| Ou Health Partners | |
|
1200 Childrens Ave Ste 11200 Oklahoma City OK 73104-4637 | |
| (405) 271-3932 | |
| (405) 271-3064 |
| Full Name | Ou Health Partners |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Childrens Ave Ste 11200, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Ian Dunn (CHIEF PHYSICIAN EXECUTIVE) |
| Authorized Official Contact | 4052711515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ou Health Partners 1122 Ne 13th St # 274 Oklahoma City OK 73117-1039 Ph: (405) 271-1515 | Ou Health Partners 1200 Childrens Ave Ste 11200 Oklahoma City OK 73104-4637 Ph: (405) 271-3932 |
| NPI Number | 1528642642 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 02/21/2022 |
| Medicare PECOS PAC ID | 5991105876 |
|---|---|
| Medicare Enrollment ID | O20210615000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528642642 | NPI | - | NPPES |
| 100758710A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | L Peter Schwiebert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548237613 PECOS PAC ID: 0941113443 Enrollment ID: I20031111000168 |
| Provider Name | Karen J Beckman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1992774921 PECOS PAC ID: 6204740483 Enrollment ID: I20031113000316 |
| Provider Name | Zahid Ahmad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700854049 PECOS PAC ID: 7315841582 Enrollment ID: I20031120000645 |
| Provider Name | Steven G Huff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568443463 PECOS PAC ID: 8123923851 Enrollment ID: I20031204001021 |
| Provider Name | Rebecca E. Stanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689612863 PECOS PAC ID: 5496655516 Enrollment ID: I20040113000477 |
| Provider Name | Maria C Trapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043221872 PECOS PAC ID: 9234031915 Enrollment ID: I20040122001210 |
| Provider Name | Michele W Maranto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174590731 PECOS PAC ID: 4183511835 Enrollment ID: I20040228000095 |
| Provider Name | Elizabeth Wickersham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706048 PECOS PAC ID: 8224924337 Enrollment ID: I20040228000307 |
| Provider Name | Tracy S Loper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376657130 PECOS PAC ID: 2466341961 Enrollment ID: I20040312000710 |
| Provider Name | Stephen W Mihalsky |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1205856820 PECOS PAC ID: 6103818422 Enrollment ID: I20040330000655 |
| Provider Name | Stephen Wayne Heimbach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780652339 PECOS PAC ID: 1355337387 Enrollment ID: I20040423000627 |
| Provider Name | Curtis Errol Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619956943 PECOS PAC ID: 3375531767 Enrollment ID: I20040504001149 |
| Provider Name | Daniel A Biggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063489011 PECOS PAC ID: 7012907587 Enrollment ID: I20040517000148 |
| Provider Name | Robin Germany |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114995461 PECOS PAC ID: 7315920790 Enrollment ID: I20040608000515 |
| Provider Name | Dale M Brannon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588632772 PECOS PAC ID: 8224013826 Enrollment ID: I20040618001190 |
| Provider Name | Jose E Santoro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013985332 PECOS PAC ID: 6204811177 Enrollment ID: I20040623001139 |
| Provider Name | Christina M Murray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548239353 PECOS PAC ID: 1153308358 Enrollment ID: I20040706000992 |
| Provider Name | Michelle Salvaggio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609845437 PECOS PAC ID: 5597742668 Enrollment ID: I20040707000092 |
| Provider Name | Kathleen Moore |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871680249 PECOS PAC ID: 5597742692 Enrollment ID: I20040707000309 |
| Provider Name | Dominic Frimberger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932177284 PECOS PAC ID: 8820076813 Enrollment ID: I20040707001205 |
| Provider Name | Eric D Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225090343 PECOS PAC ID: 6305824822 Enrollment ID: I20040712000388 |
| Provider Name | Andrew B Thyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700878352 PECOS PAC ID: 2163400441 Enrollment ID: I20040713000142 |
| Provider Name | Ryan M Biggers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194723395 PECOS PAC ID: 3678551850 Enrollment ID: I20040713000923 |
| Provider Name | Angelia C Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1194793349 PECOS PAC ID: 4789663865 Enrollment ID: I20040714000732 |
| Provider Name | Jennifer L Holter-chakrabarty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841268091 PECOS PAC ID: 5092794792 Enrollment ID: I20040716000126 |
| Provider Name | Ryan D Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154394369 PECOS PAC ID: 9638158074 Enrollment ID: I20040719000444 |
| Provider Name | Laura M Rooms |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689642910 PECOS PAC ID: 4880673243 Enrollment ID: I20040719000727 |
| Provider Name | Monique Mange Naifeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932177250 PECOS PAC ID: 8628057015 Enrollment ID: I20040719000835 |
| Provider Name | Kellie Renee Jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598733784 PECOS PAC ID: 8224008214 Enrollment ID: I20040728000162 |
| Provider Name | Vincel R Cordry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750359311 PECOS PAC ID: 2567432180 Enrollment ID: I20040729001135 |
| Provider Name | Frederick W Willison |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932177011 PECOS PAC ID: 6709850159 Enrollment ID: I20040823000629 |
| Provider Name | Elizabeth Syzek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053380873 PECOS PAC ID: 9032184247 Enrollment ID: I20040831001267 |
| Provider Name | Laura J Chalmers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710046156 PECOS PAC ID: 5193791879 Enrollment ID: I20040903000363 |
| Provider Name | Marilyn I Steele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396713517 PECOS PAC ID: 2163499914 Enrollment ID: I20040913000503 |
| Provider Name | Mark W Halterman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083638456 PECOS PAC ID: 5597733428 Enrollment ID: I20040920000306 |
| Provider Name | Clorinda M Robles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033167358 PECOS PAC ID: 4587632427 Enrollment ID: I20040920000386 |
| Provider Name | Emily L Swafford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134137862 PECOS PAC ID: 6901875632 Enrollment ID: I20040929001037 |
| Provider Name | Marvin Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336121169 PECOS PAC ID: 1052389574 Enrollment ID: I20041001000542 |
| Provider Name | Lily Yan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306814637 PECOS PAC ID: 3577543149 Enrollment ID: I20041022000155 |
| Provider Name | Herschel L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922047570 PECOS PAC ID: 1951362508 Enrollment ID: I20041026000917 |
| Provider Name | Michael D Padgham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699727081 PECOS PAC ID: 2365406196 Enrollment ID: I20041112000140 |
| Provider Name | Michael V Kalcich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386608578 PECOS PAC ID: 6103880943 Enrollment ID: I20041112000186 |
| Provider Name | Joel William Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215995089 PECOS PAC ID: 2860456613 Enrollment ID: I20041112000245 |
| Provider Name | Tiffany J Mccrabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316915630 PECOS PAC ID: 4284698291 Enrollment ID: I20041118000385 |
| Provider Name | Anne A Munson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275584849 PECOS PAC ID: 3375508468 Enrollment ID: I20041201000001 |
| Provider Name | George B Selby |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679542963 PECOS PAC ID: 1658320809 Enrollment ID: I20050114000510 |
| Provider Name | Roy R Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184693996 PECOS PAC ID: 8921057019 Enrollment ID: I20050114000792 |
| Provider Name | Richard G Falk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518960459 PECOS PAC ID: 4284699497 Enrollment ID: I20050219000025 |
| Provider Name | Julio I Rojas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215905567 PECOS PAC ID: 6800845165 Enrollment ID: I20050316000713 |
| Provider Name | Sowmya Krishnan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629137179 PECOS PAC ID: 4789635350 Enrollment ID: I20050401000244 |
| Provider Name | Ashley A Magness |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952307647 PECOS PAC ID: 9032161393 Enrollment ID: I20050404000724 |
| Provider Name | Ronald Powell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528057817 PECOS PAC ID: 4981655164 Enrollment ID: I20050412000454 |
| Provider Name | Michael Mccauley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669453890 PECOS PAC ID: 5092752238 Enrollment ID: I20050414000113 |
| Provider Name | Thomas C Pratt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487635611 PECOS PAC ID: 7810934056 Enrollment ID: I20050414000321 |
| Provider Name | Joseph Davey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316915440 PECOS PAC ID: 9830146653 Enrollment ID: I20050504001258 |
| Provider Name | Michael W Brand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801864913 PECOS PAC ID: 4981692779 Enrollment ID: I20050613000614 |
| Provider Name | Theresa C Thai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023086360 PECOS PAC ID: 5496798852 Enrollment ID: I20050614001000 |
| Provider Name | Jordan P Metcalf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376512269 PECOS PAC ID: 8426093550 Enrollment ID: I20050620001131 |
| Provider Name | Scott A Chappell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194783258 PECOS PAC ID: 5395726046 Enrollment ID: I20050715000110 |
| Provider Name | Kendall J Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891772307 PECOS PAC ID: 5294778452 Enrollment ID: I20050722000892 |
| Provider Name | Heath D Higgins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992768295 PECOS PAC ID: 0244273217 Enrollment ID: I20050801000544 |
| Provider Name | Jean I Keddissi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568430718 PECOS PAC ID: 2264461169 Enrollment ID: I20050811000138 |
| Provider Name | Brent R Brown |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881662971 PECOS PAC ID: 8426087339 Enrollment ID: I20050811000168 |
| Provider Name | Gennady Slobodov |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932177185 PECOS PAC ID: 8224072632 Enrollment ID: I20050815000470 |
| Provider Name | Gregory H Hulsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780635649 PECOS PAC ID: 4688618754 Enrollment ID: I20050822000690 |
| Provider Name | Helen C Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972571271 PECOS PAC ID: 2961438718 Enrollment ID: I20050823000036 |
| Provider Name | James B Pate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265400527 PECOS PAC ID: 4587690334 Enrollment ID: I20050823000049 |
| Provider Name | Christian A El Amm |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295703544 PECOS PAC ID: 3971569229 Enrollment ID: I20050907000592 |
| Provider Name | Gregory L Blakey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821067497 PECOS PAC ID: 0547297822 Enrollment ID: I20050907001006 |
| Provider Name | Rajagopal R Nandyal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669472601 PECOS PAC ID: 6709817133 Enrollment ID: I20050919000664 |
| Provider Name | Geoffrey L Taylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376551481 PECOS PAC ID: 9032146428 Enrollment ID: I20050921000219 |
| Provider Name | Kelly N Mcdonough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831195528 PECOS PAC ID: 7416904263 Enrollment ID: I20050928000119 |
| Provider Name | Scott M Proctor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790745545 PECOS PAC ID: 9133156847 Enrollment ID: I20050928000571 |
| Provider Name | William C Dooley |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1477521714 PECOS PAC ID: 1052339215 Enrollment ID: I20051105000364 |
| Provider Name | Benazir Drabu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689642035 PECOS PAC ID: 4587698410 Enrollment ID: I20051115000507 |
| Provider Name | Rachel R Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083682314 PECOS PAC ID: 2961427943 Enrollment ID: I20051116000769 |
| Provider Name | Michael S Hull |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396891743 PECOS PAC ID: 3072533926 Enrollment ID: I20051229000162 |
| Provider Name | Pramod K Chetty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386611374 PECOS PAC ID: 8628091691 Enrollment ID: I20060105000675 |
| Provider Name | Kathryn E Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134196207 PECOS PAC ID: 3274556154 Enrollment ID: I20060105000751 |
| Provider Name | William M Tierney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255300513 PECOS PAC ID: 9638192511 Enrollment ID: I20060105000759 |
| Provider Name | Richard F Harty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205804457 PECOS PAC ID: 6507889482 Enrollment ID: I20060105000791 |
| Provider Name | Betty J Haywood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013985019 PECOS PAC ID: 5496778375 Enrollment ID: I20060105000808 |
| Provider Name | Javid Fazili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386612620 PECOS PAC ID: 8022031905 Enrollment ID: I20060105000825 |
| Provider Name | Ira Targoff |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215906920 PECOS PAC ID: 4284657164 Enrollment ID: I20060105000841 |
| Provider Name | Greg A Krempl |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154399756 PECOS PAC ID: 4688697576 Enrollment ID: I20060105000895 |
| Provider Name | Lukas Haragsim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396713541 PECOS PAC ID: 5496778383 Enrollment ID: I20060105000907 |
| Provider Name | Jay S Hiller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932178027 PECOS PAC ID: 0143299180 Enrollment ID: I20060105000924 |
| Provider Name | Terry L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083630115 PECOS PAC ID: 8325069578 Enrollment ID: I20060106000187 |
| Provider Name | Kalyanakrishnan Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861468951 PECOS PAC ID: 8820011646 Enrollment ID: I20060107000056 |
| Provider Name | Daniel C Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891763231 PECOS PAC ID: 2668495417 Enrollment ID: I20060109000234 |
| Provider Name | Andrew Gormley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881662054 PECOS PAC ID: 2567485311 Enrollment ID: I20060109000247 |
| Provider Name | Ashraf S Habib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780675322 PECOS PAC ID: 1557384302 Enrollment ID: I20060109000261 |
| Provider Name | Kathryn E Bauernschmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336148980 PECOS PAC ID: 3779506472 Enrollment ID: I20060109000801 |
| Provider Name | Candaca M Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659349967 PECOS PAC ID: 7214950922 Enrollment ID: I20060109000823 |
| Provider Name | Feroz Maqbool |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316915606 PECOS PAC ID: 4587687207 Enrollment ID: I20060109000902 |
| Provider Name | Kar-ming A Fung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972572881 PECOS PAC ID: 4082637665 Enrollment ID: I20060110000376 |
| Provider Name | Rosemary E Zuna |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154390961 PECOS PAC ID: 9830112440 Enrollment ID: I20060110000651 |
| Provider Name | Morris R Gessouroun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154399426 PECOS PAC ID: 4082637533 Enrollment ID: I20060110001054 |
| Provider Name | Mary Z Baker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942278163 PECOS PAC ID: 4284657743 Enrollment ID: I20060110001142 |
| Provider Name | Donald Kastens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659349801 PECOS PAC ID: 4082637368 Enrollment ID: I20060112000727 |
| Provider Name | Nighat F Mehdi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063480382 PECOS PAC ID: 1456375674 Enrollment ID: I20060113000918 |
| Provider Name | William J Ertl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427027507 PECOS PAC ID: 6800810029 Enrollment ID: I20060113000923 |
| Provider Name | Shouvik Chakrabarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487622726 PECOS PAC ID: 4880618032 Enrollment ID: I20060116000174 |
| Provider Name | Rhonda L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518935196 PECOS PAC ID: 2062436215 Enrollment ID: I20060116000181 |
| Provider Name | Calin I Prodan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528035581 PECOS PAC ID: 5092739268 Enrollment ID: I20060116000332 |
| Provider Name | Ravindran N Sawh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972572774 PECOS PAC ID: 3375567407 Enrollment ID: I20060117000430 |
| Provider Name | Karen L Bowlware |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881662419 PECOS PAC ID: 5496779456 Enrollment ID: I20060118000368 |
| Provider Name | Amy B England |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942278536 PECOS PAC ID: 3274557947 Enrollment ID: I20060120000369 |
| Provider Name | Pamela S Miles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619945466 PECOS PAC ID: 5597789107 Enrollment ID: I20060123000540 |
| Provider Name | Warren M Jackman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578531729 PECOS PAC ID: 9335163955 Enrollment ID: I20060123000608 |
| Provider Name | James N George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093783227 PECOS PAC ID: 5395769814 Enrollment ID: I20060123000760 |
| Provider Name | Dewey C Scheid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003883174 PECOS PAC ID: 7719901248 Enrollment ID: I20060123000806 |
| Provider Name | Daniel J Culkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023086378 PECOS PAC ID: 4789608217 Enrollment ID: I20060123000836 |
| Provider Name | Jesus E Medina |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033187513 PECOS PAC ID: 9739103268 Enrollment ID: I20060123000885 |
| Provider Name | Satish Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760451686 PECOS PAC ID: 2264456706 Enrollment ID: I20060123000912 |
| Provider Name | Robert A Wild |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316915671 PECOS PAC ID: 8325062862 Enrollment ID: I20060123000935 |
| Provider Name | Paul Kammerlocher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043218381 PECOS PAC ID: 3072554104 Enrollment ID: I20060124000299 |
| Provider Name | Tony G Puckett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467420166 PECOS PAC ID: 5597789925 Enrollment ID: I20060124000681 |
| Provider Name | Dwight Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457320285 PECOS PAC ID: 8527082965 Enrollment ID: I20060124000716 |
| Provider Name | Nikola K Puffinbarger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821066176 PECOS PAC ID: 0749204196 Enrollment ID: I20060124000788 |
| Provider Name | Pamela S Allen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578532503 PECOS PAC ID: 0446274898 Enrollment ID: I20060124000809 |
| Provider Name | George Tardibono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902875677 PECOS PAC ID: 5799709143 Enrollment ID: I20060124000823 |
| Provider Name | Edward D Overholt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457329773 PECOS PAC ID: 8325062672 Enrollment ID: I20060125000611 |
| Provider Name | Sherri S Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710955026 PECOS PAC ID: 4385658632 Enrollment ID: I20060126000154 |
| Provider Name | Udho Thadani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477522183 PECOS PAC ID: 3870507122 Enrollment ID: I20060126000197 |
| Provider Name | Benjamin D Cowley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427027457 PECOS PAC ID: 5496769754 Enrollment ID: I20060126000227 |
| Provider Name | Philip C Mantor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184692360 PECOS PAC ID: 9436163631 Enrollment ID: I20060126000613 |
| Provider Name | Robert H Scofield |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821067562 PECOS PAC ID: 3375557580 Enrollment ID: I20060126000669 |
| Provider Name | Bryan D Struck |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831167667 PECOS PAC ID: 3779597984 Enrollment ID: I20060126000721 |
| Provider Name | James G Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912975145 PECOS PAC ID: 1456365683 Enrollment ID: I20060126000877 |
| Provider Name | Kent Edward Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295703411 PECOS PAC ID: 4486673431 Enrollment ID: I20060126001017 |
| Provider Name | Badie S Mansour |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1497723126 PECOS PAC ID: 6709890890 Enrollment ID: I20060127000329 |
| Provider Name | Rene Y Mcnall-knapp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790753010 PECOS PAC ID: 7113931205 Enrollment ID: I20060127000374 |
| Provider Name | David C Teague |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083682595 PECOS PAC ID: 5496769531 Enrollment ID: I20060127000673 |
| Provider Name | Mark R Allee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255309597 PECOS PAC ID: 0143234104 Enrollment ID: I20060128000031 |
| Provider Name | Thomas P Lehman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053380139 PECOS PAC ID: 5597779553 Enrollment ID: I20060128000033 |
| Provider Name | Peter A Winn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659349306 PECOS PAC ID: 8022022086 Enrollment ID: I20060128000049 |
| Provider Name | Joe Leonard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396713533 PECOS PAC ID: 6103830161 Enrollment ID: I20060128000051 |
| Provider Name | Dan Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023086261 PECOS PAC ID: 4284648247 Enrollment ID: I20060128000054 |
| Provider Name | Ralph Guild |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245208438 PECOS PAC ID: 6002820065 Enrollment ID: I20060128000055 |
| Provider Name | Joanna R Owens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578531778 PECOS PAC ID: 8729092796 Enrollment ID: I20060128000064 |
| Provider Name | Sunny S Po |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265401087 PECOS PAC ID: 3173537149 Enrollment ID: I20060128000066 |
| Provider Name | Teodora Nicolescu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891763546 PECOS PAC ID: 6709890775 Enrollment ID: I20060128000068 |
| Provider Name | Ronald A Squires |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558339804 PECOS PAC ID: 9234143181 Enrollment ID: I20060130000758 |
| Provider Name | Kathryn H Dooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720056310 PECOS PAC ID: 6305850298 Enrollment ID: I20060131000164 |
| Provider Name | James Richard Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144297649 PECOS PAC ID: 1052325966 Enrollment ID: I20060131000323 |
| Provider Name | Douglas A Drevets |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659349991 PECOS PAC ID: 7012921935 Enrollment ID: I20060131000368 |
| Provider Name | Timothy Puckett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447228952 PECOS PAC ID: 4688608557 Enrollment ID: I20060131000619 |
| Provider Name | David R Huard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326016593 PECOS PAC ID: 7113931957 Enrollment ID: I20060131000663 |
| Provider Name | Charles B Pasque |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801864319 PECOS PAC ID: 5991710352 Enrollment ID: I20060207000629 |
| Provider Name | Philip C Comp |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790754729 PECOS PAC ID: 6709891013 Enrollment ID: I20060208000083 |
| Provider Name | Joan L Walker |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1477521839 PECOS PAC ID: 6002821105 Enrollment ID: I20060210000273 |
| Provider Name | Robert C Salinas |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962470732 PECOS PAC ID: 8426063520 Enrollment ID: I20060210000315 |
| Provider Name | Elizabeth M Gillies |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881663797 PECOS PAC ID: 8628083748 Enrollment ID: I20060210000472 |
| Provider Name | John Pierre Zubialde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477521128 PECOS PAC ID: 4789699810 Enrollment ID: I20060210000499 |
| Provider Name | Phebe M Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376511501 PECOS PAC ID: 7810902947 Enrollment ID: I20060210000536 |
| Provider Name | Elizabeth Jett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407825102 PECOS PAC ID: 8325025372 Enrollment ID: I20060213000214 |
| Provider Name | Chittur Sivaram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265401905 PECOS PAC ID: 7911913496 Enrollment ID: I20060222000181 |
| Provider Name | Paul Yasuda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033187364 PECOS PAC ID: 4486616737 Enrollment ID: I20060222000658 |
| Provider Name | Elisa Crouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760450738 PECOS PAC ID: 6406862838 Enrollment ID: I20060222000693 |
| Provider Name | Rhett L Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235107426 PECOS PAC ID: 8123034493 Enrollment ID: I20060223000187 |
| Provider Name | Robert S Mannel |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1568430007 PECOS PAC ID: 1658387923 Enrollment ID: I20060223000218 |
| Provider Name | Brian R Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801864723 PECOS PAC ID: 5698781979 Enrollment ID: I20060223000269 |
| Provider Name | Charles D Arnold |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1568430643 PECOS PAC ID: 6204842594 Enrollment ID: I20060223000416 |
| Provider Name | John E Grunow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679541981 PECOS PAC ID: 0749296036 Enrollment ID: I20060223000430 |
| Provider Name | Roxie M Albrecht |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740258086 PECOS PAC ID: 0648286948 Enrollment ID: I20060223000445 |
| Provider Name | Steven A Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790753614 PECOS PAC ID: 5092721399 Enrollment ID: I20060223000452 |
| Provider Name | Angela Gathers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568431211 PECOS PAC ID: 4486660784 Enrollment ID: I20060223000505 |
| Provider Name | Gretchen M Wienecke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861460198 PECOS PAC ID: 8820004138 Enrollment ID: I20060223000541 |
| Provider Name | William R Puffinbarger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356319867 PECOS PAC ID: 8224044557 Enrollment ID: I20060223000722 |
| Provider Name | James L Brand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841268760 PECOS PAC ID: 0648286906 Enrollment ID: I20060224000230 |
| Provider Name | Christopher B White |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750350856 PECOS PAC ID: 6305734534 Enrollment ID: I20060228000183 |
| Provider Name | Harlan I Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386653590 PECOS PAC ID: 2062420672 Enrollment ID: I20060323000377 |
| Provider Name | Julie M Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558330225 PECOS PAC ID: 2062422777 Enrollment ID: I20060509001030 |
| Provider Name | Michael S Bronze |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235199209 PECOS PAC ID: 0941211270 Enrollment ID: I20060525000141 |
| Provider Name | Cathryn S Crittenden-byers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912955493 PECOS PAC ID: 9335150606 Enrollment ID: I20060530000060 |
| Provider Name | Jennifer Ann Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891744116 PECOS PAC ID: 0042221103 Enrollment ID: I20060606000175 |
| Provider Name | Pamela R Roberts |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134104268 PECOS PAC ID: 8325058605 Enrollment ID: I20060616000178 |
| Provider Name | Umakumaran P Ponniah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093784746 PECOS PAC ID: 5193787729 Enrollment ID: I20060619000105 |
| Provider Name | Renee H Grau |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861445991 PECOS PAC ID: 1850303785 Enrollment ID: I20060622000317 |
| Provider Name | David W Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427019488 PECOS PAC ID: 3870505001 Enrollment ID: I20060706000408 |
| Provider Name | Monica S Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063461390 PECOS PAC ID: 5991718652 Enrollment ID: I20060724000294 |
| Provider Name | Nathan D Lasiter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568408722 PECOS PAC ID: 9537172903 Enrollment ID: I20060801000457 |
| Provider Name | Russell R Rooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316982887 PECOS PAC ID: 6406859768 Enrollment ID: I20060807000385 |
| Provider Name | Naina L Gross |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649200429 PECOS PAC ID: 0042213720 Enrollment ID: I20060818000251 |
| Provider Name | Neeti Kohli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376579284 PECOS PAC ID: 1557350493 Enrollment ID: I20060912000576 |
| Provider Name | Randall E Herrin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942231261 PECOS PAC ID: 6901850759 Enrollment ID: I20060913000124 |
| Provider Name | Mark B Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184649584 PECOS PAC ID: 2769438274 Enrollment ID: I20060916000063 |
| Provider Name | Charles S Sperrazza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932142353 PECOS PAC ID: 4082692843 Enrollment ID: I20061005000269 |
| Provider Name | Xiangyang Zheng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487682480 PECOS PAC ID: 1759387798 Enrollment ID: I20061013000343 |
| Provider Name | Jason S Lees |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508811837 PECOS PAC ID: 9133122971 Enrollment ID: I20061016000126 |
| Provider Name | Robyn L Cowperthwaite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366427478 PECOS PAC ID: 3678570819 Enrollment ID: I20061031000250 |
| Provider Name | Janice M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588653307 PECOS PAC ID: 6608873708 Enrollment ID: I20061102000600 |
| Provider Name | Rachel Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578539573 PECOS PAC ID: 2668479635 Enrollment ID: I20061104000061 |
| Provider Name | Gabriel M Cuka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306879671 PECOS PAC ID: 2769437631 Enrollment ID: I20061114000570 |
| Provider Name | Lenore Arlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902819824 PECOS PAC ID: 4789683343 Enrollment ID: I20061207000406 |
| Provider Name | Anna C Newcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508806662 PECOS PAC ID: 4284633827 Enrollment ID: I20061209000020 |
| Provider Name | Latasha B Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265549729 PECOS PAC ID: 4587663703 Enrollment ID: I20061215000129 |
| Provider Name | John Spencer Thompson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790708410 PECOS PAC ID: 6800878596 Enrollment ID: I20070105000042 |
| Provider Name | Julia L Vana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063480317 PECOS PAC ID: 3274535166 Enrollment ID: I20070206000241 |
| Provider Name | Alberto J De Armendi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750384947 PECOS PAC ID: 9739135450 Enrollment ID: I20070206000281 |
| Provider Name | Diana A Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952404832 PECOS PAC ID: 0749282200 Enrollment ID: I20070213000131 |
| Provider Name | John P Ross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679535470 PECOS PAC ID: 6507968575 Enrollment ID: I20070221000438 |
| Provider Name | James R Wendelken |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326000191 PECOS PAC ID: 5193827160 Enrollment ID: I20070221000485 |
| Provider Name | Mary B Humphrey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235237728 PECOS PAC ID: 4082716063 Enrollment ID: I20070221000515 |
| Provider Name | Justin G Dockendorf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619070414 PECOS PAC ID: 8325141484 Enrollment ID: I20070309000140 |
| Provider Name | Christopher H Bozarth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811997265 PECOS PAC ID: 0042295024 Enrollment ID: I20070310000057 |
| Provider Name | Rodanthee B Goodell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639110372 PECOS PAC ID: 8628172954 Enrollment ID: I20070327000284 |
| Provider Name | Michael D John |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790788586 PECOS PAC ID: 3971608175 Enrollment ID: I20070417000468 |
| Provider Name | Rodney W Coate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346394392 PECOS PAC ID: 6608971619 Enrollment ID: I20070419000735 |
| Provider Name | David L Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376500223 PECOS PAC ID: 9537264494 Enrollment ID: I20070420000472 |
| Provider Name | Andrew Vuong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861550097 PECOS PAC ID: 5294831913 Enrollment ID: I20070426000078 |
| Provider Name | John T Maple |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902879455 PECOS PAC ID: 1759282874 Enrollment ID: I20070519000085 |
| Provider Name | Dirk B Verbrugghe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760523583 PECOS PAC ID: 9133228182 Enrollment ID: I20070615000580 |
| Provider Name | Danielle J Butler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205980398 PECOS PAC ID: 1052410685 Enrollment ID: I20070622000412 |
| Provider Name | Victor Ludwig Fey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942280987 PECOS PAC ID: 7618077504 Enrollment ID: I20070706000200 |
| Provider Name | James Mark Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497748032 PECOS PAC ID: 5597865808 Enrollment ID: I20070714000239 |
| Provider Name | Jeanne A King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033239629 PECOS PAC ID: 8426159534 Enrollment ID: I20070719000366 |
| Provider Name | Vickie L Loemker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568439735 PECOS PAC ID: 1254432743 Enrollment ID: I20070727000618 |
| Provider Name | Emilie D Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972635134 PECOS PAC ID: 1355432238 Enrollment ID: I20070807000332 |
| Provider Name | Anthony M Alleman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467591610 PECOS PAC ID: 4880785435 Enrollment ID: I20070810000372 |
| Provider Name | Saleem M Qureshi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609839109 PECOS PAC ID: 7911921671 Enrollment ID: I20070813000174 |
| Provider Name | Melissa A Lindenau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700927589 PECOS PAC ID: 7214029461 Enrollment ID: I20070817000536 |
| Provider Name | Jose A Sanclement |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1982721098 PECOS PAC ID: 4385736537 Enrollment ID: I20070817000554 |
| Provider Name | Julie D Thomas-pinkston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467446518 PECOS PAC ID: 2163514035 Enrollment ID: I20070823000087 |
| Provider Name | Steven D Chernausek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104854256 PECOS PAC ID: 5799679262 Enrollment ID: I20070829000247 |
| Provider Name | Sheila M Algan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629071543 PECOS PAC ID: 6608967740 Enrollment ID: I20070829000665 |
| Provider Name | Michael Robertson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255311791 PECOS PAC ID: 7012922370 Enrollment ID: I20070830000304 |
| Provider Name | Ozer Algan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871552042 PECOS PAC ID: 9032202122 Enrollment ID: I20070906000046 |
| Provider Name | Srikiran Ramarapu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952327199 PECOS PAC ID: 4688630478 Enrollment ID: I20071030000065 |
| Provider Name | Devon W Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700070422 PECOS PAC ID: 7810084142 Enrollment ID: I20071102000038 |
| Provider Name | Amy L Sparkman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033136098 PECOS PAC ID: 2668422965 Enrollment ID: I20071205000187 |
| Provider Name | Heather D Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407950504 PECOS PAC ID: 7416956412 Enrollment ID: I20080121000160 |
| Provider Name | Rajesh Kanagala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659308435 PECOS PAC ID: 4789689837 Enrollment ID: I20080331000288 |
| Provider Name | Campbell M Gillespie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811985914 PECOS PAC ID: 0547347163 Enrollment ID: I20080408000003 |
| Provider Name | Svetlana Sanclement |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174677918 PECOS PAC ID: 6507800364 Enrollment ID: I20080408000032 |
| Provider Name | Gregory Jon Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770591885 PECOS PAC ID: 3072690510 Enrollment ID: I20080408000212 |
| Provider Name | Kristi L Ludwig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326017427 PECOS PAC ID: 8022197268 Enrollment ID: I20080429000978 |
| Provider Name | Anne Godart Wlodaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053389304 PECOS PAC ID: 7214016302 Enrollment ID: I20080430000549 |
| Provider Name | Rita M Hancock |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861449563 PECOS PAC ID: 4284734054 Enrollment ID: I20080430000596 |
| Provider Name | Lewis A Hassell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831115120 PECOS PAC ID: 6204735780 Enrollment ID: I20080501000052 |
| Provider Name | Katherine Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548301955 PECOS PAC ID: 6002987252 Enrollment ID: I20080617000186 |
| Provider Name | Cory D Cross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104966290 PECOS PAC ID: 8628140142 Enrollment ID: I20080627000465 |
| Provider Name | Teresa M Shavney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023016268 PECOS PAC ID: 7315040508 Enrollment ID: I20080711000322 |
| Provider Name | Justin C North |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427197482 PECOS PAC ID: 1557435005 Enrollment ID: I20080801000358 |
| Provider Name | Zhongxin Yu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811038052 PECOS PAC ID: 8628142981 Enrollment ID: I20080805000022 |
| Provider Name | Lieschen H Quiroz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093752925 PECOS PAC ID: 0446284632 Enrollment ID: I20080805000063 |
| Provider Name | Valari Lea Cathey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770551160 PECOS PAC ID: 2769489186 Enrollment ID: I20080814000393 |
| Provider Name | Cecilia C Guthrie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568530137 PECOS PAC ID: 1254406788 Enrollment ID: I20080819000372 |
| Provider Name | Beau M Hawkins |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073654893 PECOS PAC ID: 0244305290 Enrollment ID: I20080826000605 |
| Provider Name | Anjan Mahendra Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609847680 PECOS PAC ID: 2769496025 Enrollment ID: I20080904000177 |
| Provider Name | Katherine Louise Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700927548 PECOS PAC ID: 0749356491 Enrollment ID: I20080904000377 |
| Provider Name | Karen Kinney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588640965 PECOS PAC ID: 6800965781 Enrollment ID: I20080905000041 |
| Provider Name | Nilesh R Vasan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1578580205 PECOS PAC ID: 7012904196 Enrollment ID: I20080905000585 |
| Provider Name | Bradley C Gehrs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215191929 PECOS PAC ID: 7416023510 Enrollment ID: I20080912000409 |
| Provider Name | Jamal Al Taani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083819593 PECOS PAC ID: 7012002314 Enrollment ID: I20080912000420 |
| Provider Name | Kathleen E Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417098344 PECOS PAC ID: 4183792641 Enrollment ID: I20081010000174 |
| Provider Name | William K Tordzro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780688317 PECOS PAC ID: 7911892302 Enrollment ID: I20090127000318 |
| Provider Name | Jill E Adler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184877045 PECOS PAC ID: 2466517297 Enrollment ID: I20090211000517 |
| Provider Name | Tina D Dickerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609078559 PECOS PAC ID: 8325103518 Enrollment ID: I20090223000594 |
| Provider Name | Lori A Fredrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225243207 PECOS PAC ID: 3476618661 Enrollment ID: I20090223000621 |
| Provider Name | Caple A Spence |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134157340 PECOS PAC ID: 8527964063 Enrollment ID: I20090302000624 |
| Provider Name | Michael A Tribbey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629040506 PECOS PAC ID: 6800879719 Enrollment ID: I20090303000331 |
| Provider Name | Thomas Outlaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356301204 PECOS PAC ID: 4183780737 Enrollment ID: I20090305000289 |
| Provider Name | Robert Dyer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508963661 PECOS PAC ID: 2567439359 Enrollment ID: I20090306000471 |
| Provider Name | Michael J Major |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124136395 PECOS PAC ID: 6204826951 Enrollment ID: I20090324000608 |
| Provider Name | Rachel R Mckinzie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184824971 PECOS PAC ID: 1052478575 Enrollment ID: I20090326000518 |
| Provider Name | Robin Deck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962647800 PECOS PAC ID: 2668539081 Enrollment ID: I20090330000148 |
| Provider Name | Evynn V Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710139035 PECOS PAC ID: 1355498510 Enrollment ID: I20090406000413 |
| Provider Name | Robert Lewis Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548461007 PECOS PAC ID: 4183799422 Enrollment ID: I20090422000472 |
| Provider Name | Ahmed Awab |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841331139 PECOS PAC ID: 6305994427 Enrollment ID: I20090429000547 |
| Provider Name | Kristin Kay Thorp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700927142 PECOS PAC ID: 7012066756 Enrollment ID: I20090528000496 |
| Provider Name | Regina K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679710479 PECOS PAC ID: 7416007760 Enrollment ID: I20090609000235 |
| Provider Name | Robert B Fails |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639218894 PECOS PAC ID: 8527118355 Enrollment ID: I20090616000607 |
| Provider Name | Lisa Michelle Landrum |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356456438 PECOS PAC ID: 6608927306 Enrollment ID: I20090618000773 |
| Provider Name | Muhammad A Altaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871511733 PECOS PAC ID: 8426109125 Enrollment ID: I20090618000775 |
| Provider Name | Stephanie Deleon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184765026 PECOS PAC ID: 2769533348 Enrollment ID: I20090622000133 |
| Provider Name | Curtis L Knoles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740321512 PECOS PAC ID: 7719038025 Enrollment ID: I20090626000372 |
| Provider Name | Kelle D Gaske |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1588822472 PECOS PAC ID: 3476605338 Enrollment ID: I20090723000575 |
| Provider Name | Melissa L Pfenning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831238807 PECOS PAC ID: 3375696651 Enrollment ID: I20090804000433 |
| Provider Name | Jeremy R White |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1063455673 PECOS PAC ID: 2769535988 Enrollment ID: I20090805000097 |
| Provider Name | Michael D Martin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003958893 PECOS PAC ID: 4688728496 Enrollment ID: I20090813000261 |
| Provider Name | Joon-shik Moon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518074780 PECOS PAC ID: 9032114780 Enrollment ID: I20090909000063 |
| Provider Name | Joshua L Gierman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881734358 PECOS PAC ID: 9234284589 Enrollment ID: I20090910000109 |
| Provider Name | Charles Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306073523 PECOS PAC ID: 9537215116 Enrollment ID: I20090923000443 |
| Provider Name | Tammy A Harrelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003045501 PECOS PAC ID: 1254487663 Enrollment ID: I20090925000167 |
| Provider Name | Steven Earl Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457327470 PECOS PAC ID: 0143366013 Enrollment ID: I20091006000695 |
| Provider Name | Paul Darden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790893741 PECOS PAC ID: 6709893993 Enrollment ID: I20091009000278 |
| Provider Name | Amanda S Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699926725 PECOS PAC ID: 2668519984 Enrollment ID: I20091019000609 |
| Provider Name | Brenda D Toland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053540013 PECOS PAC ID: 6305983065 Enrollment ID: I20091028000837 |
| Provider Name | Ashley Hebensperger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952635708 PECOS PAC ID: 8022156173 Enrollment ID: I20091110000269 |
| Provider Name | Alexandra P Ikeguchi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962402321 PECOS PAC ID: 0244379444 Enrollment ID: I20091201000536 |
| Provider Name | Stephen B Conner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053383497 PECOS PAC ID: 4880735943 Enrollment ID: I20100112000087 |
| Provider Name | Srikanth Nallacheru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316117328 PECOS PAC ID: 0143397943 Enrollment ID: I20100115000152 |
| Provider Name | Ashley E Weedn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457552671 PECOS PAC ID: 4082756234 Enrollment ID: I20100126000544 |
| Provider Name | Shelley Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922273531 PECOS PAC ID: 4183793870 Enrollment ID: I20100204000319 |
| Provider Name | Amanda L Bogie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164490777 PECOS PAC ID: 9032253182 Enrollment ID: I20100212000625 |
| Provider Name | Vadim A Ivanov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346577012 PECOS PAC ID: 7315081171 Enrollment ID: I20100217000073 |
| Provider Name | Cheryl L Bryant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033188172 PECOS PAC ID: 7214071901 Enrollment ID: I20100218000613 |
| Provider Name | Mark A Fergeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073581245 PECOS PAC ID: 3173667714 Enrollment ID: I20100219000201 |
| Provider Name | Julie A Krodel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508835604 PECOS PAC ID: 2062556608 Enrollment ID: I20100219000228 |
| Provider Name | Deborah L Shropshire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356319693 PECOS PAC ID: 5890839104 Enrollment ID: I20100224000150 |
| Provider Name | Julie W Lees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013985324 PECOS PAC ID: 1456495787 Enrollment ID: I20100224000326 |
| Provider Name | Jill S Warren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922076140 PECOS PAC ID: 6608910930 Enrollment ID: I20100224000341 |
| Provider Name | Jennifer L Witherspoon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346473816 PECOS PAC ID: 8426193327 Enrollment ID: I20100303000587 |
| Provider Name | Barry J Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477525848 PECOS PAC ID: 7517049919 Enrollment ID: I20100304000191 |
| Provider Name | Douglas C Dannaway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982672333 PECOS PAC ID: 9638214166 Enrollment ID: I20100308000657 |
| Provider Name | Casey N Hester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114995420 PECOS PAC ID: 2961547518 Enrollment ID: I20100315000324 |
| Provider Name | Jana S Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194799833 PECOS PAC ID: 4587799515 Enrollment ID: I20100316000914 |
| Provider Name | Marianne E Dunlap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659330603 PECOS PAC ID: 4789719543 Enrollment ID: I20100318000179 |
| Provider Name | Krishnamurthy C Sekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366410607 PECOS PAC ID: 0648305235 Enrollment ID: I20100322000471 |
| Provider Name | Melissa A Hakman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285678516 PECOS PAC ID: 2062548456 Enrollment ID: I20100324000792 |
| Provider Name | Timothy David Siler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295794048 PECOS PAC ID: 3173628500 Enrollment ID: I20100407000578 |
| Provider Name | Timothy J. Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790777035 PECOS PAC ID: 8325111024 Enrollment ID: I20100504000248 |
| Provider Name | Beverly W Funderburk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255300315 PECOS PAC ID: 3971631177 Enrollment ID: I20100510000150 |
| Provider Name | Kavon C Azadi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285827295 PECOS PAC ID: 8820127111 Enrollment ID: I20100525000602 |
| Provider Name | Erin L Moini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760405161 PECOS PAC ID: 3072509371 Enrollment ID: I20100527000175 |
| Provider Name | Kristen H Sorocco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558571513 PECOS PAC ID: 7517044589 Enrollment ID: I20100603000303 |
| Provider Name | John Rapacz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508858853 PECOS PAC ID: 8022053453 Enrollment ID: I20100617000716 |
| Provider Name | Heather I Blomeley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073620704 PECOS PAC ID: 5597869073 Enrollment ID: I20100617000755 |
| Provider Name | Robert C Dimski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457343881 PECOS PAC ID: 3577508902 Enrollment ID: I20100617000781 |
| Provider Name | Virginiah N Nembhard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457686834 PECOS PAC ID: 6800927641 Enrollment ID: I20100623000517 |
| Provider Name | Patricia A Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104893163 PECOS PAC ID: 3779614375 Enrollment ID: I20100625000591 |
| Provider Name | Nicole Alvarez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730404989 PECOS PAC ID: 5890827836 Enrollment ID: I20100709000676 |
| Provider Name | Manimehalai M Vijayan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770729907 PECOS PAC ID: 4688706435 Enrollment ID: I20100714001027 |
| Provider Name | Estibaliz A Burns |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124048715 PECOS PAC ID: 0345245353 Enrollment ID: I20100728001060 |
| Provider Name | Kathryne K Cates |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265571707 PECOS PAC ID: 5698808533 Enrollment ID: I20100729000496 |
| Provider Name | Mark I Pogemiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619058187 PECOS PAC ID: 2769515618 Enrollment ID: I20100729000653 |
| Provider Name | Jeff Scott Reid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780718981 PECOS PAC ID: 6406989680 Enrollment ID: I20100809001023 |
| Provider Name | Chad A Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407051188 PECOS PAC ID: 6709910946 Enrollment ID: I20100810000794 |
| Provider Name | Nicholas W Jennings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063736437 PECOS PAC ID: 4789718727 Enrollment ID: I20100812001031 |
| Provider Name | Edward S Kosik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376745901 PECOS PAC ID: 2961562996 Enrollment ID: I20100820000491 |
| Provider Name | Cindy B Mccloskey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255488136 PECOS PAC ID: 6002940491 Enrollment ID: I20100820000690 |
| Provider Name | Ashley A Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518100882 PECOS PAC ID: 7517018047 Enrollment ID: I20100827000340 |
| Provider Name | Minu M George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801068234 PECOS PAC ID: 4284759465 Enrollment ID: I20100910000848 |
| Provider Name | Lawrence J Gregg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528054467 PECOS PAC ID: 2062504186 Enrollment ID: I20100922001027 |
| Provider Name | Supriya Koya |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770790289 PECOS PAC ID: 2163614280 Enrollment ID: I20101007001133 |
| Provider Name | Hanumantha Pokala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265634562 PECOS PAC ID: 7517150337 Enrollment ID: I20101025000483 |
| Provider Name | Amy Christina Costner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770537037 PECOS PAC ID: 9931263514 Enrollment ID: I20101028000666 |
| Provider Name | Patricia K Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932426582 PECOS PAC ID: 9234323379 Enrollment ID: I20101102000932 |
| Provider Name | Jason M Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972594471 PECOS PAC ID: 9739238775 Enrollment ID: I20101102000973 |
| Provider Name | Laura M Haws |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679779789 PECOS PAC ID: 2860686615 Enrollment ID: I20101105000217 |
| Provider Name | Michael Thrower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366648859 PECOS PAC ID: 4880889682 Enrollment ID: I20101105000817 |
| Provider Name | Sara B Mcdade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205151974 PECOS PAC ID: 9436344132 Enrollment ID: I20101108000787 |
| Provider Name | Bryon S Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336467430 PECOS PAC ID: 3678766383 Enrollment ID: I20101109000877 |
| Provider Name | Rebecca A Drinkaus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568557148 PECOS PAC ID: 4284829177 Enrollment ID: I20101117001261 |
| Provider Name | Elizabeth C Risch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912211004 PECOS PAC ID: 4587850433 Enrollment ID: I20101118000356 |
| Provider Name | Thomas R Lewis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801935671 PECOS PAC ID: 3577759828 Enrollment ID: I20101129000349 |
| Provider Name | Kevin Wood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447214333 PECOS PAC ID: 0941416689 Enrollment ID: I20101209001431 |
| Provider Name | Melissa A Craft |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346550787 PECOS PAC ID: 3173711033 Enrollment ID: I20101220001113 |
| Provider Name | Ashley A Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386954485 PECOS PAC ID: 3577752492 Enrollment ID: I20110107000605 |
| Provider Name | Aaron B Cates |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467414425 PECOS PAC ID: 4486843190 Enrollment ID: I20110112000162 |
| Provider Name | Bret E Shipley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689621013 PECOS PAC ID: 4789873407 Enrollment ID: I20110112000261 |
| Provider Name | James B Hulin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710142435 PECOS PAC ID: 1153474895 Enrollment ID: I20110113001205 |
| Provider Name | Bart J Borsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407818453 PECOS PAC ID: 6103888458 Enrollment ID: I20110114000119 |
| Provider Name | Bradley J Gawey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396707279 PECOS PAC ID: 6406818756 Enrollment ID: I20110114000159 |
| Provider Name | Rodney A Helton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790747657 PECOS PAC ID: 9436348919 Enrollment ID: I20110114000178 |
| Provider Name | Arek Kurkciyan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609036839 PECOS PAC ID: 4183813694 Enrollment ID: I20110114000570 |
| Provider Name | Troy A Tortorici |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992751796 PECOS PAC ID: 7012979362 Enrollment ID: I20110126000597 |
| Provider Name | Jeremy B Moad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134325608 PECOS PAC ID: 0244411767 Enrollment ID: I20110216000843 |
| Provider Name | Catherine G Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104121060 PECOS PAC ID: 7911188339 Enrollment ID: I20110217000899 |
| Provider Name | Faizah N Bhatti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497967699 PECOS PAC ID: 9830372572 Enrollment ID: I20110317000835 |
| Provider Name | Robin L Olander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417136698 PECOS PAC ID: 7911180898 Enrollment ID: I20110330000896 |
| Provider Name | Sandeep G Prabhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689844797 PECOS PAC ID: 0941483838 Enrollment ID: I20110330000982 |
| Provider Name | Floyd Keith Underhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194792747 PECOS PAC ID: 5991800328 Enrollment ID: I20110401000116 |
| Provider Name | Samer Nakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851591358 PECOS PAC ID: 8729264718 Enrollment ID: I20110509000273 |
| Provider Name | Paula A Deupree |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407901085 PECOS PAC ID: 2860678562 Enrollment ID: I20110513000427 |
| Provider Name | Lara L Limke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720383581 PECOS PAC ID: 8224214606 Enrollment ID: I20110519000460 |
| Provider Name | Joel C Airhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922301431 PECOS PAC ID: 6709062193 Enrollment ID: I20110519000552 |
| Provider Name | Steven R Orwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215044615 PECOS PAC ID: 0345427423 Enrollment ID: I20110527000431 |
| Provider Name | Osman Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942412150 PECOS PAC ID: 7618155284 Enrollment ID: I20110629000871 |
| Provider Name | Christine C Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598896375 PECOS PAC ID: 9638357049 Enrollment ID: I20110706000356 |
| Provider Name | Ghazi M Rayan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1215921630 PECOS PAC ID: 2668650961 Enrollment ID: I20110708000213 |
| Provider Name | Noel J Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184782765 PECOS PAC ID: 2769650431 Enrollment ID: I20110725000156 |
| Provider Name | Robert Welliver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184723132 PECOS PAC ID: 2769432137 Enrollment ID: I20110725000775 |
| Provider Name | Jeanie Tryggestad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255472072 PECOS PAC ID: 1658540802 Enrollment ID: I20110804000709 |
| Provider Name | Jonea Lim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285774331 PECOS PAC ID: 6406025667 Enrollment ID: I20110805000048 |
| Provider Name | Arlen R Foulks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093942542 PECOS PAC ID: 6507036878 Enrollment ID: I20110823000894 |
| Provider Name | Anas Salkini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417913179 PECOS PAC ID: 7517137607 Enrollment ID: I20110829000213 |
| Provider Name | Katherine M Moxley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548308448 PECOS PAC ID: 2961672589 Enrollment ID: I20110908001997 |
| Provider Name | John A Ruth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013177096 PECOS PAC ID: 6709057185 Enrollment ID: I20110914000756 |
| Provider Name | Jennifer C Bradford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396941977 PECOS PAC ID: 0143491423 Enrollment ID: I20110916000224 |
| Provider Name | Mohammad F Madhoun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083754147 PECOS PAC ID: 2062683121 Enrollment ID: I20110921000227 |
| Provider Name | Gary Edward Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932195849 PECOS PAC ID: 3072581305 Enrollment ID: I20110923000427 |
| Provider Name | Trenton D Wallace |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861633539 PECOS PAC ID: 4981875747 Enrollment ID: I20110927000835 |
| Provider Name | Hala Chaaban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235307026 PECOS PAC ID: 2860663580 Enrollment ID: I20110928000757 |
| Provider Name | Keri Conner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528200466 PECOS PAC ID: 7618148388 Enrollment ID: I20110929000455 |
| Provider Name | Houssein Youness |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841331105 PECOS PAC ID: 9537217021 Enrollment ID: I20111004000856 |
| Provider Name | Elizabeth Makil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164684189 PECOS PAC ID: 6204008709 Enrollment ID: I20111005000469 |
| Provider Name | Jacee D Harcourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295014595 PECOS PAC ID: 2860664257 Enrollment ID: I20111006000661 |
| Provider Name | Susan T Redwine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144295775 PECOS PAC ID: 0749385177 Enrollment ID: I20111012000147 |
| Provider Name | Evgeny V Sidorov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417098880 PECOS PAC ID: 5092987818 Enrollment ID: I20111020000060 |
| Provider Name | Pascale Lane |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831136043 PECOS PAC ID: 3173658515 Enrollment ID: I20111026000448 |
| Provider Name | Monika L Stepniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437437886 PECOS PAC ID: 5496928012 Enrollment ID: I20111026000929 |
| Provider Name | Ahsan Y Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346245479 PECOS PAC ID: 4082640354 Enrollment ID: I20111102000303 |
| Provider Name | Aaron Mccoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710952411 PECOS PAC ID: 0648239665 Enrollment ID: I20111102000369 |
| Provider Name | Jennifer E Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609156256 PECOS PAC ID: 2961675152 Enrollment ID: I20111103000642 |
| Provider Name | Quentin Sukut |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902197379 PECOS PAC ID: 3870766918 Enrollment ID: I20111104000381 |
| Provider Name | Joey Lynn Gerhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720302870 PECOS PAC ID: 7517096977 Enrollment ID: I20111107000475 |
| Provider Name | Tara Adams Gerhardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225272891 PECOS PAC ID: 8426103144 Enrollment ID: I20111107000492 |
| Provider Name | Kamilah N Shy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073652087 PECOS PAC ID: 7416121660 Enrollment ID: I20111128000223 |
| Provider Name | Nicholas P Black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780822163 PECOS PAC ID: 6901962547 Enrollment ID: I20120112000184 |
| Provider Name | Tara A Mccants |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013221084 PECOS PAC ID: 1658548938 Enrollment ID: I20120127000481 |
| Provider Name | Angela Workman Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578690004 PECOS PAC ID: 2365609468 Enrollment ID: I20120201000295 |
| Provider Name | Mandy Lynn Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184829137 PECOS PAC ID: 2668632308 Enrollment ID: I20120404000430 |
| Provider Name | Casey M Windrix |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215162979 PECOS PAC ID: 3173785664 Enrollment ID: I20120430000099 |
| Provider Name | Amanda Gomes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407902174 PECOS PAC ID: 9739341249 Enrollment ID: I20120430000342 |
| Provider Name | Kanan Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629275680 PECOS PAC ID: 9931384849 Enrollment ID: I20120503000487 |
| Provider Name | Marcos Gomes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316114291 PECOS PAC ID: 6002079910 Enrollment ID: I20120511000289 |
| Provider Name | Kristy Crutcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174785406 PECOS PAC ID: 6507932068 Enrollment ID: I20120511000506 |
| Provider Name | Eric Vandoorn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558657254 PECOS PAC ID: 5395908040 Enrollment ID: I20120517000091 |
| Provider Name | Michael O Dell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013284397 PECOS PAC ID: 9739342304 Enrollment ID: I20120517000400 |
| Provider Name | Douglas Block |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770856379 PECOS PAC ID: 6406010586 Enrollment ID: I20120621000461 |
| Provider Name | Jaclyn Shaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376825596 PECOS PAC ID: 3476718545 Enrollment ID: I20120625000100 |
| Provider Name | Teresa Kraus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720263296 PECOS PAC ID: 1355506130 Enrollment ID: I20120628000353 |
| Provider Name | Michael Edwin Confer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336346337 PECOS PAC ID: 5698930485 Enrollment ID: I20120628000524 |
| Provider Name | Scott Mcelmeel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437319639 PECOS PAC ID: 6608031265 Enrollment ID: I20120705000019 |
| Provider Name | Emmaculate Mmboga Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790056380 PECOS PAC ID: 8820253198 Enrollment ID: I20120712000116 |
| Provider Name | Faren Renee Tohm |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972861698 PECOS PAC ID: 7810152113 Enrollment ID: I20120712000469 |
| Provider Name | Kenneth Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457491037 PECOS PAC ID: 1456517663 Enrollment ID: I20120716000244 |
| Provider Name | Joseph M Palmeri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619136751 PECOS PAC ID: 5597921726 Enrollment ID: I20120716000530 |
| Provider Name | Justin Boe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205925864 PECOS PAC ID: 5496754988 Enrollment ID: I20120718000755 |
| Provider Name | Stavros Stavrakis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467593152 PECOS PAC ID: 3173789161 Enrollment ID: I20120718000886 |
| Provider Name | Nelson Ivan Agudelo-higuita |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194920074 PECOS PAC ID: 4587820535 Enrollment ID: I20120719000533 |
| Provider Name | Jewel D Montgomery Smay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972723682 PECOS PAC ID: 4587820907 Enrollment ID: I20120730000179 |
| Provider Name | Steven Carter |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134269681 PECOS PAC ID: 5890941082 Enrollment ID: I20120802000697 |
| Provider Name | Bryan Michael Potthoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881829547 PECOS PAC ID: 2668628389 Enrollment ID: I20120813000735 |
| Provider Name | Naila Aziz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538271069 PECOS PAC ID: 9234171901 Enrollment ID: I20120814000652 |
| Provider Name | Wajeeha Abdul Razaq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265619530 PECOS PAC ID: 5092889592 Enrollment ID: I20120814000661 |
| Provider Name | Kaustubh Sagdeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356575500 PECOS PAC ID: 8527214105 Enrollment ID: I20120814000673 |
| Provider Name | Jordan A Stabinski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841495439 PECOS PAC ID: 7214119163 Enrollment ID: I20120816000789 |
| Provider Name | Netsanet Getahun Kassa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275769291 PECOS PAC ID: 6204083611 Enrollment ID: I20120820000900 |
| Provider Name | Gabriela Purcarin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881734283 PECOS PAC ID: 6901053974 Enrollment ID: I20120827000242 |
| Provider Name | Dorothy Rhoades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083837330 PECOS PAC ID: 3274670922 Enrollment ID: I20120914000559 |
| Provider Name | Danielle Demarzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154521722 PECOS PAC ID: 8123276938 Enrollment ID: I20120920000463 |
| Provider Name | John Kimble Frazer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659450120 PECOS PAC ID: 8628001070 Enrollment ID: I20120926000484 |
| Provider Name | Suhair Maqusi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497966337 PECOS PAC ID: 2860641776 Enrollment ID: I20121010000244 |
| Provider Name | Aikaterini Thanou |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316088016 PECOS PAC ID: 2567612203 Enrollment ID: I20121015000714 |
| Provider Name | Mark Doescher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417093527 PECOS PAC ID: 5496845836 Enrollment ID: I20121016000259 |
| Provider Name | Carrie H Yuen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265733240 PECOS PAC ID: 2062458607 Enrollment ID: I20121017000216 |
| Provider Name | Himanshu Bhardwaj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669604450 PECOS PAC ID: 9234380999 Enrollment ID: I20121107000025 |
| Provider Name | Deepti Chrusciel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659562635 PECOS PAC ID: 5991957326 Enrollment ID: I20121212000247 |
| Provider Name | Tarun Dasari |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1265572366 PECOS PAC ID: 7214180728 Enrollment ID: I20130114000018 |
| Provider Name | Thomas Stasko |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1669571097 PECOS PAC ID: 6002879160 Enrollment ID: I20130206000472 |
| Provider Name | Jennifer Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316207392 PECOS PAC ID: 3375797962 Enrollment ID: I20130207000093 |
| Provider Name | Amanda D Bower |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164761961 PECOS PAC ID: 6406092394 Enrollment ID: I20130419000345 |
| Provider Name | Eugene Steinberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316958218 PECOS PAC ID: 6406031764 Enrollment ID: I20130524000449 |
| Provider Name | Jonathan Edward Heinlen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275739856 PECOS PAC ID: 2163688870 Enrollment ID: I20130618000796 |
| Provider Name | Regina George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609110931 PECOS PAC ID: 2567601644 Enrollment ID: I20130621000019 |
| Provider Name | Mary Dianne Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649586033 PECOS PAC ID: 4789826595 Enrollment ID: I20130807000586 |
| Provider Name | Mary Ellen Stockett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477553105 PECOS PAC ID: 0446161921 Enrollment ID: I20130820000272 |
| Provider Name | Alejandro Ruiz-elizalde |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184873820 PECOS PAC ID: 9830331917 Enrollment ID: I20130820000835 |
| Provider Name | Courtney Dawn Ranallo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487863759 PECOS PAC ID: 8325281058 Enrollment ID: I20130828000817 |
| Provider Name | Alexander Raines |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184850539 PECOS PAC ID: 9537302823 Enrollment ID: I20130906000051 |
| Provider Name | James Battiste |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538368881 PECOS PAC ID: 7810167152 Enrollment ID: I20130918000360 |
| Provider Name | Ami Beth Bax |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700082906 PECOS PAC ID: 9739323478 Enrollment ID: I20130918000615 |
| Provider Name | Samera Vaseer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568651859 PECOS PAC ID: 2961592423 Enrollment ID: I20130919000652 |
| Provider Name | Arshid Majeed Mir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164630737 PECOS PAC ID: 3971747486 Enrollment ID: I20130924000567 |
| Provider Name | Abhishek Makkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639377864 PECOS PAC ID: 8224272653 Enrollment ID: I20130924000932 |
| Provider Name | Jason Roe Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386804805 PECOS PAC ID: 9638331358 Enrollment ID: I20131010001176 |
| Provider Name | Jennifer L Kolbensvik |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194169532 PECOS PAC ID: 7315171907 Enrollment ID: I20131015000887 |
| Provider Name | Michael Cookson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528142635 PECOS PAC ID: 7810025780 Enrollment ID: I20131016000034 |
| Provider Name | Amy Middleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063592475 PECOS PAC ID: 9638303050 Enrollment ID: I20131017001154 |
| Provider Name | Hillary S Lawrence |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528097904 PECOS PAC ID: 6204080690 Enrollment ID: I20131021001487 |
| Provider Name | Charles Lawrence |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336176973 PECOS PAC ID: 9032255971 Enrollment ID: I20131022001831 |
| Provider Name | Kofi Vandyck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932302684 PECOS PAC ID: 0143462846 Enrollment ID: I20131023000449 |
| Provider Name | Catherine A Bolton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902031990 PECOS PAC ID: 0042456691 Enrollment ID: I20131030001531 |
| Provider Name | Monica Teodora Marin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902125974 PECOS PAC ID: 7416182381 Enrollment ID: I20131030001576 |
| Provider Name | Jeremy David Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043647423 PECOS PAC ID: 8921233735 Enrollment ID: I20131104000776 |
| Provider Name | Traci Bartley Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306185087 PECOS PAC ID: 0648406702 Enrollment ID: I20131119001252 |
| Provider Name | Juliane Chainakul |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942541107 PECOS PAC ID: 9739315367 Enrollment ID: I20131203002082 |
| Provider Name | Harold Burkhart |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477546679 PECOS PAC ID: 6204850126 Enrollment ID: I20131214000206 |
| Provider Name | Anna Critser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720413891 PECOS PAC ID: 6901033976 Enrollment ID: I20131219000030 |
| Provider Name | Chevonne L Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497181192 PECOS PAC ID: 0446488811 Enrollment ID: I20140109000718 |
| Provider Name | Javey Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629308408 PECOS PAC ID: 5395973721 Enrollment ID: I20140110000911 |
| Provider Name | M. Bard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336224054 PECOS PAC ID: 0345478616 Enrollment ID: I20140113000477 |
| Provider Name | Tara Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043394844 PECOS PAC ID: 5496983546 Enrollment ID: I20140116001535 |
| Provider Name | Cherie Herren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205977055 PECOS PAC ID: 4486882230 Enrollment ID: I20140124000772 |
| Provider Name | Shawn Cochrane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134361603 PECOS PAC ID: 0648409805 Enrollment ID: I20140210001386 |
| Provider Name | John Linck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083878748 PECOS PAC ID: 7214167915 Enrollment ID: I20140225001118 |
| Provider Name | Bhavi B Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437596442 PECOS PAC ID: 2860623261 Enrollment ID: I20140328000384 |
| Provider Name | Britta Ostermeyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376652214 PECOS PAC ID: 4587642145 Enrollment ID: I20140519000340 |
| Provider Name | Monica S Sagdeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184919946 PECOS PAC ID: 6103049739 Enrollment ID: I20140528001928 |
| Provider Name | Stella Omogbehin Imose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801213087 PECOS PAC ID: 0648494856 Enrollment ID: I20140609002341 |
| Provider Name | Erin E Salsman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770901373 PECOS PAC ID: 3971727876 Enrollment ID: I20140616002216 |
| Provider Name | Ryan Ericksen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891958104 PECOS PAC ID: 9133343809 Enrollment ID: I20140619001622 |
| Provider Name | Christina Annette Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326332479 PECOS PAC ID: 6406071547 Enrollment ID: I20140707000331 |
| Provider Name | David M Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417112442 PECOS PAC ID: 2769664861 Enrollment ID: I20140707000546 |
| Provider Name | Humaira Abid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811157829 PECOS PAC ID: 6800011867 Enrollment ID: I20140707001186 |
| Provider Name | William Vanlandingham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174798821 PECOS PAC ID: 0244455905 Enrollment ID: I20140714001191 |
| Provider Name | Jami Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205256005 PECOS PAC ID: 4789809385 Enrollment ID: I20140715000386 |
| Provider Name | Elizabeth Hile |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497069090 PECOS PAC ID: 2769608900 Enrollment ID: I20140724002074 |
| Provider Name | Jeremy D Haney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235459405 PECOS PAC ID: 8224254073 Enrollment ID: I20140731000331 |
| Provider Name | Susanna Ulahannan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1033369988 PECOS PAC ID: 0941427157 Enrollment ID: I20140812002108 |
| Provider Name | Benjamin Cornwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861655573 PECOS PAC ID: 6103043286 Enrollment ID: I20140813002016 |
| Provider Name | David Chong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558564542 PECOS PAC ID: 4486881968 Enrollment ID: I20140827001074 |
| Provider Name | Tess N Hanner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508158841 PECOS PAC ID: 5193943348 Enrollment ID: I20140829000408 |
| Provider Name | Sarah M Shelton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992960918 PECOS PAC ID: 8325267875 Enrollment ID: I20140915001630 |
| Provider Name | John C Kaufman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588954895 PECOS PAC ID: 7618117623 Enrollment ID: I20140918002281 |
| Provider Name | Yuri C Lansinger |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1295901692 PECOS PAC ID: 5597928895 Enrollment ID: I20140924000924 |
| Provider Name | Lauren Sparks |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467687947 PECOS PAC ID: 0446470322 Enrollment ID: I20140926000813 |
| Provider Name | Jennifer Hinkle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003057670 PECOS PAC ID: 6002967429 Enrollment ID: I20140929000153 |
| Provider Name | Whitney Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164842514 PECOS PAC ID: 8123248457 Enrollment ID: I20141008000906 |
| Provider Name | Bansi Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954503 PECOS PAC ID: 1254551526 Enrollment ID: I20141008002304 |
| Provider Name | Marjorie Makoni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619131687 PECOS PAC ID: 8224259874 Enrollment ID: I20141023000558 |
| Provider Name | Heather N Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699903062 PECOS PAC ID: 6901058759 Enrollment ID: I20141023001888 |
| Provider Name | Mohamad Khawandanah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982867693 PECOS PAC ID: 0143441774 Enrollment ID: I20141024001000 |
| Provider Name | Rachna May |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659548972 PECOS PAC ID: 4385812783 Enrollment ID: I20141029002644 |
| Provider Name | Santaram Vallurupalli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447412788 PECOS PAC ID: 5890938021 Enrollment ID: I20141110001893 |
| Provider Name | Rishi Thakral |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033476809 PECOS PAC ID: 9638391576 Enrollment ID: I20141110002015 |
| Provider Name | Adam Asch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154434405 PECOS PAC ID: 2466454665 Enrollment ID: I20141112000553 |
| Provider Name | Ryan Blucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720302003 PECOS PAC ID: 6305068149 Enrollment ID: I20141112000984 |
| Provider Name | Erin Marburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285049916 PECOS PAC ID: 5991927733 Enrollment ID: I20141112001143 |
| Provider Name | Jo Elle Grace Peterson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881830438 PECOS PAC ID: 6204058845 Enrollment ID: I20141114000495 |
| Provider Name | Kelly A Curran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114199130 PECOS PAC ID: 9032373485 Enrollment ID: I20141121000142 |
| Provider Name | Brandi Fink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215339544 PECOS PAC ID: 4587986732 Enrollment ID: I20141125002024 |
| Provider Name | Jenny Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144566514 PECOS PAC ID: 0446572580 Enrollment ID: I20141201001339 |
| Provider Name | Juliana Alexandra Mcclain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740575505 PECOS PAC ID: 2769704824 Enrollment ID: I20141201001911 |
| Provider Name | Kelly Stratton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154525640 PECOS PAC ID: 1951544592 Enrollment ID: I20141201001975 |
| Provider Name | Larissa Nicole Hines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659666238 PECOS PAC ID: 9133441090 Enrollment ID: I20141203001338 |
| Provider Name | Christopher L Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194019232 PECOS PAC ID: 9133441066 Enrollment ID: I20141204000957 |
| Provider Name | Jennifer L West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568779312 PECOS PAC ID: 2860714573 Enrollment ID: I20141209000683 |
| Provider Name | Raid Aljumaily |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275702417 PECOS PAC ID: 0345411229 Enrollment ID: I20141230001166 |
| Provider Name | Ryan Peacock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295138592 PECOS PAC ID: 5597089565 Enrollment ID: I20150122000374 |
| Provider Name | Kimberly Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396172102 PECOS PAC ID: 8022333475 Enrollment ID: I20150206001293 |
| Provider Name | Kimberly Anne Abernathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356758817 PECOS PAC ID: 2163747353 Enrollment ID: I20150210002095 |
| Provider Name | James Richard Eiszner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962611327 PECOS PAC ID: 7719132950 Enrollment ID: I20150212001196 |
| Provider Name | Michael Daniel Figueiredo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003159690 PECOS PAC ID: 8123344793 Enrollment ID: I20150226001609 |
| Provider Name | Erica L Buel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669880761 PECOS PAC ID: 0749506012 Enrollment ID: I20150304000021 |
| Provider Name | Robert Katz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538175286 PECOS PAC ID: 5092812024 Enrollment ID: I20150306001872 |
| Provider Name | Rebecca Marie Tripp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205236767 PECOS PAC ID: 1052637089 Enrollment ID: I20150310000291 |
| Provider Name | Kaely Jackson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477943652 PECOS PAC ID: 8022335827 Enrollment ID: I20150316000515 |
| Provider Name | Amy Pearcy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831599653 PECOS PAC ID: 2769709203 Enrollment ID: I20150323001115 |
| Provider Name | James Trina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053736173 PECOS PAC ID: 9133446537 Enrollment ID: I20150324001267 |
| Provider Name | Emily Braly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760615439 PECOS PAC ID: 1052592995 Enrollment ID: I20150409000171 |
| Provider Name | Angela Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659604882 PECOS PAC ID: 2668790239 Enrollment ID: I20150410000276 |
| Provider Name | Bradden R Pyron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447363338 PECOS PAC ID: 5597903666 Enrollment ID: I20150416000888 |
| Provider Name | Douglas Rowles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629041801 PECOS PAC ID: 7214901685 Enrollment ID: I20150421000442 |
| Provider Name | Shiedeh Khodadadian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972882934 PECOS PAC ID: 0941529739 Enrollment ID: I20150429000286 |
| Provider Name | Brian Christopher Seacat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750675146 PECOS PAC ID: 7113247503 Enrollment ID: I20150527000720 |
| Provider Name | Matthew Fenton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952790735 PECOS PAC ID: 2567782899 Enrollment ID: I20150527002508 |
| Provider Name | Shawn Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972860617 PECOS PAC ID: 0244551828 Enrollment ID: I20150608002192 |
| Provider Name | Heather Burks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629238779 PECOS PAC ID: 9436460300 Enrollment ID: I20150618001187 |
| Provider Name | Sarah B Mercer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205093952 PECOS PAC ID: 0143492686 Enrollment ID: I20150619001492 |
| Provider Name | Emenike Uba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316298979 PECOS PAC ID: 0143531756 Enrollment ID: I20150624000502 |
| Provider Name | David P Sparling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588807879 PECOS PAC ID: 9133430580 Enrollment ID: I20150625002100 |
| Provider Name | Brian Wesley Cross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891954095 PECOS PAC ID: 5890934566 Enrollment ID: I20150629000943 |
| Provider Name | Bryan Billings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063772853 PECOS PAC ID: 6709105281 Enrollment ID: I20150702000857 |
| Provider Name | Alisa Cross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558549634 PECOS PAC ID: 2365620242 Enrollment ID: I20150708001065 |
| Provider Name | Deana Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710366471 PECOS PAC ID: 8527371053 Enrollment ID: I20150713002529 |
| Provider Name | Catherine M Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083741847 PECOS PAC ID: 5890747109 Enrollment ID: I20150713002588 |
| Provider Name | Ryan Butchee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730440413 PECOS PAC ID: 9335452895 Enrollment ID: I20150714000313 |
| Provider Name | Christopher B Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083902225 PECOS PAC ID: 3779896055 Enrollment ID: I20150715001296 |
| Provider Name | Jason Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447643275 PECOS PAC ID: 1456665694 Enrollment ID: I20150803000365 |
| Provider Name | Amgad Mohammed Haleem Amin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679861389 PECOS PAC ID: 8729392683 Enrollment ID: I20150805008434 |
| Provider Name | Randall Schwartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861422628 PECOS PAC ID: 7719980150 Enrollment ID: I20150805008698 |
| Provider Name | James Gregory |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912132390 PECOS PAC ID: 9931326824 Enrollment ID: I20150805009450 |
| Provider Name | Birju Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174894919 PECOS PAC ID: 2769635648 Enrollment ID: I20150806010821 |
| Provider Name | Ryan Mckee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083843577 PECOS PAC ID: 5395059125 Enrollment ID: I20150806011176 |
| Provider Name | Jordan W Abbott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750777348 PECOS PAC ID: 5991010647 Enrollment ID: I20150811003520 |
| Provider Name | James Reinersman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568698108 PECOS PAC ID: 4183871197 Enrollment ID: I20150814014258 |
| Provider Name | Talla Rousan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497915672 PECOS PAC ID: 7315252202 Enrollment ID: I20150821012912 |
| Provider Name | Cassandra Duncan-azadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164740783 PECOS PAC ID: 8224275763 Enrollment ID: I20150822014922 |
| Provider Name | Sanjay G Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093959785 PECOS PAC ID: 4789816521 Enrollment ID: I20150831001351 |
| Provider Name | Nita Mason |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285918599 PECOS PAC ID: 5799092482 Enrollment ID: I20150912000019 |
| Provider Name | Laura Holman |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790943314 PECOS PAC ID: 6800038266 Enrollment ID: I20150912000058 |
| Provider Name | Hassan Hatoum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902137540 PECOS PAC ID: 5991012924 Enrollment ID: I20150923001525 |
| Provider Name | Elizabeth Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801152368 PECOS PAC ID: 8022326651 Enrollment ID: I20151001001471 |
| Provider Name | Dreylana Shatori Hill Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871936906 PECOS PAC ID: 7911229281 Enrollment ID: I20151001001711 |
| Provider Name | Brenda Green |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649674698 PECOS PAC ID: 0941518344 Enrollment ID: I20151005002538 |
| Provider Name | Micah Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811275241 PECOS PAC ID: 7618285958 Enrollment ID: I20151006001331 |
| Provider Name | Kacy Lynn Aderhold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962887653 PECOS PAC ID: 7113236043 Enrollment ID: I20151015002190 |
| Provider Name | Tony Farid Abdo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841555935 PECOS PAC ID: 6608015375 Enrollment ID: I20151103001431 |
| Provider Name | Andria Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598059701 PECOS PAC ID: 5193948388 Enrollment ID: I20151113001801 |
| Provider Name | Brittany L Hyde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093190597 PECOS PAC ID: 9739499047 Enrollment ID: I20151116002650 |
| Provider Name | Dorsa Ahlefeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427246008 PECOS PAC ID: 6305146440 Enrollment ID: I20151123000554 |
| Provider Name | Namali T Pierson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346561495 PECOS PAC ID: 7618278870 Enrollment ID: I20151214001370 |
| Provider Name | Aneesh Pakala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275797987 PECOS PAC ID: 1052612116 Enrollment ID: I20151214001792 |
| Provider Name | Rachel Lorraine Neuhold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740652528 PECOS PAC ID: 6901107697 Enrollment ID: I20151222002725 |
| Provider Name | Gwendolyn Neel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750608592 PECOS PAC ID: 1456570019 Enrollment ID: I20151228001328 |
| Provider Name | Rebecca Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386893907 PECOS PAC ID: 7517011869 Enrollment ID: I20160105002782 |
| Provider Name | Nicole Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386812949 PECOS PAC ID: 4789986670 Enrollment ID: I20160108002441 |
| Provider Name | Irina Baranskaya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346555919 PECOS PAC ID: 2668774290 Enrollment ID: I20160113001725 |
| Provider Name | Brian Alan Chenoweth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558623934 PECOS PAC ID: 8426358946 Enrollment ID: I20160128000697 |
| Provider Name | Jessica Holster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790046274 PECOS PAC ID: 7618290560 Enrollment ID: I20160205000934 |
| Provider Name | Juliet Laine Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588020150 PECOS PAC ID: 2668776964 Enrollment ID: I20160208000151 |
| Provider Name | Emily Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275909822 PECOS PAC ID: 4981908910 Enrollment ID: I20160211000179 |
| Provider Name | Deborah Jamison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609232107 PECOS PAC ID: 0143526038 Enrollment ID: I20160302000936 |
| Provider Name | Rodney K Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932145117 PECOS PAC ID: 6002911344 Enrollment ID: I20160304001187 |
| Provider Name | Sabrina N Wyatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376623603 PECOS PAC ID: 2365517521 Enrollment ID: I20160307000536 |
| Provider Name | Audrey W Gauthe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093172975 PECOS PAC ID: 2062718778 Enrollment ID: I20160307001358 |
| Provider Name | Leslie Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487019659 PECOS PAC ID: 8325344583 Enrollment ID: I20160315000209 |
| Provider Name | Patrick Wallace Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194053199 PECOS PAC ID: 3870634496 Enrollment ID: I20160318001238 |
| Provider Name | Laura J Adhikari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780848697 PECOS PAC ID: 9739235334 Enrollment ID: I20160324000588 |
| Provider Name | Jessica Dyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679931836 PECOS PAC ID: 6800194515 Enrollment ID: I20160413001825 |
| Provider Name | Yan Xiong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831451210 PECOS PAC ID: 8729201629 Enrollment ID: I20160414000716 |
| Provider Name | Carlee Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609246644 PECOS PAC ID: 9335447598 Enrollment ID: I20160421000741 |
| Provider Name | Andrew J Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902185077 PECOS PAC ID: 1951628619 Enrollment ID: I20160421002415 |
| Provider Name | Hanh Henry Tran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679868251 PECOS PAC ID: 4385934421 Enrollment ID: I20160602001108 |
| Provider Name | Jared Cordell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427369545 PECOS PAC ID: 2365732914 Enrollment ID: I20160609001776 |
| Provider Name | Sirish Palle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962717785 PECOS PAC ID: 5597900076 Enrollment ID: I20160610000557 |
| Provider Name | Marta Maxted |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356602080 PECOS PAC ID: 0941509954 Enrollment ID: I20160621001289 |
| Provider Name | Joseph Mcguigan Sisk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659670958 PECOS PAC ID: 0840506176 Enrollment ID: I20160622000289 |
| Provider Name | Matlock A Jeffries |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033439146 PECOS PAC ID: 9032400916 Enrollment ID: I20160623001556 |
| Provider Name | Jennifer Marie Holeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376804781 PECOS PAC ID: 2567753353 Enrollment ID: I20160627000566 |
| Provider Name | Jad Kebbe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487968418 PECOS PAC ID: 4880985472 Enrollment ID: I20160629001851 |
| Provider Name | Christopher Shawn Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295192672 PECOS PAC ID: 6800188673 Enrollment ID: I20160714002166 |
| Provider Name | Matthew Kallenberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427493436 PECOS PAC ID: 0244522910 Enrollment ID: I20160718000804 |
| Provider Name | Jeremy J Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700046737 PECOS PAC ID: 0840583522 Enrollment ID: I20160719001846 |
| Provider Name | Amanda Page |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528403490 PECOS PAC ID: 4284927963 Enrollment ID: I20160719001907 |
| Provider Name | Kevin Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396007779 PECOS PAC ID: 8325337884 Enrollment ID: I20160720000139 |
| Provider Name | Victoria Elwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245525617 PECOS PAC ID: 8022266774 Enrollment ID: I20160720000472 |
| Provider Name | Kibwei Mckinney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447411921 PECOS PAC ID: 1658686100 Enrollment ID: I20160721001820 |
| Provider Name | Federico Silva Palacios |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1881913895 PECOS PAC ID: 4587967690 Enrollment ID: I20160728000895 |
| Provider Name | John Cloud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902274749 PECOS PAC ID: 5496048209 Enrollment ID: I20160801000628 |
| Provider Name | Montu Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205152113 PECOS PAC ID: 2466746276 Enrollment ID: I20160802001160 |
| Provider Name | Lee Jennings |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679733125 PECOS PAC ID: 2163571399 Enrollment ID: I20160802002007 |
| Provider Name | Daniel R Dorton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013323815 PECOS PAC ID: 0648560128 Enrollment ID: I20160826000301 |
| Provider Name | Dena Shibib |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982924437 PECOS PAC ID: 3577866714 Enrollment ID: I20160826000415 |
| Provider Name | Sagila George |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922328145 PECOS PAC ID: 9830485036 Enrollment ID: I20160915000109 |
| Provider Name | Angela J Sateren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609236694 PECOS PAC ID: 6608163704 Enrollment ID: I20160916001258 |
| Provider Name | Brandy Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083064802 PECOS PAC ID: 8921395989 Enrollment ID: I20160920001176 |
| Provider Name | Laura Fischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396063392 PECOS PAC ID: 7012140544 Enrollment ID: I20161005001406 |
| Provider Name | Jill Enevoldsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225489008 PECOS PAC ID: 1759679665 Enrollment ID: I20161010000704 |
| Provider Name | Lacy Harville |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871577239 PECOS PAC ID: 4587722186 Enrollment ID: I20161019001218 |
| Provider Name | Alexandria Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972949238 PECOS PAC ID: 1759669856 Enrollment ID: I20161025000368 |
| Provider Name | Amanda Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699127050 PECOS PAC ID: 0941588388 Enrollment ID: I20161105000069 |
| Provider Name | Ashley Marie Gallup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407205347 PECOS PAC ID: 0749569960 Enrollment ID: I20161110002216 |
| Provider Name | Magesh Sathaiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285996157 PECOS PAC ID: 6800105412 Enrollment ID: I20161114001897 |
| Provider Name | Carmen Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972822732 PECOS PAC ID: 0244519270 Enrollment ID: I20161116000158 |
| Provider Name | Donna L Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326238 PECOS PAC ID: 7315227816 Enrollment ID: I20161129000502 |
| Provider Name | Jennifer L Hinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619366 PECOS PAC ID: 8224318589 Enrollment ID: I20161205000298 |
| Provider Name | Libu Kurian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043661242 PECOS PAC ID: 9133409758 Enrollment ID: I20161216001007 |
| Provider Name | Jonathan Hart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508236787 PECOS PAC ID: 4789965864 Enrollment ID: I20170104000153 |
| Provider Name | Deborah Wright |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639624612 PECOS PAC ID: 8325320021 Enrollment ID: I20170112001422 |
| Provider Name | Melissa Sue Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193910 PECOS PAC ID: 9234435421 Enrollment ID: I20170120002281 |
| Provider Name | Madeline Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790230985 PECOS PAC ID: 2668754888 Enrollment ID: I20170124001920 |
| Provider Name | Amy Dawn Maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093268278 PECOS PAC ID: 4981986098 Enrollment ID: I20170126000086 |
| Provider Name | Suanne Daves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629153721 PECOS PAC ID: 1759342462 Enrollment ID: I20170130001797 |
| Provider Name | Tracy Mast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710362538 PECOS PAC ID: 6800179524 Enrollment ID: I20170203000295 |
| Provider Name | Erika Lee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164616017 PECOS PAC ID: 7214210863 Enrollment ID: I20170207000022 |
| Provider Name | Katherine Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245227487 PECOS PAC ID: 8628097292 Enrollment ID: I20170210001255 |
| Provider Name | Halea Plumlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861939225 PECOS PAC ID: 4587948138 Enrollment ID: I20170228000989 |
| Provider Name | Jarad I Levin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407177538 PECOS PAC ID: 1951539154 Enrollment ID: I20170308001299 |
| Provider Name | Crystal Vicars |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881933869 PECOS PAC ID: 0547407553 Enrollment ID: I20170310000084 |
| Provider Name | Kristin Rebik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932408275 PECOS PAC ID: 7719286269 Enrollment ID: I20170327000446 |
| Provider Name | Shandy Rae Gosnell Stotler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588100408 PECOS PAC ID: 4486939824 Enrollment ID: I20170327000698 |
| Provider Name | Jennifer Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063951739 PECOS PAC ID: 9032494430 Enrollment ID: I20170328000129 |
| Provider Name | Phuong Elizabeth Ngo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710112297 PECOS PAC ID: 4880859321 Enrollment ID: I20170406002623 |
| Provider Name | Penelope C Holloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265986079 PECOS PAC ID: 6002192705 Enrollment ID: I20170412001079 |
| Provider Name | Lori Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043742364 PECOS PAC ID: 2264719400 Enrollment ID: I20170426000614 |
| Provider Name | Daniel Heyanka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588098545 PECOS PAC ID: 7214214295 Enrollment ID: I20170428001144 |
| Provider Name | Christine Vo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417391202 PECOS PAC ID: 2961789904 Enrollment ID: I20170501001129 |
| Provider Name | Joshy Shabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083150387 PECOS PAC ID: 3476830092 Enrollment ID: I20170509002675 |
| Provider Name | Amy E Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104059096 PECOS PAC ID: 4183889769 Enrollment ID: I20170517002992 |
| Provider Name | Christopher Czapla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235573635 PECOS PAC ID: 9537467030 Enrollment ID: I20170518000127 |
| Provider Name | Ashish Nagpal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598022105 PECOS PAC ID: 6406123694 Enrollment ID: I20170518000388 |
| Provider Name | Daniel Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457633588 PECOS PAC ID: 2961779194 Enrollment ID: I20170518002029 |
| Provider Name | Brian Lich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841635307 PECOS PAC ID: 3072737238 Enrollment ID: I20170518002448 |
| Provider Name | Blake Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871811794 PECOS PAC ID: 4385880038 Enrollment ID: I20170519001909 |
| Provider Name | Farooq Choudhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073804514 PECOS PAC ID: 5294987087 Enrollment ID: I20170609000855 |
| Provider Name | Shauna Lawlis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144517103 PECOS PAC ID: 7012285554 Enrollment ID: I20170624000009 |
| Provider Name | Edgar Leclaire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922149426 PECOS PAC ID: 8820215007 Enrollment ID: I20170627000989 |
| Provider Name | Christina Henson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144580853 PECOS PAC ID: 6901197474 Enrollment ID: I20170627001563 |
| Provider Name | Mathew J Johnstone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518327089 PECOS PAC ID: 9537438999 Enrollment ID: I20170629000121 |
| Provider Name | Vamsikrishna Kaliki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689093577 PECOS PAC ID: 5799004446 Enrollment ID: I20170706000220 |
| Provider Name | Jennifer Dimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871021352 PECOS PAC ID: 4587933221 Enrollment ID: I20170712000217 |
| Provider Name | Richard Atkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346582657 PECOS PAC ID: 1557630209 Enrollment ID: I20170712000423 |
| Provider Name | Jessy John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659829539 PECOS PAC ID: 3375813959 Enrollment ID: I20170714002730 |
| Provider Name | Jenny Lamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184014722 PECOS PAC ID: 2365712437 Enrollment ID: I20170721002241 |
| Provider Name | Jonathan David Meyer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164716874 PECOS PAC ID: 0840510871 Enrollment ID: I20170727002467 |
| Provider Name | Robert Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154617371 PECOS PAC ID: 6709033400 Enrollment ID: I20170801000930 |
| Provider Name | Ryan Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922238294 PECOS PAC ID: 8022258169 Enrollment ID: I20170802002628 |
| Provider Name | Nathan Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174884662 PECOS PAC ID: 3173894532 Enrollment ID: I20170802002864 |
| Provider Name | Andrea L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356756860 PECOS PAC ID: 8224357702 Enrollment ID: I20170805000160 |
| Provider Name | Sarah Sung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285929224 PECOS PAC ID: 9830485259 Enrollment ID: I20170811000390 |
| Provider Name | Fahd Sultan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740524719 PECOS PAC ID: 2668786914 Enrollment ID: I20170811001553 |
| Provider Name | Abhishek Tripathi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1568750032 PECOS PAC ID: 0143452128 Enrollment ID: I20170818000997 |
| Provider Name | Frederico Vieira |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477849248 PECOS PAC ID: 4688970700 Enrollment ID: I20170824003090 |
| Provider Name | Jennifer Freeman-jobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013437227 PECOS PAC ID: 1658643614 Enrollment ID: I20170825001128 |
| Provider Name | Stefanie Bryant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053637603 PECOS PAC ID: 2860612777 Enrollment ID: I20170828003268 |
| Provider Name | Emily A Lamirand Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023549664 PECOS PAC ID: 4486927142 Enrollment ID: I20170831003177 |
| Provider Name | Lincy Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487174819 PECOS PAC ID: 7719250232 Enrollment ID: I20170906000360 |
| Provider Name | Kristina Booth |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1093009011 PECOS PAC ID: 9638472236 Enrollment ID: I20170914002238 |
| Provider Name | Lindsey Collins |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316200413 PECOS PAC ID: 4284932096 Enrollment ID: I20170927001622 |
| Provider Name | Cerissa Kalani Key |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952630261 PECOS PAC ID: 5698049724 Enrollment ID: I20170927004035 |
| Provider Name | Amanda Celii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073822847 PECOS PAC ID: 1355655010 Enrollment ID: I20171002001566 |
| Provider Name | Geneva Hirshburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154764892 PECOS PAC ID: 5799050753 Enrollment ID: I20171002002537 |
| Provider Name | Theresa Bach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538682463 PECOS PAC ID: 0648545558 Enrollment ID: I20171003005662 |
| Provider Name | Shanty Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366962300 PECOS PAC ID: 9335414077 Enrollment ID: I20171006000174 |
| Provider Name | Demvihin Ihyembe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023304490 PECOS PAC ID: 6901171537 Enrollment ID: I20171009001513 |
| Provider Name | Marlene Beaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972025419 PECOS PAC ID: 9931475076 Enrollment ID: I20171018000289 |
| Provider Name | Debra L Richardson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1992784987 PECOS PAC ID: 2567485501 Enrollment ID: I20171027000952 |
| Provider Name | Elisabeth Ann Okroi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356865414 PECOS PAC ID: 8628344934 Enrollment ID: I20171031002148 |
| Provider Name | Jordon Leigh Kliewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770006090 PECOS PAC ID: 1254697410 Enrollment ID: I20171106000428 |
| Provider Name | Sarah K Minor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215991435 PECOS PAC ID: 5496724197 Enrollment ID: I20171109000885 |
| Provider Name | Lauren Chelsea Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982139440 PECOS PAC ID: 0244596963 Enrollment ID: I20171114001426 |
| Provider Name | Abhijeet Pal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033459599 PECOS PAC ID: 8527325984 Enrollment ID: I20171121000144 |
| Provider Name | Asha Ajesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326581034 PECOS PAC ID: 3072870450 Enrollment ID: I20171121000749 |
| Provider Name | Christopher Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255855110 PECOS PAC ID: 4284991514 Enrollment ID: I20171122000070 |
| Provider Name | Christina K Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891007464 PECOS PAC ID: 1557502697 Enrollment ID: I20171128000479 |
| Provider Name | Donna Lynn Tyungu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083930960 PECOS PAC ID: 3870726086 Enrollment ID: I20171128003340 |
| Provider Name | Barish Halil Edil |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1568498855 PECOS PAC ID: 8729081823 Enrollment ID: I20171128003575 |
| Provider Name | Arpan Sinha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720355928 PECOS PAC ID: 1759648702 Enrollment ID: I20171129000427 |
| Provider Name | Tracye Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023537644 PECOS PAC ID: 6507123494 Enrollment ID: I20171201000066 |
| Provider Name | Lindsey Dena' Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604836 PECOS PAC ID: 7012274863 Enrollment ID: I20171202000076 |
| Provider Name | Tam M Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962645119 PECOS PAC ID: 4688839350 Enrollment ID: I20171208000269 |
| Provider Name | Afsaneh Faramarzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654116 PECOS PAC ID: 8729346036 Enrollment ID: I20171214001110 |
| Provider Name | Breanna J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033645007 PECOS PAC ID: 4880952886 Enrollment ID: I20171221000383 |
| Provider Name | Shannon Marie Haenel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811124365 PECOS PAC ID: 9032373451 Enrollment ID: I20171228002261 |
| Provider Name | Tracy Jo Goebel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205090032 PECOS PAC ID: 5193084085 Enrollment ID: I20180123001206 |
| Provider Name | Amanda Parsons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457638298 PECOS PAC ID: 8426318932 Enrollment ID: I20180201000862 |
| Provider Name | Alexandra Lich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932460623 PECOS PAC ID: 2860752318 Enrollment ID: I20180201002199 |
| Provider Name | Nissy Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689020067 PECOS PAC ID: 5294095659 Enrollment ID: I20180202000206 |
| Provider Name | Stephanie Nicole Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932610383 PECOS PAC ID: 3375803315 Enrollment ID: I20180212001720 |
| Provider Name | Carley Shea Hake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700397460 PECOS PAC ID: 0749540730 Enrollment ID: I20180213001148 |
| Provider Name | Jeanne Tung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851371223 PECOS PAC ID: 8325002033 Enrollment ID: I20180215001842 |
| Provider Name | Rachel Funk-lawler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770956781 PECOS PAC ID: 8527329218 Enrollment ID: I20180220001713 |
| Provider Name | Rhonda Jean Coleman-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881948131 PECOS PAC ID: 9830335546 Enrollment ID: I20180327003126 |
| Provider Name | Lisa M Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346753456 PECOS PAC ID: 8325301328 Enrollment ID: I20180404000483 |
| Provider Name | Shauntae Antwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295247963 PECOS PAC ID: 2668735564 Enrollment ID: I20180405002205 |
| Provider Name | Kaitlyn Knedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702634 PECOS PAC ID: 2860756830 Enrollment ID: I20180430001191 |
| Provider Name | Jennifer Jayne Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265933725 PECOS PAC ID: 1355605239 Enrollment ID: I20180430001849 |
| Provider Name | Hugh Christopher Gardner Nadeau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710320627 PECOS PAC ID: 7517107386 Enrollment ID: I20180503001168 |
| Provider Name | Angela Marie Yuras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790002434 PECOS PAC ID: 3274715487 Enrollment ID: I20180510000652 |
| Provider Name | Rodrick Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578982260 PECOS PAC ID: 5991022287 Enrollment ID: I20180514001252 |
| Provider Name | Charles M Fofang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093225989 PECOS PAC ID: 0042574303 Enrollment ID: I20180514002493 |
| Provider Name | Kathryn Maria Jeter Welch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588188072 PECOS PAC ID: 1052675238 Enrollment ID: I20180516001785 |
| Provider Name | Carissa Declerck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922678 PECOS PAC ID: 6709141732 Enrollment ID: I20180523000066 |
| Provider Name | Khairuddin Memon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699037689 PECOS PAC ID: 8921363227 Enrollment ID: I20180606003069 |
| Provider Name | Chee Yoon Shim Bauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417392986 PECOS PAC ID: 0840518650 Enrollment ID: I20180607001582 |
| Provider Name | Kathryn R Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326467978 PECOS PAC ID: 9133425861 Enrollment ID: I20180614002184 |
| Provider Name | Adam Joseph Rensing |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811283849 PECOS PAC ID: 7618106964 Enrollment ID: I20180619003234 |
| Provider Name | Bhalaajee Meenakshi-sundaram |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477847374 PECOS PAC ID: 3577862010 Enrollment ID: I20180620003130 |
| Provider Name | Lisa Moon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801157532 PECOS PAC ID: 0840599866 Enrollment ID: I20180625003593 |
| Provider Name | Raina Don Leckie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497200737 PECOS PAC ID: 7719265990 Enrollment ID: I20180626001927 |
| Provider Name | Stefani Madison |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528328317 PECOS PAC ID: 4587952080 Enrollment ID: I20180626002773 |
| Provider Name | Shashank Siddhalingappa Shettar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104171412 PECOS PAC ID: 5193023299 Enrollment ID: I20180627001621 |
| Provider Name | Kathryn Ellen Klump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285013631 PECOS PAC ID: 6507172699 Enrollment ID: I20180627001943 |
| Provider Name | Julie St John Mahaney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841679701 PECOS PAC ID: 5890002711 Enrollment ID: I20180703002125 |
| Provider Name | Jack C Borders |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306800404 PECOS PAC ID: 4183652167 Enrollment ID: I20180706000113 |
| Provider Name | Chad Glenn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356662415 PECOS PAC ID: 7618240565 Enrollment ID: I20180710002288 |
| Provider Name | Ajay Prabhakar Nadig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831577238 PECOS PAC ID: 3173825692 Enrollment ID: I20180712000709 |
| Provider Name | Salim Daouk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740544006 PECOS PAC ID: 3971810532 Enrollment ID: I20180713000361 |
| Provider Name | Nidhiben Ashvinbhai Anadani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982045571 PECOS PAC ID: 8527314079 Enrollment ID: I20180713000500 |
| Provider Name | Hussein Bitar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548525645 PECOS PAC ID: 3678793353 Enrollment ID: I20180716002537 |
| Provider Name | Sami Ibrahimi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295081511 PECOS PAC ID: 7517191638 Enrollment ID: I20180719001914 |
| Provider Name | Jamie Louise Hunt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003314600 PECOS PAC ID: 4183971294 Enrollment ID: I20180720000887 |
| Provider Name | Aaron Luther Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174984421 PECOS PAC ID: 9335496157 Enrollment ID: I20180724003098 |
| Provider Name | Anjali Lal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053601237 PECOS PAC ID: 3678841509 Enrollment ID: I20180725002110 |
| Provider Name | Ahmad Al-awwad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922412493 PECOS PAC ID: 1254688971 Enrollment ID: I20180725003253 |
| Provider Name | Jason Matthew Hirshburg |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1003251943 PECOS PAC ID: 9032486428 Enrollment ID: I20180725003341 |
| Provider Name | Bhrugav G Raval |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538410006 PECOS PAC ID: 4284981911 Enrollment ID: I20180725003646 |
| Provider Name | Victoria M Mate-kole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154834828 PECOS PAC ID: 6204183932 Enrollment ID: I20180725003956 |
| Provider Name | Aaron Paul Llewelyn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912311242 PECOS PAC ID: 2365790995 Enrollment ID: I20180730002271 |
| Provider Name | Brandeline R Lobato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447520879 PECOS PAC ID: 0244588788 Enrollment ID: I20180731003269 |
| Provider Name | Mukta Dilipkumar Agrawal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295043883 PECOS PAC ID: 3870816192 Enrollment ID: I20180806002322 |
| Provider Name | Sathish Ramanathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023450384 PECOS PAC ID: 8628374105 Enrollment ID: I20180807001916 |
| Provider Name | Hamid Reza Vahabzadeh Monshie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215279633 PECOS PAC ID: 4082903976 Enrollment ID: I20180808000054 |
| Provider Name | Michael Lawrence Magguilli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194082925 PECOS PAC ID: 7416205109 Enrollment ID: I20180813002926 |
| Provider Name | Cody Allen Thomas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417214826 PECOS PAC ID: 3375810567 Enrollment ID: I20180814000194 |
| Provider Name | Erynn Marie Bergner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962762948 PECOS PAC ID: 5597014274 Enrollment ID: I20180814003773 |
| Provider Name | Kathryn Kramer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477967230 PECOS PAC ID: 1951691229 Enrollment ID: I20180815000103 |
| Provider Name | Murali Krishnan Neelagiri Nagarajan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649568999 PECOS PAC ID: 4880818442 Enrollment ID: I20180817000459 |
| Provider Name | Manzilat Akande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023354784 PECOS PAC ID: 3173872520 Enrollment ID: I20180820000970 |
| Provider Name | Joanne Carol Skaggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205031309 PECOS PAC ID: 7719011493 Enrollment ID: I20180820001153 |
| Provider Name | Kruti Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003229535 PECOS PAC ID: 1355659830 Enrollment ID: I20180820002929 |
| Provider Name | Anai Cristina Hamasaki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669769535 PECOS PAC ID: 0345544243 Enrollment ID: I20180820003552 |
| Provider Name | Amanda Victoria Burris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376042556 PECOS PAC ID: 3870842909 Enrollment ID: I20180822001127 |
| Provider Name | Megan M Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386891646 PECOS PAC ID: 8527221761 Enrollment ID: I20180822003117 |
| Provider Name | Ahmed A Cheema |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942435375 PECOS PAC ID: 9537450705 Enrollment ID: I20180823002459 |
| Provider Name | Madison Brinlee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154737682 PECOS PAC ID: 1850517079 Enrollment ID: I20180830000246 |
| Provider Name | Stephanie Lynn Pierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497042931 PECOS PAC ID: 5193075851 Enrollment ID: I20180830002336 |
| Provider Name | Ravi D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558744037 PECOS PAC ID: 1254681679 Enrollment ID: I20180906000557 |
| Provider Name | Edward Tarek El Rassi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518233758 PECOS PAC ID: 4880839554 Enrollment ID: I20180910000156 |
| Provider Name | Hakeem J Shakir |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356632897 PECOS PAC ID: 4284984329 Enrollment ID: I20180911000921 |
| Provider Name | Sisira Kumara Andrahennady |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093791147 PECOS PAC ID: 2365336062 Enrollment ID: I20180914001187 |
| Provider Name | Aswathy Kumar Vaikom House |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023364890 PECOS PAC ID: 0547493017 Enrollment ID: I20180926003642 |
| Provider Name | Stephen Michael Clayton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255745535 PECOS PAC ID: 3577814516 Enrollment ID: I20181001002465 |
| Provider Name | Virginia Grace Ferrara |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801372602 PECOS PAC ID: 4587916382 Enrollment ID: I20181005000888 |
| Provider Name | Kyle J Bielefeld |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821268707 PECOS PAC ID: 5092067801 Enrollment ID: I20181005001168 |
| Provider Name | Daniel Alexeev Ganchev |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275019523 PECOS PAC ID: 9436401130 Enrollment ID: I20181008002321 |
| Provider Name | Juan Claros-sorto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043571664 PECOS PAC ID: 5193028785 Enrollment ID: I20181011002164 |
| Provider Name | Ashley Lynn Ethriedge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558867788 PECOS PAC ID: 3375895725 Enrollment ID: I20181011002785 |
| Provider Name | Taha Jawaid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609281815 PECOS PAC ID: 7012137771 Enrollment ID: I20181012000304 |
| Provider Name | Huimin Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083902506 PECOS PAC ID: 9436449576 Enrollment ID: I20181012000382 |
| Provider Name | Fawad Aleem Chaudry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467656686 PECOS PAC ID: 9032265137 Enrollment ID: I20181016002303 |
| Provider Name | Austin Graham Trent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720563711 PECOS PAC ID: 2860745858 Enrollment ID: I20181020000698 |
| Provider Name | Scott Blair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851688923 PECOS PAC ID: 6002055449 Enrollment ID: I20181022002813 |
| Provider Name | Samantha Carol Langley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114409331 PECOS PAC ID: 1759634645 Enrollment ID: I20181023001040 |
| Provider Name | Anjana Lal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912134073 PECOS PAC ID: 4789994047 Enrollment ID: I20181025001489 |
| Provider Name | Amber Kirk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083192348 PECOS PAC ID: 7214280965 Enrollment ID: I20181025001552 |
| Provider Name | Neil M Borden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548223514 PECOS PAC ID: 3779495825 Enrollment ID: I20181025002976 |
| Provider Name | Stephen W Trommels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700365319 PECOS PAC ID: 6305199860 Enrollment ID: I20181030002721 |
| Provider Name | Bradley R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902382765 PECOS PAC ID: 0143573337 Enrollment ID: I20181106001095 |
| Provider Name | Cynthia Lynne Dimauro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942231337 PECOS PAC ID: 1254424146 Enrollment ID: I20181113000055 |
| Provider Name | Katherine Galgani Rensing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407338163 PECOS PAC ID: 4880948652 Enrollment ID: I20181114000420 |
| Provider Name | Ian F Dunn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346400090 PECOS PAC ID: 8224189253 Enrollment ID: I20181115002647 |
| Provider Name | Debbie Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902257512 PECOS PAC ID: 3173867439 Enrollment ID: I20181128000918 |
| Provider Name | Emily Rebekah Corley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265836282 PECOS PAC ID: 7719221092 Enrollment ID: I20181128001756 |
| Provider Name | Nicholas Scott Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629456124 PECOS PAC ID: 5294007647 Enrollment ID: I20181207001662 |
| Provider Name | Nicole M Oweis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356843007 PECOS PAC ID: 1355685942 Enrollment ID: I20181210000517 |
| Provider Name | Ivan Kozhulenko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023592805 PECOS PAC ID: 7618211046 Enrollment ID: I20181211003453 |
| Provider Name | Katherine Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659772986 PECOS PAC ID: 6901141381 Enrollment ID: I20181213002348 |
| Provider Name | Alexander G Bien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881734614 PECOS PAC ID: 9537268271 Enrollment ID: I20181228000258 |
| Provider Name | Paul Jason Bradley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003393802 PECOS PAC ID: 3476899667 Enrollment ID: I20190109000375 |
| Provider Name | Staci Lynn Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861961112 PECOS PAC ID: 1557608767 Enrollment ID: I20190125002356 |
| Provider Name | William Mansfield Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306363833 PECOS PAC ID: 6507103744 Enrollment ID: I20190128000188 |
| Provider Name | Angela N Tinkham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598231995 PECOS PAC ID: 1456698505 Enrollment ID: I20190128000808 |
| Provider Name | Ajay Jain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770683245 PECOS PAC ID: 8224037023 Enrollment ID: I20190129001646 |
| Provider Name | Kerry Bond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982153110 PECOS PAC ID: 7012254824 Enrollment ID: I20190131001520 |
| Provider Name | Michael Joseph Bernell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801116850 PECOS PAC ID: 1052625803 Enrollment ID: I20190226001486 |
| Provider Name | Melissa Wheeler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528179876 PECOS PAC ID: 4688998701 Enrollment ID: I20190226002027 |
| Provider Name | Courtney Cheatham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780121947 PECOS PAC ID: 7618216961 Enrollment ID: I20190304001117 |
| Provider Name | Amy L Eberle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457825432 PECOS PAC ID: 9032459474 Enrollment ID: I20190320003028 |
| Provider Name | Suha T Ramadan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255398269 PECOS PAC ID: 4082519368 Enrollment ID: I20190408000389 |
| Provider Name | Allison Noel Hood |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801215751 PECOS PAC ID: 4486908415 Enrollment ID: I20190411000538 |
| Provider Name | Brandi Nicole Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225503170 PECOS PAC ID: 3870835796 Enrollment ID: I20190425000428 |
| Provider Name | Densey Matthew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942509724 PECOS PAC ID: 4587882634 Enrollment ID: I20190430002055 |
| Provider Name | Chun-hui Anne Tsai |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1588749220 PECOS PAC ID: 4183698046 Enrollment ID: I20190506000834 |
| Provider Name | Danielle Torres Briseno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891268629 PECOS PAC ID: 8123360435 Enrollment ID: I20190506002171 |
| Provider Name | Nathan Alan Bradley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861652893 PECOS PAC ID: 4688814684 Enrollment ID: I20190508001537 |
| Provider Name | Sean Duguay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336584507 PECOS PAC ID: 2860793387 Enrollment ID: I20190522002927 |
| Provider Name | Andrew Conner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487948642 PECOS PAC ID: 3274836846 Enrollment ID: I20190523001108 |
| Provider Name | Katherine Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649613688 PECOS PAC ID: 6800165010 Enrollment ID: I20190528000329 |
| Provider Name | Vanessa Cynthia Hoy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902165707 PECOS PAC ID: 1355612292 Enrollment ID: I20190528001793 |
| Provider Name | Maha Marwan Jarmakani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265875918 PECOS PAC ID: 7810299849 Enrollment ID: I20190529001268 |
| Provider Name | Wendi M Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336616283 PECOS PAC ID: 4082900360 Enrollment ID: I20190611000598 |
| Provider Name | Neha Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659776243 PECOS PAC ID: 8426343419 Enrollment ID: I20190611002124 |
| Provider Name | Meagan Decher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073784203 PECOS PAC ID: 4284967019 Enrollment ID: I20190611002258 |
| Provider Name | Wenyi Luo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457795270 PECOS PAC ID: 5496093114 Enrollment ID: I20190611002762 |
| Provider Name | Matthew Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467848044 PECOS PAC ID: 8325397193 Enrollment ID: I20190611002876 |
| Provider Name | Melissa Alice Oishi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588228324 PECOS PAC ID: 3375876014 Enrollment ID: I20190611003219 |
| Provider Name | Chelsey Deel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942614482 PECOS PAC ID: 3779831185 Enrollment ID: I20190612000475 |
| Provider Name | Saurabh Talathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649675125 PECOS PAC ID: 2668767831 Enrollment ID: I20190612002278 |
| Provider Name | Teddy M Muisyo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780024109 PECOS PAC ID: 8325344054 Enrollment ID: I20190613000105 |
| Provider Name | Paula Jean Rawls |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346290921 PECOS PAC ID: 7214999564 Enrollment ID: I20190617003342 |
| Provider Name | Brindha Gopala Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407208804 PECOS PAC ID: 1052645140 Enrollment ID: I20190624001808 |
| Provider Name | Kevin B Gerold |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326041518 PECOS PAC ID: 1254379910 Enrollment ID: I20190626001968 |
| Provider Name | Ana Quintero-del-rio |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750312229 PECOS PAC ID: 7113251935 Enrollment ID: I20190628000398 |
| Provider Name | Tyler Craig Gunter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1700291036 PECOS PAC ID: 0345530796 Enrollment ID: I20190701001734 |
| Provider Name | Pavan Parikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427312891 PECOS PAC ID: 9436475449 Enrollment ID: I20190706000202 |
| Provider Name | Nevinson P Sam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497169213 PECOS PAC ID: 3678825791 Enrollment ID: I20190708002430 |
| Provider Name | Heath Sims |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255745451 PECOS PAC ID: 3274754999 Enrollment ID: I20190708002616 |
| Provider Name | Ashley Bunce Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740669639 PECOS PAC ID: 6800121146 Enrollment ID: I20190710000108 |
| Provider Name | Danny George Samkutty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154709632 PECOS PAC ID: 5597090852 Enrollment ID: I20190710000674 |
| Provider Name | Jorge Guy Ortiz Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689937336 PECOS PAC ID: 3173827193 Enrollment ID: I20190710000836 |
| Provider Name | Mohanageetha Ardhanari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437590908 PECOS PAC ID: 2668777582 Enrollment ID: I20190710001400 |
| Provider Name | Natalia Soulages Arrese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851749337 PECOS PAC ID: 5698000875 Enrollment ID: I20190710001721 |
| Provider Name | Abhrajit Ganguly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841631983 PECOS PAC ID: 7416282603 Enrollment ID: I20190710002157 |
| Provider Name | Shashank Prakash Behere |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124382148 PECOS PAC ID: 1850626052 Enrollment ID: I20190710002622 |
| Provider Name | Lindsay A Stafford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841532538 PECOS PAC ID: 4587999792 Enrollment ID: I20190710002668 |
| Provider Name | Masoom Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467791764 PECOS PAC ID: 9537474978 Enrollment ID: I20190711000485 |
| Provider Name | Andrew Tom Cave |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700142155 PECOS PAC ID: 3173778974 Enrollment ID: I20190711001099 |
| Provider Name | Samuel Levin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013275908 PECOS PAC ID: 9032444070 Enrollment ID: I20190712000211 |
| Provider Name | Theresa Mary Graif |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417213943 PECOS PAC ID: 1153576715 Enrollment ID: I20190712002797 |
| Provider Name | Terrye Benton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952353468 PECOS PAC ID: 2365437548 Enrollment ID: I20190716001519 |
| Provider Name | Catherine Sophie Heith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760739759 PECOS PAC ID: 9830495357 Enrollment ID: I20190717004031 |
| Provider Name | Lyndsey Janet Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366890121 PECOS PAC ID: 1052646684 Enrollment ID: I20190718000734 |
| Provider Name | Salar Maysam Faiazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629429188 PECOS PAC ID: 6901131598 Enrollment ID: I20190718003233 |
| Provider Name | Minh Duc Phan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124312343 PECOS PAC ID: 8820217631 Enrollment ID: I20190722000825 |
| Provider Name | Brian David Martens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083271977 PECOS PAC ID: 3274869383 Enrollment ID: I20190727000112 |
| Provider Name | Joseph Terracina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558749200 PECOS PAC ID: 4880920909 Enrollment ID: I20190727000347 |
| Provider Name | Erin Danielle Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265996763 PECOS PAC ID: 6103152913 Enrollment ID: I20190731001181 |
| Provider Name | Hannah N Blanden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235798042 PECOS PAC ID: 5991032955 Enrollment ID: I20190814000169 |
| Provider Name | Jennifer A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508328998 PECOS PAC ID: 5890023600 Enrollment ID: I20190817000020 |
| Provider Name | Austin Jay Hoffhines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861957649 PECOS PAC ID: 4789912494 Enrollment ID: I20190820000378 |
| Provider Name | Chandra Kowalczyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073790507 PECOS PAC ID: 1355412537 Enrollment ID: I20190821000616 |
| Provider Name | Erin E Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043353766 PECOS PAC ID: 9234467887 Enrollment ID: I20190821001525 |
| Provider Name | Celia Yen Quang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407290844 PECOS PAC ID: 7315178159 Enrollment ID: I20190821002334 |
| Provider Name | Robert Stephen Schoaps |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134546179 PECOS PAC ID: 1456584416 Enrollment ID: I20190822000051 |
| Provider Name | Joanna E Gernsback |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215252440 PECOS PAC ID: 3577891951 Enrollment ID: I20190822003134 |
| Provider Name | James E. Stormo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417935743 PECOS PAC ID: 7618015074 Enrollment ID: I20190823000193 |
| Provider Name | Robert A Montgomery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528008562 PECOS PAC ID: 3779501457 Enrollment ID: I20190824000138 |
| Provider Name | Betsy Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639722382 PECOS PAC ID: 0749518058 Enrollment ID: I20190824000575 |
| Provider Name | James Rabaria Furr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326482159 PECOS PAC ID: 7719286319 Enrollment ID: I20190826000175 |
| Provider Name | Joysree Subramanian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215943949 PECOS PAC ID: 7618930108 Enrollment ID: I20190826003808 |
| Provider Name | Kaitlyn Kulesus |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801276662 PECOS PAC ID: 9335477553 Enrollment ID: I20190827001110 |
| Provider Name | Taiwo B Adedipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407207806 PECOS PAC ID: 2466780481 Enrollment ID: I20190828002445 |
| Provider Name | Katherine Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972951069 PECOS PAC ID: 1456680362 Enrollment ID: I20190830002686 |
| Provider Name | Chukwuebuka Ekwealor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427558543 PECOS PAC ID: 7810259934 Enrollment ID: I20190831000217 |
| Provider Name | Sara Kathleen Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750738308 PECOS PAC ID: 8123312865 Enrollment ID: I20190904001970 |
| Provider Name | Peter M Collister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689017204 PECOS PAC ID: 6507009768 Enrollment ID: I20190904002226 |
| Provider Name | Diane Snodgrass |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285768481 PECOS PAC ID: 7113256744 Enrollment ID: I20190907000140 |
| Provider Name | Rwoof Ahmed Reshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811923436 PECOS PAC ID: 0143310391 Enrollment ID: I20190911001895 |
| Provider Name | Blake Alan Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588191498 PECOS PAC ID: 4082943394 Enrollment ID: I20190912000564 |
| Provider Name | Shari A H Jones |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801230537 PECOS PAC ID: 2961796008 Enrollment ID: I20190912001705 |
| Provider Name | Andrea L Key |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801805288 PECOS PAC ID: 2264762079 Enrollment ID: I20190920002422 |
| Provider Name | Alex M Witcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457879330 PECOS PAC ID: 9739446279 Enrollment ID: I20190926003134 |
| Provider Name | Terri L Clarkson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740421379 PECOS PAC ID: 2365691151 Enrollment ID: I20190930002359 |
| Provider Name | Cheryl Abigail West |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649824228 PECOS PAC ID: 7214268101 Enrollment ID: I20191007003487 |
| Provider Name | Stephanie Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386102366 PECOS PAC ID: 7517298235 Enrollment ID: I20191010003188 |
| Provider Name | Alexia Mcwaters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548816515 PECOS PAC ID: 9032440417 Enrollment ID: I20191016001738 |
| Provider Name | Denise Kabanza Sebasigari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780934596 PECOS PAC ID: 5799904157 Enrollment ID: I20191022002413 |
| Provider Name | Gretchen May Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275529919 PECOS PAC ID: 5991705543 Enrollment ID: I20191024002559 |
| Provider Name | Desti Shepard Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770139644 PECOS PAC ID: 3779815592 Enrollment ID: I20191029000784 |
| Provider Name | Mohan Mallikarjuna Edupuganti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164737490 PECOS PAC ID: 3173830981 Enrollment ID: I20191031002681 |
| Provider Name | Trent Edward Tipple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578524054 PECOS PAC ID: 5991718819 Enrollment ID: I20191031003101 |
| Provider Name | Erin Colletta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518511575 PECOS PAC ID: 2668704073 Enrollment ID: I20191104001418 |
| Provider Name | Emma Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971699 PECOS PAC ID: 0244662427 Enrollment ID: I20191108000165 |
| Provider Name | Andrew M. Bauer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891731949 PECOS PAC ID: 4789826769 Enrollment ID: I20191113001470 |
| Provider Name | Lindsay Scott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740655349 PECOS PAC ID: 4587096532 Enrollment ID: I20191113003166 |
| Provider Name | Jenna L Celii |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265902340 PECOS PAC ID: 5890127294 Enrollment ID: I20191122000311 |
| Provider Name | Ashley Nikole Trammell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578110177 PECOS PAC ID: 0749613057 Enrollment ID: I20191127000178 |
| Provider Name | Mary-margaret Brandt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053474676 PECOS PAC ID: 8022061183 Enrollment ID: I20191127000655 |
| Provider Name | Michelle Hostetler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346881695 PECOS PAC ID: 1658704978 Enrollment ID: I20191127000667 |
| Provider Name | Wayne Scott James |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477196467 PECOS PAC ID: 4688007909 Enrollment ID: I20191127000973 |
| Provider Name | Terah Crosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687603 PECOS PAC ID: 8123451440 Enrollment ID: I20191127000993 |
| Provider Name | Anataya Rachi Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144702424 PECOS PAC ID: 5799118964 Enrollment ID: I20191202000129 |
| Provider Name | Regina M Troxell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013350586 PECOS PAC ID: 3375895592 Enrollment ID: I20191212000457 |
| Provider Name | Qassim Ali Abid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194071712 PECOS PAC ID: 9830484609 Enrollment ID: I20191221000382 |
| Provider Name | Jessica Susan Lutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730594326 PECOS PAC ID: 3678872793 Enrollment ID: I20191230001969 |
| Provider Name | Zachary A Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982846788 PECOS PAC ID: 3678607454 Enrollment ID: I20200122000540 |
| Provider Name | Catherine Hunter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295907665 PECOS PAC ID: 1759528821 Enrollment ID: I20200130002782 |
| Provider Name | Paul W Sheeran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932150620 PECOS PAC ID: 0648266056 Enrollment ID: I20200203000048 |
| Provider Name | Anastasia N Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740835966 PECOS PAC ID: 6406282789 Enrollment ID: I20200205000169 |
| Provider Name | Paul Lee Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194924522 PECOS PAC ID: 3375634660 Enrollment ID: I20200214001567 |
| Provider Name | Yazmin Enchautegui Colon |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1770900904 PECOS PAC ID: 1759669005 Enrollment ID: I20200218000374 |
| Provider Name | Abby R Friesen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083254114 PECOS PAC ID: 9436586112 Enrollment ID: I20200218001671 |
| Provider Name | Olivia Lust |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437688587 PECOS PAC ID: 0941570949 Enrollment ID: I20200316000898 |
| Provider Name | Vivek Angadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508073891 PECOS PAC ID: 6800074642 Enrollment ID: I20200318001789 |
| Provider Name | Usman Baber |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538378427 PECOS PAC ID: 7012186513 Enrollment ID: I20200323002518 |
| Provider Name | Amber Dawn Kraft Tarantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306484803 PECOS PAC ID: 5991134439 Enrollment ID: I20200403000202 |
| Provider Name | Miki Thompson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1588181010 PECOS PAC ID: 2860821071 Enrollment ID: I20200408003393 |
| Provider Name | Amber Garretson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457812752 PECOS PAC ID: 8022447283 Enrollment ID: I20200409000818 |
| Provider Name | Alyson Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275095986 PECOS PAC ID: 1557790722 Enrollment ID: I20200409001319 |
| Provider Name | Jenna Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437717196 PECOS PAC ID: 3577992759 Enrollment ID: I20200409001706 |
| Provider Name | Bilby Kurien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487105631 PECOS PAC ID: 3274962451 Enrollment ID: I20200409001898 |
| Provider Name | Casie Shay Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902432313 PECOS PAC ID: 2163853359 Enrollment ID: I20200501001604 |
| Provider Name | Kendall Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093341406 PECOS PAC ID: 2163853805 Enrollment ID: I20200512002755 |
| Provider Name | John W Nedza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073977302 PECOS PAC ID: 7719308758 Enrollment ID: I20200601000259 |
| Provider Name | Andrew Ellis Pontikes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891140802 PECOS PAC ID: 4880015205 Enrollment ID: I20200610001649 |
| Provider Name | Sarah Bundrick Grimes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619326212 PECOS PAC ID: 6608298989 Enrollment ID: I20200615000192 |
| Provider Name | Sarah Rachel Durica |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609254382 PECOS PAC ID: 4789987538 Enrollment ID: I20200617001516 |
| Provider Name | Joseph Hamati |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033599410 PECOS PAC ID: 8426470360 Enrollment ID: I20200622002087 |
| Provider Name | Yashas Nathani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619370640 PECOS PAC ID: 7517231236 Enrollment ID: I20200622002983 |
| Provider Name | Thomas Campbell Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457705345 PECOS PAC ID: 7214359082 Enrollment ID: I20200624001357 |
| Provider Name | David Van |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265886154 PECOS PAC ID: 1658793443 Enrollment ID: I20200624001958 |
| Provider Name | Sarah Caroline Stanley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821442203 PECOS PAC ID: 4385066885 Enrollment ID: I20200629002372 |
| Provider Name | Kelsey Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609328293 PECOS PAC ID: 9133542699 Enrollment ID: I20200701000698 |
| Provider Name | Cassandra Barnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174152714 PECOS PAC ID: 0840613949 Enrollment ID: I20200708001491 |
| Provider Name | Amir Rumman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841843448 PECOS PAC ID: 2062742505 Enrollment ID: I20200709000485 |
| Provider Name | Brittany Lauren Brand Poinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083051601 PECOS PAC ID: 8820239981 Enrollment ID: I20200709002919 |
| Provider Name | Faiza Waheed Butt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578948790 PECOS PAC ID: 2264855196 Enrollment ID: I20200709003029 |
| Provider Name | Ijlal Akbar Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023423977 PECOS PAC ID: 4284916420 Enrollment ID: I20200709003492 |
| Provider Name | Zain Ul Abideen Asad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346655610 PECOS PAC ID: 5294955050 Enrollment ID: I20200710000270 |
| Provider Name | Alexandra Kay Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376070219 PECOS PAC ID: 5294158168 Enrollment ID: I20200710000716 |
| Provider Name | Colleen Parrish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659800415 PECOS PAC ID: 6305269291 Enrollment ID: I20200710001492 |
| Provider Name | George Salem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659711356 PECOS PAC ID: 6800018508 Enrollment ID: I20200710002121 |
| Provider Name | Roberto J Bernardo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063853109 PECOS PAC ID: 3476847468 Enrollment ID: I20200713000192 |
| Provider Name | M. Blake Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295077022 PECOS PAC ID: 1052680071 Enrollment ID: I20200714000325 |
| Provider Name | Kathryn Elaine Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730614660 PECOS PAC ID: 8325461023 Enrollment ID: I20200714002342 |
| Provider Name | Hope Erica Hastings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750778486 PECOS PAC ID: 9638479470 Enrollment ID: I20200715003613 |
| Provider Name | Alexandra Louise Regens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730536061 PECOS PAC ID: 2567740426 Enrollment ID: I20200716001167 |
| Provider Name | Natalie A Dixon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679195424 PECOS PAC ID: 7012331523 Enrollment ID: I20200716002546 |
| Provider Name | Alexander Filatenkov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457747768 PECOS PAC ID: 9436573516 Enrollment ID: I20200722001421 |
| Provider Name | Zoran Gatalica |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124137914 PECOS PAC ID: 8123162062 Enrollment ID: I20200723001376 |
| Provider Name | Rachad Mhawej |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932622362 PECOS PAC ID: 3577835602 Enrollment ID: I20200723002000 |
| Provider Name | Kathryne Loreli Mccracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114541307 PECOS PAC ID: 3971927823 Enrollment ID: I20200724000008 |
| Provider Name | Allan P Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417051962 PECOS PAC ID: 9739141599 Enrollment ID: I20200731001683 |
| Provider Name | Jesintha Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003343229 PECOS PAC ID: 8628493079 Enrollment ID: I20200803001976 |
| Provider Name | Hosam Atoom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336593706 PECOS PAC ID: 4284069535 Enrollment ID: I20200803002578 |
| Provider Name | Sorochi D Esochaghi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407241573 PECOS PAC ID: 4385933225 Enrollment ID: I20200804001732 |
| Provider Name | Amanda Renee Moyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225485741 PECOS PAC ID: 2062837305 Enrollment ID: I20200804002557 |
| Provider Name | Mohammad Najim Alberawi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336693845 PECOS PAC ID: 8022303494 Enrollment ID: I20200804002592 |
| Provider Name | David Andrew Becker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366885972 PECOS PAC ID: 4587804208 Enrollment ID: I20200806002395 |
| Provider Name | Daniel Keith Roton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679001002 PECOS PAC ID: 4082039938 Enrollment ID: I20200810000859 |
| Provider Name | Adam Eric Gabrielsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235758590 PECOS PAC ID: 4082039888 Enrollment ID: I20200810002407 |
| Provider Name | Andrew Joseph Gruel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124407721 PECOS PAC ID: 2769798743 Enrollment ID: I20200810002626 |
| Provider Name | Andrew George Edward Mcintosh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750638425 PECOS PAC ID: 9537443924 Enrollment ID: I20200810002725 |
| Provider Name | Raghuveer Vedala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154850527 PECOS PAC ID: 3779854831 Enrollment ID: I20200812000235 |
| Provider Name | Mark Matthew Mims |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679991475 PECOS PAC ID: 4183953995 Enrollment ID: I20200812003655 |
| Provider Name | Desirae Rose Feierabend |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487279113 PECOS PAC ID: 4587080577 Enrollment ID: I20200821000017 |
| Provider Name | Catiele Antunes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508205204 PECOS PAC ID: 8628356920 Enrollment ID: I20200826002798 |
| Provider Name | Leah Jean Kalm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679823934 PECOS PAC ID: 2567889900 Enrollment ID: I20200831000680 |
| Provider Name | Taylor Cheyenne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235772666 PECOS PAC ID: 6800213133 Enrollment ID: I20200901000461 |
| Provider Name | Kristen Fleeger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437484995 PECOS PAC ID: 0941339170 Enrollment ID: I20200909000040 |
| Provider Name | Amanda Kate Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255956306 PECOS PAC ID: 6305264979 Enrollment ID: I20200914001799 |
| Provider Name | Jamie Leigh Laughy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093991952 PECOS PAC ID: 6901224518 Enrollment ID: I20200915000188 |
| Provider Name | Raya Alshawi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699114330 PECOS PAC ID: 8527357151 Enrollment ID: I20200915000558 |
| Provider Name | Tavleen Sandhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134523442 PECOS PAC ID: 1355769985 Enrollment ID: I20200915000973 |
| Provider Name | Gavely Toor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124552286 PECOS PAC ID: 9931527439 Enrollment ID: I20200915003435 |
| Provider Name | Niket Muni |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801203344 PECOS PAC ID: 9234425513 Enrollment ID: I20200918000601 |
| Provider Name | Fatima Sukhera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265880207 PECOS PAC ID: 5092140798 Enrollment ID: I20200921002503 |
| Provider Name | Constance Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184005159 PECOS PAC ID: 8022323476 Enrollment ID: I20200921002594 |
| Provider Name | Daniel Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093129686 PECOS PAC ID: 5395015424 Enrollment ID: I20200922000178 |
| Provider Name | Muhammad U Shaukat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861750218 PECOS PAC ID: 3274767223 Enrollment ID: I20200922000725 |
| Provider Name | Argenis Herrera Garcia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467725622 PECOS PAC ID: 3476809849 Enrollment ID: I20200922001020 |
| Provider Name | Elzbieta Rybicka-kozlowska |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346265238 PECOS PAC ID: 9931138765 Enrollment ID: I20200922001443 |
| Provider Name | Guilherme Barreiro |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285114074 PECOS PAC ID: 3476804451 Enrollment ID: I20200922001619 |
| Provider Name | Catherine A Mims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659766368 PECOS PAC ID: 0648585588 Enrollment ID: I20200922003279 |
| Provider Name | Tomasz Kozlowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114974664 PECOS PAC ID: 3375575160 Enrollment ID: I20200922003285 |
| Provider Name | Christopher Robertson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033353388 PECOS PAC ID: 7719142892 Enrollment ID: I20200923000933 |
| Provider Name | Itivrita Goyal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225425747 PECOS PAC ID: 6901141779 Enrollment ID: I20200924002395 |
| Provider Name | Stephanie Rachelle Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669885612 PECOS PAC ID: 2567749765 Enrollment ID: I20200925000653 |
| Provider Name | Aimee Pak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073879474 PECOS PAC ID: 9032406384 Enrollment ID: I20200928000507 |
| Provider Name | Caitlin Raylynn Stenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717396 PECOS PAC ID: 5092134551 Enrollment ID: I20201001002699 |
| Provider Name | Eldhose Abrahams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144664418 PECOS PAC ID: 0547531733 Enrollment ID: I20201006000024 |
| Provider Name | Natalie Grace Stratemeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730593294 PECOS PAC ID: 9133420698 Enrollment ID: I20201006000207 |
| Provider Name | Krystina Lackey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669434932 PECOS PAC ID: 9830107846 Enrollment ID: I20201019000384 |
| Provider Name | Brandon Reece Hull |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851703953 PECOS PAC ID: 9133458516 Enrollment ID: I20201021003204 |
| Provider Name | Gaston Ofman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639445851 PECOS PAC ID: 2062832421 Enrollment ID: I20201023001557 |
| Provider Name | Frank Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891131132 PECOS PAC ID: 7719280320 Enrollment ID: I20201026001662 |
| Provider Name | Emma Punni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316353535 PECOS PAC ID: 5799044269 Enrollment ID: I20201030001723 |
| Provider Name | Yuki Nakamura |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437523024 PECOS PAC ID: 3678876430 Enrollment ID: I20201102001891 |
| Provider Name | Sean Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780078469 PECOS PAC ID: 1456670421 Enrollment ID: I20201106002516 |
| Provider Name | Fernando Mier Giraud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518288240 PECOS PAC ID: 4789821315 Enrollment ID: I20201116001919 |
| Provider Name | Alain Irving Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417153354 PECOS PAC ID: 8123251733 Enrollment ID: I20201117000050 |
| Provider Name | Anand Chandrasekaran Annan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851652275 PECOS PAC ID: 9436560620 Enrollment ID: I20201118003289 |
| Provider Name | Heather Lea Kirkes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336741891 PECOS PAC ID: 4486065612 Enrollment ID: I20201119001567 |
| Provider Name | Andrea Kay Gerszewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992314074 PECOS PAC ID: 5799196762 Enrollment ID: I20201123002285 |
| Provider Name | Serina Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548711021 PECOS PAC ID: 5496167983 Enrollment ID: I20201207000779 |
| Provider Name | Jeffrey Cole Henry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346859766 PECOS PAC ID: 6103238258 Enrollment ID: I20201214001370 |
| Provider Name | Susan N Moruri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306006861 PECOS PAC ID: 4981621059 Enrollment ID: I20201217002848 |
| Provider Name | Andrew H Jea |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568662724 PECOS PAC ID: 3870676851 Enrollment ID: I20201218000572 |
| Provider Name | Leslie Giesemann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710901590 PECOS PAC ID: 6103964259 Enrollment ID: I20210105003093 |
| Provider Name | William A. Windham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932171253 PECOS PAC ID: 5092603811 Enrollment ID: I20210113002147 |
| Provider Name | Maria Aurora Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629089412 PECOS PAC ID: 9638102536 Enrollment ID: I20210126000223 |
| Provider Name | Erin Nicole Hartsburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356944185 PECOS PAC ID: 5890109003 Enrollment ID: I20210129001935 |
| Provider Name | Kenichi Tanaka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871526228 PECOS PAC ID: 5698969970 Enrollment ID: I20210202003061 |
| Provider Name | Tony H Tseng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992842801 PECOS PAC ID: 3577665876 Enrollment ID: I20210210003042 |
| Provider Name | Shelbie Sosnowchik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891737524 PECOS PAC ID: 5698736676 Enrollment ID: I20210211000665 |
| Provider Name | Thomas Eugene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912172305 PECOS PAC ID: 7810067139 Enrollment ID: I20210216001301 |
| Provider Name | Bejoy Kurian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487261483 PECOS PAC ID: 6305251851 Enrollment ID: I20210216002208 |
| Provider Name | Aisha N. Averyhart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720474299 PECOS PAC ID: 5597190165 Enrollment ID: I20210223003319 |
| Provider Name | Breanna Lene Beaver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386248326 PECOS PAC ID: 8123434099 Enrollment ID: I20210302000564 |
| Provider Name | Kathy Speigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578072542 PECOS PAC ID: 0042626350 Enrollment ID: I20210311001735 |
| Provider Name | Angelia Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386626182 PECOS PAC ID: 9931171295 Enrollment ID: I20210312001201 |
| Provider Name | Patrick Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942463401 PECOS PAC ID: 2264680883 Enrollment ID: I20210315000002 |
| Provider Name | Annette R Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942453477 PECOS PAC ID: 0345304135 Enrollment ID: I20210316000038 |
| Provider Name | Jonathan Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962963116 PECOS PAC ID: 0547696148 Enrollment ID: I20210317000050 |
| Provider Name | Morgan Bonds |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1184937831 PECOS PAC ID: 3375846959 Enrollment ID: I20210322001148 |
| Provider Name | Mohd Qutob |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679952584 PECOS PAC ID: 0244533842 Enrollment ID: I20210323002813 |
| Provider Name | Morgan Drake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679056048 PECOS PAC ID: 3779990213 Enrollment ID: I20210329001248 |
| Provider Name | Joshua M. Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639486665 PECOS PAC ID: 2961680400 Enrollment ID: I20210329002305 |
| Provider Name | Kacy Lynn Aderhold |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962887653 PECOS PAC ID: 7113236043 Enrollment ID: I20210330000576 |
| Provider Name | Narendra Battula |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366825408 PECOS PAC ID: 9638488802 Enrollment ID: I20210330002247 |
| Provider Name | David A Nowick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508843632 PECOS PAC ID: 5698802197 Enrollment ID: I20210413000669 |
| Provider Name | Nuri Ilker Akkus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538164421 PECOS PAC ID: 9739172057 Enrollment ID: I20210414000583 |
| Provider Name | William Robert Gordon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992239099 PECOS PAC ID: 0941619217 Enrollment ID: I20210518000351 |
| Provider Name | Usman Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104379239 PECOS PAC ID: 4082023379 Enrollment ID: I20210518001509 |
| Provider Name | Taha Mahdi Salih Al-juhaishi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205241262 PECOS PAC ID: 0143547299 Enrollment ID: I20210519003075 |
| Provider Name | Leslie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952949612 PECOS PAC ID: 1557760329 Enrollment ID: I20210527000697 |
| Provider Name | Kristen Macdougall Bybee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023682135 PECOS PAC ID: 3274933718 Enrollment ID: I20210621001571 |
| Provider Name | Joseph Sassine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912382326 PECOS PAC ID: 5193062743 Enrollment ID: I20210621001959 |
| Provider Name | Ikuyo Yamaguchi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700995073 PECOS PAC ID: 2163420886 Enrollment ID: I20210625001449 |
| Provider Name | Caitlyn Niccole Stephens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740869148 PECOS PAC ID: 3678974771 Enrollment ID: I20210628000539 |
| Provider Name | Kristian Maples Cantrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679064992 PECOS PAC ID: 0042613861 Enrollment ID: I20210730000680 |
| Provider Name | Jeffrey Scott Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417481664 PECOS PAC ID: 1355745704 Enrollment ID: I20210806000110 |
| Provider Name | Neil Richard Blanchard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396279923 PECOS PAC ID: 2163826512 Enrollment ID: I20210806000129 |
| Provider Name | Abigail Hahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942657085 PECOS PAC ID: 0749570364 Enrollment ID: I20210806000370 |
| Provider Name | Sean Ali Chagani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578097242 PECOS PAC ID: 5991109357 Enrollment ID: I20210806000505 |
| Provider Name | Trung Quoc Pham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255865366 PECOS PAC ID: 7315348349 Enrollment ID: I20210806000643 |
| Provider Name | Joshua Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912598392 PECOS PAC ID: 7810396959 Enrollment ID: I20210806001023 |
| Provider Name | Muhammad Masood Khalid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194278580 PECOS PAC ID: 4981008307 Enrollment ID: I20210807000097 |
| Provider Name | Uttam Verma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134502768 PECOS PAC ID: 8224328265 Enrollment ID: I20210811001276 |
| Provider Name | Johnathan P Doolittle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144607508 PECOS PAC ID: 6406273994 Enrollment ID: I20210812000308 |
| Provider Name | Virendra Rajendrakumar Desai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497016182 PECOS PAC ID: 5597187005 Enrollment ID: I20210814000156 |
| Provider Name | Adam Hare |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568881753 PECOS PAC ID: 3870998701 Enrollment ID: I20210816002746 |
| Provider Name | Jeffrey Don Mcbride |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588042485 PECOS PAC ID: 5597160309 Enrollment ID: I20210817002458 |
| Provider Name | Kyle Wright |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225481948 PECOS PAC ID: 6800174103 Enrollment ID: I20210818001061 |
| Provider Name | Brian Scott Kliewer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972095461 PECOS PAC ID: 8224368337 Enrollment ID: I20210818002181 |
| Provider Name | Bryce Luke Yohannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558851220 PECOS PAC ID: 8527463231 Enrollment ID: I20210818002760 |
| Provider Name | Nikhil Anand Bachoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306332291 PECOS PAC ID: 9638415961 Enrollment ID: I20210819000036 |
| Provider Name | Erica Lynn Melick |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255903662 PECOS PAC ID: 7911302666 Enrollment ID: I20210819000245 |
| Provider Name | Adam Stanislaus Przebinda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912311994 PECOS PAC ID: 1658591805 Enrollment ID: I20210820000221 |
| Provider Name | Amin Heidarian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427437854 PECOS PAC ID: 6709115041 Enrollment ID: I20210820000266 |
| Provider Name | Christina Renay Washington |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154689024 PECOS PAC ID: 3274827175 Enrollment ID: I20210824001054 |
| Provider Name | Julie Thu Tran Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548841430 PECOS PAC ID: 1355746694 Enrollment ID: I20210824002661 |
| Provider Name | Alyssa Marie Grossen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912498411 PECOS PAC ID: 7113257478 Enrollment ID: I20210825000164 |
| Provider Name | Alexander L Braun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750732780 PECOS PAC ID: 1153616412 Enrollment ID: I20210825000983 |
| Provider Name | Colin Fuller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922413343 PECOS PAC ID: 2466878491 Enrollment ID: I20210825001481 |
| Provider Name | Hifza Waheed Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336661560 PECOS PAC ID: 5597189548 Enrollment ID: I20210825001940 |
| Provider Name | Saif K Altaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003205683 PECOS PAC ID: 7911212477 Enrollment ID: I20210826000356 |
| Provider Name | Majd Kanaa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982150900 PECOS PAC ID: 2466857503 Enrollment ID: I20210826003442 |
| Provider Name | Robert Hamilton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689020414 PECOS PAC ID: 7618372640 Enrollment ID: I20210830000146 |
| Provider Name | Andrea Lea Johnston |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366897357 PECOS PAC ID: 5597161521 Enrollment ID: I20210831001016 |
| Provider Name | Madison Jane Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376036921 PECOS PAC ID: 3971909938 Enrollment ID: I20210831002220 |
| Provider Name | Rusha Jayesh Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710121975 PECOS PAC ID: 5698907293 Enrollment ID: I20210902000366 |
| Provider Name | Jessica E Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649842303 PECOS PAC ID: 2365848181 Enrollment ID: I20210902001390 |
| Provider Name | Adanma Anji Ayanambakkam Attanathi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265813513 PECOS PAC ID: 6507157807 Enrollment ID: I20210908000479 |
| Provider Name | Randa Pospisil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619546355 PECOS PAC ID: 7517363757 Enrollment ID: I20210914000014 |
| Provider Name | Christopher Jenks |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326279969 PECOS PAC ID: 8729026984 Enrollment ID: I20210914000519 |
| Provider Name | Omar A Abu Anza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629465802 PECOS PAC ID: 1254737414 Enrollment ID: I20210914000821 |
| Provider Name | Sarah Marie Patel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942876396 PECOS PAC ID: 8921404195 Enrollment ID: I20210914001102 |
| Provider Name | Courtney Nicole Massey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275027062 PECOS PAC ID: 0749686913 Enrollment ID: I20210914001105 |
| Provider Name | Barbara Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952796880 PECOS PAC ID: 1153637426 Enrollment ID: I20210914001166 |
| Provider Name | David H Noyd |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366837924 PECOS PAC ID: 2668878844 Enrollment ID: I20210914001440 |
| Provider Name | William Hancock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922462019 PECOS PAC ID: 2264722354 Enrollment ID: I20210914002273 |
| Provider Name | Matthew Deel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235544842 PECOS PAC ID: 2264789726 Enrollment ID: I20210914003107 |
| Provider Name | Kendall Luyt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669869731 PECOS PAC ID: 4385040401 Enrollment ID: I20210914003879 |
| Provider Name | Nicholas Dreger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174902548 PECOS PAC ID: 5890069280 Enrollment ID: I20210920000062 |
| Provider Name | Anand Srinivasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588069645 PECOS PAC ID: 8527465301 Enrollment ID: I20210921002233 |
| Provider Name | Katherine Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063081669 PECOS PAC ID: 5193122554 Enrollment ID: I20210928000710 |
| Provider Name | Maya Hrachova |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427412584 PECOS PAC ID: 3476893405 Enrollment ID: I20210930000985 |
| Provider Name | Sirri Atanga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497242218 PECOS PAC ID: 1951644228 Enrollment ID: I20211004000632 |
| Provider Name | Abdul Rafeh Naqash |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528499712 PECOS PAC ID: 4688965106 Enrollment ID: I20211004001347 |
| Provider Name | Zhi Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083076954 PECOS PAC ID: 0648565390 Enrollment ID: I20211014001812 |
| Provider Name | Renee Michelle Ritchie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821667288 PECOS PAC ID: 3678971918 Enrollment ID: I20211018001246 |
| Provider Name | Thomas Michael Buster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285203646 PECOS PAC ID: 8022406149 Enrollment ID: I20211022000337 |
| Provider Name | Rose Mccoy Doolittle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306263314 PECOS PAC ID: 1052731056 Enrollment ID: I20211025001204 |
| Provider Name | Senthuran Vijayarajah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952719338 PECOS PAC ID: 3870864127 Enrollment ID: I20211101000797 |
| Provider Name | Sunia Khosravani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730854431 PECOS PAC ID: 9830587336 Enrollment ID: I20211103001120 |
| Provider Name | Seki Adetokunbo Balogun |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790816700 PECOS PAC ID: 2062429988 Enrollment ID: I20211105000583 |
| Provider Name | Linh Khanh Thuy Sramek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265100978 PECOS PAC ID: 0345639621 Enrollment ID: I20211106000103 |
| Provider Name | Shalini Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093126757 PECOS PAC ID: 6002130796 Enrollment ID: I20211108001264 |
| Provider Name | Priyanka Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104190032 PECOS PAC ID: 8426270091 Enrollment ID: I20211109000428 |
| Provider Name | Ligi Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376158295 PECOS PAC ID: 6406245646 Enrollment ID: I20211110000541 |
| Provider Name | Lauren Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518620939 PECOS PAC ID: 5496144461 Enrollment ID: I20211112000440 |
| Provider Name | Rachael Kathern Thies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164018578 PECOS PAC ID: 0941699540 Enrollment ID: I20211122000787 |
| Provider Name | John Yingling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164800058 PECOS PAC ID: 4385034842 Enrollment ID: I20211124001507 |
| Provider Name | Beverly Bernal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356983159 PECOS PAC ID: 9133519085 Enrollment ID: I20211208000672 |
| Provider Name | Alessandra Landmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780945311 PECOS PAC ID: 2961705470 Enrollment ID: I20211208001251 |
| Provider Name | Melissa Sarah Van Cain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346633120 PECOS PAC ID: 0547531444 Enrollment ID: I20211208002123 |
| Provider Name | Stephanie Dawn Mallam |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811336829 PECOS PAC ID: 8123418985 Enrollment ID: I20211209002040 |
| Provider Name | Sara E Brewer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588004907 PECOS PAC ID: 1850616368 Enrollment ID: I20211209002196 |
| Provider Name | Tara Marie Sukut |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861915985 PECOS PAC ID: 7214327915 Enrollment ID: I20211213001992 |
| Provider Name | Karl M Huebner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548601586 PECOS PAC ID: 2062844251 Enrollment ID: I20211222000758 |
| Provider Name | Kisha Aziz Beg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083099121 PECOS PAC ID: 0345631057 Enrollment ID: I20220106000546 |
| Provider Name | Julie Lynn Cockrill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710659420 PECOS PAC ID: 8123410867 Enrollment ID: I20220110000868 |
| Provider Name | Ava Renee Chavana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689256513 PECOS PAC ID: 4082006721 Enrollment ID: I20220110001095 |
| Provider Name | Abdul M Oseini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063617611 PECOS PAC ID: 7012090160 Enrollment ID: I20220110001662 |
| Provider Name | Jennie N Till |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790271948 PECOS PAC ID: 0941692545 Enrollment ID: I20220111001409 |
| Provider Name | Blake T Hilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295253144 PECOS PAC ID: 5890049209 Enrollment ID: I20220113002579 |
| Provider Name | Tufal M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033168596 PECOS PAC ID: 7416922299 Enrollment ID: I20220114000946 |
| Provider Name | Grace Jane Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962178582 PECOS PAC ID: 3072905355 Enrollment ID: I20220118002119 |
| Provider Name | Ange Tapchom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881238178 PECOS PAC ID: 9335577576 Enrollment ID: I20220126000148 |
| Provider Name | Angela S Camfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356384887 PECOS PAC ID: 8729001326 Enrollment ID: I20220126001669 |
| Provider Name | Shannon Megan Dave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780176859 PECOS PAC ID: 2769722701 Enrollment ID: I20220126002954 |
| Provider Name | Maxwell Mathias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982098133 PECOS PAC ID: 8729470547 Enrollment ID: I20220127001796 |
| Provider Name | Matthew Raymond Radant |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316226087 PECOS PAC ID: 9537390927 Enrollment ID: I20220127002561 |
| Provider Name | Ellisa Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215401708 PECOS PAC ID: 2365834124 Enrollment ID: I20220128000377 |
| Provider Name | Grace Elizabeth Whaley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821441346 PECOS PAC ID: 2264685684 Enrollment ID: I20220203002649 |
| Provider Name | Secunda Leah Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497170575 PECOS PAC ID: 2264825595 Enrollment ID: I20220210000130 |
| Provider Name | Katheryn Fuller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437802402 PECOS PAC ID: 7517350788 Enrollment ID: I20220210002101 |
| Provider Name | Ahmed Qudaih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427512607 PECOS PAC ID: 2769721059 Enrollment ID: I20220210002985 |
| Provider Name | Rebecca Linn Schaub |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609042209 PECOS PAC ID: 7214164748 Enrollment ID: I20220214001071 |
| Provider Name | Tess Waldon Schuster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215529722 PECOS PAC ID: 7214345511 Enrollment ID: I20220215002763 |
| Provider Name | Ami Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013591676 PECOS PAC ID: 8224422167 Enrollment ID: I20220218001488 |
| Provider Name | Sidra Ahsan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477073906 PECOS PAC ID: 1850663519 Enrollment ID: I20220221000676 |
| Provider Name | Ryan David Nipp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780900167 PECOS PAC ID: 0941434997 Enrollment ID: I20220221001297 |
| Provider Name | Kayla Ann Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356979645 PECOS PAC ID: 8921492729 Enrollment ID: I20220221001547 |
| Provider Name | Benjamin Hannah |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1760846869 PECOS PAC ID: 4688944234 Enrollment ID: I20220228001784 |
| Provider Name | R Erik Edens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568552065 PECOS PAC ID: 6800869355 Enrollment ID: I20220301000119 |
| Provider Name | Oya Andacoglu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235458191 PECOS PAC ID: 1759514276 Enrollment ID: I20220302000006 |
| Provider Name | Stephanie Nicole Scofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205462140 PECOS PAC ID: 7618361999 Enrollment ID: I20220302002251 |
| Provider Name | Ulana Pogribna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174878755 PECOS PAC ID: 6103069406 Enrollment ID: I20220310001874 |
| Provider Name | Jon P Jeffcoat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295858751 PECOS PAC ID: 1951407972 Enrollment ID: I20220312000079 |
| Provider Name | John Titus Doerfel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962865923 PECOS PAC ID: 6103241922 Enrollment ID: I20220312000085 |
| Provider Name | Vyjayanthi Ganga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144553538 PECOS PAC ID: 5890945786 Enrollment ID: I20220315000434 |
| Provider Name | Thomas B Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417602863 PECOS PAC ID: 3173918901 Enrollment ID: I20220315000484 |
| Provider Name | Susan J Wittman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073686671 PECOS PAC ID: 3173606290 Enrollment ID: I20220315002272 |
| Provider Name | Rachel Aline Hollen Bublitz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659910446 PECOS PAC ID: 9537554241 Enrollment ID: I20220316001048 |
| Provider Name | Julie Ann Nolan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962071688 PECOS PAC ID: 9436544087 Enrollment ID: I20220316003892 |
| Provider Name | Maheswaran Pitchaimuthu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962853994 PECOS PAC ID: 4284029844 Enrollment ID: I20220317000295 |
| Provider Name | Dale W. Bratzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841272192 PECOS PAC ID: 7416342027 Enrollment ID: I20220317002277 |
| Provider Name | Mujing Mamy Matand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558944900 PECOS PAC ID: 3870988314 Enrollment ID: I20220318000733 |
| Provider Name | Nicole Ann Marie Olden-simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205500865 PECOS PAC ID: 5991190233 Enrollment ID: I20220323000566 |
| Provider Name | Deborah F Olusanjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407501695 PECOS PAC ID: 5294120564 Enrollment ID: I20220323001802 |
| Provider Name | Isaac Obiri Karikari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497891717 PECOS PAC ID: 7214166768 Enrollment ID: I20220324000594 |
| Provider Name | Caitlin Seykora |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295033140 PECOS PAC ID: 6103212295 Enrollment ID: I20220329000951 |
| Provider Name | Jeffrey A Planchard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306102991 PECOS PAC ID: 2264715705 Enrollment ID: I20220331002879 |
| Provider Name | Assia Benhacene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942294822 PECOS PAC ID: 4688664196 Enrollment ID: I20220404001847 |
| Provider Name | Rayna Allen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053068668 PECOS PAC ID: 1052707783 Enrollment ID: I20220406001471 |
| Provider Name | Maria Lee Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982374831 PECOS PAC ID: 2860888005 Enrollment ID: I20220415000290 |
| Provider Name | Joel E. Colley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487650305 PECOS PAC ID: 8224054010 Enrollment ID: I20220505001910 |
| Provider Name | Emily Dawn Newman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457803868 PECOS PAC ID: 7517344500 Enrollment ID: I20220512001536 |
| Provider Name | Jerry Jaboin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578610382 PECOS PAC ID: 0446376883 Enrollment ID: I20220517001275 |
| Provider Name | Lauren Lindemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992454037 PECOS PAC ID: 9133506959 Enrollment ID: I20220517002702 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245462787 PECOS PAC ID: 8527299627 Enrollment ID: I20220518003024 |
| Provider Name | Lauren Elizabeth Dockery |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1912260373 PECOS PAC ID: 7810286820 Enrollment ID: I20220519000609 |
| Provider Name | Moeez Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336707538 PECOS PAC ID: 0547648552 Enrollment ID: I20220603000723 |
| Provider Name | Sandra Lee Stolzy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710930128 PECOS PAC ID: 2567368129 Enrollment ID: I20220614000249 |
| Provider Name | Kaneza W Bgoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922398940 PECOS PAC ID: 1153612783 Enrollment ID: I20220622000122 |
| Provider Name | Abhilash Makkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750603270 PECOS PAC ID: 1254463961 Enrollment ID: I20220630000754 |
| Provider Name | Cooper Kye Alan Yates |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285130534 PECOS PAC ID: 8325428030 Enrollment ID: I20220712000082 |
| Provider Name | Ashley Jennifer Shumaker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093212995 PECOS PAC ID: 0345620027 Enrollment ID: I20220712002751 |
| Provider Name | Stanley L. Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962543405 PECOS PAC ID: 7214119791 Enrollment ID: I20220712003703 |
| Provider Name | Juliette Galindo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972097145 PECOS PAC ID: 6507247145 Enrollment ID: I20220714000267 |
| Provider Name | Caleb William St. Laurent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922663053 PECOS PAC ID: 5193053452 Enrollment ID: I20220718002279 |
| Provider Name | Stephen Reid Pilkington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477118867 PECOS PAC ID: 4981933520 Enrollment ID: I20220718003481 |
| Provider Name | Valerie Renee Harwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851853329 PECOS PAC ID: 0648508580 Enrollment ID: I20220718003599 |
| Provider Name | Veena Reddy Gujju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215594148 PECOS PAC ID: 7416286042 Enrollment ID: I20220718003718 |
| Provider Name | Margaret Lacy Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972091031 PECOS PAC ID: 0648521260 Enrollment ID: I20220718003926 |
| Provider Name | Sepideh Asadbeigi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073041455 PECOS PAC ID: 3072994185 Enrollment ID: I20220721000550 |
| Provider Name | Nathaniel Richard Fout |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740522994 PECOS PAC ID: 9830481357 Enrollment ID: I20220721001434 |
| Provider Name | Patrick Marcus Singley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154857597 PECOS PAC ID: 2567843501 Enrollment ID: I20220721002310 |
| Provider Name | Karl Erach Balsara |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639490857 PECOS PAC ID: 9032419734 Enrollment ID: I20220728003592 |
| Provider Name | Hannah Speziale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588302723 PECOS PAC ID: 5092198408 Enrollment ID: I20220818000216 |
| Provider Name | Mohsin Iqbal Pasha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316479926 PECOS PAC ID: 6305247677 Enrollment ID: I20220914002650 |
| Provider Name | Saud Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295186880 PECOS PAC ID: 2668857442 Enrollment ID: I20220914002685 |
| Provider Name | James David Henneberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922595933 PECOS PAC ID: 4880931146 Enrollment ID: I20220915001221 |
| Provider Name | Kera Magan Mills |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275281354 PECOS PAC ID: 3476938176 Enrollment ID: I20220916000151 |
| Provider Name | Laith Alhyari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104278688 PECOS PAC ID: 7214334432 Enrollment ID: I20220920000703 |
| Provider Name | Peter C Keates |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154040947 PECOS PAC ID: 1355726712 Enrollment ID: I20220921001156 |
| Provider Name | Caitlin Virginia Toohey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114585262 PECOS PAC ID: 9638555782 Enrollment ID: I20220927004059 |
| Provider Name | Monica Herrera Rickman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639738396 PECOS PAC ID: 8022494988 Enrollment ID: I20220929001256 |
| Provider Name | Timothy Malouff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558894469 PECOS PAC ID: 4688944770 Enrollment ID: I20221006001970 |
| Provider Name | Felicia D Sifers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760861645 PECOS PAC ID: 9537495668 Enrollment ID: I20221012001543 |
| Provider Name | Afia Sadiq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942487103 PECOS PAC ID: 5294127148 Enrollment ID: I20221012002769 |
| Provider Name | Anllely Justo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942877469 PECOS PAC ID: 4789050980 Enrollment ID: I20221012003620 |
| Provider Name | William Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164089009 PECOS PAC ID: 0042686255 Enrollment ID: I20221013000030 |
| Provider Name | Douglas Byron Hood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679505242 PECOS PAC ID: 4587643119 Enrollment ID: I20221013002614 |
| Provider Name | Trassanee Chatmethakul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861861775 PECOS PAC ID: 1254620842 Enrollment ID: I20221018002768 |
| Provider Name | Shyian S Jen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982850996 PECOS PAC ID: 7810138849 Enrollment ID: I20221019000047 |
| Provider Name | Nicole Michelle Dillahunty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073246526 PECOS PAC ID: 2961878616 Enrollment ID: I20221020001194 |
| Provider Name | Alicia Moise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316931330 PECOS PAC ID: 8527191204 Enrollment ID: I20221021001498 |
| Provider Name | Samuel Ndungu Njoroge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295479368 PECOS PAC ID: 6305212937 Enrollment ID: I20221021001586 |
| Provider Name | Kathryn J Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053331413 PECOS PAC ID: 6901902873 Enrollment ID: I20221024002396 |
| Provider Name | Brandi Fink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215339544 PECOS PAC ID: 4587986732 Enrollment ID: I20221025002194 |
| Provider Name | Henry Oswald Sindi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851025688 PECOS PAC ID: 6406222827 Enrollment ID: I20221026000619 |
| Provider Name | Derek Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215595483 PECOS PAC ID: 0143559773 Enrollment ID: I20221027000179 |
| Provider Name | Mahita Bellamkonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972064194 PECOS PAC ID: 2163899519 Enrollment ID: I20221027003217 |
| Provider Name | Mashala Temas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336632686 PECOS PAC ID: 0446509624 Enrollment ID: I20221028000576 |
| Provider Name | Chenchen Qian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285197707 PECOS PAC ID: 1153659370 Enrollment ID: I20221028001295 |
| Provider Name | Ahmed Arshad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609258474 PECOS PAC ID: 9032416144 Enrollment ID: I20221031000147 |
| Provider Name | Rachel Gallant |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376921908 PECOS PAC ID: 8628445970 Enrollment ID: I20221031001132 |
| Provider Name | Marina Aleksandrovna Kravtsova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932637030 PECOS PAC ID: 4082081260 Enrollment ID: I20221031002704 |
| Provider Name | Jason Scott Freeling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770211906 PECOS PAC ID: 7416324579 Enrollment ID: I20221102000024 |
| Provider Name | Tessa Langer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497216873 PECOS PAC ID: 7012248586 Enrollment ID: I20221103002986 |
| Provider Name | Carmen Lee Rabel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174107247 PECOS PAC ID: 3870960800 Enrollment ID: I20221104000680 |
| Provider Name | Jessica Gambill Putman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366891202 PECOS PAC ID: 1850712837 Enrollment ID: I20221104000831 |
| Provider Name | Sharon Chelangat Too |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942934773 PECOS PAC ID: 4082081948 Enrollment ID: I20221104002414 |
| Provider Name | Hanna Elizabeth Jeffreys |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013645100 PECOS PAC ID: 7315314275 Enrollment ID: I20221104002529 |
| Provider Name | Ryan Sims |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164815957 PECOS PAC ID: 6103293063 Enrollment ID: I20221104002685 |
| Provider Name | Stefanie Marie Gonsalves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063148484 PECOS PAC ID: 8921475898 Enrollment ID: I20221104002700 |
| Provider Name | Catherine Sloane Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548982069 PECOS PAC ID: 3870960743 Enrollment ID: I20221106000017 |
| Provider Name | Shirin Ruth Degiorgio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144754771 PECOS PAC ID: 7214350552 Enrollment ID: I20221107000610 |
| Provider Name | Kate Theimer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508593310 PECOS PAC ID: 0941677744 Enrollment ID: I20221108002171 |
| Provider Name | Renee Handele Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871152504 PECOS PAC ID: 9830566579 Enrollment ID: I20221109000941 |
| Provider Name | Josephine White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255066965 PECOS PAC ID: 7911374681 Enrollment ID: I20221109001801 |
| Provider Name | Anoosh Moin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831541861 PECOS PAC ID: 8123312766 Enrollment ID: I20221109002310 |
| Provider Name | Jason David Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215673363 PECOS PAC ID: 2961879648 Enrollment ID: I20221109002503 |
| Provider Name | Erin Marie Mamatov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578122610 PECOS PAC ID: 2668849373 Enrollment ID: I20221109003450 |
| Provider Name | Traci Dee Ulibarri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316580327 PECOS PAC ID: 3375910938 Enrollment ID: I20221110002114 |
| Provider Name | Emily R. De Hoog |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366905127 PECOS PAC ID: 5890113252 Enrollment ID: I20221111001353 |
| Provider Name | John Taylor Putman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477903607 PECOS PAC ID: 7618201112 Enrollment ID: I20221114001258 |
| Provider Name | Tabitha Catlin Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316661747 PECOS PAC ID: 1850768334 Enrollment ID: I20221114001539 |
| Provider Name | Erik K Rubach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790293678 PECOS PAC ID: 2860746674 Enrollment ID: I20221114001996 |
| Provider Name | Haley A'layne Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053875856 PECOS PAC ID: 2567830078 Enrollment ID: I20221115000047 |
| Provider Name | Sarah Baber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083179394 PECOS PAC ID: 6204204753 Enrollment ID: I20221115001275 |
| Provider Name | Kelley Michelle Frost |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386004380 PECOS PAC ID: 1052789443 Enrollment ID: I20221115003316 |
| Provider Name | Kar Man Low |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316390255 PECOS PAC ID: 1658749049 Enrollment ID: I20221115003522 |
| Provider Name | Brittany Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295461820 PECOS PAC ID: 7214305630 Enrollment ID: I20221116001094 |
| Provider Name | Christina Meenan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114582673 PECOS PAC ID: 5698143972 Enrollment ID: I20221117000180 |
| Provider Name | Adeel Qaisar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124083845 PECOS PAC ID: 7810882784 Enrollment ID: I20221118002773 |
| Provider Name | James David Mcmurry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205575529 PECOS PAC ID: 0244608453 Enrollment ID: I20221118002804 |
| Provider Name | Julie Christine Curiel |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033831284 PECOS PAC ID: 1850769084 Enrollment ID: I20221119000539 |
| Provider Name | Sara Marie Hagan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841857588 PECOS PAC ID: 2466820600 Enrollment ID: I20221121000421 |
| Provider Name | Julie Coberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205258001 PECOS PAC ID: 5991173130 Enrollment ID: I20221121000523 |
| Provider Name | Gabriela Marilena Moraru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538614631 PECOS PAC ID: 7810365939 Enrollment ID: I20221122000571 |
| Provider Name | Nabeela Shakir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669903985 PECOS PAC ID: 0345511606 Enrollment ID: I20221123001016 |
| Provider Name | Lauren Elizabeth Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467174532 PECOS PAC ID: 8628446580 Enrollment ID: I20221125000447 |
| Provider Name | Christopher Salvatore Graffeo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003222738 PECOS PAC ID: 9133344773 Enrollment ID: I20221128001395 |
| Provider Name | Julie Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073246591 PECOS PAC ID: 1456729201 Enrollment ID: I20221129000368 |
| Provider Name | Eric Friedrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679921019 PECOS PAC ID: 1456737808 Enrollment ID: I20221129003104 |
| Provider Name | Alfred Gest |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780685347 PECOS PAC ID: 8820277361 Enrollment ID: I20221201002644 |
| Provider Name | Heather Graham |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528707874 PECOS PAC ID: 2264801877 Enrollment ID: I20221202001863 |
| Provider Name | Wylan Wade Rosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679951842 PECOS PAC ID: 5597070961 Enrollment ID: I20221206000985 |
| Provider Name | Dimble Kuruvilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427778869 PECOS PAC ID: 2769851039 Enrollment ID: I20221208000183 |
| Provider Name | Manu R Pandey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831586353 PECOS PAC ID: 1153667126 Enrollment ID: I20221208002192 |
| Provider Name | Megan Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295313773 PECOS PAC ID: 6709255995 Enrollment ID: I20221209002077 |
| Provider Name | Muhammad S Riaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780139592 PECOS PAC ID: 4385981547 Enrollment ID: I20221212003182 |
| Provider Name | Madelyn D'anne Stockton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326786427 PECOS PAC ID: 3779952734 Enrollment ID: I20221214000076 |
| Provider Name | Atul Anant Utturkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700204427 PECOS PAC ID: 9032413711 Enrollment ID: I20221222000853 |
| Provider Name | Tiffany Lauren Bartel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457890899 PECOS PAC ID: 8820468374 Enrollment ID: I20221228001585 |
| Provider Name | Jay Woody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235209669 PECOS PAC ID: 5395833495 Enrollment ID: I20221230000121 |
| Provider Name | Karen A Dean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346458734 PECOS PAC ID: 5294907671 Enrollment ID: I20221230000298 |
| Provider Name | Andrew Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568776565 PECOS PAC ID: 2860638301 Enrollment ID: I20230102000131 |
| Provider Name | Cynthia-noella M Egbe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649904962 PECOS PAC ID: 4183094402 Enrollment ID: I20230103001536 |
| Provider Name | John Burke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235519935 PECOS PAC ID: 3476821539 Enrollment ID: I20230112000425 |
| Provider Name | Brooke Sholeah Khezri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386368256 PECOS PAC ID: 9638540123 Enrollment ID: I20230119002738 |
| Provider Name | Pratibha Sahil Thakkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689068561 PECOS PAC ID: 7315296506 Enrollment ID: I20230125000314 |
| Provider Name | Luke Joseph Carraway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407571003 PECOS PAC ID: 5092186304 Enrollment ID: I20230125000637 |
| Provider Name | Ryan Garrett Mona |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417671462 PECOS PAC ID: 7810368040 Enrollment ID: I20230125002173 |
| Provider Name | Tyler Jordan Bauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083380901 PECOS PAC ID: 6305217431 Enrollment ID: I20230127000054 |
| Provider Name | Emily Switzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548674732 PECOS PAC ID: 0547563033 Enrollment ID: I20230127000077 |
| Provider Name | Molly Nicole Khoury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558928077 PECOS PAC ID: 9931570959 Enrollment ID: I20230130000747 |
| Provider Name | Lyric A Haxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730740747 PECOS PAC ID: 7012388093 Enrollment ID: I20230131000345 |
| Provider Name | Azif Safarulla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477702504 PECOS PAC ID: 7214150473 Enrollment ID: I20230208001378 |
| Provider Name | Lindsey Hein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982356903 PECOS PAC ID: 6901283134 Enrollment ID: I20230214002245 |
| Provider Name | Katherine Bode |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699496968 PECOS PAC ID: 1759753908 Enrollment ID: I20230216000497 |
| Provider Name | Arjun Kannamthanam Pillai |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386351971 PECOS PAC ID: 9739552597 Enrollment ID: I20230227002544 |
| Provider Name | Brandy Roane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881941664 PECOS PAC ID: 1759531791 Enrollment ID: I20230302001542 |
| Provider Name | Scott Roye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063148351 PECOS PAC ID: 6305219841 Enrollment ID: I20230302001692 |
| Provider Name | Angelina Marie Curiel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659086460 PECOS PAC ID: 0143693614 Enrollment ID: I20230302002973 |
| Provider Name | Brittany C Rundell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053664714 PECOS PAC ID: 7214300706 Enrollment ID: I20230303000385 |
| Provider Name | Johnathan Chase Gipson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215646419 PECOS PAC ID: 2961875331 Enrollment ID: I20230306001571 |
| Provider Name | Ashley Perle Galsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376208934 PECOS PAC ID: 0143693531 Enrollment ID: I20230306002303 |
| Provider Name | Doaa Atwi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134610165 PECOS PAC ID: 5991178238 Enrollment ID: I20230307001233 |
| Provider Name | Erica Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245299429 PECOS PAC ID: 9133182462 Enrollment ID: I20230307001299 |
| Provider Name | Jennifer Rios |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669115382 PECOS PAC ID: 6204209547 Enrollment ID: I20230307001504 |
| Provider Name | Indrani K Thiruselvam |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467037192 PECOS PAC ID: 7810305372 Enrollment ID: I20230307001683 |
| Provider Name | Mackenzie Loyce Garbani |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790420131 PECOS PAC ID: 3072986389 Enrollment ID: I20230308000691 |
| Provider Name | Matthew Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346534492 PECOS PAC ID: 7214156579 Enrollment ID: I20230309000323 |
| Provider Name | Kathi Jean Ling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821737982 PECOS PAC ID: 6608249867 Enrollment ID: I20230309000357 |
| Provider Name | Henry Gonzalez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992749303 PECOS PAC ID: 7911068341 Enrollment ID: I20230310000680 |
| Provider Name | Shoaib Alam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962451245 PECOS PAC ID: 6800866914 Enrollment ID: I20230314000418 |
| Provider Name | Shruti Mony |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548675572 PECOS PAC ID: 8527432566 Enrollment ID: I20230315000371 |
| Provider Name | Sheena John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447818513 PECOS PAC ID: 0941674881 Enrollment ID: I20230316001086 |
| Provider Name | Anna S Mohamed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124582770 PECOS PAC ID: 8123368461 Enrollment ID: I20230316002936 |
| Provider Name | Larissa Lynn Knippers |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699396606 PECOS PAC ID: 8527432392 Enrollment ID: I20230316002950 |
| Provider Name | Krittapoom Akrawinthawong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952680084 PECOS PAC ID: 6103128558 Enrollment ID: I20230317000830 |
| Provider Name | Bailey Danielle Boulware |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497402515 PECOS PAC ID: 7113390253 Enrollment ID: I20230320000815 |
| Provider Name | Alice Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295197713 PECOS PAC ID: 0840664157 Enrollment ID: I20230327003040 |
| Provider Name | Paulina Karam |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1710619911 PECOS PAC ID: 1557736758 Enrollment ID: I20230330002967 |
| Provider Name | Richard Mooney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700981685 PECOS PAC ID: 7810925427 Enrollment ID: I20230331001675 |
| Provider Name | Maria Prudhomme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710396718 PECOS PAC ID: 4082937032 Enrollment ID: I20230331002404 |
| Provider Name | Phylicia Celestine Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932824117 PECOS PAC ID: 9638544802 Enrollment ID: I20230402000013 |
| Provider Name | Mubeen Ahmed Shakir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760943088 PECOS PAC ID: 5890024137 Enrollment ID: I20230410001792 |
| Provider Name | Diana Lynn Oxford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578586228 PECOS PAC ID: 4789862913 Enrollment ID: I20230411000150 |
| Provider Name | Felicia Lorraine Hyche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346951985 PECOS PAC ID: 1759756497 Enrollment ID: I20230411000416 |
| Provider Name | Samantha Rose Strumolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073905725 PECOS PAC ID: 4183099872 Enrollment ID: I20230411002277 |
| Provider Name | Courtney Dianne Alberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902521495 PECOS PAC ID: 4688049257 Enrollment ID: I20230412003352 |
| Provider Name | Aqua Stefano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730638131 PECOS PAC ID: 7113382326 Enrollment ID: I20230421002569 |
| Provider Name | Elizabeth L Maguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417276569 PECOS PAC ID: 4486010576 Enrollment ID: I20230516000770 |
| Provider Name | Jennifer Serwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750744728 PECOS PAC ID: 0547552515 Enrollment ID: I20230605001319 |
| Provider Name | Mohit Pahuja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548675325 PECOS PAC ID: 9234597329 Enrollment ID: I20230622000368 |
| Provider Name | Cari Dyne Epperson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053721209 PECOS PAC ID: 6002274933 Enrollment ID: I20230623003046 |
| Provider Name | Keri Ann Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851025712 PECOS PAC ID: 1456710797 Enrollment ID: I20230705003557 |
| Provider Name | Jacque Gowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366811259 PECOS PAC ID: 1456611474 Enrollment ID: I20230714002123 |
| Provider Name | Neha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790133809 PECOS PAC ID: 2668702994 Enrollment ID: I20230716000092 |
| Provider Name | Miriam M Baltuano Songhurst |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467802108 PECOS PAC ID: 5193017580 Enrollment ID: I20230801003725 |
| Provider Name | Karanprit Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427439074 PECOS PAC ID: 6204182447 Enrollment ID: I20230803002374 |
| Provider Name | Rana Kasht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982266912 PECOS PAC ID: 7416286059 Enrollment ID: I20230803004535 |
| Provider Name | Phillip Edwin Nehls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497118954 PECOS PAC ID: 5991081192 Enrollment ID: I20230807002268 |
| Provider Name | Tamara Taylor Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053849869 PECOS PAC ID: 5395107338 Enrollment ID: I20230808003100 |
| Provider Name | Faddi Ghassan Mohammed Saleh Velez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972044113 PECOS PAC ID: 6608275961 Enrollment ID: I20230809000065 |
| Provider Name | Samantha Brunk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982227351 PECOS PAC ID: 0042672859 Enrollment ID: I20230810002952 |
| Provider Name | Laura Egbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073135984 PECOS PAC ID: 0648632497 Enrollment ID: I20230811000143 |
| Provider Name | Sean Alloju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679033104 PECOS PAC ID: 4284968975 Enrollment ID: I20230815001200 |
| Provider Name | Christopher Beard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982229597 PECOS PAC ID: 6608293162 Enrollment ID: I20230815001273 |
| Provider Name | Mary Ann Caroline Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609479211 PECOS PAC ID: 8921460197 Enrollment ID: I20230821000836 |
| Provider Name | Rohan Kalra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255714465 PECOS PAC ID: 0547518730 Enrollment ID: I20230823001064 |
| Provider Name | Shana Usiukiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992327563 PECOS PAC ID: 3870975956 Enrollment ID: I20230823001209 |
| Provider Name | Sanober Nusrat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326560038 PECOS PAC ID: 1658601935 Enrollment ID: I20230823001650 |
| Provider Name | Kirolos Iskander |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326497462 PECOS PAC ID: 4082077243 Enrollment ID: I20230906000702 |
| Provider Name | Michael Nolan Mccoy |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205491966 PECOS PAC ID: 5890159073 Enrollment ID: I20230907001373 |
| Provider Name | Darsham Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235346115 PECOS PAC ID: 1052472701 Enrollment ID: I20230908003147 |
| Provider Name | Rebecca Elizabeth Trimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669164943 PECOS PAC ID: 5890159701 Enrollment ID: I20230912000065 |
| Provider Name | Ronald Alvarado Dyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255856027 PECOS PAC ID: 7618224593 Enrollment ID: I20230913004278 |
| Provider Name | Nino Kerashvili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649723339 PECOS PAC ID: 7315329901 Enrollment ID: I20230913004291 |
| Provider Name | Danushka Seneviratne |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710482831 PECOS PAC ID: 8224387956 Enrollment ID: I20230914003409 |
| Provider Name | Mittal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740644103 PECOS PAC ID: 3577857853 Enrollment ID: I20230915000536 |
| Provider Name | Kaleb King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942829171 PECOS PAC ID: 1658794615 Enrollment ID: I20230915000681 |
| Provider Name | Mustafa Atar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225423080 PECOS PAC ID: 0446552897 Enrollment ID: I20230915001180 |
| Provider Name | Scott Treece |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689105991 PECOS PAC ID: 0446522817 Enrollment ID: I20230918001964 |
| Provider Name | Jose Andres Henao Cordero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265953269 PECOS PAC ID: 3375814445 Enrollment ID: I20230919000496 |
| Provider Name | Matthew Naumann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447674452 PECOS PAC ID: 8820368939 Enrollment ID: I20230919000721 |
| Provider Name | Jayce Ann Pangilinan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568924223 PECOS PAC ID: 8123352887 Enrollment ID: I20230926001656 |
| Provider Name | Richard Spangler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578025458 PECOS PAC ID: 4385005560 Enrollment ID: I20230928004003 |
| Provider Name | Kris Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437560646 PECOS PAC ID: 0042512592 Enrollment ID: I20230929002325 |
| Provider Name | Steven Mark Harsha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689297244 PECOS PAC ID: 7810341492 Enrollment ID: I20230930000647 |
| Provider Name | Martha Beatriz Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528741246 PECOS PAC ID: 5890140883 Enrollment ID: I20231011001844 |
| Provider Name | Amy Elizabeth Jacks |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649708173 PECOS PAC ID: 5395017941 Enrollment ID: I20231012001619 |
| Provider Name | Benjamin Greif |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568723195 PECOS PAC ID: 8022311612 Enrollment ID: I20231012002449 |
| Provider Name | Yuanyuan Sun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194173542 PECOS PAC ID: 9739471178 Enrollment ID: I20231012003116 |
| Provider Name | Timothy James Randall Little |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730806696 PECOS PAC ID: 3678928595 Enrollment ID: I20231012003602 |
| Provider Name | Omar Bari |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467958785 PECOS PAC ID: 3274897756 Enrollment ID: I20231013000823 |
| Provider Name | Maida Hafiz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730531245 PECOS PAC ID: 1557657244 Enrollment ID: I20231014000469 |
| Provider Name | Syed Talal Hussain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598287211 PECOS PAC ID: 5698120392 Enrollment ID: I20231016002791 |
| Provider Name | Brooke Piland Wilmore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710509427 PECOS PAC ID: 1456706159 Enrollment ID: I20231016003058 |
| Provider Name | Rachel Elizabeth Zettl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457715492 PECOS PAC ID: 6204281819 Enrollment ID: I20231017000280 |
| Provider Name | Ashley Hacker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568085645 PECOS PAC ID: 0042666513 Enrollment ID: I20231020000063 |
| Provider Name | Chance Nichols |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386092922 PECOS PAC ID: 6204121387 Enrollment ID: I20231023003512 |
| Provider Name | Lucy Mae Bates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467010009 PECOS PAC ID: 9032565361 Enrollment ID: I20231023003684 |
| Provider Name | Laura B Shamblin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487795324 PECOS PAC ID: 6002262342 Enrollment ID: I20231024000501 |
| Provider Name | Omar Salem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548657653 PECOS PAC ID: 7810203106 Enrollment ID: I20231025002122 |
| Provider Name | Estefania Teron Cosme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124570817 PECOS PAC ID: 9032536990 Enrollment ID: I20231026000980 |
| Provider Name | Allison Deletter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326544594 PECOS PAC ID: 7810343779 Enrollment ID: I20231028000109 |
| Provider Name | Vikram Gopal Ramjee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598292419 PECOS PAC ID: 0244610657 Enrollment ID: I20231030002314 |
| Provider Name | Tiffany Hamilton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164747481 PECOS PAC ID: 2769735034 Enrollment ID: I20231109001576 |
| Provider Name | Nadeem Jaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427302025 PECOS PAC ID: 9830314640 Enrollment ID: I20231109003277 |
| Provider Name | Ian C Coelho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821225533 PECOS PAC ID: 3971750431 Enrollment ID: I20231110001152 |
| Provider Name | Amanda Lucha Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770235038 PECOS PAC ID: 5193172013 Enrollment ID: I20231114001321 |
| Provider Name | Kari Goen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194500355 PECOS PAC ID: 8527415256 Enrollment ID: I20231116003151 |
| Provider Name | Benjamin Upton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487116976 PECOS PAC ID: 2062742125 Enrollment ID: I20231117001283 |
| Provider Name | Stephanie Ferrin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972948438 PECOS PAC ID: 6002198801 Enrollment ID: I20231121003195 |
| Provider Name | Despoina Michailidou |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891109781 PECOS PAC ID: 2961752605 Enrollment ID: I20231125000271 |
| Provider Name | Asad Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568083368 PECOS PAC ID: 7315363876 Enrollment ID: I20231127003298 |
| Provider Name | Ishan Purani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508494212 PECOS PAC ID: 6204258999 Enrollment ID: I20231128000114 |
| Provider Name | Blayne Bordwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023898616 PECOS PAC ID: 1951759257 Enrollment ID: I20231128000452 |
| Provider Name | Jenna Sahli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619533262 PECOS PAC ID: 7315395597 Enrollment ID: I20231129000090 |
| Provider Name | Beatriz Yae Hanaoka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245400688 PECOS PAC ID: 1052437431 Enrollment ID: I20231201001451 |
| Provider Name | Amber Elizabeth Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437610375 PECOS PAC ID: 8224486030 Enrollment ID: I20231204002497 |
| Provider Name | Katelyn Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831871714 PECOS PAC ID: 8729437512 Enrollment ID: I20231205002354 |
| Provider Name | Eleanor Lastrapes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619467834 PECOS PAC ID: 9436586419 Enrollment ID: I20231206000006 |
| Provider Name | Joel Chittazhattu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063070787 PECOS PAC ID: 5991129900 Enrollment ID: I20231206001825 |
| Provider Name | Walid Ali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235626771 PECOS PAC ID: 6002265741 Enrollment ID: I20231207000322 |
| Provider Name | Kavya Mirchia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821405689 PECOS PAC ID: 5496091324 Enrollment ID: I20231208002332 |
| Provider Name | Elizabeth Langthorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295227122 PECOS PAC ID: 7113318510 Enrollment ID: I20231212003277 |
| Provider Name | Elizabeth Dunnam Franklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396236857 PECOS PAC ID: 1951750108 Enrollment ID: I20231213000878 |
| Provider Name | Lisa Dee Gardner- Ruminer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669528733 PECOS PAC ID: 3072948363 Enrollment ID: I20231213001086 |
| Provider Name | Sarah Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982263554 PECOS PAC ID: 6406184076 Enrollment ID: I20231214002678 |
| Provider Name | Katrina Renee Klohn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972824886 PECOS PAC ID: 5597066860 Enrollment ID: I20231214003841 |
| Provider Name | Megan Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417612060 PECOS PAC ID: 1355790379 Enrollment ID: I20231215000007 |
| Provider Name | Chelsea Rene' Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518250695 PECOS PAC ID: 8921484940 Enrollment ID: I20231218004122 |
| Provider Name | Lamia Abughazaleh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477158533 PECOS PAC ID: 8820404577 Enrollment ID: I20231219003276 |
| Provider Name | Andrea Wismann |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073756045 PECOS PAC ID: 0143463117 Enrollment ID: I20231222001323 |
| Provider Name | Richard De Vuyst |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073958534 PECOS PAC ID: 9931480464 Enrollment ID: I20231227001617 |
| Provider Name | Steven Morey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063475283 PECOS PAC ID: 0143301606 Enrollment ID: I20240102000355 |
| Provider Name | Megan Kathleen Kenshalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982489910 PECOS PAC ID: 5597115600 Enrollment ID: I20240102000529 |
| Provider Name | Katelyn Emily Rusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124719349 PECOS PAC ID: 4587014667 Enrollment ID: I20240102002829 |
| Provider Name | Caroline Elizabeth Schuepbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053008128 PECOS PAC ID: 6608226709 Enrollment ID: I20240102003484 |
| Provider Name | Jessica Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932894128 PECOS PAC ID: 0042661928 Enrollment ID: I20240104001942 |
| Provider Name | Caroline Medlin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831886399 PECOS PAC ID: 7911358783 Enrollment ID: I20240105000771 |
| Provider Name | Claire Elise Bohannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699453324 PECOS PAC ID: 7810348646 Enrollment ID: I20240105002733 |
| Provider Name | Tylicia Nicole Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942924238 PECOS PAC ID: 4981055670 Enrollment ID: I20240106000797 |
| Provider Name | Hilal Yildiz-atar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295282713 PECOS PAC ID: 5890082556 Enrollment ID: I20240108000385 |
| Provider Name | Rita Wilson Dib |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528552825 PECOS PAC ID: 8325391493 Enrollment ID: I20240108005622 |
| Provider Name | Diane Reichmuth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265720627 PECOS PAC ID: 8022289032 Enrollment ID: I20240109002487 |
| Provider Name | Jess Schwartz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912913518 PECOS PAC ID: 4880662071 Enrollment ID: I20240112001345 |
| Provider Name | Maria Alkozah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235755109 PECOS PAC ID: 3577974104 Enrollment ID: I20240122000278 |
| Provider Name | Neal K Kaushal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447542238 PECOS PAC ID: 0547534679 Enrollment ID: I20240127000587 |
| Provider Name | Amanda Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164822789 PECOS PAC ID: 1759502685 Enrollment ID: I20240129003727 |
| Provider Name | Kailee May |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225591290 PECOS PAC ID: 3779926282 Enrollment ID: I20240212001433 |
| Provider Name | Rupen Desai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114378551 PECOS PAC ID: 0143671446 Enrollment ID: I20240214002317 |
| Provider Name | Manuel Maldonado-vital |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982197521 PECOS PAC ID: 1658715503 Enrollment ID: I20240219002308 |
| Provider Name | Terrance Oster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376329755 PECOS PAC ID: 7719321603 Enrollment ID: I20240219003721 |
| Provider Name | Angela K Nooner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124788336 PECOS PAC ID: 6305281296 Enrollment ID: I20240301001138 |
| Provider Name | Isaac D Yourison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285088930 PECOS PAC ID: 3072806439 Enrollment ID: I20240304001671 |
| Provider Name | Richard Crawford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346636974 PECOS PAC ID: 6002123676 Enrollment ID: I20240315002294 |
| Provider Name | Kerstin Womacks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801566153 PECOS PAC ID: 9335546571 Enrollment ID: I20240315002558 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |