| Park Nicollet Clinic | |
|
3800 Park Nicollet Blvd St Louis Park MN 55416 | |
| (952) 993-3123 | |
| (952) 993-2770 |
| Full Name | Park Nicollet Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
| Authorized Official Name and Position | Jason James Luhrs (VP FINANCE) |
| Authorized Official Contact | 9528837158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Nicollet Clinic 3800 Park Nicollet Blvd Att Business Services St Louis Park MN 55416 Ph: (952) 993-1835 | Park Nicollet Clinic 3800 Park Nicollet Blvd St Louis Park MN 55416 Ph: (952) 993-3123 |
| NPI Number | 1780621904 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 10/25/2021 |
| Medicare PECOS PAC ID | 7911819438 |
|---|---|
| Medicare Enrollment ID | O20031104000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780621904 | NPI | - | NPPES |
| Provider Name | Yong-yi Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700850740 PECOS PAC ID: 7810801222 Enrollment ID: I20031118001002 |
| Provider Name | William S Tiede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528045408 PECOS PAC ID: 4789588872 Enrollment ID: I20031120000800 |
| Provider Name | Patrick M Menning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427021294 PECOS PAC ID: 1850295734 Enrollment ID: I20031121000682 |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | David B Gremmels |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508813452 PECOS PAC ID: 8820992357 Enrollment ID: I20031125000578 |
| Provider Name | Erin M Warshaw |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336191428 PECOS PAC ID: 0547164980 Enrollment ID: I20031126000233 |
| Provider Name | Kristen Marie Zeller-hack |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1316982382 PECOS PAC ID: 8123923414 Enrollment ID: I20031201000213 |
| Provider Name | Judy L Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366428732 PECOS PAC ID: 1557266426 Enrollment ID: I20031204000043 |
| Provider Name | Jeffrey M Mendeloff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043297203 PECOS PAC ID: 3577469824 Enrollment ID: I20031209000386 |
| Provider Name | Patricia A Welsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417934233 PECOS PAC ID: 6103722111 Enrollment ID: I20031210000668 |
| Provider Name | Heather Linee Bergeson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932172277 PECOS PAC ID: 5890692438 Enrollment ID: I20031212000778 |
| Provider Name | Kevin J Mullaney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447289160 PECOS PAC ID: 6406753474 Enrollment ID: I20031217000701 |
| Provider Name | Debra L Schulzetenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518944230 PECOS PAC ID: 4284531955 Enrollment ID: I20031219000029 |
| Provider Name | April M Lind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275518599 PECOS PAC ID: 7810895547 Enrollment ID: I20031219000444 |
| Provider Name | Steven J Burbidge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429391 PECOS PAC ID: 2567360381 Enrollment ID: I20031231000106 |
| Provider Name | Mark R Miner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760469852 PECOS PAC ID: 4082513809 Enrollment ID: I20031231000208 |
| Provider Name | Hugh R Neeson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407833544 PECOS PAC ID: 4688573405 Enrollment ID: I20031231000223 |
| Provider Name | Eric J Weinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891772687 PECOS PAC ID: 8628977451 Enrollment ID: I20031231000257 |
| Provider Name | Peter D Kent |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164406831 PECOS PAC ID: 4183523897 Enrollment ID: I20031231000695 |
| Provider Name | Linda K Wondrasch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396722211 PECOS PAC ID: 4284533852 Enrollment ID: I20040102000319 |
| Provider Name | Sandra K Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730289851 PECOS PAC ID: 7214836576 Enrollment ID: I20040106000236 |
| Provider Name | Scott M Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154305662 PECOS PAC ID: 6800709395 Enrollment ID: I20040113000063 |
| Provider Name | Shareen A Marshall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508911017 PECOS PAC ID: 7416858410 Enrollment ID: I20040114000072 |
| Provider Name | Mary J Ehresman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629053004 PECOS PAC ID: 8325949241 Enrollment ID: I20040115000078 |
| Provider Name | Patricia L Haroldson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184600140 PECOS PAC ID: 2567363120 Enrollment ID: I20040116000260 |
| Provider Name | Erika J Rabeni |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275578841 PECOS PAC ID: 2163323528 Enrollment ID: I20040119000110 |
| Provider Name | Jess Olson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326012824 PECOS PAC ID: 3779484902 Enrollment ID: I20040120000284 |
| Provider Name | Jerome C Siy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043282817 PECOS PAC ID: 5496656530 Enrollment ID: I20040120000810 |
| Provider Name | Melissa J Mohrenweiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790784718 PECOS PAC ID: 7719889815 Enrollment ID: I20040121000046 |
| Provider Name | Julie Adams |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1033195284 PECOS PAC ID: 2365344355 Enrollment ID: I20040121000652 |
| Provider Name | Amy S Daleiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053394692 PECOS PAC ID: 3274435292 Enrollment ID: I20040121000847 |
| Provider Name | Amy V Knox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497730030 PECOS PAC ID: 2365344264 Enrollment ID: I20040122000130 |
| Provider Name | Matthew D Mccoy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659331759 PECOS PAC ID: 3577465624 Enrollment ID: I20040122000207 |
| Provider Name | Timothy A Myers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598725699 PECOS PAC ID: 8022910173 Enrollment ID: I20040122000252 |
| Provider Name | Marc F Swiontkowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285605527 PECOS PAC ID: 4486556313 Enrollment ID: I20040122000297 |
| Provider Name | Diane K Feller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467437533 PECOS PAC ID: 5597667444 Enrollment ID: I20040122000407 |
| Provider Name | William S Stuart |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053398032 PECOS PAC ID: 0648172064 Enrollment ID: I20040124000325 |
| Provider Name | Andrew Jk Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699725101 PECOS PAC ID: 3173426715 Enrollment ID: I20040130000120 |
| Provider Name | Timothy A Gabrielsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578651774 PECOS PAC ID: 3779486410 Enrollment ID: I20040130000538 |
| Provider Name | Elizabeth Zane Grey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679551998 PECOS PAC ID: 2567365059 Enrollment ID: I20040130001057 |
| Provider Name | Michael B Hebert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467435909 PECOS PAC ID: 2769385152 Enrollment ID: I20040202000287 |
| Provider Name | Marek J Kokoszka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760467302 PECOS PAC ID: 2567360514 Enrollment ID: I20040202000442 |
| Provider Name | Deborah C Bohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902883192 PECOS PAC ID: 6709789043 Enrollment ID: I20040202000628 |
| Provider Name | Matthew M Schaar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765600 PECOS PAC ID: 5698678944 Enrollment ID: I20040202000713 |
| Provider Name | Jerusha C Brager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750469219 PECOS PAC ID: 4587558259 Enrollment ID: I20040212000312 |
| Provider Name | Jennifer M Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437136231 PECOS PAC ID: 5092609545 Enrollment ID: I20040214000037 |
| Provider Name | Kristen M Kopski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386699049 PECOS PAC ID: 8224922778 Enrollment ID: I20040214000078 |
| Provider Name | Mark T Dahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508862194 PECOS PAC ID: 8426943911 Enrollment ID: I20040216000117 |
| Provider Name | Jill M Samayoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538144944 PECOS PAC ID: 3072408558 Enrollment ID: I20040216000641 |
| Provider Name | Paul H Kalina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427032325 PECOS PAC ID: 9032004148 Enrollment ID: I20040218000250 |
| Provider Name | Vladimir Savcenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471658 PECOS PAC ID: 4183519119 Enrollment ID: I20040218000958 |
| Provider Name | Diana R Danilenko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043270994 PECOS PAC ID: 9931094562 Enrollment ID: I20040220000876 |
| Provider Name | Vida S Kent |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790769461 PECOS PAC ID: 2961398599 Enrollment ID: I20040223000359 |
| Provider Name | Charles L Pinkerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376573436 PECOS PAC ID: 4587550074 Enrollment ID: I20040223000790 |
| Provider Name | Andrea R Zuellig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679551527 PECOS PAC ID: 8921994468 Enrollment ID: I20040223001065 |
| Provider Name | James Douglass Schwender |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558302372 PECOS PAC ID: 5395642144 Enrollment ID: I20040224000249 |
| Provider Name | Chienyenwa N Nwachuku-winful |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952376675 PECOS PAC ID: 0547156978 Enrollment ID: I20040224000385 |
| Provider Name | Nicolette Myers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912984048 PECOS PAC ID: 4082500251 Enrollment ID: I20040225000015 |
| Provider Name | Erika N Malvey-dorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225011406 PECOS PAC ID: 8426944364 Enrollment ID: I20040226000415 |
| Provider Name | Julie Ra Zwiener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013983576 PECOS PAC ID: 1759278104 Enrollment ID: I20040302000115 |
| Provider Name | Brent R Chamberlain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285611277 PECOS PAC ID: 6901793264 Enrollment ID: I20040302000195 |
| Provider Name | David A Geddes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891767091 PECOS PAC ID: 6608763685 Enrollment ID: I20040303000892 |
| Provider Name | Arturo Gutierrez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447236641 PECOS PAC ID: 2264321942 Enrollment ID: I20040311000796 |
| Provider Name | Daniel M Zapzalka |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548248479 PECOS PAC ID: 2961391990 Enrollment ID: I20040315001076 |
| Provider Name | Sebastian F Cherian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265419253 PECOS PAC ID: 0547150054 Enrollment ID: I20040318000430 |
| Provider Name | Janet L Larson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649255530 PECOS PAC ID: 9032009550 Enrollment ID: I20040318000474 |
| Provider Name | Deborah M Olkon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944594 PECOS PAC ID: 9931099322 Enrollment ID: I20040318001015 |
| Provider Name | Susan H Bowers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518927698 PECOS PAC ID: 4082606116 Enrollment ID: I20040331000271 |
| Provider Name | Ross W Simpson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912967761 PECOS PAC ID: 0840282992 Enrollment ID: I20040331000376 |
| Provider Name | Timothy G Miley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518926260 PECOS PAC ID: 5193717171 Enrollment ID: I20040331000571 |
| Provider Name | Levi Stanford Downs |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1700816311 PECOS PAC ID: 3779576970 Enrollment ID: I20040405000957 |
| Provider Name | Carter W Muench |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679540934 PECOS PAC ID: 7315932613 Enrollment ID: I20040416000715 |
| Provider Name | Magda A Bushara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356479265 PECOS PAC ID: 5496740243 Enrollment ID: I20040420000229 |
| Provider Name | Scott S Nielsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902824238 PECOS PAC ID: 0143217034 Enrollment ID: I20040430000939 |
| Provider Name | Kelly A Mcteague |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063450336 PECOS PAC ID: 5092703793 Enrollment ID: I20040503000712 |
| Provider Name | Benjamin N Pofahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821064536 PECOS PAC ID: 4385632728 Enrollment ID: I20040504000816 |
| Provider Name | Julie Switzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518931799 PECOS PAC ID: 6305835307 Enrollment ID: I20040506000781 |
| Provider Name | David R Stolpman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639156243 PECOS PAC ID: 7517956410 Enrollment ID: I20040506001577 |
| Provider Name | Blair M Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902874613 PECOS PAC ID: 4587653142 Enrollment ID: I20040510000049 |
| Provider Name | James Goddard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770562639 PECOS PAC ID: 0749279214 Enrollment ID: I20040510000914 |
| Provider Name | Jonathan T Lineer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417914060 PECOS PAC ID: 6305836032 Enrollment ID: I20040514000847 |
| Provider Name | Stephanie A Ritter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760598825 PECOS PAC ID: 4880675032 Enrollment ID: I20040526000126 |
| Provider Name | Darin S Epstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942285135 PECOS PAC ID: 1456333202 Enrollment ID: I20040604000212 |
| Provider Name | Kathleen M Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073598975 PECOS PAC ID: 8022090737 Enrollment ID: I20040607000024 |
| Provider Name | Julie M Boman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427022110 PECOS PAC ID: 2365424827 Enrollment ID: I20040607001139 |
| Provider Name | Carrie J Kremer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205811387 PECOS PAC ID: 4880677962 Enrollment ID: I20040610000100 |
| Provider Name | Matthew T Kremer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740265396 PECOS PAC ID: 0941283022 Enrollment ID: I20040610000127 |
| Provider Name | Jianping Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932187861 PECOS PAC ID: 1153304159 Enrollment ID: I20040610001115 |
| Provider Name | Sari W Witzke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346227261 PECOS PAC ID: 0244213270 Enrollment ID: I20040610001269 |
| Provider Name | Tawatchai Paisansinsup |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881671881 PECOS PAC ID: 4082697867 Enrollment ID: I20040611000698 |
| Provider Name | Mark R Sannes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174592729 PECOS PAC ID: 2062495666 Enrollment ID: I20040612000115 |
| Provider Name | Rachel E Lerner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073549986 PECOS PAC ID: 5496738098 Enrollment ID: I20040612000127 |
| Provider Name | Soma Sen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730151424 PECOS PAC ID: 9436133477 Enrollment ID: I20040616000901 |
| Provider Name | Dane R Christensen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1578541405 PECOS PAC ID: 3870577539 Enrollment ID: I20040618000031 |
| Provider Name | Michelle M Wiersgalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225053499 PECOS PAC ID: 6406832252 Enrollment ID: I20040624000846 |
| Provider Name | Bruce L Ring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063504496 PECOS PAC ID: 1658358452 Enrollment ID: I20040630000457 |
| Provider Name | Stephen Tan |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1669446415 PECOS PAC ID: 3173500873 Enrollment ID: I20040701000084 |
| Provider Name | Merritt M Beh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356328744 PECOS PAC ID: 4688651854 Enrollment ID: I20040706000823 |
| Provider Name | Roberta V Prigge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639102825 PECOS PAC ID: 5890773782 Enrollment ID: I20040708000415 |
| Provider Name | Daniel W Hauschulz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336122969 PECOS PAC ID: 2365420205 Enrollment ID: I20040708000798 |
| Provider Name | Elizabeth A Bisinov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386621860 PECOS PAC ID: 9739087230 Enrollment ID: I20040712001054 |
| Provider Name | Bethany J Grommesh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1225090905 PECOS PAC ID: 1951389220 Enrollment ID: I20040713000083 |
| Provider Name | Kathryn K Selmo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295816122 PECOS PAC ID: 5597744318 Enrollment ID: I20040715000941 |
| Provider Name | Rebecca A Passi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568781029 PECOS PAC ID: 4082693262 Enrollment ID: I20040720000759 |
| Provider Name | Savina Ghelfi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356436919 PECOS PAC ID: 0042290736 Enrollment ID: I20040722001243 |
| Provider Name | Margaret A Powers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245276690 PECOS PAC ID: 6406836709 Enrollment ID: I20040726000392 |
| Provider Name | Drahomira Sencakova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124008107 PECOS PAC ID: 6901876846 Enrollment ID: I20040728001382 |
| Provider Name | Jay S Simonson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083691513 PECOS PAC ID: 9739088899 Enrollment ID: I20040802000891 |
| Provider Name | Amanda E Leino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598754335 PECOS PAC ID: 9830160480 Enrollment ID: I20040805000587 |
| Provider Name | Theresa S Covert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972581148 PECOS PAC ID: 6901879105 Enrollment ID: I20040816001436 |
| Provider Name | Mark R Menge |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760469928 PECOS PAC ID: 9133192263 Enrollment ID: I20040817000942 |
| Provider Name | Darren F Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760467856 PECOS PAC ID: 8527031566 Enrollment ID: I20040817001058 |
| Provider Name | Rufinoephrem M Festin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396720363 PECOS PAC ID: 9830162874 Enrollment ID: I20040817001091 |
| Provider Name | Pamela J Harris |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1861478828 PECOS PAC ID: 3577536523 Enrollment ID: I20040817001154 |
| Provider Name | Stephanie M Sanders |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598742389 PECOS PAC ID: 4385617000 Enrollment ID: I20040819000451 |
| Provider Name | Ingrid Renee Podnieks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700865300 PECOS PAC ID: 9335113075 Enrollment ID: I20040819001362 |
| Provider Name | Kristina R Liaugaudas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114902434 PECOS PAC ID: 5890760342 Enrollment ID: I20040830000170 |
| Provider Name | Heather R Gallivan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477538247 PECOS PAC ID: 2365417557 Enrollment ID: I20040831001133 |
| Provider Name | Lisa Lynette Saul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588626436 PECOS PAC ID: 5395711683 Enrollment ID: I20040908000828 |
| Provider Name | Jennifer A Lessard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366403495 PECOS PAC ID: 2264409002 Enrollment ID: I20040913000411 |
| Provider Name | Leela Engineer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285619478 PECOS PAC ID: 6608835137 Enrollment ID: I20041008000789 |
| Provider Name | Christopher A Darnell |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1245204627 PECOS PAC ID: 6305806183 Enrollment ID: I20041015000419 |
| Provider Name | Deborah A Thorp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861479735 PECOS PAC ID: 0345200853 Enrollment ID: I20041018001146 |
| Provider Name | Kristin K Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225065279 PECOS PAC ID: 4688635774 Enrollment ID: I20041021001010 |
| Provider Name | Anwar Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477661825 PECOS PAC ID: 6709848344 Enrollment ID: I20041027000445 |
| Provider Name | Beena Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629044698 PECOS PAC ID: 2264494731 Enrollment ID: I20041028000258 |
| Provider Name | Daniel J Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790872331 PECOS PAC ID: 1759343155 Enrollment ID: I20041028000520 |
| Provider Name | Bernadette S Coden Festin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073591905 PECOS PAC ID: 8921084971 Enrollment ID: I20041104001062 |
| Provider Name | Tommy M Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457326043 PECOS PAC ID: 3173586609 Enrollment ID: I20041105000752 |
| Provider Name | David Asinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886819 PECOS PAC ID: 8426953142 Enrollment ID: I20041110000973 |
| Provider Name | Sherry A Wenisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952388779 PECOS PAC ID: 0244295939 Enrollment ID: I20041122000886 |
| Provider Name | Melissa M Sherman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346227840 PECOS PAC ID: 7618932344 Enrollment ID: I20041122001207 |
| Provider Name | Leslie A Trcka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083605448 PECOS PAC ID: 2466417902 Enrollment ID: I20041124000293 |
| Provider Name | Paul F Holten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215909494 PECOS PAC ID: 3072578046 Enrollment ID: I20041201000714 |
| Provider Name | Aimee E Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285683557 PECOS PAC ID: 1052377496 Enrollment ID: I20041207000740 |
| Provider Name | Scott L Schauss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417978974 PECOS PAC ID: 0547227555 Enrollment ID: I20041210000864 |
| Provider Name | Leann G Hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386693380 PECOS PAC ID: 9032176904 Enrollment ID: I20041213000250 |
| Provider Name | Joanna C Kokoszka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851376495 PECOS PAC ID: 8921065491 Enrollment ID: I20041216000101 |
| Provider Name | Amy M Bonifas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700863933 PECOS PAC ID: 7416914692 Enrollment ID: I20041220000572 |
| Provider Name | Olufemi O Banjoko |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073590519 PECOS PAC ID: 1759349087 Enrollment ID: I20050103000617 |
| Provider Name | Karen M Pankratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235116237 PECOS PAC ID: 3577511989 Enrollment ID: I20050112000034 |
| Provider Name | Anthony Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659358562 PECOS PAC ID: 3476505512 Enrollment ID: I20050216000744 |
| Provider Name | Steven E Calvin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912976564 PECOS PAC ID: 8921050089 Enrollment ID: I20050216000839 |
| Provider Name | Joel L Boyd |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1619970571 PECOS PAC ID: 8527035245 Enrollment ID: I20050221000076 |
| Provider Name | Kirk J Aadalen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720081672 PECOS PAC ID: 6204888043 Enrollment ID: I20050221000086 |
| Provider Name | Alan W Markman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750384707 PECOS PAC ID: 7315914041 Enrollment ID: I20050221000142 |
| Provider Name | John A Steubs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669475638 PECOS PAC ID: 3678540309 Enrollment ID: I20050221000170 |
| Provider Name | Daniel L Gatlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124074414 PECOS PAC ID: 6406809219 Enrollment ID: I20050222000046 |
| Provider Name | Cathleen Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457338444 PECOS PAC ID: 7810940657 Enrollment ID: I20050222000274 |
| Provider Name | Beth A Helgerson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083686810 PECOS PAC ID: 8921051582 Enrollment ID: I20050224000085 |
| Provider Name | Shabana Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510794 PECOS PAC ID: 7517910508 Enrollment ID: I20050302000453 |
| Provider Name | Surekha Pagidipala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366420804 PECOS PAC ID: 6800840687 Enrollment ID: I20050303001017 |
| Provider Name | Aaron Binstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891744280 PECOS PAC ID: 4284689985 Enrollment ID: I20050315001076 |
| Provider Name | Mark R Alexander |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790751493 PECOS PAC ID: 3577519651 Enrollment ID: I20050323000144 |
| Provider Name | David K Bucher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184699779 PECOS PAC ID: 2961315874 Enrollment ID: I20050323000586 |
| Provider Name | Christian M Daleiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912998469 PECOS PAC ID: 5991751844 Enrollment ID: I20050324000157 |
| Provider Name | Jason L Eggers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275581795 PECOS PAC ID: 0143276923 Enrollment ID: I20050324000504 |
| Provider Name | Lori J Fewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316923055 PECOS PAC ID: 6608822440 Enrollment ID: I20050324000896 |
| Provider Name | Jalal U Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063795 PECOS PAC ID: 3971559626 Enrollment ID: I20050324001062 |
| Provider Name | Daniel A Albright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295710192 PECOS PAC ID: 2769438415 Enrollment ID: I20050324001091 |
| Provider Name | Timothy G Balder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104801638 PECOS PAC ID: 6406752849 Enrollment ID: I20050328000376 |
| Provider Name | Martha Sanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184609703 PECOS PAC ID: 3274439625 Enrollment ID: I20050328001038 |
| Provider Name | Sean E Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548247190 PECOS PAC ID: 6002862372 Enrollment ID: I20050330000135 |
| Provider Name | William H Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457338006 PECOS PAC ID: 8123074408 Enrollment ID: I20050330000184 |
| Provider Name | Peter B Meier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518980192 PECOS PAC ID: 5890742035 Enrollment ID: I20050331000393 |
| Provider Name | Heidi G H Cole |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821054222 PECOS PAC ID: 2567427305 Enrollment ID: I20050401000654 |
| Provider Name | Rolf J Simonson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982683579 PECOS PAC ID: 7810944576 Enrollment ID: I20050405000452 |
| Provider Name | Bhavin I Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689646960 PECOS PAC ID: 9335196021 Enrollment ID: I20050405000742 |
| Provider Name | Robert C Droullard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760454219 PECOS PAC ID: 0547217267 Enrollment ID: I20050405000981 |
| Provider Name | Christa G Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285611772 PECOS PAC ID: 1355398942 Enrollment ID: I20050406000123 |
| Provider Name | Richard L Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944974 PECOS PAC ID: 9133176654 Enrollment ID: I20050406000434 |
| Provider Name | George E Belzer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1972580330 PECOS PAC ID: 5799732228 Enrollment ID: I20050406000511 |
| Provider Name | Wendy M Bergeron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984311 PECOS PAC ID: 6305893850 Enrollment ID: I20050406000725 |
| Provider Name | Marysue Beran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033196431 PECOS PAC ID: 8325932247 Enrollment ID: I20050406000773 |
| Provider Name | Thomas T Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306823794 PECOS PAC ID: 4688621162 Enrollment ID: I20050406000880 |
| Provider Name | Michelle Marie Blaeser |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619954963 PECOS PAC ID: 0840247193 Enrollment ID: I20050407001096 |
| Provider Name | Leann M West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013989128 PECOS PAC ID: 0345287454 Enrollment ID: I20050411000788 |
| Provider Name | Lisa M Bolin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710964937 PECOS PAC ID: 3375580137 Enrollment ID: I20050413000281 |
| Provider Name | Steven Jay Borowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790762920 PECOS PAC ID: 7517904378 Enrollment ID: I20050413000320 |
| Provider Name | Karl James Bakken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033196365 PECOS PAC ID: 2769420934 Enrollment ID: I20050419000499 |
| Provider Name | Leslie A Baken |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750368288 PECOS PAC ID: 9638117815 Enrollment ID: I20050419000543 |
| Provider Name | Grant C Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790864395 PECOS PAC ID: 1557261781 Enrollment ID: I20050419000976 |
| Provider Name | Mary Kay Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720065279 PECOS PAC ID: 3577501600 Enrollment ID: I20050420000250 |
| Provider Name | John R Bartlett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407833841 PECOS PAC ID: 9537107685 Enrollment ID: I20050420000464 |
| Provider Name | Rebecca A Bartlett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851378319 PECOS PAC ID: 1951349901 Enrollment ID: I20050420000500 |
| Provider Name | Anne-marie F Moore |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770550188 PECOS PAC ID: 7911945985 Enrollment ID: I20050420000598 |
| Provider Name | Margaret J Swanson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881799518 PECOS PAC ID: 7315986429 Enrollment ID: I20050428000247 |
| Provider Name | Christine Gove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992817142 PECOS PAC ID: 5597705079 Enrollment ID: I20050504000205 |
| Provider Name | Nancy W Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275596660 PECOS PAC ID: 7517907827 Enrollment ID: I20050505001009 |
| Provider Name | Jyothi B Kesha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558358796 PECOS PAC ID: 3577503515 Enrollment ID: I20050509000901 |
| Provider Name | Sandeep Bahadur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932176831 PECOS PAC ID: 2365482148 Enrollment ID: I20050511000499 |
| Provider Name | Alison M Warford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467525527 PECOS PAC ID: 9032151311 Enrollment ID: I20050526000350 |
| Provider Name | Richard A Peterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699717561 PECOS PAC ID: 5991747081 Enrollment ID: I20050531000293 |
| Provider Name | Heather C Votava-bialczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447236252 PECOS PAC ID: 2466495254 Enrollment ID: I20050602000750 |
| Provider Name | Kent K Bratten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841277043 PECOS PAC ID: 8527001320 Enrollment ID: I20050602000784 |
| Provider Name | Teresa C Mccarthy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922184035 PECOS PAC ID: 3678516341 Enrollment ID: I20050603000208 |
| Provider Name | Margaret Michelle Browning-holmgren |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669459681 PECOS PAC ID: 3779526363 Enrollment ID: I20050606000094 |
| Provider Name | Christopher Grainger Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952388910 PECOS PAC ID: 6608819206 Enrollment ID: I20050606000155 |
| Provider Name | Trevor L Busch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043297021 PECOS PAC ID: 3577506039 Enrollment ID: I20050606000701 |
| Provider Name | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | Renae A Kain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871523449 PECOS PAC ID: 7113961814 Enrollment ID: I20050614000533 |
| Provider Name | Jeffrey J Shultz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003893520 PECOS PAC ID: 4587563655 Enrollment ID: I20050614000896 |
| Provider Name | Nadeem Chaudhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649246018 PECOS PAC ID: 5193769586 Enrollment ID: I20050616000417 |
| Provider Name | Paula M Cotruta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346216579 PECOS PAC ID: 2961446380 Enrollment ID: I20050616000648 |
| Provider Name | David L Kittelson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164485819 PECOS PAC ID: 4486699303 Enrollment ID: I20050622000184 |
| Provider Name | Michael Richard Walsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275510059 PECOS PAC ID: 8820033780 Enrollment ID: I20050622000519 |
| Provider Name | Andrea D Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881671329 PECOS PAC ID: 4789629239 Enrollment ID: I20050624000254 |
| Provider Name | Seyed Rahim Hosseini Dehkordi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992788475 PECOS PAC ID: 7810932183 Enrollment ID: I20050627001131 |
| Provider Name | Rachel S Hub |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275517773 PECOS PAC ID: 1355387473 Enrollment ID: I20050629000508 |
| Provider Name | Karen A Moeller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679545453 PECOS PAC ID: 1557307410 Enrollment ID: I20050630000384 |
| Provider Name | Son Hong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265419287 PECOS PAC ID: 6800832551 Enrollment ID: I20050701000868 |
| Provider Name | Heidi L Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588677132 PECOS PAC ID: 1557307105 Enrollment ID: I20050705000732 |
| Provider Name | Timothy P Kinney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407895139 PECOS PAC ID: 8224074729 Enrollment ID: I20050706000984 |
| Provider Name | David C Sandell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568453926 PECOS PAC ID: 4385670371 Enrollment ID: I20050712000028 |
| Provider Name | Erin M Mack |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992772792 PECOS PAC ID: 3274569108 Enrollment ID: I20050712001172 |
| Provider Name | Shelley T Weier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548231996 PECOS PAC ID: 5193751972 Enrollment ID: I20050713000216 |
| Provider Name | Mark J Westholder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023095775 PECOS PAC ID: 8527094176 Enrollment ID: I20050714000520 |
| Provider Name | Nancy J Callinan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033188222 PECOS PAC ID: 2163459538 Enrollment ID: I20050719000107 |
| Provider Name | James E Johanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013979491 PECOS PAC ID: 3779578042 Enrollment ID: I20050719000742 |
| Provider Name | Daniel A Keeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073627220 PECOS PAC ID: 5991790271 Enrollment ID: I20050719000794 |
| Provider Name | Steven H Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336125772 PECOS PAC ID: 6204863475 Enrollment ID: I20050719001032 |
| Provider Name | Monica L Norwick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588641542 PECOS PAC ID: 7113954355 Enrollment ID: I20050720000211 |
| Provider Name | Nancy C Tokar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558340141 PECOS PAC ID: 6406883511 Enrollment ID: I20050720000782 |
| Provider Name | Lori E Strand |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891866901 PECOS PAC ID: 7810924800 Enrollment ID: I20050721000183 |
| Provider Name | Mary E Tahnk-johnson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548247547 PECOS PAC ID: 0648189589 Enrollment ID: I20050722000183 |
| Provider Name | John M Worley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033196969 PECOS PAC ID: 2264469857 Enrollment ID: I20050726000390 |
| Provider Name | Angela Ngoc-han K Ngo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487631537 PECOS PAC ID: 8820026222 Enrollment ID: I20050727000822 |
| Provider Name | Lisa R Wasserman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548222482 PECOS PAC ID: 4688602881 Enrollment ID: I20050729000148 |
| Provider Name | Michael D Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689651697 PECOS PAC ID: 5991733727 Enrollment ID: I20050802000478 |
| Provider Name | Cara Jean Chavira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457454019 PECOS PAC ID: 2769411982 Enrollment ID: I20050809000036 |
| Provider Name | Andrew D Peik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114981685 PECOS PAC ID: 0244260933 Enrollment ID: I20050812000351 |
| Provider Name | Paul J Amundson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275507386 PECOS PAC ID: 7113957697 Enrollment ID: I20050815000590 |
| Provider Name | Cara H Houle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003821968 PECOS PAC ID: 3779513239 Enrollment ID: I20050816000115 |
| Provider Name | Jonathan J Sudberry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700865193 PECOS PAC ID: 3971533316 Enrollment ID: I20050816000657 |
| Provider Name | Staci R Moser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013093004 PECOS PAC ID: 5698706471 Enrollment ID: I20050823000028 |
| Provider Name | Michelle M Hoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205860772 PECOS PAC ID: 4486685260 Enrollment ID: I20050823000062 |
| Provider Name | Amy L Francisco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609943802 PECOS PAC ID: 3476584251 Enrollment ID: I20050823000072 |
| Provider Name | Chi B Huynh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588623235 PECOS PAC ID: 9931130994 Enrollment ID: I20050830000139 |
| Provider Name | Jeffrey B Husband |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1639153000 PECOS PAC ID: 3779494984 Enrollment ID: I20050830000771 |
| Provider Name | Ross S Paskoff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912984915 PECOS PAC ID: 8820029788 Enrollment ID: I20050830000883 |
| Provider Name | Steven N Soneral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285629295 PECOS PAC ID: 8123050010 Enrollment ID: I20050831000152 |
| Provider Name | Amy B Criego |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730167610 PECOS PAC ID: 5092747683 Enrollment ID: I20050902000621 |
| Provider Name | Judith A Mcelfresh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215073275 PECOS PAC ID: 2860425501 Enrollment ID: I20050914000269 |
| Provider Name | Fareed A Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235236530 PECOS PAC ID: 8921031535 Enrollment ID: I20050914000881 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | Michael D Ekern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205811072 PECOS PAC ID: 9537193537 Enrollment ID: I20050920000399 |
| Provider Name | Robert J Johnson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740224732 PECOS PAC ID: 4284668229 Enrollment ID: I20050920000726 |
| Provider Name | James W Mazzuca |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295711216 PECOS PAC ID: 0446284319 Enrollment ID: I20050920001039 |
| Provider Name | Mohamed A Hagi Aden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093786469 PECOS PAC ID: 3274515945 Enrollment ID: I20050922000630 |
| Provider Name | Koken Ozdogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679545842 PECOS PAC ID: 1355375619 Enrollment ID: I20050926000683 |
| Provider Name | Steven M Debol |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699789883 PECOS PAC ID: 4981638137 Enrollment ID: I20050927000180 |
| Provider Name | Mohammad T Fareed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598839250 PECOS PAC ID: 5698700144 Enrollment ID: I20051004000088 |
| Provider Name | Amy L Sauter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700936119 PECOS PAC ID: 1557336997 Enrollment ID: I20051004000421 |
| Provider Name | William D Knopp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023093283 PECOS PAC ID: 0941225171 Enrollment ID: I20051006000955 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | Peter W Gjevre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790750370 PECOS PAC ID: 0345218798 Enrollment ID: I20051012000033 |
| Provider Name | Curt Behrns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869227 PECOS PAC ID: 1850318379 Enrollment ID: I20051025000024 |
| Provider Name | John Raymond Fenyk |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265463129 PECOS PAC ID: 1456378405 Enrollment ID: I20051031000021 |
| Provider Name | Michael Tadaharu Akin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114902004 PECOS PAC ID: 8123045713 Enrollment ID: I20051102000482 |
| Provider Name | Jonathan Patrick Braman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548296619 PECOS PAC ID: 0840219028 Enrollment ID: I20051116000889 |
| Provider Name | James B Christenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922019231 PECOS PAC ID: 1759300544 Enrollment ID: I20051122000570 |
| Provider Name | Patrick M Mueller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023095148 PECOS PAC ID: 5597785071 Enrollment ID: I20051129000636 |
| Provider Name | Kari M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003894551 PECOS PAC ID: 1658335302 Enrollment ID: I20051130000153 |
| Provider Name | John W Apostol |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245292655 PECOS PAC ID: 9133140239 Enrollment ID: I20051216000495 |
| Provider Name | Tonya L Bryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619939741 PECOS PAC ID: 1759302763 Enrollment ID: I20051216000706 |
| Provider Name | Charles A Bryz-gornia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356491708 PECOS PAC ID: 2567365406 Enrollment ID: I20051216000711 |
| Provider Name | Jay A Dirks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394573 PECOS PAC ID: 9537181466 Enrollment ID: I20051220000686 |
| Provider Name | Laura K Doten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134181712 PECOS PAC ID: 6002838976 Enrollment ID: I20051221000019 |
| Provider Name | Daniel Satran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063568319 PECOS PAC ID: 9436171261 Enrollment ID: I20051221000429 |
| Provider Name | Robert G Sonntag |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699741397 PECOS PAC ID: 8628090289 Enrollment ID: I20051222000537 |
| Provider Name | Andrea L Messina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194702258 PECOS PAC ID: 4385666825 Enrollment ID: I20051227000241 |
| Provider Name | Bridget B Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801870571 PECOS PAC ID: 1951323377 Enrollment ID: I20051229000331 |
| Provider Name | Gang K Zhang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447238373 PECOS PAC ID: 5092737288 Enrollment ID: I20060103000260 |
| Provider Name | Kim M Waterbury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023215720 PECOS PAC ID: 2860416112 Enrollment ID: I20060125000630 |
| Provider Name | Jacqueline M Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760457527 PECOS PAC ID: 1658385893 Enrollment ID: I20060126000960 |
| Provider Name | Tanya K Henke-le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518933597 PECOS PAC ID: 9830103399 Enrollment ID: I20060203000446 |
| Provider Name | Jessica E Kuehn-hajder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104833920 PECOS PAC ID: 5496760266 Enrollment ID: I20060215000472 |
| Provider Name | Stephanie A Norris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093782716 PECOS PAC ID: 5395750814 Enrollment ID: I20060220000400 |
| Provider Name | Jennifer G Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437112703 PECOS PAC ID: 0042258717 Enrollment ID: I20060220000451 |
| Provider Name | Eric C Chen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235323247 PECOS PAC ID: 0446266811 Enrollment ID: I20060223000143 |
| Provider Name | Eunice Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407882327 PECOS PAC ID: 9830105691 Enrollment ID: I20060302000535 |
| Provider Name | Burke A Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861432809 PECOS PAC ID: 5799792214 Enrollment ID: I20060308000540 |
| Provider Name | Allyson M Hayward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275516817 PECOS PAC ID: 2860406501 Enrollment ID: I20060320000453 |
| Provider Name | Patrick J Schweiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578573275 PECOS PAC ID: 8426066044 Enrollment ID: I20060323000443 |
| Provider Name | Bradley J Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619950839 PECOS PAC ID: 5890703037 Enrollment ID: I20060329000341 |
| Provider Name | Charles R Watts |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427001171 PECOS PAC ID: 8628089083 Enrollment ID: I20060522000156 |
| Provider Name | Peter J Boardman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376500389 PECOS PAC ID: 0446262356 Enrollment ID: I20060614000223 |
| Provider Name | Gary B Fetzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447291810 PECOS PAC ID: 8729090337 Enrollment ID: I20060626000006 |
| Provider Name | Mamie J Lausch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881636454 PECOS PAC ID: 2769494111 Enrollment ID: I20060629000142 |
| Provider Name | John A Noll |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154358273 PECOS PAC ID: 2365455482 Enrollment ID: I20060713000047 |
| Provider Name | Melissa J Klohn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770512212 PECOS PAC ID: 3577576594 Enrollment ID: I20060717000087 |
| Provider Name | Colleen N Fischer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033149687 PECOS PAC ID: 2264445170 Enrollment ID: I20060719000091 |
| Provider Name | Bret D Yonke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174551931 PECOS PAC ID: 3779596424 Enrollment ID: I20060724000243 |
| Provider Name | David P Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154384527 PECOS PAC ID: 9436162120 Enrollment ID: I20060725000249 |
| Provider Name | Stacey A Mackay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760469175 PECOS PAC ID: 4587677182 Enrollment ID: I20060727000223 |
| Provider Name | Donna Marko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275565434 PECOS PAC ID: 9638182173 Enrollment ID: I20060728000187 |
| Provider Name | Kelly S Furda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194751503 PECOS PAC ID: 1658384003 Enrollment ID: I20060801000250 |
| Provider Name | Kimberly S Glynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528090891 PECOS PAC ID: 9638182017 Enrollment ID: I20060802000076 |
| Provider Name | Emily J Yonke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467406165 PECOS PAC ID: 0244243640 Enrollment ID: I20060802000232 |
| Provider Name | Nima A Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235117565 PECOS PAC ID: 0143223339 Enrollment ID: I20060808000247 |
| Provider Name | Christina R Hyser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730193442 PECOS PAC ID: 6709889736 Enrollment ID: I20060814000088 |
| Provider Name | Jongsok Pak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053352930 PECOS PAC ID: 0244233294 Enrollment ID: I20060814000215 |
| Provider Name | Robert C Hoch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396717245 PECOS PAC ID: 7214930742 Enrollment ID: I20060822000573 |
| Provider Name | David J Nutz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003836800 PECOS PAC ID: 7416950977 Enrollment ID: I20060823000217 |
| Provider Name | Tanya C Muller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891733440 PECOS PAC ID: 9638172109 Enrollment ID: I20060823000253 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Paige N Misselt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205945615 PECOS PAC ID: 4486658440 Enrollment ID: I20060905000431 |
| Provider Name | Brenda R Larson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952310237 PECOS PAC ID: 9830193838 Enrollment ID: I20060906000156 |
| Provider Name | Robert J Matlock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881616381 PECOS PAC ID: 4082618954 Enrollment ID: I20060907000160 |
| Provider Name | Diane M Reader |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023049293 PECOS PAC ID: 6305840026 Enrollment ID: I20060911000438 |
| Provider Name | Erica L Berven |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215900477 PECOS PAC ID: 8729082375 Enrollment ID: I20060913000111 |
| Provider Name | Benjamin M Stenzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538128665 PECOS PAC ID: 7315941978 Enrollment ID: I20060913000234 |
| Provider Name | Andrew J Misselt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770500555 PECOS PAC ID: 2062417298 Enrollment ID: I20060922000065 |
| Provider Name | Michelle L Gorman-mcnerney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1396716304 PECOS PAC ID: 3678587136 Enrollment ID: I20060922000414 |
| Provider Name | Lawrence G Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093751752 PECOS PAC ID: 0244235141 Enrollment ID: I20060928000123 |
| Provider Name | David Pederson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487668919 PECOS PAC ID: 9335031210 Enrollment ID: I20060928000165 |
| Provider Name | Rebecca W Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790725729 PECOS PAC ID: 3577569953 Enrollment ID: I20061006000364 |
| Provider Name | Judith M Rock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962508432 PECOS PAC ID: 0840296166 Enrollment ID: I20061010000532 |
| Provider Name | Trude M Stommes Schlangen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104922665 PECOS PAC ID: 1759387079 Enrollment ID: I20061010000533 |
| Provider Name | Joshua O Zimmerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023062379 PECOS PAC ID: 9830125392 Enrollment ID: I20061011000066 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Kenneth E Joslyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730290701 PECOS PAC ID: 8729084884 Enrollment ID: I20061012000229 |
| Provider Name | Kirsten R Ryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588760060 PECOS PAC ID: 6204832033 Enrollment ID: I20061018000279 |
| Provider Name | Brenda S Scott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225136526 PECOS PAC ID: 3375549124 Enrollment ID: I20061018000403 |
| Provider Name | Paul L Ramnarine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427157353 PECOS PAC ID: 9931105798 Enrollment ID: I20061018000486 |
| Provider Name | Nancy L Garnaas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336107903 PECOS PAC ID: 0648276311 Enrollment ID: I20061020000201 |
| Provider Name | Shari S Hamer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447351838 PECOS PAC ID: 4385641943 Enrollment ID: I20061025000224 |
| Provider Name | Stacey L Seibel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023110889 PECOS PAC ID: 8224035589 Enrollment ID: I20061030000086 |
| Provider Name | Nathan B Hoffman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558310821 PECOS PAC ID: 4183621451 Enrollment ID: I20061030000140 |
| Provider Name | Jonathan R Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336153725 PECOS PAC ID: 7113924481 Enrollment ID: I20061030000208 |
| Provider Name | Jane M Sulzle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497852313 PECOS PAC ID: 9638176928 Enrollment ID: I20061030000329 |
| Provider Name | Timothy J Atkinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548342595 PECOS PAC ID: 3870590078 Enrollment ID: I20061101000190 |
| Provider Name | Kathleen M Aune |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710069604 PECOS PAC ID: 2466459698 Enrollment ID: I20061101000493 |
| Provider Name | Teri K Spilde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750478442 PECOS PAC ID: 3577560317 Enrollment ID: I20061108000530 |
| Provider Name | Joel W Carter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417904665 PECOS PAC ID: 9234176082 Enrollment ID: I20061115000042 |
| Provider Name | Jennifer E Schaefgen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659452621 PECOS PAC ID: 8527066042 Enrollment ID: I20061117000078 |
| Provider Name | Urbae Y Hall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497845747 PECOS PAC ID: 3971501420 Enrollment ID: I20061117000295 |
| Provider Name | Jennifer M Erdmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588756688 PECOS PAC ID: 4284632696 Enrollment ID: I20061120000200 |
| Provider Name | Lori D Powell-knutson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912087586 PECOS PAC ID: 5890793202 Enrollment ID: I20061120000219 |
| Provider Name | Joanna J Poinar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639275688 PECOS PAC ID: 2668470006 Enrollment ID: I20061120000417 |
| Provider Name | Anna Schorer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164449989 PECOS PAC ID: 3779581996 Enrollment ID: I20061127000157 |
| Provider Name | Rachel L Ruegemer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831276336 PECOS PAC ID: 6204834344 Enrollment ID: I20061128000053 |
| Provider Name | Anne L Gallentine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306925185 PECOS PAC ID: 6103824297 Enrollment ID: I20061128000438 |
| Provider Name | Dawn L Stover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063505519 PECOS PAC ID: 3375541469 Enrollment ID: I20061128000445 |
| Provider Name | Julia L Sands |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689773715 PECOS PAC ID: 7810995909 Enrollment ID: I20061128000462 |
| Provider Name | Erica A Eichhof |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073683124 PECOS PAC ID: 0446258537 Enrollment ID: I20061128000478 |
| Provider Name | Dawn N Violette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780774133 PECOS PAC ID: 0345248431 Enrollment ID: I20061128000486 |
| Provider Name | Nicholas P Sharp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952481640 PECOS PAC ID: 9739187741 Enrollment ID: I20061129000093 |
| Provider Name | Kristine D Braun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538248919 PECOS PAC ID: 6204834252 Enrollment ID: I20061129000349 |
| Provider Name | Sarah B Black |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942388400 PECOS PAC ID: 4385642339 Enrollment ID: I20061129000356 |
| Provider Name | Paul S Vietzen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851346753 PECOS PAC ID: 6002814050 Enrollment ID: I20061129000365 |
| Provider Name | Brigid A Daly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366513566 PECOS PAC ID: 9032117940 Enrollment ID: I20061130000472 |
| Provider Name | Lois M Larson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639255540 PECOS PAC ID: 8729087648 Enrollment ID: I20061204000170 |
| Provider Name | Melanie A Brudevold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174609804 PECOS PAC ID: 2163421082 Enrollment ID: I20061204000192 |
| Provider Name | Angela A Drew |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073684262 PECOS PAC ID: 0244239077 Enrollment ID: I20061205000512 |
| Provider Name | Jodi K Luehrs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770660391 PECOS PAC ID: 2567461304 Enrollment ID: I20061205000582 |
| Provider Name | Ann E Naasko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295812790 PECOS PAC ID: 6901805647 Enrollment ID: I20061207000169 |
| Provider Name | Marian R Eichten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336225986 PECOS PAC ID: 4082613724 Enrollment ID: I20061207000177 |
| Provider Name | Jill M Koerber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417056052 PECOS PAC ID: 9436158177 Enrollment ID: I20061207000188 |
| Provider Name | Kristen Dee Lindstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558460113 PECOS PAC ID: 9335148089 Enrollment ID: I20061207000211 |
| Provider Name | Johannes Brechtken |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427088392 PECOS PAC ID: 3375542020 Enrollment ID: I20061207000266 |
| Provider Name | Tina M Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720027113 PECOS PAC ID: 1850390311 Enrollment ID: I20061211000167 |
| Provider Name | Phyllis M Panzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144305939 PECOS PAC ID: 9931108461 Enrollment ID: I20061212000090 |
| Provider Name | Jaroslaw Olownia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972689776 PECOS PAC ID: 1658370184 Enrollment ID: I20061212000105 |
| Provider Name | Melanie R Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780760538 PECOS PAC ID: 4789683228 Enrollment ID: I20061212000157 |
| Provider Name | Jennifer L Grabner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235200338 PECOS PAC ID: 8921007469 Enrollment ID: I20061212000185 |
| Provider Name | Deborah E Skansberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295826808 PECOS PAC ID: 0345249785 Enrollment ID: I20061212000236 |
| Provider Name | William H Koch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184796302 PECOS PAC ID: 5193724532 Enrollment ID: I20061212000281 |
| Provider Name | Alecia R Klatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548330830 PECOS PAC ID: 8426057886 Enrollment ID: I20061212000429 |
| Provider Name | Patricia K Oys |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053409383 PECOS PAC ID: 3678572039 Enrollment ID: I20061212000450 |
| Provider Name | Tricia A Kloeckl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487753018 PECOS PAC ID: 3678572047 Enrollment ID: I20061212000567 |
| Provider Name | Stacy L Johnston |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669571261 PECOS PAC ID: 2668471038 Enrollment ID: I20061212000581 |
| Provider Name | Ann M Hlas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437258126 PECOS PAC ID: 9436158664 Enrollment ID: I20061215000192 |
| Provider Name | Christopher D Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841385515 PECOS PAC ID: 5698774891 Enrollment ID: I20061218000159 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Sara L Narum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316024912 PECOS PAC ID: 4981604816 Enrollment ID: I20061228000047 |
| Provider Name | Sharon L Duncan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639242357 PECOS PAC ID: 5597765123 Enrollment ID: I20070105000115 |
| Provider Name | Dawn M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962501882 PECOS PAC ID: 9739189234 Enrollment ID: I20070108000127 |
| Provider Name | Debra Jg Voss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710060843 PECOS PAC ID: 0547260044 Enrollment ID: I20070108000133 |
| Provider Name | Pamela S Cole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275609323 PECOS PAC ID: 3870593387 Enrollment ID: I20070108000167 |
| Provider Name | Diane M Skinner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477634897 PECOS PAC ID: 5890795009 Enrollment ID: I20070111000236 |
| Provider Name | Bradley S Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710954870 PECOS PAC ID: 9830167402 Enrollment ID: I20070118000547 |
| Provider Name | Charles C Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306925706 PECOS PAC ID: 9739180662 Enrollment ID: I20070119000472 |
| Provider Name | Jean M Christiansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245319623 PECOS PAC ID: 5294736146 Enrollment ID: I20070122000018 |
| Provider Name | Paul R Haller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487622890 PECOS PAC ID: 8628042009 Enrollment ID: I20070123000585 |
| Provider Name | Melissa M Ekholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932208436 PECOS PAC ID: 1759383532 Enrollment ID: I20070207000420 |
| Provider Name | Christine M Brockton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427143932 PECOS PAC ID: 2264434539 Enrollment ID: I20070215000637 |
| Provider Name | Kandice L Tolic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598840159 PECOS PAC ID: 8224130810 Enrollment ID: I20070228000510 |
| Provider Name | Catherine M Yngsdahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326141367 PECOS PAC ID: 6406959808 Enrollment ID: I20070305000507 |
| Provider Name | Michelle L Vertanen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063555688 PECOS PAC ID: 8729181995 Enrollment ID: I20070308000052 |
| Provider Name | Gary J Rosenthal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265491278 PECOS PAC ID: 8729181631 Enrollment ID: I20070314000389 |
| Provider Name | Kinga M Kocsis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891823159 PECOS PAC ID: 5395709042 Enrollment ID: I20070315000028 |
| Provider Name | Jeffrey Paul Lassig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558459032 PECOS PAC ID: 6507896578 Enrollment ID: I20070329000258 |
| Provider Name | Jennifer En Fedie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548303290 PECOS PAC ID: 1850495896 Enrollment ID: I20070330000170 |
| Provider Name | Stephanie H Critchley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851422398 PECOS PAC ID: 3476657412 Enrollment ID: I20070330000180 |
| Provider Name | Jacqueline K Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386720282 PECOS PAC ID: 4688778673 Enrollment ID: I20070402000020 |
| Provider Name | Gregg T Stenger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629168976 PECOS PAC ID: 8426153016 Enrollment ID: I20070410000129 |
| Provider Name | Jill C Coggins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861538191 PECOS PAC ID: 5698870095 Enrollment ID: I20070413000048 |
| Provider Name | Kathleen R Lauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124199765 PECOS PAC ID: 0143325464 Enrollment ID: I20070416000424 |
| Provider Name | Ronald E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912072976 PECOS PAC ID: 4183729254 Enrollment ID: I20070418000220 |
| Provider Name | Katie J Ray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952493165 PECOS PAC ID: 4880799956 Enrollment ID: I20070418000246 |
| Provider Name | Christopher M Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396763314 PECOS PAC ID: 1153426101 Enrollment ID: I20070419000265 |
| Provider Name | Georgianna F Elliott |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124180625 PECOS PAC ID: 7618072380 Enrollment ID: I20070425000388 |
| Provider Name | John Oyakhire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518051390 PECOS PAC ID: 9133127400 Enrollment ID: I20070426000562 |
| Provider Name | Jennifer L Quisberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043399314 PECOS PAC ID: 4284730581 Enrollment ID: I20070503000026 |
| Provider Name | David T Tapper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548381395 PECOS PAC ID: 3375649528 Enrollment ID: I20070503000576 |
| Provider Name | Ludmilla R Peller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942328901 PECOS PAC ID: 2062518046 Enrollment ID: I20070508000561 |
| Provider Name | Sujata R Costello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235356452 PECOS PAC ID: 9234235052 Enrollment ID: I20070510000360 |
| Provider Name | Thomas Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972574879 PECOS PAC ID: 5799719712 Enrollment ID: I20070606000232 |
| Provider Name | Julia Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346349040 PECOS PAC ID: 3971502626 Enrollment ID: I20070614000710 |
| Provider Name | Michael P Mcgrail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831166867 PECOS PAC ID: 1759480361 Enrollment ID: I20070622000237 |
| Provider Name | Katherine A Severson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952429599 PECOS PAC ID: 2860591088 Enrollment ID: I20070628000178 |
| Provider Name | Nicole S Nader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821290263 PECOS PAC ID: 3072612241 Enrollment ID: I20070628000627 |
| Provider Name | Angela K Caszatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780805192 PECOS PAC ID: 8325148042 Enrollment ID: I20070711000114 |
| Provider Name | Craig D Grimes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134262751 PECOS PAC ID: 9537269188 Enrollment ID: I20070711000473 |
| Provider Name | Ehtaisham U Mohammed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508077934 PECOS PAC ID: 6709987787 Enrollment ID: I20070720000136 |
| Provider Name | Cari G Dakin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336285071 PECOS PAC ID: 5193826170 Enrollment ID: I20070720000210 |
| Provider Name | David J Willis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760537534 PECOS PAC ID: 7618078593 Enrollment ID: I20070723000078 |
| Provider Name | Betsy L Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649303678 PECOS PAC ID: 1052412939 Enrollment ID: I20070723000100 |
| Provider Name | Scott W Schoshinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871629964 PECOS PAC ID: 0244331098 Enrollment ID: I20070723000741 |
| Provider Name | Mohamed Y Maray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396864765 PECOS PAC ID: 4385735521 Enrollment ID: I20070802000326 |
| Provider Name | Jeanine L Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578639522 PECOS PAC ID: 8921199936 Enrollment ID: I20070806000512 |
| Provider Name | Michelle C Mirau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073714408 PECOS PAC ID: 2769573799 Enrollment ID: I20070806000667 |
| Provider Name | Sonya B Schroeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225117377 PECOS PAC ID: 2163513011 Enrollment ID: I20070807000070 |
| Provider Name | Sara C Jardine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215025267 PECOS PAC ID: 0941391742 Enrollment ID: I20070808000601 |
| Provider Name | Lori S Anderson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790884732 PECOS PAC ID: 2264524214 Enrollment ID: I20070822000487 |
| Provider Name | Nicholas M Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215992292 PECOS PAC ID: 7719079706 Enrollment ID: I20070822000878 |
| Provider Name | Michele M Brezinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154529139 PECOS PAC ID: 0446342117 Enrollment ID: I20070827000080 |
| Provider Name | Nancy A Waldbillig |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205862786 PECOS PAC ID: 2769574441 Enrollment ID: I20070827000145 |
| Provider Name | Corey N Fett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174715361 PECOS PAC ID: 1355433046 Enrollment ID: I20070827000274 |
| Provider Name | Michelle K Pemble-frazey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013116342 PECOS PAC ID: 3072605765 Enrollment ID: I20070827000276 |
| Provider Name | Annie M Fontaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477581965 PECOS PAC ID: 5597858662 Enrollment ID: I20070905000578 |
| Provider Name | Anthony L Pojman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932183613 PECOS PAC ID: 6709979792 Enrollment ID: I20070907000074 |
| Provider Name | Elizabeth K Hebl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790754091 PECOS PAC ID: 9234222811 Enrollment ID: I20070912000801 |
| Provider Name | Karen G Sherk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164612834 PECOS PAC ID: 2062506298 Enrollment ID: I20070919000588 |
| Provider Name | Catherine Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952357857 PECOS PAC ID: 2668566696 Enrollment ID: I20070920000644 |
| Provider Name | David J Wilkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558348458 PECOS PAC ID: 2769576552 Enrollment ID: I20070925000106 |
| Provider Name | Soumathy Prosper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629271671 PECOS PAC ID: 0143315630 Enrollment ID: I20070928000070 |
| Provider Name | Andrew Hartigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093793234 PECOS PAC ID: 5294649976 Enrollment ID: I20070928000639 |
| Provider Name | Michele C Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912121237 PECOS PAC ID: 7719072826 Enrollment ID: I20071004000593 |
| Provider Name | Alison A Lea |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902012784 PECOS PAC ID: 2365538121 Enrollment ID: I20071010000309 |
| Provider Name | Melissa M Stevens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689880874 PECOS PAC ID: 8224124094 Enrollment ID: I20071010000362 |
| Provider Name | Amy M Mahowald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952592115 PECOS PAC ID: 4789770330 Enrollment ID: I20071012000468 |
| Provider Name | Paulette R Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720178171 PECOS PAC ID: 4688760721 Enrollment ID: I20071019000456 |
| Provider Name | Kendra L Kubiak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134135106 PECOS PAC ID: 1153325030 Enrollment ID: I20071027000008 |
| Provider Name | Saima M Ahmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174642540 PECOS PAC ID: 1153418496 Enrollment ID: I20071102000081 |
| Provider Name | Julie A Halverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245431782 PECOS PAC ID: 3870680044 Enrollment ID: I20071105000331 |
| Provider Name | Abel E Tello |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043276207 PECOS PAC ID: 5698862639 Enrollment ID: I20071107000523 |
| Provider Name | Heather D Thoerner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1528103314 PECOS PAC ID: 6103913157 Enrollment ID: I20071107000572 |
| Provider Name | Anna P Levine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699965319 PECOS PAC ID: 2769570662 Enrollment ID: I20071109000483 |
| Provider Name | Trisha Jane Bjorneby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952342537 PECOS PAC ID: 4486742053 Enrollment ID: I20071115000067 |
| Provider Name | Teresa E Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689648255 PECOS PAC ID: 4880782150 Enrollment ID: I20071120000450 |
| Provider Name | Jennifer A Deutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013111814 PECOS PAC ID: 5597853879 Enrollment ID: I20071120000480 |
| Provider Name | Jennifer M Hierlinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285829754 PECOS PAC ID: 6002904190 Enrollment ID: I20071127000398 |
| Provider Name | James G Capes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467476481 PECOS PAC ID: 9537062831 Enrollment ID: I20071203000639 |
| Provider Name | Mark L Edson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326024514 PECOS PAC ID: 4183713696 Enrollment ID: I20071207000268 |
| Provider Name | Heather E Gantzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639154404 PECOS PAC ID: 7618066127 Enrollment ID: I20071207000280 |
| Provider Name | Helen M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285618967 PECOS PAC ID: 1254420771 Enrollment ID: I20071207000290 |
| Provider Name | James S Mallery |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851331441 PECOS PAC ID: 3678663895 Enrollment ID: I20071212000183 |
| Provider Name | Cari L Erickson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417147265 PECOS PAC ID: 1355431438 Enrollment ID: I20071212000647 |
| Provider Name | Donna D Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952321200 PECOS PAC ID: 3577653526 Enrollment ID: I20071214000391 |
| Provider Name | Mary E Spengler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861453763 PECOS PAC ID: 4284724840 Enrollment ID: I20071219000538 |
| Provider Name | Gustavo H Navarrete |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770765141 PECOS PAC ID: 4385724673 Enrollment ID: I20071227000272 |
| Provider Name | Kristi K Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437345808 PECOS PAC ID: 4183704224 Enrollment ID: I20080102000488 |
| Provider Name | Linda F Carson |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1760419808 PECOS PAC ID: 4880774934 Enrollment ID: I20080102000526 |
| Provider Name | Anna M Kostanecka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306969993 PECOS PAC ID: 2264512219 Enrollment ID: I20080103000683 |
| Provider Name | Gary M Jonson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770693210 PECOS PAC ID: 8628158557 Enrollment ID: I20080104000512 |
| Provider Name | Sonya L Schober |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982748349 PECOS PAC ID: 4082794920 Enrollment ID: I20080104000582 |
| Provider Name | Shane Gustafson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922017623 PECOS PAC ID: 1951305291 Enrollment ID: I20080108000093 |
| Provider Name | Shivani Rawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699807420 PECOS PAC ID: 0941380430 Enrollment ID: I20080109000791 |
| Provider Name | Jamie G Jackish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245244292 PECOS PAC ID: 1153401559 Enrollment ID: I20080110000028 |
| Provider Name | Jana M Dahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154504678 PECOS PAC ID: 5597846469 Enrollment ID: I20080116000750 |
| Provider Name | Susan A Cleaveland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689741670 PECOS PAC ID: 5991886509 Enrollment ID: I20080121000082 |
| Provider Name | Whitney A Evavold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033172572 PECOS PAC ID: 7214018795 Enrollment ID: I20080123000144 |
| Provider Name | Michael Thomas Madison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821077876 PECOS PAC ID: 5890609580 Enrollment ID: I20080130000624 |
| Provider Name | Janet L Bijwadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346420916 PECOS PAC ID: 4789631458 Enrollment ID: I20080201000139 |
| Provider Name | Albert L Meric |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467482323 PECOS PAC ID: 1355444720 Enrollment ID: I20080202000023 |
| Provider Name | Anne M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659340180 PECOS PAC ID: 9335040633 Enrollment ID: I20080208000464 |
| Provider Name | Yakup Ozbek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538120795 PECOS PAC ID: 8527142249 Enrollment ID: I20080219000808 |
| Provider Name | Robyn F Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306022876 PECOS PAC ID: 4486739430 Enrollment ID: I20080314000249 |
| Provider Name | Oliver W Cass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497702310 PECOS PAC ID: 5395822555 Enrollment ID: I20080411000462 |
| Provider Name | Christopher S Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750368668 PECOS PAC ID: 3870672389 Enrollment ID: I20080509000040 |
| Provider Name | Jennifer M Stoffers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851378467 PECOS PAC ID: 7810066099 Enrollment ID: I20080514000072 |
| Provider Name | Ann Marie Burgeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740394824 PECOS PAC ID: 8628147642 Enrollment ID: I20080516000544 |
| Provider Name | Tricia L Zubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790763621 PECOS PAC ID: 0345319117 Enrollment ID: I20080520000255 |
| Provider Name | Robert H Weinmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780663450 PECOS PAC ID: 3274447982 Enrollment ID: I20080530000354 |
| Provider Name | Steven C Hommeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329593 PECOS PAC ID: 8325952005 Enrollment ID: I20080602000034 |
| Provider Name | Joseph J Baraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167073 PECOS PAC ID: 8022922053 Enrollment ID: I20080602000094 |
| Provider Name | Timothy Goertzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076068 PECOS PAC ID: 3577477256 Enrollment ID: I20080602000518 |
| Provider Name | John P Knoedler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023097078 PECOS PAC ID: 7911811609 Enrollment ID: I20080603000224 |
| Provider Name | Jennifer Lee Woodland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700852597 PECOS PAC ID: 4082512397 Enrollment ID: I20080623000051 |
| Provider Name | Donaldson W Kingsley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770758211 PECOS PAC ID: 9335210970 Enrollment ID: I20080625000360 |
| Provider Name | Brian J Bell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962555920 PECOS PAC ID: 1355413873 Enrollment ID: I20080627000468 |
| Provider Name | Anand K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342131 PECOS PAC ID: 8820160187 Enrollment ID: I20080701000345 |
| Provider Name | Kevin P Henseler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952358129 PECOS PAC ID: 6800977810 Enrollment ID: I20080703000478 |
| Provider Name | David A Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053312256 PECOS PAC ID: 8123007655 Enrollment ID: I20080709000721 |
| Provider Name | James T Moe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952507501 PECOS PAC ID: 6507939287 Enrollment ID: I20080715000209 |
| Provider Name | John William Colford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164575411 PECOS PAC ID: 1254426141 Enrollment ID: I20080721000076 |
| Provider Name | Joel E Barbato |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770663536 PECOS PAC ID: 9133293947 Enrollment ID: I20080728000586 |
| Provider Name | Daniel A Faber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649497371 PECOS PAC ID: 0941374706 Enrollment ID: I20080729000157 |
| Provider Name | Clark W Schumacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255374450 PECOS PAC ID: 6800984964 Enrollment ID: I20080806000549 |
| Provider Name | Jena R Ziegler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477709210 PECOS PAC ID: 0345316394 Enrollment ID: I20080827000749 |
| Provider Name | Samantha A Stoven |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184824211 PECOS PAC ID: 3476629957 Enrollment ID: I20080908000009 |
| Provider Name | Kenneth Dean Olsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528028271 PECOS PAC ID: 3779664214 Enrollment ID: I20080912000433 |
| Provider Name | Deepti Torri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861650061 PECOS PAC ID: 4789751892 Enrollment ID: I20080915000662 |
| Provider Name | Dawn M Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811975956 PECOS PAC ID: 1557375243 Enrollment ID: I20080922000243 |
| Provider Name | Christina S Spencer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831399112 PECOS PAC ID: 7810064300 Enrollment ID: I20080925000253 |
| Provider Name | Christina L Stavig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447424882 PECOS PAC ID: 9830266287 Enrollment ID: I20080926000110 |
| Provider Name | Jean M Tass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245496207 PECOS PAC ID: 1052489234 Enrollment ID: I20081001000796 |
| Provider Name | Lisa I Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932151347 PECOS PAC ID: 2961570148 Enrollment ID: I20081001000797 |
| Provider Name | Kristen L Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235321431 PECOS PAC ID: 6507934650 Enrollment ID: I20081002000623 |
| Provider Name | Holly J Dodds |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629038674 PECOS PAC ID: 2062580889 Enrollment ID: I20081007000559 |
| Provider Name | Jacob A Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023283389 PECOS PAC ID: 1658449327 Enrollment ID: I20081008000055 |
| Provider Name | Jeffery A Dodds |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164482121 PECOS PAC ID: 9830267475 Enrollment ID: I20081008000829 |
| Provider Name | Carmen Hupf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467629519 PECOS PAC ID: 0648348110 Enrollment ID: I20081010000241 |
| Provider Name | Michael B Kowalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447306683 PECOS PAC ID: 4385702653 Enrollment ID: I20081015000657 |
| Provider Name | Genia K Dahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700991619 PECOS PAC ID: 9931267119 Enrollment ID: I20081016000083 |
| Provider Name | Elizabeth A Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659565489 PECOS PAC ID: 9739247735 Enrollment ID: I20081020000582 |
| Provider Name | Susan M Holt |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932201639 PECOS PAC ID: 8628136579 Enrollment ID: I20081021000446 |
| Provider Name | Gary W Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649245283 PECOS PAC ID: 0648338533 Enrollment ID: I20081021000827 |
| Provider Name | Gregory Gazzillo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427219393 PECOS PAC ID: 8426116294 Enrollment ID: I20081022000736 |
| Provider Name | Crystal F Buesking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952560633 PECOS PAC ID: 4880752435 Enrollment ID: I20081025000152 |
| Provider Name | Chad W Sharkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568638286 PECOS PAC ID: 4587722046 Enrollment ID: I20081028000176 |
| Provider Name | Chiquita M Ewert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972562569 PECOS PAC ID: 6103984661 Enrollment ID: I20081028000196 |
| Provider Name | Nancy R Holmes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184643173 PECOS PAC ID: 3375601834 Enrollment ID: I20081028000207 |
| Provider Name | Teresa A Tran-lim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295756518 PECOS PAC ID: 3072671536 Enrollment ID: I20081028000231 |
| Provider Name | Robert T Jones |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1376597179 PECOS PAC ID: 9234297797 Enrollment ID: I20081028000253 |
| Provider Name | Lura L Mason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841455714 PECOS PAC ID: 4688732159 Enrollment ID: I20081028000263 |
| Provider Name | Katherine L Kardell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932362332 PECOS PAC ID: 7517026958 Enrollment ID: I20081030000346 |
| Provider Name | Olga Patricia Argote-muza |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861642688 PECOS PAC ID: 8022177385 Enrollment ID: I20081101000110 |
| Provider Name | Todd A Anderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881856565 PECOS PAC ID: 2567521826 Enrollment ID: I20081101000124 |
| Provider Name | Sara J Mitlyng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013182005 PECOS PAC ID: 9133288194 Enrollment ID: I20081105000357 |
| Provider Name | Roger K Aronson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932182474 PECOS PAC ID: 9638238611 Enrollment ID: I20081105000500 |
| Provider Name | Kia K Lilly |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922293406 PECOS PAC ID: 5890854590 Enrollment ID: I20081111000115 |
| Provider Name | Mary L Sanderlin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972753465 PECOS PAC ID: 6204997620 Enrollment ID: I20081204000033 |
| Provider Name | Muhamed H Durakovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992784011 PECOS PAC ID: 6406837533 Enrollment ID: I20081218000516 |
| Provider Name | Michelle A Denhartigh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538317896 PECOS PAC ID: 7618039835 Enrollment ID: I20081223000348 |
| Provider Name | Samuel Asante-buabeng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558520361 PECOS PAC ID: 8729141569 Enrollment ID: I20090106000259 |
| Provider Name | Paul J Sarcia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194915934 PECOS PAC ID: 7517020191 Enrollment ID: I20090107000665 |
| Provider Name | Amy R Schultz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790948859 PECOS PAC ID: 5294898797 Enrollment ID: I20090109000248 |
| Provider Name | Craig Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063578706 PECOS PAC ID: 5890796742 Enrollment ID: I20090116000339 |
| Provider Name | Yasmin J Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144424854 PECOS PAC ID: 7517021041 Enrollment ID: I20090128000567 |
| Provider Name | Kimberly A Feehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265684898 PECOS PAC ID: 1658435029 Enrollment ID: I20090129000357 |
| Provider Name | Stephanie P Obrien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932358868 PECOS PAC ID: 9032273214 Enrollment ID: I20090203000369 |
| Provider Name | Kathryn L Houselog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053577080 PECOS PAC ID: 9335203405 Enrollment ID: I20090204000504 |
| Provider Name | Kristopher D Krueger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821013111 PECOS PAC ID: 3779647862 Enrollment ID: I20090204000633 |
| Provider Name | Gretchen S Burk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831188549 PECOS PAC ID: 9739244690 Enrollment ID: I20090210000607 |
| Provider Name | Molly A Mcconnell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578523536 PECOS PAC ID: 2567527724 Enrollment ID: I20090223000329 |
| Provider Name | Robert W Werling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316930472 PECOS PAC ID: 1951466150 Enrollment ID: I20090224000044 |
| Provider Name | Holly B Gustafson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689842007 PECOS PAC ID: 5991861643 Enrollment ID: I20090304000229 |
| Provider Name | Mary M Sharkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770733347 PECOS PAC ID: 3577629880 Enrollment ID: I20090311000219 |
| Provider Name | Jennifer L Lessin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215912530 PECOS PAC ID: 3577629823 Enrollment ID: I20090311000525 |
| Provider Name | Stanley A Woolner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114989068 PECOS PAC ID: 8527125541 Enrollment ID: I20090318000686 |
| Provider Name | Kristin A Witte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013118173 PECOS PAC ID: 0143313882 Enrollment ID: I20090319000158 |
| Provider Name | Sandra R Lindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285871277 PECOS PAC ID: 5294892253 Enrollment ID: I20090319000320 |
| Provider Name | Mark C Wilczynski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326182551 PECOS PAC ID: 0648337006 Enrollment ID: I20090330000460 |
| Provider Name | Chris J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104800267 PECOS PAC ID: 1759448046 Enrollment ID: I20090401000416 |
| Provider Name | Karla S Rosenman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013943505 PECOS PAC ID: 7517900400 Enrollment ID: I20090402000241 |
| Provider Name | Nicole M Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730342072 PECOS PAC ID: 7012064637 Enrollment ID: I20090416000224 |
| Provider Name | Chad P Soupir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104875301 PECOS PAC ID: 0749292951 Enrollment ID: I20090422000664 |
| Provider Name | Aaron J Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770728461 PECOS PAC ID: 9537217724 Enrollment ID: I20090427000573 |
| Provider Name | Folashade A Ogunmodede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528279858 PECOS PAC ID: 3971604315 Enrollment ID: I20090429000166 |
| Provider Name | Gregory M Dukinfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740449560 PECOS PAC ID: 8729136825 Enrollment ID: I20090429000377 |
| Provider Name | Catherine C Newman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891773784 PECOS PAC ID: 2860540333 Enrollment ID: I20090511000573 |
| Provider Name | Jacob P Hayman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720252299 PECOS PAC ID: 2961551312 Enrollment ID: I20090514000370 |
| Provider Name | Nicole M Stelter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205079142 PECOS PAC ID: 4880743715 Enrollment ID: I20090522000223 |
| Provider Name | John J Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487631404 PECOS PAC ID: 8921158551 Enrollment ID: I20090602000555 |
| Provider Name | Scott J Greenley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093860819 PECOS PAC ID: 2668544941 Enrollment ID: I20090615000343 |
| Provider Name | Marijo N Aguilera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316073448 PECOS PAC ID: 5092866517 Enrollment ID: I20090623000767 |
| Provider Name | Brian F Decesare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194871798 PECOS PAC ID: 5395811863 Enrollment ID: I20090625000117 |
| Provider Name | Ajay Rawal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831281641 PECOS PAC ID: 3971654179 Enrollment ID: I20090630000063 |
| Provider Name | Alicia C Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235365560 PECOS PAC ID: 5395897821 Enrollment ID: I20090715000087 |
| Provider Name | Benjamin J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710172960 PECOS PAC ID: 0547313918 Enrollment ID: I20090803000113 |
| Provider Name | Branden G Duffey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598801235 PECOS PAC ID: 6507919537 Enrollment ID: I20090807000597 |
| Provider Name | Jeanne N Gengerke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538351978 PECOS PAC ID: 5698828655 Enrollment ID: I20090810000057 |
| Provider Name | Richard D Wemer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316001688 PECOS PAC ID: 5991859969 Enrollment ID: I20090811000442 |
| Provider Name | Dianna J Eastlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356595466 PECOS PAC ID: 1254485220 Enrollment ID: I20090811000462 |
| Provider Name | Samuel A L Bugbee |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073772893 PECOS PAC ID: 4082768577 Enrollment ID: I20090818000632 |
| Provider Name | James J Wheeler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861565350 PECOS PAC ID: 7810041936 Enrollment ID: I20090824000436 |
| Provider Name | Jacob Hodge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811158256 PECOS PAC ID: 3072668193 Enrollment ID: I20090825000751 |
| Provider Name | Robyn F Wetter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548390255 PECOS PAC ID: 5991873267 Enrollment ID: I20090826000147 |
| Provider Name | Kristina Balck Sturgell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689866527 PECOS PAC ID: 6305991308 Enrollment ID: I20090826000919 |
| Provider Name | Angela M Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023248747 PECOS PAC ID: 4082769781 Enrollment ID: I20090902000050 |
| Provider Name | Kene Gina Ogbogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447424247 PECOS PAC ID: 8123173572 Enrollment ID: I20090908000602 |
| Provider Name | Julie M Farias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538334081 PECOS PAC ID: 8628123874 Enrollment ID: I20090911000359 |
| Provider Name | Dara D Koozekanani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265497556 PECOS PAC ID: 6305945783 Enrollment ID: I20090914000533 |
| Provider Name | Ann M Odonnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023067204 PECOS PAC ID: 3274689336 Enrollment ID: I20090915000736 |
| Provider Name | Andrew L Schakel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659506996 PECOS PAC ID: 4981750858 Enrollment ID: I20090917000233 |
| Provider Name | Mary K Murati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134315039 PECOS PAC ID: 8022180769 Enrollment ID: I20090918000203 |
| Provider Name | Raena S Deperry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114018447 PECOS PAC ID: 5092896233 Enrollment ID: I20090921000015 |
| Provider Name | Tina P Lavin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053439497 PECOS PAC ID: 6305992132 Enrollment ID: I20090921000452 |
| Provider Name | Danielle K Olson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467682161 PECOS PAC ID: 8628124310 Enrollment ID: I20090922000382 |
| Provider Name | Matthew C Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407043227 PECOS PAC ID: 9032265632 Enrollment ID: I20090923000598 |
| Provider Name | Allison Vargen Mikota |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104053198 PECOS PAC ID: 8820134109 Enrollment ID: I20090930000671 |
| Provider Name | Lisa Illig |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235177932 PECOS PAC ID: 2365526472 Enrollment ID: I20091006000583 |
| Provider Name | Kathryn A Choe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700019122 PECOS PAC ID: 4789720574 Enrollment ID: I20091008000285 |
| Provider Name | Suzanne M Burnett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528277076 PECOS PAC ID: 9032255757 Enrollment ID: I20091012000193 |
| Provider Name | Carol L Rue |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316094626 PECOS PAC ID: 1759427479 Enrollment ID: I20091012000208 |
| Provider Name | Kathryn H Layon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124087275 PECOS PAC ID: 9638215296 Enrollment ID: I20091013000127 |
| Provider Name | Tracy A Schloemer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528188976 PECOS PAC ID: 5890831341 Enrollment ID: I20091014000148 |
| Provider Name | Kari E Urberg-carlson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174672471 PECOS PAC ID: 3476699836 Enrollment ID: I20091015000335 |
| Provider Name | Tina M Fausett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871721514 PECOS PAC ID: 2062558422 Enrollment ID: I20091015000389 |
| Provider Name | Kelly A Yaeger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134358856 PECOS PAC ID: 8921145103 Enrollment ID: I20091020000584 |
| Provider Name | Jayson R Pereira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104036912 PECOS PAC ID: 2466552351 Enrollment ID: I20091022000032 |
| Provider Name | Melissa J Pellinen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427111723 PECOS PAC ID: 2860539731 Enrollment ID: I20091026000394 |
| Provider Name | Amy C Durtschi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194751362 PECOS PAC ID: 3173563210 Enrollment ID: I20091026000548 |
| Provider Name | Erin Albert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417185646 PECOS PAC ID: 5991842742 Enrollment ID: I20091027000522 |
| Provider Name | Brian R Koller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043295223 PECOS PAC ID: 7012054869 Enrollment ID: I20091027000593 |
| Provider Name | Jason D Dukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790914554 PECOS PAC ID: 9931246592 Enrollment ID: I20091030000210 |
| Provider Name | Scott J Hoffman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316197809 PECOS PAC ID: 0143367730 Enrollment ID: I20091030000490 |
| Provider Name | Kristina O Schaus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902068422 PECOS PAC ID: 7012055544 Enrollment ID: I20091103000573 |
| Provider Name | Kari L Unke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760606198 PECOS PAC ID: 9830237007 Enrollment ID: I20091109000207 |
| Provider Name | Lina Daugela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245419134 PECOS PAC ID: 5395883409 Enrollment ID: I20091110000707 |
| Provider Name | Jennifer M Demma |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740264597 PECOS PAC ID: 4981742798 Enrollment ID: I20091117000061 |
| Provider Name | Jana K Haxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922261338 PECOS PAC ID: 3375681026 Enrollment ID: I20091117000540 |
| Provider Name | Ralph S Bovard |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1194785279 PECOS PAC ID: 5890834857 Enrollment ID: I20091203000696 |
| Provider Name | Lisa C Beckstrom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417019035 PECOS PAC ID: 7315087871 Enrollment ID: I20091215000321 |
| Provider Name | Steven F Duane |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104801455 PECOS PAC ID: 3678614237 Enrollment ID: I20100105000646 |
| Provider Name | Susan M Salmi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1902829211 PECOS PAC ID: 4486795838 Enrollment ID: I20100106000834 |
| Provider Name | Jeffrey A Sczublewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891772497 PECOS PAC ID: 5991846156 Enrollment ID: I20100109000317 |
| Provider Name | Stephen K Leenay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770568594 PECOS PAC ID: 9436290699 Enrollment ID: I20100109000339 |
| Provider Name | Kari L Mattson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093791196 PECOS PAC ID: 6204977465 Enrollment ID: I20100109000395 |
| Provider Name | Samuel J Dardick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992789176 PECOS PAC ID: 2668513821 Enrollment ID: I20100109000404 |
| Provider Name | Louis H Millman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013994136 PECOS PAC ID: 8820139017 Enrollment ID: I20100111000236 |
| Provider Name | Patricia A Sim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871570333 PECOS PAC ID: 4082755103 Enrollment ID: I20100111000507 |
| Provider Name | Robert S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962486647 PECOS PAC ID: 5890836910 Enrollment ID: I20100111000518 |
| Provider Name | Lily Ghuman Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093989899 PECOS PAC ID: 9931240058 Enrollment ID: I20100111000569 |
| Provider Name | Mark D Seaburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790762391 PECOS PAC ID: 8527109651 Enrollment ID: I20100111000613 |
| Provider Name | Jane A Nemecek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1548248370 PECOS PAC ID: 5799827143 Enrollment ID: I20100122000319 |
| Provider Name | Mindy T Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558599043 PECOS PAC ID: 6901948363 Enrollment ID: I20100122000401 |
| Provider Name | April M Sherren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689651192 PECOS PAC ID: 6002958485 Enrollment ID: I20100122000601 |
| Provider Name | Aaron J Timmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063498798 PECOS PAC ID: 9638211014 Enrollment ID: I20100122000611 |
| Provider Name | Dale Petersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841274255 PECOS PAC ID: 0446392823 Enrollment ID: I20100122000618 |
| Provider Name | Kristi A Trostel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033195714 PECOS PAC ID: 0042352429 Enrollment ID: I20100122000647 |
| Provider Name | Cynthia M Labayen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972588531 PECOS PAC ID: 4587706973 Enrollment ID: I20100122000657 |
| Provider Name | Alison A Eckhoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326023771 PECOS PAC ID: 6204978695 Enrollment ID: I20100122000670 |
| Provider Name | Mary Z Miley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944693 PECOS PAC ID: 9931011574 Enrollment ID: I20100125000300 |
| Provider Name | Jane J Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962489922 PECOS PAC ID: 2466594692 Enrollment ID: I20100126000418 |
| Provider Name | Anne M Rutledge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609852482 PECOS PAC ID: 5597807735 Enrollment ID: I20100126000465 |
| Provider Name | Martha L Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750367660 PECOS PAC ID: 5395887533 Enrollment ID: I20100126000484 |
| Provider Name | Paul R Damrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558345736 PECOS PAC ID: 9638211881 Enrollment ID: I20100126000540 |
| Provider Name | Mark A Wilkowske |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457338378 PECOS PAC ID: 1759374887 Enrollment ID: I20100126000555 |
| Provider Name | Aileen Siekman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275519563 PECOS PAC ID: 1557403722 Enrollment ID: I20100126000771 |
| Provider Name | Ann M Kools |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871578419 PECOS PAC ID: 1456493626 Enrollment ID: I20100126000782 |
| Provider Name | Jeremy S Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588641997 PECOS PAC ID: 0446392617 Enrollment ID: I20100126000792 |
| Provider Name | Paula A Deakins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700860533 PECOS PAC ID: 8224170402 Enrollment ID: I20100126000826 |
| Provider Name | Tonya M Van Hee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194764936 PECOS PAC ID: 7214079490 Enrollment ID: I20100126000838 |
| Provider Name | Craig H Stibal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104803881 PECOS PAC ID: 3971645151 Enrollment ID: I20100126000910 |
| Provider Name | Clinton W Swenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528045465 PECOS PAC ID: 4284776329 Enrollment ID: I20100127000584 |
| Provider Name | Steven M Connelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508844432 PECOS PAC ID: 2567505514 Enrollment ID: I20100130000047 |
| Provider Name | Gail C Lofness Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962485409 PECOS PAC ID: 2365585312 Enrollment ID: I20100130000070 |
| Provider Name | Christine M Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518943117 PECOS PAC ID: 2163565110 Enrollment ID: I20100130000088 |
| Provider Name | David A Druckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497730741 PECOS PAC ID: 4284777244 Enrollment ID: I20100130000152 |
| Provider Name | Larissa L Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861479875 PECOS PAC ID: 2466595426 Enrollment ID: I20100130000164 |
| Provider Name | Patricia A Jilek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033193198 PECOS PAC ID: 1355484320 Enrollment ID: I20100130000313 |
| Provider Name | Rebecca M Moxness |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972580090 PECOS PAC ID: 7113060096 Enrollment ID: I20100201000124 |
| Provider Name | Robert J Tierney |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992782882 PECOS PAC ID: 5698818409 Enrollment ID: I20100202000568 |
| Provider Name | Daniel W Watson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083691844 PECOS PAC ID: 9133262942 Enrollment ID: I20100202000580 |
| Provider Name | Greta B Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710964705 PECOS PAC ID: 5496898215 Enrollment ID: I20100202000599 |
| Provider Name | Sally A Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164406849 PECOS PAC ID: 2668515487 Enrollment ID: I20100202000614 |
| Provider Name | Mary E Colbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184601171 PECOS PAC ID: 7719020536 Enrollment ID: I20100202000654 |
| Provider Name | Timothy C Rajtora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568447951 PECOS PAC ID: 0941343776 Enrollment ID: I20100202000709 |
| Provider Name | Salim A Kathawalla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760466676 PECOS PAC ID: 5092858829 Enrollment ID: I20100202000736 |
| Provider Name | Edward M Szklarczuk |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861479859 PECOS PAC ID: 2961545793 Enrollment ID: I20100202000773 |
| Provider Name | Wendy S Kroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508841164 PECOS PAC ID: 0042353880 Enrollment ID: I20100202000785 |
| Provider Name | Ramon P Sotto |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1972580454 PECOS PAC ID: 1456494293 Enrollment ID: I20100202000843 |
| Provider Name | Joseph F Rinowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811973738 PECOS PAC ID: 8224171905 Enrollment ID: I20100203000305 |
| Provider Name | Ronald G Mcgown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871579482 PECOS PAC ID: 9537202221 Enrollment ID: I20100203000339 |
| Provider Name | Laura N Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780661629 PECOS PAC ID: 0941343636 Enrollment ID: I20100203000375 |
| Provider Name | Barbara Schiefen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073590881 PECOS PAC ID: 5092858795 Enrollment ID: I20100203000402 |
| Provider Name | Gregory S Damberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205819745 PECOS PAC ID: 7719020411 Enrollment ID: I20100203000417 |
| Provider Name | Kevin J Ose |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518944461 PECOS PAC ID: 8325181027 Enrollment ID: I20100203000447 |
| Provider Name | Keith M Heaton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962485508 PECOS PAC ID: 5496898199 Enrollment ID: I20100203000462 |
| Provider Name | Bernt J Helgaas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225011760 PECOS PAC ID: 7012050727 Enrollment ID: I20100203000493 |
| Provider Name | Dennis K Showalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477530996 PECOS PAC ID: 2466595178 Enrollment ID: I20100203000504 |
| Provider Name | Joan M Kovacovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598740136 PECOS PAC ID: 1456494160 Enrollment ID: I20100203000515 |
| Provider Name | Shey J Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982689881 PECOS PAC ID: 6406999127 Enrollment ID: I20100203000572 |
| Provider Name | David M Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538135843 PECOS PAC ID: 0840388203 Enrollment ID: I20100203000786 |
| Provider Name | Jun M Herrera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396759569 PECOS PAC ID: 2961546932 Enrollment ID: I20100215000827 |
| Provider Name | Bethel Averbeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013987882 PECOS PAC ID: 5698819522 Enrollment ID: I20100216000717 |
| Provider Name | Paula K Skarda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942276993 PECOS PAC ID: 9830233774 Enrollment ID: I20100216000771 |
| Provider Name | Floyd E Knight |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902871577 PECOS PAC ID: 6800930744 Enrollment ID: I20100216000804 |
| Provider Name | Kamal K Sahgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780660571 PECOS PAC ID: 4385788249 Enrollment ID: I20100216001015 |
| Provider Name | Bruce E Burnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518944586 PECOS PAC ID: 9032021662 Enrollment ID: I20100222000159 |
| Provider Name | Shannon M Neale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881671923 PECOS PAC ID: 5890839336 Enrollment ID: I20100222000165 |
| Provider Name | Peter E Dyrud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831174382 PECOS PAC ID: 6406990944 Enrollment ID: I20100222000188 |
| Provider Name | Brian C Grubbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134105596 PECOS PAC ID: 3375687825 Enrollment ID: I20100222000234 |
| Provider Name | Edwin H Funk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922083799 PECOS PAC ID: 8325182876 Enrollment ID: I20100222000289 |
| Provider Name | Anthony C Woolley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801873732 PECOS PAC ID: 0042354599 Enrollment ID: I20100222000307 |
| Provider Name | Thomas A Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609850288 PECOS PAC ID: 0941344493 Enrollment ID: I20100222000320 |
| Provider Name | Craig J Malvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679559066 PECOS PAC ID: 4880738343 Enrollment ID: I20100222000388 |
| Provider Name | Lynn P Manning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154308310 PECOS PAC ID: 0840334306 Enrollment ID: I20100222000436 |
| Provider Name | Glen P Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245217231 PECOS PAC ID: 9830233303 Enrollment ID: I20100222000457 |
| Provider Name | Steven L Kind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649255985 PECOS PAC ID: 7315082518 Enrollment ID: I20100226000251 |
| Provider Name | Laurie J Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265418180 PECOS PAC ID: 2769527969 Enrollment ID: I20100226000270 |
| Provider Name | Omri Shochatovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750368270 PECOS PAC ID: 4183769391 Enrollment ID: I20100226000316 |
| Provider Name | Zhen Zhen X Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053395681 PECOS PAC ID: 6608911680 Enrollment ID: I20100302000290 |
| Provider Name | Ensor E Transfeldt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700823671 PECOS PAC ID: 0840197695 Enrollment ID: I20100302000391 |
| Provider Name | Kellee B Ott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154308153 PECOS PAC ID: 4981749991 Enrollment ID: I20100302000571 |
| Provider Name | Anthony J Deangelis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780668897 PECOS PAC ID: 0143365155 Enrollment ID: I20100302000593 |
| Provider Name | Patricia M Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295710861 PECOS PAC ID: 5597800508 Enrollment ID: I20100302000601 |
| Provider Name | Richard R Moore |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861479834 PECOS PAC ID: 9133264146 Enrollment ID: I20100302000604 |
| Provider Name | Judith A Swauger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790762789 PECOS PAC ID: 0648315663 Enrollment ID: I20100302000659 |
| Provider Name | Janet M Schaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275510067 PECOS PAC ID: 7810809456 Enrollment ID: I20100303000837 |
| Provider Name | John T Schousboe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811974637 PECOS PAC ID: 5698858793 Enrollment ID: I20100303001136 |
| Provider Name | Mark K Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336127992 PECOS PAC ID: 6002951852 Enrollment ID: I20100303001153 |
| Provider Name | Michael T Schueppert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346227071 PECOS PAC ID: 5890830665 Enrollment ID: I20100304000167 |
| Provider Name | Asra A Mohiuddin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346227444 PECOS PAC ID: 0143365916 Enrollment ID: I20100304000194 |
| Provider Name | Suzanne M Engstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447235635 PECOS PAC ID: 1759426521 Enrollment ID: I20100304000220 |
| Provider Name | John J Degelau |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063489375 PECOS PAC ID: 4789729435 Enrollment ID: I20100304001064 |
| Provider Name | Daniel J Schneider |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164498317 PECOS PAC ID: 6002847977 Enrollment ID: I20100304001070 |
| Provider Name | Sotirios A Parashos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104873314 PECOS PAC ID: 3072694413 Enrollment ID: I20100306000274 |
| Provider Name | Mark D Erpelding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659345445 PECOS PAC ID: 0547305104 Enrollment ID: I20100306000348 |
| Provider Name | Paul Bloomberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902878010 PECOS PAC ID: 2365587920 Enrollment ID: I20100306000351 |
| Provider Name | Marcia L Weimerskirch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439240 PECOS PAC ID: 6901941426 Enrollment ID: I20100308000641 |
| Provider Name | Christine M Colbach |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003880477 PECOS PAC ID: 8022153469 Enrollment ID: I20100309000936 |
| Provider Name | Kara V Cundy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962473520 PECOS PAC ID: 7315082641 Enrollment ID: I20100310000984 |
| Provider Name | Thomas A Kiefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235113903 PECOS PAC ID: 8224163357 Enrollment ID: I20100315000835 |
| Provider Name | Ted H Spooner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1932188653 PECOS PAC ID: 2769517804 Enrollment ID: I20100315000952 |
| Provider Name | Ellen M Devries |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902880735 PECOS PAC ID: 7810022852 Enrollment ID: I20100316001034 |
| Provider Name | Martha A Nance |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457338592 PECOS PAC ID: 4981739851 Enrollment ID: I20100317000331 |
| Provider Name | Carrie P Noran Jaeger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053398008 PECOS PAC ID: 6901931641 Enrollment ID: I20100318000990 |
| Provider Name | Ronald W Hewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811989080 PECOS PAC ID: 1254243967 Enrollment ID: I20100319000200 |
| Provider Name | Jodi K Milburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083691158 PECOS PAC ID: 1355476771 Enrollment ID: I20100323000974 |
| Provider Name | Brooke A Vandyke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265418495 PECOS PAC ID: 2163557513 Enrollment ID: I20100324000336 |
| Provider Name | Alison M Lang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013992684 PECOS PAC ID: 2062548977 Enrollment ID: I20100330001224 |
| Provider Name | Jonathan R Ray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619952389 PECOS PAC ID: 7719013630 Enrollment ID: I20100330001324 |
| Provider Name | Samuel B Emmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639154909 PECOS PAC ID: 2163558099 Enrollment ID: I20100330001339 |
| Provider Name | Sue A Ravenscraft |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194700864 PECOS PAC ID: 7911819552 Enrollment ID: I20100330001345 |
| Provider Name | Dean A Kaihoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942284013 PECOS PAC ID: 3072649839 Enrollment ID: I20100331000364 |
| Provider Name | Sandra M Skovlund |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770560252 PECOS PAC ID: 7012043888 Enrollment ID: I20100331000430 |
| Provider Name | Kurt R Simpson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356328777 PECOS PAC ID: 3274669064 Enrollment ID: I20100331000676 |
| Provider Name | Thomas W Martens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275519860 PECOS PAC ID: 1850427659 Enrollment ID: I20100331000747 |
| Provider Name | Tyler J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205810868 PECOS PAC ID: 4082740808 Enrollment ID: I20100331000991 |
| Provider Name | Charles J Dorland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104800804 PECOS PAC ID: 8426184169 Enrollment ID: I20100331001250 |
| Provider Name | Richard M Bergenstal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669459061 PECOS PAC ID: 7315859949 Enrollment ID: I20100331001264 |
| Provider Name | Amy F Brandl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396722591 PECOS PAC ID: 1153458617 Enrollment ID: I20100415000314 |
| Provider Name | Maren E Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881678969 PECOS PAC ID: 9638206097 Enrollment ID: I20100416000578 |
| Provider Name | Paul G Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760466320 PECOS PAC ID: 6305973777 Enrollment ID: I20100416000665 |
| Provider Name | Shannon M Kelly-schug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891779567 PECOS PAC ID: 2062549363 Enrollment ID: I20100419000293 |
| Provider Name | Ann M Koehler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700820073 PECOS PAC ID: 7618878265 Enrollment ID: I20100420000676 |
| Provider Name | Praveen Reddy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720060775 PECOS PAC ID: 6901861582 Enrollment ID: I20100421000495 |
| Provider Name | Mark W Depaolis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033193156 PECOS PAC ID: 2567599673 Enrollment ID: I20100421000851 |
| Provider Name | Kimberly A Fitch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164407144 PECOS PAC ID: 4688701642 Enrollment ID: I20100422000671 |
| Provider Name | Philip D Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174507271 PECOS PAC ID: 3274660170 Enrollment ID: I20100426000206 |
| Provider Name | Philip Alden Sidell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982759288 PECOS PAC ID: 2466589296 Enrollment ID: I20100427000339 |
| Provider Name | Jennifer K Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558347492 PECOS PAC ID: 5092842864 Enrollment ID: I20100427000708 |
| Provider Name | Steven J Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922085919 PECOS PAC ID: 0345377073 Enrollment ID: I20100428000585 |
| Provider Name | Thomas F Varecka |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1669478723 PECOS PAC ID: 2062442601 Enrollment ID: I20100428000819 |
| Provider Name | Jill E Kuyava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225261902 PECOS PAC ID: 4183762123 Enrollment ID: I20100503000832 |
| Provider Name | Christine M Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497730931 PECOS PAC ID: 3072641380 Enrollment ID: I20100506000932 |
| Provider Name | Kathleen J Muffly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760469894 PECOS PAC ID: 5496883720 Enrollment ID: I20100507000083 |
| Provider Name | Supriya Varadarajulu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1780660969 PECOS PAC ID: 0547398661 Enrollment ID: I20100511001029 |
| Provider Name | Edward K Feinstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245293000 PECOS PAC ID: 4486782422 Enrollment ID: I20100512000298 |
| Provider Name | Leslie G Lofgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720049752 PECOS PAC ID: 5991833907 Enrollment ID: I20100512001036 |
| Provider Name | John A Sebas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275500233 PECOS PAC ID: 4880722800 Enrollment ID: I20100512001067 |
| Provider Name | Sarah M Evert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013992213 PECOS PAC ID: 2163550047 Enrollment ID: I20100513000816 |
| Provider Name | Bernard S Harrison |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306822374 PECOS PAC ID: 1759419583 Enrollment ID: I20100514000347 |
| Provider Name | Thomas M Walsh |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316924103 PECOS PAC ID: 4688586126 Enrollment ID: I20100514000648 |
| Provider Name | Kristen R Radtke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700861119 PECOS PAC ID: 8123156999 Enrollment ID: I20100514000756 |
| Provider Name | Lisa L Benedetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447213244 PECOS PAC ID: 1254469901 Enrollment ID: I20100517000757 |
| Provider Name | Marcia A Caron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285611137 PECOS PAC ID: 5698794485 Enrollment ID: I20100521000037 |
| Provider Name | Mary C Blomberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205813557 PECOS PAC ID: 8527197029 Enrollment ID: I20100521000068 |
| Provider Name | Keena Y Leung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033194352 PECOS PAC ID: 5698804029 Enrollment ID: I20100524000678 |
| Provider Name | Steven C Link |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720013436 PECOS PAC ID: 5890690549 Enrollment ID: I20100525000493 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Serena Rosen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902882830 PECOS PAC ID: 1850420902 Enrollment ID: I20100527000482 |
| Provider Name | Frederick R Arnason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477530004 PECOS PAC ID: 2264561349 Enrollment ID: I20100527000808 |
| Provider Name | Camille A Earles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386629830 PECOS PAC ID: 9335278290 Enrollment ID: I20100602000645 |
| Provider Name | Scott F Mcdaniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700853967 PECOS PAC ID: 9032248844 Enrollment ID: I20100603000238 |
| Provider Name | Alison E L Schini |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144207952 PECOS PAC ID: 3375672116 Enrollment ID: I20100603000555 |
| Provider Name | Haritha R Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053388363 PECOS PAC ID: 5799814547 Enrollment ID: I20100603000745 |
| Provider Name | Jason M Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972575256 PECOS PAC ID: 7416086285 Enrollment ID: I20100603000884 |
| Provider Name | Kimberely K Swain De Pop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972575074 PECOS PAC ID: 2769511534 Enrollment ID: I20100603000923 |
| Provider Name | Julie A Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437135043 PECOS PAC ID: 4587709506 Enrollment ID: I20100604000402 |
| Provider Name | Lawrence D Deshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326005976 PECOS PAC ID: 3476683293 Enrollment ID: I20100604000604 |
| Provider Name | Randolph W Hurley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033184239 PECOS PAC ID: 7719017334 Enrollment ID: I20100608000897 |
| Provider Name | Colleen T Morton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770557159 PECOS PAC ID: 8123158615 Enrollment ID: I20100609000911 |
| Provider Name | Eileen M Worrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770675126 PECOS PAC ID: 4385774611 Enrollment ID: I20100614000536 |
| Provider Name | Rewati Teeparti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902872047 PECOS PAC ID: 3577693712 Enrollment ID: I20100614000782 |
| Provider Name | Terrence J Maag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407821754 PECOS PAC ID: 6608906771 Enrollment ID: I20100616000546 |
| Provider Name | Thomas L Vonsternberg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104885441 PECOS PAC ID: 4789714890 Enrollment ID: I20100616000938 |
| Provider Name | S Folley Dunna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861473118 PECOS PAC ID: 7315078086 Enrollment ID: I20100623000950 |
| Provider Name | Keith R Harmon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003892860 PECOS PAC ID: 0244120954 Enrollment ID: I20100624000101 |
| Provider Name | Erin C Hanrahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255658241 PECOS PAC ID: 0547391195 Enrollment ID: I20100626000324 |
| Provider Name | Clare L Macdonald-sexton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043443500 PECOS PAC ID: 3072644343 Enrollment ID: I20100630000456 |
| Provider Name | April E Colby |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336127265 PECOS PAC ID: 1951432905 Enrollment ID: I20100708000511 |
| Provider Name | Christina M Kelly-jackels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598096885 PECOS PAC ID: 6507998408 Enrollment ID: I20100712000638 |
| Provider Name | Daniel H Lussenhop |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1861476491 PECOS PAC ID: 6204968530 Enrollment ID: I20100721000768 |
| Provider Name | Virginia L Kakacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134107923 PECOS PAC ID: 1658404736 Enrollment ID: I20100727000856 |
| Provider Name | Amy B Spomer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285611673 PECOS PAC ID: 5991838971 Enrollment ID: I20100727000915 |
| Provider Name | Wilfrido R Castaneda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780720433 PECOS PAC ID: 7113050105 Enrollment ID: I20100727001115 |
| Provider Name | Cynthia A Schlick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376529990 PECOS PAC ID: 9335181932 Enrollment ID: I20100728001215 |
| Provider Name | Andrew A Rzepka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740266527 PECOS PAC ID: 0244363133 Enrollment ID: I20100728001257 |
| Provider Name | Babatunde A Adekola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184856692 PECOS PAC ID: 7810021938 Enrollment ID: I20100811000636 |
| Provider Name | April Kramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316260656 PECOS PAC ID: 7810021441 Enrollment ID: I20100817001546 |
| Provider Name | Joni R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730280678 PECOS PAC ID: 9234253139 Enrollment ID: I20100830000620 |
| Provider Name | Shih-an Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20100830001137 |
| Provider Name | Thomas M Scaramuzza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649257437 PECOS PAC ID: 4486778081 Enrollment ID: I20100903000323 |
| Provider Name | Nila Suntharam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891772877 PECOS PAC ID: 5991829590 Enrollment ID: I20100903000362 |
| Provider Name | Elizabeth A Frankman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821297987 PECOS PAC ID: 8729103106 Enrollment ID: I20100909000610 |
| Provider Name | Kaisa L Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821072992 PECOS PAC ID: 1951426154 Enrollment ID: I20100910001059 |
| Provider Name | Gregory G Mevissen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295763837 PECOS PAC ID: 8628165891 Enrollment ID: I20100910001096 |
| Provider Name | Lisa M Dekam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912233859 PECOS PAC ID: 7113042193 Enrollment ID: I20100914000991 |
| Provider Name | Daniel J Virnig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801072830 PECOS PAC ID: 0648395657 Enrollment ID: I20100914001332 |
| Provider Name | Pamela S Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447582028 PECOS PAC ID: 0749305431 Enrollment ID: I20100917001065 |
| Provider Name | Sheila K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417012253 PECOS PAC ID: 7012033533 Enrollment ID: I20100921001534 |
| Provider Name | Adelaide J Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548247539 PECOS PAC ID: 9133245574 Enrollment ID: I20100923000247 |
| Provider Name | Julie L Sumstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184601163 PECOS PAC ID: 5799801999 Enrollment ID: I20100924000920 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Anna R Mcnanley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144230889 PECOS PAC ID: 5496847436 Enrollment ID: I20100927000322 |
| Provider Name | Daniel J Kuyper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013054386 PECOS PAC ID: 2860518990 Enrollment ID: I20100927000894 |
| Provider Name | Jonathan T Pribila |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407974561 PECOS PAC ID: 8426174483 Enrollment ID: I20100927001378 |
| Provider Name | James M Welters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992786735 PECOS PAC ID: 7517859465 Enrollment ID: I20100927001500 |
| Provider Name | Stephanie M Lindberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992780217 PECOS PAC ID: 6204952088 Enrollment ID: I20100929001059 |
| Provider Name | Jenifer Lynn Hensel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730493867 PECOS PAC ID: 3870785348 Enrollment ID: I20101004000407 |
| Provider Name | Tanya M Kern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699759365 PECOS PAC ID: 9335331727 Enrollment ID: I20101004000775 |
| Provider Name | Adam J Loavenbruck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932392016 PECOS PAC ID: 2365634599 Enrollment ID: I20101006001125 |
| Provider Name | Erin R Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457663346 PECOS PAC ID: 5698967750 Enrollment ID: I20101007000370 |
| Provider Name | Matthew W Tsang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821281338 PECOS PAC ID: 2668664475 Enrollment ID: I20101012001165 |
| Provider Name | Jeannie Larson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164406369 PECOS PAC ID: 6507808102 Enrollment ID: I20101013000605 |
| Provider Name | Suzanne F Permuth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265416572 PECOS PAC ID: 6608069836 Enrollment ID: I20101020001214 |
| Provider Name | Anders L Carlson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720254725 PECOS PAC ID: 9032302278 Enrollment ID: I20101020001391 |
| Provider Name | Keith F Tyler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922206036 PECOS PAC ID: 1658472154 Enrollment ID: I20101021001120 |
| Provider Name | Annemarie K Ellgaard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922083302 PECOS PAC ID: 0648463695 Enrollment ID: I20101021001387 |
| Provider Name | Carol J Featherstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528044252 PECOS PAC ID: 5890988760 Enrollment ID: I20101023000170 |
| Provider Name | Beth M Brandenburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104961143 PECOS PAC ID: 3678767084 Enrollment ID: I20101029000902 |
| Provider Name | Marcus A Westerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427103290 PECOS PAC ID: 9032303383 Enrollment ID: I20101030000177 |
| Provider Name | Gautam K Pai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972580975 PECOS PAC ID: 9739140120 Enrollment ID: I20101102001051 |
| Provider Name | Gretchen M Ibele |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225004385 PECOS PAC ID: 0749181147 Enrollment ID: I20101102001548 |
| Provider Name | Susan M Swedenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144207184 PECOS PAC ID: 7810181856 Enrollment ID: I20101103000602 |
| Provider Name | Scott L Glickstein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508842279 PECOS PAC ID: 9234323270 Enrollment ID: I20101103000643 |
| Provider Name | Thomas J Mcnanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336226679 PECOS PAC ID: 3274577416 Enrollment ID: I20101104000114 |
| Provider Name | Aaron F Brosam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427249234 PECOS PAC ID: 6608060439 Enrollment ID: I20101104001635 |
| Provider Name | Victoria L Vanroy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336125517 PECOS PAC ID: 1052506888 Enrollment ID: I20101105001243 |
| Provider Name | Heideh Sarfehjoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992984231 PECOS PAC ID: 2769677590 Enrollment ID: I20101105001266 |
| Provider Name | Nathan E Lueck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306056064 PECOS PAC ID: 6608061189 Enrollment ID: I20101110000206 |
| Provider Name | Rae Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205806254 PECOS PAC ID: 1557556842 Enrollment ID: I20101111001554 |
| Provider Name | Kathy A Wagle |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912983727 PECOS PAC ID: 4486849569 Enrollment ID: I20101115000930 |
| Provider Name | Jason C Carvalho |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659494342 PECOS PAC ID: 8022163781 Enrollment ID: I20101116000462 |
| Provider Name | Kari Gv Messner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801089701 PECOS PAC ID: 8628263688 Enrollment ID: I20101116000736 |
| Provider Name | Linda W Nagel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649257783 PECOS PAC ID: 0143416842 Enrollment ID: I20101119001002 |
| Provider Name | Roderick Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659345619 PECOS PAC ID: 2466648738 Enrollment ID: I20101129000546 |
| Provider Name | Emmy C Earp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134355365 PECOS PAC ID: 2466649454 Enrollment ID: I20101202000971 |
| Provider Name | Nicolai Alan Esala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238245 PECOS PAC ID: 0840487856 Enrollment ID: I20101202001196 |
| Provider Name | Vidu Bala Mokkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396918207 PECOS PAC ID: 0547457566 Enrollment ID: I20101202001249 |
| Provider Name | Alison Adams |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467484014 PECOS PAC ID: 7517059090 Enrollment ID: I20101210000222 |
| Provider Name | Steven T Oncay |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518944511 PECOS PAC ID: 3274542626 Enrollment ID: I20101215000486 |
| Provider Name | Jocelyn M Rieder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245456896 PECOS PAC ID: 4284783598 Enrollment ID: I20101223000201 |
| Provider Name | Marianne S Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407079973 PECOS PAC ID: 8224184791 Enrollment ID: I20110105000759 |
| Provider Name | Matthew M Kang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427134865 PECOS PAC ID: 1153510847 Enrollment ID: I20110111000965 |
| Provider Name | Anne M Furuseth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578773107 PECOS PAC ID: 4688863236 Enrollment ID: I20110112000782 |
| Provider Name | Angela K Vanderheyden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255647798 PECOS PAC ID: 0840489225 Enrollment ID: I20110117000241 |
| Provider Name | Katherine A Biebl-duckworth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780876987 PECOS PAC ID: 7719166982 Enrollment ID: I20110120000982 |
| Provider Name | Elizabeth A Abell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568777274 PECOS PAC ID: 4789863788 Enrollment ID: I20110124000335 |
| Provider Name | Daniel M Anderson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710949920 PECOS PAC ID: 1153340435 Enrollment ID: I20110124000416 |
| Provider Name | Salma S Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194799213 PECOS PAC ID: 4486614435 Enrollment ID: I20110126001175 |
| Provider Name | Teresa K Mallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396055851 PECOS PAC ID: 5698955821 Enrollment ID: I20110204000960 |
| Provider Name | Stephen Lukasewycz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891989422 PECOS PAC ID: 8325194467 Enrollment ID: I20110209001039 |
| Provider Name | Patricia A Sorensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275786105 PECOS PAC ID: 4981885969 Enrollment ID: I20110223001153 |
| Provider Name | Carrie E R Sauter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073824090 PECOS PAC ID: 3476734096 Enrollment ID: I20110301001142 |
| Provider Name | Kristen P Hook |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053465641 PECOS PAC ID: 1759563265 Enrollment ID: I20110304000303 |
| Provider Name | Ann G Coumbe |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235370008 PECOS PAC ID: 7113109687 Enrollment ID: I20110305000056 |
| Provider Name | Sonia Karimi Zechmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093949273 PECOS PAC ID: 0244412450 Enrollment ID: I20110309000743 |
| Provider Name | Douglas P Forgit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346572062 PECOS PAC ID: 7315134855 Enrollment ID: I20110309000820 |
| Provider Name | Scott Wissink |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942425061 PECOS PAC ID: 1850482993 Enrollment ID: I20110311000249 |
| Provider Name | Victor Menchaca |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255633913 PECOS PAC ID: 0840473682 Enrollment ID: I20110331000560 |
| Provider Name | Christopher D Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346430592 PECOS PAC ID: 2860676673 Enrollment ID: I20110401000615 |
| Provider Name | Laura J Kolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710282165 PECOS PAC ID: 2961686704 Enrollment ID: I20110404000086 |
| Provider Name | Dylan M Zylla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356560882 PECOS PAC ID: 2365626082 Enrollment ID: I20110405000153 |
| Provider Name | Brenda Lw Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255302642 PECOS PAC ID: 1759565153 Enrollment ID: I20110408000582 |
| Provider Name | Ann Chinnakotla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447259395 PECOS PAC ID: 9032172424 Enrollment ID: I20110411000685 |
| Provider Name | John P Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952366338 PECOS PAC ID: 4486795259 Enrollment ID: I20110412001018 |
| Provider Name | Heidi L Holle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134425341 PECOS PAC ID: 3375727415 Enrollment ID: I20110413000872 |
| Provider Name | Ange M Krause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083808786 PECOS PAC ID: 8325223902 Enrollment ID: I20110425000740 |
| Provider Name | Karla J Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679550636 PECOS PAC ID: 6608051131 Enrollment ID: I20110427000680 |
| Provider Name | Benji K Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750616157 PECOS PAC ID: 6608052147 Enrollment ID: I20110517000484 |
| Provider Name | Nataliya Ishkova-volovets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780999177 PECOS PAC ID: 1951587120 Enrollment ID: I20110524000353 |
| Provider Name | Julie Laidig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609068832 PECOS PAC ID: 1153464433 Enrollment ID: I20110524000761 |
| Provider Name | Lemuel Vawter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447400312 PECOS PAC ID: 8426235912 Enrollment ID: I20110609000685 |
| Provider Name | Don R Schroeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497809503 PECOS PAC ID: 4880872779 Enrollment ID: I20110623000516 |
| Provider Name | Sara A Spilseth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528229754 PECOS PAC ID: 1153509864 Enrollment ID: I20110629000091 |
| Provider Name | Karla J Nockleby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669615613 PECOS PAC ID: 3375721939 Enrollment ID: I20110629000722 |
| Provider Name | Raymond M Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669709846 PECOS PAC ID: 9436337854 Enrollment ID: I20110706000391 |
| Provider Name | Michael David Segal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578585121 PECOS PAC ID: 9234319583 Enrollment ID: I20110721000258 |
| Provider Name | Natalia Dorf-biderman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548453947 PECOS PAC ID: 8022286764 Enrollment ID: I20110722000493 |
| Provider Name | Ankit Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487810792 PECOS PAC ID: 4880862481 Enrollment ID: I20110726000868 |
| Provider Name | Ali E Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720259179 PECOS PAC ID: 5193994481 Enrollment ID: I20110802000662 |
| Provider Name | Jill R Leer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396052338 PECOS PAC ID: 5698944841 Enrollment ID: I20110804000671 |
| Provider Name | Grace A Totoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538335302 PECOS PAC ID: 3072782929 Enrollment ID: I20110809000860 |
| Provider Name | Marifel Mitzi F Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881858439 PECOS PAC ID: 3870667389 Enrollment ID: I20110811000780 |
| Provider Name | Carissa A Kucala |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831480607 PECOS PAC ID: 9830368588 Enrollment ID: I20110815000067 |
| Provider Name | Bryan J Trottier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659550309 PECOS PAC ID: 1951571082 Enrollment ID: I20110829000642 |
| Provider Name | Chad M Kofoed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841588753 PECOS PAC ID: 9638349699 Enrollment ID: I20110830000368 |
| Provider Name | David M Tridgell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144401720 PECOS PAC ID: 0345410213 Enrollment ID: I20110901000173 |
| Provider Name | Vanessa N Handler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942492764 PECOS PAC ID: 1153591029 Enrollment ID: I20110901000188 |
| Provider Name | Amanda J Christ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568788347 PECOS PAC ID: 5597935478 Enrollment ID: I20110901000335 |
| Provider Name | David Anthony Brokl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306068150 PECOS PAC ID: 8921278698 Enrollment ID: I20110907001292 |
| Provider Name | James W Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306824255 PECOS PAC ID: 4183894868 Enrollment ID: I20110907001450 |
| Provider Name | Katherine A Paulsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144516576 PECOS PAC ID: 9436320959 Enrollment ID: I20110913000910 |
| Provider Name | Daniel W Giles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487988903 PECOS PAC ID: 7618148875 Enrollment ID: I20110919000753 |
| Provider Name | Nicole L Ulrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093032484 PECOS PAC ID: 3779754833 Enrollment ID: I20110921000250 |
| Provider Name | Kevin J Kirlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619181518 PECOS PAC ID: 9537155890 Enrollment ID: I20110922000716 |
| Provider Name | Kathleen J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609965854 PECOS PAC ID: 4981875879 Enrollment ID: I20110926000845 |
| Provider Name | Sara A Hoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740453687 PECOS PAC ID: 1052582954 Enrollment ID: I20110926000877 |
| Provider Name | Ann D Casanova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700164738 PECOS PAC ID: 2365613155 Enrollment ID: I20110928000291 |
| Provider Name | Lydia M Greis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578859518 PECOS PAC ID: 8426229220 Enrollment ID: I20110928000337 |
| Provider Name | Vanessa L Knoedler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659678753 PECOS PAC ID: 9739351438 Enrollment ID: I20110930000149 |
| Provider Name | Gillian H Luscri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245407097 PECOS PAC ID: 5193997625 Enrollment ID: I20111005000778 |
| Provider Name | Christina M Gonzaga |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609197052 PECOS PAC ID: 3375715816 Enrollment ID: I20111005000914 |
| Provider Name | Hilary M Hammell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386963296 PECOS PAC ID: 7214109313 Enrollment ID: I20111014000308 |
| Provider Name | Amber Marie Winkelman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235457763 PECOS PAC ID: 2567634660 Enrollment ID: I20111014000343 |
| Provider Name | Anthony T Vonruden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871880328 PECOS PAC ID: 5597938217 Enrollment ID: I20111025000586 |
| Provider Name | Chrisanne Kae Timpe Dupuis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972795060 PECOS PAC ID: 7113190596 Enrollment ID: I20111031000450 |
| Provider Name | Diane E Muenchow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124274956 PECOS PAC ID: 0840463253 Enrollment ID: I20111031000714 |
| Provider Name | Jennifer M Vesely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124346465 PECOS PAC ID: 8820261167 Enrollment ID: I20111101000454 |
| Provider Name | Janet W Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053476804 PECOS PAC ID: 9234302506 Enrollment ID: I20111101000772 |
| Provider Name | Bryan Bohling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356307250 PECOS PAC ID: 3072572999 Enrollment ID: I20111102000602 |
| Provider Name | Heidi L Thorson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982742870 PECOS PAC ID: 9032217047 Enrollment ID: I20111103000336 |
| Provider Name | Laura E Broder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881858363 PECOS PAC ID: 5799958989 Enrollment ID: I20111103000635 |
| Provider Name | Roger Lee Parlanti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134241920 PECOS PAC ID: 3476637893 Enrollment ID: I20111110000393 |
| Provider Name | Kimberly A Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427341247 PECOS PAC ID: 8729252333 Enrollment ID: I20111116000883 |
| Provider Name | Marijane S Hauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801176078 PECOS PAC ID: 3779758693 Enrollment ID: I20111205000564 |
| Provider Name | Travis C Gunderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740591700 PECOS PAC ID: 8729253224 Enrollment ID: I20111212000823 |
| Provider Name | Steven M Rakes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285619684 PECOS PAC ID: 7012182462 Enrollment ID: I20111213000622 |
| Provider Name | Melissa Samuelsson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548273303 PECOS PAC ID: 2466647045 Enrollment ID: I20111214000905 |
| Provider Name | Nathan T Chomilo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063656593 PECOS PAC ID: 1456527456 Enrollment ID: I20111221000566 |
| Provider Name | Nicholas J Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598049603 PECOS PAC ID: 7719153550 Enrollment ID: I20111229000269 |
| Provider Name | Tanya M Simpson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447535703 PECOS PAC ID: 6204002579 Enrollment ID: I20120109000427 |
| Provider Name | Danica L Holscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770861585 PECOS PAC ID: 7810163102 Enrollment ID: I20120109000711 |
| Provider Name | Amy E Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013285667 PECOS PAC ID: 3173790920 Enrollment ID: I20120118000595 |
| Provider Name | Christopher J Chow |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295908036 PECOS PAC ID: 7719154467 Enrollment ID: I20120119000911 |
| Provider Name | Tenbit Emiru |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598957409 PECOS PAC ID: 9032376348 Enrollment ID: I20120127000908 |
| Provider Name | Nicole T Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023014438 PECOS PAC ID: 1355403064 Enrollment ID: I20120130000448 |
| Provider Name | Andrew A Hamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821259110 PECOS PAC ID: 2668639709 Enrollment ID: I20120201000709 |
| Provider Name | Jonathan D Shelver |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407174857 PECOS PAC ID: 8022275908 Enrollment ID: I20120203000597 |
| Provider Name | Kelly J Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538446083 PECOS PAC ID: 2062679756 Enrollment ID: I20120208000474 |
| Provider Name | Jodi A Reddan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659650745 PECOS PAC ID: 0042486227 Enrollment ID: I20120214000703 |
| Provider Name | Abimbola Olajumoke Osagie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457516734 PECOS PAC ID: 9133294127 Enrollment ID: I20120327000499 |
| Provider Name | Ryan C Van Wyk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922133917 PECOS PAC ID: 0446410542 Enrollment ID: I20120328000035 |
| Provider Name | Selamawit Kifleyesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548539174 PECOS PAC ID: 4486814472 Enrollment ID: I20120329000022 |
| Provider Name | Susan B Zhang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508122169 PECOS PAC ID: 4082876834 Enrollment ID: I20120424000589 |
| Provider Name | Steven Greer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326136714 PECOS PAC ID: 6103843743 Enrollment ID: I20120425000441 |
| Provider Name | Linnea K Will |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285950360 PECOS PAC ID: 4486818838 Enrollment ID: I20120614000468 |
| Provider Name | Dina M Hirsch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568584092 PECOS PAC ID: 9234394883 Enrollment ID: I20120703000642 |
| Provider Name | Jodi M Arns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376818328 PECOS PAC ID: 0244496438 Enrollment ID: I20120716000046 |
| Provider Name | Nissa Erickson Geisness |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467776344 PECOS PAC ID: 3779743943 Enrollment ID: I20120718000720 |
| Provider Name | Gloria A Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326275157 PECOS PAC ID: 5294991253 Enrollment ID: I20120720000039 |
| Provider Name | Amanda N Delsman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336402098 PECOS PAC ID: 2365608148 Enrollment ID: I20120723000819 |
| Provider Name | Gene W Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790836633 PECOS PAC ID: 1456429968 Enrollment ID: I20120801000651 |
| Provider Name | Laura B Wilczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285646513 PECOS PAC ID: 0749296267 Enrollment ID: I20120801000657 |
| Provider Name | Kristine L Sanow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629236757 PECOS PAC ID: 1759537947 Enrollment ID: I20120802000736 |
| Provider Name | Matthew S Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558593004 PECOS PAC ID: 5294905469 Enrollment ID: I20120814000025 |
| Provider Name | Kristin N Ritter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902040637 PECOS PAC ID: 0941457121 Enrollment ID: I20120822000649 |
| Provider Name | Alexis K Christie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871522854 PECOS PAC ID: 7214184431 Enrollment ID: I20120823000197 |
| Provider Name | David Michael Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700013539 PECOS PAC ID: 0042467912 Enrollment ID: I20120828000661 |
| Provider Name | Barbara Roth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164533741 PECOS PAC ID: 9133171374 Enrollment ID: I20120830000571 |
| Provider Name | Erich N Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740459551 PECOS PAC ID: 5799932489 Enrollment ID: I20120831000495 |
| Provider Name | Jessica P Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760539621 PECOS PAC ID: 2769518596 Enrollment ID: I20120831000533 |
| Provider Name | Isaac T Marsolek |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073788519 PECOS PAC ID: 0345497897 Enrollment ID: I20120906000078 |
| Provider Name | Lisa M Elstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235371667 PECOS PAC ID: 2860640307 Enrollment ID: I20120907000311 |
| Provider Name | Taiwo N Ngwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619262110 PECOS PAC ID: 9830347061 Enrollment ID: I20120913000365 |
| Provider Name | Jeannette A Heidlberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417198839 PECOS PAC ID: 2365690484 Enrollment ID: I20120914000600 |
| Provider Name | Andrew E Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942596820 PECOS PAC ID: 4486802428 Enrollment ID: I20120917000134 |
| Provider Name | Erica Grinager |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427218650 PECOS PAC ID: 3375792955 Enrollment ID: I20120926000479 |
| Provider Name | Hans S. Grinager |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134389463 PECOS PAC ID: 7416106968 Enrollment ID: I20120927000434 |
| Provider Name | Lisa C Lynch Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790051894 PECOS PAC ID: 5597914614 Enrollment ID: I20121005000154 |
| Provider Name | Matthew Banfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780762252 PECOS PAC ID: 6901998608 Enrollment ID: I20121019000357 |
| Provider Name | Tonia A Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538422175 PECOS PAC ID: 0840440194 Enrollment ID: I20121022000537 |
| Provider Name | Larisa Sotinsky Speetzen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215199963 PECOS PAC ID: 7214082478 Enrollment ID: I20121023000032 |
| Provider Name | Christine M Kroll |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477827236 PECOS PAC ID: 6507016755 Enrollment ID: I20121024000105 |
| Provider Name | Kathryn C Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215285747 PECOS PAC ID: 5496905697 Enrollment ID: I20121024000653 |
| Provider Name | Kelly D Sander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821389677 PECOS PAC ID: 1759531965 Enrollment ID: I20121024000775 |
| Provider Name | Heather A Hawkinson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043569924 PECOS PAC ID: 5991955080 Enrollment ID: I20121026000070 |
| Provider Name | Anna F Valerio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255526968 PECOS PAC ID: 0143394445 Enrollment ID: I20121026000314 |
| Provider Name | Maiken A Strohm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932492055 PECOS PAC ID: 9739339664 Enrollment ID: I20121030000211 |
| Provider Name | Christine M Pui |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093042855 PECOS PAC ID: 6002066958 Enrollment ID: I20121030000444 |
| Provider Name | Stephen D Jost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376779207 PECOS PAC ID: 0840440731 Enrollment ID: I20121031000279 |
| Provider Name | Amy J Bidinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285999441 PECOS PAC ID: 8123279726 Enrollment ID: I20121107000633 |
| Provider Name | Megan A Misgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295094001 PECOS PAC ID: 8224289632 Enrollment ID: I20121113000085 |
| Provider Name | Rachel M Leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811252398 PECOS PAC ID: 7113178526 Enrollment ID: I20121113000106 |
| Provider Name | Laura A Schreiner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124373105 PECOS PAC ID: 4688825011 Enrollment ID: I20121113000356 |
| Provider Name | Punit D Wadhwa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558376996 PECOS PAC ID: 0446401723 Enrollment ID: I20121114000277 |
| Provider Name | Andrea J Greseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437353 PECOS PAC ID: 7113178344 Enrollment ID: I20121115000242 |
| Provider Name | Michelle A Ugalde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831440650 PECOS PAC ID: 5193976090 Enrollment ID: I20121126000525 |
| Provider Name | Caitlyn Ms Squire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558610873 PECOS PAC ID: 0648422519 Enrollment ID: I20121129000278 |
| Provider Name | Thomas J Maust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629396619 PECOS PAC ID: 9133371891 Enrollment ID: I20121204000494 |
| Provider Name | Padma Yarrapureddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043449663 PECOS PAC ID: 6002068616 Enrollment ID: I20121205000580 |
| Provider Name | Merry R Buckley Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811265523 PECOS PAC ID: 3274700158 Enrollment ID: I20121206000191 |
| Provider Name | Amy M Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629323753 PECOS PAC ID: 5395997944 Enrollment ID: I20121206000447 |
| Provider Name | Ellen A Sevenich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871842328 PECOS PAC ID: 4183876592 Enrollment ID: I20121212000000 |
| Provider Name | Kristin L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396097069 PECOS PAC ID: 8224280482 Enrollment ID: I20121214000396 |
| Provider Name | Kristen C Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316273204 PECOS PAC ID: 6800937095 Enrollment ID: I20130104000522 |
| Provider Name | Joy C Laansma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659623999 PECOS PAC ID: 4486807070 Enrollment ID: I20130109000789 |
| Provider Name | Gloria A Ayuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124391461 PECOS PAC ID: 2769635135 Enrollment ID: I20130115000247 |
| Provider Name | Rashi Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205848892 PECOS PAC ID: 2668478801 Enrollment ID: I20130116000315 |
| Provider Name | Girish Luthra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659480564 PECOS PAC ID: 0446325294 Enrollment ID: I20130117000481 |
| Provider Name | Richard P Vandendolder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124375894 PECOS PAC ID: 7416100722 Enrollment ID: I20130118000154 |
| Provider Name | Hina Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114234986 PECOS PAC ID: 5890983647 Enrollment ID: I20130125000188 |
| Provider Name | Victor C Van Hee |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1134281892 PECOS PAC ID: 1759480122 Enrollment ID: I20130211000304 |
| Provider Name | Keith P Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508007659 PECOS PAC ID: 4284889239 Enrollment ID: I20130225000283 |
| Provider Name | Balaji Krishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477784288 PECOS PAC ID: 6204081615 Enrollment ID: I20130308000170 |
| Provider Name | Nicole L Hildebrandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578606737 PECOS PAC ID: 5991940181 Enrollment ID: I20130315000386 |
| Provider Name | Holly G Winters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811235104 PECOS PAC ID: 0345485835 Enrollment ID: I20130404000517 |
| Provider Name | Bahram Hormozdi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386800266 PECOS PAC ID: 6002051471 Enrollment ID: I20130408000264 |
| Provider Name | Sarah E Jax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164761979 PECOS PAC ID: 1658517024 Enrollment ID: I20130410000253 |
| Provider Name | Nadiya Beliveau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366694341 PECOS PAC ID: 8022283373 Enrollment ID: I20130418000329 |
| Provider Name | Danielle Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588904569 PECOS PAC ID: 0547407082 Enrollment ID: I20130501000041 |
| Provider Name | Jessica Sanchez-alfaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821278953 PECOS PAC ID: 7719124155 Enrollment ID: I20130502000455 |
| Provider Name | Kathryn Goodrich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780815399 PECOS PAC ID: 2769629005 Enrollment ID: I20130506000305 |
| Provider Name | Mary B Wulf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396713277 PECOS PAC ID: 4385642438 Enrollment ID: I20130508000145 |
| Provider Name | Jennifer A Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033450150 PECOS PAC ID: 0840437091 Enrollment ID: I20130508000271 |
| Provider Name | Jenniefer E Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487992913 PECOS PAC ID: 2163669235 Enrollment ID: I20130508000567 |
| Provider Name | Ying X Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295056497 PECOS PAC ID: 8123266962 Enrollment ID: I20130606000106 |
| Provider Name | Parnjai J Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912903477 PECOS PAC ID: 5395636120 Enrollment ID: I20130606000551 |
| Provider Name | Kristine N Feriancek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952689671 PECOS PAC ID: 1951572742 Enrollment ID: I20130610000040 |
| Provider Name | Amanda M Buzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932543493 PECOS PAC ID: 0143469890 Enrollment ID: I20130610000749 |
| Provider Name | Kerry L Krueger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073809943 PECOS PAC ID: 5395984686 Enrollment ID: I20130618000106 |
| Provider Name | Laura J Heinmiller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972837706 PECOS PAC ID: 3577702448 Enrollment ID: I20130625000818 |
| Provider Name | Adam B Jeffers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255539748 PECOS PAC ID: 8325293038 Enrollment ID: I20130702000112 |
| Provider Name | Amber Jane Ferguson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427202092 PECOS PAC ID: 4284795212 Enrollment ID: I20130702000175 |
| Provider Name | Michael B Salmela |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487979167 PECOS PAC ID: 9830339829 Enrollment ID: I20130716000597 |
| Provider Name | Keith A Craig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841434198 PECOS PAC ID: 0446490437 Enrollment ID: I20130716000622 |
| Provider Name | Molly M Lammie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841426848 PECOS PAC ID: 7416108394 Enrollment ID: I20130723000724 |
| Provider Name | Junqing Xin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558688184 PECOS PAC ID: 8325289911 Enrollment ID: I20130724000415 |
| Provider Name | Erin M Scanlon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780902106 PECOS PAC ID: 6002057643 Enrollment ID: I20130724000969 |
| Provider Name | Elisabeth J Mcclean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003173469 PECOS PAC ID: 7113168766 Enrollment ID: I20130725000048 |
| Provider Name | Andrew S Nickels |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922230101 PECOS PAC ID: 8224279799 Enrollment ID: I20130725000410 |
| Provider Name | Muralidhara Shankarapura Nanjappa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972759215 PECOS PAC ID: 0749421113 Enrollment ID: I20130726000595 |
| Provider Name | Gerri L Clements |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447696760 PECOS PAC ID: 2769623180 Enrollment ID: I20130729000206 |
| Provider Name | Christopher H Blevins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982967030 PECOS PAC ID: 0941446082 Enrollment ID: I20130802000684 |
| Provider Name | Christopher F Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649208240 PECOS PAC ID: 2668555418 Enrollment ID: I20130805000058 |
| Provider Name | Julia Velner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467891507 PECOS PAC ID: 4981846821 Enrollment ID: I20130806000562 |
| Provider Name | Haleigh A James |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922362904 PECOS PAC ID: 3577709385 Enrollment ID: I20130806000800 |
| Provider Name | Joshua S Huelster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154564615 PECOS PAC ID: 6507008257 Enrollment ID: I20130809000288 |
| Provider Name | Samar Malaeb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326216037 PECOS PAC ID: 8022250596 Enrollment ID: I20130813000312 |
| Provider Name | Kellie C Lease Stecher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851529739 PECOS PAC ID: 8325280852 Enrollment ID: I20130813000894 |
| Provider Name | Amy T Moeller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578706610 PECOS PAC ID: 5496902561 Enrollment ID: I20130813000933 |
| Provider Name | Margaret B. Nolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700148830 PECOS PAC ID: 9234375098 Enrollment ID: I20130814000919 |
| Provider Name | Ramoncito A David |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942563366 PECOS PAC ID: 5496991515 Enrollment ID: I20130819000794 |
| Provider Name | Hans S Thurmer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295009280 PECOS PAC ID: 9739321886 Enrollment ID: I20130820000439 |
| Provider Name | Andrew S Houghton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578821997 PECOS PAC ID: 9739321829 Enrollment ID: I20130820000989 |
| Provider Name | Wei Guan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356597041 PECOS PAC ID: 0749423812 Enrollment ID: I20130821000903 |
| Provider Name | Amanda L Steele |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225299266 PECOS PAC ID: 4981847985 Enrollment ID: I20130823000176 |
| Provider Name | Desiree A Mohandas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679837637 PECOS PAC ID: 9638315443 Enrollment ID: I20130823000613 |
| Provider Name | Wojciech Kraszkiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003134636 PECOS PAC ID: 1759524705 Enrollment ID: I20130823000772 |
| Provider Name | Vibha Mbbs Kurdikar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336343888 PECOS PAC ID: 0840345617 Enrollment ID: I20130828000388 |
| Provider Name | Michelle A Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043659261 PECOS PAC ID: 2466696208 Enrollment ID: I20130918000491 |
| Provider Name | Sean C Engel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1518113646 PECOS PAC ID: 9234314386 Enrollment ID: I20130920000320 |
| Provider Name | Yonatan Platt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346500923 PECOS PAC ID: 8729222179 Enrollment ID: I20130925000165 |
| Provider Name | Grace L Nimmons |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225235625 PECOS PAC ID: 1557527280 Enrollment ID: I20130926000336 |
| Provider Name | Kevin T Manzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386903888 PECOS PAC ID: 7810131166 Enrollment ID: I20130926000489 |
| Provider Name | Kayla K Borchert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780970756 PECOS PAC ID: 1658505417 Enrollment ID: I20131009002075 |
| Provider Name | Sandra J Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982848503 PECOS PAC ID: 0840424594 Enrollment ID: I20131011000442 |
| Provider Name | Morgan E Groth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982045 PECOS PAC ID: 8022242619 Enrollment ID: I20131015000949 |
| Provider Name | Matthew D Neuger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033474390 PECOS PAC ID: 2466686050 Enrollment ID: I20131015001017 |
| Provider Name | Tina M Portillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326359670 PECOS PAC ID: 7618101205 Enrollment ID: I20131015001094 |
| Provider Name | Matthew D Wise |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295944932 PECOS PAC ID: 2961636568 Enrollment ID: I20131015001204 |
| Provider Name | Anna Golod Rakovshik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194772319 PECOS PAC ID: 2860404878 Enrollment ID: I20131017001069 |
| Provider Name | Laura M Furda-raine |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912147075 PECOS PAC ID: 8224262688 Enrollment ID: I20131018000206 |
| Provider Name | David B Waggonner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164600342 PECOS PAC ID: 0143353367 Enrollment ID: I20131021000897 |
| Provider Name | Jean K Tiffany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801154752 PECOS PAC ID: 4486889862 Enrollment ID: I20131022000268 |
| Provider Name | Gregory Legrande Horsley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245439744 PECOS PAC ID: 2264667542 Enrollment ID: I20131022000408 |
| Provider Name | Lisa M Zeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740524867 PECOS PAC ID: 8628203841 Enrollment ID: I20131024000762 |
| Provider Name | Daniel B Hayward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821380577 PECOS PAC ID: 7315172483 Enrollment ID: I20131025000474 |
| Provider Name | Laura M Gandrud Pickett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578522009 PECOS PAC ID: 1850374802 Enrollment ID: I20131113000506 |
| Provider Name | Maureen K Jaqua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255658001 PECOS PAC ID: 8729214135 Enrollment ID: I20131113000677 |
| Provider Name | James E Kuderer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972748119 PECOS PAC ID: 2365688017 Enrollment ID: I20131114000915 |
| Provider Name | Erin E Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245664630 PECOS PAC ID: 3072749365 Enrollment ID: I20131114001212 |
| Provider Name | Terry Boksberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689867129 PECOS PAC ID: 1557412046 Enrollment ID: I20131115000683 |
| Provider Name | Andrea J Berger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811323512 PECOS PAC ID: 8123254273 Enrollment ID: I20131119000728 |
| Provider Name | Jill K Wellnitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134552490 PECOS PAC ID: 3375779432 Enrollment ID: I20131119001257 |
| Provider Name | Tania L Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457443384 PECOS PAC ID: 0345423323 Enrollment ID: I20131121000074 |
| Provider Name | Shauna S Morrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427369776 PECOS PAC ID: 9032345913 Enrollment ID: I20131125000254 |
| Provider Name | Karen L Boortz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801235213 PECOS PAC ID: 6800022534 Enrollment ID: I20131202000356 |
| Provider Name | Allison Marie Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154750503 PECOS PAC ID: 1355577032 Enrollment ID: I20131203000249 |
| Provider Name | Sarah J Nordberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497090120 PECOS PAC ID: 8628204203 Enrollment ID: I20131204001805 |
| Provider Name | Stefan P Collinet-adler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679751952 PECOS PAC ID: 9638356884 Enrollment ID: I20131209000028 |
| Provider Name | Sakeena Futrell-carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982037313 PECOS PAC ID: 8921235391 Enrollment ID: I20131210000322 |
| Provider Name | Veronica L Barnes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902231988 PECOS PAC ID: 7517194764 Enrollment ID: I20131212001865 |
| Provider Name | Cynthia Marie Wiltgen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841558178 PECOS PAC ID: 7315175833 Enrollment ID: I20140108000999 |
| Provider Name | Megan M Bona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326474578 PECOS PAC ID: 5799913133 Enrollment ID: I20140110001114 |
| Provider Name | Melissa A Adler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124312962 PECOS PAC ID: 5698903763 Enrollment ID: I20140117000363 |
| Provider Name | Abby K Lipanot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174945315 PECOS PAC ID: 3779711635 Enrollment ID: I20140123000046 |
| Provider Name | Daniel S Monroe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487075412 PECOS PAC ID: 4688803158 Enrollment ID: I20140203000383 |
| Provider Name | Matthew W Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770874117 PECOS PAC ID: 0042449589 Enrollment ID: I20140204000815 |
| Provider Name | Ben W Korrer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821343435 PECOS PAC ID: 3375799885 Enrollment ID: I20140204001369 |
| Provider Name | Mark D Schroeckenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427101286 PECOS PAC ID: 7517114424 Enrollment ID: I20140224001651 |
| Provider Name | Krista L Siewert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538444062 PECOS PAC ID: 3870723562 Enrollment ID: I20140225000627 |
| Provider Name | Jeffrey R Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659548162 PECOS PAC ID: 9032349113 Enrollment ID: I20140312000106 |
| Provider Name | Kathryn R Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689850794 PECOS PAC ID: 4082887021 Enrollment ID: I20140331001751 |
| Provider Name | A B M Masudur Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295027514 PECOS PAC ID: 5496987364 Enrollment ID: I20140407002096 |
| Provider Name | Natalie L Yarbrough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992120984 PECOS PAC ID: 2668604562 Enrollment ID: I20140408001000 |
| Provider Name | Ali M Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467877688 PECOS PAC ID: 2860624566 Enrollment ID: I20140411000882 |
| Provider Name | Paul Anderson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1699960401 PECOS PAC ID: 0446482699 Enrollment ID: I20140422001859 |
| Provider Name | Sheffey N Massey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609834365 PECOS PAC ID: 8426151937 Enrollment ID: I20140430001236 |
| Provider Name | Lauren M Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376968537 PECOS PAC ID: 6901039833 Enrollment ID: I20140430001476 |
| Provider Name | Andrew Bunney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114246113 PECOS PAC ID: 5597998096 Enrollment ID: I20140508000511 |
| Provider Name | Alan W Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831224641 PECOS PAC ID: 2163692229 Enrollment ID: I20140513001956 |
| Provider Name | Jonathan P Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003079112 PECOS PAC ID: 1153569710 Enrollment ID: I20140520002247 |
| Provider Name | Kari M George |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790101830 PECOS PAC ID: 8628291374 Enrollment ID: I20140527000818 |
| Provider Name | Maxine A Behm |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588900054 PECOS PAC ID: 9335362912 Enrollment ID: I20140529001275 |
| Provider Name | Angela D Mucci |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144517376 PECOS PAC ID: 0143443556 Enrollment ID: I20140603000595 |
| Provider Name | Daniel J Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649530163 PECOS PAC ID: 3072736404 Enrollment ID: I20140603001354 |
| Provider Name | Erick S Jacobson-dunlop |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538301973 PECOS PAC ID: 2365697281 Enrollment ID: I20140611002095 |
| Provider Name | Margaret M Hildebrand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417272147 PECOS PAC ID: 1850515826 Enrollment ID: I20140612001847 |
| Provider Name | Peter A Stiles |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1174759930 PECOS PAC ID: 3173747888 Enrollment ID: I20140620000497 |
| Provider Name | Jennifer M Schlies |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952612525 PECOS PAC ID: 0244455749 Enrollment ID: I20140625000755 |
| Provider Name | Neha Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871866095 PECOS PAC ID: 5698990539 Enrollment ID: I20140708002341 |
| Provider Name | Jeff Counters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326330622 PECOS PAC ID: 6507081270 Enrollment ID: I20140714001688 |
| Provider Name | Ryan P Brady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639303704 PECOS PAC ID: 5294950978 Enrollment ID: I20140714001817 |
| Provider Name | Jennifer N Hansen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508279472 PECOS PAC ID: 7416172101 Enrollment ID: I20140714002050 |
| Provider Name | Jessica A Greenblatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184940660 PECOS PAC ID: 6305062449 Enrollment ID: I20140724002453 |
| Provider Name | David E Niccum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316110869 PECOS PAC ID: 4789849712 Enrollment ID: I20140731002969 |
| Provider Name | Leticia Perondi Luz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770619967 PECOS PAC ID: 4587798087 Enrollment ID: I20140801001378 |
| Provider Name | Katherine T Janssen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205196854 PECOS PAC ID: 8820215957 Enrollment ID: I20140813000512 |
| Provider Name | Marisa K Mckeever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992119655 PECOS PAC ID: 5092932905 Enrollment ID: I20140815001420 |
| Provider Name | Erin L Butterfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164651865 PECOS PAC ID: 5597900365 Enrollment ID: I20140826000965 |
| Provider Name | Amanda Justine Calvin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013354513 PECOS PAC ID: 3971741646 Enrollment ID: I20140908001773 |
| Provider Name | Kelly Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154732360 PECOS PAC ID: 7416176250 Enrollment ID: I20140910000826 |
| Provider Name | Jason Patrick Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669785556 PECOS PAC ID: 1355560103 Enrollment ID: I20140910001131 |
| Provider Name | Joy M Maharaj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407292154 PECOS PAC ID: 9234371824 Enrollment ID: I20140910001932 |
| Provider Name | Jill M Schoeppner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871992313 PECOS PAC ID: 1759500283 Enrollment ID: I20140916001797 |
| Provider Name | Amanda B Ihlenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548669906 PECOS PAC ID: 8527287812 Enrollment ID: I20140918001861 |
| Provider Name | Erin Marie Sinkoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164837373 PECOS PAC ID: 0941420962 Enrollment ID: I20140925001084 |
| Provider Name | Christina A Wruck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134350515 PECOS PAC ID: 7012137086 Enrollment ID: I20140926000140 |
| Provider Name | Eric J Nitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295078061 PECOS PAC ID: 8820218712 Enrollment ID: I20140926001489 |
| Provider Name | Crystal J Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043531437 PECOS PAC ID: 4688894488 Enrollment ID: I20140930000039 |
| Provider Name | Lucas G Dueffert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073929543 PECOS PAC ID: 4688894389 Enrollment ID: I20141001000470 |
| Provider Name | Monica C Bertani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407255318 PECOS PAC ID: 0345460093 Enrollment ID: I20141001002056 |
| Provider Name | Joseph Gerard Johnson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861620908 PECOS PAC ID: 9133361215 Enrollment ID: I20141002000999 |
| Provider Name | Eduardo M Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437593993 PECOS PAC ID: 0547480022 Enrollment ID: I20141003002248 |
| Provider Name | Tulasi Priya Priya Gummadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710142005 PECOS PAC ID: 3678794765 Enrollment ID: I20141014000942 |
| Provider Name | Danelle Leigh Tibbetts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215344825 PECOS PAC ID: 3476774589 Enrollment ID: I20141014001923 |
| Provider Name | Tena L Ungerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750796389 PECOS PAC ID: 0840411831 Enrollment ID: I20141015002449 |
| Provider Name | Abigail R Stignani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023417292 PECOS PAC ID: 1850512757 Enrollment ID: I20141017001224 |
| Provider Name | Russell Benjamin Spingarn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922441278 PECOS PAC ID: 7416178298 Enrollment ID: I20141020001739 |
| Provider Name | Gina M Wagner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144663931 PECOS PAC ID: 0840411641 Enrollment ID: I20141020002437 |
| Provider Name | Megan L Schmitt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619293834 PECOS PAC ID: 2961623673 Enrollment ID: I20141022001309 |
| Provider Name | Kirstin E Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457671174 PECOS PAC ID: 2365662962 Enrollment ID: I20141022002534 |
| Provider Name | Vanessa Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881097400 PECOS PAC ID: 3779704267 Enrollment ID: I20141027001335 |
| Provider Name | Judith A Wiltse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134411135 PECOS PAC ID: 1850513961 Enrollment ID: I20141105000752 |
| Provider Name | Kristen Anne Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760815849 PECOS PAC ID: 7012142516 Enrollment ID: I20141106001940 |
| Provider Name | Janelle C Evens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801295795 PECOS PAC ID: 7012139991 Enrollment ID: I20141108000072 |
| Provider Name | Aaron T Jagelski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20141111000707 |
| Provider Name | Matthew D Quanrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427457209 PECOS PAC ID: 4587886247 Enrollment ID: I20141112002301 |
| Provider Name | Sara M Gauquie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962818021 PECOS PAC ID: 9830311380 Enrollment ID: I20141118000046 |
| Provider Name | Ashley B Gilland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194127324 PECOS PAC ID: 6204158546 Enrollment ID: I20141124000461 |
| Provider Name | Daniel B Hess |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811138209 PECOS PAC ID: 2365764396 Enrollment ID: I20141202002597 |
| Provider Name | Katie M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508265331 PECOS PAC ID: 5799007720 Enrollment ID: I20141203000104 |
| Provider Name | Srikanth R Dakoji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932436 PECOS PAC ID: 7719209766 Enrollment ID: I20141203000765 |
| Provider Name | Kristina M Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033553987 PECOS PAC ID: 3173845914 Enrollment ID: I20141204001587 |
| Provider Name | Clemence M Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225354681 PECOS PAC ID: 7416279278 Enrollment ID: I20141204002451 |
| Provider Name | Sarah J Ristvedt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194169946 PECOS PAC ID: 4981926490 Enrollment ID: I20141210002344 |
| Provider Name | Laura L Hilker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497162721 PECOS PAC ID: 0547582009 Enrollment ID: I20141211001556 |
| Provider Name | Merida A Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205046646 PECOS PAC ID: 8224129549 Enrollment ID: I20141217001552 |
| Provider Name | Jay A Loso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679975965 PECOS PAC ID: 9638492663 Enrollment ID: I20141226000433 |
| Provider Name | Kristen L Budahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831533512 PECOS PAC ID: 2567786908 Enrollment ID: I20150113002040 |
| Provider Name | Kruti J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043574262 PECOS PAC ID: 7012232218 Enrollment ID: I20150210002426 |
| Provider Name | Kathryn R Brush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972909760 PECOS PAC ID: 5395060461 Enrollment ID: I20150212000493 |
| Provider Name | Marc Palen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508840539 PECOS PAC ID: 1759307929 Enrollment ID: I20150216000802 |
| Provider Name | Ashley A Barnes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093113292 PECOS PAC ID: 9739404500 Enrollment ID: I20150219001239 |
| Provider Name | Jennifer M Sexton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467556027 PECOS PAC ID: 5597958835 Enrollment ID: I20150225002077 |
| Provider Name | Gina M Wolfgram |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376985077 PECOS PAC ID: 4587980107 Enrollment ID: I20150226000098 |
| Provider Name | Ting Ting Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437547213 PECOS PAC ID: 8123344538 Enrollment ID: I20150302002230 |
| Provider Name | Gregory J Trobec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184022733 PECOS PAC ID: 3678899085 Enrollment ID: I20150302002244 |
| Provider Name | Natalie K Doll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851684229 PECOS PAC ID: 1759608201 Enrollment ID: I20150323001552 |
| Provider Name | Stacey M Norgren |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487059853 PECOS PAC ID: 3971820879 Enrollment ID: I20150401002059 |
| Provider Name | Carrie J Gonzalez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366830952 PECOS PAC ID: 4486971371 Enrollment ID: I20150403000392 |
| Provider Name | Karen L Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568851012 PECOS PAC ID: 1951629807 Enrollment ID: I20150406001312 |
| Provider Name | Sarah Jayne Anderson Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316265176 PECOS PAC ID: 7719205574 Enrollment ID: I20150408000978 |
| Provider Name | John E Bertucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588090534 PECOS PAC ID: 2769700533 Enrollment ID: I20150408001226 |
| Provider Name | Kristin Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053413708 PECOS PAC ID: 0648267682 Enrollment ID: I20150410001347 |
| Provider Name | Jason L Buseman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942456496 PECOS PAC ID: 1355577057 Enrollment ID: I20150413001675 |
| Provider Name | Amanda Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710278833 PECOS PAC ID: 3779801113 Enrollment ID: I20150414001936 |
| Provider Name | Patrice M Lindh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013309939 PECOS PAC ID: 4082932249 Enrollment ID: I20150420000623 |
| Provider Name | Diane T Tran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174784482 PECOS PAC ID: 5092954792 Enrollment ID: I20150427002090 |
| Provider Name | Tyler J Ulbrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801139795 PECOS PAC ID: 8224357975 Enrollment ID: I20150501000818 |
| Provider Name | Diana C Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467842245 PECOS PAC ID: 3971823881 Enrollment ID: I20150516000020 |
| Provider Name | Sarah K Hallman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093104093 PECOS PAC ID: 1557681335 Enrollment ID: I20150519000295 |
| Provider Name | David J Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568856599 PECOS PAC ID: 8820318629 Enrollment ID: I20150519000981 |
| Provider Name | Lindsay Lundberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891189528 PECOS PAC ID: 0446570147 Enrollment ID: I20150520002058 |
| Provider Name | Beth Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558757641 PECOS PAC ID: 5991025694 Enrollment ID: I20150520002073 |
| Provider Name | Kyle R Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841408200 PECOS PAC ID: 6507995339 Enrollment ID: I20150521002513 |
| Provider Name | Melissa S Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366763708 PECOS PAC ID: 8022205145 Enrollment ID: I20150522000815 |
| Provider Name | Timothy Ebbitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487986725 PECOS PAC ID: 6608196035 Enrollment ID: I20150526001406 |
| Provider Name | Travis Greiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205271376 PECOS PAC ID: 8527388933 Enrollment ID: I20150527001278 |
| Provider Name | John F Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740423870 PECOS PAC ID: 2365680204 Enrollment ID: I20150528002417 |
| Provider Name | Sarah Mugge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073904306 PECOS PAC ID: 6103147285 Enrollment ID: I20150601002026 |
| Provider Name | Michael E Brogan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982848412 PECOS PAC ID: 7810218914 Enrollment ID: I20150601002388 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Justin Y Yee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457618878 PECOS PAC ID: 5294056156 Enrollment ID: I20150603001920 |
| Provider Name | Devon R Gubbins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861808149 PECOS PAC ID: 5294056602 Enrollment ID: I20150610000414 |
| Provider Name | Rachel R Raab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053798827 PECOS PAC ID: 4981925344 Enrollment ID: I20150610001903 |
| Provider Name | Lorri Ann Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346671278 PECOS PAC ID: 5395066617 Enrollment ID: I20150611001089 |
| Provider Name | Judy Ann Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427321116 PECOS PAC ID: 6103137948 Enrollment ID: I20150619000638 |
| Provider Name | Kasie Jean Mix |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407109275 PECOS PAC ID: 9931410727 Enrollment ID: I20150619001796 |
| Provider Name | Carlton R Kimmerle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1932427606 PECOS PAC ID: 4082925763 Enrollment ID: I20150622002227 |
| Provider Name | Brittani Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013202100 PECOS PAC ID: 3577874296 Enrollment ID: I20150623000755 |
| Provider Name | Sarah Susan Asch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972731933 PECOS PAC ID: 3072744705 Enrollment ID: I20150623002334 |
| Provider Name | Meiling Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033372321 PECOS PAC ID: 0648411330 Enrollment ID: I20150626000755 |
| Provider Name | Roopa Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699015024 PECOS PAC ID: 7113146648 Enrollment ID: I20150630001921 |
| Provider Name | Patrick Raymond Hadorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467745927 PECOS PAC ID: 4688986821 Enrollment ID: I20150701000851 |
| Provider Name | Olitha J Fofana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013301407 PECOS PAC ID: 1254643349 Enrollment ID: I20150701002832 |
| Provider Name | Mehdi Dastrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967139 PECOS PAC ID: 4880906734 Enrollment ID: I20150706002597 |
| Provider Name | Matthew Loichinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629243415 PECOS PAC ID: 5890951438 Enrollment ID: I20150708000259 |
| Provider Name | William S Paulson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619388006 PECOS PAC ID: 8426361320 Enrollment ID: I20150721003201 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Edward V Craig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639143027 PECOS PAC ID: 0941214985 Enrollment ID: I20150723008875 |
| Provider Name | Daniel E Hart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003101379 PECOS PAC ID: 0244543874 Enrollment ID: I20150724011467 |
| Provider Name | Tara Ann Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447670104 PECOS PAC ID: 1456665579 Enrollment ID: I20150804003359 |
| Provider Name | Zachary Merten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134535511 PECOS PAC ID: 5890009641 Enrollment ID: I20150806011896 |
| Provider Name | Kevin Quinn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821404971 PECOS PAC ID: 1153548789 Enrollment ID: I20150806012306 |
| Provider Name | Amul B Chaniara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568726685 PECOS PAC ID: 7315251287 Enrollment ID: I20150810002577 |
| Provider Name | Lauren Angela Katkish Shaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043553753 PECOS PAC ID: 4284949959 Enrollment ID: I20150811004103 |
| Provider Name | Thomas Dutch Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356752190 PECOS PAC ID: 1759696271 Enrollment ID: I20150812009060 |
| Provider Name | Kara L Burrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235176975 PECOS PAC ID: 5496813578 Enrollment ID: I20150813010165 |
| Provider Name | Britt Westgard Ehlert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689837114 PECOS PAC ID: 0244402451 Enrollment ID: I20150813010883 |
| Provider Name | Samuel J Kjome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336110600 PECOS PAC ID: 1850606245 Enrollment ID: I20150813011489 |
| Provider Name | Michael Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659784031 PECOS PAC ID: 5092020420 Enrollment ID: I20150814012663 |
| Provider Name | Pawan K Hari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336376904 PECOS PAC ID: 3870808215 Enrollment ID: I20150814012775 |
| Provider Name | Sara A Hylwa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124317383 PECOS PAC ID: 5496060741 Enrollment ID: I20150814013516 |
| Provider Name | Nicole M Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396129383 PECOS PAC ID: 3971818931 Enrollment ID: I20150819009173 |
| Provider Name | Maureen A Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760771398 PECOS PAC ID: 5395050256 Enrollment ID: I20150820012086 |
| Provider Name | Sara J Prescher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669608246 PECOS PAC ID: 7214242189 Enrollment ID: I20150820012296 |
| Provider Name | Jeffrey P Willging |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235459165 PECOS PAC ID: 1254646128 Enrollment ID: I20150820012536 |
| Provider Name | Bryan P Svobodny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851659395 PECOS PAC ID: 7012223324 Enrollment ID: I20150901002904 |
| Provider Name | James T Regan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699017285 PECOS PAC ID: 0941516157 Enrollment ID: I20150902003212 |
| Provider Name | Natasha Kohli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790074136 PECOS PAC ID: 7719294586 Enrollment ID: I20150911001599 |
| Provider Name | Allison J Kubly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992171714 PECOS PAC ID: 8729395454 Enrollment ID: I20150914001288 |
| Provider Name | Alexander M Mason |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275758039 PECOS PAC ID: 6901998582 Enrollment ID: I20150914003035 |
| Provider Name | Margaret W Doose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134411176 PECOS PAC ID: 4880901313 Enrollment ID: I20150916001877 |
| Provider Name | Ashley R Serrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093940355 PECOS PAC ID: 0143537670 Enrollment ID: I20150916001904 |
| Provider Name | Michelle Barnett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093182701 PECOS PAC ID: 2668789017 Enrollment ID: I20150916003238 |
| Provider Name | Michael J Cutalo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821227687 PECOS PAC ID: 5597982892 Enrollment ID: I20150918001040 |
| Provider Name | Alison R Bottke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619344470 PECOS PAC ID: 1951618230 Enrollment ID: I20150918001462 |
| Provider Name | Artan Kaso |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689988941 PECOS PAC ID: 9032364153 Enrollment ID: I20150921000930 |
| Provider Name | Jenna L Viland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275918658 PECOS PAC ID: 6204143407 Enrollment ID: I20150921002830 |
| Provider Name | Teresa A Rhone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073980454 PECOS PAC ID: 2860709904 Enrollment ID: I20150922001420 |
| Provider Name | Kimberly Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336521624 PECOS PAC ID: 0446567531 Enrollment ID: I20150922003240 |
| Provider Name | Rachel L Agneberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831453786 PECOS PAC ID: 1557502051 Enrollment ID: I20150923002166 |
| Provider Name | Lisa Vigen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821476862 PECOS PAC ID: 7618285693 Enrollment ID: I20150925000131 |
| Provider Name | Michael J Butcher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467692616 PECOS PAC ID: 7911159827 Enrollment ID: I20150925000182 |
| Provider Name | Mahad A Ururshe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083974174 PECOS PAC ID: 1456669365 Enrollment ID: I20150925001753 |
| Provider Name | Amy C Orecchia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215369152 PECOS PAC ID: 3274841937 Enrollment ID: I20150929002085 |
| Provider Name | Kaitlyn R Henkelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669892964 PECOS PAC ID: 8325356090 Enrollment ID: I20150929002258 |
| Provider Name | Olusola O Adegoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619311586 PECOS PAC ID: 0547578932 Enrollment ID: I20151005002194 |
| Provider Name | Sareedo A Hashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811306228 PECOS PAC ID: 2264740588 Enrollment ID: I20151006000436 |
| Provider Name | Thomas E Sanchez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922476514 PECOS PAC ID: 3577871748 Enrollment ID: I20151008000126 |
| Provider Name | Brenda Servais |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194873794 PECOS PAC ID: 2062721137 Enrollment ID: I20151013000568 |
| Provider Name | Jared J Mell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063832921 PECOS PAC ID: 5991014060 Enrollment ID: I20151013000884 |
| Provider Name | Shannon L Hoversten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568848331 PECOS PAC ID: 1759690399 Enrollment ID: I20151021001237 |
| Provider Name | Steven R Quiring |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346626694 PECOS PAC ID: 8628387271 Enrollment ID: I20151021001423 |
| Provider Name | Farzad Jamshidian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841439239 PECOS PAC ID: 9931370061 Enrollment ID: I20151027000756 |
| Provider Name | Brent D Bauman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407117328 PECOS PAC ID: 7719296078 Enrollment ID: I20151027003206 |
| Provider Name | Natasha M Mills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023443629 PECOS PAC ID: 5294045415 Enrollment ID: I20151030000081 |
| Provider Name | Ryan Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457538118 PECOS PAC ID: 7517128853 Enrollment ID: I20151030001287 |
| Provider Name | Jeffrey S Rasch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598717662 PECOS PAC ID: 3678517679 Enrollment ID: I20151030001486 |
| Provider Name | Sarah F Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649640020 PECOS PAC ID: 3870803810 Enrollment ID: I20151104000204 |
| Provider Name | Benjamin R Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881066918 PECOS PAC ID: 8123338910 Enrollment ID: I20151106001144 |
| Provider Name | Eloise R Kvam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619345493 PECOS PAC ID: 3173833761 Enrollment ID: I20151111001348 |
| Provider Name | Jessica L Gerzsenyi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679835920 PECOS PAC ID: 2567772049 Enrollment ID: I20151112002680 |
| Provider Name | Christian A Buhr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942593868 PECOS PAC ID: 3173823101 Enrollment ID: I20151124001567 |
| Provider Name | Cacy Miranda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235535444 PECOS PAC ID: 1153621917 Enrollment ID: I20151130001305 |
| Provider Name | Camille Ashley Schwarzrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003206731 PECOS PAC ID: 8921308529 Enrollment ID: I20151203003433 |
| Provider Name | Hindi O Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306280250 PECOS PAC ID: 6002116613 Enrollment ID: I20151204000420 |
| Provider Name | Brian Lee Walters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114241882 PECOS PAC ID: 8628203502 Enrollment ID: I20151209002182 |
| Provider Name | Camille A Delisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396156667 PECOS PAC ID: 7719289495 Enrollment ID: I20160112003114 |
| Provider Name | Michael J Bleet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194085449 PECOS PAC ID: 5294975942 Enrollment ID: I20160121000637 |
| Provider Name | Hillary C Otto |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295066819 PECOS PAC ID: 3375846538 Enrollment ID: I20160121001110 |
| Provider Name | Traci L Hardyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076659 PECOS PAC ID: 2365752706 Enrollment ID: I20160121001126 |
| Provider Name | Stephanie N Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992969471 PECOS PAC ID: 3476799693 Enrollment ID: I20160121001504 |
| Provider Name | Christopher J Steadman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881867083 PECOS PAC ID: 7214174028 Enrollment ID: I20160122000937 |
| Provider Name | Elisabeth A Groebel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497111371 PECOS PAC ID: 3274837877 Enrollment ID: I20160202000685 |
| Provider Name | Beth Hartquist Valdivia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952387920 PECOS PAC ID: 5597069120 Enrollment ID: I20160202001974 |
| Provider Name | Mary C Fields |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861497745 PECOS PAC ID: 9234189192 Enrollment ID: I20160217000885 |
| Provider Name | Lauren Mg Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720456106 PECOS PAC ID: 6305141680 Enrollment ID: I20160224001839 |
| Provider Name | Nathan F Shjerve |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306274873 PECOS PAC ID: 5597060731 Enrollment ID: I20160225000816 |
| Provider Name | Kacy Berquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577036 PECOS PAC ID: 4284939364 Enrollment ID: I20160226002260 |
| Provider Name | Allison R Coindreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649593310 PECOS PAC ID: 3678604600 Enrollment ID: I20160301001421 |
| Provider Name | Rebecca E Gerbig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417313339 PECOS PAC ID: 1153627781 Enrollment ID: I20160308002742 |
| Provider Name | Brittany N Solc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588084248 PECOS PAC ID: 5991001422 Enrollment ID: I20160310000003 |
| Provider Name | Kathryn A Baxstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386987535 PECOS PAC ID: 9436455656 Enrollment ID: I20160314001235 |
| Provider Name | Valerie M Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619338274 PECOS PAC ID: 9335446707 Enrollment ID: I20160330000802 |
| Provider Name | Jacquelyn M Warner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023483757 PECOS PAC ID: 8729385968 Enrollment ID: I20160401001143 |
| Provider Name | Jeffrey S Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801897061 PECOS PAC ID: 6305960568 Enrollment ID: I20160412001114 |
| Provider Name | Anne B Neeley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104143437 PECOS PAC ID: 2860619608 Enrollment ID: I20160412001267 |
| Provider Name | Jennifer Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902263866 PECOS PAC ID: 3870891625 Enrollment ID: I20160412002288 |
| Provider Name | John Patrick Oneill |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417213430 PECOS PAC ID: 8628373057 Enrollment ID: I20160413000615 |
| Provider Name | Tyann N Zeal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023480712 PECOS PAC ID: 5193024297 Enrollment ID: I20160425000188 |
| Provider Name | Adam Chase Sloane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699934430 PECOS PAC ID: 5193859346 Enrollment ID: I20160427000710 |
| Provider Name | Laura E Moench |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104146406 PECOS PAC ID: 0244539146 Enrollment ID: I20160427001706 |
| Provider Name | Demetrios Thomas Andrisani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912327115 PECOS PAC ID: 8224337654 Enrollment ID: I20160505001870 |
| Provider Name | Pezhman Samimian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770744880 PECOS PAC ID: 9830235720 Enrollment ID: I20160506000119 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| Provider Name | Christopher J Neeley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659698645 PECOS PAC ID: 6406145911 Enrollment ID: I20160523000469 |
| Provider Name | Sofronio Cruz Ramirez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063671220 PECOS PAC ID: 2769650555 Enrollment ID: I20160524001037 |
| Provider Name | William M Huepfel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225457740 PECOS PAC ID: 7911202783 Enrollment ID: I20160525002352 |
| Provider Name | Timothy Meehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558686030 PECOS PAC ID: 4486811395 Enrollment ID: I20160525002962 |
| Provider Name | Kristen M Lindstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992160428 PECOS PAC ID: 2769772755 Enrollment ID: I20160603000301 |
| Provider Name | Michael Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700027166 PECOS PAC ID: 9234262148 Enrollment ID: I20160603001177 |
| Provider Name | Joseph M Gill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326339631 PECOS PAC ID: 6406151539 Enrollment ID: I20160608000323 |
| Provider Name | Bela S Denes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407147242 PECOS PAC ID: 5395049167 Enrollment ID: I20160608001701 |
| Provider Name | Michael A Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619389525 PECOS PAC ID: 8729378260 Enrollment ID: I20160613000266 |
| Provider Name | Dory Neurock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033356357 PECOS PAC ID: 7911063011 Enrollment ID: I20160614001641 |
| Provider Name | Thomas Stark |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275775512 PECOS PAC ID: 0042463911 Enrollment ID: I20160615000491 |
| Provider Name | Kerri Harting |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487674040 PECOS PAC ID: 8022016906 Enrollment ID: I20160620002332 |
| Provider Name | Kumba U Kanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194021766 PECOS PAC ID: 4486945169 Enrollment ID: I20160628001210 |
| Provider Name | Andre Montoya Barthelemy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992048672 PECOS PAC ID: 9638461023 Enrollment ID: I20160705001329 |
| Provider Name | Christine A Morley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114363124 PECOS PAC ID: 4082855366 Enrollment ID: I20160707001457 |
| Provider Name | Emily Bulthuis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760885552 PECOS PAC ID: 3476845546 Enrollment ID: I20160711000656 |
| Provider Name | Emily A Van Kirk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790040509 PECOS PAC ID: 8527207133 Enrollment ID: I20160712002485 |
| Provider Name | Kaylen Jackson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225334709 PECOS PAC ID: 3577855345 Enrollment ID: I20160714002019 |
| Provider Name | Garjae Dayan Lavien |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659695310 PECOS PAC ID: 2860703394 Enrollment ID: I20160721000385 |
| Provider Name | Nouchee Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326426032 PECOS PAC ID: 3072819622 Enrollment ID: I20160722000993 |
| Provider Name | Heather R Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083973804 PECOS PAC ID: 4385949833 Enrollment ID: I20160728001854 |
| Provider Name | Patrick Kevin Horst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649596990 PECOS PAC ID: 6800027178 Enrollment ID: I20160729002164 |
| Provider Name | Collin Torok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558523944 PECOS PAC ID: 7911156948 Enrollment ID: I20160801001831 |
| Provider Name | Nicole James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356728331 PECOS PAC ID: 4082908777 Enrollment ID: I20160803000622 |
| Provider Name | Karen Sonnenburg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265882062 PECOS PAC ID: 1850685587 Enrollment ID: I20160803001751 |
| Provider Name | Mary E Nielsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528325495 PECOS PAC ID: 3870887524 Enrollment ID: I20160803002264 |
| Provider Name | Alice Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457771271 PECOS PAC ID: 8527352095 Enrollment ID: I20160805000592 |
| Provider Name | Sagar R Shroff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841511243 PECOS PAC ID: 4284937186 Enrollment ID: I20160805002261 |
| Provider Name | Kaitlin Schultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285086074 PECOS PAC ID: 9931493004 Enrollment ID: I20160811002618 |
| Provider Name | Jennifer Wozniczka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316265499 PECOS PAC ID: 0840500708 Enrollment ID: I20160815002479 |
| Provider Name | James V Tedesco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215981196 PECOS PAC ID: 1850433988 Enrollment ID: I20160816000000 |
| Provider Name | Kimberly A Ollinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184980518 PECOS PAC ID: 5991937757 Enrollment ID: I20160816000017 |
| Provider Name | Gregory R Hildebrand |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255656229 PECOS PAC ID: 6002121068 Enrollment ID: I20160816001205 |
| Provider Name | Brian P Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447489430 PECOS PAC ID: 9436460698 Enrollment ID: I20160817001055 |
| Provider Name | Judith R Boylan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952788291 PECOS PAC ID: 4183919053 Enrollment ID: I20160817002149 |
| Provider Name | Joseph Scherman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144586165 PECOS PAC ID: 4688979594 Enrollment ID: I20160818002070 |
| Provider Name | Tegan R Otto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740639889 PECOS PAC ID: 4486949146 Enrollment ID: I20160820000225 |
| Provider Name | Renee M Donahue Carlson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316266166 PECOS PAC ID: 9133414709 Enrollment ID: I20160822000580 |
| Provider Name | Jessica E Buss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134571953 PECOS PAC ID: 5698060085 Enrollment ID: I20160824001947 |
| Provider Name | Rami M Almokayyad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194929786 PECOS PAC ID: 3072646975 Enrollment ID: I20160826000025 |
| Provider Name | Rupendra Dev Thaku Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194993774 PECOS PAC ID: 2961695119 Enrollment ID: I20160826000186 |
| Provider Name | Brian J Theisen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912265455 PECOS PAC ID: 3072809094 Enrollment ID: I20160831000135 |
| Provider Name | Jeffrey Kendall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750644589 PECOS PAC ID: 2062641665 Enrollment ID: I20160907002178 |
| Provider Name | Benjamin A Linder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942646765 PECOS PAC ID: 5799918694 Enrollment ID: I20160908001489 |
| Provider Name | Karin Burbach |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124046925 PECOS PAC ID: 7810931748 Enrollment ID: I20160915000230 |
| Provider Name | Christina E Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339595 PECOS PAC ID: 5597051607 Enrollment ID: I20160915000732 |
| Provider Name | Ashley M Hieronimus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780959148 PECOS PAC ID: 7517262850 Enrollment ID: I20160916000257 |
| Provider Name | Huiying Guo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003293101 PECOS PAC ID: 1052618022 Enrollment ID: I20160921002022 |
| Provider Name | Allison R Cranston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366735482 PECOS PAC ID: 1052580008 Enrollment ID: I20160922001441 |
| Provider Name | Erin L Ziolkowski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992250187 PECOS PAC ID: 7618264243 Enrollment ID: I20160926002443 |
| Provider Name | Trent D Stensrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194107243 PECOS PAC ID: 0941519748 Enrollment ID: I20160927001977 |
| Provider Name | Alexandra E Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326313420 PECOS PAC ID: 8426345646 Enrollment ID: I20160930001951 |
| Provider Name | David T Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073061552 PECOS PAC ID: 9335437425 Enrollment ID: I20161005000464 |
| Provider Name | Biye G Tambang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037574 PECOS PAC ID: 0547558488 Enrollment ID: I20161010001963 |
| Provider Name | Kisha Patterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649729567 PECOS PAC ID: 6002104783 Enrollment ID: I20161012001761 |
| Provider Name | Brittany E Wirth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831646348 PECOS PAC ID: 6901194612 Enrollment ID: I20161013000066 |
| Provider Name | Sarah Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679729131 PECOS PAC ID: 3072758119 Enrollment ID: I20161019001519 |
| Provider Name | Jill A Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275655474 PECOS PAC ID: 9032353859 Enrollment ID: I20161019001560 |
| Provider Name | Alison Elizabeth Sharpe-havill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376880823 PECOS PAC ID: 3577851823 Enrollment ID: I20161019001700 |
| Provider Name | Ali A Pitafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023115615 PECOS PAC ID: 8921250044 Enrollment ID: I20161025002435 |
| Provider Name | Rebecca A Barnack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235687880 PECOS PAC ID: 3577841345 Enrollment ID: I20161028001826 |
| Provider Name | Stephen Norbert Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316324957 PECOS PAC ID: 0446538870 Enrollment ID: I20161104001716 |
| Provider Name | David T Chollar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528514932 PECOS PAC ID: 3375821739 Enrollment ID: I20161107000273 |
| Provider Name | Christina C Apfelbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124578935 PECOS PAC ID: 6901185248 Enrollment ID: I20161109002035 |
| Provider Name | Kyle W Abben |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225321839 PECOS PAC ID: 3870807373 Enrollment ID: I20161109002077 |
| Provider Name | Ashley D.b. Haapapuro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750834941 PECOS PAC ID: 7618256470 Enrollment ID: I20161117002719 |
| Provider Name | Kelly M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295289064 PECOS PAC ID: 4981983632 Enrollment ID: I20161121000541 |
| Provider Name | Kelly L Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215212261 PECOS PAC ID: 0042599714 Enrollment ID: I20161121001475 |
| Provider Name | Tara M Ettestad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578991352 PECOS PAC ID: 9931488574 Enrollment ID: I20161122001587 |
| Provider Name | Angela J Rickheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023568763 PECOS PAC ID: 0749560068 Enrollment ID: I20161202001157 |
| Provider Name | Amy L Haynes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518411776 PECOS PAC ID: 3870874472 Enrollment ID: I20161219001792 |
| Provider Name | Chitra Ganesan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801063243 PECOS PAC ID: 6800024977 Enrollment ID: I20170109002031 |
| Provider Name | Shawn M Ronan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386762227 PECOS PAC ID: 3072699461 Enrollment ID: I20170201001861 |
| Provider Name | Rachel Boyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194190223 PECOS PAC ID: 6204119399 Enrollment ID: I20170215002990 |
| Provider Name | Johanes I Prawira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337706 PECOS PAC ID: 9830368786 Enrollment ID: I20170216001155 |
| Provider Name | Michael Joseph Schnaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336569961 PECOS PAC ID: 6103122676 Enrollment ID: I20170216002513 |
| Provider Name | Tiffany R Krebsbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023552924 PECOS PAC ID: 0446534010 Enrollment ID: I20170227000589 |
| Provider Name | Lynn Marie Wilbur |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184761843 PECOS PAC ID: 5496039430 Enrollment ID: I20170310002047 |
| Provider Name | Rachel Porteous |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326589011 PECOS PAC ID: 3375828858 Enrollment ID: I20170323002534 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Albert Gutierrez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922442599 PECOS PAC ID: 9739311770 Enrollment ID: I20170509002501 |
| Provider Name | Mehdi Najafi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003252297 PECOS PAC ID: 2567749849 Enrollment ID: I20170516001056 |
| Provider Name | Cory Nordman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679771521 PECOS PAC ID: 2961689427 Enrollment ID: I20170517000985 |
| Provider Name | Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578099677 PECOS PAC ID: 7618244674 Enrollment ID: I20170522002368 |
| Provider Name | Annely Meris Richardson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699930552 PECOS PAC ID: 8224210604 Enrollment ID: I20170523001389 |
| Provider Name | Kristine H Kaehn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750565461 PECOS PAC ID: 3375810310 Enrollment ID: I20170523002971 |
| Provider Name | Nicole A Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427589530 PECOS PAC ID: 3678840436 Enrollment ID: I20170526000040 |
| Provider Name | Amanda Meegan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326384520 PECOS PAC ID: 1850697327 Enrollment ID: I20170605002003 |
| Provider Name | Jennifer Kumasaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407114390 PECOS PAC ID: 8729392451 Enrollment ID: I20170613002402 |
| Provider Name | Tracy Lynn Clary |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396034856 PECOS PAC ID: 7719291657 Enrollment ID: I20170623001757 |
| Provider Name | Alexandra Oleinik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281757 PECOS PAC ID: 1456620038 Enrollment ID: I20170713002070 |
| Provider Name | Robert J Schneidewend |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699065946 PECOS PAC ID: 3971822503 Enrollment ID: I20170724002228 |
| Provider Name | Blake Daley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639597321 PECOS PAC ID: 6608165469 Enrollment ID: I20170724003201 |
| Provider Name | Karen E Rabenau |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124311048 PECOS PAC ID: 6305166612 Enrollment ID: I20170725000335 |
| Provider Name | Lorraine Marie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871013037 PECOS PAC ID: 1951671882 Enrollment ID: I20170725002856 |
| Provider Name | Barbara S Vaneeckhout |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982612479 PECOS PAC ID: 1254396401 Enrollment ID: I20170726000492 |
| Provider Name | Pierre Tawfik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467839878 PECOS PAC ID: 2062717929 Enrollment ID: I20170727000059 |
| Provider Name | Shayla M Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679828461 PECOS PAC ID: 6608147160 Enrollment ID: I20170802002503 |
| Provider Name | Alexandra Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821442534 PECOS PAC ID: 4981985363 Enrollment ID: I20170807001510 |
| Provider Name | Brielle Joy Swanstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225492739 PECOS PAC ID: 7416247317 Enrollment ID: I20170807003192 |
| Provider Name | Margaret E Funk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447660600 PECOS PAC ID: 6103197108 Enrollment ID: I20170809003969 |
| Provider Name | Jenna Tillman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922529015 PECOS PAC ID: 7113298126 Enrollment ID: I20170810000061 |
| Provider Name | Adam J Dewenter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518257880 PECOS PAC ID: 7113298977 Enrollment ID: I20170812000300 |
| Provider Name | John Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497283253 PECOS PAC ID: 9830460690 Enrollment ID: I20170812000359 |
| Provider Name | Bradley Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174043319 PECOS PAC ID: 5799056560 Enrollment ID: I20170814000565 |
| Provider Name | Laura L Conger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669892170 PECOS PAC ID: 6002188810 Enrollment ID: I20170814002308 |
| Provider Name | Kimberly Gotlund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639692296 PECOS PAC ID: 6800168667 Enrollment ID: I20170815001325 |
| Provider Name | Bridgett Diers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720437791 PECOS PAC ID: 4082986765 Enrollment ID: I20170815002421 |
| Provider Name | Amy Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194248351 PECOS PAC ID: 4486926185 Enrollment ID: I20170815003668 |
| Provider Name | Isaac Zoller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295180628 PECOS PAC ID: 7214209899 Enrollment ID: I20170816002620 |
| Provider Name | Kirsten K Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184966152 PECOS PAC ID: 0941572465 Enrollment ID: I20170817004067 |
| Provider Name | Laura M Nilan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568789352 PECOS PAC ID: 0749413060 Enrollment ID: I20170817004312 |
| Provider Name | Adrian L Jung |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285087072 PECOS PAC ID: 5799072492 Enrollment ID: I20170819000099 |
| Provider Name | Kathleen Caulfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730561549 PECOS PAC ID: 6406128891 Enrollment ID: I20170819000178 |
| Provider Name | Stefan S Buetow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689014169 PECOS PAC ID: 5294967527 Enrollment ID: I20170821003445 |
| Provider Name | Emily S Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992144604 PECOS PAC ID: 3577853175 Enrollment ID: I20170821003522 |
| Provider Name | Jaimi L Weber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336594498 PECOS PAC ID: 4587958095 Enrollment ID: I20170821003523 |
| Provider Name | Kara Weigand |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265828206 PECOS PAC ID: 4880966159 Enrollment ID: I20170821003532 |
| Provider Name | Justin E Groenewold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649681222 PECOS PAC ID: 8325310691 Enrollment ID: I20170821003547 |
| Provider Name | Brittany Willis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861916017 PECOS PAC ID: 2769754753 Enrollment ID: I20170825002484 |
| Provider Name | Lawrence T Mollo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508122334 PECOS PAC ID: 4981905023 Enrollment ID: I20170828003311 |
| Provider Name | Benjamin Holker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750803995 PECOS PAC ID: 4284907916 Enrollment ID: I20170831001986 |
| Provider Name | Deirdre Dvorak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508388828 PECOS PAC ID: 1153694724 Enrollment ID: I20170901000401 |
| Provider Name | Kerry Madeleine Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134641780 PECOS PAC ID: 2961775598 Enrollment ID: I20170901002725 |
| Provider Name | Amanjit Baadh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003061367 PECOS PAC ID: 3870750029 Enrollment ID: I20170905001562 |
| Provider Name | Elizabeth Marie Mcniven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922452325 PECOS PAC ID: 1759654049 Enrollment ID: I20170908000241 |
| Provider Name | Brianna J Conklin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326578162 PECOS PAC ID: 1759654064 Enrollment ID: I20170908001148 |
| Provider Name | Laura M Mollenhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033646377 PECOS PAC ID: 1355614363 Enrollment ID: I20170913000562 |
| Provider Name | Cassandra Gave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861939241 PECOS PAC ID: 0042583031 Enrollment ID: I20170913003958 |
| Provider Name | Addison M Demer |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1912392390 PECOS PAC ID: 3678868148 Enrollment ID: I20170915001812 |
| Provider Name | Kathryn Wyman-chick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710118054 PECOS PAC ID: 6305110180 Enrollment ID: I20170918001052 |
| Provider Name | Tyler B Bridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720405731 PECOS PAC ID: 2769789171 Enrollment ID: I20170918003801 |
| Provider Name | Tricia J Hadley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205254554 PECOS PAC ID: 1951609650 Enrollment ID: I20170919004318 |
| Provider Name | Priyanka Sabharwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487938460 PECOS PAC ID: 9931473568 Enrollment ID: I20170921000119 |
| Provider Name | Johanna Dijkstal Beebe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093073868 PECOS PAC ID: 0446493399 Enrollment ID: I20170921002037 |
| Provider Name | Neil Siekman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851364 PECOS PAC ID: 4688979040 Enrollment ID: I20170923000039 |
| Provider Name | Keith W Fridel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215345244 PECOS PAC ID: 2466498431 Enrollment ID: I20170923000058 |
| Provider Name | Patrick J Shabino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952689978 PECOS PAC ID: 2062645229 Enrollment ID: I20170923000251 |
| Provider Name | Lauren B Oneill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205128592 PECOS PAC ID: 1456656370 Enrollment ID: I20171003003952 |
| Provider Name | Teresa L Biehn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124490578 PECOS PAC ID: 2163797804 Enrollment ID: I20171006000146 |
| Provider Name | Stephen W Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760892715 PECOS PAC ID: 7113220492 Enrollment ID: I20171009000319 |
| Provider Name | Jenna L Buth-croes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962939355 PECOS PAC ID: 9234404625 Enrollment ID: I20171011001766 |
| Provider Name | Heather Lauren Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821202896 PECOS PAC ID: 3274675111 Enrollment ID: I20171013002850 |
| Provider Name | Kelsey M Ryks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780108191 PECOS PAC ID: 9739455494 Enrollment ID: I20171024002599 |
| Provider Name | Ellen Place |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497847966 PECOS PAC ID: 6204102726 Enrollment ID: I20171026003362 |
| Provider Name | Alanna Jade Jirschele |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497265698 PECOS PAC ID: 4385900554 Enrollment ID: I20171106000694 |
| Provider Name | Kelsey M Hiatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508215385 PECOS PAC ID: 6507122116 Enrollment ID: I20171115001899 |
| Provider Name | Ashley Heurung Merten |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174903553 PECOS PAC ID: 6103121546 Enrollment ID: I20171128002520 |
| Provider Name | Alexandra Zimmerman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871033829 PECOS PAC ID: 3274890199 Enrollment ID: I20171201001247 |
| Provider Name | Grace Marie Irish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043729064 PECOS PAC ID: 0547527301 Enrollment ID: I20171202000357 |
| Provider Name | Christopher Scott Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992151393 PECOS PAC ID: 8426315912 Enrollment ID: I20171208002242 |
| Provider Name | Andrea C. Hillerud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114012481 PECOS PAC ID: 6608866157 Enrollment ID: I20171211000493 |
| Provider Name | Denise K Haldorson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780193821 PECOS PAC ID: 3274891718 Enrollment ID: I20171211001837 |
| Provider Name | Jill E Kroeger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699287177 PECOS PAC ID: 9638437114 Enrollment ID: I20171212000856 |
| Provider Name | Amber Marie Stutz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952748758 PECOS PAC ID: 1759686686 Enrollment ID: I20171222000034 |
| Provider Name | Brent W Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518471382 PECOS PAC ID: 5799043642 Enrollment ID: I20171222000144 |
| Provider Name | Dusty Renee Hackler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487168357 PECOS PAC ID: 9739447699 Enrollment ID: I20171222000441 |
| Provider Name | Darwin G Ramirez Abreu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972759082 PECOS PAC ID: 7315160108 Enrollment ID: I20171227002461 |
| Provider Name | Amrita Goyal-o'leary |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801273545 PECOS PAC ID: 3173818564 Enrollment ID: I20180111001443 |
| Provider Name | Nefeli A Moutsoglou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216022 PECOS PAC ID: 4688933948 Enrollment ID: I20180111001499 |
| Provider Name | Erin Ann Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326357963 PECOS PAC ID: 8628366879 Enrollment ID: I20180116001341 |
| Provider Name | Melissa Elisa Maaske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700393121 PECOS PAC ID: 2264791938 Enrollment ID: I20180126000120 |
| Provider Name | Bok Chung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386680353 PECOS PAC ID: 2961479258 Enrollment ID: I20180202001227 |
| Provider Name | Casey Daniel Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679071823 PECOS PAC ID: 7618237645 Enrollment ID: I20180212001419 |
| Provider Name | Anne Kathryn Nagler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568484608 PECOS PAC ID: 1850327214 Enrollment ID: I20180213000802 |
| Provider Name | Shannon Gabriel Griggs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255541223 PECOS PAC ID: 2860642311 Enrollment ID: I20180213002292 |
| Provider Name | Jessica Mae Brabender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285140442 PECOS PAC ID: 2567723927 Enrollment ID: I20180227001191 |
| Provider Name | Nicole K Walkermarquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962917799 PECOS PAC ID: 5496016818 Enrollment ID: I20180228000682 |
| Provider Name | Bradford J Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952628620 PECOS PAC ID: 5799046710 Enrollment ID: I20180307001376 |
| Provider Name | Kristin A Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783908 PECOS PAC ID: 0345566428 Enrollment ID: I20180320000140 |
| Provider Name | Asrar A Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497161202 PECOS PAC ID: 4486873247 Enrollment ID: I20180321001687 |
| Provider Name | Mark Dominic Bertucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376055665 PECOS PAC ID: 8022370485 Enrollment ID: I20180322001919 |
| Provider Name | Rao Watson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386953479 PECOS PAC ID: 2668784349 Enrollment ID: I20180328002734 |
| Provider Name | Jean Marie Thaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851695449 PECOS PAC ID: 0446438105 Enrollment ID: I20180404002927 |
| Provider Name | Stephanie C Manias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134628555 PECOS PAC ID: 2163785478 Enrollment ID: I20180419002854 |
| Provider Name | Anna Theis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235636275 PECOS PAC ID: 4082979901 Enrollment ID: I20180524001622 |
| Provider Name | Kevin H Boegel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669815320 PECOS PAC ID: 7315242435 Enrollment ID: I20180619003651 |
| Provider Name | Elina Lipovskiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538540109 PECOS PAC ID: 2769780683 Enrollment ID: I20180620001600 |
| Provider Name | Jason Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033417571 PECOS PAC ID: 4789843285 Enrollment ID: I20180620003349 |
| Provider Name | Alexandra Rose Graden |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619355625 PECOS PAC ID: 2668785551 Enrollment ID: I20180628000000 |
| Provider Name | Melanie Elizabeth Franke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740342765 PECOS PAC ID: 4981798428 Enrollment ID: I20180630000067 |
| Provider Name | Kelsey E Gelhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235559659 PECOS PAC ID: 3476858804 Enrollment ID: I20180702001587 |
| Provider Name | Thomas Garvey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689093247 PECOS PAC ID: 7618247479 Enrollment ID: I20180703002403 |
| Provider Name | Gail T Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386614709 PECOS PAC ID: 1557487675 Enrollment ID: I20180710002006 |
| Provider Name | Cameron Tyler Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144714551 PECOS PAC ID: 4789930421 Enrollment ID: I20180710003269 |
| Provider Name | Christine Wei Yin Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326425471 PECOS PAC ID: 4981909579 Enrollment ID: I20180713001616 |
| Provider Name | Lindsay Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164917936 PECOS PAC ID: 9234486705 Enrollment ID: I20180716002593 |
| Provider Name | Anthony Frattalone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912101114 PECOS PAC ID: 1052697836 Enrollment ID: I20180718000435 |
| Provider Name | Elizabeth Z Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780926840 PECOS PAC ID: 3072860139 Enrollment ID: I20180719002859 |
| Provider Name | Rena A Shah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750670667 PECOS PAC ID: 4587885603 Enrollment ID: I20180723000248 |
| Provider Name | Elliot Mohr Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639512866 PECOS PAC ID: 0749538304 Enrollment ID: I20180730003395 |
| Provider Name | Ruth Joy Barta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891063590 PECOS PAC ID: 6608172747 Enrollment ID: I20180731001414 |
| Provider Name | Erika M Pritchett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033347612 PECOS PAC ID: 6406161678 Enrollment ID: I20180802000046 |
| Provider Name | John M Billings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235495524 PECOS PAC ID: 6901033935 Enrollment ID: I20180802001067 |
| Provider Name | Laura A Hanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568872547 PECOS PAC ID: 9032414461 Enrollment ID: I20180802001771 |
| Provider Name | Heather Anne Decker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336114529 PECOS PAC ID: 8527033703 Enrollment ID: I20180802001918 |
| Provider Name | Brianna Marie Seawell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316432974 PECOS PAC ID: 9830447903 Enrollment ID: I20180806002186 |
| Provider Name | Rachael Marie Summers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619395571 PECOS PAC ID: 9931422631 Enrollment ID: I20180807003612 |
| Provider Name | Christian W Nagel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457748790 PECOS PAC ID: 1850699521 Enrollment ID: I20180808000191 |
| Provider Name | Kimberly Ann Rehberg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1699118794 PECOS PAC ID: 9739484031 Enrollment ID: I20180809000034 |
| Provider Name | Ellen B Gallagher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710463427 PECOS PAC ID: 2365790110 Enrollment ID: I20180809006177 |
| Provider Name | Dalia M Nashed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689085383 PECOS PAC ID: 2961790464 Enrollment ID: I20180810001598 |
| Provider Name | Lucy Neitzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427438092 PECOS PAC ID: 3577877109 Enrollment ID: I20180810001684 |
| Provider Name | Alyssa A Kerber |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154858579 PECOS PAC ID: 2860765575 Enrollment ID: I20180815001295 |
| Provider Name | Laura E Robitschek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972038172 PECOS PAC ID: 7911264577 Enrollment ID: I20180820000696 |
| Provider Name | Jennifer S Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487189718 PECOS PAC ID: 4880952134 Enrollment ID: I20180828000781 |
| Provider Name | Anne P Watkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609119833 PECOS PAC ID: 8628373891 Enrollment ID: I20180830003254 |
| Provider Name | Emily B O'neil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104246800 PECOS PAC ID: 5991000333 Enrollment ID: I20180831002400 |
| Provider Name | Jayanthi Vijayakumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598025314 PECOS PAC ID: 6103121025 Enrollment ID: I20180831002443 |
| Provider Name | Jennifer B Manning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780061051 PECOS PAC ID: 6002181336 Enrollment ID: I20180904001023 |
| Provider Name | Kelsie M Janney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932688728 PECOS PAC ID: 1951651314 Enrollment ID: I20180905002015 |
| Provider Name | Joy L Sayler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841770732 PECOS PAC ID: 6800146895 Enrollment ID: I20180913000102 |
| Provider Name | Hannah Paruzynski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669952180 PECOS PAC ID: 6507116472 Enrollment ID: I20180914000034 |
| Provider Name | Breeanna Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609252410 PECOS PAC ID: 5799084265 Enrollment ID: I20180915000012 |
| Provider Name | Jason P Havey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528455284 PECOS PAC ID: 4789989948 Enrollment ID: I20180917000759 |
| Provider Name | Molly Axvig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659857290 PECOS PAC ID: 0446501282 Enrollment ID: I20180918003367 |
| Provider Name | Rachel Anne Bartelt Gilbertson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477031813 PECOS PAC ID: 0446501027 Enrollment ID: I20180920001069 |
| Provider Name | Crystal Ebert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134550502 PECOS PAC ID: 6103040480 Enrollment ID: I20180927000021 |
| Provider Name | Katherine A Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104351584 PECOS PAC ID: 1254699598 Enrollment ID: I20180927001848 |
| Provider Name | Hannah R Mork |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083192702 PECOS PAC ID: 3577814656 Enrollment ID: I20180928002421 |
| Provider Name | Kathryn Shahwan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699193714 PECOS PAC ID: 0749597094 Enrollment ID: I20181001000047 |
| Provider Name | Maria T Gonzalez Bolanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609259688 PECOS PAC ID: 0840589073 Enrollment ID: I20181009001604 |
| Provider Name | James H Kong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518145051 PECOS PAC ID: 5799070876 Enrollment ID: I20181009002343 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20181012000040 |
| Provider Name | Owen D Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619263324 PECOS PAC ID: 3476782400 Enrollment ID: I20181017001044 |
| Provider Name | Kimberly D Jacks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689195422 PECOS PAC ID: 6406129337 Enrollment ID: I20181018000363 |
| Provider Name | Shemal M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346627080 PECOS PAC ID: 0941504492 Enrollment ID: I20181018001134 |
| Provider Name | Jeffrey Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780117762 PECOS PAC ID: 0840563359 Enrollment ID: I20181022002287 |
| Provider Name | Sarah R Tupper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861977472 PECOS PAC ID: 5496008310 Enrollment ID: I20181023002044 |
| Provider Name | Julia M Zerka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619452026 PECOS PAC ID: 1850644782 Enrollment ID: I20181023002484 |
| Provider Name | Alma Aurioles Bagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629486337 PECOS PAC ID: 7618194853 Enrollment ID: I20181025001136 |
| Provider Name | Chandler Elise Domian Ommen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437624558 PECOS PAC ID: 4587917711 Enrollment ID: I20181105002429 |
| Provider Name | Navid Khezri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477034411 PECOS PAC ID: 8022362912 Enrollment ID: I20181113000236 |
| Provider Name | Kelsey Brown Helsing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477803641 PECOS PAC ID: 7012261944 Enrollment ID: I20181113001659 |
| Provider Name | Jessica Jarnot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356761639 PECOS PAC ID: 9537464466 Enrollment ID: I20181116000127 |
| Provider Name | Katherine Elizabeth Mazan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548796832 PECOS PAC ID: 5597019117 Enrollment ID: I20181119001557 |
| Provider Name | Jerry L Juhl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043785157 PECOS PAC ID: 1254685696 Enrollment ID: I20181121000639 |
| Provider Name | Natalie Dahlgren |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821429606 PECOS PAC ID: 1153545256 Enrollment ID: I20181203000068 |
| Provider Name | Kelsea Rae Forrester |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760812788 PECOS PAC ID: 5890039796 Enrollment ID: I20181204001633 |
| Provider Name | Mari B Ekblad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144458696 PECOS PAC ID: 3375888050 Enrollment ID: I20181228000077 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Molly J Carlson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932149176 PECOS PAC ID: 4486679453 Enrollment ID: I20190124002202 |
| Provider Name | Samuel Patrick Pf Otis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619452075 PECOS PAC ID: 8325385651 Enrollment ID: I20190124002554 |
| Provider Name | Katrina M Flaskerud |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235601774 PECOS PAC ID: 7911245162 Enrollment ID: I20190213001064 |
| Provider Name | Tarah Pringle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033666342 PECOS PAC ID: 5890033674 Enrollment ID: I20190221001068 |
| Provider Name | Gabriel T Sperl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255697488 PECOS PAC ID: 0042559429 Enrollment ID: I20190301000419 |
| Provider Name | Angela Clerc Tarcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568965200 PECOS PAC ID: 2668737156 Enrollment ID: I20190301001503 |
| Provider Name | Hannah M Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761160 PECOS PAC ID: 9931448842 Enrollment ID: I20190311001479 |
| Provider Name | Jessica Jane Kolb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083029920 PECOS PAC ID: 6709172273 Enrollment ID: I20190408000606 |
| Provider Name | Joshua C Simonson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326231887 PECOS PAC ID: 4688915291 Enrollment ID: I20190409001234 |
| Provider Name | Maria Kelley Kearney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205394004 PECOS PAC ID: 9133460470 Enrollment ID: I20190415000241 |
| Provider Name | Brett David Lackie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457812307 PECOS PAC ID: 9133460496 Enrollment ID: I20190415001241 |
| Provider Name | Taylor Allen Reff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710445366 PECOS PAC ID: 9133460306 Enrollment ID: I20190416002840 |
| Provider Name | Lisa B Howley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760538359 PECOS PAC ID: 8224226535 Enrollment ID: I20190418002444 |
| Provider Name | Abdurkedir Woliyi Geda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780038216 PECOS PAC ID: 0143563981 Enrollment ID: I20190520001625 |
| Provider Name | Jane Allison Bailey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740275841 PECOS PAC ID: 4385537547 Enrollment ID: I20190520003035 |
| Provider Name | Elizabeth Ann Anderson Crow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255344511 PECOS PAC ID: 4284538760 Enrollment ID: I20190603001188 |
| Provider Name | Sharon L Zehender |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558597021 PECOS PAC ID: 2264571538 Enrollment ID: I20190604000066 |
| Provider Name | John M Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821121088 PECOS PAC ID: 6800988700 Enrollment ID: I20190619001148 |
| Provider Name | Brendan M O'shea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396972584 PECOS PAC ID: 4385888130 Enrollment ID: I20190621001041 |
| Provider Name | Nissar Vahora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407299423 PECOS PAC ID: 4183864168 Enrollment ID: I20190626001823 |
| Provider Name | Mary Ling Mok Moreno |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699180893 PECOS PAC ID: 1456641372 Enrollment ID: I20190627001131 |
| Provider Name | Mollie Naughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932764313 PECOS PAC ID: 7719211499 Enrollment ID: I20190701000165 |
| Provider Name | Ali R Samikoglu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295121275 PECOS PAC ID: 5698073401 Enrollment ID: I20190711000915 |
| Provider Name | Dau-shen Ju |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205959962 PECOS PAC ID: 2961737044 Enrollment ID: I20190711001461 |
| Provider Name | Lucas D D Richer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649831363 PECOS PAC ID: 2264767201 Enrollment ID: I20190712000049 |
| Provider Name | Aaron Nissen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699332585 PECOS PAC ID: 6002141058 Enrollment ID: I20190712000775 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Kaitlyn Stimson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649753781 PECOS PAC ID: 3072848704 Enrollment ID: I20190717001425 |
| Provider Name | Benjamin M Wahlquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861053944 PECOS PAC ID: 7719212463 Enrollment ID: I20190717002155 |
| Provider Name | Eva K Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356769467 PECOS PAC ID: 2567733975 Enrollment ID: I20190723001714 |
| Provider Name | John P Conely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346634441 PECOS PAC ID: 0749595841 Enrollment ID: I20190724003844 |
| Provider Name | John Charles Zeyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558604926 PECOS PAC ID: 6406159474 Enrollment ID: I20190730001402 |
| Provider Name | Blake Noennig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699192997 PECOS PAC ID: 0941428858 Enrollment ID: I20190730004430 |
| Provider Name | Anne E Schendel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750736906 PECOS PAC ID: 9234465139 Enrollment ID: I20190731000081 |
| Provider Name | William Henry Wilson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1801239892 PECOS PAC ID: 4880823152 Enrollment ID: I20190731000508 |
| Provider Name | Ahmad R Hatem Al Samaraee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593173 PECOS PAC ID: 7810292828 Enrollment ID: I20190801000035 |
| Provider Name | John Tyler Steubs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679960595 PECOS PAC ID: 9537450325 Enrollment ID: I20190801000324 |
| Provider Name | Phillip M Radke |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407112881 PECOS PAC ID: 7416253679 Enrollment ID: I20190801000511 |
| Provider Name | Michael Benjamin Blazar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962845172 PECOS PAC ID: 8224380316 Enrollment ID: I20190801003496 |
| Provider Name | Stephen Lewellis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891152641 PECOS PAC ID: 1658608112 Enrollment ID: I20190807001867 |
| Provider Name | Melissa A Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952960841 PECOS PAC ID: 2961739313 Enrollment ID: I20190808001491 |
| Provider Name | Nicole Morrissey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053971630 PECOS PAC ID: 4587991740 Enrollment ID: I20190809002254 |
| Provider Name | Ronald Conklin Stimson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780237594 PECOS PAC ID: 1456688647 Enrollment ID: I20190812000084 |
| Provider Name | Sabrina Nicole Fink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851959183 PECOS PAC ID: 1254668080 Enrollment ID: I20190815003555 |
| Provider Name | Daniel S Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164874574 PECOS PAC ID: 6305131947 Enrollment ID: I20190821004826 |
| Provider Name | Kimberly A Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225304405 PECOS PAC ID: 4789828336 Enrollment ID: I20190822001515 |
| Provider Name | Oluwaseun O Acquah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295189678 PECOS PAC ID: 2466780887 Enrollment ID: I20190823000066 |
| Provider Name | Victoria A Rohman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184044802 PECOS PAC ID: 0042514507 Enrollment ID: I20190826002052 |
| Provider Name | Chelsey Arlene Sand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407200892 PECOS PAC ID: 6800124090 Enrollment ID: I20190827000065 |
| Provider Name | Adam Souhail Aldahan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609304617 PECOS PAC ID: 0244500791 Enrollment ID: I20190827002445 |
| Provider Name | Julia D Coffey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790170488 PECOS PAC ID: 7517267982 Enrollment ID: I20190829003897 |
| Provider Name | Andrew J Henn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275972341 PECOS PAC ID: 2062741903 Enrollment ID: I20190903000794 |
| Provider Name | Jacob Alan Wessels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508243866 PECOS PAC ID: 0345519708 Enrollment ID: I20190903002222 |
| Provider Name | Rachel Elizabeth Martonik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366099103 PECOS PAC ID: 8224367065 Enrollment ID: I20190904001974 |
| Provider Name | Gabrielle R Meyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1710305198 PECOS PAC ID: 4486959228 Enrollment ID: I20190905001216 |
| Provider Name | Carol G Philippe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386025567 PECOS PAC ID: 8325304280 Enrollment ID: I20190905002489 |
| Provider Name | Katie M Haferman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306145081 PECOS PAC ID: 9739418245 Enrollment ID: I20190909003473 |
| Provider Name | Mckayla Schmitt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144617366 PECOS PAC ID: 5698025450 Enrollment ID: I20190910001119 |
| Provider Name | Meredith Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578907820 PECOS PAC ID: 4486926771 Enrollment ID: I20190912002383 |
| Provider Name | Madison B Peitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134777550 PECOS PAC ID: 1658600804 Enrollment ID: I20190912002423 |
| Provider Name | Linsey M Utzinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720397300 PECOS PAC ID: 7214220839 Enrollment ID: I20190918003210 |
| Provider Name | James D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750878948 PECOS PAC ID: 5496005316 Enrollment ID: I20190923001469 |
| Provider Name | Elizabeth Ojukwu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295182772 PECOS PAC ID: 0941550651 Enrollment ID: I20190926000438 |
| Provider Name | Jonathon D Sikorski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184005613 PECOS PAC ID: 7911237110 Enrollment ID: I20191002000926 |
| Provider Name | Tsige Gebreslasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992230072 PECOS PAC ID: 9638400732 Enrollment ID: I20191003001362 |
| Provider Name | Michael Patrick Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912552076 PECOS PAC ID: 0143551283 Enrollment ID: I20191003003526 |
| Provider Name | Laura Jean Padhye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104323781 PECOS PAC ID: 8527315118 Enrollment ID: I20191010000542 |
| Provider Name | Kristin Elaine Totoraitis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376076075 PECOS PAC ID: 9537417563 Enrollment ID: I20191014001403 |
| Provider Name | Claudia Baumann |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689917064 PECOS PAC ID: 2365773850 Enrollment ID: I20191015001231 |
| Provider Name | Jaime L Loso |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619364494 PECOS PAC ID: 2668767054 Enrollment ID: I20191016002154 |
| Provider Name | Sakeena Futrell-carter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982037313 PECOS PAC ID: 8921235391 Enrollment ID: I20191016003647 |
| Provider Name | Vanessa Wankhede Langenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720441900 PECOS PAC ID: 3274826607 Enrollment ID: I20191017001043 |
| Provider Name | Kristen Engstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164074787 PECOS PAC ID: 1557693314 Enrollment ID: I20191028001845 |
| Provider Name | Terry L Poe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184738254 PECOS PAC ID: 5597677112 Enrollment ID: I20191111000740 |
| Provider Name | Tasha B Hale |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972970226 PECOS PAC ID: 7315379484 Enrollment ID: I20191111001238 |
| Provider Name | Anna Venn Carlson Ellason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356634224 PECOS PAC ID: 1951559962 Enrollment ID: I20191112002494 |
| Provider Name | Annika Rae Hudson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679125959 PECOS PAC ID: 7113359001 Enrollment ID: I20191114001350 |
| Provider Name | Westley Shigeo Mori |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487181285 PECOS PAC ID: 7618247271 Enrollment ID: I20191121000293 |
| Provider Name | Sarah Ann Elizabeth Novotny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518279397 PECOS PAC ID: 4789017120 Enrollment ID: I20191126000386 |
| Provider Name | Kristina Johanna Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044984 PECOS PAC ID: 8527491851 Enrollment ID: I20191127001209 |
| Provider Name | Tamara Mukete |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013575034 PECOS PAC ID: 3779819685 Enrollment ID: I20191217002003 |
| Provider Name | Brian A Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831394402 PECOS PAC ID: 6002076825 Enrollment ID: I20191231000965 |
| Provider Name | Turang E Behbahani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972846343 PECOS PAC ID: 3173856572 Enrollment ID: I20200102001708 |
| Provider Name | Hannah Weaver |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538707484 PECOS PAC ID: 4082048749 Enrollment ID: I20200106001294 |
| Provider Name | Robert Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Kaylee Nadine Frederickson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639717986 PECOS PAC ID: 1254766561 Enrollment ID: I20200115000166 |
| Provider Name | Whitney Lea Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134404908 PECOS PAC ID: 2062659345 Enrollment ID: I20200121002324 |
| Provider Name | Melissa Jean Neiert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386280030 PECOS PAC ID: 9436584273 Enrollment ID: I20200124000227 |
| Provider Name | Patrice Danielle Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295374171 PECOS PAC ID: 4789010489 Enrollment ID: I20200128001764 |
| Provider Name | Karen Gallagher Winker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558907204 PECOS PAC ID: 1951737014 Enrollment ID: I20200207002513 |
| Provider Name | Samantha Marie Slinger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003440371 PECOS PAC ID: 2668800251 Enrollment ID: I20200313000826 |
| Provider Name | Paige Rygg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952938821 PECOS PAC ID: 4284063074 Enrollment ID: I20200330002343 |
| Provider Name | Allison Marie White |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437797917 PECOS PAC ID: 4284063983 Enrollment ID: I20200401000231 |
| Provider Name | Brittney M Joachim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517669 PECOS PAC ID: 6507295235 Enrollment ID: I20200401001532 |
| Provider Name | Melissa Ann Hegland-smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568540409 PECOS PAC ID: 7719317023 Enrollment ID: I20200428000248 |
| Provider Name | Manoj Anthony Doss |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1487049599 PECOS PAC ID: 9638483282 Enrollment ID: I20200430001241 |
| Provider Name | Marie A Diaz Varona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720611148 PECOS PAC ID: 0244661122 Enrollment ID: I20200508001082 |
| Provider Name | William E Gibson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811250095 PECOS PAC ID: 1658674031 Enrollment ID: I20200508001105 |
| Provider Name | Marsha M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407481591 PECOS PAC ID: 2163664186 Enrollment ID: I20200508002703 |
| Provider Name | Alissa Deardorff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528693785 PECOS PAC ID: 4082045745 Enrollment ID: I20200513000027 |
| Provider Name | Aimee Violette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578026738 PECOS PAC ID: 3173859881 Enrollment ID: I20200601001107 |
| Provider Name | Abigail E Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003342130 PECOS PAC ID: 6800151879 Enrollment ID: I20200609002306 |
| Provider Name | Christian Phillips |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518329150 PECOS PAC ID: 7113214602 Enrollment ID: I20200623000870 |
| Provider Name | Nicholas G Matthees |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891105482 PECOS PAC ID: 5193028397 Enrollment ID: I20200625002562 |
| Provider Name | Lindsay Nicole Page |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770106635 PECOS PAC ID: 4688097892 Enrollment ID: I20200707001592 |
| Provider Name | Yelena S Mironova-chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336598812 PECOS PAC ID: 4082907209 Enrollment ID: I20200716000531 |
| Provider Name | Naoko Onizuka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336672930 PECOS PAC ID: 8921363888 Enrollment ID: I20200720000096 |
| Provider Name | Karl Stuart Tjerandsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487077566 PECOS PAC ID: 2466717475 Enrollment ID: I20200721001287 |
| Provider Name | Christopher Reiff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871911768 PECOS PAC ID: 6305140542 Enrollment ID: I20200721003015 |
| Provider Name | William Warmka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861978439 PECOS PAC ID: 6901220854 Enrollment ID: I20200723003745 |
| Provider Name | Jennifer F Jue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013204882 PECOS PAC ID: 1658681655 Enrollment ID: I20200724002317 |
| Provider Name | Adam Morgan Johannsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861802019 PECOS PAC ID: 8224452917 Enrollment ID: I20200728002832 |
| Provider Name | Armin Brian Jewell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669851572 PECOS PAC ID: 5698003358 Enrollment ID: I20200729002670 |
| Provider Name | Naeem Moulki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538573969 PECOS PAC ID: 4082910641 Enrollment ID: I20200814000780 |
| Provider Name | Jessica S.k. Lien |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568825495 PECOS PAC ID: 2264724731 Enrollment ID: I20200817000687 |
| Provider Name | Jacob V Sander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003438797 PECOS PAC ID: 8426475179 Enrollment ID: I20200826003708 |
| Provider Name | Brynne Latterell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841722469 PECOS PAC ID: 5597036889 Enrollment ID: I20200914000580 |
| Provider Name | Alaa Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366974933 PECOS PAC ID: 8224308820 Enrollment ID: I20200914002412 |
| Provider Name | Adrianne Shoshana Chessidy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679000426 PECOS PAC ID: 4688092083 Enrollment ID: I20200917000300 |
| Provider Name | Eric M Rohman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942620687 PECOS PAC ID: 7911203369 Enrollment ID: I20200918000011 |
| Provider Name | Katherine H Baillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205368933 PECOS PAC ID: 2769716166 Enrollment ID: I20200918000139 |
| Provider Name | Gabrielle Thottam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649652827 PECOS PAC ID: 0941628226 Enrollment ID: I20200918000452 |
| Provider Name | Jennifer Renee Signor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972036531 PECOS PAC ID: 3072931351 Enrollment ID: I20200918000651 |
| Provider Name | Grant William Mathison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629482708 PECOS PAC ID: 0648496257 Enrollment ID: I20200921001338 |
| Provider Name | Mouaffaa Tello |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831622489 PECOS PAC ID: 3375889181 Enrollment ID: I20200930001602 |
| Provider Name | Katelyn A Neufeld |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023626256 PECOS PAC ID: 2769801968 Enrollment ID: I20201007000444 |
| Provider Name | Jennifer Anne Day |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225443419 PECOS PAC ID: 4981932050 Enrollment ID: I20201007002443 |
| Provider Name | Emily Elizabeth Morimoto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316552383 PECOS PAC ID: 8426478421 Enrollment ID: I20201013001689 |
| Provider Name | Bjorn Bakken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174939706 PECOS PAC ID: 8729373410 Enrollment ID: I20201029001960 |
| Provider Name | Nicole Liv Youngberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841899341 PECOS PAC ID: 2264842871 Enrollment ID: I20201111001207 |
| Provider Name | Caroline Minkus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376953323 PECOS PAC ID: 2961707518 Enrollment ID: I20201113001930 |
| Provider Name | Joshua P Degallier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083111538 PECOS PAC ID: 8224389093 Enrollment ID: I20201121000208 |
| Provider Name | Tanya Kohnen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013401249 PECOS PAC ID: 2365853231 Enrollment ID: I20201125000107 |
| Provider Name | Neha Sakowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336680503 PECOS PAC ID: 2062752801 Enrollment ID: I20201130000113 |
| Provider Name | Lauren E Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912439985 PECOS PAC ID: 5890067631 Enrollment ID: I20201208001492 |
| Provider Name | Venus L Burney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942649173 PECOS PAC ID: 1254743651 Enrollment ID: I20201208002897 |
| Provider Name | Nina Moreira |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326207572 PECOS PAC ID: 9537314349 Enrollment ID: I20201211000022 |
| Provider Name | Amanda Holmes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811524226 PECOS PAC ID: 9830502095 Enrollment ID: I20210107000096 |
| Provider Name | Margaret Candler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033657689 PECOS PAC ID: 7416360151 Enrollment ID: I20210119001890 |
| Provider Name | Stephanie Zimmerman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336777267 PECOS PAC ID: 7618381062 Enrollment ID: I20210127000756 |
| Provider Name | Erin Peters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306476189 PECOS PAC ID: 2769810688 Enrollment ID: I20210128002617 |
| Provider Name | Alexandria Taylor Sievert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609466408 PECOS PAC ID: 7517371339 Enrollment ID: I20210205001021 |
| Provider Name | Jessica Kathleen Wetzel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497356992 PECOS PAC ID: 9032523899 Enrollment ID: I20210208000101 |
| Provider Name | Christopher Jc Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598185027 PECOS PAC ID: 9234435496 Enrollment ID: I20210208000815 |
| Provider Name | Stefanie Joy Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669983839 PECOS PAC ID: 8527394790 Enrollment ID: I20210208002834 |
| Provider Name | Lucas Kuzj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639632441 PECOS PAC ID: 9234464017 Enrollment ID: I20210222000750 |
| Provider Name | Steven J. Holladay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154911949 PECOS PAC ID: 4183039308 Enrollment ID: I20210222002660 |
| Provider Name | Lina M Rodriguez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588955454 PECOS PAC ID: 6406106848 Enrollment ID: I20210223001873 |
| Provider Name | Leslie Ellis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568889418 PECOS PAC ID: 3577807304 Enrollment ID: I20210223002257 |
| Provider Name | Taiya Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558968172 PECOS PAC ID: 5698181204 Enrollment ID: I20210305001703 |
| Provider Name | Lindsay Behl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841605003 PECOS PAC ID: 6103042858 Enrollment ID: I20210318002304 |
| Provider Name | Elaina F Railey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689292369 PECOS PAC ID: 9032526918 Enrollment ID: I20210319000876 |
| Provider Name | Anthony Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851731061 PECOS PAC ID: 4880981844 Enrollment ID: I20210323002157 |
| Provider Name | Allison M Sheldon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417506411 PECOS PAC ID: 9032526595 Enrollment ID: I20210329002210 |
| Provider Name | Bruce Olmscheid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356632590 PECOS PAC ID: 8022268507 Enrollment ID: I20210416001496 |
| Provider Name | Hailey Hegland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568848968 PECOS PAC ID: 4587953989 Enrollment ID: I20210420002266 |
| Provider Name | Ashley R Forstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639732837 PECOS PAC ID: 6800127721 Enrollment ID: I20210427001008 |
| Provider Name | Lindsey Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033746615 PECOS PAC ID: 8921417148 Enrollment ID: I20210429000438 |
| Provider Name | Shannon K Krizka |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346522539 PECOS PAC ID: 2365851904 Enrollment ID: I20210511001402 |
| Provider Name | Mitchell Carney Wilkinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457551467 PECOS PAC ID: 3274711486 Enrollment ID: I20210520001034 |
| Provider Name | Joshua Jiakun Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649665795 PECOS PAC ID: 8729395934 Enrollment ID: I20210520002394 |
| Provider Name | Thomas Baron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750744462 PECOS PAC ID: 1557653508 Enrollment ID: I20210520002988 |
| Provider Name | Joy Marie Fairbanks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295970259 PECOS PAC ID: 2769881481 Enrollment ID: I20210601001192 |
| Provider Name | Colin Ziegenbein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427567536 PECOS PAC ID: 1658614664 Enrollment ID: I20210603001933 |
| Provider Name | Lisa Ann Knapek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457926628 PECOS PAC ID: 2466852884 Enrollment ID: I20210607001467 |
| Provider Name | Madeline R Cross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821539024 PECOS PAC ID: 8022389246 Enrollment ID: I20210608002645 |
| Provider Name | Michael D Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265013551 PECOS PAC ID: 9638579170 Enrollment ID: I20210621001552 |
| Provider Name | Ardiana Vuljaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972092492 PECOS PAC ID: 7012268162 Enrollment ID: I20210621002720 |
| Provider Name | Kate Lager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932774593 PECOS PAC ID: 1052712551 Enrollment ID: I20210622000608 |
| Provider Name | Justin Charles Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265006712 PECOS PAC ID: 6709287014 Enrollment ID: I20210624000601 |
| Provider Name | Deirdre Michelle Moes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427289099 PECOS PAC ID: 7416358635 Enrollment ID: I20210625001044 |
| Provider Name | Neeraj Sathnur |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427391929 PECOS PAC ID: 2860893831 Enrollment ID: I20210628003095 |
| Provider Name | Ryan Weiler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093229098 PECOS PAC ID: 5799186532 Enrollment ID: I20210630001557 |
| Provider Name | Bradley Basco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073181483 PECOS PAC ID: 7012318850 Enrollment ID: I20210630001696 |
| Provider Name | Amanda J Schroeder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275996423 PECOS PAC ID: 7113211566 Enrollment ID: I20210630003297 |
| Provider Name | Samir Ashwin Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407386881 PECOS PAC ID: 1456620848 Enrollment ID: I20210713001840 |
| Provider Name | Jacqueline Cleereman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750988481 PECOS PAC ID: 6002226370 Enrollment ID: I20210714003285 |
| Provider Name | Brenton Schneider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982066106 PECOS PAC ID: 8729373212 Enrollment ID: I20210720003860 |
| Provider Name | Brian Redemske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912574856 PECOS PAC ID: 0749683225 Enrollment ID: I20210721001407 |
| Provider Name | Binh C Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306429857 PECOS PAC ID: 5890198303 Enrollment ID: I20210721002631 |
| Provider Name | Molly Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891366951 PECOS PAC ID: 5294138699 Enrollment ID: I20210722002234 |
| Provider Name | Nicholas Parkhurst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215508031 PECOS PAC ID: 9133522444 Enrollment ID: I20210723002738 |
| Provider Name | Madilyn Nicole Guith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821660200 PECOS PAC ID: 1759784093 Enrollment ID: I20210726000523 |
| Provider Name | Erica Ting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497280101 PECOS PAC ID: 0446527378 Enrollment ID: I20210726002799 |
| Provider Name | Thomas Logan Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083215008 PECOS PAC ID: 6800299736 Enrollment ID: I20210729000706 |
| Provider Name | Alissa Evenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851753388 PECOS PAC ID: 7214229210 Enrollment ID: I20210729003122 |
| Provider Name | Andrea Lyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225526858 PECOS PAC ID: 9234466905 Enrollment ID: I20210802000177 |
| Provider Name | Sneh N. Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528355591 PECOS PAC ID: 8022238013 Enrollment ID: I20210802003483 |
| Provider Name | Glen C Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467814467 PECOS PAC ID: 4880986884 Enrollment ID: I20210803003763 |
| Provider Name | Haley Kristene Denhartog |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437729001 PECOS PAC ID: 4688078017 Enrollment ID: I20210807000241 |
| Provider Name | Anna Wethington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376048702 PECOS PAC ID: 0749536332 Enrollment ID: I20210810000569 |
| Provider Name | Daniel Sveom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568845311 PECOS PAC ID: 1951610088 Enrollment ID: I20210810001384 |
| Provider Name | Denis Folan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255863684 PECOS PAC ID: 8527306638 Enrollment ID: I20210810002882 |
| Provider Name | Kaitlyn Rose Pscodna |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013587344 PECOS PAC ID: 9436553542 Enrollment ID: I20210811004179 |
| Provider Name | David Patrick Rakoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093166787 PECOS PAC ID: 7214220193 Enrollment ID: I20210811004205 |
| Provider Name | Eseferuo O Famati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396348371 PECOS PAC ID: 8325442395 Enrollment ID: I20210812003108 |
| Provider Name | Colleen Marie Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121776 PECOS PAC ID: 3870997737 Enrollment ID: I20210814000031 |
| Provider Name | Eileen Eggenberger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225416001 PECOS PAC ID: 7810291630 Enrollment ID: I20210816000708 |
| Provider Name | Eric M Nelsen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801117528 PECOS PAC ID: 7911170410 Enrollment ID: I20210816000879 |
| Provider Name | Margaret J Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093202012 PECOS PAC ID: 0345573846 Enrollment ID: I20210816000956 |
| Provider Name | Omar Dajani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639564446 PECOS PAC ID: 5698081149 Enrollment ID: I20210817002887 |
| Provider Name | Mallory Ann Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871160937 PECOS PAC ID: 8224433859 Enrollment ID: I20210819003850 |
| Provider Name | Heather Boeser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154969020 PECOS PAC ID: 7911302302 Enrollment ID: I20210824000217 |
| Provider Name | Francesca Schirber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841964244 PECOS PAC ID: 6305241514 Enrollment ID: I20210826001972 |
| Provider Name | Karen Lane Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114196672 PECOS PAC ID: 2860570850 Enrollment ID: I20210827001307 |
| Provider Name | Sarah C Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811484785 PECOS PAC ID: 7214288679 Enrollment ID: I20210831000294 |
| Provider Name | Ann Marie Miller |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184296519 PECOS PAC ID: 1052717493 Enrollment ID: I20210909002049 |
| Provider Name | Savannah Safar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073190591 PECOS PAC ID: 5496163057 Enrollment ID: I20210911000179 |
| Provider Name | Noah Richard Kottke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689341588 PECOS PAC ID: 0446656714 Enrollment ID: I20210913000493 |
| Provider Name | Emily Ann Cramer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780352492 PECOS PAC ID: 3678979820 Enrollment ID: I20210914000520 |
| Provider Name | Jenna Grace Mangle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437722451 PECOS PAC ID: 4183020373 Enrollment ID: I20210914002124 |
| Provider Name | Muna N Abdi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174807614 PECOS PAC ID: 1658778436 Enrollment ID: I20210921002494 |
| Provider Name | Kinsey A Cornick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306339502 PECOS PAC ID: 4082963681 Enrollment ID: I20210921004000 |
| Provider Name | Korina Klaysmat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548939747 PECOS PAC ID: 3779980420 Enrollment ID: I20210922001434 |
| Provider Name | William H Ladner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992238471 PECOS PAC ID: 5193078590 Enrollment ID: I20210922003410 |
| Provider Name | Brennan Patrick Swan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477128239 PECOS PAC ID: 4587061213 Enrollment ID: I20210923001026 |
| Provider Name | Erica Anne Svoboda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841874575 PECOS PAC ID: 0547667115 Enrollment ID: I20210923003005 |
| Provider Name | Benjamin R Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790162220 PECOS PAC ID: 2769789718 Enrollment ID: I20210924000853 |
| Provider Name | Nicole E Noyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033608211 PECOS PAC ID: 8729311212 Enrollment ID: I20210924001117 |
| Provider Name | Nicholas Henry Thell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467028845 PECOS PAC ID: 4183022650 Enrollment ID: I20211013003288 |
| Provider Name | Ellen Grace Bruesch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730789629 PECOS PAC ID: 6002204062 Enrollment ID: I20211023000221 |
| Provider Name | Elijah Luken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568134492 PECOS PAC ID: 9133517899 Enrollment ID: I20211028002919 |
| Provider Name | Anna Pedersen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740881283 PECOS PAC ID: 9436565462 Enrollment ID: I20211029000026 |
| Provider Name | Jeffrey R Frankiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184981391 PECOS PAC ID: 5799094918 Enrollment ID: I20211104000485 |
| Provider Name | Tess L Michielutti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477086288 PECOS PAC ID: 5496022501 Enrollment ID: I20211105001253 |
| Provider Name | Shereen Sorensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043800022 PECOS PAC ID: 9133518517 Enrollment ID: I20211105002524 |
| Provider Name | Teresa Patani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689838831 PECOS PAC ID: 8325230105 Enrollment ID: I20211109000117 |
| Provider Name | Anna L Melnichuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013591411 PECOS PAC ID: 8325437445 Enrollment ID: I20211111001084 |
| Provider Name | Brittany Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063175941 PECOS PAC ID: 0244629145 Enrollment ID: I20211116000033 |
| Provider Name | Mohammed Arif Ibrahim |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255785465 PECOS PAC ID: 5193114841 Enrollment ID: I20211118000055 |
| Provider Name | Deb K Mojumder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396023818 PECOS PAC ID: 4183928849 Enrollment ID: I20211204000157 |
| Provider Name | Samantha A Janssen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437727690 PECOS PAC ID: 5698165678 Enrollment ID: I20211206002614 |
| Provider Name | Michael A Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Naga Rumicho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033592472 PECOS PAC ID: 7810388022 Enrollment ID: I20211223000935 |
| Provider Name | Karli Dahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386194652 PECOS PAC ID: 1557753373 Enrollment ID: I20220127001773 |
| Provider Name | Jesse Lyn Moonen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306500939 PECOS PAC ID: 0345633756 Enrollment ID: I20220208001056 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20220222002584 |
| Provider Name | Allison Jenness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518463629 PECOS PAC ID: 0143577270 Enrollment ID: I20220224003003 |
| Provider Name | Ashley Y Blaine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174291504 PECOS PAC ID: 6406240035 Enrollment ID: I20220224003043 |
| Provider Name | Andrea Joy Kuenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780341644 PECOS PAC ID: 1456745892 Enrollment ID: I20220228002255 |
| Provider Name | John D Millet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922444355 PECOS PAC ID: 3375845472 Enrollment ID: I20220307002551 |
| Provider Name | Resley Okioma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083285621 PECOS PAC ID: 9830584382 Enrollment ID: I20220318001330 |
| Provider Name | Allisen Deville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093386690 PECOS PAC ID: 8820483977 Enrollment ID: I20220328001214 |
| Provider Name | Aaron Buzard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487036158 PECOS PAC ID: 1254689631 Enrollment ID: I20220328001298 |
| Provider Name | Gerome V Escota |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235385394 PECOS PAC ID: 0749423713 Enrollment ID: I20220404002350 |
| Provider Name | Sabrina Zionts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427617463 PECOS PAC ID: 7719216340 Enrollment ID: I20220405001091 |
| Provider Name | Brett R Becker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073261145 PECOS PAC ID: 0547656001 Enrollment ID: I20220408001747 |
| Provider Name | Ryan B O'malley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174729131 PECOS PAC ID: 3870759707 Enrollment ID: I20220409000409 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | Ashley D Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912392184 PECOS PAC ID: 0648604470 Enrollment ID: I20220425001105 |
| Provider Name | Melanie A Siefman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912384165 PECOS PAC ID: 5890041073 Enrollment ID: I20220425002793 |
| Provider Name | Nathan Carr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316586993 PECOS PAC ID: 3072900729 Enrollment ID: I20220427000755 |
| Provider Name | Kelash Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499542 PECOS PAC ID: 2466739560 Enrollment ID: I20220510001986 |
| Provider Name | April Marie Hollahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417606385 PECOS PAC ID: 8921485855 Enrollment ID: I20220516001878 |
| Provider Name | Brooke A Dugdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184115495 PECOS PAC ID: 6406103886 Enrollment ID: I20220517001369 |
| Provider Name | Kelsey Lien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699395707 PECOS PAC ID: 2466877477 Enrollment ID: I20220523000086 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20220601003005 |
| Provider Name | Casey Louise White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134866114 PECOS PAC ID: 4284012394 Enrollment ID: I20220601003056 |
| Provider Name | Naima Ali Yahya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154063485 PECOS PAC ID: 7214315225 Enrollment ID: I20220603000620 |
| Provider Name | Nicholas R Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083177638 PECOS PAC ID: 9032446117 Enrollment ID: I20220606001766 |
| Provider Name | Amy Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114304839 PECOS PAC ID: 9032412317 Enrollment ID: I20220607002914 |
| Provider Name | Bethany Anne Wenger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568703270 PECOS PAC ID: 0446497473 Enrollment ID: I20220608002629 |
| Provider Name | Robert Talbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700172905 PECOS PAC ID: 3274762422 Enrollment ID: I20220609002655 |
| Provider Name | Patrick Hackler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205282746 PECOS PAC ID: 0345531091 Enrollment ID: I20220610001459 |
| Provider Name | Sean K Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609052000 PECOS PAC ID: 7416088489 Enrollment ID: I20220610001786 |
| Provider Name | Ashley C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770938607 PECOS PAC ID: 6305242959 Enrollment ID: I20220610002027 |
| Provider Name | Dennis Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20220613001256 |
| Provider Name | Benjamin James Albert Wehner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457912461 PECOS PAC ID: 4981083417 Enrollment ID: I20220614000757 |
| Provider Name | Daniel P Vanderhoef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013470863 PECOS PAC ID: 8123355203 Enrollment ID: I20220614003331 |
| Provider Name | Farah Yusuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306280631 PECOS PAC ID: 9537440177 Enrollment ID: I20220621001705 |
| Provider Name | Ornina Bachour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073046298 PECOS PAC ID: 2163773011 Enrollment ID: I20220621002836 |
| Provider Name | Lauren Kathleen Herland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710626767 PECOS PAC ID: 0345629200 Enrollment ID: I20220623000590 |
| Provider Name | Christine Frances Lager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689312803 PECOS PAC ID: 0143609008 Enrollment ID: I20220623000670 |
| Provider Name | Jennifer Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942654983 PECOS PAC ID: 3870885254 Enrollment ID: I20220630000947 |
| Provider Name | Kristy Maas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174268338 PECOS PAC ID: 1355721812 Enrollment ID: I20220630002266 |
| Provider Name | Bilal Alturkmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649627621 PECOS PAC ID: 2264723105 Enrollment ID: I20220705001248 |
| Provider Name | Devon Hutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518379080 PECOS PAC ID: 4284933581 Enrollment ID: I20220714000732 |
| Provider Name | Rachel Lisbeth Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386383826 PECOS PAC ID: 7810378155 Enrollment ID: I20220719000961 |
| Provider Name | Katie Lynn Andrinas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003311978 PECOS PAC ID: 2062893134 Enrollment ID: I20220720002841 |
| Provider Name | Sasha Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447811203 PECOS PAC ID: 9335474378 Enrollment ID: I20220721000651 |
| Provider Name | Luke D Lundeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295267953 PECOS PAC ID: 6507137866 Enrollment ID: I20220721000907 |
| Provider Name | Isaac Rolstad Wieber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013648526 PECOS PAC ID: 2769863786 Enrollment ID: I20220721001238 |
| Provider Name | Stephy Ann Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245735828 PECOS PAC ID: 9234476532 Enrollment ID: I20220721002344 |
| Provider Name | Tiffany Anne Etterman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023507464 PECOS PAC ID: 7618232414 Enrollment ID: I20220725000076 |
| Provider Name | Madeline Mosher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225768161 PECOS PAC ID: 7517349228 Enrollment ID: I20220727003320 |
| Provider Name | Benjamin D Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619324043 PECOS PAC ID: 2264726397 Enrollment ID: I20220802001611 |
| Provider Name | Mark D Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Joseph Noack |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871025270 PECOS PAC ID: 3274935895 Enrollment ID: I20220815002516 |
| Provider Name | Emily Hyypio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457830713 PECOS PAC ID: 2163805649 Enrollment ID: I20220816002048 |
| Provider Name | Corinne J Solheid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700380284 PECOS PAC ID: 0547500449 Enrollment ID: I20220825000460 |
| Provider Name | Adam P Sweeney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407149768 PECOS PAC ID: 3577832062 Enrollment ID: I20220825000597 |
| Provider Name | Raheel Kapadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659936557 PECOS PAC ID: 8325422389 Enrollment ID: I20220825001603 |
| Provider Name | Brian Tomich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437514890 PECOS PAC ID: 8628364981 Enrollment ID: I20220825001835 |
| Provider Name | Jill H Olson Moser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912632274 PECOS PAC ID: 8628452398 Enrollment ID: I20220829003526 |
| Provider Name | Jeffrey Nathan Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285959213 PECOS PAC ID: 7214174101 Enrollment ID: I20220902000580 |
| Provider Name | Madison K Hemming |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972238145 PECOS PAC ID: 7012391378 Enrollment ID: I20220906000819 |
| Provider Name | Amalya Lewin-larin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457013955 PECOS PAC ID: 9638553761 Enrollment ID: I20220908001536 |
| Provider Name | Elizabeth Ann Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932828480 PECOS PAC ID: 7810371903 Enrollment ID: I20220909000462 |
| Provider Name | Elizabeth C Lepage |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831508811 PECOS PAC ID: 9830574847 Enrollment ID: I20220912001971 |
| Provider Name | Erin Michelle Miers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760993703 PECOS PAC ID: 9537426986 Enrollment ID: I20220913002698 |
| Provider Name | Molly K Ostroot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588169346 PECOS PAC ID: 9234564923 Enrollment ID: I20220914000994 |
| Provider Name | Lily Ann Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295296994 PECOS PAC ID: 2668857525 Enrollment ID: I20220914001192 |
| Provider Name | Ellen C Thompson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730692567 PECOS PAC ID: 1951643188 Enrollment ID: I20220914001421 |
| Provider Name | Jennifer Marie Janssen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932605409 PECOS PAC ID: 3971852526 Enrollment ID: I20220914002442 |
| Provider Name | Katherine E Schreck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184187882 PECOS PAC ID: 2567896525 Enrollment ID: I20220914002772 |
| Provider Name | Alexandra A Belzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952034050 PECOS PAC ID: 6305221102 Enrollment ID: I20220914003734 |
| Provider Name | Kira Novakofski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750879037 PECOS PAC ID: 4981952355 Enrollment ID: I20220914003739 |
| Provider Name | Molly Kreutter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184350092 PECOS PAC ID: 0547645913 Enrollment ID: I20220921001668 |
| Provider Name | Samantha Lindsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881315174 PECOS PAC ID: 7719362011 Enrollment ID: I20220922003787 |
| Provider Name | Cory T Lymburner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679136428 PECOS PAC ID: 0244564540 Enrollment ID: I20220926000482 |
| Provider Name | Diana Akiko Cowdrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396241493 PECOS PAC ID: 9436406659 Enrollment ID: I20220928000822 |
| Provider Name | Stevie Maxwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023546496 PECOS PAC ID: 1759656606 Enrollment ID: I20220928001291 |
| Provider Name | Katherine Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366860108 PECOS PAC ID: 9032413026 Enrollment ID: I20220928002054 |
| Provider Name | Winnie Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679955090 PECOS PAC ID: 3072827229 Enrollment ID: I20220928002070 |
| Provider Name | Melissa Albrecht |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578120366 PECOS PAC ID: 0345626107 Enrollment ID: I20220930001642 |
| Provider Name | Brittany Shawn Moreno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720715659 PECOS PAC ID: 9739565474 Enrollment ID: I20221003002340 |
| Provider Name | Maggie Y Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851911044 PECOS PAC ID: 9931524949 Enrollment ID: I20221004001077 |
| Provider Name | Jennifer L Guptail |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255951950 PECOS PAC ID: 8527444181 Enrollment ID: I20221005000522 |
| Provider Name | Stephanie A Pickthorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972162519 PECOS PAC ID: 7113253774 Enrollment ID: I20221005003345 |
| Provider Name | Christine E Prill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316436405 PECOS PAC ID: 6800129396 Enrollment ID: I20221006001438 |
| Provider Name | Andrew Radin Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518594498 PECOS PAC ID: 5294101481 Enrollment ID: I20221012003263 |
| Provider Name | Muhammad Hashim Zeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245728609 PECOS PAC ID: 9335540541 Enrollment ID: I20221014000098 |
| Provider Name | Abigail Mae Frith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124752415 PECOS PAC ID: 5991171688 Enrollment ID: I20221020002919 |
| Provider Name | Solveig Ophaug |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295261949 PECOS PAC ID: 5395095194 Enrollment ID: I20221026001880 |
| Provider Name | Kelly M. Spanier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588270557 PECOS PAC ID: 7012390404 Enrollment ID: I20221026002569 |
| Provider Name | Renee S Leisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336872498 PECOS PAC ID: 5395112676 Enrollment ID: I20221028001437 |
| Provider Name | Zubair Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851734560 PECOS PAC ID: 6103069208 Enrollment ID: I20221028001726 |
| Provider Name | Phillip Lee Van |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639330533 PECOS PAC ID: 9335380161 Enrollment ID: I20221031000664 |
| Provider Name | Lacey Severson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265064935 PECOS PAC ID: 3173990355 Enrollment ID: I20221031002701 |
| Provider Name | Meghan Romanowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801517008 PECOS PAC ID: 5698142701 Enrollment ID: I20221102002491 |
| Provider Name | Stefanie Lautenbach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275283855 PECOS PAC ID: 2062889074 Enrollment ID: I20221104000208 |
| Provider Name | Jody Luck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023762721 PECOS PAC ID: 5294102109 Enrollment ID: I20221107001479 |
| Provider Name | Marjay G Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811663479 PECOS PAC ID: 6507233046 Enrollment ID: I20221114000222 |
| Provider Name | Adam T Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306078191 PECOS PAC ID: 3779890546 Enrollment ID: I20221115000082 |
| Provider Name | Andrew Scarano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356607725 PECOS PAC ID: 0446473177 Enrollment ID: I20221115000160 |
| Provider Name | Aex Cahun Barr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366977753 PECOS PAC ID: 3274901640 Enrollment ID: I20221116002929 |
| Provider Name | Jennifer Lothert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770207946 PECOS PAC ID: 0446628739 Enrollment ID: I20221117000519 |
| Provider Name | Mercy N Shwembom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669107470 PECOS PAC ID: 5698143907 Enrollment ID: I20221117001523 |
| Provider Name | Amy Larsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700505641 PECOS PAC ID: 8527436740 Enrollment ID: I20221119000304 |
| Provider Name | Lauren L Mallak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396465738 PECOS PAC ID: 5193193985 Enrollment ID: I20221129002073 |
| Provider Name | Caitlin Sarah Coyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437868593 PECOS PAC ID: 7416326657 Enrollment ID: I20221212000592 |
| Provider Name | Philip Punnoose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801523782 PECOS PAC ID: 4688043623 Enrollment ID: I20221213002589 |
| Provider Name | Amanda D Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366034514 PECOS PAC ID: 8820467681 Enrollment ID: I20221217000206 |
| Provider Name | Lainey C Mannix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124738299 PECOS PAC ID: 0446629232 Enrollment ID: I20221219001038 |
| Provider Name | Amy Pearson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801078084 PECOS PAC ID: 2860816014 Enrollment ID: I20221223000115 |
| Provider Name | Carly Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194067660 PECOS PAC ID: 7618197005 Enrollment ID: I20221224000133 |
| Provider Name | Sondra Windus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427519644 PECOS PAC ID: 3274903232 Enrollment ID: I20230109000711 |
| Provider Name | Abigail Kuzas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174131817 PECOS PAC ID: 2769800564 Enrollment ID: I20230112001784 |
| Provider Name | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20230117003100 |
| Provider Name | Brooke Kristine Nunemaker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225509466 PECOS PAC ID: 7416328000 Enrollment ID: I20230118001305 |
| Provider Name | Madeline Kay Dahl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265179717 PECOS PAC ID: 2769853977 Enrollment ID: I20230126002043 |
| Provider Name | Kavya B Desai |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093370074 PECOS PAC ID: 5597092858 Enrollment ID: I20230127001228 |
| Provider Name | Rachel Vraa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386359982 PECOS PAC ID: 2860864485 Enrollment ID: I20230208001397 |
| Provider Name | Laura K Archibald |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790348472 PECOS PAC ID: 9537494679 Enrollment ID: I20230215002036 |
| Provider Name | Paul Frenette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457702706 PECOS PAC ID: 4789016569 Enrollment ID: I20230216000143 |
| Provider Name | Molly Young Sheppard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184092942 PECOS PAC ID: 1557733698 Enrollment ID: I20230217001697 |
| Provider Name | Michael Skulski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801871876 PECOS PAC ID: 8921058108 Enrollment ID: I20230217002258 |
| Provider Name | Cassidy Lyn Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932814597 PECOS PAC ID: 0941673891 Enrollment ID: I20230224000397 |
| Provider Name | Natalie Marie Bruno |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982310926 PECOS PAC ID: 7618340589 Enrollment ID: I20230224001152 |
| Provider Name | Katherine Borgen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023352275 PECOS PAC ID: 8628441482 Enrollment ID: I20230227002641 |
| Provider Name | Taylor Jo Schiebout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841905437 PECOS PAC ID: 2860865425 Enrollment ID: I20230301000970 |
| Provider Name | Jacques Boucal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366156986 PECOS PAC ID: 5395118830 Enrollment ID: I20230302001742 |
| Provider Name | Anne Marie Harrington |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801852819 PECOS PAC ID: 1557390341 Enrollment ID: I20230316000779 |
| Provider Name | Jimena Repetto Frenette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942662572 PECOS PAC ID: 6608208236 Enrollment ID: I20230317001000 |
| Provider Name | Bruce Andersen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063420792 PECOS PAC ID: 3678485760 Enrollment ID: I20230321001831 |
| Provider Name | Kathryn Jean Berscheit |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366151755 PECOS PAC ID: 4688048267 Enrollment ID: I20230322001003 |
| Provider Name | Maggie Hysjulien Christ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235840471 PECOS PAC ID: 1759755275 Enrollment ID: I20230324001250 |
| Provider Name | Alexandra Christine Quinn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679273320 PECOS PAC ID: 0749654101 Enrollment ID: I20230327000229 |
| Provider Name | Karin L Mulrooney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982677944 PECOS PAC ID: 0749454411 Enrollment ID: I20230327002513 |
| Provider Name | Tristan R Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260552 PECOS PAC ID: 4082986385 Enrollment ID: I20230328000764 |
| Provider Name | Laura T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881955193 PECOS PAC ID: 1850616970 Enrollment ID: I20230328002716 |
| Provider Name | Allison Spicher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467956979 PECOS PAC ID: 2466847660 Enrollment ID: I20230410000631 |
| Provider Name | Maria Lanasa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487199675 PECOS PAC ID: 7315273935 Enrollment ID: I20230410000646 |
| Provider Name | Thomas Freeman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083101380 PECOS PAC ID: 9537412853 Enrollment ID: I20230410000989 |
| Provider Name | Lauren Yorozuya |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073133096 PECOS PAC ID: 0446677355 Enrollment ID: I20230413000081 |
| Provider Name | Katherine Roberts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215324439 PECOS PAC ID: 8325343213 Enrollment ID: I20230424000882 |
| Provider Name | Ajaydas Manikkan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619198439 PECOS PAC ID: 7315031788 Enrollment ID: I20230426002060 |
| Provider Name | Judith K Wolf |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790878726 PECOS PAC ID: 4284829532 Enrollment ID: I20230428002497 |
| Provider Name | Neil R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891494043 PECOS PAC ID: 4688039472 Enrollment ID: I20230501001477 |
| Provider Name | Melissa M Glynn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659075281 PECOS PAC ID: 3476919598 Enrollment ID: I20230516001836 |
| Provider Name | Paul K Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669178620 PECOS PAC ID: 0446616221 Enrollment ID: I20230522000352 |
| Provider Name | Rachel Williams Beck Salz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932736295 PECOS PAC ID: 8628490661 Enrollment ID: I20230524002359 |
| Provider Name | Maarten L Galantowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194257899 PECOS PAC ID: 6608146063 Enrollment ID: I20230526001606 |
| Provider Name | Rebecca S Kimyon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902427958 PECOS PAC ID: 7719389626 Enrollment ID: I20230601002822 |
| Provider Name | David Kovar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770536179 PECOS PAC ID: 9638151400 Enrollment ID: I20230602000578 |
| Provider Name | Grace Helene Meidl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326788183 PECOS PAC ID: 1153788377 Enrollment ID: I20230602002562 |
| Provider Name | John R Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104518265 PECOS PAC ID: 4385001239 Enrollment ID: I20230607003220 |
| Provider Name | Nabila Rasool |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639343619 PECOS PAC ID: 1456401777 Enrollment ID: I20230609002315 |
| Provider Name | Ekaterina Andrea New |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689381550 PECOS PAC ID: 9739546466 Enrollment ID: I20230612000255 |
| Provider Name | Lauren Doda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114584067 PECOS PAC ID: 3476948647 Enrollment ID: I20230620002690 |
| Provider Name | Caroline Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750073813 PECOS PAC ID: 3870951676 Enrollment ID: I20230627001869 |
| Provider Name | Jordan Elizabeth Martinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760168009 PECOS PAC ID: 8325407661 Enrollment ID: I20230705003339 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | Benjamin Scott Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053745273 PECOS PAC ID: 9638421050 Enrollment ID: I20230713002678 |
| Provider Name | Johanna Thea Bergh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477239580 PECOS PAC ID: 2163882408 Enrollment ID: I20230718001230 |
| Provider Name | Michael Q Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447780705 PECOS PAC ID: 7113296062 Enrollment ID: I20230719000338 |
| Provider Name | Kayln Rachele Stensrud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295350858 PECOS PAC ID: 3678933900 Enrollment ID: I20230719000561 |
| Provider Name | Jordan Rhae Lundberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114603677 PECOS PAC ID: 6002276284 Enrollment ID: I20230719003050 |
| Provider Name | Jacob Albersheim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568950103 PECOS PAC ID: 9638424021 Enrollment ID: I20230725000982 |
| Provider Name | Albert M Arslan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528408671 PECOS PAC ID: 2860754595 Enrollment ID: I20230725001612 |
| Provider Name | Jordan N Putz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851700173 PECOS PAC ID: 9739540428 Enrollment ID: I20230727001665 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20230727001817 |
| Provider Name | Luke W Desilet |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487146296 PECOS PAC ID: 0941550644 Enrollment ID: I20230727002592 |
| Provider Name | Gurpal S Benning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891029856 PECOS PAC ID: 6507903036 Enrollment ID: I20230728002328 |
| Provider Name | Grace Elizabeth Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508545690 PECOS PAC ID: 8123489713 Enrollment ID: I20230728002845 |
| Provider Name | Emma Anne Goldberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225712573 PECOS PAC ID: 4082075619 Enrollment ID: I20230731000864 |
| Provider Name | Megan Fuka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225774086 PECOS PAC ID: 6800257437 Enrollment ID: I20230731000867 |
| Provider Name | Hallie Mann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851053763 PECOS PAC ID: 1850762923 Enrollment ID: I20230731001904 |
| Provider Name | Samuel James Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548952781 PECOS PAC ID: 2365803814 Enrollment ID: I20230731002205 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Justin Edward Vranic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336551993 PECOS PAC ID: 7416260955 Enrollment ID: I20230802000526 |
| Provider Name | Katherine Rose Berg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578253365 PECOS PAC ID: 0446612261 Enrollment ID: I20230810003275 |
| Provider Name | Nicholas Edward Blonien |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1770932485 PECOS PAC ID: 1850753294 Enrollment ID: I20230816002475 |
| Provider Name | Cher Chang |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073074472 PECOS PAC ID: 4082076328 Enrollment ID: I20230817002296 |
| Provider Name | Joanna Bobbitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902588833 PECOS PAC ID: 9335501675 Enrollment ID: I20230817002383 |
| Provider Name | Paul J Mcmanus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093335366 PECOS PAC ID: 5597180505 Enrollment ID: I20230818003153 |
| Provider Name | Kari Marie Palthe Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073294930 PECOS PAC ID: 1658733803 Enrollment ID: I20230820000045 |
| Provider Name | Alexis Jean Sherrick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962195743 PECOS PAC ID: 3971966094 Enrollment ID: I20230822004078 |
| Provider Name | Kailynn Adam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912466020 PECOS PAC ID: 4183959919 Enrollment ID: I20230823004484 |
| Provider Name | Benjamin B Eidenschink |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366965295 PECOS PAC ID: 1759713092 Enrollment ID: I20230824003572 |
| Provider Name | Molly Favour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275153470 PECOS PAC ID: 5092131466 Enrollment ID: I20230825001092 |
| Provider Name | Katherine R Lee |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386179125 PECOS PAC ID: 2668720848 Enrollment ID: I20230829000841 |
| Provider Name | John Yang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811670136 PECOS PAC ID: 0648633289 Enrollment ID: I20230829003637 |
| Provider Name | Ashley Hoffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083311799 PECOS PAC ID: 1658735683 Enrollment ID: I20230911000142 |
| Provider Name | Natasha Kunin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700588548 PECOS PAC ID: 2365806213 Enrollment ID: I20230912001589 |
| Provider Name | Elliot J Graziano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871027037 PECOS PAC ID: 5092079376 Enrollment ID: I20230913001071 |
| Provider Name | Samantha J Gardeen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255994984 PECOS PAC ID: 3173858230 Enrollment ID: I20230913002584 |
| Provider Name | Samuel Joshua Katz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568969970 PECOS PAC ID: 5193189868 Enrollment ID: I20230913002973 |
| Provider Name | Connie Jaenicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508875063 PECOS PAC ID: 8426487000 Enrollment ID: I20230914002086 |
| Provider Name | Arica Nicole Lambrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285317008 PECOS PAC ID: 8820452469 Enrollment ID: I20230914002199 |
| Provider Name | Lauren T Macneill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003377664 PECOS PAC ID: 9739414780 Enrollment ID: I20230914003692 |
| Provider Name | Courtney L Plemel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316508161 PECOS PAC ID: 3577895499 Enrollment ID: I20230915001019 |
| Provider Name | Anil J Gherau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407477169 PECOS PAC ID: 1456776848 Enrollment ID: I20230919001875 |
| Provider Name | Tamara Nunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548889132 PECOS PAC ID: 5890125611 Enrollment ID: I20230920000797 |
| Provider Name | Samuel Thomas Goracke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144905159 PECOS PAC ID: 0143674440 Enrollment ID: I20230920001693 |
| Provider Name | Jeffrey Austin Heller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417577321 PECOS PAC ID: 6901224740 Enrollment ID: I20230920002774 |
| Provider Name | Colton Thoreson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659908572 PECOS PAC ID: 0547614885 Enrollment ID: I20230920003571 |
| Provider Name | Mohamed A Artan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497382675 PECOS PAC ID: 1153745344 Enrollment ID: I20230921000955 |
| Provider Name | Mirit M Yacoup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366007023 PECOS PAC ID: 7012244353 Enrollment ID: I20230921003782 |
| Provider Name | Megan Elizabeth Bennett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457136160 PECOS PAC ID: 1658725395 Enrollment ID: I20230928001591 |
| Provider Name | Lauren Ann Wrede |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194501395 PECOS PAC ID: 2860846516 Enrollment ID: I20230928001910 |
| Provider Name | Lauren Anne Getz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366121345 PECOS PAC ID: 7113371865 Enrollment ID: I20230928001976 |
| Provider Name | Hannah Jona Kitch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023604519 PECOS PAC ID: 9335553320 Enrollment ID: I20230928002193 |
| Provider Name | Kevin R Webb-kay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215467790 PECOS PAC ID: 7315216009 Enrollment ID: I20230929000789 |
| Provider Name | Jonathan Power Hawkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356904007 PECOS PAC ID: 8921452541 Enrollment ID: I20230929001458 |
| Provider Name | Shannon Nichole Gerberding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538656772 PECOS PAC ID: 1850641432 Enrollment ID: I20230929001549 |
| Provider Name | Katherine Elizabeth Shaver |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407633522 PECOS PAC ID: 5395199954 Enrollment ID: I20230929003077 |
| Provider Name | Kayleigh M Dittes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689294811 PECOS PAC ID: 8224454418 Enrollment ID: I20230929003465 |
| Provider Name | Nickolas E Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053840041 PECOS PAC ID: 9032489372 Enrollment ID: I20230929003518 |
| Provider Name | Kester Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225357338 PECOS PAC ID: 5193044154 Enrollment ID: I20231002002036 |
| Provider Name | Wing-sze Wong Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720763378 PECOS PAC ID: 3173977667 Enrollment ID: I20231003001152 |
| Provider Name | Nicole M Pagel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629607700 PECOS PAC ID: 9032531785 Enrollment ID: I20231003002471 |
| Provider Name | Taylor Paulsrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629856398 PECOS PAC ID: 5799130118 Enrollment ID: I20231004003319 |
| Provider Name | Elizabeth A Nelson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306343686 PECOS PAC ID: 7113278987 Enrollment ID: I20231005000843 |
| Provider Name | Angelique Jeanne Trombley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437801800 PECOS PAC ID: 8820443294 Enrollment ID: I20231005001281 |
| Provider Name | Monica Newton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306453253 PECOS PAC ID: 6608287180 Enrollment ID: I20231009002256 |
| Provider Name | Marisa Alvarado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356126098 PECOS PAC ID: 1456706431 Enrollment ID: I20231011001285 |
| Provider Name | Lisa Grundtner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730744699 PECOS PAC ID: 8325375652 Enrollment ID: I20231023000454 |
| Provider Name | Juliet M Gatiba |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578069985 PECOS PAC ID: 9830545060 Enrollment ID: I20231025000366 |
| Provider Name | Andrew P Rabenstein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841652385 PECOS PAC ID: 0143557751 Enrollment ID: I20231025000370 |
| Provider Name | Scott Goodrich |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083748966 PECOS PAC ID: 6002082302 Enrollment ID: I20231025001836 |
| Provider Name | Andre J Biscaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720617772 PECOS PAC ID: 0648692574 Enrollment ID: I20231025002920 |
| Provider Name | Bailey Jo Van Oosbree |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356121040 PECOS PAC ID: 5890141873 Enrollment ID: I20231026004093 |
| Provider Name | Louis Dainty |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649250655 PECOS PAC ID: 0244386977 Enrollment ID: I20231027003336 |
| Provider Name | Cassandra R Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578342465 PECOS PAC ID: 9436505260 Enrollment ID: I20231030002872 |
| Provider Name | Parkpoom Phatharacharukul |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205254547 PECOS PAC ID: 1153628516 Enrollment ID: I20231101002477 |
| Provider Name | Jennifer Franko Greer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427519578 PECOS PAC ID: 2668708165 Enrollment ID: I20231103002089 |
| Provider Name | Kathleen A Trott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295739068 PECOS PAC ID: 0547201592 Enrollment ID: I20231107000666 |
| Provider Name | Zehra Salim Dahlvani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922660034 PECOS PAC ID: 8123358181 Enrollment ID: I20231113000303 |
| Provider Name | Jerlinda G.c. Ross |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1275829616 PECOS PAC ID: 8426296294 Enrollment ID: I20231116002520 |
| Provider Name | Timothy J. Mann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790151538 PECOS PAC ID: 3476854597 Enrollment ID: I20231129001626 |
| Provider Name | Marie Margaret Colangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801578679 PECOS PAC ID: 6901255397 Enrollment ID: I20231211001948 |
| Provider Name | Nora Durkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881010114 PECOS PAC ID: 9436508504 Enrollment ID: I20231214001772 |
| Provider Name | Amber Leigh Ramirez-acosta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326814047 PECOS PAC ID: 3072963727 Enrollment ID: I20231221002271 |
| Provider Name | Nyinma Tenpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356121024 PECOS PAC ID: 8022468529 Enrollment ID: I20231226000658 |
| Provider Name | Conley Pitzl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811764947 PECOS PAC ID: 2365892601 Enrollment ID: I20231228001156 |
| Provider Name | Natalie M Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902589419 PECOS PAC ID: 7618327982 Enrollment ID: I20231228002353 |
| Provider Name | Joshua Michael Norling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114792462 PECOS PAC ID: 8820448087 Enrollment ID: I20231229001792 |
| Provider Name | Jessica Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730969791 PECOS PAC ID: 6507216611 Enrollment ID: I20240102000527 |
| Provider Name | John Daniel Rothpletz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740220409 PECOS PAC ID: 3971496142 Enrollment ID: I20240102001184 |
| Provider Name | Ashley L Baird Urbanski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902327422 PECOS PAC ID: 5496085086 Enrollment ID: I20240102002228 |
| Provider Name | Delaney Rose Keyes Voeller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578257143 PECOS PAC ID: 6709236805 Enrollment ID: I20240102003438 |
| Provider Name | Carmen S Franzmeier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679017693 PECOS PAC ID: 0143670240 Enrollment ID: I20240102003502 |
| Provider Name | Joan Marie Marcuson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104928050 PECOS PAC ID: 0446600548 Enrollment ID: I20240102003726 |
| Provider Name | Matthew Brandon Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851055818 PECOS PAC ID: 3971953985 Enrollment ID: I20240103000115 |
| Provider Name | Kristen Elizabeth Rachel Hayashi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174039887 PECOS PAC ID: 5092165019 Enrollment ID: I20240103000329 |
| Provider Name | Jennifer K Dease |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194306514 PECOS PAC ID: 8921458944 Enrollment ID: I20240103000596 |
| Provider Name | Amanda Jean Burger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114207941 PECOS PAC ID: 9436509460 Enrollment ID: I20240103000791 |
| Provider Name | Signe M Bradee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285073031 PECOS PAC ID: 8325498355 Enrollment ID: I20240103000876 |
| Provider Name | Elizabeth H Wagner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467836130 PECOS PAC ID: 7315397353 Enrollment ID: I20240103001305 |
| Provider Name | Ann Kathryn Snowbeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174258594 PECOS PAC ID: 3375993322 Enrollment ID: I20240103001539 |
| Provider Name | Benjamin Hamilton Meyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285170357 PECOS PAC ID: 9032588876 Enrollment ID: I20240103001891 |
| Provider Name | Bilikisu Banjoko |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609445261 PECOS PAC ID: 6800246869 Enrollment ID: I20240103002145 |
| Provider Name | Samantha Ann Pruitt-johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750987749 PECOS PAC ID: 8224488291 Enrollment ID: I20240103002298 |
| Provider Name | Brandyce R Edson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447895065 PECOS PAC ID: 6901256973 Enrollment ID: I20240103002451 |
| Provider Name | Hannah Hill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104589233 PECOS PAC ID: 2668823626 Enrollment ID: I20240104000786 |
| Provider Name | Patricia Ann Witt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932275492 PECOS PAC ID: 0941350680 Enrollment ID: I20240104001933 |
| Provider Name | Susan K H Salzl |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275714974 PECOS PAC ID: 9537510169 Enrollment ID: I20240109000867 |
| Provider Name | Nichole Elizabeth Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861099194 PECOS PAC ID: 5193177269 Enrollment ID: I20240115001283 |
| Provider Name | Mai Kue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609644723 PECOS PAC ID: 0749632487 Enrollment ID: I20240118002844 |
| Provider Name | Jessica Geier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083483937 PECOS PAC ID: 2264885334 Enrollment ID: I20240125002422 |
| Provider Name | Rebekka N Mcclure |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023352226 PECOS PAC ID: 5597118174 Enrollment ID: I20240131000426 |
| Provider Name | Lisa Bonahoom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134507593 PECOS PAC ID: 7618310806 Enrollment ID: I20240205001783 |
| Provider Name | Andrea Elizabeth Deuring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366026163 PECOS PAC ID: 4082057104 Enrollment ID: I20240206002101 |
| Provider Name | Jody Christensen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992149975 PECOS PAC ID: 1557704699 Enrollment ID: I20240206002803 |
| Provider Name | Rebecca L Langseth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700308954 PECOS PAC ID: 5890139794 Enrollment ID: I20240220000309 |
| Provider Name | Judith Onuoha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770289514 PECOS PAC ID: 2062856982 Enrollment ID: I20240220000812 |
| Provider Name | Sarah M Hoffman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285095943 PECOS PAC ID: 3072957810 Enrollment ID: I20240220001857 |
| Provider Name | Emily Wacker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588021190 PECOS PAC ID: 9133563992 Enrollment ID: I20240220002724 |
| Provider Name | Philip D Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174507271 PECOS PAC ID: 3274660170 Enrollment ID: I20240221002038 |
| Provider Name | Lillie Colleen Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700652096 PECOS PAC ID: 2062856511 Enrollment ID: I20240223000138 |
The Good Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4712 Excelsior Blvd, St Louis Park, MN 55416 Phone: 844-383-8689 | |
Park Nicollet Clinic Episodic Bundle Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3123 Fax: 952-993-2770 | |
Roseville Eye Associates P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3601 Park Center Blvd Apt 607, St Louis Park, MN 55416 Phone: 608-513-0092 | |
Passig Chiropractic Office, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 Cedar Lake Rd S Ste E, St Louis Park, MN 55416 Phone: 952-593-0296 Fax: 952-593-0296 | |
Hansen Neuropsychiatric Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Excelsior Blvd, Suite 300, St Louis Park, MN 55416 Phone: 952-920-6100 | |
Park Nicollet Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 612-371-5400 Fax: 952-993-1762 | |
Primary Care & Rehabilitation Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Utah Ave S, St Louis Park, MN 55426 Phone: 952-933-8900 Fax: 952-945-9536 |