| Outer Banks Hospital Urgent Care | |
|
4800 S Croatan Hwy Nags Head NC 27959-9704 | |
| (252) 449-4500 | |
| Not Available |
| Full Name | Outer Banks Hospital Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 4800 S Croatan Hwy, Nags Head, North Carolina |
| Authorized Official Name and Position | Todd Wartlitner (CFO) |
| Authorized Official Contact | 2524494518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outer Banks Hospital Urgent Care Po Box 8427 Greenville NC 27835-8427 Ph: () - | Outer Banks Hospital Urgent Care 4800 S Croatan Hwy Nags Head NC 27959-9704 Ph: (252) 449-4500 |
| NPI Number | 1891050357 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/14/2021 |
| Medicare PECOS PAC ID | 3173652096 |
|---|---|
| Medicare Enrollment ID | O20100602000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891050357 | NPI | - | NPPES |
| Provider Name | Kenny C Nall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710961727 PECOS PAC ID: 4385548817 Enrollment ID: I20031125000638 |
| Provider Name | Gregory Conway Risk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134269038 PECOS PAC ID: 1052208899 Enrollment ID: I20040304000448 |
| Provider Name | Albert L Wiley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639152325 PECOS PAC ID: 2264427665 Enrollment ID: I20040415001201 |
| Provider Name | John Alberto Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811949985 PECOS PAC ID: 8224029376 Enrollment ID: I20040519000423 |
| Provider Name | Vern A Metcalf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720081128 PECOS PAC ID: 1052302544 Enrollment ID: I20040522000193 |
| Provider Name | Amanda C Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013958677 PECOS PAC ID: 1052395282 Enrollment ID: I20040621000560 |
| Provider Name | Mikhail Vinogradov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073518452 PECOS PAC ID: 7911979497 Enrollment ID: I20040806000633 |
| Provider Name | Patrick John Morgante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881655371 PECOS PAC ID: 0941279715 Enrollment ID: I20040928001206 |
| Provider Name | Jan A Mansy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093782484 PECOS PAC ID: 5193785301 Enrollment ID: I20041012001546 |
| Provider Name | Sandeep R Pandit |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743716 PECOS PAC ID: 2264493295 Enrollment ID: I20041026000777 |
| Provider Name | Jeffrey Francis Severa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928403 PECOS PAC ID: 7618942475 Enrollment ID: I20041103001038 |
| Provider Name | Tonya S Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902995111 PECOS PAC ID: 2769449354 Enrollment ID: I20041215000512 |
| Provider Name | William L Rucker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326034513 PECOS PAC ID: 4183517808 Enrollment ID: I20041227000044 |
| Provider Name | Mark Stuart Worthen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619085115 PECOS PAC ID: 9436107430 Enrollment ID: I20050106000402 |
| Provider Name | Marcus Eddie Randall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487641700 PECOS PAC ID: 6709836976 Enrollment ID: I20050125000973 |
| Provider Name | Peter F Boehling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346319209 PECOS PAC ID: 5496706392 Enrollment ID: I20050218000187 |
| Provider Name | Jeffrey Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013013556 PECOS PAC ID: 4587611389 Enrollment ID: I20050404001028 |
| Provider Name | Ann C Sumners |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922180504 PECOS PAC ID: 5496797136 Enrollment ID: I20050524000307 |
| Provider Name | Misbah Ul-ahsan Qadir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013992635 PECOS PAC ID: 7810939006 Enrollment ID: I20050527000212 |
| Provider Name | Bora A Duruman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235163213 PECOS PAC ID: 4880630995 Enrollment ID: I20050629000428 |
| Provider Name | Roger G Lever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104849132 PECOS PAC ID: 7012906118 Enrollment ID: I20050716000015 |
| Provider Name | Matthew J Mckenna |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538191879 PECOS PAC ID: 9335178870 Enrollment ID: I20050805000112 |
| Provider Name | Paul R Moncla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477533065 PECOS PAC ID: 3870522055 Enrollment ID: I20050818000029 |
| Provider Name | Daniel S Terryberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962497230 PECOS PAC ID: 4587694922 Enrollment ID: I20050916000894 |
| Provider Name | Daniel Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851338172 PECOS PAC ID: 6709811938 Enrollment ID: I20051012001000 |
| Provider Name | Georgia A Drumheller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568489110 PECOS PAC ID: 3870519689 Enrollment ID: I20051020000962 |
| Provider Name | Kenneth Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871556084 PECOS PAC ID: 9032123583 Enrollment ID: I20060203000428 |
| Provider Name | Rashid A Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952400343 PECOS PAC ID: 5799799110 Enrollment ID: I20060206000360 |
| Provider Name | James W Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710908173 PECOS PAC ID: 7214908078 Enrollment ID: I20060216000054 |
| Provider Name | Anne Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437190048 PECOS PAC ID: 9436175015 Enrollment ID: I20060420000624 |
| Provider Name | Marcy Stephens Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588682355 PECOS PAC ID: 3173529872 Enrollment ID: I20061019000223 |
| Provider Name | Benjamin M Winfree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639102742 PECOS PAC ID: 3476559188 Enrollment ID: I20061019000379 |
| Provider Name | Carol A Pilote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982618955 PECOS PAC ID: 7517966773 Enrollment ID: I20061215000504 |
| Provider Name | John J Inzerillo |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1164404422 PECOS PAC ID: 1153428016 Enrollment ID: I20070530000089 |
| Provider Name | Maria Nicole Saffell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821127739 PECOS PAC ID: 0749381085 Enrollment ID: I20070731000093 |
| Provider Name | Jeffrey M Chase |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801828140 PECOS PAC ID: 0941237846 Enrollment ID: I20070829000284 |
| Provider Name | Jeffrey A Silver |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346210127 PECOS PAC ID: 0143314278 Enrollment ID: I20070920000499 |
| Provider Name | Ogugua N Obi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477685360 PECOS PAC ID: 3870688278 Enrollment ID: I20071001000205 |
| Provider Name | Emmanuel Emmanuel Zervos |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154333284 PECOS PAC ID: 5092802405 Enrollment ID: I20071101000454 |
| Provider Name | Anthony W Jackson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700987062 PECOS PAC ID: 8527156819 Enrollment ID: I20071120000639 |
| Provider Name | Pamela Lowry Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639227978 PECOS PAC ID: 0648369173 Enrollment ID: I20071205000437 |
| Provider Name | Michael David Spiritos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093744880 PECOS PAC ID: 5395834782 Enrollment ID: I20071207000871 |
| Provider Name | Richard Reynolds Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659387439 PECOS PAC ID: 9133219942 Enrollment ID: I20071217000777 |
| Provider Name | William John Horan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801880687 PECOS PAC ID: 0648379255 Enrollment ID: I20080222000117 |
| Provider Name | Janak Kantilal Choksi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063444826 PECOS PAC ID: 2466427687 Enrollment ID: I20080408000218 |
| Provider Name | Darla K Liles |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528051729 PECOS PAC ID: 1456439090 Enrollment ID: I20080422000647 |
| Provider Name | Charles W Scarantino |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1891745352 PECOS PAC ID: 0941260467 Enrollment ID: I20080612000193 |
| Provider Name | Leroy George Hoffman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811925712 PECOS PAC ID: 4789605882 Enrollment ID: I20080612000210 |
| Provider Name | Michele Polidoro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780652909 PECOS PAC ID: 9638242977 Enrollment ID: I20080721000449 |
| Provider Name | Kamari Demond Mitchell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184643454 PECOS PAC ID: 5991879496 Enrollment ID: I20080731000754 |
| Provider Name | Christina M Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144359670 PECOS PAC ID: 0244305605 Enrollment ID: I20080819000702 |
| Provider Name | Vicente Jose Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578527636 PECOS PAC ID: 8820183965 Enrollment ID: I20081008000727 |
| Provider Name | Mary J Barchman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265439764 PECOS PAC ID: 1355402124 Enrollment ID: I20081211000649 |
| Provider Name | Philip Dean Bates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104860295 PECOS PAC ID: 6608840665 Enrollment ID: I20090420000386 |
| Provider Name | Jamie L Fountain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891826616 PECOS PAC ID: 1052464732 Enrollment ID: I20090728000439 |
| Provider Name | Christopher H Mann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528199056 PECOS PAC ID: 8022162015 Enrollment ID: I20090810000421 |
| Provider Name | Maureen Mcgowan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780883363 PECOS PAC ID: 8022162023 Enrollment ID: I20090810000534 |
| Provider Name | Joseph P Pye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366594558 PECOS PAC ID: 4688728447 Enrollment ID: I20090813000688 |
| Provider Name | Ononlunose Arhuidese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841523131 PECOS PAC ID: 7517003551 Enrollment ID: I20091006000293 |
| Provider Name | Walter L Holton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992769178 PECOS PAC ID: 3779621750 Enrollment ID: I20091111000676 |
| Provider Name | Joseph A Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265402291 PECOS PAC ID: 1850431032 Enrollment ID: I20091218000454 |
| Provider Name | Thomas P Mutton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760483689 PECOS PAC ID: 2466593975 Enrollment ID: I20100106000388 |
| Provider Name | Bartholomew J Resta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790727568 PECOS PAC ID: 4688601586 Enrollment ID: I20100123000255 |
| Provider Name | James Eugene Kendall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144205287 PECOS PAC ID: 8921141359 Enrollment ID: I20100206000089 |
| Provider Name | Thomas B Crabtree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871563817 PECOS PAC ID: 3072657311 Enrollment ID: I20100224000429 |
| Provider Name | Jeri D Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285776260 PECOS PAC ID: 2567599970 Enrollment ID: I20100415000925 |
| Provider Name | Johnny L Farrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891831038 PECOS PAC ID: 2365579984 Enrollment ID: I20100429000781 |
| Provider Name | Daniel Patrick Dwyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467478230 PECOS PAC ID: 3375671076 Enrollment ID: I20100517000211 |
| Provider Name | William L Barrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295836575 PECOS PAC ID: 5496730004 Enrollment ID: I20100608000541 |
| Provider Name | Peter Robins Watson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376528687 PECOS PAC ID: 1355422395 Enrollment ID: I20100615000366 |
| Provider Name | Ayaba G Worjoloh-clemens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891973087 PECOS PAC ID: 1557492295 Enrollment ID: I20100624000729 |
| Provider Name | Musharraf Navaid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821061755 PECOS PAC ID: 5092819888 Enrollment ID: I20100730000267 |
| Provider Name | Richard Preston Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356561385 PECOS PAC ID: 7416080957 Enrollment ID: I20100804000150 |
| Provider Name | Brett E Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306010806 PECOS PAC ID: 6608900790 Enrollment ID: I20100811000292 |
| Provider Name | Steven Muscoreil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427008374 PECOS PAC ID: 7618092974 Enrollment ID: I20100910000455 |
| Provider Name | Alicia G Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184924698 PECOS PAC ID: 0547457350 Enrollment ID: I20101206001032 |
| Provider Name | David Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457350936 PECOS PAC ID: 7911195664 Enrollment ID: I20101221001094 |
| Provider Name | Joseph T Jenkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164421558 PECOS PAC ID: 9537357298 Enrollment ID: I20101221001127 |
| Provider Name | Dana Sherrick Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891871141 PECOS PAC ID: 2062600612 Enrollment ID: I20101222001040 |
| Provider Name | Marielle M Silk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659689545 PECOS PAC ID: 1658560420 Enrollment ID: I20110110000321 |
| Provider Name | Angelique Polidoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396945317 PECOS PAC ID: 3577657436 Enrollment ID: I20110202000240 |
| Provider Name | Christine A Petzing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346348265 PECOS PAC ID: 4284683889 Enrollment ID: I20110223000861 |
| Provider Name | Margaret R Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285753913 PECOS PAC ID: 0941487631 Enrollment ID: I20110606000765 |
| Provider Name | Richard Randall Blackburn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801834767 PECOS PAC ID: 5597755926 Enrollment ID: I20110830000518 |
| Provider Name | Mark S Sinesi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396712923 PECOS PAC ID: 2163327354 Enrollment ID: I20111012000425 |
| Provider Name | Susan P Schriefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982668513 PECOS PAC ID: 8729251541 Enrollment ID: I20111024000008 |
| Provider Name | Edward H Woo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760412043 PECOS PAC ID: 8123010402 Enrollment ID: I20111222000127 |
| Provider Name | Jonathan Hargett Kornegay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730347485 PECOS PAC ID: 8628235751 Enrollment ID: I20120201000609 |
| Provider Name | Erin Brie Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134333636 PECOS PAC ID: 3476717109 Enrollment ID: I20120611000050 |
| Provider Name | Immacula Saint Louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356449144 PECOS PAC ID: 9234104506 Enrollment ID: I20120730000643 |
| Provider Name | Eyad Nazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891923025 PECOS PAC ID: 1557518917 Enrollment ID: I20120821000222 |
| Provider Name | Michael Thomas Hopkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063474526 PECOS PAC ID: 5597927459 Enrollment ID: I20120914000047 |
| Provider Name | Carolyn M Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477511228 PECOS PAC ID: 6305097544 Enrollment ID: I20121115000355 |
| Provider Name | Ryan T Bakelaar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043418163 PECOS PAC ID: 2769563931 Enrollment ID: I20130911000546 |
| Provider Name | Dhruva Chawla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245430727 PECOS PAC ID: 5496989048 Enrollment ID: I20131014001785 |
| Provider Name | Sunita Juliana Ferns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255591707 PECOS PAC ID: 6305093683 Enrollment ID: I20131025001499 |
| Provider Name | Navneeth Rao Bongu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689811325 PECOS PAC ID: 5597801738 Enrollment ID: I20131202001665 |
| Provider Name | Sami Tammo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720270838 PECOS PAC ID: 1557530185 Enrollment ID: I20131210000173 |
| Provider Name | Charley C Tyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204585 PECOS PAC ID: 4688801699 Enrollment ID: I20131219001282 |
| Provider Name | Charles Shelton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437192630 PECOS PAC ID: 0042390627 Enrollment ID: I20140127000302 |
| Provider Name | Jennifer L Stahl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932420916 PECOS PAC ID: 2668601154 Enrollment ID: I20140203001146 |
| Provider Name | Benjamin Stribling Alexander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114945987 PECOS PAC ID: 2961635735 Enrollment ID: I20140501000416 |
| Provider Name | Bonnie S Corley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649259417 PECOS PAC ID: 2961446810 Enrollment ID: I20140806000938 |
| Provider Name | Hanna Zahira Molina-parrilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902126055 PECOS PAC ID: 1355568627 Enrollment ID: I20140809000040 |
| Provider Name | Roy Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063701035 PECOS PAC ID: 2163666066 Enrollment ID: I20140918000518 |
| Provider Name | John Steven Carbone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578646378 PECOS PAC ID: 7416997531 Enrollment ID: I20150125000003 |
| Provider Name | James Douglas Harbin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538193016 PECOS PAC ID: 6305803867 Enrollment ID: I20150125000005 |
| Provider Name | Carlson Bryan Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669871497 PECOS PAC ID: 4385968999 Enrollment ID: I20150129002527 |
| Provider Name | Sri Lakshmi Jasthy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821230210 PECOS PAC ID: 4789637687 Enrollment ID: I20150219001799 |
| Provider Name | Walda Stacia Pinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700026127 PECOS PAC ID: 3577880376 Enrollment ID: I20150316000526 |
| Provider Name | Omar Mijael Villarroel Fernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457325334 PECOS PAC ID: 7719204403 Enrollment ID: I20150317001555 |
| Provider Name | Arjun Mohan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568698728 PECOS PAC ID: 6002127206 Enrollment ID: I20150615001029 |
| Provider Name | Lynn Jackson Howie |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730315102 PECOS PAC ID: 3870804313 Enrollment ID: I20150624001831 |
| Provider Name | Dobroslawa T Reschke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639191992 PECOS PAC ID: 2860381407 Enrollment ID: I20150707002568 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20150807014005 |
| Provider Name | Weldon Francis Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982794665 PECOS PAC ID: 1759350663 Enrollment ID: I20150925000170 |
| Provider Name | Carnaghi V Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346568599 PECOS PAC ID: 2668781733 Enrollment ID: I20151013000742 |
| Provider Name | Veeranna Maddipati |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700033164 PECOS PAC ID: 0941519367 Enrollment ID: I20151024000245 |
| Provider Name | Monique L Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972719 PECOS PAC ID: 7719296144 Enrollment ID: I20151026000197 |
| Provider Name | Howis Yvette Aros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033126156 PECOS PAC ID: 8628071214 Enrollment ID: I20151029001577 |
| Provider Name | Amanda Joyner Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326418559 PECOS PAC ID: 8628378445 Enrollment ID: I20151201001767 |
| Provider Name | Ibrahim Mohamed Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407952963 PECOS PAC ID: 0244367431 Enrollment ID: I20151228001702 |
| Provider Name | Deanna L Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801291935 PECOS PAC ID: 3375855760 Enrollment ID: I20160115000424 |
| Provider Name | Gregory Biernacki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194789909 PECOS PAC ID: 6507946639 Enrollment ID: I20160129000375 |
| Provider Name | Manjula Rani Petchetti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760658447 PECOS PAC ID: 0749584571 Enrollment ID: I20160311001467 |
| Provider Name | John Mark Dimichele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871621680 PECOS PAC ID: 5092011353 Enrollment ID: I20160311001757 |
| Provider Name | Valeria Noelia Higinio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063612554 PECOS PAC ID: 2961575071 Enrollment ID: I20160419002718 |
| Provider Name | Heather Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786683 PECOS PAC ID: 1951605369 Enrollment ID: I20160603001280 |
| Provider Name | Sumayah Hargette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184943169 PECOS PAC ID: 8224254727 Enrollment ID: I20160613000344 |
| Provider Name | Krista J Follmer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457525354 PECOS PAC ID: 8729149950 Enrollment ID: I20160620000129 |
| Provider Name | Kondal Rao Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20160718001619 |
| Provider Name | Melva Pinn-bingham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952505620 PECOS PAC ID: 1355505116 Enrollment ID: I20160801000298 |
| Provider Name | Rachael Springer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457589186 PECOS PAC ID: 9133436900 Enrollment ID: I20160909000567 |
| Provider Name | Aleksandr Shikhman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578988390 PECOS PAC ID: 1052530144 Enrollment ID: I20160920001128 |
| Provider Name | Corneliu N Stanciu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902244957 PECOS PAC ID: 6103115746 Enrollment ID: I20161103001155 |
| Provider Name | Jessica Gillman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275829475 PECOS PAC ID: 6305125584 Enrollment ID: I20161110001085 |
| Provider Name | Christine L Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639627623 PECOS PAC ID: 0345529343 Enrollment ID: I20161115001892 |
| Provider Name | Hector Manuel Cabeza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790942688 PECOS PAC ID: 1456544774 Enrollment ID: I20170206001703 |
| Provider Name | Jonelle Ulep Haigh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841489374 PECOS PAC ID: 9537339114 Enrollment ID: I20170426000873 |
| Provider Name | Richard E Townsend |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144213919 PECOS PAC ID: 5799701215 Enrollment ID: I20170502000996 |
| Provider Name | Janine D Barreiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134668544 PECOS PAC ID: 0547547465 Enrollment ID: I20170502002487 |
| Provider Name | Aaron Quinn Haigh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659652089 PECOS PAC ID: 7416105820 Enrollment ID: I20170503001190 |
| Provider Name | Manjunath Markandaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215101514 PECOS PAC ID: 5597948943 Enrollment ID: I20170515001038 |
| Provider Name | Manjit S. Dhillon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003815218 PECOS PAC ID: 6103836952 Enrollment ID: I20170530000725 |
| Provider Name | Alexander Michael Tummers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467617993 PECOS PAC ID: 1557630597 Enrollment ID: I20170706001425 |
| Provider Name | Andre St Christopher Dyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20170803002494 |
| Provider Name | Jessica Lynn Danison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477874618 PECOS PAC ID: 2163640590 Enrollment ID: I20170925002385 |
| Provider Name | Rula Musa Freiji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134343452 PECOS PAC ID: 0446293955 Enrollment ID: I20170927003362 |
| Provider Name | John H Barton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467407429 PECOS PAC ID: 8628166139 Enrollment ID: I20171002000560 |
| Provider Name | Marina Igorevna Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679096945 PECOS PAC ID: 7517232960 Enrollment ID: I20171011000188 |
| Provider Name | Mary Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891809265 PECOS PAC ID: 6608848338 Enrollment ID: I20171011003332 |
| Provider Name | Vijay Chaudhary |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134388051 PECOS PAC ID: 8022132182 Enrollment ID: I20171102001964 |
| Provider Name | Suann Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770746430 PECOS PAC ID: 0143545368 Enrollment ID: I20171103002164 |
| Provider Name | Kathryn L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952376 PECOS PAC ID: 0840558623 Enrollment ID: I20171228000265 |
| Provider Name | Kimberly R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528414943 PECOS PAC ID: 2062701956 Enrollment ID: I20180108001728 |
| Provider Name | Joseph James Schulz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790921484 PECOS PAC ID: 9537316641 Enrollment ID: I20180110000864 |
| Provider Name | William C Guenther |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386789618 PECOS PAC ID: 6608779236 Enrollment ID: I20180122000039 |
| Provider Name | Srihari Peri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568527828 PECOS PAC ID: 2668501917 Enrollment ID: I20180122000478 |
| Provider Name | Magali Blervaque Calfee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942646971 PECOS PAC ID: 4284912510 Enrollment ID: I20180131001548 |
| Provider Name | Avijeet Kumar Dut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912303785 PECOS PAC ID: 8628339850 Enrollment ID: I20180302000265 |
| Provider Name | Chang O Son |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396016838 PECOS PAC ID: 0941424519 Enrollment ID: I20180307001691 |
| Provider Name | David Jonathan Friedman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427054683 PECOS PAC ID: 6800795865 Enrollment ID: I20180402002037 |
| Provider Name | James D Heaton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245551902 PECOS PAC ID: 4880973650 Enrollment ID: I20180424002952 |
| Provider Name | Hema N Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780665893 PECOS PAC ID: 2062300502 Enrollment ID: I20180502001010 |
| Provider Name | Paul S Hogg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659379998 PECOS PAC ID: 5496836561 Enrollment ID: I20180605002841 |
| Provider Name | Benjamin Thomas Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396265526 PECOS PAC ID: 1052666583 Enrollment ID: I20180625000289 |
| Provider Name | Amy R Gilleland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124384920 PECOS PAC ID: 4082904313 Enrollment ID: I20180629001731 |
| Provider Name | Eileen Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339146 PECOS PAC ID: 1052464575 Enrollment ID: I20180717003413 |
| Provider Name | Patricia Ann Convery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093973075 PECOS PAC ID: 2466609532 Enrollment ID: I20180807000805 |
| Provider Name | Kelly Harness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154432003 PECOS PAC ID: 6901898063 Enrollment ID: I20180810002280 |
| Provider Name | Kelly Ann Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922476266 PECOS PAC ID: 6406166123 Enrollment ID: I20180822002413 |
| Provider Name | Bradley A Nine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053363127 PECOS PAC ID: 0749260982 Enrollment ID: I20180828000736 |
| Provider Name | Gina Louise Matteson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356633945 PECOS PAC ID: 0547496051 Enrollment ID: I20181004001504 |
| Provider Name | Beth A Ridgway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003968371 PECOS PAC ID: 4587972435 Enrollment ID: I20181008003530 |
| Provider Name | Jennifer Lauren Lindsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407294234 PECOS PAC ID: 9032429899 Enrollment ID: I20181029001314 |
| Provider Name | Darshan P Sarode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538576681 PECOS PAC ID: 8527311794 Enrollment ID: I20181106000513 |
| Provider Name | Andrew S Camarata |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174693063 PECOS PAC ID: 0345506218 Enrollment ID: I20181114000247 |
| Provider Name | Maighan A Seagrove-guffey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598170797 PECOS PAC ID: 7214243385 Enrollment ID: I20181116002722 |
| Provider Name | Mitra Sahebazamani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780814392 PECOS PAC ID: 3476691353 Enrollment ID: I20181119000649 |
| Provider Name | Vernon Eugene Mackie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780813147 PECOS PAC ID: 7618199175 Enrollment ID: I20181205003041 |
| Provider Name | Jaclyn Eva Hall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154721140 PECOS PAC ID: 5294079646 Enrollment ID: I20181212000287 |
| Provider Name | Bryan T Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174902167 PECOS PAC ID: 4385933894 Enrollment ID: I20181217002662 |
| Provider Name | Hannah Yetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306297106 PECOS PAC ID: 8527354349 Enrollment ID: I20190107000646 |
| Provider Name | Bradley C. Carofino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194904474 PECOS PAC ID: 3476745720 Enrollment ID: I20190429002720 |
| Provider Name | Shailesh Male |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770841132 PECOS PAC ID: 2466690417 Enrollment ID: I20190628001607 |
| Provider Name | Shehabaldin Alqalyoobi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245679141 PECOS PAC ID: 1153623145 Enrollment ID: I20190702003103 |
| Provider Name | Sherry Renee Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114358371 PECOS PAC ID: 3779713615 Enrollment ID: I20190730002989 |
| Provider Name | Michael Wasowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922407063 PECOS PAC ID: 9931320264 Enrollment ID: I20190731002201 |
| Provider Name | Aaron Barrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164715769 PECOS PAC ID: 3173766821 Enrollment ID: I20190824000349 |
| Provider Name | Kumaraswamy Guttalu Krishnamurthy Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427468784 PECOS PAC ID: 2062736028 Enrollment ID: I20190829000052 |
| Provider Name | Diego Condes Diez Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802540 PECOS PAC ID: 7214267822 Enrollment ID: I20190925000526 |
| Provider Name | Syed Saqib Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871945386 PECOS PAC ID: 6305126012 Enrollment ID: I20190930000247 |
| Provider Name | Ian Luke Bryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639525231 PECOS PAC ID: 9931491727 Enrollment ID: I20190930000739 |
| Provider Name | Collins Mbugua Mbaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750732962 PECOS PAC ID: 6204175888 Enrollment ID: I20191003002451 |
| Provider Name | Marian Pokuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20191007000146 |
| Provider Name | Jennifer Leigh Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770095762 PECOS PAC ID: 6608121587 Enrollment ID: I20191126001814 |
| Provider Name | Sarah Holcomb Summerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982254884 PECOS PAC ID: 1951734912 Enrollment ID: I20191204002634 |
| Provider Name | Madeera Kathpal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114150612 PECOS PAC ID: 7719274240 Enrollment ID: I20191226002287 |
| Provider Name | Matthew Wayne Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831518208 PECOS PAC ID: 4082906672 Enrollment ID: I20200126000043 |
| Provider Name | Jacquelyn Dwelle Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922779 PECOS PAC ID: 2365878824 Enrollment ID: I20200203000583 |
| Provider Name | Kyudong Peter Uhm |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740222454 PECOS PAC ID: 9537217567 Enrollment ID: I20200316001637 |
| Provider Name | Bonnie Neal Burnham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093036493 PECOS PAC ID: 7911207626 Enrollment ID: I20200323002634 |
| Provider Name | Lori Ann Lancsek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063044568 PECOS PAC ID: 7719316520 Enrollment ID: I20200330003486 |
| Provider Name | Mia Davielle Gonzales |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598292674 PECOS PAC ID: 2567732951 Enrollment ID: I20200406003298 |
| Provider Name | Amanda Jean Pettibone-pond |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790075596 PECOS PAC ID: 8628214293 Enrollment ID: I20200514002295 |
| Provider Name | Philip I Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790166197 PECOS PAC ID: 4880926476 Enrollment ID: I20200602000073 |
| Provider Name | Tiffany Gail Byerly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922535012 PECOS PAC ID: 6800166158 Enrollment ID: I20200723001834 |
| Provider Name | Imran Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275063471 PECOS PAC ID: 3274803531 Enrollment ID: I20200806002115 |
| Provider Name | Brian Bartholomew Hearn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770657587 PECOS PAC ID: 2668645813 Enrollment ID: I20200821002983 |
| Provider Name | Samantha Thomas-nadler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952838021 PECOS PAC ID: 9537439831 Enrollment ID: I20200824000443 |
| Provider Name | Manoranjan Muthukanagaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750765244 PECOS PAC ID: 8820387343 Enrollment ID: I20200827001340 |
| Provider Name | Blake Ellington Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326215518 PECOS PAC ID: 3870773757 Enrollment ID: I20200925001825 |
| Provider Name | Fnu Parul Chandrika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417479593 PECOS PAC ID: 3577838010 Enrollment ID: I20201008001129 |
| Provider Name | Rachel Lea Pretko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093240764 PECOS PAC ID: 7113359241 Enrollment ID: I20201008001609 |
| Provider Name | Randolph B Waskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497780134 PECOS PAC ID: 2961390364 Enrollment ID: I20210115001849 |
| Provider Name | Brian Patrick Regan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366979874 PECOS PAC ID: 7618230855 Enrollment ID: I20210122001028 |
| Provider Name | Mark Aidan Kelley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851303978 PECOS PAC ID: 3173512423 Enrollment ID: I20210412000311 |
| Provider Name | Elena Butler Sevier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447841739 PECOS PAC ID: 4789093410 Enrollment ID: I20210511000717 |
| Provider Name | Brooke Crawford Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417540022 PECOS PAC ID: 8123427911 Enrollment ID: I20210527001447 |
| Provider Name | Daniel Nathan Kashdan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790927689 PECOS PAC ID: 0345573770 Enrollment ID: I20210709000447 |
| Provider Name | Jennifer N Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265929681 PECOS PAC ID: 8224431564 Enrollment ID: I20210726000407 |
| Provider Name | Kibwe Weaver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013180876 PECOS PAC ID: 6103940663 Enrollment ID: I20210901003917 |
| Provider Name | Tracey Elizabeth Beard Hansel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013183904 PECOS PAC ID: 9335395185 Enrollment ID: I20210907003603 |
| Provider Name | Srinath Sundararaman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336142488 PECOS PAC ID: 7214825801 Enrollment ID: I20220301000297 |
| Provider Name | Rachel Ann Elibri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426223 PECOS PAC ID: 9638563869 Enrollment ID: I20220303001063 |
| Provider Name | Megan Mitchell Rivera-o'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851856124 PECOS PAC ID: 7810238482 Enrollment ID: I20220412002869 |
| Provider Name | Danielle Jarman White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205576915 PECOS PAC ID: 4082092200 Enrollment ID: I20220531002263 |
| Provider Name | Adam Wali Hamidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215241377 PECOS PAC ID: 4587836689 Enrollment ID: I20220602000912 |
| Provider Name | Christopher Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588689475 PECOS PAC ID: 6305970757 Enrollment ID: I20220707000325 |
| Provider Name | Katherine Poe Caton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174534416 PECOS PAC ID: 6002827680 Enrollment ID: I20220718000233 |
| Provider Name | David Ryan Worthen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255727004 PECOS PAC ID: 3375857576 Enrollment ID: I20220727004264 |
| Provider Name | Luke Carter Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366702441 PECOS PAC ID: 1951567767 Enrollment ID: I20220802001169 |
| Provider Name | David George Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528591484 PECOS PAC ID: 2163792573 Enrollment ID: I20220805001268 |
| Provider Name | Shaivya Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821551052 PECOS PAC ID: 5193052868 Enrollment ID: I20220809003546 |
| Provider Name | Robin Brown Dillard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871740324 PECOS PAC ID: 6709813330 Enrollment ID: I20220810001082 |
| Provider Name | Kalyan Reddy Malgireddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316467350 PECOS PAC ID: 1759655210 Enrollment ID: I20220810001906 |
| Provider Name | Melissa Joy Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427352491 PECOS PAC ID: 9537344387 Enrollment ID: I20220906002071 |
| Provider Name | Jennifer Erin Mihalik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275732067 PECOS PAC ID: 7719158260 Enrollment ID: I20220913004038 |
| Provider Name | Leisa Marie Deutsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023320017 PECOS PAC ID: 5597071159 Enrollment ID: I20220922000888 |
| Provider Name | Sabrina Renee Oleskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063131662 PECOS PAC ID: 5698141711 Enrollment ID: I20221014001147 |
| Provider Name | Sukriti Kamboj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134475650 PECOS PAC ID: 5698088813 Enrollment ID: I20221104002277 |
| Provider Name | Lisa Anna Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952726739 PECOS PAC ID: 1052531563 Enrollment ID: I20221122003616 |
| Provider Name | Laura Cockerham Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023681178 PECOS PAC ID: 4284002940 Enrollment ID: I20221130001880 |
| Provider Name | Brian Moonkyong Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669633137 PECOS PAC ID: 0547335671 Enrollment ID: I20230120000417 |
| Provider Name | Edna Rothman Mullally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629687553 PECOS PAC ID: 0143691675 Enrollment ID: I20230120000971 |
| Provider Name | Judy Davidson Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093980120 PECOS PAC ID: 4880767755 Enrollment ID: I20230308001047 |
| Provider Name | Dorothy Tazewell Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740992478 PECOS PAC ID: 4486019023 Enrollment ID: I20230503002253 |
| Provider Name | Nicollette Arielle Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295354512 PECOS PAC ID: 9931521648 Enrollment ID: I20230620003451 |
| Provider Name | Corey David Mcneilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316567191 PECOS PAC ID: 7719308931 Enrollment ID: I20230627000576 |
| Provider Name | Robert Gunther |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326130824 PECOS PAC ID: 5890785711 Enrollment ID: I20230707000039 |
| Provider Name | Christopher Ryan Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164061404 PECOS PAC ID: 2567891054 Enrollment ID: I20230822001965 |
| Provider Name | Joana Eleanor Colzani-cohen-deutsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972153146 PECOS PAC ID: 5496145740 Enrollment ID: I20230828003533 |
| Provider Name | Michael Prasad Reddy-miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538621172 PECOS PAC ID: 1153656871 Enrollment ID: I20230928002812 |
| Provider Name | Lindsay Allene Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215619317 PECOS PAC ID: 3173978004 Enrollment ID: I20231013000151 |
| Provider Name | Mohammed Afraz Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245843960 PECOS PAC ID: 3678981503 Enrollment ID: I20231016000181 |
| Provider Name | Dylan Hunter West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508333790 PECOS PAC ID: 8224376629 Enrollment ID: I20231016003625 |
| Provider Name | Pamela Quinn Taffera-deihl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346487204 PECOS PAC ID: 0648463109 Enrollment ID: I20231025000630 |
| Provider Name | Joshua Lesko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235520685 PECOS PAC ID: 9931595451 Enrollment ID: I20231229002462 |
| Provider Name | Jennifer Manos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962701466 PECOS PAC ID: 6901078989 Enrollment ID: I20240207000742 |
Community Care Clinic Of Dare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Health Center Dr, Nags Head, NC 27959 Phone: 252-261-3041 | |
Croatan Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 S Croatan Hwy, Nags Head, NC 27959 Phone: 954-873-7044 | |
The Outer Banks Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4800 S Croatan Hwy, Nags Head, NC 27959 Phone: 252-449-4500 | |
Healtheast Family Care Of Nags Head Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4810 S Croatan Highway, Suite 100, Nags Head, NC 27959 Phone: 252-441-3177 Fax: 252-441-2271 | |
Pediatrics Plus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 S Croatan Hwy Ste D, Nags Head, NC 27959 Phone: 256-375-6303 | |
Outer Banks Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2522 S Croatan Hwy, Suite 1-b, Nags Head, NC 27959 Phone: 252-441-5038 Fax: 252-441-5216 | |
Beach Medical Care, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4917 S Croatan Hwy, Unit 1b, Nags Head, NC 27959 Phone: 252-261-4187 Fax: 252-261-5182 |