| Partners Physician Group | |
|
224 W Exchange St Akron OH 44302-1704 | |
| (330) 344-3583 | |
| (330) 344-2930 |
| Full Name | Partners Physician Group |
|---|---|
| Speciality | Surgery |
| Location | 224 W Exchange St, Akron, Ohio |
| Authorized Official Name and Position | Timothy L Longville (CHIEF ACCOUNTING OFFICER AND CONTRO) |
| Authorized Official Contact | 2166367416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners Physician Group 1 Akron General Ave Bellows Bldg. Akron OH 44307-2432 Ph: (330) 344-3583 | Partners Physician Group 224 W Exchange St Akron OH 44302-1704 Ph: (330) 344-3583 |
| NPI Number | 1841239274 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 02/23/2022 |
| Medicare PECOS PAC ID | 4183529340 |
|---|---|
| Medicare Enrollment ID | O20031202000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841239274 | NPI | - | NPPES |
| 2551671 | Medicaid | OH |
| Provider Name | Richard J Kucera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841296365 PECOS PAC ID: 8628982394 Enrollment ID: I20031117000692 |
| Provider Name | Mark A Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346298965 PECOS PAC ID: 1658276563 Enrollment ID: I20031204000238 |
| Provider Name | Barry J Fish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437154770 PECOS PAC ID: 9234034158 Enrollment ID: I20031204000268 |
| Provider Name | Ahmad K Jadallah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336182526 PECOS PAC ID: 2860397791 Enrollment ID: I20031204000334 |
| Provider Name | David A Cutler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518073980 PECOS PAC ID: 7113830001 Enrollment ID: I20031209000577 |
| Provider Name | Lynne M Cola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346278405 PECOS PAC ID: 2567369978 Enrollment ID: I20031215000555 |
| Provider Name | Steven M Gorsuch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265473326 PECOS PAC ID: 1254238215 Enrollment ID: I20031217000617 |
| Provider Name | Peter R Sutter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699759837 PECOS PAC ID: 4284531252 Enrollment ID: I20031217000654 |
| Provider Name | Wilson Stanko Vladic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275539306 PECOS PAC ID: 4284533571 Enrollment ID: I20040106000418 |
| Provider Name | Steven Owen Holsenback |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891753489 PECOS PAC ID: 9931008935 Enrollment ID: I20040108000469 |
| Provider Name | Melinda Rakesmith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588662480 PECOS PAC ID: 3971404948 Enrollment ID: I20040114000417 |
| Provider Name | Bruce M Sterman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164426425 PECOS PAC ID: 5092617761 Enrollment ID: I20040122001156 |
| Provider Name | Rayann S Huntsman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629039441 PECOS PAC ID: 3274436159 Enrollment ID: I20040128001033 |
| Provider Name | Jeffrey D Earley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285639716 PECOS PAC ID: 5193628014 Enrollment ID: I20040129000044 |
| Provider Name | Sayed S Khatami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306844980 PECOS PAC ID: 7810890159 Enrollment ID: I20040202000620 |
| Provider Name | Kelly M Pond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417953522 PECOS PAC ID: 6608761549 Enrollment ID: I20040218001045 |
| Provider Name | James Paul Perebzak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831195940 PECOS PAC ID: 9931098894 Enrollment ID: I20040311000035 |
| Provider Name | Freeland G Oliverio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578562013 PECOS PAC ID: 7214827229 Enrollment ID: I20040316000095 |
| Provider Name | Renee L Markovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619084241 PECOS PAC ID: 3971595729 Enrollment ID: I20040401000059 |
| Provider Name | Lilyana Angelov |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144298589 PECOS PAC ID: 6204828643 Enrollment ID: I20040402001006 |
| Provider Name | Ronald J Yendrek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306888771 PECOS PAC ID: 5597752873 Enrollment ID: I20040428001066 |
| Provider Name | Monica A Lutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487607594 PECOS PAC ID: 5890779169 Enrollment ID: I20040615000627 |
| Provider Name | Amy Merlino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558468116 PECOS PAC ID: 1153306071 Enrollment ID: I20040623000836 |
| Provider Name | Robert L Debernardo |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1891728309 PECOS PAC ID: 2961480827 Enrollment ID: I20040708000904 |
| Provider Name | Kevin S Miller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902877335 PECOS PAC ID: 7517945314 Enrollment ID: I20040708001331 |
| Provider Name | Michel F Farivar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841289295 PECOS PAC ID: 9830177393 Enrollment ID: I20040711000003 |
| Provider Name | Khaled Meloud Sleik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033221056 PECOS PAC ID: 9234117722 Enrollment ID: I20040712000219 |
| Provider Name | Patrick Warren Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316949274 PECOS PAC ID: 5395725741 Enrollment ID: I20040724000448 |
| Provider Name | Eric J Mcknight |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942258678 PECOS PAC ID: 9133199102 Enrollment ID: I20040727001660 |
| Provider Name | Jno J Disch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831156876 PECOS PAC ID: 0042281438 Enrollment ID: I20040802000000 |
| Provider Name | Fadi Raymond Khoury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780692483 PECOS PAC ID: 7113998261 Enrollment ID: I20040803001156 |
| Provider Name | Peter A Rasmussen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902860984 PECOS PAC ID: 8527030014 Enrollment ID: I20040806000000 |
| Provider Name | James Giulitto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376536466 PECOS PAC ID: 0446222699 Enrollment ID: I20040809001335 |
| Provider Name | Lori A Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396741401 PECOS PAC ID: 7416929153 Enrollment ID: I20040812000042 |
| Provider Name | Christine K Violet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174575278 PECOS PAC ID: 4587638465 Enrollment ID: I20040825000998 |
| Provider Name | Patrick J Stocker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538255807 PECOS PAC ID: 1759359409 Enrollment ID: I20040920001333 |
| Provider Name | Rachel Leah Hummel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356396147 PECOS PAC ID: 6002708567 Enrollment ID: I20041007000634 |
| Provider Name | Michael P Gardner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164452595 PECOS PAC ID: 1254391584 Enrollment ID: I20041012000938 |
| Provider Name | Beth Lofgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225138480 PECOS PAC ID: 4385604636 Enrollment ID: I20041012001073 |
| Provider Name | Jeff Chapa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730160037 PECOS PAC ID: 9739169004 Enrollment ID: I20041014001156 |
| Provider Name | Ugo E Gallo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659324655 PECOS PAC ID: 1557267556 Enrollment ID: I20041025000064 |
| Provider Name | Robin Leann Lowery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194825364 PECOS PAC ID: 8820059637 Enrollment ID: I20041025000973 |
| Provider Name | Sharhabeel M Jwayyed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003869157 PECOS PAC ID: 6507762515 Enrollment ID: I20041202001044 |
| Provider Name | Lori Sargeant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467490219 PECOS PAC ID: 7810893815 Enrollment ID: I20041210000214 |
| Provider Name | Heather B Spuhler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952312357 PECOS PAC ID: 3779541313 Enrollment ID: I20041229000167 |
| Provider Name | Amy Ash |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295788164 PECOS PAC ID: 5698723328 Enrollment ID: I20050110000071 |
| Provider Name | Cecilia A Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043394091 PECOS PAC ID: 4587614334 Enrollment ID: I20050201000261 |
| Provider Name | Robert S Gershkowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598713836 PECOS PAC ID: 9739130311 Enrollment ID: I20050201001045 |
| Provider Name | Maureen Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629097209 PECOS PAC ID: 7113979808 Enrollment ID: I20050210000382 |
| Provider Name | Natalie Ann Bowersox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154396703 PECOS PAC ID: 8325091721 Enrollment ID: I20050225000254 |
| Provider Name | Robert Lynn Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033155130 PECOS PAC ID: 8123074143 Enrollment ID: I20050323000593 |
| Provider Name | Brian M Bester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790780518 PECOS PAC ID: 5597711820 Enrollment ID: I20050329001275 |
| Provider Name | Andrew M Luxenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447236518 PECOS PAC ID: 6709823990 Enrollment ID: I20050408000996 |
| Provider Name | Steven E Waggoner |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1851322150 PECOS PAC ID: 1850338781 Enrollment ID: I20050412001485 |
| Provider Name | Douglas Wayne Harley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376530519 PECOS PAC ID: 0345287991 Enrollment ID: I20050414000657 |
| Provider Name | David Paul Hedrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326087073 PECOS PAC ID: 3173561750 Enrollment ID: I20050422001252 |
| Provider Name | Tina M Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174609754 PECOS PAC ID: 1557304433 Enrollment ID: I20050602000606 |
| Provider Name | Joseph I Shawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922111376 PECOS PAC ID: 0446294268 Enrollment ID: I20050613001270 |
| Provider Name | Kathleen Diane Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720046691 PECOS PAC ID: 3971549874 Enrollment ID: I20050630000689 |
| Provider Name | Stephen M Bodjanac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417917725 PECOS PAC ID: 4789640087 Enrollment ID: I20050706000018 |
| Provider Name | Roberto Lebron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871553198 PECOS PAC ID: 1355377656 Enrollment ID: I20050708000459 |
| Provider Name | Bina Mehta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831193606 PECOS PAC ID: 0042104028 Enrollment ID: I20050711000466 |
| Provider Name | Michele P Blaho |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871557793 PECOS PAC ID: 3870521545 Enrollment ID: I20050803000257 |
| Provider Name | Rohit Sudhakar Chandurkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710903463 PECOS PAC ID: 7810921038 Enrollment ID: I20050926001251 |
| Provider Name | Sergey A Vitebskiy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578772893 PECOS PAC ID: 3274568118 Enrollment ID: I20050929000648 |
| Provider Name | Jennifer L Savitski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609828441 PECOS PAC ID: 3072538503 Enrollment ID: I20051013000181 |
| Provider Name | Suzanne L Colpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588699185 PECOS PAC ID: 9133145394 Enrollment ID: I20051018000585 |
| Provider Name | Anne Marie Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831128313 PECOS PAC ID: 0446278071 Enrollment ID: I20051102000886 |
| Provider Name | Paul J Lecat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104885029 PECOS PAC ID: 1052339470 Enrollment ID: I20051103001241 |
| Provider Name | Maura K O'shea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780768739 PECOS PAC ID: 0749209013 Enrollment ID: I20051116000126 |
| Provider Name | Uma Perni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356317218 PECOS PAC ID: 4688695570 Enrollment ID: I20051207000430 |
| Provider Name | Amber Joy Bradford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437265709 PECOS PAC ID: 3870514375 Enrollment ID: I20051213000172 |
| Provider Name | John S Basch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669573200 PECOS PAC ID: 3375567670 Enrollment ID: I20060125000201 |
| Provider Name | Philip F Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336180082 PECOS PAC ID: 0042225245 Enrollment ID: I20060209000087 |
| Provider Name | Theresa A Lash-ritter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326097379 PECOS PAC ID: 9537175146 Enrollment ID: I20060306000360 |
| Provider Name | Thomas E Rench |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952305781 PECOS PAC ID: 9537176730 Enrollment ID: I20060313000756 |
| Provider Name | William J Angelos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952343071 PECOS PAC ID: 6305805680 Enrollment ID: I20060314000045 |
| Provider Name | Trina M Pagano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558347542 PECOS PAC ID: 5799792545 Enrollment ID: I20060320000373 |
| Provider Name | Fernando X Munoz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114906997 PECOS PAC ID: 1254329790 Enrollment ID: I20060501000194 |
| Provider Name | Colleen Gallagher Tataru |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861417909 PECOS PAC ID: 3072523398 Enrollment ID: I20060502000314 |
| Provider Name | Alex Michael Reodica |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306899877 PECOS PAC ID: 2769493105 Enrollment ID: I20060522000007 |
| Provider Name | Deanna Louise Frye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972566008 PECOS PAC ID: 9335034610 Enrollment ID: I20060525000104 |
| Provider Name | Titus Gaylord Sheers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306805387 PECOS PAC ID: 1557372737 Enrollment ID: I20060601000310 |
| Provider Name | Jordan P Grossman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881673846 PECOS PAC ID: 9537171277 Enrollment ID: I20060622000101 |
| Provider Name | Steven B Lippitt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942285481 PECOS PAC ID: 7012929656 Enrollment ID: I20060622000128 |
| Provider Name | Gregory A Vrabec |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093793879 PECOS PAC ID: 1850303405 Enrollment ID: I20060622000206 |
| Provider Name | Marie Fidela Paraiso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669417770 PECOS PAC ID: 1557373859 Enrollment ID: I20060706000066 |
| Provider Name | John Current |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356388375 PECOS PAC ID: 1254344393 Enrollment ID: I20060713000213 |
| Provider Name | Robert Schweikert |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427015858 PECOS PAC ID: 0840203410 Enrollment ID: I20060726000383 |
| Provider Name | Mary K Murray |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1275580631 PECOS PAC ID: 8921001553 Enrollment ID: I20060821000151 |
| Provider Name | Theodore Spangler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992818496 PECOS PAC ID: 3274537584 Enrollment ID: I20060829000154 |
| Provider Name | Michelle F Frangos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992811194 PECOS PAC ID: 9335143114 Enrollment ID: I20060911000039 |
| Provider Name | Anthony T Kantaras |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700864113 PECOS PAC ID: 2961406616 Enrollment ID: I20060912000007 |
| Provider Name | John Pinkowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699755967 PECOS PAC ID: 0840294591 Enrollment ID: I20060912000029 |
| Provider Name | Alan B Wiggers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629068770 PECOS PAC ID: 6103808423 Enrollment ID: I20060914000002 |
| Provider Name | Barry Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427015106 PECOS PAC ID: 3173528320 Enrollment ID: I20060922000241 |
| Provider Name | Charanjit Singh Bahniwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225028020 PECOS PAC ID: 1658376397 Enrollment ID: I20061002000186 |
| Provider Name | Shannon M Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669407417 PECOS PAC ID: 8921003542 Enrollment ID: I20061003000385 |
| Provider Name | Erin L Simon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215035431 PECOS PAC ID: 6103822317 Enrollment ID: I20061011000529 |
| Provider Name | Bradley Andrew Barone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972604437 PECOS PAC ID: 3173520350 Enrollment ID: I20061031000568 |
| Provider Name | Meredith Louise Macaluso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588753289 PECOS PAC ID: 9335146539 Enrollment ID: I20061101000186 |
| Provider Name | Brian R Storad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427147131 PECOS PAC ID: 3870590086 Enrollment ID: I20061101000202 |
| Provider Name | Joseph A Lahorra |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871556704 PECOS PAC ID: 6507863438 Enrollment ID: I20061107000024 |
| Provider Name | Angelo G Donatelli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174613897 PECOS PAC ID: 5991703472 Enrollment ID: I20061116000271 |
| Provider Name | Andrea M Reddest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477649622 PECOS PAC ID: 3779581160 Enrollment ID: I20061120000069 |
| Provider Name | Gene H Barnett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053387647 PECOS PAC ID: 1153329149 Enrollment ID: I20061130000144 |
| Provider Name | Amanda Kalan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629178397 PECOS PAC ID: 9830198514 Enrollment ID: I20061206000327 |
| Provider Name | Heather Elizabeth Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396810727 PECOS PAC ID: 1759380199 Enrollment ID: I20061212000268 |
| Provider Name | Roseline Okon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801998547 PECOS PAC ID: 4082613021 Enrollment ID: I20061220000316 |
| Provider Name | Judith Ann Wolfe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821033366 PECOS PAC ID: 2365441342 Enrollment ID: I20061221000104 |
| Provider Name | Bryan A Coufalik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801959606 PECOS PAC ID: 5395745194 Enrollment ID: I20061229000253 |
| Provider Name | William D Lanzinger |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1003981358 PECOS PAC ID: 7719987023 Enrollment ID: I20070111000214 |
| Provider Name | Aaron M Lear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225017452 PECOS PAC ID: 2264433242 Enrollment ID: I20070117000282 |
| Provider Name | Amy M Burkett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013003862 PECOS PAC ID: 3173524501 Enrollment ID: I20070126000414 |
| Provider Name | Tracey Leatherman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093782310 PECOS PAC ID: 7911909767 Enrollment ID: I20070207000153 |
| Provider Name | Steffen Scott Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548242696 PECOS PAC ID: 1658373493 Enrollment ID: I20070208000143 |
| Provider Name | John J Parente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114935947 PECOS PAC ID: 4789686247 Enrollment ID: I20070213000189 |
| Provider Name | Robert Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668638 PECOS PAC ID: 9931202561 Enrollment ID: I20070320000040 |
| Provider Name | Rudd J Bare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801946595 PECOS PAC ID: 2062516545 Enrollment ID: I20070323000182 |
| Provider Name | Gwendolyn F Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194743534 PECOS PAC ID: 1951407097 Enrollment ID: I20070507000003 |
| Provider Name | Alison P Southern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972704732 PECOS PAC ID: 0941309405 Enrollment ID: I20070625000108 |
| Provider Name | Erick Zoumberakis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649471707 PECOS PAC ID: 9537260393 Enrollment ID: I20070723000816 |
| Provider Name | Mark W Hatcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588630776 PECOS PAC ID: 0941224091 Enrollment ID: I20070814000038 |
| Provider Name | Inderprit Singh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720200801 PECOS PAC ID: 1355366238 Enrollment ID: I20070823000117 |
| Provider Name | Nikita Hegde |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023200565 PECOS PAC ID: 4789778010 Enrollment ID: I20070918000353 |
| Provider Name | Daniela Ciltea |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518186360 PECOS PAC ID: 0547356578 Enrollment ID: I20071022000433 |
| Provider Name | Kevin J Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932307873 PECOS PAC ID: 6901993815 Enrollment ID: I20071024000409 |
| Provider Name | Kenneth J Braman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649250374 PECOS PAC ID: 3779670559 Enrollment ID: I20071025000327 |
| Provider Name | Jeffery R Kontak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629069133 PECOS PAC ID: 6709876105 Enrollment ID: I20071108000380 |
| Provider Name | Andrew H Fenton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518041565 PECOS PAC ID: 0042308066 Enrollment ID: I20071108000464 |
| Provider Name | Kimberly Ann Humphrys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043404122 PECOS PAC ID: 6901986819 Enrollment ID: I20080104000378 |
| Provider Name | Andrew A Beris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316128960 PECOS PAC ID: 4183704521 Enrollment ID: I20080110000299 |
| Provider Name | Amy M Jarvis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720277494 PECOS PAC ID: 6406937531 Enrollment ID: I20080115000560 |
| Provider Name | Muhammad S Hussain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851576193 PECOS PAC ID: 6608958996 Enrollment ID: I20080125000040 |
| Provider Name | Kristine L Midcap |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851493019 PECOS PAC ID: 6305841883 Enrollment ID: I20080125000433 |
| Provider Name | Paul G Cornici |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437375367 PECOS PAC ID: 9234212747 Enrollment ID: I20080207000014 |
| Provider Name | Steven E Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679760102 PECOS PAC ID: 1557445830 Enrollment ID: I20080226000077 |
| Provider Name | Diane M Minich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831120682 PECOS PAC ID: 2062597313 Enrollment ID: I20080311000217 |
| Provider Name | Lori A Pittinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689651846 PECOS PAC ID: 1355429952 Enrollment ID: I20080423000146 |
| Provider Name | Sunita Midha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770570350 PECOS PAC ID: 2365521663 Enrollment ID: I20080512000086 |
| Provider Name | Timothy C Matlack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396959672 PECOS PAC ID: 0345312971 Enrollment ID: I20080626000420 |
| Provider Name | Stephen G Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922200526 PECOS PAC ID: 0840362349 Enrollment ID: I20080627000350 |
| Provider Name | Jeffrey Neher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386640068 PECOS PAC ID: 9133012958 Enrollment ID: I20080718000164 |
| Provider Name | Andrew Paul Blaut |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831360841 PECOS PAC ID: 2264505221 Enrollment ID: I20080723000931 |
| Provider Name | Katherine A Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396948501 PECOS PAC ID: 8325111321 Enrollment ID: I20080724000343 |
| Provider Name | Sangithan J Moodley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386697472 PECOS PAC ID: 3870668783 Enrollment ID: I20080812000373 |
| Provider Name | Mary Margaret Hasenstaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710150891 PECOS PAC ID: 1052486834 Enrollment ID: I20080813000254 |
| Provider Name | Paul M Kempen |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1659349926 PECOS PAC ID: 9133294135 Enrollment ID: I20080826000108 |
| Provider Name | Nicole Candice Dombrowski |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336269067 PECOS PAC ID: 0547336315 Enrollment ID: I20080902000080 |
| Provider Name | Joshua Jacquet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952503930 PECOS PAC ID: 1456428317 Enrollment ID: I20080919000074 |
| Provider Name | Karen Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386809507 PECOS PAC ID: 5092882670 Enrollment ID: I20080923000794 |
| Provider Name | Adam Kennah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144260043 PECOS PAC ID: 4981617636 Enrollment ID: I20081003000729 |
| Provider Name | Christopher R Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508056250 PECOS PAC ID: 4789743964 Enrollment ID: I20081103000228 |
| Provider Name | Jeffrey Fashinpaur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902057870 PECOS PAC ID: 9638233802 Enrollment ID: I20090203000296 |
| Provider Name | Charles A Justice |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093966962 PECOS PAC ID: 3870658016 Enrollment ID: I20090223000189 |
| Provider Name | Gina L Fegatelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285872952 PECOS PAC ID: 9638235138 Enrollment ID: I20090309000373 |
| Provider Name | Brenda S Buis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881698413 PECOS PAC ID: 7315003746 Enrollment ID: I20090310000023 |
| Provider Name | Stephanie Marie Dever |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306095203 PECOS PAC ID: 8921165101 Enrollment ID: I20090316000668 |
| Provider Name | Gregory Szmaj |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104063809 PECOS PAC ID: 6709933955 Enrollment ID: I20090406000319 |
| Provider Name | Steven M Oyakawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669486254 PECOS PAC ID: 1456400787 Enrollment ID: I20090516000013 |
| Provider Name | Jason E Ashbaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073716866 PECOS PAC ID: 0143370163 Enrollment ID: I20090615000065 |
| Provider Name | Mohan Rajaratram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891808283 PECOS PAC ID: 8628129269 Enrollment ID: I20090622000637 |
| Provider Name | Jeffrey A Burkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487634127 PECOS PAC ID: 0446301923 Enrollment ID: I20090623000368 |
| Provider Name | Stacy A Mccallion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639376254 PECOS PAC ID: 0446301758 Enrollment ID: I20090626000375 |
| Provider Name | Joel E Balcom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043469356 PECOS PAC ID: 1658422977 Enrollment ID: I20090626000446 |
| Provider Name | Jeffrey Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467665364 PECOS PAC ID: 0941352512 Enrollment ID: I20090713000010 |
| Provider Name | Cynthia Jeanette Koelker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518968452 PECOS PAC ID: 5991857807 Enrollment ID: I20090723000077 |
| Provider Name | Linda L Delciappo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598949414 PECOS PAC ID: 3173676392 Enrollment ID: I20090805000047 |
| Provider Name | James N Belleza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942313465 PECOS PAC ID: 4385544527 Enrollment ID: I20090806000082 |
| Provider Name | Steven Richman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518934173 PECOS PAC ID: 1759386113 Enrollment ID: I20090827000319 |
| Provider Name | George J Janas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497868855 PECOS PAC ID: 0840345104 Enrollment ID: I20090910000153 |
| Provider Name | Philip J Smelcer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780864140 PECOS PAC ID: 5193871283 Enrollment ID: I20090915000121 |
| Provider Name | Frank J Kaeberlein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427161884 PECOS PAC ID: 8224085964 Enrollment ID: I20091005000378 |
| Provider Name | Kristine Rynes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568621498 PECOS PAC ID: 3476699356 Enrollment ID: I20091006000735 |
| Provider Name | Nisrine Zahir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255545331 PECOS PAC ID: 5698811073 Enrollment ID: I20091015000484 |
| Provider Name | Katherine J Mcdermott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881928117 PECOS PAC ID: 3577600253 Enrollment ID: I20091029000102 |
| Provider Name | Lois R Milosevic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033444393 PECOS PAC ID: 5496893836 Enrollment ID: I20091105000218 |
| Provider Name | Benjamin L Matheson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174629331 PECOS PAC ID: 1951361245 Enrollment ID: I20091124000263 |
| Provider Name | Kelly Beebe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720315344 PECOS PAC ID: 8820137094 Enrollment ID: I20091201000190 |
| Provider Name | Herbert S Awender |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245308055 PECOS PAC ID: 0244379360 Enrollment ID: I20091203000250 |
| Provider Name | Robert Marley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639260250 PECOS PAC ID: 7315086444 Enrollment ID: I20091203000363 |
| Provider Name | William C Papouras |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740230440 PECOS PAC ID: 8921147687 Enrollment ID: I20091209000506 |
| Provider Name | Mark Horattas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922096817 PECOS PAC ID: 3779506670 Enrollment ID: I20100126000410 |
| Provider Name | James T Vretas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578524310 PECOS PAC ID: 1355485558 Enrollment ID: I20100225000061 |
| Provider Name | Richard L Gregg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285630392 PECOS PAC ID: 8729122999 Enrollment ID: I20100225000843 |
| Provider Name | Elizabeth M. Oddi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104821636 PECOS PAC ID: 2264577667 Enrollment ID: I20100310000666 |
| Provider Name | Joseph M Kirk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851396188 PECOS PAC ID: 5193862183 Enrollment ID: I20100311000052 |
| Provider Name | Thomas G Javorsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104821578 PECOS PAC ID: 2567509557 Enrollment ID: I20100311000150 |
| Provider Name | Nicholas R Priban |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578893152 PECOS PAC ID: 8022143767 Enrollment ID: I20100319000047 |
| Provider Name | Lance Talmage |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083619308 PECOS PAC ID: 2264579259 Enrollment ID: I20100323000129 |
| Provider Name | Kenneth D Vechik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649276775 PECOS PAC ID: 4284769779 Enrollment ID: I20100323000591 |
| Provider Name | Daniel W Satariano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013912336 PECOS PAC ID: 1355488347 Enrollment ID: I20100324000743 |
| Provider Name | Eugene W Pfister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437118452 PECOS PAC ID: 4385731728 Enrollment ID: I20100416000431 |
| Provider Name | Deborah S Plate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801903448 PECOS PAC ID: 9537132212 Enrollment ID: I20100416000493 |
| Provider Name | Michael Morocco |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801867403 PECOS PAC ID: 8628105913 Enrollment ID: I20100419000165 |
| Provider Name | Elliot Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215043807 PECOS PAC ID: 9335037225 Enrollment ID: I20100423000560 |
| Provider Name | Violette M R Recinos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790837904 PECOS PAC ID: 6002986023 Enrollment ID: I20100428000119 |
| Provider Name | Tracy E Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972718179 PECOS PAC ID: 3577637404 Enrollment ID: I20100513000232 |
| Provider Name | Joseph A Finocchio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407815327 PECOS PAC ID: 0143359802 Enrollment ID: I20100519000212 |
| Provider Name | Dhimant Dani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861694309 PECOS PAC ID: 3779647615 Enrollment ID: I20100520000409 |
| Provider Name | Daniel P Hoehne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063633477 PECOS PAC ID: 9234204009 Enrollment ID: I20100607000029 |
| Provider Name | Kim M Raney-ciofani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700896032 PECOS PAC ID: 1759411630 Enrollment ID: I20100621000263 |
| Provider Name | Justin R Lappen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124210802 PECOS PAC ID: 7719018498 Enrollment ID: I20100624000012 |
| Provider Name | Jeffrey D Kile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407958556 PECOS PAC ID: 2860523057 Enrollment ID: I20100702000253 |
| Provider Name | Kristin M Drogell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790964237 PECOS PAC ID: 5991837767 Enrollment ID: I20100714000022 |
| Provider Name | Christopher J Barden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124213699 PECOS PAC ID: 2062544836 Enrollment ID: I20100714000039 |
| Provider Name | Katrina M Sabur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386858389 PECOS PAC ID: 6002948759 Enrollment ID: I20100716000201 |
| Provider Name | William Michael Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881750321 PECOS PAC ID: 0941106827 Enrollment ID: I20100720000665 |
| Provider Name | Carol A Cunningham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851352744 PECOS PAC ID: 5395639850 Enrollment ID: I20100720000714 |
| Provider Name | Vinayak Hegde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780904425 PECOS PAC ID: 8921131087 Enrollment ID: I20100727000539 |
| Provider Name | Simranjot Sahota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801078548 PECOS PAC ID: 9931232923 Enrollment ID: I20100727001118 |
| Provider Name | Carrie L Caruso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851574610 PECOS PAC ID: 1153454582 Enrollment ID: I20100805000040 |
| Provider Name | William Jason Kurtz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306046917 PECOS PAC ID: 8123172236 Enrollment ID: I20100805000523 |
| Provider Name | Nicholas J Dinicola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114117793 PECOS PAC ID: 0648304725 Enrollment ID: I20100811000216 |
| Provider Name | Joao A Gomes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528012283 PECOS PAC ID: 0042259657 Enrollment ID: I20100819000136 |
| Provider Name | Katherine C Sheridan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184837494 PECOS PAC ID: 5799819124 Enrollment ID: I20100819001169 |
| Provider Name | Nicholas P Shundry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336310440 PECOS PAC ID: 1951425222 Enrollment ID: I20100824000818 |
| Provider Name | Molly K Scantling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518939941 PECOS PAC ID: 3173647104 Enrollment ID: I20100827000752 |
| Provider Name | John D Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275582603 PECOS PAC ID: 1951425891 Enrollment ID: I20100830001076 |
| Provider Name | Farid F Muakkassa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760486401 PECOS PAC ID: 5890831200 Enrollment ID: I20100909000715 |
| Provider Name | Gabor Toth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104014083 PECOS PAC ID: 5294897955 Enrollment ID: I20100922000622 |
| Provider Name | Nancy Mcgrievy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104017037 PECOS PAC ID: 0446442008 Enrollment ID: I20101014000589 |
| Provider Name | Joel A Lehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467561159 PECOS PAC ID: 5294929857 Enrollment ID: I20101028000376 |
| Provider Name | Mark N Kubina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295825396 PECOS PAC ID: 3779777347 Enrollment ID: I20101028000469 |
| Provider Name | Jack H Mitstifer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023075132 PECOS PAC ID: 6305858069 Enrollment ID: I20101101001036 |
| Provider Name | Tony R Capizzani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205035888 PECOS PAC ID: 1951494285 Enrollment ID: I20101102000088 |
| Provider Name | Ellen K Potts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689732299 PECOS PAC ID: 7618161829 Enrollment ID: I20101102000454 |
| Provider Name | Ghassan F Khayyat |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528052040 PECOS PAC ID: 4789583741 Enrollment ID: I20101129000442 |
| Provider Name | Sabrina Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497846117 PECOS PAC ID: 1254313034 Enrollment ID: I20101208000280 |
| Provider Name | Karen D Hodakievic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538474432 PECOS PAC ID: 8123215704 Enrollment ID: I20101208000749 |
| Provider Name | Kermit W Fox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376750612 PECOS PAC ID: 9133260599 Enrollment ID: I20110204000414 |
| Provider Name | Amy L Dooley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437454295 PECOS PAC ID: 5092996462 Enrollment ID: I20110218000572 |
| Provider Name | Tana Mellion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922254788 PECOS PAC ID: 7113088659 Enrollment ID: I20110223000480 |
| Provider Name | Adriane G Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336444389 PECOS PAC ID: 1355524976 Enrollment ID: I20110319000028 |
| Provider Name | Laurie B Matt-amaral |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306096409 PECOS PAC ID: 9032396460 Enrollment ID: I20110610000463 |
| Provider Name | Michelle D Walters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124281274 PECOS PAC ID: 7719164037 Enrollment ID: I20110613000807 |
| Provider Name | Scott Winot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144425315 PECOS PAC ID: 4183658412 Enrollment ID: I20110613000889 |
| Provider Name | Jessica A Conkle-lagroux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134372857 PECOS PAC ID: 1759559990 Enrollment ID: I20110714000308 |
| Provider Name | Mark D Bain |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992974968 PECOS PAC ID: 7416088521 Enrollment ID: I20110728000317 |
| Provider Name | Kevin Christopher Mcdonnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811157654 PECOS PAC ID: 6305015488 Enrollment ID: I20110805000447 |
| Provider Name | Lane R Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821281569 PECOS PAC ID: 7315117926 Enrollment ID: I20110908001895 |
| Provider Name | Lonna L. Safko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851543664 PECOS PAC ID: 1456521038 Enrollment ID: I20110909002708 |
| Provider Name | Matthew P Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205132032 PECOS PAC ID: 0749451730 Enrollment ID: I20110923000149 |
| Provider Name | Patrick R Mchugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639322340 PECOS PAC ID: 3779754650 Enrollment ID: I20110926000632 |
| Provider Name | Georgia Zachopoulos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275792079 PECOS PAC ID: 2466624036 Enrollment ID: I20111004000846 |
| Provider Name | Indiresha R Iyer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275531899 PECOS PAC ID: 7810984234 Enrollment ID: I20111014000174 |
| Provider Name | Tabatha L Menapace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922382233 PECOS PAC ID: 5890967699 Enrollment ID: I20111019000786 |
| Provider Name | David P Leone |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821092594 PECOS PAC ID: 0244124220 Enrollment ID: I20111130000519 |
| Provider Name | Jennifer Nicole Mullen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619250057 PECOS PAC ID: 6002081072 Enrollment ID: I20111203000040 |
| Provider Name | Dawn Renee Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417980327 PECOS PAC ID: 6002720828 Enrollment ID: I20111227000741 |
| Provider Name | Nasike E Carpenter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538442983 PECOS PAC ID: 9436325149 Enrollment ID: I20111230000297 |
| Provider Name | Adriene Kubic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104108216 PECOS PAC ID: 6103093315 Enrollment ID: I20120220001046 |
| Provider Name | Tamar V Jeffery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174701866 PECOS PAC ID: 2860543576 Enrollment ID: I20120227000488 |
| Provider Name | Karla A Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710260518 PECOS PAC ID: 6204095029 Enrollment ID: I20120313000908 |
| Provider Name | David L Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659473791 PECOS PAC ID: 6608035571 Enrollment ID: I20120327000689 |
| Provider Name | Ian R Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467417436 PECOS PAC ID: 9830359967 Enrollment ID: I20120328000366 |
| Provider Name | Michael A Derubeis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366544413 PECOS PAC ID: 6901065333 Enrollment ID: I20120405000359 |
| Provider Name | Jennell L Borys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396029658 PECOS PAC ID: 4183885221 Enrollment ID: I20120417000071 |
| Provider Name | Daniel H Celik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528296704 PECOS PAC ID: 2668636333 Enrollment ID: I20120608000094 |
| Provider Name | Jeffery Peiffer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952580979 PECOS PAC ID: 2062677172 Enrollment ID: I20120622000152 |
| Provider Name | Christopher M Fridrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538397708 PECOS PAC ID: 0446415327 Enrollment ID: I20120626000720 |
| Provider Name | Deidre R Neyhart Mcintosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205127743 PECOS PAC ID: 8729244306 Enrollment ID: I20120726000055 |
| Provider Name | Eric Harold Regula |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588956668 PECOS PAC ID: 1658527387 Enrollment ID: I20120810000588 |
| Provider Name | Daniel M Chapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659506061 PECOS PAC ID: 0941456594 Enrollment ID: I20120814000354 |
| Provider Name | Christina M Campana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811121767 PECOS PAC ID: 7012165202 Enrollment ID: I20120912000842 |
| Provider Name | Candace Leigh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205070869 PECOS PAC ID: 2365690989 Enrollment ID: I20120924000233 |
| Provider Name | Kaitlin D Vazquez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891050977 PECOS PAC ID: 8921257767 Enrollment ID: I20121011000095 |
| Provider Name | Erik D Schmeiser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144460288 PECOS PAC ID: 6709036163 Enrollment ID: I20121019000168 |
| Provider Name | Nadia Chammas Aoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053553925 PECOS PAC ID: 7618162843 Enrollment ID: I20121023000335 |
| Provider Name | Kevin T Frank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295088946 PECOS PAC ID: 4688825177 Enrollment ID: I20121109000254 |
| Provider Name | James P Hurley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548585904 PECOS PAC ID: 7719138627 Enrollment ID: I20121126000547 |
| Provider Name | Kimberly Mygrants |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720330384 PECOS PAC ID: 8527210236 Enrollment ID: I20121204000048 |
| Provider Name | Lisa A Ash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124303219 PECOS PAC ID: 5294987848 Enrollment ID: I20121206000458 |
| Provider Name | Rebecca Merrill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477781094 PECOS PAC ID: 8628222577 Enrollment ID: I20130131000411 |
| Provider Name | Weiquan Lu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275722456 PECOS PAC ID: 2163693045 Enrollment ID: I20130308000506 |
| Provider Name | Vickie L Klutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154552545 PECOS PAC ID: 8628115888 Enrollment ID: I20130312000207 |
| Provider Name | Samer M Abubakr |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235260464 PECOS PAC ID: 4880689140 Enrollment ID: I20130315000350 |
| Provider Name | Cecile A Ferrando |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255592325 PECOS PAC ID: 9931367232 Enrollment ID: I20130416000406 |
| Provider Name | Edward Chien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821026725 PECOS PAC ID: 1355390014 Enrollment ID: I20130430000430 |
| Provider Name | Samantha M Almendras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669786711 PECOS PAC ID: 0840438701 Enrollment ID: I20130604000809 |
| Provider Name | Noaman Syed Ali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114127693 PECOS PAC ID: 4183864143 Enrollment ID: I20130716000202 |
| Provider Name | Joshua W Blanton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982915617 PECOS PAC ID: 4587805486 Enrollment ID: I20130718000267 |
| Provider Name | Baruch S Fertel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376777953 PECOS PAC ID: 7810136470 Enrollment ID: I20130720000077 |
| Provider Name | Jason E Spivey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790966752 PECOS PAC ID: 4981846953 Enrollment ID: I20130805000630 |
| Provider Name | Lance A Shilliam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609028679 PECOS PAC ID: 2163664038 Enrollment ID: I20130806000814 |
| Provider Name | Kimberly D Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881938694 PECOS PAC ID: 4688816309 Enrollment ID: I20130808000882 |
| Provider Name | Vinay M Pai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952563959 PECOS PAC ID: 3476795071 Enrollment ID: I20130812000135 |
| Provider Name | Peter G Kunze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255657714 PECOS PAC ID: 4688812969 Enrollment ID: I20130820000322 |
| Provider Name | Jonathan T Hlivko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417130261 PECOS PAC ID: 4183886534 Enrollment ID: I20130821001001 |
| Provider Name | Kim M Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548602154 PECOS PAC ID: 2062655574 Enrollment ID: I20130903000353 |
| Provider Name | Anubhav Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427175322 PECOS PAC ID: 9335333038 Enrollment ID: I20130909000287 |
| Provider Name | Stacey Ehrenberg Buchner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801093984 PECOS PAC ID: 1355585365 Enrollment ID: I20130912000730 |
| Provider Name | Jesse R Borgelt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831524446 PECOS PAC ID: 8820222854 Enrollment ID: I20131007001233 |
| Provider Name | Edward J Sveda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528493145 PECOS PAC ID: 3173758471 Enrollment ID: I20131022001114 |
| Provider Name | Elizabeth D Propst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922434232 PECOS PAC ID: 0042445363 Enrollment ID: I20131022001954 |
| Provider Name | Sandra L Jay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548499833 PECOS PAC ID: 2163650656 Enrollment ID: I20140107001331 |
| Provider Name | Sachin Gandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639299340 PECOS PAC ID: 2860566650 Enrollment ID: I20140117001315 |
| Provider Name | Daniel E Paling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366757734 PECOS PAC ID: 7214193788 Enrollment ID: I20140310000564 |
| Provider Name | Katherine A Koczan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639358989 PECOS PAC ID: 4981852936 Enrollment ID: I20140328001889 |
| Provider Name | Shweta Diwakar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578877411 PECOS PAC ID: 0042457632 Enrollment ID: I20140524000043 |
| Provider Name | Raed Azzam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871743955 PECOS PAC ID: 8325262223 Enrollment ID: I20140616002227 |
| Provider Name | Lauren Kishman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164713541 PECOS PAC ID: 0345465662 Enrollment ID: I20140630001594 |
| Provider Name | Kristen J Conrad-schnetz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962643890 PECOS PAC ID: 9335364025 Enrollment ID: I20140714002017 |
| Provider Name | William C Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841605466 PECOS PAC ID: 6103043898 Enrollment ID: I20140804000334 |
| Provider Name | Melissa I March |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578726915 PECOS PAC ID: 7719158013 Enrollment ID: I20140811001753 |
| Provider Name | Maria L Fyock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780090605 PECOS PAC ID: 1759509516 Enrollment ID: I20140820002003 |
| Provider Name | Lauren C Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053723585 PECOS PAC ID: 5890914568 Enrollment ID: I20140910002030 |
| Provider Name | Jill N Zink |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740463421 PECOS PAC ID: 9638398050 Enrollment ID: I20140917002503 |
| Provider Name | Daniel E Vazquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265611297 PECOS PAC ID: 7911137286 Enrollment ID: I20141007000634 |
| Provider Name | Kathryn M Leininger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699937656 PECOS PAC ID: 3072734557 Enrollment ID: I20141027001146 |
| Provider Name | Stephanie Ann Devault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265848535 PECOS PAC ID: 1658592969 Enrollment ID: I20141029001371 |
| Provider Name | Inglish M Kaput |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336543628 PECOS PAC ID: 3577785625 Enrollment ID: I20141105001951 |
| Provider Name | Andrew D Yocum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023458924 PECOS PAC ID: 1951336544 Enrollment ID: I20141111001486 |
| Provider Name | Candace M Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508268772 PECOS PAC ID: 5597087544 Enrollment ID: I20141203000602 |
| Provider Name | Letisha Nicole White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740687144 PECOS PAC ID: 0345564738 Enrollment ID: I20150112002297 |
| Provider Name | Lisa M Prebish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932504263 PECOS PAC ID: 1052635018 Enrollment ID: I20150121002355 |
| Provider Name | Melissa A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740699354 PECOS PAC ID: 6507181591 Enrollment ID: I20150216000874 |
| Provider Name | Tala Maria Dela Paz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891981940 PECOS PAC ID: 3274729561 Enrollment ID: I20150224001529 |
| Provider Name | Christa Michele Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699167965 PECOS PAC ID: 1456677442 Enrollment ID: I20150310002512 |
| Provider Name | Steven A Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043561228 PECOS PAC ID: 2264750603 Enrollment ID: I20150414001784 |
| Provider Name | Kathy Borden Kircher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528459625 PECOS PAC ID: 5092033282 Enrollment ID: I20150420001647 |
| Provider Name | Anita M Ciccarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235548660 PECOS PAC ID: 7315266822 Enrollment ID: I20150505002138 |
| Provider Name | Amy B Raubenolt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245550235 PECOS PAC ID: 5597916981 Enrollment ID: I20150610001124 |
| Provider Name | Kathleen D L Moses Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881940591 PECOS PAC ID: 4385955814 Enrollment ID: I20150624001636 |
| Provider Name | Andrew R Esterle |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1285862813 PECOS PAC ID: 8325287238 Enrollment ID: I20150624001845 |
| Provider Name | Sarah E Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033514146 PECOS PAC ID: 9830400035 Enrollment ID: I20150629002212 |
| Provider Name | Ahmed Itrat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780991315 PECOS PAC ID: 9638481450 Enrollment ID: I20150708001896 |
| Provider Name | Loren L Masterson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538369012 PECOS PAC ID: 0143464388 Enrollment ID: I20150713001730 |
| Provider Name | Kelly Eileen Estes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881960060 PECOS PAC ID: 6204065048 Enrollment ID: I20150714000983 |
| Provider Name | Bruce Franz Kaufman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093033995 PECOS PAC ID: 0840503090 Enrollment ID: I20150717000987 |
| Provider Name | Kristen M Kaufman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750517595 PECOS PAC ID: 6002903721 Enrollment ID: I20150717001502 |
| Provider Name | Dalbir S Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265765457 PECOS PAC ID: 8123295516 Enrollment ID: I20150721003265 |
| Provider Name | Melani L Sherman-green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427348705 PECOS PAC ID: 7810135670 Enrollment ID: I20150728005144 |
| Provider Name | Amanda M Mendiola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982890091 PECOS PAC ID: 9638313844 Enrollment ID: I20150731016226 |
| Provider Name | Anmar H Kanaan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063605327 PECOS PAC ID: 5799099438 Enrollment ID: I20150807015548 |
| Provider Name | Christina M Maier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144584921 PECOS PAC ID: 2365757903 Enrollment ID: I20150812006460 |
| Provider Name | Stephen H Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474527 PECOS PAC ID: 8628383130 Enrollment ID: I20150813009513 |
| Provider Name | Shanthi E Rubin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699027482 PECOS PAC ID: 7416188446 Enrollment ID: I20150813010405 |
| Provider Name | Jennifer M Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609165885 PECOS PAC ID: 0941449912 Enrollment ID: I20150818005368 |
| Provider Name | Raghav Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700142585 PECOS PAC ID: 2567778335 Enrollment ID: I20150825004752 |
| Provider Name | Coda C Derrig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538545355 PECOS PAC ID: 7810203205 Enrollment ID: I20150831001982 |
| Provider Name | Steven Pap |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588045942 PECOS PAC ID: 9032425913 Enrollment ID: I20150909000805 |
| Provider Name | Roberto J Vargas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174813091 PECOS PAC ID: 5193983476 Enrollment ID: I20150916001353 |
| Provider Name | Faris El-khider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144537200 PECOS PAC ID: 6002031895 Enrollment ID: I20150925001056 |
| Provider Name | Kelli A Papania |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366810814 PECOS PAC ID: 2567770035 Enrollment ID: I20151001003166 |
| Provider Name | Stephanie Ricci |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629239694 PECOS PAC ID: 0749421501 Enrollment ID: I20151028001509 |
| Provider Name | Justin J Eggleston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790785319 PECOS PAC ID: 3779555800 Enrollment ID: I20151030001315 |
| Provider Name | Rachel L Nicodemo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467824292 PECOS PAC ID: 7719297399 Enrollment ID: I20151111000898 |
| Provider Name | Gina M Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548634546 PECOS PAC ID: 0547561631 Enrollment ID: I20151215000176 |
| Provider Name | Nathan J Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366730418 PECOS PAC ID: 9335440163 Enrollment ID: I20151218002182 |
| Provider Name | Pang Tsui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033114657 PECOS PAC ID: 8527361302 Enrollment ID: I20160128001694 |
| Provider Name | Christopher Mason Bazzoli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720406887 PECOS PAC ID: 1759682941 Enrollment ID: I20160201001061 |
| Provider Name | Jessica Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710346424 PECOS PAC ID: 4486951134 Enrollment ID: I20160324001138 |
| Provider Name | Ryann Amber Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760849673 PECOS PAC ID: 7214234525 Enrollment ID: I20160401000063 |
| Provider Name | Shannon Lee Malikowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255463030 PECOS PAC ID: 6901104199 Enrollment ID: I20160421001596 |
| Provider Name | Zachary K Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407199979 PECOS PAC ID: 5890925515 Enrollment ID: I20160603001704 |
| Provider Name | Yassin Mustafa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205137858 PECOS PAC ID: 9830489780 Enrollment ID: I20160606000185 |
| Provider Name | Ashley I Heaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558701276 PECOS PAC ID: 6901033372 Enrollment ID: I20160606001421 |
| Provider Name | Brittany Ch Koy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497097794 PECOS PAC ID: 7214167998 Enrollment ID: I20160728002062 |
| Provider Name | Jeffrey Yang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235454927 PECOS PAC ID: 5890934012 Enrollment ID: I20160816002232 |
| Provider Name | Jonathan J Streit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831332659 PECOS PAC ID: 9739495383 Enrollment ID: I20160818000966 |
| Provider Name | Kevin G Baldie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255697835 PECOS PAC ID: 9931337383 Enrollment ID: I20160818001347 |
| Provider Name | Paul M Wilkie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760708143 PECOS PAC ID: 3476792649 Enrollment ID: I20160823001673 |
| Provider Name | Courtney Timberlake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215480512 PECOS PAC ID: 1254626229 Enrollment ID: I20160830001561 |
| Provider Name | Faisal Matto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336579937 PECOS PAC ID: 6608162441 Enrollment ID: I20160906000500 |
| Provider Name | Sofya Asfaw |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861627234 PECOS PAC ID: 8022322635 Enrollment ID: I20160908001524 |
| Provider Name | Patricia R Khatib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144562984 PECOS PAC ID: 6507096229 Enrollment ID: I20160919002771 |
| Provider Name | Malini A Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548425531 PECOS PAC ID: 5193994051 Enrollment ID: I20160927002554 |
| Provider Name | Dominic W Pelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184945453 PECOS PAC ID: 3274770755 Enrollment ID: I20160928000617 |
| Provider Name | Laura H Ferguson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043462534 PECOS PAC ID: 7618022252 Enrollment ID: I20161017000982 |
| Provider Name | Nicole M Mazza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750838660 PECOS PAC ID: 1759669880 Enrollment ID: I20161025001213 |
| Provider Name | Jennifer L Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255775409 PECOS PAC ID: 7719113539 Enrollment ID: I20161026002480 |
| Provider Name | Holly Marie Barr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316496433 PECOS PAC ID: 0547549495 Enrollment ID: I20161116001448 |
| Provider Name | Jason Legg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669923389 PECOS PAC ID: 4486933371 Enrollment ID: I20161116003017 |
| Provider Name | Jaykumar Zeman Grandhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891113841 PECOS PAC ID: 1951689223 Enrollment ID: I20161130002055 |
| Provider Name | Robin Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902340581 PECOS PAC ID: 1355624198 Enrollment ID: I20170201002786 |
| Provider Name | Eric J Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740727387 PECOS PAC ID: 2365725082 Enrollment ID: I20170203000245 |
| Provider Name | James R Gatherwright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437474566 PECOS PAC ID: 1951604636 Enrollment ID: I20170215000864 |
| Provider Name | Ryan J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021497 PECOS PAC ID: 8426331323 Enrollment ID: I20170217001898 |
| Provider Name | Jennifer-lee Pistone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558818575 PECOS PAC ID: 7810271632 Enrollment ID: I20170222002668 |
| Provider Name | Danielle N Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447614516 PECOS PAC ID: 3678854874 Enrollment ID: I20170322001564 |
| Provider Name | Laura Andrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093247165 PECOS PAC ID: 8729364385 Enrollment ID: I20170413001241 |
| Provider Name | Minnette L Prince |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699208678 PECOS PAC ID: 4183901101 Enrollment ID: I20170501000525 |
| Provider Name | Kristina Fey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841737988 PECOS PAC ID: 1951688639 Enrollment ID: I20170505001577 |
| Provider Name | Lindsey Foradis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053764530 PECOS PAC ID: 6406138213 Enrollment ID: I20170508001208 |
| Provider Name | Jenny L Bodnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054849 PECOS PAC ID: 6305113556 Enrollment ID: I20170518002592 |
| Provider Name | Christopher J Budziak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801062930 PECOS PAC ID: 4880889971 Enrollment ID: I20170530000371 |
| Provider Name | Ali F Mallat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508087826 PECOS PAC ID: 2163587973 Enrollment ID: I20170601001094 |
| Provider Name | Whitney Hofstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689115784 PECOS PAC ID: 7315214749 Enrollment ID: I20170606001575 |
| Provider Name | Antonio Oliverio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760801344 PECOS PAC ID: 0749558799 Enrollment ID: I20170614002913 |
| Provider Name | Jaclyn Flickinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003158494 PECOS PAC ID: 0345470050 Enrollment ID: I20170616001090 |
| Provider Name | Cynthia M Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588190367 PECOS PAC ID: 4385913565 Enrollment ID: I20170630002148 |
| Provider Name | Angela Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497282081 PECOS PAC ID: 6103195383 Enrollment ID: I20170630002152 |
| Provider Name | Connor Benjamin Wolf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891135372 PECOS PAC ID: 0244500809 Enrollment ID: I20170714001882 |
| Provider Name | Joanna M Brenneman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104113612 PECOS PAC ID: 5193033967 Enrollment ID: I20170718003654 |
| Provider Name | Marita Dawn Bauman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790048866 PECOS PAC ID: 1658518501 Enrollment ID: I20170725002566 |
| Provider Name | Nkosi H Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578874988 PECOS PAC ID: 7810210143 Enrollment ID: I20170727001641 |
| Provider Name | Christopher Ryan Newey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871751305 PECOS PAC ID: 0941513170 Enrollment ID: I20170801002520 |
| Provider Name | Amy White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558884429 PECOS PAC ID: 4183995384 Enrollment ID: I20170807001866 |
| Provider Name | Ryan S Heaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295140630 PECOS PAC ID: 0840589099 Enrollment ID: I20170810001860 |
| Provider Name | Kevin D Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871911396 PECOS PAC ID: 0446553630 Enrollment ID: I20170823001562 |
| Provider Name | Stephen P Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710328513 PECOS PAC ID: 5890923007 Enrollment ID: I20170901001260 |
| Provider Name | Zenab Laiq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982992673 PECOS PAC ID: 5395018501 Enrollment ID: I20170911002260 |
| Provider Name | Erika Mikula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104341510 PECOS PAC ID: 8820362247 Enrollment ID: I20170925001526 |
| Provider Name | Mark Staats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912423914 PECOS PAC ID: 2163797390 Enrollment ID: I20171013001278 |
| Provider Name | Anthony D Brewer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194130575 PECOS PAC ID: 6002198884 Enrollment ID: I20171024002182 |
| Provider Name | Justin M Ferrel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528486859 PECOS PAC ID: 6608167192 Enrollment ID: I20171024002474 |
| Provider Name | Bryan J Krieger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356850077 PECOS PAC ID: 6103192752 Enrollment ID: I20171025003617 |
| Provider Name | Janet Ashley Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780103523 PECOS PAC ID: 4789940925 Enrollment ID: I20171103002929 |
| Provider Name | Cydney A Godman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073905667 PECOS PAC ID: 7315243912 Enrollment ID: I20171108000141 |
| Provider Name | Abdallah Kobeissy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417261199 PECOS PAC ID: 7012213366 Enrollment ID: I20171113003636 |
| Provider Name | Rachael C Sullivan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003137233 PECOS PAC ID: 1052552445 Enrollment ID: I20171128003619 |
| Provider Name | Amandeep Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841509874 PECOS PAC ID: 2466778881 Enrollment ID: I20171212001097 |
| Provider Name | William H Leukhardt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851599948 PECOS PAC ID: 0941504690 Enrollment ID: I20171219001958 |
| Provider Name | Michael K Parish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336566256 PECOS PAC ID: 0749549111 Enrollment ID: I20180109003557 |
| Provider Name | Dawn E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457864977 PECOS PAC ID: 9335408723 Enrollment ID: I20180110000762 |
| Provider Name | Lindsay Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114434644 PECOS PAC ID: 3678832599 Enrollment ID: I20180122001295 |
| Provider Name | Jeremy L King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811383235 PECOS PAC ID: 7315237757 Enrollment ID: I20180214001284 |
| Provider Name | Niharika Sharma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235445255 PECOS PAC ID: 1759693245 Enrollment ID: I20180314002477 |
| Provider Name | Megan C Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790296432 PECOS PAC ID: 8325300502 Enrollment ID: I20180328001643 |
| Provider Name | Muhammad Husnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386095560 PECOS PAC ID: 8820353014 Enrollment ID: I20180516003175 |
| Provider Name | Kelly Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578052049 PECOS PAC ID: 1153677257 Enrollment ID: I20180703001093 |
| Provider Name | Jacob N Fox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215344494 PECOS PAC ID: 0840505392 Enrollment ID: I20180725001669 |
| Provider Name | Brigitte M Oliverio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043606569 PECOS PAC ID: 5294024501 Enrollment ID: I20180725002974 |
| Provider Name | Brittany Renae Van Beek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912326661 PECOS PAC ID: 9537418215 Enrollment ID: I20180814004037 |
| Provider Name | Jacqueline E Ligorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659864981 PECOS PAC ID: 2062761026 Enrollment ID: I20180823003363 |
| Provider Name | Paul William Landis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548621261 PECOS PAC ID: 4587945589 Enrollment ID: I20180910002830 |
| Provider Name | Jeanine Awad-spirtos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023429453 PECOS PAC ID: 2365743077 Enrollment ID: I20181002003515 |
| Provider Name | Jacqueline R Zuponcic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154748176 PECOS PAC ID: 5890018436 Enrollment ID: I20181003001275 |
| Provider Name | Eleni K Horattas-collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861855801 PECOS PAC ID: 2769763002 Enrollment ID: I20181003001758 |
| Provider Name | Timothy M Marks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891061537 PECOS PAC ID: 1254571052 Enrollment ID: I20181004001526 |
| Provider Name | Daria Krivosheya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447764162 PECOS PAC ID: 8224395884 Enrollment ID: I20181004001643 |
| Provider Name | John Park Hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295189223 PECOS PAC ID: 0941552251 Enrollment ID: I20181016000673 |
| Provider Name | Cassie N Carney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003049115 PECOS PAC ID: 2466753678 Enrollment ID: I20181017000586 |
| Provider Name | Kanika Duggal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041897 PECOS PAC ID: 7618286584 Enrollment ID: I20181022001476 |
| Provider Name | Stephen Brandstetter |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1568737757 PECOS PAC ID: 3678703956 Enrollment ID: I20181105002330 |
| Provider Name | Jeannie J Gombaski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790251742 PECOS PAC ID: 7214281393 Enrollment ID: I20181107002844 |
| Provider Name | Alison M Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104308261 PECOS PAC ID: 3678827680 Enrollment ID: I20181109002386 |
| Provider Name | Shivnaveen Bains |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087953 PECOS PAC ID: 3274887237 Enrollment ID: I20181112001202 |
| Provider Name | Brandon N Kasburg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780164749 PECOS PAC ID: 0547514879 Enrollment ID: I20181126001456 |
| Provider Name | Eric Landman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558724294 PECOS PAC ID: 1254602972 Enrollment ID: I20181213003282 |
| Provider Name | Sarah C Ciuni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548737430 PECOS PAC ID: 6204171788 Enrollment ID: I20190103000880 |
| Provider Name | Kelly M Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467932400 PECOS PAC ID: 0648515122 Enrollment ID: I20190103000916 |
| Provider Name | Leon L Zhong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013390806 PECOS PAC ID: 0042523714 Enrollment ID: I20190117003324 |
| Provider Name | David Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306242128 PECOS PAC ID: 4880604453 Enrollment ID: I20190226003023 |
| Provider Name | Hannah W. Lazar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003382862 PECOS PAC ID: 6103165444 Enrollment ID: I20190304000964 |
| Provider Name | Adrienne Marie Daniluk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164988648 PECOS PAC ID: 9335489053 Enrollment ID: I20190315002152 |
| Provider Name | Adam Farage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093270969 PECOS PAC ID: 5597005991 Enrollment ID: I20190321001883 |
| Provider Name | Balint Istvan Otvos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720338452 PECOS PAC ID: 6305148644 Enrollment ID: I20190430000739 |
| Provider Name | April Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891287355 PECOS PAC ID: 8729320296 Enrollment ID: I20190502001232 |
| Provider Name | Gregory R Gaumer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801240007 PECOS PAC ID: 3870874852 Enrollment ID: I20190506002059 |
| Provider Name | Tetvana Bodnar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437536356 PECOS PAC ID: 9931442837 Enrollment ID: I20190516001060 |
| Provider Name | Lisa Rauh-benoit |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1740556232 PECOS PAC ID: 0840533188 Enrollment ID: I20190529003272 |
| Provider Name | Jaclyn A Mure |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578004248 PECOS PAC ID: 0143553743 Enrollment ID: I20190613002547 |
| Provider Name | Christopher M. Fogarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568022051 PECOS PAC ID: 8224363908 Enrollment ID: I20190717003001 |
| Provider Name | Nina Zobenica Moore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497046759 PECOS PAC ID: 5395045199 Enrollment ID: I20190718002651 |
| Provider Name | Oluyemi Aderibigbe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700222775 PECOS PAC ID: 8921241027 Enrollment ID: I20190730002437 |
| Provider Name | Stephen John Bacak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609010875 PECOS PAC ID: 8628202660 Enrollment ID: I20190731001084 |
| Provider Name | Richele Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013577709 PECOS PAC ID: 9931435757 Enrollment ID: I20190731001574 |
| Provider Name | Jacob Hoffmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144647603 PECOS PAC ID: 7214260306 Enrollment ID: I20190806004085 |
| Provider Name | Scott M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366004715 PECOS PAC ID: 4789912577 Enrollment ID: I20190816002500 |
| Provider Name | Danielle Irby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881251346 PECOS PAC ID: 8729316484 Enrollment ID: I20190820002420 |
| Provider Name | Robert T. Stenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104212240 PECOS PAC ID: 2668792912 Enrollment ID: I20190830002964 |
| Provider Name | Jessica Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548814692 PECOS PAC ID: 3678803632 Enrollment ID: I20190918001672 |
| Provider Name | Spencer Sterling Prete |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750735171 PECOS PAC ID: 7911288592 Enrollment ID: I20190923001962 |
| Provider Name | Amanda F Rose |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457903924 PECOS PAC ID: 9537499231 Enrollment ID: I20190923003107 |
| Provider Name | Nichole Lemay Ineman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831742998 PECOS PAC ID: 1254662216 Enrollment ID: I20191007001851 |
| Provider Name | Ranier M Borda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972965432 PECOS PAC ID: 4082994470 Enrollment ID: I20191014002514 |
| Provider Name | Kamalesh Rajah Karthikeyan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598106841 PECOS PAC ID: 9234363359 Enrollment ID: I20191016000785 |
| Provider Name | Marheanne Abbigail Angelo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992346134 PECOS PAC ID: 8527390517 Enrollment ID: I20191023003555 |
| Provider Name | Kimberly Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134774474 PECOS PAC ID: 7315279338 Enrollment ID: I20191024001254 |
| Provider Name | Michael Richard Breiding |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992355705 PECOS PAC ID: 4981936291 Enrollment ID: I20191105002197 |
| Provider Name | Prisca W Kibe-kinyua |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881125813 PECOS PAC ID: 5395010193 Enrollment ID: I20191108001656 |
| Provider Name | Nataliya Lasiychuk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780235192 PECOS PAC ID: 0446682363 Enrollment ID: I20191114003194 |
| Provider Name | Carli Marie Cernosky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508416199 PECOS PAC ID: 3274965041 Enrollment ID: I20191115001792 |
| Provider Name | Forrest Folk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508417288 PECOS PAC ID: 8527491455 Enrollment ID: I20191209000209 |
| Provider Name | Yassar Nabeel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073826814 PECOS PAC ID: 4789826439 Enrollment ID: I20191210003345 |
| Provider Name | Anthony E Rizzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437536422 PECOS PAC ID: 4486961885 Enrollment ID: I20191212002702 |
| Provider Name | Anthony Visioni |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1982867636 PECOS PAC ID: 8123390176 Enrollment ID: I20191213001842 |
| Provider Name | Tu Cao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316238736 PECOS PAC ID: 1850651936 Enrollment ID: I20191217001517 |
| Provider Name | Sarah Isobel Woodrow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306077854 PECOS PAC ID: 3779610084 Enrollment ID: I20200211002483 |
| Provider Name | Angela Gromovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629445663 PECOS PAC ID: 5294162939 Enrollment ID: I20200219000936 |
| Provider Name | Kevin Wires |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013547496 PECOS PAC ID: 9335577741 Enrollment ID: I20200318002344 |
| Provider Name | Shannon Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679113211 PECOS PAC ID: 6103255153 Enrollment ID: I20200326002924 |
| Provider Name | Christin Melissa Boozer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144857244 PECOS PAC ID: 8224468392 Enrollment ID: I20200414001921 |
| Provider Name | Eliud Rosales |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427683309 PECOS PAC ID: 8224468285 Enrollment ID: I20200415002981 |
| Provider Name | Neysa A Dominguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851748925 PECOS PAC ID: 2365707130 Enrollment ID: I20200518002413 |
| Provider Name | Theron A Andrus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558892919 PECOS PAC ID: 1153690011 Enrollment ID: I20200528002344 |
| Provider Name | Christopher J Wolff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073933172 PECOS PAC ID: 3274858386 Enrollment ID: I20200529002110 |
| Provider Name | Nathan Walter Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346888153 PECOS PAC ID: 2264853761 Enrollment ID: I20200610000591 |
| Provider Name | Samantha M Figas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215463773 PECOS PAC ID: 6901227362 Enrollment ID: I20200611000151 |
| Provider Name | Joseph Datsko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497289821 PECOS PAC ID: 7113284753 Enrollment ID: I20200612002403 |
| Provider Name | Randol Jamel Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528580511 PECOS PAC ID: 8820411622 Enrollment ID: I20200713002488 |
| Provider Name | James Brockett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154764363 PECOS PAC ID: 1951532159 Enrollment ID: I20200714003381 |
| Provider Name | Ryan Reber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083146971 PECOS PAC ID: 6204101124 Enrollment ID: I20200727000661 |
| Provider Name | Razik Z Oumeddour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134577612 PECOS PAC ID: 1951657873 Enrollment ID: I20200817001748 |
| Provider Name | Carole Parsons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144752858 PECOS PAC ID: 4688949472 Enrollment ID: I20200818001201 |
| Provider Name | Scotty Fulton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871097253 PECOS PAC ID: 5395162077 Enrollment ID: I20200826001258 |
| Provider Name | Terence Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720420680 PECOS PAC ID: 4082918941 Enrollment ID: I20200925000873 |
| Provider Name | Ryan S Magee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285244848 PECOS PAC ID: 2860811411 Enrollment ID: I20200930002691 |
| Provider Name | Kishan Mohanbhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750812269 PECOS PAC ID: 0244505030 Enrollment ID: I20201006002399 |
| Provider Name | Maeve Hopkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396088407 PECOS PAC ID: 9335418383 Enrollment ID: I20201012001669 |
| Provider Name | Lindsey Taylor Bechter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295341527 PECOS PAC ID: 8426478470 Enrollment ID: I20201013003629 |
| Provider Name | Lauren M Angus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124633474 PECOS PAC ID: 1658791470 Enrollment ID: I20201016001595 |
| Provider Name | Sean W Holvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841806817 PECOS PAC ID: 0446660633 Enrollment ID: I20201028002655 |
| Provider Name | Lisa Marie Dunnie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952918393 PECOS PAC ID: 5092125245 Enrollment ID: I20201029002135 |
| Provider Name | Erin Greenwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760099030 PECOS PAC ID: 3274943444 Enrollment ID: I20201029003080 |
| Provider Name | Joanna Sue Tricaso-torrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770184707 PECOS PAC ID: 0840601217 Enrollment ID: I20201117000468 |
| Provider Name | Jacob T Current |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902345101 PECOS PAC ID: 4385914076 Enrollment ID: I20201202002489 |
| Provider Name | Chelsey Ludwiczak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427551969 PECOS PAC ID: 3375975568 Enrollment ID: I20210114002790 |
| Provider Name | Shawna Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306440474 PECOS PAC ID: 3173590890 Enrollment ID: I20210122001093 |
| Provider Name | Mihaela Loredana Adam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184232845 PECOS PAC ID: 6204240526 Enrollment ID: I20210128000723 |
| Provider Name | Drew James Linardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376150516 PECOS PAC ID: 3577977370 Enrollment ID: I20210205000241 |
| Provider Name | James J Calevro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598372856 PECOS PAC ID: 6406262344 Enrollment ID: I20210301002679 |
| Provider Name | Raman Krimpuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336672120 PECOS PAC ID: 3173892700 Enrollment ID: I20210304002434 |
| Provider Name | Louise A Dapoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376588319 PECOS PAC ID: 0446255673 Enrollment ID: I20210319001608 |
| Provider Name | Libertine P Cinko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215521372 PECOS PAC ID: 2466869375 Enrollment ID: I20210319001980 |
| Provider Name | Felicia Zabala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003402504 PECOS PAC ID: 0446667059 Enrollment ID: I20210326002189 |
| Provider Name | Tess Downing |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669050233 PECOS PAC ID: 5294143178 Enrollment ID: I20210413002615 |
| Provider Name | Linda Jane Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053992156 PECOS PAC ID: 5294144465 Enrollment ID: I20210429002793 |
| Provider Name | Christine L Proudfit |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1013194273 PECOS PAC ID: 9234324260 Enrollment ID: I20210512002469 |
| Provider Name | Andrew Ofosu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184905572 PECOS PAC ID: 6002034386 Enrollment ID: I20210518000486 |
| Provider Name | Joseph Phillip Assaley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295758480 PECOS PAC ID: 5698954436 Enrollment ID: I20210607002125 |
| Provider Name | Megan Jack |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497191787 PECOS PAC ID: 0143548644 Enrollment ID: I20210607002475 |
| Provider Name | Mallory Jean Harder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346822152 PECOS PAC ID: 9133529274 Enrollment ID: I20210611000836 |
| Provider Name | Douglas Weissman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801800289 PECOS PAC ID: 6709989437 Enrollment ID: I20210701001459 |
| Provider Name | Silpa Balachandran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437604287 PECOS PAC ID: 9335427673 Enrollment ID: I20210712004052 |
| Provider Name | Gerald Thomas Korty |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447784368 PECOS PAC ID: 4587933114 Enrollment ID: I20210713002890 |
| Provider Name | Heather Mihalik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417480559 PECOS PAC ID: 6709150253 Enrollment ID: I20210713003351 |
| Provider Name | Megan Rebecca Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912402439 PECOS PAC ID: 4981006806 Enrollment ID: I20210714001203 |
| Provider Name | Marissa Gloria Levine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396278214 PECOS PAC ID: 7416359336 Enrollment ID: I20210714001269 |
| Provider Name | Sarah E Lyall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942669023 PECOS PAC ID: 3375821432 Enrollment ID: I20210716002688 |
| Provider Name | Ranice Verchick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447849377 PECOS PAC ID: 1658774187 Enrollment ID: I20210721003407 |
| Provider Name | Tahir Ahmed |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275981342 PECOS PAC ID: 0345643706 Enrollment ID: I20210722000592 |
| Provider Name | Christopher Michael Lagnese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831624865 PECOS PAC ID: 2961805114 Enrollment ID: I20210726001193 |
| Provider Name | Brett Michael Sitzlar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962907865 PECOS PAC ID: 6901159094 Enrollment ID: I20210729000205 |
| Provider Name | Sophia Horattas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073977682 PECOS PAC ID: 5092095737 Enrollment ID: I20210802003477 |
| Provider Name | Gbeminiyi O Samuel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215322664 PECOS PAC ID: 9830488022 Enrollment ID: I20210809002732 |
| Provider Name | Alicia Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205280625 PECOS PAC ID: 5496035834 Enrollment ID: I20210818004179 |
| Provider Name | Kelsey Renae Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275104911 PECOS PAC ID: 7113323650 Enrollment ID: I20210908001809 |
| Provider Name | Fang Liu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932581535 PECOS PAC ID: 7911254230 Enrollment ID: I20210915003291 |
| Provider Name | Gabrielle Petek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407428923 PECOS PAC ID: 8729485859 Enrollment ID: I20210916000851 |
| Provider Name | Gordon P Preston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770976888 PECOS PAC ID: 1951693134 Enrollment ID: I20210916002677 |
| Provider Name | Carol Armstrong |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821483215 PECOS PAC ID: 5991006025 Enrollment ID: I20210916002993 |
| Provider Name | Cassandra Beck |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528415858 PECOS PAC ID: 0648543033 Enrollment ID: I20210916003081 |
| Provider Name | Maria Nicole Vasko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154811362 PECOS PAC ID: 9032516828 Enrollment ID: I20210921002783 |
| Provider Name | Audra Kathleen Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891469482 PECOS PAC ID: 7315345576 Enrollment ID: I20211001002874 |
| Provider Name | Alexandria C Defabio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063076743 PECOS PAC ID: 9032441613 Enrollment ID: I20211007002789 |
| Provider Name | Brian E Tapscott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275020703 PECOS PAC ID: 1052719549 Enrollment ID: I20211014000187 |
| Provider Name | Sean Hawkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659802585 PECOS PAC ID: 0941572234 Enrollment ID: I20211104000326 |
| Provider Name | Robin Michelle Waskowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174294078 PECOS PAC ID: 0547658932 Enrollment ID: I20211104001978 |
| Provider Name | Christopher Satariano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538834114 PECOS PAC ID: 8628467032 Enrollment ID: I20211104002917 |
| Provider Name | Jasmine S Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427662568 PECOS PAC ID: 0244629582 Enrollment ID: I20211108002495 |
| Provider Name | Matthew H Oliverio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760945703 PECOS PAC ID: 6305178997 Enrollment ID: I20211116001362 |
| Provider Name | Cynthia Satterwhite |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174532733 PECOS PAC ID: 5597822437 Enrollment ID: I20211130002202 |
| Provider Name | Amol K Malshe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457513095 PECOS PAC ID: 7911136577 Enrollment ID: I20220105001844 |
| Provider Name | Breanne Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619639127 PECOS PAC ID: 2062804727 Enrollment ID: I20220110002120 |
| Provider Name | Laura Ann Rawleigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770252165 PECOS PAC ID: 6305238916 Enrollment ID: I20220111001947 |
| Provider Name | Brianna Alysse Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861084519 PECOS PAC ID: 6608269725 Enrollment ID: I20220211001288 |
| Provider Name | Matthew T Manchester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851052419 PECOS PAC ID: 0143613091 Enrollment ID: I20220217000719 |
| Provider Name | Dhiego Chaves De Almeida Bastos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902446636 PECOS PAC ID: 5395139240 Enrollment ID: I20220218001607 |
| Provider Name | Heather Preston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871986984 PECOS PAC ID: 4981996162 Enrollment ID: I20220413002578 |
| Provider Name | Sonseray Tashia Luster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093232407 PECOS PAC ID: 8921485558 Enrollment ID: I20220519001544 |
| Provider Name | Fnu Syeda Arshiya Farheen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235674201 PECOS PAC ID: 7416230891 Enrollment ID: I20220602000380 |
| Provider Name | Alexandra Cynthia Mcguire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811633639 PECOS PAC ID: 7810375326 Enrollment ID: I20220610001819 |
| Provider Name | Gregory William John Hawryluk |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871934596 PECOS PAC ID: 0648413393 Enrollment ID: I20220708001731 |
| Provider Name | Joseph R Avila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437475233 PECOS PAC ID: 9436392024 Enrollment ID: I20220711003738 |
| Provider Name | Cara Dolin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922399641 PECOS PAC ID: 4789932658 Enrollment ID: I20220719001801 |
| Provider Name | Kathryn Stackhouse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811382443 PECOS PAC ID: 2264764158 Enrollment ID: I20220806000602 |
| Provider Name | Baha'adin Al-jarani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427581842 PECOS PAC ID: 8022405224 Enrollment ID: I20220809003767 |
| Provider Name | Deepakraj Gajanana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457527962 PECOS PAC ID: 8325219199 Enrollment ID: I20220810003062 |
| Provider Name | Nadia Kamagate |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871029678 PECOS PAC ID: 5193108900 Enrollment ID: I20220811001201 |
| Provider Name | Pritika Singh Manaktala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093293201 PECOS PAC ID: 7517340334 Enrollment ID: I20220811001825 |
| Provider Name | Ariel Sindel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518311505 PECOS PAC ID: 4183918345 Enrollment ID: I20220811002223 |
| Provider Name | Mitra Salighedar Doty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033671219 PECOS PAC ID: 2062748882 Enrollment ID: I20220811003361 |
| Provider Name | Shamsa Baaj |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013370162 PECOS PAC ID: 8426349903 Enrollment ID: I20220811003673 |
| Provider Name | Matthew Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598228785 PECOS PAC ID: 6305175787 Enrollment ID: I20220815001750 |
| Provider Name | Kathryn Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013476928 PECOS PAC ID: 7315276409 Enrollment ID: I20220822000938 |
| Provider Name | Samuel Drew Dettling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699295246 PECOS PAC ID: 5799055034 Enrollment ID: I20220823000961 |
| Provider Name | Emily Freeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750735056 PECOS PAC ID: 3274814512 Enrollment ID: I20220824002751 |
| Provider Name | Adina Kern-goldberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700275427 PECOS PAC ID: 4880932367 Enrollment ID: I20220825000007 |
| Provider Name | Zachary T Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447815543 PECOS PAC ID: 4486039500 Enrollment ID: I20220909002307 |
| Provider Name | Nora Elise Miles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164929014 PECOS PAC ID: 7315372208 Enrollment ID: I20220912001139 |
| Provider Name | Fangfei Xiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881199354 PECOS PAC ID: 4385994573 Enrollment ID: I20220914003784 |
| Provider Name | Parviz-ali Shawn Lotfian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386200608 PECOS PAC ID: 8325423015 Enrollment ID: I20220915003910 |
| Provider Name | Cameron David Stuart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306342738 PECOS PAC ID: 1355726092 Enrollment ID: I20220916002188 |
| Provider Name | Michael Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861872293 PECOS PAC ID: 4880936640 Enrollment ID: I20221025000725 |
| Provider Name | Patrick Kane |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104288323 PECOS PAC ID: 3678853603 Enrollment ID: I20221025001238 |
| Provider Name | Sara Monfared |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699187948 PECOS PAC ID: 5890910905 Enrollment ID: I20221026000860 |
| Provider Name | Farhat Mehmood |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205884178 PECOS PAC ID: 0941293286 Enrollment ID: I20221026001974 |
| Provider Name | Nicholas Satariano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174986384 PECOS PAC ID: 4385055086 Enrollment ID: I20221027000956 |
| Provider Name | Enyinna L Nwachuku |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053792481 PECOS PAC ID: 7517342710 Enrollment ID: I20221101001897 |
| Provider Name | Mohammad Titi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598957060 PECOS PAC ID: 9436390937 Enrollment ID: I20221110002442 |
| Provider Name | Caleb Michael Mcguire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609597632 PECOS PAC ID: 9537537956 Enrollment ID: I20221116000916 |
| Provider Name | David C Wilcoxson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184618340 PECOS PAC ID: 8527951805 Enrollment ID: I20221206002677 |
| Provider Name | Melinda K Epling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790408060 PECOS PAC ID: 5991174286 Enrollment ID: I20221208000798 |
| Provider Name | Cullin James Brinning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629791173 PECOS PAC ID: 6709255003 Enrollment ID: I20221208001226 |
| Provider Name | Alyssa Brooke Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265154025 PECOS PAC ID: 0446629513 Enrollment ID: I20221212002232 |
| Provider Name | Sara Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780394205 PECOS PAC ID: 6204206527 Enrollment ID: I20230103001417 |
| Provider Name | Sophia Helen Simone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053033860 PECOS PAC ID: 5092186148 Enrollment ID: I20230127000655 |
| Provider Name | Jenny Peih-chir Tsai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356888044 PECOS PAC ID: 9234407768 Enrollment ID: I20230131001053 |
| Provider Name | David Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952019549 PECOS PAC ID: 2365815313 Enrollment ID: I20230222002451 |
| Provider Name | Leybelis Padilla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043501208 PECOS PAC ID: 3678866944 Enrollment ID: I20230301002243 |
| Provider Name | Ryan Joseph Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487389516 PECOS PAC ID: 4082087614 Enrollment ID: I20230302000935 |
| Provider Name | Judy Tsai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376773010 PECOS PAC ID: 0345509733 Enrollment ID: I20230307002405 |
| Provider Name | Sabo Tanimu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417063793 PECOS PAC ID: 1254404304 Enrollment ID: I20230316002165 |
| Provider Name | Laura Lodge Hartle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891219440 PECOS PAC ID: 8820360704 Enrollment ID: I20230316002627 |
| Provider Name | Jessica Feldner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972213486 PECOS PAC ID: 5294100186 Enrollment ID: I20230406000696 |
| Provider Name | Joseph Fletcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740267400 PECOS PAC ID: 0941369631 Enrollment ID: I20230502000876 |
| Provider Name | Shu Ling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902218076 PECOS PAC ID: 2961867437 Enrollment ID: I20230505001618 |
| Provider Name | Justin Mastrucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124727888 PECOS PAC ID: 5597121897 Enrollment ID: I20230511000843 |
| Provider Name | Leah Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871294256 PECOS PAC ID: 9537527700 Enrollment ID: I20230620002457 |
| Provider Name | David Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164059697 PECOS PAC ID: 9638581846 Enrollment ID: I20230705003346 |
| Provider Name | Ileana Horattas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306340401 PECOS PAC ID: 2769841881 Enrollment ID: I20230707002584 |
| Provider Name | Patrick Duffy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477726271 PECOS PAC ID: 2264599869 Enrollment ID: I20230713003623 |
| Provider Name | Jason Close |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558999235 PECOS PAC ID: 7517384704 Enrollment ID: I20230714001334 |
| Provider Name | Chad Wesley Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598392136 PECOS PAC ID: 9133549330 Enrollment ID: I20230714003380 |
| Provider Name | Tyler West |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346877909 PECOS PAC ID: 0244659282 Enrollment ID: I20230717001668 |
| Provider Name | Jonetha Ali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467077305 PECOS PAC ID: 7214345446 Enrollment ID: I20230717002677 |
| Provider Name | Naveen Balasundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104054162 PECOS PAC ID: 1759640063 Enrollment ID: I20230717003314 |
| Provider Name | John Merriman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659875805 PECOS PAC ID: 2860740602 Enrollment ID: I20230718000519 |
| Provider Name | Benjamin Kitko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326601980 PECOS PAC ID: 6800257536 Enrollment ID: I20230727003875 |
| Provider Name | Duncan Polot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982268652 PECOS PAC ID: 2567795180 Enrollment ID: I20230811000955 |
| Provider Name | Emily Bitticker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013479179 PECOS PAC ID: 5890038475 Enrollment ID: I20230811002250 |
| Provider Name | Matthew Campanizzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649807066 PECOS PAC ID: 5294152294 Enrollment ID: I20230814001463 |
| Provider Name | Sojin Youn Wass |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316332356 PECOS PAC ID: 4385006923 Enrollment ID: I20230815001487 |
| Provider Name | Nicole Reyes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699262824 PECOS PAC ID: 6103173968 Enrollment ID: I20230815002947 |
| Provider Name | Scott Tyler Brigeman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740635937 PECOS PAC ID: 3072976570 Enrollment ID: I20230831001379 |
| Provider Name | Michael Makowski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932630951 PECOS PAC ID: 2769754134 Enrollment ID: I20230906001299 |
| Provider Name | Laura Lininger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114555125 PECOS PAC ID: 5890112833 Enrollment ID: I20230906002241 |
| Provider Name | Keegan Conry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467983874 PECOS PAC ID: 3476825845 Enrollment ID: I20230925002019 |
| Provider Name | Michael Grady |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750318689 PECOS PAC ID: 0648288118 Enrollment ID: I20230925002214 |
| Provider Name | Marc Seligson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497244172 PECOS PAC ID: 9739434937 Enrollment ID: I20230926004361 |
| Provider Name | Negar Salehi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326427931 PECOS PAC ID: 4385992908 Enrollment ID: I20230928001180 |
| Provider Name | Benita Yong Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093341018 PECOS PAC ID: 8628423860 Enrollment ID: I20231009002056 |
| Provider Name | Parker Henderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588448351 PECOS PAC ID: 8325493331 Enrollment ID: I20231011002946 |
| Provider Name | Aditya Hendrani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295176113 PECOS PAC ID: 5496051583 Enrollment ID: I20231016001144 |
| Provider Name | Reese Hofstrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053932947 PECOS PAC ID: 9335553056 Enrollment ID: I20231018000352 |
| Provider Name | Margaret Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720863988 PECOS PAC ID: 0749635282 Enrollment ID: I20231018001860 |
| Provider Name | Zachary Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568966596 PECOS PAC ID: 1153754585 Enrollment ID: I20231019001624 |
| Provider Name | Lindsey A. Goudy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386249928 PECOS PAC ID: 8628484631 Enrollment ID: I20231019002641 |
| Provider Name | Kristin Forkapa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093378044 PECOS PAC ID: 6103156971 Enrollment ID: I20231024004005 |
| Provider Name | Lucas Roshong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992581144 PECOS PAC ID: 4587011804 Enrollment ID: I20231108001856 |
| Provider Name | Benjamin Manzano Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457924011 PECOS PAC ID: 1153702352 Enrollment ID: I20231108002366 |
| Provider Name | Antonio Onofrio Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528845765 PECOS PAC ID: 5799132809 Enrollment ID: I20231111000418 |
| Provider Name | Jorge E Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669651881 PECOS PAC ID: 4789718024 Enrollment ID: I20231114001064 |
| Provider Name | Easton Shaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558144204 PECOS PAC ID: 5890143507 Enrollment ID: I20231117002960 |
| Provider Name | Elizabeth Anne Rambler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306611975 PECOS PAC ID: 5092167577 Enrollment ID: I20240119003337 |
| Provider Name | Rebecca T Cirino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184690323 PECOS PAC ID: 1557308988 Enrollment ID: I20240131004931 |
| Provider Name | Brian Plummer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134603798 PECOS PAC ID: 7810241338 Enrollment ID: I20240216004368 |
International Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 Gorge Blvd, Akron, OH 44310 Phone: 234-312-3607 | |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Arch St Ste 175, Akron, OH 44304 Phone: 234-867-7606 | |
Bath Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Medina Rd, #215, Akron, OH 44333 Phone: 330-665-8143 Fax: 330-668-1289 | |
Concentra Akron L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Firestone Parkway, Suite F, Akron, OH 44301 Phone: 330-724-3345 Fax: 330-724-5299 | |
Akron Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1755 W Market St, Akron, OH 44313 Phone: 330-836-2828 Fax: 330-836-0959 | |
Summa Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1493 S Hawkins Ave Ste 130, Akron, OH 44320 Phone: 234-867-6828 | |
Endocrine Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 N Main St, Suite 306, Akron, OH 44310 Phone: 330-379-5048 Fax: 330-253-2829 |