| Pardee Medical Associates | |
|
800 N Justice St Hendersonville NC 28791-3410 | |
| (828) 694-7696 | |
| (828) 694-7654 |
| Full Name | Pardee Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 N Justice St, Hendersonville, North Carolina |
| Authorized Official Name and Position | Alan House (CFO) |
| Authorized Official Contact | 8286961000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pardee Medical Associates Po Box 63314 Charlotte NC 28263-3314 Ph: () - | Pardee Medical Associates 800 N Justice St Hendersonville NC 28791-3410 Ph: (828) 694-7696 |
| NPI Number | 1447444559 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 11/04/2015 |
| Medicare PECOS PAC ID | 8123938115 |
|---|---|
| Medicare Enrollment ID | O20040611001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447444559 | NPI | - | NPPES |
| 890185X | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Eric W Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184699621 PECOS PAC ID: 4880507565 Enrollment ID: I20031110000070 |
| Provider Name | Kevan Richard Hansel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194700575 PECOS PAC ID: 3476457383 Enrollment ID: I20031121000792 |
| Provider Name | John K Hill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780646992 PECOS PAC ID: 1456257880 Enrollment ID: I20031208000924 |
| Provider Name | Lawrence R Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780622571 PECOS PAC ID: 7810881828 Enrollment ID: I20040211000274 |
| Provider Name | Charmaine Pamela A Lowe Hoyte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235181447 PECOS PAC ID: 1355335886 Enrollment ID: I20040408001110 |
| Provider Name | Susan C Mckenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811978653 PECOS PAC ID: 8426041039 Enrollment ID: I20040420000492 |
| Provider Name | Deborah W Pittillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114902277 PECOS PAC ID: 4082602420 Enrollment ID: I20040506000798 |
| Provider Name | Julie A Marquez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215379037 PECOS PAC ID: 1153311931 Enrollment ID: I20040513001361 |
| Provider Name | Michelle A Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881658813 PECOS PAC ID: 6709869068 Enrollment ID: I20040609000535 |
| Provider Name | Karen M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912901612 PECOS PAC ID: 8921083460 Enrollment ID: I20040621000363 |
| Provider Name | Richard B Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447345137 PECOS PAC ID: 3971589086 Enrollment ID: I20040629000367 |
| Provider Name | Ralph C Estes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164420857 PECOS PAC ID: 3971490368 Enrollment ID: I20040719000632 |
| Provider Name | Thomas H Lacy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639172042 PECOS PAC ID: 7810969540 Enrollment ID: I20040811001385 |
| Provider Name | Gabriela M Ursin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194771063 PECOS PAC ID: 4688640261 Enrollment ID: I20040903001152 |
| Provider Name | Laura B Steenwyk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942641451 PECOS PAC ID: 0143299792 Enrollment ID: I20040929001256 |
| Provider Name | Joseph M Degulis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831162031 PECOS PAC ID: 3870569676 Enrollment ID: I20041014001096 |
| Provider Name | Eric S Bindewald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659378891 PECOS PAC ID: 1456312263 Enrollment ID: I20041030000056 |
| Provider Name | Edward A Lewis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043233299 PECOS PAC ID: 4587626775 Enrollment ID: I20041030000100 |
| Provider Name | Ricardo C Bierrenbach-decastro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881645505 PECOS PAC ID: 4183686215 Enrollment ID: I20041101001029 |
| Provider Name | Amal Kumar Das |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316921901 PECOS PAC ID: 3072400464 Enrollment ID: I20041109000089 |
| Provider Name | Syed Taj Ul Arfeen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245298702 PECOS PAC ID: 2264487446 Enrollment ID: I20050321000872 |
| Provider Name | Robert R Farquharson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639287295 PECOS PAC ID: 9032190590 Enrollment ID: I20050329000324 |
| Provider Name | Susan C Mckenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811978653 PECOS PAC ID: 8426041039 Enrollment ID: I20050419001179 |
| Provider Name | Surjya P Das |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063598696 PECOS PAC ID: 7214975994 Enrollment ID: I20050422000282 |
| Provider Name | David C Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710984166 PECOS PAC ID: 2961442751 Enrollment ID: I20050511000550 |
| Provider Name | Gregory S Mccarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720156359 PECOS PAC ID: 9537196423 Enrollment ID: I20050722000108 |
| Provider Name | Brian M Duncan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750365342 PECOS PAC ID: 4981631595 Enrollment ID: I20050725000994 |
| Provider Name | James P Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962474973 PECOS PAC ID: 6901836428 Enrollment ID: I20050815000879 |
| Provider Name | Terry W Mccall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467412205 PECOS PAC ID: 3779514120 Enrollment ID: I20050825000170 |
| Provider Name | Tanya Elizabeth Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982605895 PECOS PAC ID: 2264458843 Enrollment ID: I20051022000238 |
| Provider Name | Honnie Patricia Spencer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588652366 PECOS PAC ID: 7113945965 Enrollment ID: I20051109001153 |
| Provider Name | Geoffrey Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275647430 PECOS PAC ID: 4688694300 Enrollment ID: I20051128000081 |
| Provider Name | Richard W Hudspeth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225142474 PECOS PAC ID: 2163463571 Enrollment ID: I20051128000094 |
| Provider Name | Chona Soria Reguyal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790709269 PECOS PAC ID: 0042232985 Enrollment ID: I20051220000735 |
| Provider Name | David S Donaldson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508867474 PECOS PAC ID: 2466460746 Enrollment ID: I20060328000568 |
| Provider Name | Michael Blake Parham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245246149 PECOS PAC ID: 7618986993 Enrollment ID: I20060413000679 |
| Provider Name | David J Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164457446 PECOS PAC ID: 2466497870 Enrollment ID: I20060427000184 |
| Provider Name | Timothy D Novak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467403832 PECOS PAC ID: 2466465455 Enrollment ID: I20060714000210 |
| Provider Name | Betsy Salsbury Merrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265475636 PECOS PAC ID: 1759385354 Enrollment ID: I20060927000320 |
| Provider Name | Stephen J Tremont |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255370839 PECOS PAC ID: 5092711317 Enrollment ID: I20061010000754 |
| Provider Name | Belynda Dunn Veser |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1083629927 PECOS PAC ID: 4981683745 Enrollment ID: I20061025000614 |
| Provider Name | Allan D Huffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053310086 PECOS PAC ID: 7911001938 Enrollment ID: I20070402000251 |
| Provider Name | Daniel S Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699781583 PECOS PAC ID: 3870690902 Enrollment ID: I20070523000688 |
| Provider Name | Duff A Rardin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114989324 PECOS PAC ID: 2860591666 Enrollment ID: I20070620000026 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20070810000591 |
| Provider Name | Heather G Lloyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659421865 PECOS PAC ID: 0143251827 Enrollment ID: I20070814000418 |
| Provider Name | Christopher A Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851319966 PECOS PAC ID: 2769485226 Enrollment ID: I20070824000650 |
| Provider Name | Michael C Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538134531 PECOS PAC ID: 7416941315 Enrollment ID: I20071130000569 |
| Provider Name | John D Deholl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700971363 PECOS PAC ID: 4587746862 Enrollment ID: I20080124000703 |
| Provider Name | Paul C Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609837053 PECOS PAC ID: 3274621479 Enrollment ID: I20080211000749 |
| Provider Name | Lorraine K Neilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215911003 PECOS PAC ID: 4284717471 Enrollment ID: I20080211000825 |
| Provider Name | Ernesto Esteban De La Torre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073592770 PECOS PAC ID: 0244314573 Enrollment ID: I20080226000422 |
| Provider Name | Brady J Schroer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104854686 PECOS PAC ID: 8123913134 Enrollment ID: I20080326000773 |
| Provider Name | David A Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376649210 PECOS PAC ID: 1153408604 Enrollment ID: I20080408000335 |
| Provider Name | Janet Caylor Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306809587 PECOS PAC ID: 9335168608 Enrollment ID: I20080422000547 |
| Provider Name | William L Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336103357 PECOS PAC ID: 1557456605 Enrollment ID: I20080423000412 |
| Provider Name | Lateef I Abumoussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346264900 PECOS PAC ID: 8527147396 Enrollment ID: I20080505000595 |
| Provider Name | George R Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699789248 PECOS PAC ID: 7113006990 Enrollment ID: I20080505000744 |
| Provider Name | Andrew Rudins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851486542 PECOS PAC ID: 7618046525 Enrollment ID: I20080519000515 |
| Provider Name | Keith Melvin Maxwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063507739 PECOS PAC ID: 6305733791 Enrollment ID: I20080519000529 |
| Provider Name | Gregory S Motley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376638056 PECOS PAC ID: 7416045471 Enrollment ID: I20080519000551 |
| Provider Name | Lance Lee Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003864521 PECOS PAC ID: 1557327905 Enrollment ID: I20080530000143 |
| Provider Name | Leroy George Hoffman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811925712 PECOS PAC ID: 4789605882 Enrollment ID: I20080612000210 |
| Provider Name | Harrell Clark Royer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831170901 PECOS PAC ID: 7719058544 Enrollment ID: I20080620000518 |
| Provider Name | Alyson M Miletich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780851451 PECOS PAC ID: 1557435138 Enrollment ID: I20080730000565 |
| Provider Name | Emad Fouad Massoud Malak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063693182 PECOS PAC ID: 8921173121 Enrollment ID: I20080822000531 |
| Provider Name | Jennifer Daly Dukowicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230455 PECOS PAC ID: 0446142988 Enrollment ID: I20080902000220 |
| Provider Name | Arthur R Halliday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366554222 PECOS PAC ID: 1052311719 Enrollment ID: I20081008000195 |
| Provider Name | Vanessa Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336305440 PECOS PAC ID: 1153489976 Enrollment ID: I20081023000379 |
| Provider Name | Victoria A Power |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922083054 PECOS PAC ID: 5395804041 Enrollment ID: I20081110000544 |
| Provider Name | Roy Beaty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427037795 PECOS PAC ID: 8022177799 Enrollment ID: I20081110000651 |
| Provider Name | Maridee J Spearman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982798377 PECOS PAC ID: 9739161472 Enrollment ID: I20081113000643 |
| Provider Name | Serena F York |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336150952 PECOS PAC ID: 4880690627 Enrollment ID: I20081122000040 |
| Provider Name | Nathaniel Thomas Jablecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598979312 PECOS PAC ID: 7719049188 Enrollment ID: I20081218000255 |
| Provider Name | Stephen Hodges Gamboa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003006149 PECOS PAC ID: 6800983925 Enrollment ID: I20081222000666 |
| Provider Name | Christopher Nils Spongberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982762662 PECOS PAC ID: 4880758606 Enrollment ID: I20090122000647 |
| Provider Name | Mary Martha Kilfoil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225098023 PECOS PAC ID: 0648368845 Enrollment ID: I20090302000123 |
| Provider Name | Marylu B Kataja |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720036924 PECOS PAC ID: 8325195977 Enrollment ID: I20090416000497 |
| Provider Name | Martin J Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992817126 PECOS PAC ID: 4981685617 Enrollment ID: I20090515000211 |
| Provider Name | William R Moffitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437119260 PECOS PAC ID: 2466540661 Enrollment ID: I20090518000504 |
| Provider Name | Anna Q Harrelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023046307 PECOS PAC ID: 9234280397 Enrollment ID: I20090630000659 |
| Provider Name | Charles A Albers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891760120 PECOS PAC ID: 1052462116 Enrollment ID: I20090630000660 |
| Provider Name | James Earl Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770682676 PECOS PAC ID: 8426100520 Enrollment ID: I20090721000626 |
| Provider Name | Natascha S Lautenschlaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952491565 PECOS PAC ID: 1355335274 Enrollment ID: I20090730000110 |
| Provider Name | James E Radford |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477515195 PECOS PAC ID: 6800932112 Enrollment ID: I20090929000705 |
| Provider Name | Umberto Gaetano Fontana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033111315 PECOS PAC ID: 0749326601 Enrollment ID: I20091006000645 |
| Provider Name | Omodele Julie Masha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528164324 PECOS PAC ID: 7012951494 Enrollment ID: I20091007000446 |
| Provider Name | Roshnara Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881673838 PECOS PAC ID: 4789643859 Enrollment ID: I20100111000284 |
| Provider Name | Erin C Passarello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780913673 PECOS PAC ID: 7214070002 Enrollment ID: I20100202000379 |
| Provider Name | Boyce David Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518920610 PECOS PAC ID: 8921193061 Enrollment ID: I20100301000873 |
| Provider Name | Holly L Humphrey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952526980 PECOS PAC ID: 5991840332 Enrollment ID: I20100309000870 |
| Provider Name | Vincent Alan Lombardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548241409 PECOS PAC ID: 6507767126 Enrollment ID: I20100311000981 |
| Provider Name | Carol Anne Borack Copenhaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882370 PECOS PAC ID: 3072582659 Enrollment ID: I20100512000457 |
| Provider Name | Courtney Crim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992878656 PECOS PAC ID: 1759410400 Enrollment ID: I20100519000107 |
| Provider Name | Thomas L Eisenhauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346248002 PECOS PAC ID: 9436289451 Enrollment ID: I20100617000181 |
| Provider Name | Elizabeth Saft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265627574 PECOS PAC ID: 1951432152 Enrollment ID: I20100702000368 |
| Provider Name | Diana R Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316094451 PECOS PAC ID: 8022149111 Enrollment ID: I20100707000185 |
| Provider Name | Hayam Kamal Shaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366556474 PECOS PAC ID: 8325108582 Enrollment ID: I20100714000208 |
| Provider Name | Rhett Churchill Mays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366617136 PECOS PAC ID: 0648302083 Enrollment ID: I20100720000710 |
| Provider Name | Lois G Clary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013983345 PECOS PAC ID: 5496745358 Enrollment ID: I20100728000624 |
| Provider Name | Magdalena Sunshine Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992966709 PECOS PAC ID: 7416080478 Enrollment ID: I20100728000784 |
| Provider Name | Steven Kenneth Lackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124094388 PECOS PAC ID: 4981764149 Enrollment ID: I20100730000152 |
| Provider Name | Cynthia D Vandeusen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558475244 PECOS PAC ID: 2163555715 Enrollment ID: I20100803000261 |
| Provider Name | Marshall Shane Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285717231 PECOS PAC ID: 1850461716 Enrollment ID: I20100811000956 |
| Provider Name | Laura W Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649475310 PECOS PAC ID: 0244364396 Enrollment ID: I20100811001089 |
| Provider Name | Amy B Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407082118 PECOS PAC ID: 2062546112 Enrollment ID: I20100811001091 |
| Provider Name | Adrienne E S Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942405618 PECOS PAC ID: 5890829691 Enrollment ID: I20100816000757 |
| Provider Name | Andrew W Runkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134211881 PECOS PAC ID: 2769468271 Enrollment ID: I20100921000705 |
| Provider Name | Jonathan M Rappaport |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922131242 PECOS PAC ID: 7214909589 Enrollment ID: I20101015000930 |
| Provider Name | Mark Robert Goldblatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821087537 PECOS PAC ID: 2668400383 Enrollment ID: I20101028000225 |
| Provider Name | Trevor Jolly |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588893218 PECOS PAC ID: 5496893182 Enrollment ID: I20101112000732 |
| Provider Name | Obinna Ogbonnaya Ikwechegh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952582967 PECOS PAC ID: 0749476372 Enrollment ID: I20101122001184 |
| Provider Name | Megan Ann Scarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396047387 PECOS PAC ID: 1850580317 Enrollment ID: I20110113001211 |
| Provider Name | Kathryn Furr Patten |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952389058 PECOS PAC ID: 6103868021 Enrollment ID: I20110224000773 |
| Provider Name | Howard D Diener |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326033895 PECOS PAC ID: 1254469323 Enrollment ID: I20110712000099 |
| Provider Name | Joel Travis Callahan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235116880 PECOS PAC ID: 3072548239 Enrollment ID: I20110809000876 |
| Provider Name | Richard Randall Blackburn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801834767 PECOS PAC ID: 5597755926 Enrollment ID: I20110830000518 |
| Provider Name | Natasha L Blazer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689807224 PECOS PAC ID: 2860664893 Enrollment ID: I20111017000259 |
| Provider Name | Cara Douglass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952567166 PECOS PAC ID: 3779775952 Enrollment ID: I20111027000791 |
| Provider Name | Samuel J Douglass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366608390 PECOS PAC ID: 0446306435 Enrollment ID: I20111123000007 |
| Provider Name | Lachlan Noyes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790755791 PECOS PAC ID: 0941481857 Enrollment ID: I20120110000495 |
| Provider Name | Kristen Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316049125 PECOS PAC ID: 8527198712 Enrollment ID: I20120111000533 |
| Provider Name | David C Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740382548 PECOS PAC ID: 6103957253 Enrollment ID: I20120111000547 |
| Provider Name | William M Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457304693 PECOS PAC ID: 1456412287 Enrollment ID: I20120222000145 |
| Provider Name | Joseph Anthony Destefano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841032 PECOS PAC ID: 4688669526 Enrollment ID: I20120405000651 |
| Provider Name | Praveen Vashist |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902026180 PECOS PAC ID: 6103918784 Enrollment ID: I20120801000186 |
| Provider Name | Javid Mu'az Baksh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447413190 PECOS PAC ID: 4688820640 Enrollment ID: I20120807000174 |
| Provider Name | Navin Anthony |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174645287 PECOS PAC ID: 1850548116 Enrollment ID: I20120822000273 |
| Provider Name | Stephen Walter Kohut |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932336831 PECOS PAC ID: 4486819083 Enrollment ID: I20120912000161 |
| Provider Name | Ana Susana Barrero Arroyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598995409 PECOS PAC ID: 2668621806 Enrollment ID: I20121004000144 |
| Provider Name | Christopher Sander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134359045 PECOS PAC ID: 0648429753 Enrollment ID: I20121005000063 |
| Provider Name | Ramses L Vega-casasnovas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073741369 PECOS PAC ID: 5092964833 Enrollment ID: I20121011000132 |
| Provider Name | Hilary Chukwudinma Nwosu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255473625 PECOS PAC ID: 6608899208 Enrollment ID: I20130122000371 |
| Provider Name | Wilder G Little |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033214259 PECOS PAC ID: 7911953401 Enrollment ID: I20130213000435 |
| Provider Name | Jamie Muckom Anthony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215114129 PECOS PAC ID: 3375724776 Enrollment ID: I20130327000083 |
| Provider Name | Frank William Savage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164734166 PECOS PAC ID: 4981844511 Enrollment ID: I20130702000788 |
| Provider Name | Dawn M Grinenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699790527 PECOS PAC ID: 1850425117 Enrollment ID: I20130731000563 |
| Provider Name | Andrew David Crocker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770800328 PECOS PAC ID: 2163664160 Enrollment ID: I20130803000028 |
| Provider Name | Justin Boyette Joines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548581119 PECOS PAC ID: 2567605470 Enrollment ID: I20130826000022 |
| Provider Name | Samuel Grey Tilden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083935357 PECOS PAC ID: 2163669243 Enrollment ID: I20130827000990 |
| Provider Name | James Earl Stanton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932280724 PECOS PAC ID: 8628211877 Enrollment ID: I20130909000016 |
| Provider Name | David C Herminghuysen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750332227 PECOS PAC ID: 4284524216 Enrollment ID: I20130916000291 |
| Provider Name | James Richard Phelps |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1376751131 PECOS PAC ID: 4880838663 Enrollment ID: I20130917000588 |
| Provider Name | Porshia Tomlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861703852 PECOS PAC ID: 8921232539 Enrollment ID: I20131015001709 |
| Provider Name | Andrew D Kersten |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1699975474 PECOS PAC ID: 5294991311 Enrollment ID: I20131016000083 |
| Provider Name | Ingrid Sandahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609217793 PECOS PAC ID: 6709011976 Enrollment ID: I20131023001406 |
| Provider Name | Michele Lynn Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144260803 PECOS PAC ID: 6103838636 Enrollment ID: I20131101000812 |
| Provider Name | Katherine E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487080859 PECOS PAC ID: 4688801293 Enrollment ID: I20131205000760 |
| Provider Name | James Lowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326159856 PECOS PAC ID: 3870499890 Enrollment ID: I20140226001312 |
| Provider Name | Daniel Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982922498 PECOS PAC ID: 1052536745 Enrollment ID: I20140714002068 |
| Provider Name | John Martin Kogoy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194033522 PECOS PAC ID: 7315129319 Enrollment ID: I20140826001750 |
| Provider Name | Julie D Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487060620 PECOS PAC ID: 5799903787 Enrollment ID: I20140904002352 |
| Provider Name | Dominic F Tutera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104053180 PECOS PAC ID: 0345470233 Enrollment ID: I20140917000531 |
| Provider Name | Stephanie L Trowbridge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801187612 PECOS PAC ID: 5092933796 Enrollment ID: I20141022002767 |
| Provider Name | Shannon Huff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750500245 PECOS PAC ID: 7214034651 Enrollment ID: I20141027002044 |
| Provider Name | Heather O'neal Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407265002 PECOS PAC ID: 8820219348 Enrollment ID: I20141027002634 |
| Provider Name | Christina P Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194045039 PECOS PAC ID: 4183874993 Enrollment ID: I20141105002463 |
| Provider Name | Douglas Allen Fein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851317739 PECOS PAC ID: 3375538549 Enrollment ID: I20141107001610 |
| Provider Name | Heather Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033511274 PECOS PAC ID: 7719209071 Enrollment ID: I20141124001303 |
| Provider Name | Danielle M Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144656349 PECOS PAC ID: 2264754266 Enrollment ID: I20141202001483 |
| Provider Name | Ashley Kaake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679976088 PECOS PAC ID: 9234451287 Enrollment ID: I20141203000519 |
| Provider Name | Suzanne Henry Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356312847 PECOS PAC ID: 8729011440 Enrollment ID: I20150102001663 |
| Provider Name | Martin S Lemyre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023234036 PECOS PAC ID: 9638214257 Enrollment ID: I20150304001124 |
| Provider Name | Aubrey A Balmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336494186 PECOS PAC ID: 9335469006 Enrollment ID: I20150520000933 |
| Provider Name | Lynn Jackson Howie |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730315102 PECOS PAC ID: 3870804313 Enrollment ID: I20150624001831 |
| Provider Name | Jennifer Marie Mcalister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578514519 PECOS PAC ID: 7315983848 Enrollment ID: I20150720002415 |
| Provider Name | Kelly C Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932580248 PECOS PAC ID: 4284948068 Enrollment ID: I20150807013063 |
| Provider Name | Jesse William Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598027765 PECOS PAC ID: 9537318167 Enrollment ID: I20150817002327 |
| Provider Name | Bartlett David Steen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003176058 PECOS PAC ID: 1456500081 Enrollment ID: I20150909002665 |
| Provider Name | Heather North |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780780668 PECOS PAC ID: 7315128329 Enrollment ID: I20150917003125 |
| Provider Name | Lillia Theresa Laplace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447244876 PECOS PAC ID: 8729269519 Enrollment ID: I20151027002658 |
| Provider Name | Travis M Hecker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1699979518 PECOS PAC ID: 1658520911 Enrollment ID: I20151029002984 |
| Provider Name | Gary M Rodberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255437117 PECOS PAC ID: 4789585613 Enrollment ID: I20151110002925 |
| Provider Name | Muhammad K Al Mounayer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093717837 PECOS PAC ID: 0547204174 Enrollment ID: I20151120000734 |
| Provider Name | Craig Alan Miller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932149507 PECOS PAC ID: 3779497029 Enrollment ID: I20151201000744 |
| Provider Name | Lawanda W Ruffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770962235 PECOS PAC ID: 4688974140 Enrollment ID: I20151205000137 |
| Provider Name | Suzette Maria Laroche |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134235138 PECOS PAC ID: 9739163304 Enrollment ID: I20151207003101 |
| Provider Name | Lawrence Joseph Cull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225004633 PECOS PAC ID: 6608832746 Enrollment ID: I20151230001541 |
| Provider Name | Harris Baloch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487084802 PECOS PAC ID: 4486967981 Enrollment ID: I20151231000832 |
| Provider Name | Michael N Corradetti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093977621 PECOS PAC ID: 5496999302 Enrollment ID: I20160216002295 |
| Provider Name | Caroline Johnson Broughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386012185 PECOS PAC ID: 3072818152 Enrollment ID: I20160227000075 |
| Provider Name | Richard Spotswood Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346220621 PECOS PAC ID: 0446553747 Enrollment ID: I20160309000663 |
| Provider Name | Christi D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356708952 PECOS PAC ID: 3678871654 Enrollment ID: I20160406002451 |
| Provider Name | Daniel Robert Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396994026 PECOS PAC ID: 6103018957 Enrollment ID: I20160520001853 |
| Provider Name | John C Binford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497013734 PECOS PAC ID: 6002127453 Enrollment ID: I20160627002488 |
| Provider Name | Leslie A Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154785285 PECOS PAC ID: 5395036990 Enrollment ID: I20160628002261 |
| Provider Name | Emily B Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942658521 PECOS PAC ID: 2860786316 Enrollment ID: I20160808000298 |
| Provider Name | Marco Chavarria -aguilar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245224989 PECOS PAC ID: 0648213140 Enrollment ID: I20160816000012 |
| Provider Name | Susannah Francis Sitton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468188 PECOS PAC ID: 3971899808 Enrollment ID: I20160901001182 |
| Provider Name | Eduardo Balcells |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649206582 PECOS PAC ID: 7012017791 Enrollment ID: I20160909000847 |
| Provider Name | Jason F Heilemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922446970 PECOS PAC ID: 4082938758 Enrollment ID: I20160914001506 |
| Provider Name | Daniel H Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710327671 PECOS PAC ID: 3971892803 Enrollment ID: I20161011002193 |
| Provider Name | Kristina R Ericsson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366640658 PECOS PAC ID: 7012187909 Enrollment ID: I20161024000576 |
| Provider Name | Aliyi A Aliyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558700468 PECOS PAC ID: 6507167822 Enrollment ID: I20161024001272 |
| Provider Name | Sonia Claire Ferrandiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457754566 PECOS PAC ID: 0840513982 Enrollment ID: I20161114000302 |
| Provider Name | Anna Sullivan Overby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285073395 PECOS PAC ID: 2961708995 Enrollment ID: I20161116001390 |
| Provider Name | Justin A Canter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274100 PECOS PAC ID: 2961783964 Enrollment ID: I20170106000006 |
| Provider Name | Thomas P Lebosquet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609807007 PECOS PAC ID: 5092710426 Enrollment ID: I20170203000332 |
| Provider Name | Martin F. Beals |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346352655 PECOS PAC ID: 5698058832 Enrollment ID: I20170213001984 |
| Provider Name | Andrew J Ohar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528212982 PECOS PAC ID: 9436388535 Enrollment ID: I20170222001539 |
| Provider Name | Kristina Wing Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952846008 PECOS PAC ID: 6507141264 Enrollment ID: I20170320000881 |
| Provider Name | Joshua A Stanton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568781755 PECOS PAC ID: 2264676287 Enrollment ID: I20170420001502 |
| Provider Name | Louisa Drane Rodriguez Conroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184063083 PECOS PAC ID: 4789973058 Enrollment ID: I20170530000873 |
| Provider Name | Christopher H Parsons |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487681003 PECOS PAC ID: 4981590841 Enrollment ID: I20170706002819 |
| Provider Name | Matthew Hodapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942629878 PECOS PAC ID: 0941502553 Enrollment ID: I20170808000146 |
| Provider Name | Christopher Maritato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538186317 PECOS PAC ID: 7517991599 Enrollment ID: I20170830003104 |
| Provider Name | Amy Hales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801316245 PECOS PAC ID: 3375817927 Enrollment ID: I20170920001015 |
| Provider Name | Katherine Ann Reese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740218858 PECOS PAC ID: 6103096003 Enrollment ID: I20171031002552 |
| Provider Name | Eric Thomas Roslonski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730147273 PECOS PAC ID: 2860404852 Enrollment ID: I20171115003415 |
| Provider Name | Jarred Armand Lehr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669984969 PECOS PAC ID: 3971860867 Enrollment ID: I20171201000008 |
| Provider Name | Vanessa Ines Molina Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659882900 PECOS PAC ID: 5991062739 Enrollment ID: I20171201002297 |
| Provider Name | Sarah Anne Hensley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881951499 PECOS PAC ID: 5799923496 Enrollment ID: I20171211000888 |
| Provider Name | Jennifer Nichole Osborne-roddenberry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235373754 PECOS PAC ID: 3870721830 Enrollment ID: I20180109000552 |
| Provider Name | Mark Robinson Chandler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073952081 PECOS PAC ID: 9830339266 Enrollment ID: I20180213001979 |
| Provider Name | Megan W Greathouse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417291592 PECOS PAC ID: 7315209277 Enrollment ID: I20180313001658 |
| Provider Name | Emilie S Ogren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417457169 PECOS PAC ID: 4981967718 Enrollment ID: I20180410000192 |
| Provider Name | Racheal N Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811499247 PECOS PAC ID: 4385908268 Enrollment ID: I20180430002072 |
| Provider Name | Diana J Godfrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740541408 PECOS PAC ID: 6305151135 Enrollment ID: I20180511000906 |
| Provider Name | William C Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447568738 PECOS PAC ID: 9436321916 Enrollment ID: I20180627001435 |
| Provider Name | Lee Ann Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295700573 PECOS PAC ID: 1557397585 Enrollment ID: I20180709000828 |
| Provider Name | Ian L Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376938274 PECOS PAC ID: 0840580148 Enrollment ID: I20180803000007 |
| Provider Name | Sayyad Yaseen Zia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124330311 PECOS PAC ID: 0143516435 Enrollment ID: I20180828000057 |
| Provider Name | Thomas Parry Hooker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437185204 PECOS PAC ID: 7416939962 Enrollment ID: I20180904002894 |
| Provider Name | Mckenzie Leigh Brazil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578940037 PECOS PAC ID: 3870882046 Enrollment ID: I20180918001830 |
| Provider Name | Maighan A Seagrove-guffey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598170797 PECOS PAC ID: 7214243385 Enrollment ID: I20181116002722 |
| Provider Name | Dina M Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174016232 PECOS PAC ID: 1355686650 Enrollment ID: I20181213003370 |
| Provider Name | Pedro Isaac Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851335855 PECOS PAC ID: 6103724919 Enrollment ID: I20190129002938 |
| Provider Name | Rebecca S Tarlton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083655393 PECOS PAC ID: 4981624061 Enrollment ID: I20190304000075 |
| Provider Name | Tania Clarice Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396181251 PECOS PAC ID: 8426361619 Enrollment ID: I20190305003378 |
| Provider Name | Becki Sue Hill |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720059918 PECOS PAC ID: 7618948472 Enrollment ID: I20190624003381 |
| Provider Name | Meredith A Binford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487008827 PECOS PAC ID: 2365710639 Enrollment ID: I20190701000578 |
| Provider Name | Cameron E Overstreet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770140865 PECOS PAC ID: 0446587638 Enrollment ID: I20190812000115 |
| Provider Name | Anuradha Challa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518195825 PECOS PAC ID: 2567696644 Enrollment ID: I20190831000254 |
| Provider Name | Benjamin R Adams-doolittle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205221330 PECOS PAC ID: 6305136839 Enrollment ID: I20190903003040 |
| Provider Name | Kyle M Judkins |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477949394 PECOS PAC ID: 4082922919 Enrollment ID: I20190919003081 |
| Provider Name | Karin Leanne Small |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659395267 PECOS PAC ID: 7618974189 Enrollment ID: I20190919003087 |
| Provider Name | Kevin Lee Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558504316 PECOS PAC ID: 8628294295 Enrollment ID: I20191021003582 |
| Provider Name | Sheritta Chantal Carmichael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558895250 PECOS PAC ID: 8325316276 Enrollment ID: I20191022001674 |
| Provider Name | Shanna L Lambert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700214772 PECOS PAC ID: 1456683143 Enrollment ID: I20191030000735 |
| Provider Name | Michael Jhantu Brazil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831544709 PECOS PAC ID: 0547554222 Enrollment ID: I20191030003576 |
| Provider Name | Marian Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376694398 PECOS PAC ID: 9739170671 Enrollment ID: I20191113002901 |
| Provider Name | Albert J Osbahr |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1285672832 PECOS PAC ID: 7618258013 Enrollment ID: I20191203002011 |
| Provider Name | Caitlin Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609221407 PECOS PAC ID: 6709170483 Enrollment ID: I20191216002172 |
| Provider Name | Ronald Ray Magee |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1982138186 PECOS PAC ID: 5597033449 Enrollment ID: I20191219002071 |
| Provider Name | John Richard Hobson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245346600 PECOS PAC ID: 7315845583 Enrollment ID: I20191223001666 |
| Provider Name | Madeera Kathpal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114150612 PECOS PAC ID: 7719274240 Enrollment ID: I20191226002287 |
| Provider Name | John Swetnam Weldon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538210737 PECOS PAC ID: 2365628195 Enrollment ID: I20191231001980 |
| Provider Name | Matthew Dale Estell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245682038 PECOS PAC ID: 6002102092 Enrollment ID: I20200115002844 |
| Provider Name | Mark Stevens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145105 PECOS PAC ID: 7911165659 Enrollment ID: I20200128001772 |
| Provider Name | Kamalesh Bala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093017253 PECOS PAC ID: 3779733977 Enrollment ID: I20200206002238 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20200313001979 |
| Provider Name | Lydia R Rallo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427570688 PECOS PAC ID: 0143595512 Enrollment ID: I20200416002462 |
| Provider Name | Leanne Marie Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922393842 PECOS PAC ID: 1557518065 Enrollment ID: I20200508000768 |
| Provider Name | Austin Lebron Albright |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194144329 PECOS PAC ID: 8325267222 Enrollment ID: I20200518001947 |
| Provider Name | Leslie Anne Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619060357 PECOS PAC ID: 0749177137 Enrollment ID: I20200519002353 |
| Provider Name | Daniel E Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447416797 PECOS PAC ID: 4688844376 Enrollment ID: I20200624001776 |
| Provider Name | Priscilla Agbenyefia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851786420 PECOS PAC ID: 6305159179 Enrollment ID: I20200706002408 |
| Provider Name | Reid Benjamin Usedom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952832107 PECOS PAC ID: 9234554676 Enrollment ID: I20200803001340 |
| Provider Name | Andrew Curtis Sticco |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699032243 PECOS PAC ID: 3779702568 Enrollment ID: I20200813002743 |
| Provider Name | Alexandra Marie Dickason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013553221 PECOS PAC ID: 0345666756 Enrollment ID: I20200817001352 |
| Provider Name | Anthony J Pfeiffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104189497 PECOS PAC ID: 0840419388 Enrollment ID: I20200819002096 |
| Provider Name | Loretta Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598121352 PECOS PAC ID: 4688090780 Enrollment ID: I20200820000070 |
| Provider Name | Pamela E Della Valle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437504834 PECOS PAC ID: 5698063428 Enrollment ID: I20200829000107 |
| Provider Name | Natalie Lewis West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297473 PECOS PAC ID: 4789002734 Enrollment ID: I20200908003162 |
| Provider Name | Ryan Edward Eichhorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871857433 PECOS PAC ID: 1254578339 Enrollment ID: I20200924002854 |
| Provider Name | Felicia Nneoma Urum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245769199 PECOS PAC ID: 8729359534 Enrollment ID: I20200929000561 |
| Provider Name | Lisa Renfrow-betker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235129123 PECOS PAC ID: 9830145598 Enrollment ID: I20201030001583 |
| Provider Name | Thomas J Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477087138 PECOS PAC ID: 0648548313 Enrollment ID: I20201103002746 |
| Provider Name | Joseph Andrew Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790719417 PECOS PAC ID: 8527952803 Enrollment ID: I20201120002503 |
| Provider Name | Kerry Noel Fincher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265965180 PECOS PAC ID: 3476829888 Enrollment ID: I20201124002130 |
| Provider Name | Cathy Chun Gee Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861594285 PECOS PAC ID: 4183538424 Enrollment ID: I20201202000627 |
| Provider Name | Samantha Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417559543 PECOS PAC ID: 8224449764 Enrollment ID: I20201204001168 |
| Provider Name | Juliette Maryam Khoshrozeh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427684653 PECOS PAC ID: 1153735683 Enrollment ID: I20210125002423 |
| Provider Name | Lindsay Reed Tjiattas-saleski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477723765 PECOS PAC ID: 8628222304 Enrollment ID: I20210503001732 |
| Provider Name | Gwyneth Mccawley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396046595 PECOS PAC ID: 8527372283 Enrollment ID: I20210510001276 |
| Provider Name | Steven Robert Punzell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437505203 PECOS PAC ID: 4486945599 Enrollment ID: I20210524001749 |
| Provider Name | Benjamin Z Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790215077 PECOS PAC ID: 5092085423 Enrollment ID: I20210527000608 |
| Provider Name | Thomas Wilkinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588088272 PECOS PAC ID: 8022334648 Enrollment ID: I20210608002743 |
| Provider Name | Parker Wells Leland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043716756 PECOS PAC ID: 8628321957 Enrollment ID: I20210706003416 |
| Provider Name | Charles Maker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619950557 PECOS PAC ID: 8729177787 Enrollment ID: I20210806001797 |
| Provider Name | Alexander L Tremont |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922485986 PECOS PAC ID: 3779890744 Enrollment ID: I20210816001144 |
| Provider Name | Zachary E Flaming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518463991 PECOS PAC ID: 9638571607 Enrollment ID: I20210916000053 |
| Provider Name | Jessica Della Valle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407114077 PECOS PAC ID: 6204181431 Enrollment ID: I20210930000505 |
| Provider Name | Jane S. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568710994 PECOS PAC ID: 3870744212 Enrollment ID: I20211022000242 |
| Provider Name | Maureen Lynn Hayes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669905725 PECOS PAC ID: 2163810953 Enrollment ID: I20211027003098 |
| Provider Name | Susan Jane Ponivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467614230 PECOS PAC ID: 3779732094 Enrollment ID: I20211117002181 |
| Provider Name | Marin Gibson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740617091 PECOS PAC ID: 6204062763 Enrollment ID: I20211122002993 |
| Provider Name | Helen Betsabe Gagne Kirk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649821570 PECOS PAC ID: 0143652016 Enrollment ID: I20211208001706 |
| Provider Name | Colin Walker Mychak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619327954 PECOS PAC ID: 3476889080 Enrollment ID: I20220208000261 |
| Provider Name | Srinath Sundararaman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336142488 PECOS PAC ID: 7214825801 Enrollment ID: I20220301000297 |
| Provider Name | Cristina Ipatii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609135490 PECOS PAC ID: 2365755915 Enrollment ID: I20220303000110 |
| Provider Name | Kelsey Patricia Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427713387 PECOS PAC ID: 2769878479 Enrollment ID: I20220406000620 |
| Provider Name | James Rittelmeyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023070711 PECOS PAC ID: 6709847098 Enrollment ID: I20220408000854 |
| Provider Name | Lamont Leigh Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831360502 PECOS PAC ID: 1153577630 Enrollment ID: I20220427001280 |
| Provider Name | Cody Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083173926 PECOS PAC ID: 5991182875 Enrollment ID: I20220514000254 |
| Provider Name | Daniel Brent Kommel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962440396 PECOS PAC ID: 4183798903 Enrollment ID: I20220523002672 |
| Provider Name | Ralph L Haynes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114912706 PECOS PAC ID: 4688755903 Enrollment ID: I20220525002319 |
| Provider Name | Rebecca Anne Rice |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114456688 PECOS PAC ID: 0648549188 Enrollment ID: I20220616001783 |
| Provider Name | John Taylor Mansfield |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1689109233 PECOS PAC ID: 7911308648 Enrollment ID: I20220720001101 |
| Provider Name | Daniel Thomas Drechsler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114423720 PECOS PAC ID: 4688908072 Enrollment ID: I20220720002405 |
| Provider Name | Sophie Leigh Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114414729 PECOS PAC ID: 8123377058 Enrollment ID: I20220720002522 |
| Provider Name | Andrew D Ives |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952030355 PECOS PAC ID: 3173906971 Enrollment ID: I20220811000859 |
| Provider Name | Elena Mary Stansky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790340412 PECOS PAC ID: 3577898816 Enrollment ID: I20220817003882 |
| Provider Name | Sukhmani Kaur Gill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649634254 PECOS PAC ID: 0143566299 Enrollment ID: I20220829001584 |
| Provider Name | Kevin Donald Little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386088052 PECOS PAC ID: 7719274380 Enrollment ID: I20220830003398 |
| Provider Name | Hannah Lee Stillings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932563418 PECOS PAC ID: 0446546824 Enrollment ID: I20220907001356 |
| Provider Name | Ubong C Ubokudom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821479619 PECOS PAC ID: 0143516963 Enrollment ID: I20221008000457 |
| Provider Name | Joanna Elizabeth Gratton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518158005 PECOS PAC ID: 5890946578 Enrollment ID: I20221012002466 |
| Provider Name | Vincent Elazegui Gacad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437544194 PECOS PAC ID: 4587067475 Enrollment ID: I20221013002038 |
| Provider Name | Stephanie Carisa Rhoades |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497199806 PECOS PAC ID: 4789982208 Enrollment ID: I20221017001824 |
| Provider Name | Olivia Gage Gamboa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881037810 PECOS PAC ID: 5890097448 Enrollment ID: I20221109003025 |
| Provider Name | Brandon Sterling Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558073841 PECOS PAC ID: 1052786456 Enrollment ID: I20230418000832 |
| Provider Name | Sarah Gibbs Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427753003 PECOS PAC ID: 7012372063 Enrollment ID: I20230427000843 |
| Provider Name | Huley Dru Shumpert Dickert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841639143 PECOS PAC ID: 6204058183 Enrollment ID: I20230802002567 |
| Provider Name | Jessica Alyse Gasperson-shuford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740067131 PECOS PAC ID: 1153770615 Enrollment ID: I20231208001196 |
| Provider Name | Sarah Morgan Presley |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1225656028 PECOS PAC ID: 8224453444 Enrollment ID: I20231228000341 |
| Provider Name | Robert V Nieland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245724079 PECOS PAC ID: 7416388921 Enrollment ID: I20240226003407 |
| Provider Name | Peter Neil Low |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952725327 PECOS PAC ID: 5395960744 Enrollment ID: I20240229001315 |
| Provider Name | Coen Laurens Klos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881007433 PECOS PAC ID: 4385864040 Enrollment ID: I20240301003813 |
Primedoc Park Ridge Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Hendersonville, NC 28792 Phone: 843-237-3378 Fax: 843-237-5073 | |
Park Ridge Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Hendersonville, NC 28792 Phone: 828-681-2113 Fax: 828-681-2747 | |
Tst Medical, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Balsam Rd, Hendersonville, NC 28792 Phone: 828-693-4431 Fax: 828-693-4871 | |
Pardee Family Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 6th Ave W, Suite D, Hendersonville, NC 28739 Phone: 828-693-7287 | |
Asheville Cardiology Associates - Hendersonville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 691 Blythe Street Ct, Hendersonville, NC 28739 Phone: 828-693-5010 Fax: 828-693-7003 | |
Quality Healthcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 643 5th Ave W, Hendersonville, NC 28739 Phone: 828-693-5225 | |
Novant Health Diabetes & Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hospital Dr., Unit 1-a, Hendersonville, NC 28792 Phone: 000-000-0000 |