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639265259 PECOS PAC ID: 5395152003 Enrollment ID: I20210325000162 |
| Provider Name | James P Lovinggood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558328633 PECOS PAC ID: 5698761138 Enrollment ID: I20210331000830 |
| Provider Name | Haleigh Ranae Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205429503 PECOS PAC ID: 0345657706 Enrollment ID: I20210331001140 |
| Provider Name | Steven W Bigg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932166162 PECOS PAC ID: 5092766626 Enrollment ID: I20210408001450 |
| Provider Name | Leaanna Jean Cauthon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639764277 PECOS PAC ID: 4789092768 Enrollment ID: I20210412000711 |
| Provider Name | Tara L Barnes-cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104424068 PECOS PAC ID: 7113335977 Enrollment ID: I20210415000303 |
| Provider Name | Jay Martin Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629447 PECOS PAC ID: 7810305646 Enrollment ID: I20210416000215 |
| Provider Name | Victoria A. O. O'hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427644210 PECOS PAC ID: 7618997388 Enrollment ID: I20210419000387 |
| Provider Name | Herbert Stern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306857784 PECOS PAC ID: 6305890682 Enrollment ID: I20210419001547 |
| Provider Name | Michael Richard Tednes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437640984 PECOS PAC ID: 3072921584 Enrollment ID: I20210422001659 |
| Provider Name | Elora L Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477130599 PECOS PAC ID: 7911315338 Enrollment ID: I20210422002447 |
| Provider Name | Qusai Taher Alitter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093169419 PECOS PAC ID: 7012201767 Enrollment ID: I20210422002553 |
| Provider Name | Kavish R Thakkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124516794 PECOS PAC ID: 8123371358 Enrollment ID: I20210423000968 |
| Provider Name | Joseph Calvo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972009090 PECOS PAC ID: 7810240355 Enrollment ID: I20210426002008 |
| Provider Name | Samantha Kay Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821679564 PECOS PAC ID: 3779991039 Enrollment ID: I20210427000075 |
| Provider Name | Anthony M Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063091825 PECOS PAC ID: 6204245137 Enrollment ID: I20210506000076 |
| Provider Name | Lewis T Mann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730530148 PECOS PAC ID: 7315230026 Enrollment ID: I20210506001236 |
| Provider Name | Emily a Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265026538 PECOS PAC ID: 6305255050 Enrollment ID: I20210510000566 |
| Provider Name | Joshua L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427646496 PECOS PAC ID: 6406265198 Enrollment ID: I20210510002396 |
| Provider Name | Editha Krueger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093759185 PECOS PAC ID: 5799867651 Enrollment ID: I20210511001709 |
| Provider Name | Abbi M Sorrells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902408172 PECOS PAC ID: 6901215557 Enrollment ID: I20210511001840 |
| Provider Name | Sean Corbett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740318682 PECOS PAC ID: 1850464967 Enrollment ID: I20210511002440 |
| Provider Name | Jesse C Mer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760862932 PECOS PAC ID: 0042522161 Enrollment ID: I20210514000016 |
| Provider Name | Dara Josiah-howze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063407278 PECOS PAC ID: 3577597699 Enrollment ID: I20210514000270 |
| Provider Name | Michelle Rowland |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1386960359 PECOS PAC ID: 3072804533 Enrollment ID: I20210517001035 |
| Provider Name | Angela N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922687938 PECOS PAC ID: 0648679951 Enrollment ID: I20210518002413 |
| Provider Name | Parinitha Bathina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811481260 PECOS PAC ID: 8224437553 Enrollment ID: I20210519000218 |
| Provider Name | Rachel Maurine Caudle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877416 PECOS PAC ID: 8921407172 Enrollment ID: I20210520002132 |
| Provider Name | Usha Sree Janapala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932559697 PECOS PAC ID: 5890087985 Enrollment ID: I20210526000599 |
| Provider Name | Matthew Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528562972 PECOS PAC ID: 0143629683 Enrollment ID: I20210603000369 |
| Provider Name | Alex Kimberly Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922631001 PECOS PAC ID: 5597195545 Enrollment ID: I20210603003123 |
| Provider Name | Martin Musuruana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760975569 PECOS PAC ID: 9234539602 Enrollment ID: I20210608000096 |
| Provider Name | Christopher W Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922475482 PECOS PAC ID: 9830448042 Enrollment ID: I20210608003540 |
| Provider Name | Manharkumar Mukesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558865162 PECOS PAC ID: 1355741604 Enrollment ID: I20210609000049 |
| Provider Name | Ali M Serhal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366976631 PECOS PAC ID: 6103161716 Enrollment ID: I20210615000997 |
| Provider Name | Jared Sinclair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750874749 PECOS PAC ID: 1153677281 Enrollment ID: I20210617001658 |
| Provider Name | Alejandro Aquino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669628012 PECOS PAC ID: 0446542344 Enrollment ID: I20210621000284 |
| Provider Name | Philip James Mead |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275028300 PECOS PAC ID: 5294135711 Enrollment ID: I20210621000986 |
| Provider Name | Joshua Sean Chisholm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477903219 PECOS PAC ID: 1153617790 Enrollment ID: I20210621003318 |
| Provider Name | Rachael Nambusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255985 PECOS PAC ID: 8729394267 Enrollment ID: I20210624000221 |
| Provider Name | Douglas Alan Waldman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902801871 PECOS PAC ID: 3173546603 Enrollment ID: I20210624000711 |
| Provider Name | Mohamad Mahmoud Rachid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093195968 PECOS PAC ID: 0244540615 Enrollment ID: I20210624000804 |
| Provider Name | Megan Hannam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659922649 PECOS PAC ID: 9931517364 Enrollment ID: I20210624003503 |
| Provider Name | Kimberly D Arthur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700966629 PECOS PAC ID: 3971565698 Enrollment ID: I20210628000203 |
| Provider Name | Nabil David Baddour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184018178 PECOS PAC ID: 0345538773 Enrollment ID: I20210630000210 |
| Provider Name | Antonio M Granda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780624023 PECOS PAC ID: 9739262346 Enrollment ID: I20210707002315 |
| Provider Name | Jihad Alharash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598119216 PECOS PAC ID: 4587077060 Enrollment ID: I20210708002635 |
| Provider Name | Debra Warndahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063465532 PECOS PAC ID: 4981006061 Enrollment ID: I20210712003776 |
| Provider Name | Kyle M Stang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750743134 PECOS PAC ID: 1658643317 Enrollment ID: I20210714001664 |
| Provider Name | Ninah P Clegg-johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568992873 PECOS PAC ID: 9133493927 Enrollment ID: I20210714003141 |
| Provider Name | Wyatt Andrew Verplaetse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629508965 PECOS PAC ID: 5799059473 Enrollment ID: I20210715000207 |
| Provider Name | Huan G Huynh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801280268 PECOS PAC ID: 0446554695 Enrollment ID: I20210719002233 |
| Provider Name | Molly Conroy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942705553 PECOS PAC ID: 1850649666 Enrollment ID: I20210720004094 |
| Provider Name | Denise Ma Francisco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235516030 PECOS PAC ID: 0244545747 Enrollment ID: I20210721000618 |
| Provider Name | Vinay Bajaj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619325446 PECOS PAC ID: 5597052738 Enrollment ID: I20210721000658 |
| Provider Name | Stephanie Dejong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538575626 PECOS PAC ID: 7315163540 Enrollment ID: I20210721001409 |
| Provider Name | Amjad Abualsuod |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427346444 PECOS PAC ID: 0648499541 Enrollment ID: I20210721001500 |
| Provider Name | Kevin Regis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861884520 PECOS PAC ID: 1254734767 Enrollment ID: I20210721002622 |
| Provider Name | Tamathor Abughnaim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396239273 PECOS PAC ID: 1850794215 Enrollment ID: I20210722000739 |
| Provider Name | Randall C Edgell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912097817 PECOS PAC ID: 6305876137 Enrollment ID: I20210724000021 |
| Provider Name | Nilap a Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407465552 PECOS PAC ID: 8022436229 Enrollment ID: I20210726001006 |
| Provider Name | Philip Salstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174052864 PECOS PAC ID: 6204239478 Enrollment ID: I20210726002037 |
| Provider Name | Jesse Lee Henneberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316299456 PECOS PAC ID: 7719380898 Enrollment ID: I20210727002656 |
| Provider Name | Daniel Koon Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902224074 PECOS PAC ID: 1254734262 Enrollment ID: I20210728003666 |
| Provider Name | Stephanie Ann Ober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041770 PECOS PAC ID: 3274936281 Enrollment ID: I20210728004110 |
| Provider Name | Asma Hamid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437507308 PECOS PAC ID: 6800127838 Enrollment ID: I20210729000630 |
| Provider Name | Whitney Renee Andal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255934378 PECOS PAC ID: 9032512983 Enrollment ID: I20210729001780 |
| Provider Name | Ammar Aqeel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952895666 PECOS PAC ID: 4385047117 Enrollment ID: I20210730000846 |
| Provider Name | Ameer Ziad Musa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861876518 PECOS PAC ID: 7416204417 Enrollment ID: I20210730001774 |
| Provider Name | Rahmana H Aziz Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346824620 PECOS PAC ID: 3173926946 Enrollment ID: I20210730002745 |
| Provider Name | Michelle Dawn Howland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366979437 PECOS PAC ID: 7618371402 Enrollment ID: I20210731000298 |
| Provider Name | Jose Ramirez Gomez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588076285 PECOS PAC ID: 0446477111 Enrollment ID: I20210807000040 |
| Provider Name | Nathan R Mauren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669968459 PECOS PAC ID: 7517361462 Enrollment ID: I20210813002719 |
| Provider Name | Janet Mary Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700559085 PECOS PAC ID: 4587069364 Enrollment ID: I20210817001009 |
| Provider Name | Ernerio Alboliras |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851376883 PECOS PAC ID: 5597700104 Enrollment ID: I20210818002598 |
| Provider Name | Kelli Dohman-schmidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568791234 PECOS PAC ID: 5597160259 Enrollment ID: I20210819000480 |
| Provider Name | Baqir Anwer Jakvani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407388473 PECOS PAC ID: 0648675264 Enrollment ID: I20210819003495 |
| Provider Name | Youssef Hedroug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144710385 PECOS PAC ID: 9436554946 Enrollment ID: I20210823000165 |
| Provider Name | Lorna Marie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659941094 PECOS PAC ID: 9739584152 Enrollment ID: I20210824001601 |
| Provider Name | Kimberly Rochelle Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144715194 PECOS PAC ID: 1355699109 Enrollment ID: I20210825003035 |
| Provider Name | Sahrish Ekram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952835787 PECOS PAC ID: 6204247380 Enrollment ID: I20210830000922 |
| Provider Name | Samia Qadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497248199 PECOS PAC ID: 5890030407 Enrollment ID: I20210830001347 |
| Provider Name | Burhan Hassan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972839041 PECOS PAC ID: 7315230075 Enrollment ID: I20210831000744 |
| Provider Name | Brittany Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356915599 PECOS PAC ID: 9830595867 Enrollment ID: I20210831000759 |
| Provider Name | Kelly Korn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962073213 PECOS PAC ID: 4688070592 Enrollment ID: I20210901000645 |
| Provider Name | Isha L Mcconkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952693707 PECOS PAC ID: 0547408783 Enrollment ID: I20210902000526 |
| Provider Name | Marcela R Lemus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962175562 PECOS PAC ID: 5294131041 Enrollment ID: I20210902002559 |
| Provider Name | Nathaniel John Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205509437 PECOS PAC ID: 8123424579 Enrollment ID: I20210909002506 |
| Provider Name | Abigail E Catterall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861165367 PECOS PAC ID: 8022414499 Enrollment ID: I20210909003027 |
| Provider Name | Siddharth Sarangi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104106608 PECOS PAC ID: 5890931638 Enrollment ID: I20210910001110 |
| Provider Name | Osvaldo Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851882385 PECOS PAC ID: 3274939699 Enrollment ID: I20210910001452 |
| Provider Name | Roxanne R Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003584590 PECOS PAC ID: 1759788854 Enrollment ID: I20210915003815 |
| Provider Name | Emily Ann Walton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275037665 PECOS PAC ID: 1254689227 Enrollment ID: I20210916002536 |
| Provider Name | Christine Yaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750055570 PECOS PAC ID: 4385041466 Enrollment ID: I20210916003228 |
| Provider Name | Sarabjeet Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881919397 PECOS PAC ID: 0941484240 Enrollment ID: I20210917002016 |
| Provider Name | George Cotseones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467728709 PECOS PAC ID: 8527342021 Enrollment ID: I20210921000404 |
| Provider Name | Kathleen Marie Wiese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790987923 PECOS PAC ID: 7214020809 Enrollment ID: I20210921000713 |
| Provider Name | Alison Jeanne Kibilka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003437799 PECOS PAC ID: 0345647145 Enrollment ID: I20210921003065 |
| Provider Name | Yi Hsuan Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164007928 PECOS PAC ID: 2163829987 Enrollment ID: I20210921004013 |
| Provider Name | Nitin Das Kunnathu Puthanveedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770933921 PECOS PAC ID: 7618262585 Enrollment ID: I20210923000563 |
| Provider Name | Amanda Stovall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043605447 PECOS PAC ID: 9234441288 Enrollment ID: I20210924003066 |
| Provider Name | Hugo Quevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023069085 PECOS PAC ID: 6204845365 Enrollment ID: I20210929002171 |
| Provider Name | Christopher Alan Funk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659040467 PECOS PAC ID: 8224435433 Enrollment ID: I20210930000029 |
| Provider Name | Steven Anthony Schneider |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598997439 PECOS PAC ID: 2264624204 Enrollment ID: I20210930002191 |
| Provider Name | Christopher E Benejam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801393178 PECOS PAC ID: 5496005134 Enrollment ID: I20211004000307 |
| Provider Name | Lawrence Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669884896 PECOS PAC ID: 3476897711 Enrollment ID: I20211005001419 |
| Provider Name | Justyna Anna Koscielniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902571235 PECOS PAC ID: 4082012067 Enrollment ID: I20211005002149 |
| Provider Name | Leah Embree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124406145 PECOS PAC ID: 5092008102 Enrollment ID: I20211005002400 |
| Provider Name | David E Bryan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578671418 PECOS PAC ID: 1052387685 Enrollment ID: I20211005003543 |
| Provider Name | Jennifer Brooke Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447923172 PECOS PAC ID: 8426456484 Enrollment ID: I20211006001695 |
| Provider Name | Elaina Marie Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053935452 PECOS PAC ID: 6800294653 Enrollment ID: I20211007002603 |
| Provider Name | Candace R Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053087767 PECOS PAC ID: 9537567391 Enrollment ID: I20211007003068 |
| Provider Name | Benjamin D Riegle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679889026 PECOS PAC ID: 4284822636 Enrollment ID: I20211007003541 |
| Provider Name | Arabelle Abellard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245729805 PECOS PAC ID: 4385991942 Enrollment ID: I20211008001730 |
| Provider Name | Lea L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255910386 PECOS PAC ID: 6204234982 Enrollment ID: I20211011001242 |
| Provider Name | Christopher D Jaeger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457672446 PECOS PAC ID: 4587837166 Enrollment ID: I20211011001680 |
| Provider Name | Andrew T Blackburne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437412582 PECOS PAC ID: 5496991358 Enrollment ID: I20211012002345 |
| Provider Name | Emmaleen Christine Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396127866 PECOS PAC ID: 1254610074 Enrollment ID: I20211013000065 |
| Provider Name | Andrew Bifulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780356089 PECOS PAC ID: 5799183281 Enrollment ID: I20211014000547 |
| Provider Name | Kunal Paritosh Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629572490 PECOS PAC ID: 3173921541 Enrollment ID: I20211015000663 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20211015001152 |
| Provider Name | Kristie E Krigbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245836147 PECOS PAC ID: 9537557830 Enrollment ID: I20211019000552 |
| Provider Name | Julia Bodnya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770937658 PECOS PAC ID: 0648560672 Enrollment ID: I20211019001440 |
| Provider Name | Tariq Hussni Ali Enezate |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154600492 PECOS PAC ID: 6709010937 Enrollment ID: I20211020001229 |
| Provider Name | Monica Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568132538 PECOS PAC ID: 0244628451 Enrollment ID: I20211020002258 |
| Provider Name | Alyssa Marie Smolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699343400 PECOS PAC ID: 4183012305 Enrollment ID: I20211020002610 |
| Provider Name | Micah W Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174193312 PECOS PAC ID: 2466840509 Enrollment ID: I20211022001256 |
| Provider Name | Evan Leigh Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013412634 PECOS PAC ID: 7416205430 Enrollment ID: I20211025000142 |
| Provider Name | John Mccarthy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477662179 PECOS PAC ID: 1254337801 Enrollment ID: I20211027001534 |
| Provider Name | Sonal Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417308511 PECOS PAC ID: 6608132568 Enrollment ID: I20211102003216 |
| Provider Name | Marwah Farooqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497011266 PECOS PAC ID: 4486966819 Enrollment ID: I20211104002853 |
| Provider Name | Ronan Lev |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871602573 PECOS PAC ID: 8426023391 Enrollment ID: I20211108001997 |
| Provider Name | Jenae Roseland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811505282 PECOS PAC ID: 0446677959 Enrollment ID: I20211109000175 |
| Provider Name | Andrea N Machnacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453702 PECOS PAC ID: 4082003876 Enrollment ID: I20211117000673 |
| Provider Name | Jamie Lee Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326710666 PECOS PAC ID: 3375932171 Enrollment ID: I20211117001100 |
| Provider Name | Kristin Ann Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104588227 PECOS PAC ID: 1759770373 Enrollment ID: I20211119000323 |
| Provider Name | Amy L Svob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942974431 PECOS PAC ID: 8729478896 Enrollment ID: I20211203000420 |
| Provider Name | Jessica L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588247571 PECOS PAC ID: 3375933476 Enrollment ID: I20211203001833 |
| Provider Name | Stephanie Mcmaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245841238 PECOS PAC ID: 4880084987 Enrollment ID: I20211203001980 |
| Provider Name | Sean Joseph Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609370469 PECOS PAC ID: 2961746698 Enrollment ID: I20211208000221 |
| Provider Name | Sarah Dynes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730668161 PECOS PAC ID: 1052658374 Enrollment ID: I20211210001150 |
| Provider Name | Olubusola a Brimmo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346412426 PECOS PAC ID: 7911062088 Enrollment ID: I20211210002041 |
| Provider Name | Kaitlyn S Mcgough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285250712 PECOS PAC ID: 4789074337 Enrollment ID: I20211214001569 |
| Provider Name | Candace Crystal Kudla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447929914 PECOS PAC ID: 3577954940 Enrollment ID: I20211217001758 |
| Provider Name | Banesa Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297457 PECOS PAC ID: 0648661900 Enrollment ID: I20211221000086 |
| Provider Name | Sydney L Rosacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932862323 PECOS PAC ID: 6002207362 Enrollment ID: I20211221000122 |
| Provider Name | Sananjay Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548525728 PECOS PAC ID: 8123300787 Enrollment ID: I20211222000894 |
| Provider Name | Mirza Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275063844 PECOS PAC ID: 1052680683 Enrollment ID: I20211228001674 |
| Provider Name | Stefanie Kay Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386300713 PECOS PAC ID: 7416348420 Enrollment ID: I20211230001510 |
| Provider Name | Seth Wilkerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447805643 PECOS PAC ID: 3577955152 Enrollment ID: I20220111000478 |
| Provider Name | Jordyn L Rochford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467125237 PECOS PAC ID: 0840682365 Enrollment ID: I20220113000568 |
| Provider Name | Christian J Sanvanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457513566 PECOS PAC ID: 6709058431 Enrollment ID: I20220118000511 |
| Provider Name | Heidi R Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415152 PECOS PAC ID: 9133511306 Enrollment ID: I20220120000624 |
| Provider Name | Mary Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487662060 PECOS PAC ID: 1052210762 Enrollment ID: I20220127001810 |
| Provider Name | Marissa Edelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801551593 PECOS PAC ID: 4183016967 Enrollment ID: I20220128001390 |
| Provider Name | Janel M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801563986 PECOS PAC ID: 7810389608 Enrollment ID: I20220128001915 |
| Provider Name | Christine Youngin Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396249751 PECOS PAC ID: 3577813443 Enrollment ID: I20220131001709 |
| Provider Name | Jennifer a Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406053 PECOS PAC ID: 4385037043 Enrollment ID: I20220202001363 |
| Provider Name | Veronica Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609481175 PECOS PAC ID: 3072906650 Enrollment ID: I20220202002284 |
| Provider Name | Tashana Haye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790244531 PECOS PAC ID: 4880926542 Enrollment ID: I20220203001257 |
| Provider Name | Erin Kay Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580735 PECOS PAC ID: 1759774300 Enrollment ID: I20220203001807 |
| Provider Name | Asim Razzaq |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164531877 PECOS PAC ID: 7517963168 Enrollment ID: I20220204002162 |
| Provider Name | Khalid Al Katranji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063852762 PECOS PAC ID: 0042453045 Enrollment ID: I20220208000701 |
| Provider Name | Amy Arellanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306452735 PECOS PAC ID: 3971996307 Enrollment ID: I20220208001663 |
| Provider Name | Jordan L Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518618123 PECOS PAC ID: 6002209269 Enrollment ID: I20220210001463 |
| Provider Name | Jennifer Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710647870 PECOS PAC ID: 1850784976 Enrollment ID: I20220211001379 |
| Provider Name | Michael Austin Gernant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285219352 PECOS PAC ID: 4082007166 Enrollment ID: I20220214001245 |
| Provider Name | Taylor Jordan Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376128439 PECOS PAC ID: 2466845482 Enrollment ID: I20220215000755 |
| Provider Name | Heather Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699347724 PECOS PAC ID: 9537552435 Enrollment ID: I20220216001260 |
| Provider Name | Dileep Kumar Reddy Regalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194379867 PECOS PAC ID: 1153653803 Enrollment ID: I20220216001437 |
| Provider Name | Janelle D Defilippis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730426230 PECOS PAC ID: 9739573072 Enrollment ID: I20220302000857 |
| Provider Name | Anene Achebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396310645 PECOS PAC ID: 6002200110 Enrollment ID: I20220304001873 |
| Provider Name | Evalynne D Basso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759830 PECOS PAC ID: 7719372705 Enrollment ID: I20220309000837 |
| Provider Name | Wendelin a Burdo Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770563462 PECOS PAC ID: 1557426988 Enrollment ID: I20220309001823 |
| Provider Name | Sarah Shoemaker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023686128 PECOS PAC ID: 1759776727 Enrollment ID: I20220310000943 |
| Provider Name | Mary Cabell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950854 PECOS PAC ID: 0042605909 Enrollment ID: I20220311002161 |
| Provider Name | Bradley Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023779402 PECOS PAC ID: 3678968534 Enrollment ID: I20220311002210 |
| Provider Name | Paige Ann Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558027169 PECOS PAC ID: 5496140352 Enrollment ID: I20220311002219 |
| Provider Name | Benjamin Guth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811658545 PECOS PAC ID: 6305231267 Enrollment ID: I20220311002223 |
| Provider Name | Jessica Ann Reis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053755926 PECOS PAC ID: 5193023075 Enrollment ID: I20220316003158 |
| Provider Name | Tamam Zeidan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699359695 PECOS PAC ID: 2860887916 Enrollment ID: I20220328001486 |
| Provider Name | Kaylee Chantel Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932648003 PECOS PAC ID: 4486040581 Enrollment ID: I20220329001443 |
| Provider Name | Asha Gorsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255838272 PECOS PAC ID: 6901145002 Enrollment ID: I20220329001653 |
| Provider Name | Stuart M Godwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336471267 PECOS PAC ID: 5496921058 Enrollment ID: I20220329001794 |
| Provider Name | Zachary Scott Drawhon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669124848 PECOS PAC ID: 5799171807 Enrollment ID: I20220329001883 |
| Provider Name | Shannon Lynn Hiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003572470 PECOS PAC ID: 1759777881 Enrollment ID: I20220329002554 |
| Provider Name | Danielle Schmidgall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154078897 PECOS PAC ID: 6002202868 Enrollment ID: I20220404000537 |
| Provider Name | Hassan Ahmad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851772057 PECOS PAC ID: 0244500783 Enrollment ID: I20220406001659 |
| Provider Name | Jessica Patricia Walberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811649213 PECOS PAC ID: 5092100735 Enrollment ID: I20220407002312 |
| Provider Name | Umakanth Avula |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124479167 PECOS PAC ID: 9133521859 Enrollment ID: I20220413000734 |
| Provider Name | Hiba Anaqrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417516428 PECOS PAC ID: 2365777489 Enrollment ID: I20220413001038 |
| Provider Name | Tracy Jo Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235886094 PECOS PAC ID: 0244626588 Enrollment ID: I20220413001151 |
| Provider Name | Hayley Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174263206 PECOS PAC ID: 7214323559 Enrollment ID: I20220413001271 |
| Provider Name | Michelle E Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134608763 PECOS PAC ID: 0941607675 Enrollment ID: I20220415000688 |
| Provider Name | Joelle Boucaud |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417344003 PECOS PAC ID: 1456661347 Enrollment ID: I20220419000879 |
| Provider Name | Brianna Edwards White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396492732 PECOS PAC ID: 6800283870 Enrollment ID: I20220420002781 |
| Provider Name | Tiffany Ann Shinnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003388463 PECOS PAC ID: 3678960689 Enrollment ID: I20220421001520 |
| Provider Name | Benjamin Trewyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558977165 PECOS PAC ID: 0840687877 Enrollment ID: I20220421001987 |
| Provider Name | Ben C Coyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407517394 PECOS PAC ID: 4486041415 Enrollment ID: I20220421002026 |
| Provider Name | Stephanie Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477201770 PECOS PAC ID: 4284021965 Enrollment ID: I20220427001938 |
| Provider Name | Wajed H Haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336371137 PECOS PAC ID: 6800283433 Enrollment ID: I20220428000816 |
| Provider Name | Kristene Mychelle Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644836 PECOS PAC ID: 9537546890 Enrollment ID: I20220507000179 |
| Provider Name | Laura Muehling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316695034 PECOS PAC ID: 7416334495 Enrollment ID: I20220512001127 |
| Provider Name | Benjamin Lo Bick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508151911 PECOS PAC ID: 8224287859 Enrollment ID: I20220517001191 |
| Provider Name | Tara Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841946613 PECOS PAC ID: 9638556434 Enrollment ID: I20220517001968 |
| Provider Name | Amanda N Stachurski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124792734 PECOS PAC ID: 1355728098 Enrollment ID: I20220518000593 |
| Provider Name | Kelley M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013674993 PECOS PAC ID: 4688051360 Enrollment ID: I20220518002436 |
| Provider Name | Delaina Michelle Swiney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285374728 PECOS PAC ID: 9234516931 Enrollment ID: I20220518002800 |
| Provider Name | Samantha Cox |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699086322 PECOS PAC ID: 9032417324 Enrollment ID: I20220519000722 |
| Provider Name | Joshua Wendling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841869252 PECOS PAC ID: 7416334073 Enrollment ID: I20220519002657 |
| Provider Name | Ashley Nicole Kinsella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669565 PECOS PAC ID: 1850778242 Enrollment ID: I20220525000758 |
| Provider Name | Burhan Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205488293 PECOS PAC ID: 2769860139 Enrollment ID: I20220526001375 |
| Provider Name | Diana Evette Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770175929 PECOS PAC ID: 8820476294 Enrollment ID: I20220526001502 |
| Provider Name | Carly Kristine Ouverson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982210514 PECOS PAC ID: 9638557960 Enrollment ID: I20220527001105 |
| Provider Name | Dana Beth Yednock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881292019 PECOS PAC ID: 0941688196 Enrollment ID: I20220601000266 |
| Provider Name | Mina Mecheal Benjamin Mehanni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902186166 PECOS PAC ID: 2163664087 Enrollment ID: I20220602001844 |
| Provider Name | Brett Mcgowan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023434347 PECOS PAC ID: 2961700190 Enrollment ID: I20220603001830 |
| Provider Name | Jennifer M. Van Autreve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864061 PECOS PAC ID: 5698153427 Enrollment ID: I20220607000072 |
| Provider Name | Dale Lee Wren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295933687 PECOS PAC ID: 8426182130 Enrollment ID: I20220609002084 |
| Provider Name | Da'kira Kanisha White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710629571 PECOS PAC ID: 2264810720 Enrollment ID: I20220613000856 |
| Provider Name | Bethany Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063157683 PECOS PAC ID: 9234517707 Enrollment ID: I20220613000990 |
| Provider Name | Deborah Mofoluwa Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336809326 PECOS PAC ID: 5799163283 Enrollment ID: I20220613001838 |
| Provider Name | Majdee M Islam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447645304 PECOS PAC ID: 5799098562 Enrollment ID: I20220614002293 |
| Provider Name | Aminat Ogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790337988 PECOS PAC ID: 9638404569 Enrollment ID: I20220614003143 |
| Provider Name | John Joseph Horky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437712015 PECOS PAC ID: 4183959786 Enrollment ID: I20220615003063 |
| Provider Name | Talha Muhammed Qureshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871957183 PECOS PAC ID: 5698154946 Enrollment ID: I20220616002938 |
| Provider Name | Michael Z Kharouta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336670322 PECOS PAC ID: 0749669927 Enrollment ID: I20220617001447 |
| Provider Name | Sushane Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467015941 PECOS PAC ID: 1557694742 Enrollment ID: I20220617001829 |
| Provider Name | Candice Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093300998 PECOS PAC ID: 5991184046 Enrollment ID: I20220620000999 |
| Provider Name | Liliane Akimpaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629723101 PECOS PAC ID: 0143609297 Enrollment ID: I20220620001112 |
| Provider Name | Sam Sheikali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649833559 PECOS PAC ID: 3476882861 Enrollment ID: I20220624000544 |
| Provider Name | Zubair Vhora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992361562 PECOS PAC ID: 8426385766 Enrollment ID: I20220630002636 |
| Provider Name | Neal Alexander Sauerberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194259101 PECOS PAC ID: 6103183199 Enrollment ID: I20220705003023 |
| Provider Name | Sarah Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639606411 PECOS PAC ID: 7810261575 Enrollment ID: I20220707002486 |
| Provider Name | Sourabh Lahoti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265776165 PECOS PAC ID: 1456665892 Enrollment ID: I20220708000440 |
| Provider Name | Nabila Ashraf |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730676099 PECOS PAC ID: 1153665666 Enrollment ID: I20220708000611 |
| Provider Name | Teresa L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447919071 PECOS PAC ID: 2668869652 Enrollment ID: I20220711000699 |
| Provider Name | Timothy D Smile |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851823660 PECOS PAC ID: 1951670355 Enrollment ID: I20220711003351 |
| Provider Name | Abdalla Hassan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487060828 PECOS PAC ID: 4082918537 Enrollment ID: I20220711003372 |
| Provider Name | Patricia Rose Kehoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821735150 PECOS PAC ID: 5597145227 Enrollment ID: I20220712000751 |
| Provider Name | Susi Madrigal-leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346902459 PECOS PAC ID: 8426439159 Enrollment ID: I20220713000577 |
| Provider Name | Joel R Dennison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104480979 PECOS PAC ID: 9234561366 Enrollment ID: I20220713000746 |
| Provider Name | Whitney Raelene Neville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629716774 PECOS PAC ID: 0749661999 Enrollment ID: I20220719001713 |
| Provider Name | Qi Yan Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841647914 PECOS PAC ID: 7618262791 Enrollment ID: I20220719002208 |
| Provider Name | Samuel Elberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386207504 PECOS PAC ID: 0547596009 Enrollment ID: I20220719002465 |
| Provider Name | Balakrishna Ravella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487214029 PECOS PAC ID: 9436530649 Enrollment ID: I20220720000154 |
| Provider Name | Monica Logan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568923498 PECOS PAC ID: 3678954716 Enrollment ID: I20220720001568 |
| Provider Name | Niketa Kataria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780115212 PECOS PAC ID: 8325393838 Enrollment ID: I20220721000358 |
| Provider Name | Usman Palao Singidas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811457559 PECOS PAC ID: 1153702097 Enrollment ID: I20220722002354 |
| Provider Name | Ali Marie Joos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922741032 PECOS PAC ID: 7618358516 Enrollment ID: I20220725000972 |
| Provider Name | Kurren Gill |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275067530 PECOS PAC ID: 0749558203 Enrollment ID: I20220725001565 |
| Provider Name | Hannan Zahid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437611720 PECOS PAC ID: 7810378601 Enrollment ID: I20220726001588 |
| Provider Name | Ibrahim Kashoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659933547 PECOS PAC ID: 5496189888 Enrollment ID: I20220726002555 |
| Provider Name | Dipti Sabharwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841752532 PECOS PAC ID: 0648652321 Enrollment ID: I20220727002176 |
| Provider Name | Alexia Armenta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063971810 PECOS PAC ID: 2365772951 Enrollment ID: I20220727002975 |
| Provider Name | Ryan John Schutt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992097943 PECOS PAC ID: 8426430026 Enrollment ID: I20220728002973 |
| Provider Name | Deborah Olubukunola Oyelowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003552779 PECOS PAC ID: 9335521731 Enrollment ID: I20220802001290 |
| Provider Name | Derek E Beatty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104351410 PECOS PAC ID: 4880968452 Enrollment ID: I20220802001573 |
| Provider Name | Sandi K Candella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568633824 PECOS PAC ID: 6800965773 Enrollment ID: I20220802001883 |
| Provider Name | Terrah Marie Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659025914 PECOS PAC ID: 2961884200 Enrollment ID: I20220802003309 |
| Provider Name | Francisco Benavides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073968293 PECOS PAC ID: 1254623176 Enrollment ID: I20220804001015 |
| Provider Name | Yetunde Akinde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033616198 PECOS PAC ID: 5395092746 Enrollment ID: I20220805002457 |
| Provider Name | Clelland James-henry Chatman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174933022 PECOS PAC ID: 2264762111 Enrollment ID: I20220805002726 |
| Provider Name | Isaac Kolawole Agboola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073018289 PECOS PAC ID: 6305192147 Enrollment ID: I20220806000449 |
| Provider Name | Martin Tremwel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255837993 PECOS PAC ID: 8628499167 Enrollment ID: I20220808001098 |
| Provider Name | Sushant Kapoor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558755587 PECOS PAC ID: 0446565055 Enrollment ID: I20220808001930 |
| Provider Name | Nathaniel J Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174187652 PECOS PAC ID: 4789916297 Enrollment ID: I20220808002213 |
| Provider Name | Andrea Rose Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114688249 PECOS PAC ID: 0648652503 Enrollment ID: I20220809002460 |
| Provider Name | Nathan Cambron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346980299 PECOS PAC ID: 2264814151 Enrollment ID: I20220809003820 |
| Provider Name | Fariba Dayhim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790941805 PECOS PAC ID: 2466510235 Enrollment ID: I20220810001927 |
| Provider Name | Madison Rae Sudaj |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437880804 PECOS PAC ID: 2264813781 Enrollment ID: I20220815001738 |
| Provider Name | Hansol Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346709300 PECOS PAC ID: 5193108793 Enrollment ID: I20220815001933 |
| Provider Name | Emily Ann Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972242188 PECOS PAC ID: 6800279423 Enrollment ID: I20220815002969 |
| Provider Name | Eric David Martin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871708222 PECOS PAC ID: 3870736317 Enrollment ID: I20220816000604 |
| Provider Name | Robert J Gresick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992746937 PECOS PAC ID: 0345249132 Enrollment ID: I20220816001451 |
| Provider Name | Sudakshina Biswas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417690876 PECOS PAC ID: 6507249976 Enrollment ID: I20220817002545 |
| Provider Name | Mohammed T Abdulaaima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861952707 PECOS PAC ID: 4880077189 Enrollment ID: I20220819000700 |
| Provider Name | Karan Rai |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306343603 PECOS PAC ID: 1254681950 Enrollment ID: I20220819001626 |
| Provider Name | Ezequiel R Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912641879 PECOS PAC ID: 5991188153 Enrollment ID: I20220821000060 |
| Provider Name | Alyssa M Norman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154066850 PECOS PAC ID: 9335522440 Enrollment ID: I20220822002154 |
| Provider Name | Komal Manoj Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689166100 PECOS PAC ID: 1658621131 Enrollment ID: I20220822002773 |
| Provider Name | Zackary Thomas Franzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851851018 PECOS PAC ID: 2860725553 Enrollment ID: I20220824001371 |
| Provider Name | Brooke a Yucus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619617602 PECOS PAC ID: 5092198150 Enrollment ID: I20220825002652 |
| Provider Name | Bilal Nadeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972092914 PECOS PAC ID: 0547649493 Enrollment ID: I20220826000618 |
| Provider Name | Abdalhai Alshoubi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134483332 PECOS PAC ID: 8820232135 Enrollment ID: I20220827000113 |
| Provider Name | Naveed Zafar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659690196 PECOS PAC ID: 8123207958 Enrollment ID: I20220830002106 |
| Provider Name | Sabah David Butty |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770521445 PECOS PAC ID: 7911981006 Enrollment ID: I20220830003305 |
| Provider Name | Jaclyn P Parayao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184283590 PECOS PAC ID: 9032516463 Enrollment ID: I20220901001772 |
| Provider Name | Ari Samuel Lakritz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942947684 PECOS PAC ID: 1951785310 Enrollment ID: I20220902000634 |
| Provider Name | Farooq S Ghouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20220902002219 |
| Provider Name | Andrew Milian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265090245 PECOS PAC ID: 2062747363 Enrollment ID: I20220905000200 |
| Provider Name | Laura Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699938316 PECOS PAC ID: 1052530656 Enrollment ID: I20220907002016 |
| Provider Name | Jordan Danielle Joynt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588253207 PECOS PAC ID: 8527442797 Enrollment ID: I20220907002827 |
| Provider Name | Saad Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063868818 PECOS PAC ID: 2365787876 Enrollment ID: I20220908003641 |
| Provider Name | Lauren A. Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952061103 PECOS PAC ID: 9931584927 Enrollment ID: I20220912001493 |
| Provider Name | Jeffrey Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255980025 PECOS PAC ID: 9234469875 Enrollment ID: I20220913001601 |
| Provider Name | Christopher Steele Kinne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275021610 PECOS PAC ID: 6406250984 Enrollment ID: I20220913001957 |
| Provider Name | Theresa Kircher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962130674 PECOS PAC ID: 6305221011 Enrollment ID: I20220916000496 |
| Provider Name | Leah E Gonneville |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902552102 PECOS PAC ID: 4688059249 Enrollment ID: I20220916003252 |
| Provider Name | Jessica K Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629738018 PECOS PAC ID: 5496130874 Enrollment ID: I20220921001916 |
| Provider Name | Maggie Helen Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265176754 PECOS PAC ID: 3678958899 Enrollment ID: I20220923000894 |
| Provider Name | Christina Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386087518 PECOS PAC ID: 4789825894 Enrollment ID: I20220923002620 |
| Provider Name | Andrea Celeste Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295472900 PECOS PAC ID: 4284019456 Enrollment ID: I20220923002978 |
| Provider Name | Katie Chiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801515812 PECOS PAC ID: 2961888185 Enrollment ID: I20220926001792 |
| Provider Name | Angel Aguilar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508513805 PECOS PAC ID: 9234515354 Enrollment ID: I20220927002843 |
| Provider Name | Sufyan M Abdulmujeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013478452 PECOS PAC ID: 2163808171 Enrollment ID: I20220928002710 |
| Provider Name | Emily L Dormire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912536178 PECOS PAC ID: 6709204258 Enrollment ID: I20220930000544 |
| Provider Name | Jordan Gitlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164450300 PECOS PAC ID: 0648247015 Enrollment ID: I20220930000689 |
| Provider Name | Henry Osso-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942557863 PECOS PAC ID: 5991125981 Enrollment ID: I20220930002201 |
| Provider Name | Deena M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548995897 PECOS PAC ID: 2769868546 Enrollment ID: I20220930002805 |
| Provider Name | Natalie Louise Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740901123 PECOS PAC ID: 8022494814 Enrollment ID: I20220930002861 |
| Provider Name | Tamekia L Kizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023774973 PECOS PAC ID: 8820474612 Enrollment ID: I20220930002945 |
| Provider Name | Natalie L Dileonardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740848175 PECOS PAC ID: 2860721412 Enrollment ID: I20221004002090 |
| Provider Name | Marsha a Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639890965 PECOS PAC ID: 7719363431 Enrollment ID: I20221004002588 |
| Provider Name | Jeffrey Scott Weisberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669437836 PECOS PAC ID: 8527031350 Enrollment ID: I20221004002804 |
| Provider Name | Echo Amanda Renee Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194458976 PECOS PAC ID: 6709262348 Enrollment ID: I20221004003709 |
| Provider Name | Amir Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780144899 PECOS PAC ID: 0840521142 Enrollment ID: I20221005000959 |
| Provider Name | Kyra Lyn Austria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629798822 PECOS PAC ID: 4183000482 Enrollment ID: I20221010001389 |
| Provider Name | Rujuta Gore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720546559 PECOS PAC ID: 3476939729 Enrollment ID: I20221010003114 |
| Provider Name | Cassandra Worrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720752074 PECOS PAC ID: 3173999430 Enrollment ID: I20221012001617 |
| Provider Name | Lisa Y Shimotake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710245618 PECOS PAC ID: 8426321423 Enrollment ID: I20221012002390 |
| Provider Name | Sara Mccann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427410430 PECOS PAC ID: 3375837024 Enrollment ID: I20221014002321 |
| Provider Name | Vishnu Raj Kamar Mani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174964951 PECOS PAC ID: 3476956095 Enrollment ID: I20221016000028 |
| Provider Name | Kashif Janjua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20221017000820 |
| Provider Name | Jeanea Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227304 PECOS PAC ID: 9638545676 Enrollment ID: I20221017002733 |
| Provider Name | Denise Bungard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316699945 PECOS PAC ID: 6709252562 Enrollment ID: I20221019000843 |
| Provider Name | Menar Wahood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033578190 PECOS PAC ID: 7416241732 Enrollment ID: I20221019001621 |
| Provider Name | Brian James Moshier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699860452 PECOS PAC ID: 3476795329 Enrollment ID: I20221019002297 |
| Provider Name | Charles G Henderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912067273 PECOS PAC ID: 1557683596 Enrollment ID: I20221020000984 |
| Provider Name | Lauren E Bridges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861999310 PECOS PAC ID: 3577814177 Enrollment ID: I20221020001501 |
| Provider Name | Ankit Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043636954 PECOS PAC ID: 5092001602 Enrollment ID: I20221024001686 |
| Provider Name | Yasir Loai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205351608 PECOS PAC ID: 5092087452 Enrollment ID: I20221024002299 |
| Provider Name | Freedom Rocillo Andal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770215840 PECOS PAC ID: 3173999612 Enrollment ID: I20221025000418 |
| Provider Name | Jennifer Jo Derubeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710605951 PECOS PAC ID: 8022484567 Enrollment ID: I20221025000652 |
| Provider Name | Katheryn J Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649849019 PECOS PAC ID: 8123494580 Enrollment ID: I20221026002088 |
| Provider Name | Faheem Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225665607 PECOS PAC ID: 7810364999 Enrollment ID: I20221102000836 |
| Provider Name | Ashley Liou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023402229 PECOS PAC ID: 8123336070 Enrollment ID: I20221103001722 |
| Provider Name | Joyce Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407310733 PECOS PAC ID: 3173990942 Enrollment ID: I20221108000917 |
| Provider Name | Luis Garcia Tillan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316475965 PECOS PAC ID: 5395157341 Enrollment ID: I20221108001699 |
| Provider Name | Alyssa Valerie Golliher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487382156 PECOS PAC ID: 0840667408 Enrollment ID: I20221110001998 |
| Provider Name | Danette Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962169938 PECOS PAC ID: 9830583160 Enrollment ID: I20221110002381 |
| Provider Name | Andre S Strzembosz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316954373 PECOS PAC ID: 0446259238 Enrollment ID: I20221115003392 |
| Provider Name | Matthew Stadnyk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750313094 PECOS PAC ID: 5092806992 Enrollment ID: I20221116000140 |
| Provider Name | Dory a Mickna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700507167 PECOS PAC ID: 8022486430 Enrollment ID: I20221116000773 |
| Provider Name | Maria E Lozada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689027930 PECOS PAC ID: 1355727488 Enrollment ID: I20221117002935 |
| Provider Name | Emily Ann Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548833064 PECOS PAC ID: 0244608586 Enrollment ID: I20221117002956 |
| Provider Name | Danica Tonya Homere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437870722 PECOS PAC ID: 6002284122 Enrollment ID: I20221122000563 |
| Provider Name | Rebecca Liane Taylor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306579883 PECOS PAC ID: 2961870803 Enrollment ID: I20221123002752 |
| Provider Name | Francesco Giovanni Pucci |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295096733 PECOS PAC ID: 6204054430 Enrollment ID: I20221128001863 |
| Provider Name | Adam Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245953371 PECOS PAC ID: 8628446465 Enrollment ID: I20221129000053 |
| Provider Name | Jennifer Dochee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093992836 PECOS PAC ID: 2769657022 Enrollment ID: I20221129000075 |
| Provider Name | Johara a Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568417301 PECOS PAC ID: 9032136783 Enrollment ID: I20221130000137 |
| Provider Name | Noaman W Siddiqi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609823558 PECOS PAC ID: 1052342375 Enrollment ID: I20221201000980 |
| Provider Name | Megan Reese Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285207456 PECOS PAC ID: 1254700883 Enrollment ID: I20221202002939 |
| Provider Name | Barry Jacobs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841258456 PECOS PAC ID: 5294775789 Enrollment ID: I20221205000697 |
| Provider Name | Tiffany a Stoddard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720114846 PECOS PAC ID: 1557517893 Enrollment ID: I20221206001608 |
| Provider Name | Kristal Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730805979 PECOS PAC ID: 4789053158 Enrollment ID: I20221206002516 |
| Provider Name | Paige Michelle Pritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356068415 PECOS PAC ID: 7911376314 Enrollment ID: I20221207000100 |
| Provider Name | Robin L Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740903012 PECOS PAC ID: 4688043086 Enrollment ID: I20221207000316 |
| Provider Name | Usha Abbineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942651344 PECOS PAC ID: 7113257593 Enrollment ID: I20221207000944 |
| Provider Name | Carmen Leigh Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875848 PECOS PAC ID: 1850760059 Enrollment ID: I20221209002346 |
| Provider Name | Jaclyn Ashley Aleksich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568187748 PECOS PAC ID: 6103295134 Enrollment ID: I20221213002232 |
| Provider Name | Mahir Mameledzija |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235766064 PECOS PAC ID: 7618396177 Enrollment ID: I20221214002473 |
| Provider Name | Nathan Eugene Kellenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720798341 PECOS PAC ID: 3072982883 Enrollment ID: I20221216000741 |
| Provider Name | Varoon Rathan Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20221216001306 |
| Provider Name | Abigail Rose Sutton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033830195 PECOS PAC ID: 2668841313 Enrollment ID: I20221220000489 |
| Provider Name | Maya Shvarts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336897776 PECOS PAC ID: 7618347246 Enrollment ID: I20221223000037 |
| Provider Name | Emily Smiarowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992413199 PECOS PAC ID: 0345610762 Enrollment ID: I20221229002298 |
| Provider Name | Jamie a Whitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215341854 PECOS PAC ID: 6901102581 Enrollment ID: I20221229002582 |
| Provider Name | Michelle L Doggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437879012 PECOS PAC ID: 4688044035 Enrollment ID: I20221230000749 |
| Provider Name | Song Ok Kang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366927741 PECOS PAC ID: 4587083829 Enrollment ID: I20230105001409 |
| Provider Name | Louise M Medearis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396467205 PECOS PAC ID: 5799155594 Enrollment ID: I20230111001747 |
| Provider Name | Aamina Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992422943 PECOS PAC ID: 3173994712 Enrollment ID: I20230119000474 |
| Provider Name | Valerie Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831811991 PECOS PAC ID: 8426429861 Enrollment ID: I20230124000320 |
| Provider Name | Kelli E Skvarenina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366165383 PECOS PAC ID: 5597136721 Enrollment ID: I20230125001961 |
| Provider Name | Tracy L Shellhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578276051 PECOS PAC ID: 3678944865 Enrollment ID: I20230126001047 |
| Provider Name | Lindsey M Habecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194452276 PECOS PAC ID: 5193196251 Enrollment ID: I20230127001104 |
| Provider Name | Kaylene Renee Freitag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255044368 PECOS PAC ID: 2860863974 Enrollment ID: I20230128000389 |
| Provider Name | Zachary H Rambo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659900173 PECOS PAC ID: 5991123531 Enrollment ID: I20230130000418 |
| Provider Name | Brenda Carbajal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013523620 PECOS PAC ID: 0749652501 Enrollment ID: I20230206000575 |
| Provider Name | Mary G Dawtyne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740939206 PECOS PAC ID: 6002288602 Enrollment ID: I20230208000723 |
| Provider Name | Clark Russell Murray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699207241 PECOS PAC ID: 5395018378 Enrollment ID: I20230215001159 |
| Provider Name | Amy Renee Brodeur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376026336 PECOS PAC ID: 7315291846 Enrollment ID: I20230217000161 |
| Provider Name | Jonathan Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962963116 PECOS PAC ID: 0547696148 Enrollment ID: I20230217000186 |
| Provider Name | Matthew W Mcgath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609434653 PECOS PAC ID: 1557793429 Enrollment ID: I20230217000446 |
| Provider Name | Imoleayo Taiwo Babarinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093162653 PECOS PAC ID: 2668845546 Enrollment ID: I20230223000679 |
| Provider Name | Samantha N Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174248405 PECOS PAC ID: 2668845306 Enrollment ID: I20230228003214 |
| Provider Name | Johnathon Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801091806 PECOS PAC ID: 6406039130 Enrollment ID: I20230306001352 |
| Provider Name | Loui Abdelghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912161787 PECOS PAC ID: 9931252616 Enrollment ID: I20230306001829 |
| Provider Name | Paige Neaterour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215457346 PECOS PAC ID: 7719256254 Enrollment ID: I20230309002478 |
| Provider Name | Arnita K Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992779383 PECOS PAC ID: 3274506738 Enrollment ID: I20230316002092 |
| Provider Name | Christopher Michael Myslicki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730841412 PECOS PAC ID: 8022482827 Enrollment ID: I20230317001192 |
| Provider Name | Cody S Elston |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952953176 PECOS PAC ID: 7719351477 Enrollment ID: I20230320001134 |
| Provider Name | Theresa Marie Hills-cecil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326411836 PECOS PAC ID: 1951775535 Enrollment ID: I20230322000989 |
| Provider Name | Omar Barakat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114190782 PECOS PAC ID: 2567690332 Enrollment ID: I20230324000147 |
| Provider Name | Francis a Oke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194431064 PECOS PAC ID: 7315311743 Enrollment ID: I20230324002135 |
| Provider Name | Caitlin B Ehlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538821541 PECOS PAC ID: 9436523891 Enrollment ID: I20230327000383 |
| Provider Name | Jessica L Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003514662 PECOS PAC ID: 6305210774 Enrollment ID: I20230327000535 |
| Provider Name | Christine K Benson-larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275600124 PECOS PAC ID: 8729452115 Enrollment ID: I20230327001607 |
| Provider Name | Lauren Victoria Rasawehr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063125771 PECOS PAC ID: 6507230828 Enrollment ID: I20230328000217 |
| Provider Name | Tessa Marie Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891412755 PECOS PAC ID: 5597139857 Enrollment ID: I20230328002012 |
| Provider Name | Siddharth Paresh Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518341940 PECOS PAC ID: 6305182973 Enrollment ID: I20230330001424 |
| Provider Name | Jennifer Renee Stoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154035913 PECOS PAC ID: 7315312501 Enrollment ID: I20230330002150 |
| Provider Name | Andrea N Harlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598467524 PECOS PAC ID: 2961877097 Enrollment ID: I20230403002857 |
| Provider Name | Andrea Jo Mitts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588379770 PECOS PAC ID: 4385019330 Enrollment ID: I20230405002092 |
| Provider Name | Omar K Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275026197 PECOS PAC ID: 3375890684 Enrollment ID: I20230407000747 |
| Provider Name | Joseph E Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467014290 PECOS PAC ID: 5294062832 Enrollment ID: I20230410001074 |
| Provider Name | Anand Oroskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538587340 PECOS PAC ID: 0547544041 Enrollment ID: I20230410001536 |
| Provider Name | Trevor Andrew Parr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336768563 PECOS PAC ID: 7214355841 Enrollment ID: I20230411000682 |
| Provider Name | Nicole J Kerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558969964 PECOS PAC ID: 7618342387 Enrollment ID: I20230411001456 |
| Provider Name | Jackson C Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740843127 PECOS PAC ID: 3476985573 Enrollment ID: I20230411002015 |
| Provider Name | Jillian L Wignes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568164432 PECOS PAC ID: 2062887797 Enrollment ID: I20230412000658 |
| Provider Name | Rafal L Sosnowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699941039 PECOS PAC ID: 5294889275 Enrollment ID: I20230413001938 |
| Provider Name | Tiffany Kay Roby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952012056 PECOS PAC ID: 7618342130 Enrollment ID: I20230413001964 |
| Provider Name | Rebecca Tong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285301143 PECOS PAC ID: 4486029956 Enrollment ID: I20230414000958 |
| Provider Name | Shelle Schumacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134895188 PECOS PAC ID: 0648645119 Enrollment ID: I20230414001013 |
| Provider Name | Srijan Adhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053846188 PECOS PAC ID: 1052683869 Enrollment ID: I20230414001384 |
| Provider Name | Paul a Saconn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255518734 PECOS PAC ID: 2264600196 Enrollment ID: I20230420000971 |
| Provider Name | Kelsi M Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235833260 PECOS PAC ID: 5092170357 Enrollment ID: I20230420002851 |
| Provider Name | Heather Noel Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184097065 PECOS PAC ID: 9739544016 Enrollment ID: I20230421000541 |
| Provider Name | Carlos Andres Requena Armas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225478639 PECOS PAC ID: 4284930348 Enrollment ID: I20230425001978 |
| Provider Name | Shayet Hossain Eshan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588276620 PECOS PAC ID: 1557726551 Enrollment ID: I20230426002004 |
| Provider Name | Javad S Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831504844 PECOS PAC ID: 3274854914 Enrollment ID: I20230503001340 |
| Provider Name | Kody D Dormire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083241293 PECOS PAC ID: 8527488253 Enrollment ID: I20230504000843 |
| Provider Name | Alexandra Incandela |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336796143 PECOS PAC ID: 0941665327 Enrollment ID: I20230509000543 |
| Provider Name | Theresa a Wiese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891750816 PECOS PAC ID: 4789040080 Enrollment ID: I20230511000778 |
| Provider Name | Robert Rybka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265128524 PECOS PAC ID: 3971969072 Enrollment ID: I20230516001120 |
| Provider Name | Ali El Ghazzaoui |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1881383404 PECOS PAC ID: 5092171116 Enrollment ID: I20230516001938 |
| Provider Name | Lucie Cebula |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932785052 PECOS PAC ID: 1658773775 Enrollment ID: I20230517001235 |
| Provider Name | Malak a Awad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730533985 PECOS PAC ID: 0547555724 Enrollment ID: I20230517002045 |
| Provider Name | Shaun Alec Mcmillin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447889464 PECOS PAC ID: 4385000991 Enrollment ID: I20230523002457 |
| Provider Name | Hia Alazzam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760068167 PECOS PAC ID: 5698168631 Enrollment ID: I20230530002327 |
| Provider Name | Elizabeth Rendleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184338857 PECOS PAC ID: 6709243157 Enrollment ID: I20230531001454 |
| Provider Name | Lawrence Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881357606 PECOS PAC ID: 3870950884 Enrollment ID: I20230607000773 |
| Provider Name | Emily Eileen Mcbeath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982310835 PECOS PAC ID: 8628435658 Enrollment ID: I20230607001922 |
| Provider Name | Peter Savvides |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740636034 PECOS PAC ID: 9032407580 Enrollment ID: I20230607003030 |
| Provider Name | Kahla Jean Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336830652 PECOS PAC ID: 9133586035 Enrollment ID: I20230608001181 |
| Provider Name | Max Kahn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053793315 PECOS PAC ID: 5294040994 Enrollment ID: I20230609000637 |
| Provider Name | Michael Nuguid De Venecia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457046351 PECOS PAC ID: 4688031453 Enrollment ID: I20230609001238 |
| Provider Name | Jenna L Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215699814 PECOS PAC ID: 8022407204 Enrollment ID: I20230612002276 |
| Provider Name | Sunil Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164042016 PECOS PAC ID: 7012333925 Enrollment ID: I20230612002744 |
| Provider Name | Daniel R Getz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184184038 PECOS PAC ID: 6305278441 Enrollment ID: I20230614001535 |
| Provider Name | Imran Umer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780939660 PECOS PAC ID: 7517238801 Enrollment ID: I20230615001890 |
| Provider Name | Jugal R Thaker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891291522 PECOS PAC ID: 4688924459 Enrollment ID: I20230615001935 |
| Provider Name | Emilia Krol |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952531386 PECOS PAC ID: 0143527689 Enrollment ID: I20230621000063 |
| Provider Name | Marysue Patricia Koelling |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396436929 PECOS PAC ID: 7618335548 Enrollment ID: I20230623002784 |
| Provider Name | Rajiv C Raju |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689106577 PECOS PAC ID: 7214280957 Enrollment ID: I20230626000882 |
| Provider Name | Lauren Irwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346892346 PECOS PAC ID: 5193155257 Enrollment ID: I20230626001643 |
| Provider Name | Tariq Khan Niazi |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1275067522 PECOS PAC ID: 3779941562 Enrollment ID: I20230627001510 |
| Provider Name | Anne Koronkiewicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871084731 PECOS PAC ID: 9830578475 Enrollment ID: I20230628000917 |
| Provider Name | Farhan Shahab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114549417 PECOS PAC ID: 2961825880 Enrollment ID: I20230628003735 |
| Provider Name | Heidi S Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962196170 PECOS PAC ID: 7315306982 Enrollment ID: I20230630000046 |
| Provider Name | Taggart Venegas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073207890 PECOS PAC ID: 0042679615 Enrollment ID: I20230630000060 |
| Provider Name | Tolulope Joshua Olu-lawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780207340 PECOS PAC ID: 4789043209 Enrollment ID: I20230630002460 |
| Provider Name | Stephen Patrick Supple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225565054 PECOS PAC ID: 0244501740 Enrollment ID: I20230701000362 |
| Provider Name | Amy Gail Corsolini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992407738 PECOS PAC ID: 9638538093 Enrollment ID: I20230703000184 |
| Provider Name | Bassil Kherallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659831501 PECOS PAC ID: 9537591631 Enrollment ID: I20230707002165 |
| Provider Name | Mary Beth O'meara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033675087 PECOS PAC ID: 6406215243 Enrollment ID: I20230711002870 |
| Provider Name | Alex Mauricio Pompa Gale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558821199 PECOS PAC ID: 1153657283 Enrollment ID: I20230711003282 |
| Provider Name | Kellie M Kozlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588164610 PECOS PAC ID: 8426455528 Enrollment ID: I20230712000115 |
| Provider Name | Nicholas Silas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073140216 PECOS PAC ID: 7315365343 Enrollment ID: I20230712000866 |
| Provider Name | Katlyn D Koskotas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093406837 PECOS PAC ID: 9830559434 Enrollment ID: I20230713003915 |
| Provider Name | Muhammad Daniyal Burhan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154985356 PECOS PAC ID: 6709265812 Enrollment ID: I20230714001711 |
| Provider Name | Haroun Babajide Ogun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740802693 PECOS PAC ID: 8426471087 Enrollment ID: I20230714002077 |
| Provider Name | Fnu Sagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093325300 PECOS PAC ID: 9931519915 Enrollment ID: I20230714002420 |
| Provider Name | Paul Werner Blessing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619471455 PECOS PAC ID: 8022367523 Enrollment ID: I20230714002585 |
| Provider Name | Margi C Gami |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841818507 PECOS PAC ID: 4183084684 Enrollment ID: I20230715000298 |
| Provider Name | Ese Adiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104520865 PECOS PAC ID: 2668832056 Enrollment ID: I20230717002885 |
| Provider Name | Sri Mahathi Priyanka Kalipatnapu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558898817 PECOS PAC ID: 4284908914 Enrollment ID: I20230720000583 |
| Provider Name | Kinnera Are |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467074492 PECOS PAC ID: 6901229269 Enrollment ID: I20230721003377 |
| Provider Name | Benjamin Parker Cross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043995210 PECOS PAC ID: 5890156798 Enrollment ID: I20230725001152 |
| Provider Name | Nirali P Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083235816 PECOS PAC ID: 2769802891 Enrollment ID: I20230726003333 |
| Provider Name | Awad a Alyami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356962450 PECOS PAC ID: 4981020294 Enrollment ID: I20230726003490 |
| Provider Name | Christine M Guerrini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851823868 PECOS PAC ID: 2668745381 Enrollment ID: I20230727003353 |
| Provider Name | Jennifer a Nykiel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831503739 PECOS PAC ID: 1951604602 Enrollment ID: I20230731001283 |
| Provider Name | Altagracia Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467143446 PECOS PAC ID: 7012378581 Enrollment ID: I20230731003082 |
| Provider Name | Brandyn Ashley Castro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457702953 PECOS PAC ID: 5799077392 Enrollment ID: I20230801003258 |
| Provider Name | Joshuae Gallardo |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1689985962 PECOS PAC ID: 7012134851 Enrollment ID: I20230807001905 |
| Provider Name | Aaron E Delgado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457882474 PECOS PAC ID: 9537433313 Enrollment ID: I20230811000562 |
| Provider Name | Lindsey Michelle Kregel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851831358 PECOS PAC ID: 7810271905 Enrollment ID: I20230811000672 |
| Provider Name | Colin Curtis Eash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811524390 PECOS PAC ID: 3375905011 Enrollment ID: I20230814000708 |
| Provider Name | Jay a Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568082105 PECOS PAC ID: 1355769993 Enrollment ID: I20230814003427 |
| Provider Name | Ahmad Hussein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134624364 PECOS PAC ID: 7911253380 Enrollment ID: I20230816000371 |
| Provider Name | Theiju Sebastian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215465950 PECOS PAC ID: 9739424185 Enrollment ID: I20230816001739 |
| Provider Name | Vaishak Amblee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861923534 PECOS PAC ID: 7911277587 Enrollment ID: I20230816002438 |
| Provider Name | Nicole Taylor Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548945074 PECOS PAC ID: 2668834011 Enrollment ID: I20230816002965 |
| Provider Name | Jennifer Marie Light |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144676735 PECOS PAC ID: 7810281623 Enrollment ID: I20230816003302 |
| Provider Name | Rebekah Sooy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538527395 PECOS PAC ID: 2163721507 Enrollment ID: I20230817002071 |
| Provider Name | Melhem H Harp |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134357189 PECOS PAC ID: 5092968602 Enrollment ID: I20230818000096 |
| Provider Name | Meera Gopu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609442912 PECOS PAC ID: 6305208513 Enrollment ID: I20230818001714 |
| Provider Name | Mohammad Mousbah Al-tabbaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881212892 PECOS PAC ID: 7618397399 Enrollment ID: I20230821001200 |
| Provider Name | Saem I Haque |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134649197 PECOS PAC ID: 4082984505 Enrollment ID: I20230821002686 |
| Provider Name | Jamin Kweku Addae |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376906446 PECOS PAC ID: 9537454491 Enrollment ID: I20230822000543 |
| Provider Name | Nisa Maleki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740965078 PECOS PAC ID: 9638532740 Enrollment ID: I20230822003500 |
| Provider Name | Sarah C Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790462729 PECOS PAC ID: 1759744832 Enrollment ID: I20230823002247 |
| Provider Name | Desirae Linden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295418242 PECOS PAC ID: 2466815444 Enrollment ID: I20230823002818 |
| Provider Name | Kathryn Trandem |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053674770 PECOS PAC ID: 1557618378 Enrollment ID: I20230824002555 |
| Provider Name | Edward Cho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336453406 PECOS PAC ID: 7214200104 Enrollment ID: I20230825000709 |
| Provider Name | Brooks Lawrence Savery Rademacher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861811416 PECOS PAC ID: 7517277403 Enrollment ID: I20230825002054 |
| Provider Name | Matthew George |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821484601 PECOS PAC ID: 4688945660 Enrollment ID: I20230825002566 |
| Provider Name | Kari Endres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326455908 PECOS PAC ID: 9739542523 Enrollment ID: I20230825003540 |
| Provider Name | Amitoj Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255953006 PECOS PAC ID: 9830552595 Enrollment ID: I20230828003658 |
| Provider Name | Samuel Vazquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811422132 PECOS PAC ID: 5193082808 Enrollment ID: I20230829001037 |
| Provider Name | William Jimenez Marte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407341506 PECOS PAC ID: 2163885872 Enrollment ID: I20230829001780 |
| Provider Name | Yasmin Ali O'keefe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194001271 PECOS PAC ID: 3072834720 Enrollment ID: I20230829003728 |
| Provider Name | Syeda Ayesha Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215592696 PECOS PAC ID: 1254794738 Enrollment ID: I20230831000488 |
| Provider Name | Adamma Muodeme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427552009 PECOS PAC ID: 9234533423 Enrollment ID: I20230831000737 |
| Provider Name | Jessica N Mistretta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033731500 PECOS PAC ID: 8729408810 Enrollment ID: I20230901001198 |
| Provider Name | Kevin Goodwin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124448832 PECOS PAC ID: 1355645128 Enrollment ID: I20230901001622 |
| Provider Name | Amishi H Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528384187 PECOS PAC ID: 8022471283 Enrollment ID: I20230906000538 |
| Provider Name | Sandy L Northcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174209704 PECOS PAC ID: 8224491410 Enrollment ID: I20230906001760 |
| Provider Name | Tyler Daniel Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356124986 PECOS PAC ID: 5597129650 Enrollment ID: I20230908000686 |
| Provider Name | Brian Didier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417521618 PECOS PAC ID: 5496119273 Enrollment ID: I20230912003463 |
| Provider Name | Fahrettin Covut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457885683 PECOS PAC ID: 9638597651 Enrollment ID: I20230920003293 |
| Provider Name | Harsh Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114451820 PECOS PAC ID: 1850662156 Enrollment ID: I20230921001390 |
| Provider Name | Gayana H Wanniarachchi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003540220 PECOS PAC ID: 4183078363 Enrollment ID: I20230921001430 |
| Provider Name | Brooke Kathleen Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124726195 PECOS PAC ID: 3173977386 Enrollment ID: I20230921002446 |
| Provider Name | Florian Alexandru Stroie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699295808 PECOS PAC ID: 5991041188 Enrollment ID: I20230921002480 |
| Provider Name | Jennifer L Soady |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801509443 PECOS PAC ID: 8022462126 Enrollment ID: I20230922002724 |
| Provider Name | Jibran Rana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043638729 PECOS PAC ID: 8729207865 Enrollment ID: I20230925001165 |
| Provider Name | Michael Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215956768 PECOS PAC ID: 3971674862 Enrollment ID: I20230925003334 |
| Provider Name | Cheryl Marie Lucas-mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811643315 PECOS PAC ID: 5991159923 Enrollment ID: I20230926000638 |
| Provider Name | Amishi Bajaj |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932606654 PECOS PAC ID: 2163757592 Enrollment ID: I20230926000829 |
| Provider Name | Jacob Paul Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013614304 PECOS PAC ID: 2466806401 Enrollment ID: I20230926001067 |
| Provider Name | Ronald D Patrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679559728 PECOS PAC ID: 0941282149 Enrollment ID: I20230927001871 |
| Provider Name | Dorota Stobierska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104323039 PECOS PAC ID: 2668722455 Enrollment ID: I20230928000832 |
| Provider Name | Cha-ga Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639858319 PECOS PAC ID: 2264886894 Enrollment ID: I20230929001647 |
| Provider Name | Tyler James Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003596263 PECOS PAC ID: 8729432372 Enrollment ID: I20230929002623 |
| Provider Name | Hasan Bader |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275989998 PECOS PAC ID: 2365792686 Enrollment ID: I20231004000945 |
| Provider Name | Amro Mohamed Elsharoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801410592 PECOS PAC ID: 4981020526 Enrollment ID: I20231004000979 |
| Provider Name | Harrison Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184972994 PECOS PAC ID: 1850365735 Enrollment ID: I20231006000805 |
| Provider Name | Ismail Tabash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700167640 PECOS PAC ID: 8022309798 Enrollment ID: I20231007000698 |
| Provider Name | April N Oehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023774015 PECOS PAC ID: 6608221833 Enrollment ID: I20231009001675 |
| Provider Name | Abigail Grace Rapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447831771 PECOS PAC ID: 2860897394 Enrollment ID: I20231010000216 |
| Provider Name | Sohail H Syed |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154702231 PECOS PAC ID: 5698157717 Enrollment ID: I20231010001209 |
| Provider Name | Mohammed Asif |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770844888 PECOS PAC ID: 8325260623 Enrollment ID: I20231010002432 |
| Provider Name | Christopher Velasquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518490135 PECOS PAC ID: 6507114972 Enrollment ID: I20231011003431 |
| Provider Name | Chen Wang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447612502 PECOS PAC ID: 9830437649 Enrollment ID: I20231011003443 |
| Provider Name | Abigail Frances Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407544992 PECOS PAC ID: 8921453887 Enrollment ID: I20231012001173 |
| Provider Name | Aradia Fu |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1578855631 PECOS PAC ID: 7214249952 Enrollment ID: I20231012001695 |
| Provider Name | Ramzi A. Kilani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689631079 PECOS PAC ID: 7517966849 Enrollment ID: I20231012001768 |
| Provider Name | Louise a Witherspoon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568562742 PECOS PAC ID: 4981638830 Enrollment ID: I20231012003044 |
| Provider Name | Vishal Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255853792 PECOS PAC ID: 0749555498 Enrollment ID: I20231013000764 |
| Provider Name | Kylie Ruth Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972250660 PECOS PAC ID: 3577918317 Enrollment ID: I20231013000884 |
| Provider Name | Zoe Fornberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093391880 PECOS PAC ID: 0244611416 Enrollment ID: I20231013002736 |
| Provider Name | Jamie Gallinati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750084463 PECOS PAC ID: 2668827486 Enrollment ID: I20231016000435 |
| Provider Name | Chelsey K Judy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588444863 PECOS PAC ID: 4284089749 Enrollment ID: I20231018002971 |
| Provider Name | Jeny Tan-creevy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649839952 PECOS PAC ID: 3375878275 Enrollment ID: I20231020001953 |
| Provider Name | Megan J Renaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376329789 PECOS PAC ID: 5698121929 Enrollment ID: I20231024000220 |
| Provider Name | Melinda Chidinma Okanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265211635 PECOS PAC ID: 9335595487 Enrollment ID: I20231025001529 |
| Provider Name | Laurie Herscher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750473856 PECOS PAC ID: 0244413821 Enrollment ID: I20231026003696 |
| Provider Name | Melayne a Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699558874 PECOS PAC ID: 2961858964 Enrollment ID: I20231027000674 |
| Provider Name | Matthew a Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811676828 PECOS PAC ID: 3779939517 Enrollment ID: I20231030003640 |
| Provider Name | David Widitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205015906 PECOS PAC ID: 7214172766 Enrollment ID: I20231101002847 |
| Provider Name | Erica Nicole Svendsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114704137 PECOS PAC ID: 5092161604 Enrollment ID: I20231101003307 |
| Provider Name | Kathy a Abusager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649917097 PECOS PAC ID: 5890141477 Enrollment ID: I20231102002606 |
| Provider Name | Emily Anne Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478352 PECOS PAC ID: 3476900069 Enrollment ID: I20231102003554 |
| Provider Name | Casey J Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285410829 PECOS PAC ID: 4688021165 Enrollment ID: I20231104000515 |
| Provider Name | Sean P Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760264980 PECOS PAC ID: 9133539182 Enrollment ID: I20231107002801 |
| Provider Name | Brian Charles Cusick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174578793 PECOS PAC ID: 5496648578 Enrollment ID: I20231107002901 |
| Provider Name | Kenneth James Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750166922 PECOS PAC ID: 9032566211 Enrollment ID: I20231109001043 |
| Provider Name | Samantha Renee Horatschki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841077781 PECOS PAC ID: 3274980461 Enrollment ID: I20231109001315 |
| Provider Name | Zaki Al Yafeai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780209395 PECOS PAC ID: 6204296809 Enrollment ID: I20231109001441 |
| Provider Name | Ellis Arjmand |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538189147 PECOS PAC ID: 7012984404 Enrollment ID: I20231110000444 |
| Provider Name | Carley N Psik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982487724 PECOS PAC ID: 4981051935 Enrollment ID: I20231113001711 |
| Provider Name | Alyxandra Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508354440 PECOS PAC ID: 8022412527 Enrollment ID: I20231113003498 |
| Provider Name | Michelle Joos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871377150 PECOS PAC ID: 8729435433 Enrollment ID: I20231116002072 |
| Provider Name | Earl Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912561077 PECOS PAC ID: 2062839707 Enrollment ID: I20231120001076 |
| Provider Name | Imran Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104061704 PECOS PAC ID: 0941420426 Enrollment ID: I20231127001479 |
| Provider Name | Brankica Stanisic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659831014 PECOS PAC ID: 2860815495 Enrollment ID: I20231127001704 |
| Provider Name | Katherine Every Matulle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851971170 PECOS PAC ID: 5294183596 Enrollment ID: I20231128000191 |
| Provider Name | Kendra Taylor Gorny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235812363 PECOS PAC ID: 0547618688 Enrollment ID: I20231129002483 |
| Provider Name | Chein-jung Lin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346654308 PECOS PAC ID: 6507084449 Enrollment ID: I20231129003750 |
| Provider Name | Sidney Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326766510 PECOS PAC ID: 5698123651 Enrollment ID: I20231130003942 |
| Provider Name | Erin Swan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184129116 PECOS PAC ID: 1759716327 Enrollment ID: I20231204002904 |
| Provider Name | Amber L Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740967553 PECOS PAC ID: 2062860828 Enrollment ID: I20231205000822 |
| Provider Name | Alison Aldag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497531800 PECOS PAC ID: 2163871955 Enrollment ID: I20231205002062 |
| Provider Name | Jessica L Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154193357 PECOS PAC ID: 4486003092 Enrollment ID: I20231207003248 |
| Provider Name | Cynthia D Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053915553 PECOS PAC ID: 5597114116 Enrollment ID: I20231207003989 |
| Provider Name | Betsy Lucille Aughenbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992583165 PECOS PAC ID: 3072962554 Enrollment ID: I20231208002041 |
| Provider Name | Tiffany Smaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538940887 PECOS PAC ID: 6901255363 Enrollment ID: I20231211000807 |
| Provider Name | Heidi a Kellerstrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922871524 PECOS PAC ID: 6406205897 Enrollment ID: I20231211002191 |
| Provider Name | Matthew Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619239936 PECOS PAC ID: 6103130653 Enrollment ID: I20231212001505 |
| Provider Name | Ashley R Arreguin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073390035 PECOS PAC ID: 0941659080 Enrollment ID: I20231214000553 |
| Provider Name | Barbara Elizabeth Swartz |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1811082324 PECOS PAC ID: 6507928884 Enrollment ID: I20231215002194 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952183238 PECOS PAC ID: 3072962950 Enrollment ID: I20231218003496 |
| Provider Name | David Dewei Yang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689168338 PECOS PAC ID: 6901154368 Enrollment ID: I20231219001253 |
| Provider Name | Joan L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232643 PECOS PAC ID: 2769832617 Enrollment ID: I20231219001773 |
| Provider Name | Alec Small |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700464526 PECOS PAC ID: 8527460450 Enrollment ID: I20231219002849 |
| Provider Name | Rebecca Elizabeth Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780463612 PECOS PAC ID: 0446600118 Enrollment ID: I20231220002971 |
| Provider Name | Michael a Rossetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346015260 PECOS PAC ID: 7416307186 Enrollment ID: I20231220003098 |
| Provider Name | Robert Ara Petrossian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912436015 PECOS PAC ID: 0446521819 Enrollment ID: I20231221002319 |
| Provider Name | Courtney Sue Knuth-galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134994361 PECOS PAC ID: 4688024029 Enrollment ID: I20231227000767 |
| Provider Name | Michael Ryan Carman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962277673 PECOS PAC ID: 3870943152 Enrollment ID: I20231228002917 |
| Provider Name | Caitlyn Arria Kiekhaefer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205517471 PECOS PAC ID: 6709236748 Enrollment ID: I20240103001227 |
| Provider Name | Sarah Fatima Azam Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134680390 PECOS PAC ID: 6507286713 Enrollment ID: I20240103002250 |
| Provider Name | Jamal Ahmed |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265877666 PECOS PAC ID: 5395090351 Enrollment ID: I20240103002389 |
| Provider Name | Emily Simon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992315238 PECOS PAC ID: 6709205511 Enrollment ID: I20240103002888 |
| Provider Name | Tamara Marie Lott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013037373 PECOS PAC ID: 0446601231 Enrollment ID: I20240105001268 |
| Provider Name | Sara Louise Quincer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184890949 PECOS PAC ID: 9830540632 Enrollment ID: I20240105001548 |
| Provider Name | Kevin M Rockey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265506810 PECOS PAC ID: 2466803291 Enrollment ID: I20240105002723 |
| Provider Name | Brandon Lee Underwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144718149 PECOS PAC ID: 5092166835 Enrollment ID: I20240105003191 |
| Provider Name | Victor Hugo Mendoza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215435425 PECOS PAC ID: 9133570989 Enrollment ID: I20240105003367 |
| Provider Name | Brianna K Romanowicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891251518 PECOS PAC ID: 8426409194 Enrollment ID: I20240106000032 |
| Provider Name | Andrea C Strickler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093460818 PECOS PAC ID: 0143671818 Enrollment ID: I20240106000058 |
| Provider Name | Emily L Trulson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952958050 PECOS PAC ID: 4688025356 Enrollment ID: I20240106000089 |
| Provider Name | Wail Asfour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720038680 PECOS PAC ID: 7618943598 Enrollment ID: I20240108004456 |
| Provider Name | Carmen Michelle Close |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912331059 PECOS PAC ID: 5597116053 Enrollment ID: I20240109002225 |
| Provider Name | Gina Rae Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437595253 PECOS PAC ID: 1355792821 Enrollment ID: I20240109002437 |
| Provider Name | Gina M Owens-spahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124358221 PECOS PAC ID: 9436500907 Enrollment ID: I20240109002457 |
| Provider Name | Kathleen Ann Franczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922487107 PECOS PAC ID: 8820449309 Enrollment ID: I20240109002709 |
| Provider Name | Meredith Rene Sary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154488369 PECOS PAC ID: 3072964550 Enrollment ID: I20240109002826 |
| Provider Name | Laura L Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356073472 PECOS PAC ID: 2668823154 Enrollment ID: I20240109003046 |
| Provider Name | Beth Anne Aussem |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275619645 PECOS PAC ID: 7911358403 Enrollment ID: I20240109003101 |
| Provider Name | Jennifer M Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881396679 PECOS PAC ID: 5890146278 Enrollment ID: I20240110002159 |
| Provider Name | William E Gebhards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588850515 PECOS PAC ID: 4789035031 Enrollment ID: I20240110004998 |
| Provider Name | Rachel E Simon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023237567 PECOS PAC ID: 8820449051 Enrollment ID: I20240111002797 |
| Provider Name | Nadir Baziz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437930302 PECOS PAC ID: 6507217676 Enrollment ID: I20240112003008 |
| Provider Name | Amy Louise Brooke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578605317 PECOS PAC ID: 0840642955 Enrollment ID: I20240113000535 |
| Provider Name | Shannon L Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043098445 PECOS PAC ID: 9537511654 Enrollment ID: I20240113000732 |
| Provider Name | Keith Allen Downes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740332618 PECOS PAC ID: 7618329749 Enrollment ID: I20240115000037 |
| Provider Name | Kaitlyn Renee Heffren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982480638 PECOS PAC ID: 4789036724 Enrollment ID: I20240116001775 |
| Provider Name | Timothy J Drew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285711333 PECOS PAC ID: 2769834639 Enrollment ID: I20240116002865 |
| Provider Name | Kate Elizabeth Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710565510 PECOS PAC ID: 6901296490 Enrollment ID: I20240117001802 |
| Provider Name | Michelle Blackwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417971912 PECOS PAC ID: 3577632876 Enrollment ID: I20240118002787 |
| Provider Name | Lisa B Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780932244 PECOS PAC ID: 1153773783 Enrollment ID: I20240119001237 |
| Provider Name | Sydney Marie Gilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366218893 PECOS PAC ID: 2163874504 Enrollment ID: I20240122001024 |
| Provider Name | Marla Gail Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437552130 PECOS PAC ID: 0345692570 Enrollment ID: I20240123003533 |
| Provider Name | Addison Graves Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770660060 PECOS PAC ID: 5092885277 Enrollment ID: I20240124002960 |
| Provider Name | Justin Lendermon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558896894 PECOS PAC ID: 6709155328 Enrollment ID: I20240126000588 |
| Provider Name | Sylwia Nowak |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1871948059 PECOS PAC ID: 5092049569 Enrollment ID: I20240126002180 |
| Provider Name | Natalie Patty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013638352 PECOS PAC ID: 1052764974 Enrollment ID: I20240126003773 |
| Provider Name | Chad Aaron Burkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134995020 PECOS PAC ID: 8325491145 Enrollment ID: I20240129002086 |
| Provider Name | Tamara Lorraine Floyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932513207 PECOS PAC ID: 8426337817 Enrollment ID: I20240201003217 |
| Provider Name | Philip H Ulm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245331073 PECOS PAC ID: 8022451210 Enrollment ID: I20240205002013 |
| Provider Name | James Flippin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326380114 PECOS PAC ID: 6800029513 Enrollment ID: I20240206003348 |
| Provider Name | Katie Jo Boydstun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326560525 PECOS PAC ID: 6608132394 Enrollment ID: I20240206003844 |
| Provider Name | Jennifer Christine Ghekiere-dacus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861268005 PECOS PAC ID: 9638512411 Enrollment ID: I20240208002199 |
| Provider Name | Lawrence D Yee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275796328 PECOS PAC ID: 7911340708 Enrollment ID: I20240208002548 |
| Provider Name | Elizabeth Kazlauski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396101275 PECOS PAC ID: 9830532654 Enrollment ID: I20240208003320 |
| Provider Name | Kerry a Heinz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245393677 PECOS PAC ID: 3971946344 Enrollment ID: I20240213002804 |
| Provider Name | Kelsi E Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962275719 PECOS PAC ID: 9032553441 Enrollment ID: I20240213004426 |
| Provider Name | Lysette Mcnerney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790562585 PECOS PAC ID: 2365886629 Enrollment ID: I20240215000624 |
| Provider Name | Lavender Kristy Zarraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811767015 PECOS PAC ID: 8325482516 Enrollment ID: I20240215001852 |
| Provider Name | Joy Fitiavana Valente |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063993715 PECOS PAC ID: 4587008719 Enrollment ID: I20240215003164 |
| Provider Name | Maryam Nouhi Arbatani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255748182 PECOS PAC ID: 3779851530 Enrollment ID: I20240216000795 |
| Provider Name | Bahaa Elzein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689294100 PECOS PAC ID: 4981025780 Enrollment ID: I20240216003717 |
| Provider Name | Heather Renee Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912773979 PECOS PAC ID: 1951745900 Enrollment ID: I20240216003835 |
| Provider Name | Basil Abu-el-haija |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881825594 PECOS PAC ID: 9537383229 Enrollment ID: I20240219002803 |
| Provider Name | Simeon S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639940059 PECOS PAC ID: 1153765029 Enrollment ID: I20240219002938 |
| Provider Name | Rachel Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891322236 PECOS PAC ID: 8426476052 Enrollment ID: I20240219003065 |
| Provider Name | Jiafu OU |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093924003 PECOS PAC ID: 4789852617 Enrollment ID: I20240223001470 |
| Provider Name | Bradley Prestidge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134126220 PECOS PAC ID: 5890754766 Enrollment ID: I20240223002889 |
| Provider Name | Bonnie Lansing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467859793 PECOS PAC ID: 7416392840 Enrollment ID: I20240226001753 |
| Provider Name | Michelle a Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669236840 PECOS PAC ID: 9739524034 Enrollment ID: I20240227000176 |
| Provider Name | Bhavesh Amin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639690175 PECOS PAC ID: 9537430111 Enrollment ID: I20240227004140 |
| Provider Name | Linda J Clemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437924305 PECOS PAC ID: 6406171339 Enrollment ID: I20240228000340 |
| Provider Name | Awad Ahmed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851702831 PECOS PAC ID: 2062630593 Enrollment ID: I20240228001657 |
| Provider Name | Vanna Kaye Lenhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891150660 PECOS PAC ID: 8123463288 Enrollment ID: I20240228002030 |
| Provider Name | Susan E Trompeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679778054 PECOS PAC ID: 9739319567 Enrollment ID: I20240228003569 |
| Provider Name | Vaughn D Klaassen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578639290 PECOS PAC ID: 5092150102 Enrollment ID: I20240228003757 |
| Provider Name | Lisa M Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033983861 PECOS PAC ID: 9335046572 Enrollment ID: I20240304001830 |
| Provider Name | Anthony Ronny Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518588367 PECOS PAC ID: 2264844604 Enrollment ID: I20240308003268 |
| Provider Name | Nardos Workneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033873096 PECOS PAC ID: 4789079054 Enrollment ID: I20240311003079 |
| Provider Name | Kathryn M Bienemann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295887362 PECOS PAC ID: 4981040938 Enrollment ID: I20240312003707 |
| Provider Name | Johni Lynn Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265959662 PECOS PAC ID: 4981970811 Enrollment ID: I20240313002762 |
| Provider Name | Madhuradhar Mbbs Chegondi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104173103 PECOS PAC ID: 8123308285 Enrollment ID: I20240315002702 |
| Provider Name | Husam Faris Ghusn |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871585588 PECOS PAC ID: 8921054669 Enrollment ID: I20240318001151 |
| Provider Name | Andrew Wilson Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366782930 PECOS PAC ID: 7517348139 Enrollment ID: I20240318001269 |
| Provider Name | Courtney L Lomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851165369 PECOS PAC ID: 4486091055 Enrollment ID: I20240319003214 |
| Provider Name | Sean Masi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316575269 PECOS PAC ID: 1759704851 Enrollment ID: I20240319004042 |
| Provider Name | Erin Rose Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942076906 PECOS PAC ID: 6002253515 Enrollment ID: I20240320000597 |
| Provider Name | Andrea D Escobar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215564653 PECOS PAC ID: 1355755026 Enrollment ID: I20240321002445 |
| Provider Name | Mameyan Donzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548721756 PECOS PAC ID: 2769851237 Enrollment ID: I20240321002457 |
| Provider Name | Nina Nandy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992935001 PECOS PAC ID: 6507085206 Enrollment ID: I20240326003514 |
| Provider Name | Jennifer C Wicklatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063184026 PECOS PAC ID: 8426495367 Enrollment ID: I20240327001170 |
| Provider Name | Danielle R Layne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376302638 PECOS PAC ID: 4385082080 Enrollment ID: I20240401001061 |
| Provider Name | Mariola Grzeszczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003425463 PECOS PAC ID: 8628416344 Enrollment ID: I20240401001592 |
| Provider Name | Kayla Sabrina Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235717448 PECOS PAC ID: 2062818032 Enrollment ID: I20240409000713 |
| Provider Name | Motaz Abas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215510201 PECOS PAC ID: 2365880341 Enrollment ID: I20240410001024 |
| Provider Name | Antasia M Kersch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801369236 PECOS PAC ID: 9335472117 Enrollment ID: I20240412003216 |
| Provider Name | Eric a Vens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558329706 PECOS PAC ID: 5890785331 Enrollment ID: I20240415001380 |
| Provider Name | Ellen Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215497888 PECOS PAC ID: 7012244973 Enrollment ID: I20240416002394 |
| Provider Name | Margaret Louise Goetten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629845045 PECOS PAC ID: 9931548179 Enrollment ID: I20240419002599 |
| Provider Name | Amanda J Repplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215780184 PECOS PAC ID: 3971942087 Enrollment ID: I20240422001270 |
| Provider Name | Mohamed Gashouta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427311877 PECOS PAC ID: 1456599190 Enrollment ID: I20240422001991 |
| Provider Name | Michelle E Beetler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700467651 PECOS PAC ID: 9638574064 Enrollment ID: I20240422002086 |
| Provider Name | Jesse Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720570971 PECOS PAC ID: 1254686330 Enrollment ID: I20240506000752 |
| Provider Name | Rayan Jo Rachwan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477073856 PECOS PAC ID: 8123397189 Enrollment ID: I20240507002705 |
| Provider Name | Justin Griffith Miller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013204072 PECOS PAC ID: 5092946806 Enrollment ID: I20240508001280 |
| Provider Name | Shalayla M Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982226056 PECOS PAC ID: 5991128894 Enrollment ID: I20240513001600 |
| Provider Name | Elivia C Ahrens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972161750 PECOS PAC ID: 0840631586 Enrollment ID: I20240513003620 |
| Provider Name | Rachel J Skoumal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295587624 PECOS PAC ID: 8921449497 Enrollment ID: I20240515000964 |
| Provider Name | Thomas James Mcmorrow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003312059 PECOS PAC ID: 4486902731 Enrollment ID: I20240515001873 |
| Provider Name | Nikesh Kavi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023688371 PECOS PAC ID: 5597106914 Enrollment ID: I20240515003355 |
| Provider Name | Sohiub Nizar Assaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598346918 PECOS PAC ID: 6709280357 Enrollment ID: I20240516000047 |
| Provider Name | Anil Kumar Changarath Vijayan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1649451873 PECOS PAC ID: 0749423622 Enrollment ID: I20240516000687 |
| Provider Name | Karim Nasra |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639668445 PECOS PAC ID: 3476809526 Enrollment ID: I20240520001516 |
| Provider Name | Angela Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952027518 PECOS PAC ID: 3476995556 Enrollment ID: I20240521001391 |
| Provider Name | Rachel Cooper Yuhas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013676170 PECOS PAC ID: 5496197378 Enrollment ID: I20240523001018 |
| Provider Name | Ashley Christine Stark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023514718 PECOS PAC ID: 0749622561 Enrollment ID: I20240524002046 |
| Provider Name | Alyssa Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174208987 PECOS PAC ID: 4587027610 Enrollment ID: I20240527000144 |
| Provider Name | Steven Branch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922096551 PECOS PAC ID: 5092773226 Enrollment ID: I20240528001285 |
| Provider Name | Monica Lynn Interial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043909757 PECOS PAC ID: 1355783929 Enrollment ID: I20240528003161 |
| Provider Name | Akash Khetpal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689246456 PECOS PAC ID: 6709228174 Enrollment ID: I20240530002843 |
| Provider Name | Kirby Thomas Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053934885 PECOS PAC ID: 8820493208 Enrollment ID: I20240531000919 |
| Provider Name | Ishaan Vohra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477048130 PECOS PAC ID: 5193078913 Enrollment ID: I20240531001777 |
| Provider Name | Calee Michelle Bresnahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841870151 PECOS PAC ID: 5193167468 Enrollment ID: I20240531002646 |
| Provider Name | Brittany a Teson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306698246 PECOS PAC ID: 0941742902 Enrollment ID: I20240605001694 |
| Provider Name | Reginald Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699739607 PECOS PAC ID: 2365411873 Enrollment ID: I20240605001765 |
| Provider Name | Boris Miokovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609440148 PECOS PAC ID: 4183166143 Enrollment ID: I20240605001834 |
| Provider Name | Robert Michael Fischer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013167600 PECOS PAC ID: 8426283201 Enrollment ID: I20240608000199 |
| Provider Name | Tara Washington |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780621276 PECOS PAC ID: 2860485711 Enrollment ID: I20240611001582 |
| Provider Name | Leslie M Sharpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740228568 PECOS PAC ID: 5395768212 Enrollment ID: I20240611002413 |
| Provider Name | Benjamin Scott Reine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922373935 PECOS PAC ID: 6305075805 Enrollment ID: I20240613002169 |
| Provider Name | Stephen Carter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558868356 PECOS PAC ID: 2860739893 Enrollment ID: I20240614003317 |
| Provider Name | Mahmood Solaiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316928849 PECOS PAC ID: 4981684933 Enrollment ID: I20240617002742 |
| Provider Name | Farrah Nicole Gaston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124605829 PECOS PAC ID: 6709282585 Enrollment ID: I20240624002986 |
| Provider Name | Shilpkumar Arora |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699194365 PECOS PAC ID: 8921379264 Enrollment ID: I20240624004741 |
| Provider Name | Prince Duru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265059935 PECOS PAC ID: 0840613147 Enrollment ID: I20240625000372 |
| Provider Name | Manjari Uppu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659900983 PECOS PAC ID: 5395159065 Enrollment ID: I20240625001596 |
| Provider Name | Felicia R Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710731385 PECOS PAC ID: 4385188721 Enrollment ID: I20240626004377 |
| Provider Name | Katie Marshall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508607789 PECOS PAC ID: 8921542374 Enrollment ID: I20240627000143 |
| Provider Name | Chukwunonye Onyeka Ogbuji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578141149 PECOS PAC ID: 1153725528 Enrollment ID: I20240627002486 |
| Provider Name | Natalia P Walat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730808270 PECOS PAC ID: 4183168354 Enrollment ID: I20240628000344 |
| Provider Name | Alyson L Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699518175 PECOS PAC ID: 8426592601 Enrollment ID: I20240628000821 |
| Provider Name | Dawn Ranae Schurter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710743216 PECOS PAC ID: 5496299562 Enrollment ID: I20240701000023 |
| Provider Name | Riley Fehr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437714938 PECOS PAC ID: 0648509471 Enrollment ID: I20240701002268 |
| Provider Name | Muzamil Arshad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518429570 PECOS PAC ID: 8325582018 Enrollment ID: I20240705001671 |
| Provider Name | Kathryn Suzanne Lemkemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861248791 PECOS PAC ID: 2264977859 Enrollment ID: I20240708001888 |
| Provider Name | Jainil Maheshwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235709429 PECOS PAC ID: 8123424330 Enrollment ID: I20240709001402 |
| Provider Name | Joseph K Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699703504 PECOS PAC ID: 3072519370 Enrollment ID: I20240709001573 |
| Provider Name | Irisha Gerrhea Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285217760 PECOS PAC ID: 0244632800 Enrollment ID: I20240711002537 |
| Provider Name | Jessey Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639751860 PECOS PAC ID: 7315337896 Enrollment ID: I20240712002487 |
| Provider Name | Christina Whitaker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336988435 PECOS PAC ID: 3274078100 Enrollment ID: I20240715003486 |
| Provider Name | Ned John Panara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922082130 PECOS PAC ID: 1850345208 Enrollment ID: I20240718003069 |
| Provider Name | Alexander Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639811425 PECOS PAC ID: 4880130566 Enrollment ID: I20240718003259 |
| Provider Name | James David Buschbach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619474764 PECOS PAC ID: 2264779693 Enrollment ID: I20240722001302 |
| Provider Name | Kyle a Matuszewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235858762 PECOS PAC ID: 4880130046 Enrollment ID: I20240724000471 |
| Provider Name | Melodie Keshani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073191300 PECOS PAC ID: 9537569512 Enrollment ID: I20240724000775 |
| Provider Name | Rachel a Kempisty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184205312 PECOS PAC ID: 8628473022 Enrollment ID: I20240725000571 |
| Provider Name | Yiran Gong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942705967 PECOS PAC ID: 5698024313 Enrollment ID: I20240725000728 |
| Provider Name | Waheed UI Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801467295 PECOS PAC ID: 0143623223 Enrollment ID: I20240725002005 |
| Provider Name | Kallista Kamberos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932776101 PECOS PAC ID: 6608279237 Enrollment ID: I20240725002235 |
| Provider Name | Woody Han |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700230901 PECOS PAC ID: 0941592091 Enrollment ID: I20240726002976 |
| Provider Name | Uyen Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898783 PECOS PAC ID: 0648526731 Enrollment ID: I20240726003613 |
| Provider Name | Emily Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679192033 PECOS PAC ID: 2264850734 Enrollment ID: I20240729000357 |
| Provider Name | Alexis Lynn Opel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578300679 PECOS PAC ID: 7517403371 Enrollment ID: I20240729002709 |
| Provider Name | Daniel Ansbro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285126086 PECOS PAC ID: 8527315670 Enrollment ID: I20240730001290 |
| Provider Name | Olabisi Makanjuola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265043491 PECOS PAC ID: 1254878036 Enrollment ID: I20240730002753 |
| Provider Name | Kwaku Opoku |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477059186 PECOS PAC ID: 2365989142 Enrollment ID: I20240730003074 |
| Provider Name | Ibinabo Dede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730765272 PECOS PAC ID: 9830590371 Enrollment ID: I20240730003778 |
| Provider Name | Ahmad Alkaddour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659660272 PECOS PAC ID: 7315163615 Enrollment ID: I20240731000423 |
| Provider Name | Hannah Courtney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396592572 PECOS PAC ID: 0446797187 Enrollment ID: I20240731000997 |
| Provider Name | Jennifer E Main |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255905014 PECOS PAC ID: 0345645743 Enrollment ID: I20240806000324 |
| Provider Name | Mfowethu Theophilus Langeni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164082533 PECOS PAC ID: 5991176455 Enrollment ID: I20240807004048 |
| Provider Name | Jessica Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609622695 PECOS PAC ID: 3274070172 Enrollment ID: I20240808002356 |
| Provider Name | Mae C Lindner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356832570 PECOS PAC ID: 5698212587 Enrollment ID: I20240809000896 |
| Provider Name | Hannah Cvelbar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366287963 PECOS PAC ID: 7911445747 Enrollment ID: I20240812002864 |
| Provider Name | Ethan Jerome Maltz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811482672 PECOS PAC ID: 1052662152 Enrollment ID: I20240812003300 |
| Provider Name | Anis Adnani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356976443 PECOS PAC ID: 7517369432 Enrollment ID: I20240814001709 |
| Provider Name | John David Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790725893 PECOS PAC ID: 6002847191 Enrollment ID: I20240814002989 |
| Provider Name | Nso Agbor Nso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750898367 PECOS PAC ID: 0648627109 Enrollment ID: I20240815001816 |
| Provider Name | Tierra Lee Weglarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154901528 PECOS PAC ID: 0840738266 Enrollment ID: I20240816001642 |
| Provider Name | Devika Kir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023466414 PECOS PAC ID: 2163716911 Enrollment ID: I20240819000808 |
| Provider Name | Michael Z Grzeskowiak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215469218 PECOS PAC ID: 2961895370 Enrollment ID: I20240819002215 |
| Provider Name | Thomas Russell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295185056 PECOS PAC ID: 8426340571 Enrollment ID: I20240820001824 |
| Provider Name | Osama Al Deyabat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174255053 PECOS PAC ID: 3072995547 Enrollment ID: I20240821004401 |
| Provider Name | Jay Khambhati |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427443712 PECOS PAC ID: 8820346737 Enrollment ID: I20240823000216 |
| Provider Name | Kara Sue Cicciarelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609606565 PECOS PAC ID: 2264971191 Enrollment ID: I20240823000783 |
| Provider Name | Nkiruka Arinze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346635497 PECOS PAC ID: 8123335288 Enrollment ID: I20240823002138 |
| Provider Name | Helen Ngozi Ejiogu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336601251 PECOS PAC ID: 3779810056 Enrollment ID: I20240830001276 |
| Provider Name | Leonard T Onsen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104321421 PECOS PAC ID: 0648528497 Enrollment ID: I20240830002915 |
| Provider Name | Dawn Marie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033953476 PECOS PAC ID: 5294274452 Enrollment ID: I20240831000434 |
| Provider Name | Jill Louise Wagenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538905187 PECOS PAC ID: 1850830027 Enrollment ID: I20240902000050 |
| Provider Name | Laura Scott |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821655838 PECOS PAC ID: 1850785205 Enrollment ID: I20240903000967 |
| Provider Name | Emese Bedrosian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417701186 PECOS PAC ID: 5698215531 Enrollment ID: I20240906001312 |
| Provider Name | Saad Kothawala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205577715 PECOS PAC ID: 7214477967 Enrollment ID: I20240909001457 |
| Provider Name | Mckinley Marseille |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700556776 PECOS PAC ID: 2961898911 Enrollment ID: I20240911000721 |
| Provider Name | Dorothy Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053998229 PECOS PAC ID: 8224578737 Enrollment ID: I20240911002179 |
| Provider Name | Nidhi Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689168668 PECOS PAC ID: 8022475177 Enrollment ID: I20240912000613 |
| Provider Name | Lisa C Stanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689307126 PECOS PAC ID: 6305386632 Enrollment ID: I20240912002747 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20240912003414 |
| Provider Name | Amanda K Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689406001 PECOS PAC ID: 3173063435 Enrollment ID: I20240912003770 |
| Provider Name | Maamoun Zane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669831509 PECOS PAC ID: 0749691384 Enrollment ID: I20240916000940 |
| Provider Name | Annalise Laaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265173645 PECOS PAC ID: 8426599671 Enrollment ID: I20240916002426 |
| Provider Name | Mrigank Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053816488 PECOS PAC ID: 4486068467 Enrollment ID: I20240917000586 |
| Provider Name | Kyle Lee Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427882943 PECOS PAC ID: 9032650189 Enrollment ID: I20240917002844 |
| Provider Name | Julian Woods Henderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700377033 PECOS PAC ID: 2062768864 Enrollment ID: I20240918003147 |
| Provider Name | Zachary a Glaser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831622547 PECOS PAC ID: 2668759481 Enrollment ID: I20240919000827 |
| Provider Name | Belal Firwana |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1639424211 PECOS PAC ID: 2860629334 Enrollment ID: I20240923001789 |
| Provider Name | Faiza Tariq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235717950 PECOS PAC ID: 0840692695 Enrollment ID: I20240923002331 |
| Provider Name | Kevin P Lui |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043779978 PECOS PAC ID: 0749600203 Enrollment ID: I20240924000731 |
| Provider Name | Najeem Ojulari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487049466 PECOS PAC ID: 7618275397 Enrollment ID: I20240924001979 |
| Provider Name | Maddalena Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154157808 PECOS PAC ID: 5890236228 Enrollment ID: I20240925001073 |
| Provider Name | Audra Joy Storm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730767419 PECOS PAC ID: 0749681716 Enrollment ID: I20240925001960 |
| Provider Name | Petra Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205662194 PECOS PAC ID: 7618418906 Enrollment ID: I20240926002616 |
| Provider Name | Stefan Eichenauer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598021479 PECOS PAC ID: 5890094965 Enrollment ID: I20240927000191 |
| Provider Name | Courtney E Reubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184459232 PECOS PAC ID: 0042741316 Enrollment ID: I20240927001886 |
| Provider Name | Javier Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508516139 PECOS PAC ID: 3072044288 Enrollment ID: I20240930000148 |
| Provider Name | Reem S Saadoon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730648668 PECOS PAC ID: 6800327024 Enrollment ID: I20240930000460 |
| Provider Name | Sarah Lynn Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326875337 PECOS PAC ID: 5597296749 Enrollment ID: I20240930001430 |
| Provider Name | Leah Cobb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891962197 PECOS PAC ID: 3971868761 Enrollment ID: I20240930001472 |
| Provider Name | John J Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477389773 PECOS PAC ID: 6608307772 Enrollment ID: I20240930002714 |
| Provider Name | Maham Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598438137 PECOS PAC ID: 8022491604 Enrollment ID: I20240930002958 |
| Provider Name | Delanie Lynn Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033945605 PECOS PAC ID: 5294266391 Enrollment ID: I20240930003777 |
| Provider Name | Kelly Johanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881377034 PECOS PAC ID: 5597296657 Enrollment ID: I20241001001880 |
| Provider Name | Meghan Christine Butts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801621875 PECOS PAC ID: 0749711737 Enrollment ID: I20241001003170 |
| Provider Name | Austin Graham Kennebeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376371765 PECOS PAC ID: 1153852140 Enrollment ID: I20241001003361 |
| Provider Name | Brandy Maxine Bumgardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881421675 PECOS PAC ID: 0749711745 Enrollment ID: I20241001003625 |
| Provider Name | Morgan Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366277519 PECOS PAC ID: 3173054194 Enrollment ID: I20241002000124 |
| Provider Name | Anjali Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295224475 PECOS PAC ID: 9335499169 Enrollment ID: I20241002002111 |
| Provider Name | Michele Keith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861172892 PECOS PAC ID: 1759812506 Enrollment ID: I20241003001563 |
| Provider Name | Olufemi I Ajibade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619330297 PECOS PAC ID: 1052682663 Enrollment ID: I20241003001693 |
| Provider Name | Sholah P Pittman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083614259 PECOS PAC ID: 1850387499 Enrollment ID: I20241004000636 |
| Provider Name | Reginald Reginella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205881901 PECOS PAC ID: 7012976582 Enrollment ID: I20241004001248 |
| Provider Name | Victoria Sue Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760048334 PECOS PAC ID: 8921414772 Enrollment ID: I20241004001817 |
| Provider Name | Jefferson Mason Trupp |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871552638 PECOS PAC ID: 3375577083 Enrollment ID: I20241007002103 |
| Provider Name | Macie Mcdaniel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225887383 PECOS PAC ID: 3577094184 Enrollment ID: I20241008000252 |
| Provider Name | Summer Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669826947 PECOS PAC ID: 8426345950 Enrollment ID: I20241009001950 |
| Provider Name | De'smond Marquise Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528492923 PECOS PAC ID: 5890097976 Enrollment ID: I20241009002617 |
| Provider Name | Yasaman Kazerooni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952807661 PECOS PAC ID: 7911262498 Enrollment ID: I20241009003565 |
| Provider Name | Melissa M Theobald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114763737 PECOS PAC ID: 6709318124 Enrollment ID: I20241010000700 |
| Provider Name | Tara L Plunkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740507292 PECOS PAC ID: 4486186822 Enrollment ID: I20241010001273 |
| Provider Name | Kyle Douglas Checchi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588043046 PECOS PAC ID: 9537691852 Enrollment ID: I20241011001007 |
| Provider Name | Vanessa Elie Al-feghali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720562606 PECOS PAC ID: 7113459348 Enrollment ID: I20241014001324 |
| Provider Name | Victoria Gorfin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831953843 PECOS PAC ID: 6709318959 Enrollment ID: I20241014002438 |
| Provider Name | Christel Nichole Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598583205 PECOS PAC ID: 1658803705 Enrollment ID: I20241015001824 |
| Provider Name | Troy Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538783162 PECOS PAC ID: 7911307590 Enrollment ID: I20241015004039 |
| Provider Name | Rachel N Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033937743 PECOS PAC ID: 9638601347 Enrollment ID: I20241021000054 |
| Provider Name | Kathryn Tinsley Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447547492 PECOS PAC ID: 2961825781 Enrollment ID: I20241021000981 |
| Provider Name | Joselyn Marie Pena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356178263 PECOS PAC ID: 4688106222 Enrollment ID: I20241021001646 |
| Provider Name | Melanie S Haddox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609840099 PECOS PAC ID: 6406899822 Enrollment ID: I20241021001914 |
| Provider Name | Nora Elizabeth Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417684382 PECOS PAC ID: 7517343791 Enrollment ID: I20241021001998 |
| Provider Name | Sarah I Buley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528886330 PECOS PAC ID: 1850823428 Enrollment ID: I20241021002671 |
| Provider Name | Jennifer J Rabchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386475515 PECOS PAC ID: 9436681038 Enrollment ID: I20241021003948 |
| Provider Name | Lindsay N Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811729304 PECOS PAC ID: 0244762789 Enrollment ID: I20241022002217 |
| Provider Name | Kimberly Fargher Burkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528541109 PECOS PAC ID: 6901338474 Enrollment ID: I20241022003414 |
| Provider Name | Renee Elizabeth Hemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659107068 PECOS PAC ID: 2163955659 Enrollment ID: I20241022004449 |
| Provider Name | Caitlyn Nicole Easley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740017938 PECOS PAC ID: 7911430442 Enrollment ID: I20241023000569 |
| Provider Name | Breana Marie Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447963905 PECOS PAC ID: 1658804190 Enrollment ID: I20241023000915 |
| Provider Name | Maureen Elizabeth Welty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194208108 PECOS PAC ID: 6305379850 Enrollment ID: I20241023001255 |
| Provider Name | Karagen Grace Fandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992522924 PECOS PAC ID: 2365975810 Enrollment ID: I20241023001367 |
| Provider Name | Lisa G Childers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700301058 PECOS PAC ID: 9638602113 Enrollment ID: I20241023002710 |
| Provider Name | Trisha Hutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801936513 PECOS PAC ID: 1254552227 Enrollment ID: I20241024002806 |
| Provider Name | Shannan Hedge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417776170 PECOS PAC ID: 3678006897 Enrollment ID: I20241028000015 |
| Provider Name | Salah Eldien Altarabsheh |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1013248681 PECOS PAC ID: 4587055181 Enrollment ID: I20241028000364 |
| Provider Name | Maryah Mansoor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659684777 PECOS PAC ID: 4981827656 Enrollment ID: I20241028000562 |
| Provider Name | Rachel Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740041755 PECOS PAC ID: 4880127919 Enrollment ID: I20241029000971 |
| Provider Name | Rosa I Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235712431 PECOS PAC ID: 8628501657 Enrollment ID: I20241030001171 |
| Provider Name | Jason Welter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376715144 PECOS PAC ID: 9436377652 Enrollment ID: I20241031003716 |
| Provider Name | Ajit N Chary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20241104000743 |
| Provider Name | Ayham Alkarmi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194399139 PECOS PAC ID: 3577096189 Enrollment ID: I20241104001580 |
| Provider Name | James M Coticchia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770521858 PECOS PAC ID: 5799671400 Enrollment ID: I20241107001259 |
| Provider Name | Joshua a Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093547937 PECOS PAC ID: 8325572712 Enrollment ID: I20241107001720 |
| Provider Name | Lily Anne Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700603925 PECOS PAC ID: 0446784250 Enrollment ID: I20241114004256 |
| Provider Name | Kimberly S Rinehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487484283 PECOS PAC ID: 2264966076 Enrollment ID: I20241114004263 |
| Provider Name | Zohaib Hassan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891377479 PECOS PAC ID: 2769884097 Enrollment ID: I20241118003063 |
| Provider Name | Eryn Analise Goetze |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497582225 PECOS PAC ID: 6204361702 Enrollment ID: I20241120003851 |
| Provider Name | Jaime M Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568281749 PECOS PAC ID: 1759816176 Enrollment ID: I20241121004670 |
| Provider Name | Glenn Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932932456 PECOS PAC ID: 2769917749 Enrollment ID: I20241127002693 |
| Provider Name | Marcy Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538196936 PECOS PAC ID: 7214000496 Enrollment ID: I20241127003180 |
| Provider Name | Savanna Jaye Snow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952135576 PECOS PAC ID: 1052846896 Enrollment ID: I20241203001353 |
| Provider Name | Siera M Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710708276 PECOS PAC ID: 2062948813 Enrollment ID: I20241204001513 |
| Provider Name | Jennifer Marie Dowding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114746500 PECOS PAC ID: 6709312440 Enrollment ID: I20241205000885 |
| Provider Name | Amie Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346823911 PECOS PAC ID: 8820440217 Enrollment ID: I20241205001446 |
| Provider Name | Lauren Casey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457093726 PECOS PAC ID: 8628504131 Enrollment ID: I20241206003382 |
| Provider Name | Matthew Vaughn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679309959 PECOS PAC ID: 7214463496 Enrollment ID: I20241211001947 |
| Provider Name | Arushi Agrawal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629572177 PECOS PAC ID: 2668729575 Enrollment ID: I20241212000813 |
| Provider Name | Sheri Mari Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699509349 PECOS PAC ID: 5496281545 Enrollment ID: I20241212000897 |
| Provider Name | Christele Behalal-bock |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437387768 PECOS PAC ID: 2062738693 Enrollment ID: I20241217002658 |
| Provider Name | Josie Cathryn Jepson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043034838 PECOS PAC ID: 3375070105 Enrollment ID: I20241218001469 |
| Provider Name | Azfar Niazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942879309 PECOS PAC ID: 7719388610 Enrollment ID: I20241219002108 |
| Provider Name | Piotr Wojciech Weglarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477133346 PECOS PAC ID: 8325575921 Enrollment ID: I20241220000809 |
| Provider Name | Jordan Grace Marganski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861138232 PECOS PAC ID: 4183004930 Enrollment ID: I20241223002369 |
| Provider Name | Taylor Wen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366263394 PECOS PAC ID: 6103353644 Enrollment ID: I20241223002751 |
| Provider Name | Gemechis Direba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275207045 PECOS PAC ID: 8729515036 Enrollment ID: I20241227002221 |
| Provider Name | Nada Memon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679774384 PECOS PAC ID: 7012054992 Enrollment ID: I20241230001418 |
| Provider Name | Evanne Ihnken |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063872836 PECOS PAC ID: 5496052011 Enrollment ID: I20241231000794 |
| Provider Name | Whitney Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932657004 PECOS PAC ID: 6709275753 Enrollment ID: I20250103001778 |
| Provider Name | Tiffany Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962227959 PECOS PAC ID: 8123556065 Enrollment ID: I20250106003646 |
| Provider Name | Julianne Sue Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831570951 PECOS PAC ID: 9931413267 Enrollment ID: I20250108001362 |
| Provider Name | Joshua Holton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891235420 PECOS PAC ID: 8729516489 Enrollment ID: I20250108002033 |
| Provider Name | Samantha a Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174104954 PECOS PAC ID: 5597161513 Enrollment ID: I20250108003409 |
| Provider Name | Alvise Fileno Bernabei |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588679013 PECOS PAC ID: 0941218507 Enrollment ID: I20250109000332 |
| Provider Name | Thomas Hanley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629539994 PECOS PAC ID: 1153655279 Enrollment ID: I20250114000183 |
| Provider Name | Brooke Heibel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619611779 PECOS PAC ID: 9830627249 Enrollment ID: I20250114000282 |
| Provider Name | Lacey D Claeys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275359069 PECOS PAC ID: 7719415082 Enrollment ID: I20250114003175 |
| Provider Name | Nicole Lynn Harmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003634536 PECOS PAC ID: 5496283798 Enrollment ID: I20250115000266 |
| Provider Name | Alexis Renee Priddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881274785 PECOS PAC ID: 7416351093 Enrollment ID: I20250115003307 |
| Provider Name | Erica Renee Doerfler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922423565 PECOS PAC ID: 4082147657 Enrollment ID: I20250115003952 |
| Provider Name | Saheli B Sheth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497587893 PECOS PAC ID: 7214465384 Enrollment ID: I20250116003773 |
| Provider Name | Muhammad Sheharyar Warraich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023626611 PECOS PAC ID: 8527478643 Enrollment ID: I20250121001201 |
| Provider Name | Darren Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821730987 PECOS PAC ID: 4486183209 Enrollment ID: I20250123002641 |
| Provider Name | Patrick Charles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295138782 PECOS PAC ID: 1557633880 Enrollment ID: I20250124001113 |
| Provider Name | Julie Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275844656 PECOS PAC ID: 9638352859 Enrollment ID: I20250130000488 |
| Provider Name | Jamie Lynn Swearingen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548943970 PECOS PAC ID: 0042749269 Enrollment ID: I20250131002891 |
| Provider Name | James R Mangerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093078446 PECOS PAC ID: 5799932083 Enrollment ID: I20250203000882 |
| Provider Name | Talya Marie Jeffrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366183881 PECOS PAC ID: 2062942220 Enrollment ID: I20250204001688 |
| Provider Name | Ryan Sarka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487462644 PECOS PAC ID: 1254861149 Enrollment ID: I20250206003296 |
| Provider Name | Karen Mcmorrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194370585 PECOS PAC ID: 0345570867 Enrollment ID: I20250210001614 |
| Provider Name | Shelby Lee Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881408847 PECOS PAC ID: 9739619388 Enrollment ID: I20250211003522 |
| Provider Name | Evan J Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033796644 PECOS PAC ID: 6406256478 Enrollment ID: I20250219002092 |
| Provider Name | Michelle Julien |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1720387079 PECOS PAC ID: 7517261514 Enrollment ID: I20250219002158 |
| Provider Name | Joshua Sidney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396427175 PECOS PAC ID: 3072033000 Enrollment ID: I20250220003974 |
| Provider Name | Anudeep Dasaraju |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811456601 PECOS PAC ID: 2961734140 Enrollment ID: I20250221000827 |
| Provider Name | Darren Sigal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417120080 PECOS PAC ID: 1052471190 Enrollment ID: I20250227000973 |
| Provider Name | Michaela R Kane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205651825 PECOS PAC ID: 3971023441 Enrollment ID: I20250227001536 |
| Provider Name | Anthony J Schaeffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700939402 PECOS PAC ID: 4284955840 Enrollment ID: I20250304002996 |
| Provider Name | Cameron Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922685999 PECOS PAC ID: 6709288566 Enrollment ID: I20250305001871 |
| Provider Name | Rebecca Mary Kath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427054832 PECOS PAC ID: 9739377227 Enrollment ID: I20250305003056 |
| Provider Name | Noel Rooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851112460 PECOS PAC ID: 0446771448 Enrollment ID: I20250306002169 |
| Provider Name | Virginia Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033927587 PECOS PAC ID: 7113448127 Enrollment ID: I20250306002484 |
| Provider Name | Robert Carson Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710620927 PECOS PAC ID: 6204357189 Enrollment ID: I20250307001209 |
| Provider Name | Sarah Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679526255 PECOS PAC ID: 3375577950 Enrollment ID: I20250307003308 |
| Provider Name | Asad Tarsin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548436397 PECOS PAC ID: 5193976173 Enrollment ID: I20250311000279 |
| Provider Name | Linda Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205658663 PECOS PAC ID: 4688101199 Enrollment ID: I20250312002543 |
| Provider Name | Sarah Jane Ulrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093512444 PECOS PAC ID: 8729509252 Enrollment ID: I20250312002915 |
| Provider Name | Aamir Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336872951 PECOS PAC ID: 5395267843 Enrollment ID: I20250313003205 |
| Provider Name | Heather Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114724317 PECOS PAC ID: 5698297042 Enrollment ID: I20250314002901 |
| Provider Name | Kathia Desronvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760669659 PECOS PAC ID: 5597840637 Enrollment ID: I20250314003196 |
| Provider Name | Lafi Khalil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386176717 PECOS PAC ID: 6103195847 Enrollment ID: I20250317000716 |
| Provider Name | Kathleen Ann Bush |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871731554 PECOS PAC ID: 3870015860 Enrollment ID: I20250319002642 |
| Provider Name | Ayana Y. Worthey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629501218 PECOS PAC ID: 9133494198 Enrollment ID: I20250320002772 |
| Provider Name | Michaela Grace Tworek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386404135 PECOS PAC ID: 9739611997 Enrollment ID: I20250324001542 |
| Provider Name | Thomas Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043015738 PECOS PAC ID: 1951824572 Enrollment ID: I20250325000671 |
| Provider Name | Hana Getahun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508698242 PECOS PAC ID: 6507389921 Enrollment ID: I20250326003049 |
| Provider Name | Ryan Anthony Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578371241 PECOS PAC ID: 8224551544 Enrollment ID: I20250327001914 |
| Provider Name | Gracelyn Ann Boyles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689364044 PECOS PAC ID: 6406379569 Enrollment ID: I20250328002754 |
| Provider Name | Deborah a Kendrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811310154 PECOS PAC ID: 8224334040 Enrollment ID: I20250328003146 |
| Provider Name | Sankar Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821088329 PECOS PAC ID: 5991606501 Enrollment ID: I20250401002332 |
| Provider Name | Shreya Podder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871085175 PECOS PAC ID: 5092110122 Enrollment ID: I20250402003448 |
| Provider Name | Peter James Cormier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942707815 PECOS PAC ID: 6800142407 Enrollment ID: I20250404000251 |
| Provider Name | Elizabeth O'rourke Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518775691 PECOS PAC ID: 6002330602 Enrollment ID: I20250404000633 |
| Provider Name | Veronica Fernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063083707 PECOS PAC ID: 9133564545 Enrollment ID: I20250404000723 |
| Provider Name | Shayla Giles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699494120 PECOS PAC ID: 7012431612 Enrollment ID: I20250404000954 |
| Provider Name | Susan D Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922252568 PECOS PAC ID: 4981128386 Enrollment ID: I20250407003367 |
| Provider Name | Brittney J Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871305755 PECOS PAC ID: 1052835329 Enrollment ID: I20250408001870 |
| Provider Name | Taylor Huber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013798750 PECOS PAC ID: 3476077587 Enrollment ID: I20250410001846 |
| Provider Name | Tasha M Arteaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639981285 PECOS PAC ID: 5799209680 Enrollment ID: I20250414000131 |
| Provider Name | Dorthia D Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669838496 PECOS PAC ID: 8022314582 Enrollment ID: I20250414003245 |
| Provider Name | Sumail Bhogal |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1700449790 PECOS PAC ID: 2961736566 Enrollment ID: I20250414003345 |
| Provider Name | Ashley Ferrero Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356148696 PECOS PAC ID: 5092230789 Enrollment ID: I20250415002143 |
| Provider Name | Samy-malik Bendjemil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801243068 PECOS PAC ID: 3072803501 Enrollment ID: I20250416001301 |
| Provider Name | Daniel Verdine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295161099 PECOS PAC ID: 1052546249 Enrollment ID: I20250416001822 |
| Provider Name | Sadie Brooke Leman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861201089 PECOS PAC ID: 4587189956 Enrollment ID: I20250417002388 |
| Provider Name | Dean Vanek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821750795 PECOS PAC ID: 0840685087 Enrollment ID: I20250423002300 |
| Provider Name | Jacob Evan Steiber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578021143 PECOS PAC ID: 6507192267 Enrollment ID: I20250424002761 |
| Provider Name | William Salinas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336541275 PECOS PAC ID: 0446563498 Enrollment ID: I20250428003014 |
| Provider Name | Gareth M Mcgee |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1891195434 PECOS PAC ID: 6305173303 Enrollment ID: I20250429003535 |
| Provider Name | Bobbie Jo Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740075803 PECOS PAC ID: 2769908938 Enrollment ID: I20250430002207 |
| Provider Name | Janie Orrington-myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215132907 PECOS PAC ID: 9335232065 Enrollment ID: I20250501001222 |
| Provider Name | Kelsey Elizabeth Grimes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013647965 PECOS PAC ID: 9436675436 Enrollment ID: I20250501002602 |
| Provider Name | Luke J Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154002004 PECOS PAC ID: 9436504040 Enrollment ID: I20250501003195 |
| Provider Name | Muhammad N Asghar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295381820 PECOS PAC ID: 4688006547 Enrollment ID: I20250502000613 |
| Provider Name | Jeremiah Bean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336881614 PECOS PAC ID: 7618493651 Enrollment ID: I20250502000621 |
| Provider Name | Jaclyn Nicole Lilek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659189751 PECOS PAC ID: 8921525924 Enrollment ID: I20250502002198 |
| Provider Name | Tiffany L Ashby-funches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386446110 PECOS PAC ID: 9638696230 Enrollment ID: I20250507001843 |
| Provider Name | Brittany Brenee Algee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992502835 PECOS PAC ID: 0042737678 Enrollment ID: I20250507002616 |
| Provider Name | Pardeep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427781178 PECOS PAC ID: 8022535400 Enrollment ID: I20250508002484 |
| Provider Name | Kaitlyn Wenger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841718152 PECOS PAC ID: 1951667591 Enrollment ID: I20250512001238 |
| Provider Name | Wenting Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508500570 PECOS PAC ID: 5698293678 Enrollment ID: I20250513003510 |
| Provider Name | Deepika Aluru |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750313235 PECOS PAC ID: 9335335983 Enrollment ID: I20250516001187 |
| Provider Name | Kristina Marie Porada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689324972 PECOS PAC ID: 0143601518 Enrollment ID: I20250516003006 |
| Provider Name | Faisal Mahfooz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699336164 PECOS PAC ID: 6204163405 Enrollment ID: I20250519000112 |
| Provider Name | Maryjo Maliekel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497215784 PECOS PAC ID: 9638406325 Enrollment ID: I20250519003352 |
| Provider Name | Sherin Mahrat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063047009 PECOS PAC ID: 2668872599 Enrollment ID: I20250527002682 |
| Provider Name | Sresht Iyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114664620 PECOS PAC ID: 0345769998 Enrollment ID: I20250527003091 |
| Provider Name | Courtney Malinowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346040466 PECOS PAC ID: 2961921515 Enrollment ID: I20250527003142 |
| Provider Name | Balarama Krishna Surapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003311648 PECOS PAC ID: 0941676985 Enrollment ID: I20250530002649 |
| Provider Name | Abigail S Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174318232 PECOS PAC ID: 6901315738 Enrollment ID: I20250603003214 |
| Provider Name | Ehsun Naeem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235781980 PECOS PAC ID: 3274861356 Enrollment ID: I20250603004061 |
| Provider Name | Amina Ramadan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104453356 PECOS PAC ID: 1951714252 Enrollment ID: I20250604001512 |
| Provider Name | Carly Rae Woodin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851036610 PECOS PAC ID: 5294244745 Enrollment ID: I20250604004180 |
| Provider Name | Vincent a Fowble |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326065012 PECOS PAC ID: 3375505811 Enrollment ID: I20250606002242 |
| Provider Name | Ahmed Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598498057 PECOS PAC ID: 3577946243 Enrollment ID: I20250610002249 |
| Provider Name | Jayul Tailor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780316950 PECOS PAC ID: 8325429897 Enrollment ID: I20250610003669 |
| Provider Name | Natasha Ahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598156259 PECOS PAC ID: 2466835731 Enrollment ID: I20250611002934 |
| Provider Name | Thitapa Petlerkwong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285372193 PECOS PAC ID: 6305357849 Enrollment ID: I20250612003199 |
| Provider Name | Shanice Kukuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063151330 PECOS PAC ID: 5799152336 Enrollment ID: I20250617000680 |
| Provider Name | Jason H Malenfant |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578976411 PECOS PAC ID: 4789936808 Enrollment ID: I20250617000837 |
| Provider Name | Blessing Tupiri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013548767 PECOS PAC ID: 5597192161 Enrollment ID: I20250618001934 |
| Provider Name | Rukayat Otulana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013651074 PECOS PAC ID: 6103337829 Enrollment ID: I20250618002360 |
| Provider Name | Kelly a Roth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346892270 PECOS PAC ID: 0648507350 Enrollment ID: I20250623000511 |
| Provider Name | Maghav Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134798879 PECOS PAC ID: 3870005218 Enrollment ID: I20250623001860 |
| Provider Name | Samragnyi Madala |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568954352 PECOS PAC ID: 0345586574 Enrollment ID: I20250625000065 |
| Provider Name | Gary Harter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609845312 PECOS PAC ID: 8123104437 Enrollment ID: I20250626000444 |
| Provider Name | Peter Boucas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871054478 PECOS PAC ID: 6608208863 Enrollment ID: I20250630001180 |
| Provider Name | Naeha Haridasa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467197053 PECOS PAC ID: 9133509896 Enrollment ID: I20250701003858 |
| Provider Name | Nomesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760128417 PECOS PAC ID: 6507248986 Enrollment ID: I20250702001229 |
| Provider Name | Lacie Driscol |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295593226 PECOS PAC ID: 2062925068 Enrollment ID: I20250702001504 |
| Provider Name | Krista Lea Irmeger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790671428 PECOS PAC ID: 6406369347 Enrollment ID: I20250702002839 |
| Provider Name | Joshua Crist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902542954 PECOS PAC ID: 7810372943 Enrollment ID: I20250703002560 |
| Provider Name | Dominic Demarco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659957223 PECOS PAC ID: 5193126282 Enrollment ID: I20250707000023 |
| Provider Name | Hyder Mirza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093591786 PECOS PAC ID: 1052825742 Enrollment ID: I20250707000416 |
| Provider Name | Trena Lynn Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017101 PECOS PAC ID: 8628582202 Enrollment ID: I20250707002648 |
| Provider Name | Janaki Tokala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346829967 PECOS PAC ID: 3971909813 Enrollment ID: I20250707002673 |
| Provider Name | Holly Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821739475 PECOS PAC ID: 8527446368 Enrollment ID: I20250707002946 |
| Provider Name | Mazin Shackour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992980783 PECOS PAC ID: 4789864729 Enrollment ID: I20250708003637 |
| Provider Name | Tammy June Stricker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740578939 PECOS PAC ID: 0042481749 Enrollment ID: I20250709000332 |
| Provider Name | Denita Rochelle Lindsey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124580238 PECOS PAC ID: 6608106265 Enrollment ID: I20250709002187 |
| Provider Name | Holleigh Madeline Mcmasters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033840392 PECOS PAC ID: 4880108091 Enrollment ID: I20250709003123 |
| Provider Name | Najam Saqib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740711100 PECOS PAC ID: 4880968411 Enrollment ID: I20250709003380 |
| Provider Name | Sebastian Cristobal Valdivieso Rueda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588228308 PECOS PAC ID: 7315486057 Enrollment ID: I20250709003670 |
| Provider Name | Riad M Rahhal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073722112 PECOS PAC ID: 6103918164 Enrollment ID: I20250710000649 |
| Provider Name | Sarah Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912784042 PECOS PAC ID: 8820502834 Enrollment ID: I20250710000946 |
| Provider Name | Shelby Renee Ahrens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174316558 PECOS PAC ID: 6406360486 Enrollment ID: I20250710001716 |
| Provider Name | Meraj Aziz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689134017 PECOS PAC ID: 9234643222 Enrollment ID: I20250710001883 |
| Provider Name | Nicholas John Robles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912403148 PECOS PAC ID: 1557611050 Enrollment ID: I20250711002548 |
| Provider Name | Derek Minor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891315610 PECOS PAC ID: 1355761461 Enrollment ID: I20250714000318 |
| Provider Name | Mohammad Haroun Issa Alqaisieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972253425 PECOS PAC ID: 3274048723 Enrollment ID: I20250714002727 |
| Provider Name | Amanda Macquoid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194284174 PECOS PAC ID: 2961738349 Enrollment ID: I20250714003894 |
| Provider Name | Samantha Rae Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164316352 PECOS PAC ID: 1254846587 Enrollment ID: I20250715002640 |
| Provider Name | Karla Monique Funches |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568163624 PECOS PAC ID: 8729593801 Enrollment ID: I20250716003694 |
| Provider Name | Ivonne Durand Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154909182 PECOS PAC ID: 4183020456 Enrollment ID: I20250717002645 |
| Provider Name | Rafael Marquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790177574 PECOS PAC ID: 2860722840 Enrollment ID: I20250717003062 |
| Provider Name | Anas Sami Al-smadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821520446 PECOS PAC ID: 8325314511 Enrollment ID: I20250718000739 |
| Provider Name | Bethany a Bradley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235022542 PECOS PAC ID: 5092221929 Enrollment ID: I20250718001414 |
| Provider Name | Valerie Kusterbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932827912 PECOS PAC ID: 2860848934 Enrollment ID: I20250718001524 |
| Provider Name | Linh Ngo Khanh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245605732 PECOS PAC ID: 4183130040 Enrollment ID: I20250718001821 |
| Provider Name | Kyle Ryan Faris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588480685 PECOS PAC ID: 1254847023 Enrollment ID: I20250718002091 |
| Provider Name | Joslyn M Saleda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417623430 PECOS PAC ID: 7315453123 Enrollment ID: I20250718003425 |
| Provider Name | Neil Karan Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265105472 PECOS PAC ID: 7315342086 Enrollment ID: I20250719000405 |
| Provider Name | Dylan Clark Salbador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235889866 PECOS PAC ID: 8123552874 Enrollment ID: I20250721003255 |
| Provider Name | Kathleen L Donahue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639506702 PECOS PAC ID: 5698281160 Enrollment ID: I20250722001312 |
| Provider Name | Danielle Nicole Bess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609669530 PECOS PAC ID: 4183130677 Enrollment ID: I20250722001586 |
| Provider Name | Valerie N Duby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114814910 PECOS PAC ID: 1557877909 Enrollment ID: I20250722003028 |
| Provider Name | Krystal C Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982494993 PECOS PAC ID: 0941717946 Enrollment ID: I20250725000262 |
| Provider Name | Michael R Kovanda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598897274 PECOS PAC ID: 5193232973 Enrollment ID: I20250728000491 |
| Provider Name | Martin Neil Rifkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639128168 PECOS PAC ID: 6608858519 Enrollment ID: I20250729004091 |
| Provider Name | Tyler Cooper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649775024 PECOS PAC ID: 4385999234 Enrollment ID: I20250730000158 |
| Provider Name | Saima Husain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427237007 PECOS PAC ID: 0345403473 Enrollment ID: I20250730000615 |
| Provider Name | Erin E. Mowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841787678 PECOS PAC ID: 0042606063 Enrollment ID: I20250731000306 |
| Provider Name | Patrick Abler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770158537 PECOS PAC ID: 3072915719 Enrollment ID: I20250801001045 |
| Provider Name | Mokhtar Malas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457924417 PECOS PAC ID: 1456869338 Enrollment ID: I20250801003011 |
| Provider Name | Sarath Kumar Jaganathan Jaishankar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306465893 PECOS PAC ID: 1355769977 Enrollment ID: I20250804000562 |
| Provider Name | Sadikie Jermaine Clarke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306339247 PECOS PAC ID: 0143555342 Enrollment ID: I20250805001684 |
| Provider Name | Fnu Raza Ur Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336886696 PECOS PAC ID: 0143728493 Enrollment ID: I20250807001036 |
| Provider Name | Michael Sullivan Okeefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366799256 PECOS PAC ID: 4688995517 Enrollment ID: I20250807002044 |
| Provider Name | Annie Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760062129 PECOS PAC ID: 6406354299 Enrollment ID: I20250811003512 |
| Provider Name | Janice M Abadilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548157175 PECOS PAC ID: 9032617865 Enrollment ID: I20250812000335 |
| Provider Name | Zeeshan Qazi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861011579 PECOS PAC ID: 6103324678 Enrollment ID: I20250813002009 |
| Provider Name | M Kenan Rahima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295454957 PECOS PAC ID: 9436676376 Enrollment ID: I20250814003593 |
| Provider Name | Michael John Emmerling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841810454 PECOS PAC ID: 5890126684 Enrollment ID: I20250815001747 |
| Provider Name | Joseph Nashid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407435167 PECOS PAC ID: 1254852783 Enrollment ID: I20250815001914 |
| Provider Name | Caleb Graham Henderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689369555 PECOS PAC ID: 1052810041 Enrollment ID: I20250818000439 |
| Provider Name | Evan a Zeddies |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982346839 PECOS PAC ID: 7113426032 Enrollment ID: I20250818003471 |
| Provider Name | Nishi Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467181818 PECOS PAC ID: 4981103637 Enrollment ID: I20250819002401 |
| Provider Name | Darien Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700777166 PECOS PAC ID: 1456850122 Enrollment ID: I20250819002721 |
| Provider Name | Brody R Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770112872 PECOS PAC ID: 0143644427 Enrollment ID: I20250819003654 |
| Provider Name | Rustin Cashel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093444259 PECOS PAC ID: 1658871728 Enrollment ID: I20250822002927 |
| Provider Name | Stacey Lynne Yeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245313832 PECOS PAC ID: 8729169248 Enrollment ID: I20250825000763 |
| Provider Name | Jocele Kelly Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679450282 PECOS PAC ID: 8628578218 Enrollment ID: I20250827000599 |
| Provider Name | Harrison Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730642604 PECOS PAC ID: 1759611387 Enrollment ID: I20250827001233 |
| Provider Name | Mikaela Rico |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316528722 PECOS PAC ID: 5991206575 Enrollment ID: I20250827002373 |
| Provider Name | Andrew Feyh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619467099 PECOS PAC ID: 7618478967 Enrollment ID: I20250828003981 |
| Provider Name | Robert Evan Ungerer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790247013 PECOS PAC ID: 2860727476 Enrollment ID: I20250901000195 |
| Provider Name | Cassandra L Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467347104 PECOS PAC ID: 3274034137 Enrollment ID: I20250902000347 |
| Provider Name | Cassie L Miscevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437035516 PECOS PAC ID: 3072014935 Enrollment ID: I20250902000429 |
| Provider Name | Katelynn Elizabeth Bracht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851274070 PECOS PAC ID: 9638671332 Enrollment ID: I20250903002164 |
| Provider Name | Luke Bohlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588456818 PECOS PAC ID: 7012419799 Enrollment ID: I20250903003956 |
| Provider Name | Marisa Kress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770223240 PECOS PAC ID: 5193168813 Enrollment ID: I20250904002048 |
| Provider Name | Musfarah Siraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386394773 PECOS PAC ID: 8224530571 Enrollment ID: I20250905002039 |
| Provider Name | April Denise Lacey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518627751 PECOS PAC ID: 1850893967 Enrollment ID: I20250908001896 |
| Provider Name | Shelby Renee Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558259754 PECOS PAC ID: 7618479569 Enrollment ID: I20250909000777 |
| Provider Name | Matthew Gregory Niemi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114904539 PECOS PAC ID: 7416041850 Enrollment ID: I20250909000912 |
| Provider Name | Talha Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295471530 PECOS PAC ID: 4587167275 Enrollment ID: I20250910001144 |
| Provider Name | Donna Sue Wasson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093932295 PECOS PAC ID: 0345743043 Enrollment ID: I20250910001279 |
| Provider Name | Rebecca Hao-hsin Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700527942 PECOS PAC ID: 6507244209 Enrollment ID: I20250911001907 |
| Provider Name | Saeed Arefanian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821441643 PECOS PAC ID: 6901134253 Enrollment ID: I20250912001588 |
| Provider Name | Jennifer a Bandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639069958 PECOS PAC ID: 9335642255 Enrollment ID: I20250915002298 |
| Provider Name | Nicole Brittany Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013804327 PECOS PAC ID: 3274036124 Enrollment ID: I20250915002692 |
| Provider Name | Amber Marie Vicary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902693963 PECOS PAC ID: 5193229045 Enrollment ID: I20250916000575 |
| Provider Name | Kyriakos Papadimitriou |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891113437 PECOS PAC ID: 6204330186 Enrollment ID: I20250916000987 |
| Provider Name | Paige G Burnia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205491859 PECOS PAC ID: 0446682454 Enrollment ID: I20250917002028 |
| Provider Name | Jocelyn Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497991087 PECOS PAC ID: 9133623739 Enrollment ID: I20250917002331 |
| Provider Name | Jesus Presiado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376435685 PECOS PAC ID: 3870097371 Enrollment ID: I20250918000277 |
| Provider Name | Jun Zhang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902175615 PECOS PAC ID: 9931417342 Enrollment ID: I20250918000921 |
| Provider Name | Maryam Moin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700455078 PECOS PAC ID: 8527464486 Enrollment ID: I20250918001431 |
| Provider Name | Bhavana Gorti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740927862 PECOS PAC ID: 8729469200 Enrollment ID: I20250918002221 |
| Provider Name | Traci M Digvonni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225586514 PECOS PAC ID: 3072801216 Enrollment ID: I20250918004312 |
| Provider Name | Laura Kathleen Reed-laughbaum |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376040345 PECOS PAC ID: 2466709779 Enrollment ID: I20250919000066 |
| Provider Name | Amanda L Lavallee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720148091 PECOS PAC ID: 1557554151 Enrollment ID: I20250919004163 |
| Provider Name | Ivan Vela |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073254793 PECOS PAC ID: 7315442217 Enrollment ID: I20250923001817 |
| Provider Name | Caleb W Milius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053016956 PECOS PAC ID: 8729583661 Enrollment ID: I20250923002694 |
| Provider Name | Tatiana Jones-moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013707819 PECOS PAC ID: 6901301753 Enrollment ID: I20250924000786 |
| Provider Name | Hyung Jin Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699355511 PECOS PAC ID: 4789084161 Enrollment ID: I20250924001363 |
| Provider Name | Samuel C Linton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497287429 PECOS PAC ID: 3173902004 Enrollment ID: I20250924001522 |
| Provider Name | Salman Syed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942763172 PECOS PAC ID: 8729315577 Enrollment ID: I20250924002016 |
| Provider Name | Natasha Brown Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457976896 PECOS PAC ID: 1951806603 Enrollment ID: I20250924003183 |
| Provider Name | Hunter Chase Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619437399 PECOS PAC ID: 4789912734 Enrollment ID: I20250924003802 |
| Provider Name | Paula Lynn Hertz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003611344 PECOS PAC ID: 7810492394 Enrollment ID: I20250925001671 |
| Provider Name | Sushma Shivananda |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285313072 PECOS PAC ID: 9638675754 Enrollment ID: I20250929002102 |
| Provider Name | Ethan Robert Sperry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861371635 PECOS PAC ID: 9537665500 Enrollment ID: I20250930002133 |
| Provider Name | Amy J Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164393914 PECOS PAC ID: 5991201782 Enrollment ID: I20251001000897 |
| Provider Name | Samuel Carlton Haywood |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427357698 PECOS PAC ID: 7911208228 Enrollment ID: I20251001002244 |
| Provider Name | Lyndsey Rae Chausse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205707106 PECOS PAC ID: 5799281473 Enrollment ID: I20251001003138 |
| Provider Name | Sara E Martino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962671792 PECOS PAC ID: 2961563143 Enrollment ID: I20251003000456 |
| Provider Name | Brittain Ladd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033647417 PECOS PAC ID: 3779908454 Enrollment ID: I20251003001968 |
| Provider Name | Rachel Olsen Cocar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932963303 PECOS PAC ID: 8224535422 Enrollment ID: I20251006002773 |
| Provider Name | Paige Gail Linstead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619854882 PECOS PAC ID: 8820595804 Enrollment ID: I20251007002113 |
| Provider Name | Arnaldo Martinez Rivera |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396292348 PECOS PAC ID: 1759744162 Enrollment ID: I20251008002289 |
| Provider Name | Kaylee Polen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356229413 PECOS PAC ID: 9032616719 Enrollment ID: I20251008002748 |
| Provider Name | Erin E Voelker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699650580 PECOS PAC ID: 0547767006 Enrollment ID: I20251009002655 |
| Provider Name | Salvador Fernandez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659997294 PECOS PAC ID: 2163845827 Enrollment ID: I20251013001325 |
| Provider Name | Patrick J Rizzuto III |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063867836 PECOS PAC ID: 4183918493 Enrollment ID: I20251015000780 |
| Provider Name | Megan Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538032503 PECOS PAC ID: 0547757320 Enrollment ID: I20251015001169 |
| Provider Name | Mark Richard Sinclair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689624140 PECOS PAC ID: 0941299796 Enrollment ID: I20251015001903 |
| Provider Name | Richard Merton Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942272596 PECOS PAC ID: 1557328747 Enrollment ID: I20251015003468 |
| Provider Name | Syed Osama Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659987683 PECOS PAC ID: 4789040452 Enrollment ID: I20251017000994 |
| Provider Name | Melody Ai Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982577037 PECOS PAC ID: 5496243800 Enrollment ID: I20251017004114 |
| Provider Name | Charlotte a Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831079011 PECOS PAC ID: 7315435666 Enrollment ID: I20251020002258 |
| Provider Name | David Roy Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871952077 PECOS PAC ID: 2961789789 Enrollment ID: I20251021000248 |
| Provider Name | Rachel Suzanne Lowery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508738816 PECOS PAC ID: 9931697919 Enrollment ID: I20251022000570 |
| Provider Name | Abdul-rahim Shilbayeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326787805 PECOS PAC ID: 6608246921 Enrollment ID: I20251022001295 |
| Provider Name | Suleyman Yasin Goksu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750022000 PECOS PAC ID: 9739569229 Enrollment ID: I20251022002323 |
| Provider Name | Lauren Paige Heidenreich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073490652 PECOS PAC ID: 6901394659 Enrollment ID: I20251023003029 |
| Provider Name | Ashley Nicole Basel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821964495 PECOS PAC ID: 8325536923 Enrollment ID: I20251024001674 |
| Provider Name | Casey David Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992670053 PECOS PAC ID: 6103315502 Enrollment ID: I20251027003743 |
| Provider Name | Susanna Faith Frusti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285509075 PECOS PAC ID: 1658860952 Enrollment ID: I20251028001460 |
| Provider Name | Hamed Harandi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629776059 PECOS PAC ID: 7416446679 Enrollment ID: I20251028003199 |
| Provider Name | Faisal Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124054424 PECOS PAC ID: 2961409032 Enrollment ID: I20251029001333 |
| Provider Name | Kayla M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053284075 PECOS PAC ID: 0244729309 Enrollment ID: I20251029001412 |
| Provider Name | Jaclyn Lee Cakora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740154384 PECOS PAC ID: 7719476845 Enrollment ID: I20251029003083 |
| Provider Name | Rashmi Jain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962750265 PECOS PAC ID: 4284863143 Enrollment ID: I20251030004013 |
| Provider Name | Abilash Muralidharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922738749 PECOS PAC ID: 0840789525 Enrollment ID: I20251031002508 |
| Provider Name | Megan N Mowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891668315 PECOS PAC ID: 9638669104 Enrollment ID: I20251104003755 |
| Provider Name | Megan Lynn Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467333765 PECOS PAC ID: 4486144813 Enrollment ID: I20251105001298 |
| Provider Name | Aysha Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235625062 PECOS PAC ID: 5597014175 Enrollment ID: I20251105002757 |
| Provider Name | Jared Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992490924 PECOS PAC ID: 2264922905 Enrollment ID: I20251110003191 |
| Provider Name | Nirmal Jacob |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902435092 PECOS PAC ID: 4587003199 Enrollment ID: I20251112001004 |
| Provider Name | Leah Caroline Heagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992694988 PECOS PAC ID: 9739670795 Enrollment ID: I20251118001082 |
| Provider Name | Christopher B Fry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235006081 PECOS PAC ID: 6204327299 Enrollment ID: I20251118001862 |
| Provider Name | Simon Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407972748 PECOS PAC ID: 5092831065 Enrollment ID: I20251119003990 |
| Provider Name | Rebekah Anne Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871462432 PECOS PAC ID: 4880186253 Enrollment ID: I20251124000262 |
| Provider Name | Robert R Mcwilliams |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487633962 PECOS PAC ID: 2961452396 Enrollment ID: I20251124000639 |
| Provider Name | Kristin E Zehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033086863 PECOS PAC ID: 6103318449 Enrollment ID: I20251124002434 |
| Provider Name | Pavly M Youssef |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548882848 PECOS PAC ID: 7416449798 Enrollment ID: I20251124003502 |
| Provider Name | Ivonne Beltran Lara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811577273 PECOS PAC ID: 8820497910 Enrollment ID: I20251125002256 |
| Provider Name | Sanjay Prasad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437232139 PECOS PAC ID: 9931282902 Enrollment ID: I20251125002328 |
| Provider Name | Samer Kais |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851501613 PECOS PAC ID: 2567631278 Enrollment ID: I20251125002776 |
| Provider Name | John P Livingstone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215427992 PECOS PAC ID: 6709322175 Enrollment ID: I20251125002993 |
| Provider Name | Kerri Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104124221 PECOS PAC ID: 0143467985 Enrollment ID: I20251126001355 |
| Provider Name | Renee Nichole Ruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972476976 PECOS PAC ID: 9032602966 Enrollment ID: I20251201000457 |
| Provider Name | Tareq Al Saadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568967420 PECOS PAC ID: 2163812587 Enrollment ID: I20251202000118 |
| Provider Name | Lorelei Nancy Volpe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255005146 PECOS PAC ID: 2062906738 Enrollment ID: I20251210001748 |
| Provider Name | Alexa Noelle Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982570057 PECOS PAC ID: 3476047556 Enrollment ID: I20251216002378 |
| Provider Name | Paras Sethi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104502129 PECOS PAC ID: 9739674540 Enrollment ID: I20251219000052 |
| Provider Name | Andrea Marie Risen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073954525 PECOS PAC ID: 3971739376 Enrollment ID: I20251222002694 |
| Provider Name | Ashley Jean Huette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215807334 PECOS PAC ID: 8820583339 Enrollment ID: I20251222003668 |
| Provider Name | Lexy Trammell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295626299 PECOS PAC ID: 6901391101 Enrollment ID: I20251224000771 |
| Provider Name | Courtney Thrower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669052213 PECOS PAC ID: 3678979598 Enrollment ID: I20251224001381 |
| Provider Name | Giovanni Lim Leones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013870906 PECOS PAC ID: 7214422401 Enrollment ID: I20251224002416 |
| Provider Name | Barkha N Chhabra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821223157 PECOS PAC ID: 1254589831 Enrollment ID: I20251226000185 |
| Provider Name | Andrew a Selzman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407855356 PECOS PAC ID: 4688634769 Enrollment ID: I20251226002147 |
| Provider Name | Charlesetta M Wallace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114896032 PECOS PAC ID: 7517453541 Enrollment ID: I20251230000662 |
| Provider Name | Nisa Ann Asghar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073490884 PECOS PAC ID: 3072009034 Enrollment ID: I20251230001339 |
| Provider Name | Kathrin Rebecca Underwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114764776 PECOS PAC ID: 9335635218 Enrollment ID: I20251230002429 |
| Provider Name | Brittany Danley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811878325 PECOS PAC ID: 9830685536 Enrollment ID: I20260101000014 |
| Provider Name | Chad R Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871115741 PECOS PAC ID: 6103241377 Enrollment ID: I20260115002256 |
| Provider Name | Muhammad Neaman Siddique |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1720217714 PECOS PAC ID: 1557673522 Enrollment ID: I20260123001800 |
| Provider Name | Rebecca Renae Walz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063387934 PECOS PAC ID: 1456838002 Enrollment ID: I20260126000447 |
| Provider Name | Kathy K Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790641397 PECOS PAC ID: 4880171438 Enrollment ID: I20260126000555 |
| Provider Name | Mckenzie K Mangun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851074090 PECOS PAC ID: 5496232944 Enrollment ID: I20260127001645 |
| Provider Name | Victoria Nicole Magruder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033818737 PECOS PAC ID: 7315385499 Enrollment ID: I20260129000252 |
| Provider Name | Michael G Gindi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225667769 PECOS PAC ID: 3173001245 Enrollment ID: I20260129003833 |
| Provider Name | Pooja Vishal Nangrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316568116 PECOS PAC ID: 0345759791 Enrollment ID: I20260130002113 |
| Provider Name | Brendan M Marr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437333630 PECOS PAC ID: 0749452654 Enrollment ID: I20260210001579 |
| Provider Name | Veronika Agnieszka Bozek Webber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245925049 PECOS PAC ID: 9537648381 Enrollment ID: I20260211002043 |
| Provider Name | Katherine Guo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588521504 PECOS PAC ID: 1759861149 Enrollment ID: I20260216000718 |
| Provider Name | Whitney Frake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275399081 PECOS PAC ID: 0648700955 Enrollment ID: I20260216001049 |
| Provider Name | Misty D Stringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265020408 PECOS PAC ID: 6901386325 Enrollment ID: I20260216001532 |
| Provider Name | Gordon Cohen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629168513 PECOS PAC ID: 4688643505 Enrollment ID: I20260217001227 |
| Provider Name | Zeynep Gul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073909768 PECOS PAC ID: 7315360062 Enrollment ID: I20260218000499 |
| Provider Name | Ahmed Said Ismail Hamed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053763276 PECOS PAC ID: 7719273408 Enrollment ID: I20260223001877 |
| Provider Name | Ansaf Alamin Roy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811855893 PECOS PAC ID: 4385124262 Enrollment ID: I20260224004088 |
| Provider Name | Omar David Hussamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376594069 PECOS PAC ID: 8426090762 Enrollment ID: I20260226003374 |
| Provider Name | Aaron Kunamalla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477087872 PECOS PAC ID: 3779858626 Enrollment ID: I20260304000095 |
| Provider Name | Theadore a Hufford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366701229 PECOS PAC ID: 7618274457 Enrollment ID: I20260304001864 |
| Provider Name | Constantine Saclarides |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609261064 PECOS PAC ID: 2769786169 Enrollment ID: I20260306000292 |
| Provider Name | Pankaj Mathur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578986212 PECOS PAC ID: 4486873643 Enrollment ID: I20260306002282 |
| Provider Name | Thandar Aung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740539212 PECOS PAC ID: 0749535581 Enrollment ID: I20260311003836 |
| Provider Name | Eyad Hanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306041660 PECOS PAC ID: 5890887913 Enrollment ID: I20260312000295 |
| Provider Name | Mary E Alberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548041544 PECOS PAC ID: 8527541069 Enrollment ID: I20260312000944 |
| Provider Name | Allison Paige Blicharz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982442315 PECOS PAC ID: 3678056124 Enrollment ID: I20260312001387 |
| Provider Name | Caroline a Piper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568210011 PECOS PAC ID: 8224511472 Enrollment ID: I20260316001984 |
| Provider Name | Ahmed El Gengaihy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598960429 PECOS PAC ID: 1456549864 Enrollment ID: I20260318001651 |
| Provider Name | Daniel Willis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689415879 PECOS PAC ID: 0648754697 Enrollment ID: I20260318002053 |
| Provider Name | Ricardo Angel Saguilan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376391821 PECOS PAC ID: 5193209153 Enrollment ID: I20260318002377 |
| Provider Name | Steven E Busch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740257765 PECOS PAC ID: 6507879566 Enrollment ID: I20260320000171 |
| Provider Name | Francesca Flamburis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215887799 PECOS PAC ID: 5597249748 Enrollment ID: I20260325002281 |
| Provider Name | Jarema Sczesny Czarnecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962197012 PECOS PAC ID: 8325523376 Enrollment ID: I20260327003069 |
| Provider Name | Austin James Langwinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477406130 PECOS PAC ID: 2264917194 Enrollment ID: I20260330001346 |
| Provider Name | Tara a Kelsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356296230 PECOS PAC ID: 4688159536 Enrollment ID: I20260330001788 |
| Provider Name | Meghann M Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366100638 PECOS PAC ID: 5698250496 Enrollment ID: I20260330003560 |
| Provider Name | Leigh Ann Wahl |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891379012 PECOS PAC ID: 8426452293 Enrollment ID: I20260331003367 |
| Provider Name | Maddalena Fairchild |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790644383 PECOS PAC ID: 2961987417 Enrollment ID: I20260401003484 |
| Provider Name | Nathaniel Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386596211 PECOS PAC ID: 8426523630 Enrollment ID: I20260406001979 |
| Provider Name | Elissa R Roop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912850579 PECOS PAC ID: 3476028580 Enrollment ID: I20260407000909 |
| Provider Name | Truc-quynh D Kohlmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609724210 PECOS PAC ID: 7113492232 Enrollment ID: I20260407001069 |
| Provider Name | Susan Omwanghe Edionwe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598997256 PECOS PAC ID: 3274848833 Enrollment ID: I20260407001483 |
| Provider Name | Josephine Ann Hermann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366300824 PECOS PAC ID: 9830664986 Enrollment ID: I20260407001698 |
| Provider Name | Kathryn J Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578419222 PECOS PAC ID: 4789159773 Enrollment ID: I20260407002946 |
| Provider Name | Vikas Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003032111 PECOS PAC ID: 4385888577 Enrollment ID: I20260409000942 |
| Provider Name | Danielle L Sydnor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104429489 PECOS PAC ID: 2062821291 Enrollment ID: I20260414000139 |
| Provider Name | Natalie Christine Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457291676 PECOS PAC ID: 2264908607 Enrollment ID: I20260414002528 |
| Provider Name | Mary Margaret Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124988944 PECOS PAC ID: 7416423710 Enrollment ID: I20260415000922 |
| Provider Name | Lauren Hodgson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932717600 PECOS PAC ID: 9830517333 Enrollment ID: I20260416002723 |
| Provider Name | Jonathan Kuo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871288043 PECOS PAC ID: 7315413960 Enrollment ID: I20260421000203 |
| Provider Name | Ritu Raj Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275985699 PECOS PAC ID: 5496080376 Enrollment ID: I20260422000923 |
| Provider Name | Victoria M Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417803792 PECOS PAC ID: 2961979323 Enrollment ID: I20260423001250 |
| Provider Name | Taylor Milsteadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548118391 PECOS PAC ID: 0941777213 Enrollment ID: I20260423001839 |
| Provider Name | Fnu Shivani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366130411 PECOS PAC ID: 8921575093 Enrollment ID: I20260427000426 |
| Provider Name | Mariel Sebastiana Rogozinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780379776 PECOS PAC ID: 3274000906 Enrollment ID: I20260429003735 |
| Provider Name | Paul V Truong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598380123 PECOS PAC ID: 0244654499 Enrollment ID: I20260504006788 |
| Provider Name | Kristin Worgess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215287776 PECOS PAC ID: 7416101126 Enrollment ID: I20260505000257 |
| Provider Name | Gretchen Winter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235498049 PECOS PAC ID: 2769622844 Enrollment ID: I20260505002472 |
| Provider Name | Chanaka Nadeeshan Kahathuduwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508503277 PECOS PAC ID: 8426526435 Enrollment ID: I20260507003827 |
| Provider Name | Haripriya Andanamala |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1689134041 PECOS PAC ID: 9739414053 Enrollment ID: I20260512001597 |
| Provider Name | Yuchen Zheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457972457 PECOS PAC ID: 7416360805 Enrollment ID: I20260513002406 |
| Provider Name | Mohamad Yser Orabi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447632369 PECOS PAC ID: 1153638135 Enrollment ID: I20260514003038 |
| Provider Name | Courtney Lynn Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396486593 PECOS PAC ID: 4587178314 Enrollment ID: I20260515000445 |
| Provider Name | Serena Se Yuan Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245919349 PECOS PAC ID: 1658840848 Enrollment ID: I20260518000658 |
| Provider Name | Cameron Taylor Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730718321 PECOS PAC ID: 8123442019 Enrollment ID: I20260520002229 |
| Provider Name | Mandie Geneil Prior |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518696780 PECOS PAC ID: 9537638382 Enrollment ID: I20260521000410 |
| Provider Name | Niraj Bhalakia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841426558 PECOS PAC ID: 4385877190 Enrollment ID: I20260526001459 |
| Provider Name | Ragda Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609571405 PECOS PAC ID: 5092175380 Enrollment ID: I20260527000716 |
| Provider Name | Imamuddin Farooqi Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386268191 PECOS PAC ID: 8022420199 Enrollment ID: I20260527004075 |
| Provider Name | Emily Kelly Dooley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841932993 PECOS PAC ID: 8820568116 Enrollment ID: I20260528000667 |
| Provider Name | Jacqueline L Wudtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780535872 PECOS PAC ID: 6002386307 Enrollment ID: I20260528001116 |
| Provider Name | Sarah Ko |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336039643 PECOS PAC ID: 2860962826 Enrollment ID: I20260601000093 |
| Provider Name | Tammy Murrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619816600 PECOS PAC ID: 6002386075 Enrollment ID: I20260601000290 |
| Provider Name | Ramla Khalid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548968175 PECOS PAC ID: 2365913142 Enrollment ID: I20260602003460 |
| Provider Name | Emily E Sage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831512441 PECOS PAC ID: 1153892773 Enrollment ID: I20260604002856 |
| Provider Name | Renuka Rajagopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912326471 PECOS PAC ID: 9436552999 Enrollment ID: I20260605000795 |
| Provider Name | Rida Choudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780389494 PECOS PAC ID: 0244691335 Enrollment ID: I20260605001315 |
| Provider Name | Gregory M Dietz |
|---|---|
| Provider Type | Practitioner - Pediatric Dentistry |
| Provider Identifiers | NPI Number: 1386883593 PECOS PAC ID: 9133479454 Enrollment ID: I20260605002116 |
| Provider Name | Corrielle Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760895627 PECOS PAC ID: 3779821301 Enrollment ID: I20260609002754 |
| Provider Name | Sibghat Tul Llah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356761696 PECOS PAC ID: 8224332051 Enrollment ID: I20260609002932 |
| Provider Name | Firas Rabih Darwiche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740978618 PECOS PAC ID: 0446721518 Enrollment ID: I20260609003555 |
| Provider Name | Daniel Patrick Mckee |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1629603816 PECOS PAC ID: 1759788474 Enrollment ID: I20260610001650 |
| Provider Name | Christina Lucia Rosa Carfagnini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285312017 PECOS PAC ID: 8325519317 Enrollment ID: I20260610001983 |
| Provider Name | Shaelynn Duhamel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699460766 PECOS PAC ID: 0345712337 Enrollment ID: I20260610002323 |
| Provider Name | Whitfield Dwight Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003365875 PECOS PAC ID: 4981019668 Enrollment ID: I20260610003533 |
| Provider Name | Robert a Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902546963 PECOS PAC ID: 1052889516 Enrollment ID: I20260612000598 |
| Provider Name | Leo Chapin Jennetten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538819024 PECOS PAC ID: 8022580828 Enrollment ID: I20260612000682 |
| Provider Name | Ahmad Barout |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962907444 PECOS PAC ID: 0446507230 Enrollment ID: I20260612002665 |
| Provider Name | Syed K Lateef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194769836 PECOS PAC ID: 1759398845 Enrollment ID: I20260615001788 |
| Provider Name | Peter Egwom |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649898784 PECOS PAC ID: 3971926635 Enrollment ID: I20260616000963 |
| Provider Name | Anna M Eastman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093651416 PECOS PAC ID: 4082187117 Enrollment ID: I20260622000021 |
| Provider Name | Gabriel J Koch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780335612 PECOS PAC ID: 0749753796 Enrollment ID: I20260622003533 |
| Provider Name | Daniel Vern Harper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053817916 PECOS PAC ID: 0244588382 Enrollment ID: I20260623002899 |
| Provider Name | David B Coleman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558396606 PECOS PAC ID: 1759381122 Enrollment ID: I20260623003319 |
| Provider Name | Tekesha Henry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407932031 PECOS PAC ID: 5698816494 Enrollment ID: I20260624000608 |
| Provider Name | Elise Marie Charron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295439461 PECOS PAC ID: 7214400068 Enrollment ID: I20260624001247 |
| Provider Name | Michael Gutman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326622937 PECOS PAC ID: 6103226089 Enrollment ID: I20260624002011 |
| Provider Name | Mohammed Zaid Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417584707 PECOS PAC ID: 7810334224 Enrollment ID: I20260625002369 |
| Provider Name | Caytlyn Shubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841127743 PECOS PAC ID: 0547733867 Enrollment ID: I20260626003020 |
Endocrine & Diabetes, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 W Chartwell Rd, Peoria, IL 61614 Phone: 309-691-7640 Fax: 309-691-7640 |
Orland Park Orthopedics - Ottawa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Mcclure Ave, Peoria, IL 61604 Phone: 309-419-8996 Fax: 309-966-3928 |
Planned Parenthood of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Ne Jefferson St., Peoria, IL 61603 Phone: 309-673-6911 Fax: 309-673-6914 |
Mjm Family Medicine SC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Main St Ste 500, Peoria, IL 61602 Phone: 309-672-4470 Fax: 309-672-4471 |
Michael D. Cashman, M.D., S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 490, Peoria, IL 61602 Phone: 309-671-8313 Fax: 309-671-8740 |
Proctor Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5401 N Knoxville Ave, Suite 209, Peoria, IL 61614 Phone: 309-689-6049 Fax: 309-689-6092 |