| Pacific Medical Centers | |
|
1200 12th Ave S Seattle WA 98124 | |
| (206) 621-4316 | |
| Not Available |
| Full Name | Pacific Medical Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 12th Ave S, Seattle, Washington |
| Authorized Official Name and Position | Donald W Anderson (DIR REIMB REG STRAT/ASST SEC ENROLL) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medical Centers Po Box 24386 Pacmed Clinics Seattle WA 98124-0386 Ph: (206) 621-4316 | Pacific Medical Centers 1200 12th Ave S Seattle WA 98124 Ph: (206) 621-4316 |
| NPI Number | 1013061217 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 07/28/2023 |
| Medicare PECOS PAC ID | 2466350657 |
|---|---|
| Medicare Enrollment ID | O20031226000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013061217 | NPI | - | NPPES |
| Provider Name | Ellen M Lackermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710976485 PECOS PAC ID: 9133028806 Enrollment ID: I20040102000248 |
| Provider Name | Lisa M Ivanjack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972541878 PECOS PAC ID: 8820990468 Enrollment ID: I20040123000306 |
| Provider Name | Marianne T Broers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750441812 PECOS PAC ID: 5294620589 Enrollment ID: I20040217000047 |
| Provider Name | Shari J Brennecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831187814 PECOS PAC ID: 6709879521 Enrollment ID: I20040407000419 |
| Provider Name | John B Yuen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225027360 PECOS PAC ID: 6800882556 Enrollment ID: I20040420001709 |
| Provider Name | Keiko Aikawa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194808121 PECOS PAC ID: 7416932348 Enrollment ID: I20040623000897 |
| Provider Name | Barbara G Schach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851483044 PECOS PAC ID: 9436135928 Enrollment ID: I20040625000522 |
| Provider Name | Mary A Wemple |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033108188 PECOS PAC ID: 2567448897 Enrollment ID: I20040628000703 |
| Provider Name | Philip G Massey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700832730 PECOS PAC ID: 9335126457 Enrollment ID: I20040706001233 |
| Provider Name | Rutherford P Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811072614 PECOS PAC ID: 2264410216 Enrollment ID: I20040708000025 |
| Provider Name | Thuy Tien V Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023015641 PECOS PAC ID: 7113906231 Enrollment ID: I20040714000356 |
| Provider Name | Richard K Bowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386632354 PECOS PAC ID: 4486633195 Enrollment ID: I20040716000179 |
| Provider Name | Shirley Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902894819 PECOS PAC ID: 9436124302 Enrollment ID: I20040902000128 |
| Provider Name | James K Bryan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467440446 PECOS PAC ID: 0042288607 Enrollment ID: I20040921000979 |
| Provider Name | Lisa L Oswald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487643912 PECOS PAC ID: 3870557689 Enrollment ID: I20041111001120 |
| Provider Name | Steven Han |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013033190 PECOS PAC ID: 0345205241 Enrollment ID: I20041119000528 |
| Provider Name | Karyn I Harkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336231901 PECOS PAC ID: 2860457660 Enrollment ID: I20041122000198 |
| Provider Name | James P Willems |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629037957 PECOS PAC ID: 5496711335 Enrollment ID: I20041202000825 |
| Provider Name | Vikramsinh Dabhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609923879 PECOS PAC ID: 3173581725 Enrollment ID: I20041229000218 |
| Provider Name | Michelle A Navaja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265504393 PECOS PAC ID: 7315998622 Enrollment ID: I20050203000702 |
| Provider Name | Jennifer Diane Gorman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417970443 PECOS PAC ID: 5991601379 Enrollment ID: I20050218000841 |
| Provider Name | Constantine W Palaskas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609834258 PECOS PAC ID: 4082506548 Enrollment ID: I20050311000095 |
| Provider Name | Kimberly M Farea |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730135781 PECOS PAC ID: 9133176548 Enrollment ID: I20050406001225 |
| Provider Name | John S Mullen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013982636 PECOS PAC ID: 8426098971 Enrollment ID: I20050505000401 |
| Provider Name | Kirk Alexander |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720076367 PECOS PAC ID: 5092774240 Enrollment ID: I20050519000228 |
| Provider Name | Barbara J Fox |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164430054 PECOS PAC ID: 4284521360 Enrollment ID: I20050610000479 |
| Provider Name | Jerry S Turnipseed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518976182 PECOS PAC ID: 0547298283 Enrollment ID: I20050803000025 |
| Provider Name | Pathmaja Paramsothy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730265497 PECOS PAC ID: 0446289565 Enrollment ID: I20050809000997 |
| Provider Name | Sonja P Maddox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295732113 PECOS PAC ID: 5193750883 Enrollment ID: I20050930000656 |
| Provider Name | Christopher Y Maeda |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457340648 PECOS PAC ID: 9133144017 Enrollment ID: I20051010000877 |
| Provider Name | Joel Lilly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104899137 PECOS PAC ID: 5496774481 Enrollment ID: I20051118000560 |
| Provider Name | Oscar Lillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669435509 PECOS PAC ID: 5294756508 Enrollment ID: I20051214000828 |
| Provider Name | Tinsley Coble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003032350 PECOS PAC ID: 7113935289 Enrollment ID: I20060330000701 |
| Provider Name | Shilpa P Desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679529986 PECOS PAC ID: 9830180678 Enrollment ID: I20060614000216 |
| Provider Name | Michael J Wolfe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346289865 PECOS PAC ID: 5991605156 Enrollment ID: I20060626000110 |
| Provider Name | Dennis R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386689628 PECOS PAC ID: 8224040597 Enrollment ID: I20060705000109 |
| Provider Name | Elizabeth K Broussard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669419495 PECOS PAC ID: 3375556715 Enrollment ID: I20060801000173 |
| Provider Name | Tanya M Nazemi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649291907 PECOS PAC ID: 7315941374 Enrollment ID: I20060905000413 |
| Provider Name | Christopher J Carlson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821011065 PECOS PAC ID: 2163426669 Enrollment ID: I20060913000536 |
| Provider Name | Gregory Grant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154324812 PECOS PAC ID: 1153396635 Enrollment ID: I20061006000264 |
| Provider Name | Jaymes Richard Venema |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962414375 PECOS PAC ID: 2365448685 Enrollment ID: I20061010000558 |
| Provider Name | Sharmila Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1073512141 PECOS PAC ID: 8729071360 Enrollment ID: I20061018000052 |
| Provider Name | Shailaja Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598853426 PECOS PAC ID: 7113925041 Enrollment ID: I20061201000090 |
| Provider Name | Aileen Monponbanua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639162456 PECOS PAC ID: 8628086717 Enrollment ID: I20061207000091 |
| Provider Name | Lise K Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114020310 PECOS PAC ID: 8628077013 Enrollment ID: I20061213000013 |
| Provider Name | Pankaj Rajvanshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437148749 PECOS PAC ID: 4486655289 Enrollment ID: I20070122000437 |
| Provider Name | Kathryn A Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538158837 PECOS PAC ID: 3577565167 Enrollment ID: I20070212000119 |
| Provider Name | Eric K Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249206 PECOS PAC ID: 6901808245 Enrollment ID: I20070215000279 |
| Provider Name | Janet M Trowbridge |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912017914 PECOS PAC ID: 1254437049 Enrollment ID: I20070511000274 |
| Provider Name | Faiza N Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649300856 PECOS PAC ID: 6305943259 Enrollment ID: I20070529000567 |
| Provider Name | Arkadiy Tkachev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033232095 PECOS PAC ID: 5799884755 Enrollment ID: I20070616000078 |
| Provider Name | Michael L Giese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639366354 PECOS PAC ID: 3072609585 Enrollment ID: I20071015000273 |
| Provider Name | Bernadeth T Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104869429 PECOS PAC ID: 1254428709 Enrollment ID: I20071030000480 |
| Provider Name | Christopher H Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780765362 PECOS PAC ID: 6800984949 Enrollment ID: I20071126000703 |
| Provider Name | Nha K Ton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114023553 PECOS PAC ID: 1153411756 Enrollment ID: I20071219000839 |
| Provider Name | Judith D Nielsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093871634 PECOS PAC ID: 1355424417 Enrollment ID: I20080212000614 |
| Provider Name | James C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831155696 PECOS PAC ID: 6305920026 Enrollment ID: I20080219000850 |
| Provider Name | Harry L Teicher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821086174 PECOS PAC ID: 7113004292 Enrollment ID: I20080414000700 |
| Provider Name | Karen H Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386633436 PECOS PAC ID: 9436238334 Enrollment ID: I20080505000005 |
| Provider Name | Natalie F Choi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750547931 PECOS PAC ID: 2860567054 Enrollment ID: I20080822000414 |
| Provider Name | Ari A Gilmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750544532 PECOS PAC ID: 6406921592 Enrollment ID: I20080825000543 |
| Provider Name | Lori L Kirsten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003063223 PECOS PAC ID: 3779650304 Enrollment ID: I20080924000395 |
| Provider Name | Tavis J Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043207020 PECOS PAC ID: 0840350849 Enrollment ID: I20081120000640 |
| Provider Name | Joanna Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033227939 PECOS PAC ID: 3870599293 Enrollment ID: I20090319000535 |
| Provider Name | William R Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952390627 PECOS PAC ID: 8527966712 Enrollment ID: I20090406000508 |
| Provider Name | Michael J Mandzuik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164540738 PECOS PAC ID: 9133279003 Enrollment ID: I20090616000023 |
| Provider Name | Alexander M Hamling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538379326 PECOS PAC ID: 7113071143 Enrollment ID: I20090811000034 |
| Provider Name | Nimali D Mendis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952306979 PECOS PAC ID: 8921067406 Enrollment ID: I20090818000848 |
| Provider Name | Manika Jamwal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679702922 PECOS PAC ID: 7618021122 Enrollment ID: I20090818000850 |
| Provider Name | Benjamin W Lacey |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306958293 PECOS PAC ID: 5193870871 Enrollment ID: I20090901000544 |
| Provider Name | Raman Arora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710140207 PECOS PAC ID: 8820143506 Enrollment ID: I20090901000547 |
| Provider Name | Yoon J Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801020946 PECOS PAC ID: 3870649882 Enrollment ID: I20090916000455 |
| Provider Name | Laine M Gawthrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346339751 PECOS PAC ID: 3072669480 Enrollment ID: I20090925000158 |
| Provider Name | Chad J Marion |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679603401 PECOS PAC ID: 5698811701 Enrollment ID: I20091002000574 |
| Provider Name | Jodi A Rubinstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255583092 PECOS PAC ID: 8224174727 Enrollment ID: I20091014000585 |
| Provider Name | Jody M Rhoades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104851039 PECOS PAC ID: 1759284631 Enrollment ID: I20091028000636 |
| Provider Name | Katy Jo Favia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548593866 PECOS PAC ID: 5698813657 Enrollment ID: I20091111000468 |
| Provider Name | Sharyl Kamihara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184613895 PECOS PAC ID: 7113065137 Enrollment ID: I20091112000234 |
| Provider Name | Julia H Becke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306858451 PECOS PAC ID: 6507904471 Enrollment ID: I20091113000139 |
| Provider Name | Stephanie F Clements |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508855297 PECOS PAC ID: 4688715022 Enrollment ID: I20100107000740 |
| Provider Name | Michael Young Han |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063413144 PECOS PAC ID: 7719922822 Enrollment ID: I20100118000064 |
| Provider Name | Amarnath V Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215959143 PECOS PAC ID: 1557403185 Enrollment ID: I20100120000751 |
| Provider Name | Anita Elangovan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356316798 PECOS PAC ID: 0941223044 Enrollment ID: I20100126000099 |
| Provider Name | Matthew Mark Bressie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265409858 PECOS PAC ID: 4486548419 Enrollment ID: I20100126000108 |
| Provider Name | Margaret B Clowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114915071 PECOS PAC ID: 5092858977 Enrollment ID: I20100201000149 |
| Provider Name | Teresa A Wolber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942299052 PECOS PAC ID: 2264575018 Enrollment ID: I20100202000975 |
| Provider Name | Elisabeth P Ware |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417946542 PECOS PAC ID: 3072656826 Enrollment ID: I20100202000976 |
| Provider Name | Sara Waterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528057676 PECOS PAC ID: 4981747730 Enrollment ID: I20100202000977 |
| Provider Name | Christopher H Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871584938 PECOS PAC ID: 5890838643 Enrollment ID: I20100202000978 |
| Provider Name | David Riggs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588653612 PECOS PAC ID: 6709929557 Enrollment ID: I20100202000979 |
| Provider Name | Elizabeth R Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427047109 PECOS PAC ID: 7618010463 Enrollment ID: I20100202000980 |
| Provider Name | Erin K Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306837463 PECOS PAC ID: 4981747748 Enrollment ID: I20100202000987 |
| Provider Name | Caroline Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669461984 PECOS PAC ID: 2466597497 Enrollment ID: I20100302000785 |
| Provider Name | Lisa R Olsson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760471296 PECOS PAC ID: 4082759014 Enrollment ID: I20100302000796 |
| Provider Name | James A Lund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033108709 PECOS PAC ID: 3072658418 Enrollment ID: I20100309000877 |
| Provider Name | Marie A Kernie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487643995 PECOS PAC ID: 0345385787 Enrollment ID: I20100309000885 |
| Provider Name | David D True |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538158787 PECOS PAC ID: 2961537279 Enrollment ID: I20100311000766 |
| Provider Name | Martha H Ways |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699764746 PECOS PAC ID: 2466588702 Enrollment ID: I20100325001137 |
| Provider Name | Cynthia L Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083603195 PECOS PAC ID: 3274669510 Enrollment ID: I20100325001138 |
| Provider Name | Deborah Washington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992794044 PECOS PAC ID: 4183750425 Enrollment ID: I20100325001139 |
| Provider Name | Dana A Swenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609865898 PECOS PAC ID: 5092841338 Enrollment ID: I20100325001140 |
| Provider Name | Victoria E Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154319796 PECOS PAC ID: 6901932243 Enrollment ID: I20100325001141 |
| Provider Name | Andrew M Dym |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679562409 PECOS PAC ID: 7810023157 Enrollment ID: I20100325001142 |
| Provider Name | Davonna R Cufley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871582734 PECOS PAC ID: 0840328019 Enrollment ID: I20100507000740 |
| Provider Name | Antonio Bedalov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407844467 PECOS PAC ID: 2466580642 Enrollment ID: I20100507000780 |
| Provider Name | Marni A Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760471809 PECOS PAC ID: 1355479536 Enrollment ID: I20100507000800 |
| Provider Name | Sandie J Leistiko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336201730 PECOS PAC ID: 4789717166 Enrollment ID: I20100805000627 |
| Provider Name | Thomas Anthony Lamperti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780673392 PECOS PAC ID: 0648170886 Enrollment ID: I20100810000966 |
| Provider Name | Michael D Wingren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760595664 PECOS PAC ID: 1759405822 Enrollment ID: I20100825001081 |
| Provider Name | Michele C Pulling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184739054 PECOS PAC ID: 8022134071 Enrollment ID: I20100927001300 |
| Provider Name | Rafat Unnisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306079793 PECOS PAC ID: 0840482287 Enrollment ID: I20101004001393 |
| Provider Name | Donald L Pick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427247667 PECOS PAC ID: 2264594852 Enrollment ID: I20101105000536 |
| Provider Name | David M White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396713962 PECOS PAC ID: 0446229991 Enrollment ID: I20110120000151 |
| Provider Name | Atis Barzdins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275640179 PECOS PAC ID: 2466444344 Enrollment ID: I20110124001202 |
| Provider Name | Ruchi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194907360 PECOS PAC ID: 7719166487 Enrollment ID: I20110126001188 |
| Provider Name | Heather L Kramm |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770548158 PECOS PAC ID: 3971508029 Enrollment ID: I20110310000865 |
| Provider Name | Robert P Mclaughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346394269 PECOS PAC ID: 8325154958 Enrollment ID: I20110425000216 |
| Provider Name | Sean Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407059058 PECOS PAC ID: 7315125291 Enrollment ID: I20110623000404 |
| Provider Name | Darren R Pollock |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1861508582 PECOS PAC ID: 1254425192 Enrollment ID: I20110825000017 |
| Provider Name | Catalina M Draghici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255524930 PECOS PAC ID: 2961672704 Enrollment ID: I20110902000345 |
| Provider Name | Brian Y Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982860276 PECOS PAC ID: 9931372372 Enrollment ID: I20111101000312 |
| Provider Name | Lisa Sieberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730460668 PECOS PAC ID: 8729253414 Enrollment ID: I20111207000769 |
| Provider Name | Christopher E Etzkorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912154428 PECOS PAC ID: 7113184664 Enrollment ID: I20120210000366 |
| Provider Name | Hina Sahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619192739 PECOS PAC ID: 5991805517 Enrollment ID: I20120314000773 |
| Provider Name | Xing Fu |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1225172620 PECOS PAC ID: 4082874425 Enrollment ID: I20120322000380 |
| Provider Name | Matthew R Gee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306835764 PECOS PAC ID: 6103858006 Enrollment ID: I20120531000188 |
| Provider Name | Parul Do Sharma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093918971 PECOS PAC ID: 5294981403 Enrollment ID: I20120803000134 |
| Provider Name | Karlee J Ausk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336159789 PECOS PAC ID: 3274780952 Enrollment ID: I20120831000341 |
| Provider Name | Michael V Chiorean |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578527099 PECOS PAC ID: 1153225677 Enrollment ID: I20121023000794 |
| Provider Name | Alexander J Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720219652 PECOS PAC ID: 7012168255 Enrollment ID: I20121115000363 |
| Provider Name | John H Shriner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285886911 PECOS PAC ID: 0648421883 Enrollment ID: I20121115000381 |
| Provider Name | Sonal B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063747566 PECOS PAC ID: 7618128828 Enrollment ID: I20121116000543 |
| Provider Name | Ha N Ta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568437069 PECOS PAC ID: 0648312090 Enrollment ID: I20121120000566 |
| Provider Name | Susan Leu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972762797 PECOS PAC ID: 7315119013 Enrollment ID: I20121227000377 |
| Provider Name | Stephanie A O'neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518301043 PECOS PAC ID: 3678714466 Enrollment ID: I20130719000591 |
| Provider Name | Elham Rezvanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518292788 PECOS PAC ID: 9335380617 Enrollment ID: I20130729001084 |
| Provider Name | Jasmine K Zia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093826257 PECOS PAC ID: 2264674639 Enrollment ID: I20130814000551 |
| Provider Name | Lucas Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639490063 PECOS PAC ID: 7719120948 Enrollment ID: I20130906000632 |
| Provider Name | Lulu Iles Shih |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275748691 PECOS PAC ID: 4981744513 Enrollment ID: I20130927000664 |
| Provider Name | Chelsea Shih |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811158108 PECOS PAC ID: 0446485643 Enrollment ID: I20131024000051 |
| Provider Name | Amanda B Methvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194983551 PECOS PAC ID: 2769648732 Enrollment ID: I20131120000108 |
| Provider Name | Nora R Faram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235566886 PECOS PAC ID: 6608002464 Enrollment ID: I20131126001823 |
| Provider Name | Liqiong Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083772552 PECOS PAC ID: 1052541117 Enrollment ID: I20140311001653 |
| Provider Name | Dawn Merydith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831336551 PECOS PAC ID: 5395960884 Enrollment ID: I20140625000429 |
| Provider Name | Meng Lu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982832168 PECOS PAC ID: 0042450090 Enrollment ID: I20140628000101 |
| Provider Name | Jana Struckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326347782 PECOS PAC ID: 6608094883 Enrollment ID: I20140829001758 |
| Provider Name | Aysha Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811314719 PECOS PAC ID: 5294954160 Enrollment ID: I20140909000935 |
| Provider Name | Kimberly A Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003250960 PECOS PAC ID: 0446470348 Enrollment ID: I20140926001656 |
| Provider Name | Shalini Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134304223 PECOS PAC ID: 9436273711 Enrollment ID: I20141013002106 |
| Provider Name | Jennifer M Newkirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346513561 PECOS PAC ID: 2163643693 Enrollment ID: I20141024001420 |
| Provider Name | Gia M Calabrese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730580689 PECOS PAC ID: 1557683240 Enrollment ID: I20141209000005 |
| Provider Name | Susanna L Lin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437343241 PECOS PAC ID: 6204159544 Enrollment ID: I20141217002943 |
| Provider Name | Estelle S Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912224692 PECOS PAC ID: 9537308986 Enrollment ID: I20150218001758 |
| Provider Name | Kerlan P Wolsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154419588 PECOS PAC ID: 3072707132 Enrollment ID: I20150327000923 |
| Provider Name | Evan Kanter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821106824 PECOS PAC ID: 6800101502 Enrollment ID: I20150810001765 |
| Provider Name | Stephen K Gingrich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114238615 PECOS PAC ID: 7517274897 Enrollment ID: I20150918001371 |
| Provider Name | Kunjali Tushar Padhya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982867560 PECOS PAC ID: 6305014234 Enrollment ID: I20151014003154 |
| Provider Name | Xiulian Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710245451 PECOS PAC ID: 2365688835 Enrollment ID: I20151103001401 |
| Provider Name | Stanislava Medigovik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316265804 PECOS PAC ID: 3476683707 Enrollment ID: I20151120002399 |
| Provider Name | Eun Y Ku |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871773655 PECOS PAC ID: 6901106723 Enrollment ID: I20151201001766 |
| Provider Name | Serena Szu-min Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447526488 PECOS PAC ID: 2163747502 Enrollment ID: I20151211001460 |
| Provider Name | Rex G Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689998874 PECOS PAC ID: 6709102726 Enrollment ID: I20160613001636 |
| Provider Name | Edmond Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902282122 PECOS PAC ID: 8628384427 Enrollment ID: I20160803000335 |
| Provider Name | Alicia A Cantrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457627259 PECOS PAC ID: 5496972382 Enrollment ID: I20160830002422 |
| Provider Name | Mimi Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063754075 PECOS PAC ID: 2365760766 Enrollment ID: I20160831000339 |
| Provider Name | Jayne M Barkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932559101 PECOS PAC ID: 6800182585 Enrollment ID: I20160906002043 |
| Provider Name | Megan Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306390513 PECOS PAC ID: 4183911217 Enrollment ID: I20160916002227 |
| Provider Name | Ellen Forslund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972057966 PECOS PAC ID: 6709165533 Enrollment ID: I20161117001550 |
| Provider Name | Ling Zhou |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912297110 PECOS PAC ID: 2860771698 Enrollment ID: I20161117001676 |
| Provider Name | Sara Nichols |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598210577 PECOS PAC ID: 5799066122 Enrollment ID: I20161227000608 |
| Provider Name | Christine M Stirparo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093261539 PECOS PAC ID: 7719268077 Enrollment ID: I20161227001871 |
| Provider Name | Nona Niculescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003184946 PECOS PAC ID: 3072755008 Enrollment ID: I20170118000846 |
| Provider Name | Kathleen Bradley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831641166 PECOS PAC ID: 0143502690 Enrollment ID: I20170118002480 |
| Provider Name | Victoria H Shimotsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871802959 PECOS PAC ID: 0648427294 Enrollment ID: I20170223001061 |
| Provider Name | John William Knutson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891769071 PECOS PAC ID: 6901934801 Enrollment ID: I20170418001330 |
| Provider Name | Aileen H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255360657 PECOS PAC ID: 5395812283 Enrollment ID: I20170510002922 |
| Provider Name | Ameet H Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942461462 PECOS PAC ID: 7810047685 Enrollment ID: I20170601001846 |
| Provider Name | Dinh Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992091235 PECOS PAC ID: 1850522376 Enrollment ID: I20170921003236 |
| Provider Name | Rohit Sharda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962729053 PECOS PAC ID: 2163666033 Enrollment ID: I20170922002912 |
| Provider Name | Grace A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952831885 PECOS PAC ID: 3870859986 Enrollment ID: I20171106002617 |
| Provider Name | Januario Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356757975 PECOS PAC ID: 4385900901 Enrollment ID: I20171114002011 |
| Provider Name | Christine Lee Goff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811395346 PECOS PAC ID: 4880952241 Enrollment ID: I20171213001704 |
| Provider Name | Juwono Sutedjo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114072980 PECOS PAC ID: 9638319015 Enrollment ID: I20180123002704 |
| Provider Name | Dimple Sahay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295932150 PECOS PAC ID: 7911172267 Enrollment ID: I20180306001584 |
| Provider Name | Caitlin Mara Cotter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619125119 PECOS PAC ID: 2769702836 Enrollment ID: I20180503001390 |
| Provider Name | Midori Higashi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215322532 PECOS PAC ID: 3173830031 Enrollment ID: I20180515002839 |
| Provider Name | Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841626546 PECOS PAC ID: 2466776208 Enrollment ID: I20180518002156 |
| Provider Name | Carolyn Marie Minter |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1710307608 PECOS PAC ID: 7416273131 Enrollment ID: I20180820001807 |
| Provider Name | Tiffany Poon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326473174 PECOS PAC ID: 8628205523 Enrollment ID: I20180910001858 |
| Provider Name | Priyanka Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467899963 PECOS PAC ID: 9931325362 Enrollment ID: I20180921002103 |
| Provider Name | Daniel Owen Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164781514 PECOS PAC ID: 5799921953 Enrollment ID: I20181010001259 |
| Provider Name | Lesley Erin King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346634557 PECOS PAC ID: 9638490170 Enrollment ID: I20181105002775 |
| Provider Name | Shanae M Bezusko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285067942 PECOS PAC ID: 2365782240 Enrollment ID: I20190313001757 |
| Provider Name | Savannah E Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922582170 PECOS PAC ID: 7012258056 Enrollment ID: I20190401001402 |
| Provider Name | Nicole M Cassler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750585741 PECOS PAC ID: 7810147709 Enrollment ID: I20190402000699 |
| Provider Name | Clement Sung-jay Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245626779 PECOS PAC ID: 4486996766 Enrollment ID: I20190507002392 |
| Provider Name | Ashu Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548420011 PECOS PAC ID: 3375611932 Enrollment ID: I20190508000830 |
| Provider Name | John Thomas Brooling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487944666 PECOS PAC ID: 3678717261 Enrollment ID: I20190617002424 |
| Provider Name | Maya M Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205215894 PECOS PAC ID: 0648586933 Enrollment ID: I20190723000886 |
| Provider Name | Kyle Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215387345 PECOS PAC ID: 7012263668 Enrollment ID: I20190822002396 |
| Provider Name | Zachary Charles Mattes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841644432 PECOS PAC ID: 1254624398 Enrollment ID: I20190822003085 |
| Provider Name | Pnina Strasbourger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508212200 PECOS PAC ID: 4688949258 Enrollment ID: I20190919001315 |
| Provider Name | Simon M Katumu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245662048 PECOS PAC ID: 4981839255 Enrollment ID: I20191021000859 |
| Provider Name | Glen Adrian Lutchman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326208638 PECOS PAC ID: 3678648219 Enrollment ID: I20191025002068 |
| Provider Name | Alexandria Majcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801139431 PECOS PAC ID: 5294167888 Enrollment ID: I20191120001797 |
| Provider Name | Joseph Aiyenowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598792657 PECOS PAC ID: 9931395332 Enrollment ID: I20200116001377 |
| Provider Name | Soojeong Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477917086 PECOS PAC ID: 8527493444 Enrollment ID: I20200204001090 |
| Provider Name | Winter Fain Wildt-bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164052171 PECOS PAC ID: 4981030749 Enrollment ID: I20200214001441 |
| Provider Name | Tasha Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609375369 PECOS PAC ID: 6305273509 Enrollment ID: I20200228000677 |
| Provider Name | Carmen Kelling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457300543 PECOS PAC ID: 5294630794 Enrollment ID: I20200505001300 |
| Provider Name | Lindsey Youngquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235661216 PECOS PAC ID: 7911276985 Enrollment ID: I20200521002633 |
| Provider Name | Adewunmi Abisayo Nuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689022717 PECOS PAC ID: 8022300177 Enrollment ID: I20200720000204 |
| Provider Name | Sang Won |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760918205 PECOS PAC ID: 1658795091 Enrollment ID: I20200720000372 |
| Provider Name | Jimmie C Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700315272 PECOS PAC ID: 4981975216 Enrollment ID: I20200721000004 |
| Provider Name | Alina B Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023436938 PECOS PAC ID: 2466720198 Enrollment ID: I20200721000010 |
| Provider Name | Mariana Aurora Frias Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629502653 PECOS PAC ID: 6901174820 Enrollment ID: I20200721004129 |
| Provider Name | Spencer Lunbeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932581659 PECOS PAC ID: 0446583132 Enrollment ID: I20200728001518 |
| Provider Name | Danyelle Monique Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831621036 PECOS PAC ID: 8527335405 Enrollment ID: I20200729001691 |
| Provider Name | Madolyn Krengel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932634359 PECOS PAC ID: 4981973294 Enrollment ID: I20200824002507 |
| Provider Name | Miriam Kennelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114459872 PECOS PAC ID: 4385072776 Enrollment ID: I20200824002684 |
| Provider Name | Rachel Pontemayor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780119560 PECOS PAC ID: 6305106006 Enrollment ID: I20200826000915 |
| Provider Name | Jenny A Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255866471 PECOS PAC ID: 4587918131 Enrollment ID: I20200826001042 |
| Provider Name | Laura Marie Marx |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528422250 PECOS PAC ID: 7113346784 Enrollment ID: I20200930003405 |
| Provider Name | Dorcas Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073143160 PECOS PAC ID: 7113339144 Enrollment ID: I20201216002546 |
| Provider Name | Savpreet Bhandal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437794179 PECOS PAC ID: 1254748452 Enrollment ID: I20210406002304 |
| Provider Name | Michael Seyffert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114016227 PECOS PAC ID: 7012915226 Enrollment ID: I20210615003365 |
| Provider Name | Jason Dean Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174819262 PECOS PAC ID: 7517368889 Enrollment ID: I20210623003310 |
| Provider Name | Annupreet Nadha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992328611 PECOS PAC ID: 3577966969 Enrollment ID: I20210722002162 |
| Provider Name | Shrutiben Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124691209 PECOS PAC ID: 1658775994 Enrollment ID: I20210809000892 |
| Provider Name | Tam P Quach |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154713071 PECOS PAC ID: 4385989334 Enrollment ID: I20210818003530 |
| Provider Name | Samantha Mae Salh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669048955 PECOS PAC ID: 8224434196 Enrollment ID: I20210901002823 |
| Provider Name | Melinda Liu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538699657 PECOS PAC ID: 6305243387 Enrollment ID: I20210917000098 |
| Provider Name | Christina Catherine Kaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427553189 PECOS PAC ID: 2860802832 Enrollment ID: I20211014002378 |
| Provider Name | Marlene J Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114695020 PECOS PAC ID: 0941698963 Enrollment ID: I20211025001963 |
| Provider Name | Marianne Mork |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366109183 PECOS PAC ID: 3274924253 Enrollment ID: I20211230000406 |
| Provider Name | Andrea H Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689065468 PECOS PAC ID: 7113202862 Enrollment ID: I20220202000404 |
| Provider Name | Ann Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538664040 PECOS PAC ID: 2466701636 Enrollment ID: I20220210002879 |
| Provider Name | Katelyn Taylor Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740948512 PECOS PAC ID: 9032502927 Enrollment ID: I20220217002011 |
| Provider Name | Tao Ming Thomas Chia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114260668 PECOS PAC ID: 2668763954 Enrollment ID: I20220610002177 |
| Provider Name | James Stephen Kelling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194724831 PECOS PAC ID: 8527142330 Enrollment ID: I20220617002000 |
| Provider Name | Kathleen Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649880287 PECOS PAC ID: 9931516309 Enrollment ID: I20220620000933 |
| Provider Name | Heather A Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750844742 PECOS PAC ID: 4688901432 Enrollment ID: I20220713003061 |
| Provider Name | Matthew Markey-crimp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366903171 PECOS PAC ID: 3072842764 Enrollment ID: I20220722001652 |
| Provider Name | Alexander B Cantrell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356605729 PECOS PAC ID: 6608130752 Enrollment ID: I20220825002135 |
| Provider Name | Jennifer K Kennedy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821472317 PECOS PAC ID: 3072813815 Enrollment ID: I20220901000838 |
| Provider Name | Clark Morris Hatheway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861955783 PECOS PAC ID: 3375928179 Enrollment ID: I20220914003397 |
| Provider Name | Mindy Lim Zeitz-chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184187023 PECOS PAC ID: 5597099812 Enrollment ID: I20220914003852 |
| Provider Name | Kriti Kalra Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184065336 PECOS PAC ID: 4880822204 Enrollment ID: I20221019002960 |
| Provider Name | Emmalyn Grace Pangindian Ortiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295468775 PECOS PAC ID: 5496121956 Enrollment ID: I20221025001148 |
| Provider Name | Michelle Fero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680404 PECOS PAC ID: 3971970310 Enrollment ID: I20221027002802 |
| Provider Name | Yijin Liang |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891496600 PECOS PAC ID: 2365817798 Enrollment ID: I20230417001060 |
| Provider Name | Kusum Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093277220 PECOS PAC ID: 0244560704 Enrollment ID: I20230508000174 |
| Provider Name | Josie L Yang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659650158 PECOS PAC ID: 0042673477 Enrollment ID: I20230831003149 |
| Provider Name | Rachel N Shober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878618 PECOS PAC ID: 5395163950 Enrollment ID: I20230920003122 |
| Provider Name | Samantha Kathleen Greaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861021321 PECOS PAC ID: 5294157764 Enrollment ID: I20230920003499 |
| Provider Name | Hetal Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891290425 PECOS PAC ID: 6002166220 Enrollment ID: I20230920003823 |
| Provider Name | Josiah Aaron Horne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003443193 PECOS PAC ID: 2062866247 Enrollment ID: I20230921001088 |
| Provider Name | Alice Queen Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649807207 PECOS PAC ID: 5890140834 Enrollment ID: I20231011003857 |
| Provider Name | Soumya Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871117754 PECOS PAC ID: 5991128266 Enrollment ID: I20231018001913 |
| Provider Name | Jeena Vaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013307271 PECOS PAC ID: 9234562448 Enrollment ID: I20231207003551 |
| Provider Name | Daniela Rita Baumgarthuber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164049755 PECOS PAC ID: 9335590405 Enrollment ID: I20240112003285 |
| Provider Name | Nicholas David Thunder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811304553 PECOS PAC ID: 5597100784 Enrollment ID: I20240227004023 |
| Provider Name | Emily Elizabeth Rock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508402645 PECOS PAC ID: 4486099306 Enrollment ID: I20240301002466 |
| Provider Name | Susana Beatriz Puricelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649642042 PECOS PAC ID: 3274978093 Enrollment ID: I20240301002950 |
Vera Whole Health Wa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105 Phone: 206-575-8880 Fax: 206-223-2334 | |
Washington Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Dexter Ave N Ste 179, Seattle, WA 98109 Phone: 206-866-0076 Fax: 866-279-4704 | |
Rainier Beach Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Rainier Ave S, Seattle, WA 98118 Phone: 206-548-7600 Fax: 206-548-7601 | |
Every Body Moves, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 57th Ave S, Seattle, WA 98118 Phone: 206-618-5632 | |
Virginia Mason Medical Center-gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Neighborcare Health At Denny International Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 Sw Kenyon St, Seattle, WA 98126 Phone: 206-923-2809 Fax: 206-923-2818 |