| Peace Harbor Medical Center | |
|
380 9th St Florence OR 97439-9470 | |
| (541) 997-7134 | |
| (541) 902-7533 |
| Full Name | Peace Harbor Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 380 9th St, Florence, Oregon |
| Authorized Official Name and Position | Richard L Yecny (CEO) |
| Authorized Official Contact | 5419026540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Harbor Medical Center Po Box 24410 Eugene OR 97402-0451 Ph: (541) 902-6140 | Peace Harbor Medical Center 380 9th St Florence OR 97439-9470 Ph: (541) 997-7134 |
| NPI Number | 1982774378 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 04/08/2013 |
| Medicare PECOS PAC ID | 4587573001 |
|---|---|
| Medicare Enrollment ID | O20031215000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982774378 | NPI | - | NPPES |
| 055322 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 140711 (Oregon) | Primary |
| Provider Name | Robert D Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609932250 PECOS PAC ID: 2264345545 Enrollment ID: I20031112000193 |
| Provider Name | Brigitte D Fink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699716480 PECOS PAC ID: 7911893664 Enrollment ID: I20040227000544 |
| Provider Name | William Strek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447228085 PECOS PAC ID: 5597751917 Enrollment ID: I20040421001769 |
| Provider Name | Michael D Weinstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326016999 PECOS PAC ID: 7012994981 Enrollment ID: I20040630000155 |
| Provider Name | Christy A Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043284599 PECOS PAC ID: 7214910801 Enrollment ID: I20040630000899 |
| Provider Name | Paul R Stauffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649208422 PECOS PAC ID: 1658359955 Enrollment ID: I20040713000282 |
| Provider Name | Sharon H Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184694812 PECOS PAC ID: 3779563606 Enrollment ID: I20040722000009 |
| Provider Name | Leo Cytrynbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659341386 PECOS PAC ID: 1951381888 Enrollment ID: I20040722000020 |
| Provider Name | Scott C Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497794127 PECOS PAC ID: 0244201473 Enrollment ID: I20040803000230 |
| Provider Name | Idalee Posa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710935424 PECOS PAC ID: 5890757637 Enrollment ID: I20041103000246 |
| Provider Name | Bruce M Watanabe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497798367 PECOS PAC ID: 9931147832 Enrollment ID: I20050421000182 |
| Provider Name | Emily S Downing Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20050608000042 |
| Provider Name | Jacquelyn L Serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700998788 PECOS PAC ID: 4385675941 Enrollment ID: I20050824000438 |
| Provider Name | Khurram Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689632861 PECOS PAC ID: 5496707267 Enrollment ID: I20051213000867 |
| Provider Name | Julie C Scalisi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396773032 PECOS PAC ID: 4486660537 Enrollment ID: I20060227000327 |
| Provider Name | Edward Houk Chun Junn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144276858 PECOS PAC ID: 8921015199 Enrollment ID: I20060313000564 |
| Provider Name | David R Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922038017 PECOS PAC ID: 8921017435 Enrollment ID: I20060411000678 |
| Provider Name | Michael L Day |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457309361 PECOS PAC ID: 8729972955 Enrollment ID: I20061103000295 |
| Provider Name | Joan M Taber |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134230477 PECOS PAC ID: 3870591852 Enrollment ID: I20061130000052 |
| Provider Name | Bradley S Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295757516 PECOS PAC ID: 7113926791 Enrollment ID: I20061208000150 |
| Provider Name | Heather N Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255322269 PECOS PAC ID: 6002827508 Enrollment ID: I20061220000066 |
| Provider Name | Stephen S Kerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073690434 PECOS PAC ID: 0547230518 Enrollment ID: I20070105000082 |
| Provider Name | Sarah A Kooienga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457456212 PECOS PAC ID: 6103922893 Enrollment ID: I20070425000624 |
| Provider Name | Leslie R Pelinka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275643645 PECOS PAC ID: 3476523432 Enrollment ID: I20070621000325 |
| Provider Name | Charlotte A Clausen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548338841 PECOS PAC ID: 7810953841 Enrollment ID: I20070709000494 |
| Provider Name | Matthew E Shepherd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568470425 PECOS PAC ID: 0345341509 Enrollment ID: I20070718000743 |
| Provider Name | Alec I Fedorov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467401554 PECOS PAC ID: 1153415153 Enrollment ID: I20070921000294 |
| Provider Name | Sarah L Coleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427097187 PECOS PAC ID: 1850486713 Enrollment ID: I20071008000070 |
| Provider Name | William A Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043259716 PECOS PAC ID: 6709784986 Enrollment ID: I20071008000122 |
| Provider Name | Gary D Halvorson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518906247 PECOS PAC ID: 3678471851 Enrollment ID: I20071009000166 |
| Provider Name | Tod V Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336188069 PECOS PAC ID: 9638267206 Enrollment ID: I20071115000006 |
| Provider Name | Christopher C Hammond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588679039 PECOS PAC ID: 5991785552 Enrollment ID: I20071211000714 |
| Provider Name | Ryan Garrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114149390 PECOS PAC ID: 5799719266 Enrollment ID: I20080128000523 |
| Provider Name | Benjamin C Kam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598755209 PECOS PAC ID: 4486733482 Enrollment ID: I20080501000633 |
| Provider Name | Randoplh R Boespflug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750559605 PECOS PAC ID: 0648358713 Enrollment ID: I20080611000417 |
| Provider Name | Rebecca L Palmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568676583 PECOS PAC ID: 3072685981 Enrollment ID: I20080710000093 |
| Provider Name | Marylin A Datzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386617868 PECOS PAC ID: 5496828808 Enrollment ID: I20080717000759 |
| Provider Name | Jeffrey Penikas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063447043 PECOS PAC ID: 2365459062 Enrollment ID: I20080904000383 |
| Provider Name | William Frank Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225048325 PECOS PAC ID: 4486547726 Enrollment ID: I20080922000402 |
| Provider Name | Keith Douglas Balderston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871525337 PECOS PAC ID: 0143398982 Enrollment ID: I20081007000659 |
| Provider Name | Suzanne T Temple |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932179546 PECOS PAC ID: 2668536491 Enrollment ID: I20090122000697 |
| Provider Name | William P Aurich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427184779 PECOS PAC ID: 6002965886 Enrollment ID: I20090527000553 |
| Provider Name | Robert K Pelz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235106386 PECOS PAC ID: 8729138664 Enrollment ID: I20090615000349 |
| Provider Name | Margaret R Pattison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346455524 PECOS PAC ID: 8729138540 Enrollment ID: I20090616000505 |
| Provider Name | Jeffrey R Salerno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235306051 PECOS PAC ID: 7517018252 Enrollment ID: I20090619000384 |
| Provider Name | Patrick G Tandingan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992859623 PECOS PAC ID: 5193871689 Enrollment ID: I20090924000664 |
| Provider Name | Kialing P Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952501744 PECOS PAC ID: 0446396170 Enrollment ID: I20091008000679 |
| Provider Name | Paul E Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477502722 PECOS PAC ID: 0042350100 Enrollment ID: I20091221000617 |
| Provider Name | Peter W Howison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659329092 PECOS PAC ID: 4587704655 Enrollment ID: I20091222000007 |
| Provider Name | Anthony L Dodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992753297 PECOS PAC ID: 9032250824 Enrollment ID: I20091230000298 |
| Provider Name | Matthew J Danigelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407880974 PECOS PAC ID: 5496896821 Enrollment ID: I20100107000651 |
| Provider Name | Joan L Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831241082 PECOS PAC ID: 7315082245 Enrollment ID: I20100303000801 |
| Provider Name | Brant L Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124090865 PECOS PAC ID: 4688700909 Enrollment ID: I20100325000945 |
| Provider Name | Kimberly A Bock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821060591 PECOS PAC ID: 4385770650 Enrollment ID: I20100326000259 |
| Provider Name | Douglas R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649381740 PECOS PAC ID: 9234032053 Enrollment ID: I20100611000148 |
| Provider Name | Aaron K Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199108 PECOS PAC ID: 7517099336 Enrollment ID: I20100907000114 |
| Provider Name | Serena S Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508007675 PECOS PAC ID: 2466620042 Enrollment ID: I20110726000687 |
| Provider Name | Erin M Wray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881857357 PECOS PAC ID: 1052580545 Enrollment ID: I20110818000401 |
| Provider Name | Robert J Callahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235392366 PECOS PAC ID: 8820268360 Enrollment ID: I20110819000174 |
| Provider Name | Marika D Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992966311 PECOS PAC ID: 7517139223 Enrollment ID: I20110930000203 |
| Provider Name | Stephen K Riffenburgh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164581161 PECOS PAC ID: 9335316884 Enrollment ID: I20120124000489 |
| Provider Name | Mohamad Abdel Amir Sabbah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144551128 PECOS PAC ID: 8527222058 Enrollment ID: I20120614000056 |
| Provider Name | Brenda M Ormesher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922267384 PECOS PAC ID: 3577719574 Enrollment ID: I20120807000575 |
| Provider Name | Ann M Cooley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144485954 PECOS PAC ID: 9931356151 Enrollment ID: I20120823000210 |
| Provider Name | Victor O Macias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093095929 PECOS PAC ID: 3274781737 Enrollment ID: I20120907000501 |
| Provider Name | Edgar Arturo Salazar Quiros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386892263 PECOS PAC ID: 1355591777 Enrollment ID: I20121022000075 |
| Provider Name | Keely A Petersen-snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902092547 PECOS PAC ID: 6406009315 Enrollment ID: I20121228000473 |
| Provider Name | Susan E Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477577708 PECOS PAC ID: 7214960632 Enrollment ID: I20130218000340 |
| Provider Name | Scott Russi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093789372 PECOS PAC ID: 3375441165 Enrollment ID: I20130821000552 |
| Provider Name | Nicole M Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881033439 PECOS PAC ID: 3274776018 Enrollment ID: I20130827000635 |
| Provider Name | Jordan Marie Raymer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003071580 PECOS PAC ID: 8022251222 Enrollment ID: I20130906000262 |
| Provider Name | Tobin S Hanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215193677 PECOS PAC ID: 1052599248 Enrollment ID: I20130916000744 |
| Provider Name | Daniel Thrasher Horrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730341934 PECOS PAC ID: 1759537400 Enrollment ID: I20131111000024 |
| Provider Name | Alice Marie Horrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164685335 PECOS PAC ID: 7810156726 Enrollment ID: I20131111000044 |
| Provider Name | Saman Selahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174750335 PECOS PAC ID: 8224288295 Enrollment ID: I20140207001062 |
| Provider Name | Gianina Patrice Best |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447578844 PECOS PAC ID: 6406094473 Enrollment ID: I20140410000624 |
| Provider Name | Leita Marie Dzubay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871566000 PECOS PAC ID: 1052535036 Enrollment ID: I20140612002201 |
| Provider Name | Julie Dekker Flint |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245657584 PECOS PAC ID: 9234354309 Enrollment ID: I20140703000166 |
| Provider Name | Dallas D Regan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053323170 PECOS PAC ID: 0648276055 Enrollment ID: I20140811001909 |
| Provider Name | Sushanth Nayak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710273958 PECOS PAC ID: 0648412627 Enrollment ID: I20140820002891 |
| Provider Name | Adam S Holbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639458136 PECOS PAC ID: 0749400703 Enrollment ID: I20140925002363 |
| Provider Name | Travis Blackhurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548528706 PECOS PAC ID: 9436307741 Enrollment ID: I20141025000008 |
| Provider Name | Mary Jo A Laniewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205918109 PECOS PAC ID: 9638112824 Enrollment ID: I20141103002406 |
| Provider Name | Nathan Broadbent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538422290 PECOS PAC ID: 3173772431 Enrollment ID: I20150102000006 |
| Provider Name | Brenda Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861574824 PECOS PAC ID: 5890019632 Enrollment ID: I20150126002317 |
| Provider Name | Cameron T Khor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962464099 PECOS PAC ID: 1153318829 Enrollment ID: I20150317000156 |
| Provider Name | Christine Y Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514903 PECOS PAC ID: 7416112420 Enrollment ID: I20150417001893 |
| Provider Name | Dustin J Degman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982617015 PECOS PAC ID: 2567483480 Enrollment ID: I20150528000754 |
| Provider Name | Luther S Hemphill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508101569 PECOS PAC ID: 3971756123 Enrollment ID: I20150624003301 |
| Provider Name | Marques S Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265752166 PECOS PAC ID: 6608002365 Enrollment ID: I20150716002940 |
| Provider Name | Sidney Todd Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518027630 PECOS PAC ID: 2466407614 Enrollment ID: I20150731015179 |
| Provider Name | Bianca Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760745848 PECOS PAC ID: 6608180468 Enrollment ID: I20150806012370 |
| Provider Name | Charles A Saltalamacchia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336431881 PECOS PAC ID: 4688811219 Enrollment ID: I20150831003143 |
| Provider Name | Linda Sue Christensen Deacon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417967084 PECOS PAC ID: 6305039769 Enrollment ID: I20151006003154 |
| Provider Name | Aaron M Hougham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144513797 PECOS PAC ID: 3577781574 Enrollment ID: I20151013000909 |
| Provider Name | Robert E Moss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174567804 PECOS PAC ID: 5991796740 Enrollment ID: I20151215000910 |
| Provider Name | Allan Neal Boruszak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477739852 PECOS PAC ID: 4183685944 Enrollment ID: I20151222001055 |
| Provider Name | Alice So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407968431 PECOS PAC ID: 0345345781 Enrollment ID: I20160201001308 |
| Provider Name | Robert E Bland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366439176 PECOS PAC ID: 9638473366 Enrollment ID: I20160201001430 |
| Provider Name | Michael J Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033475793 PECOS PAC ID: 2163667866 Enrollment ID: I20160408000936 |
| Provider Name | Marta E Hantke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508094442 PECOS PAC ID: 7012155385 Enrollment ID: I20160527001463 |
| Provider Name | Aprill P Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770938912 PECOS PAC ID: 7618260209 Enrollment ID: I20160719002274 |
| Provider Name | Jeremy T Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073957148 PECOS PAC ID: 7416259452 Enrollment ID: I20160803000849 |
| Provider Name | Carolyn Macintyre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598143687 PECOS PAC ID: 6305159633 Enrollment ID: I20160815002300 |
| Provider Name | Grant Md Mcclune |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083656243 PECOS PAC ID: 7416910971 Enrollment ID: I20160815002766 |
| Provider Name | Heather Posegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790138261 PECOS PAC ID: 9537455332 Enrollment ID: I20160902001061 |
| Provider Name | Paul G Bouressa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366414047 PECOS PAC ID: 9032498266 Enrollment ID: I20161110002470 |
| Provider Name | Timothy V Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629414412 PECOS PAC ID: 0042451916 Enrollment ID: I20170116000649 |
| Provider Name | Jessica M Kubisch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255755138 PECOS PAC ID: 3779715271 Enrollment ID: I20170503001620 |
| Provider Name | Nicole Marie Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154651925 PECOS PAC ID: 2860535523 Enrollment ID: I20170516000584 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20170615001053 |
| Provider Name | Sarah Beth Flanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154687606 PECOS PAC ID: 6709017080 Enrollment ID: I20170621002768 |
| Provider Name | Nora B Kirschner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174577597 PECOS PAC ID: 6002847035 Enrollment ID: I20170705003273 |
| Provider Name | Yvonne M Sculley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013989474 PECOS PAC ID: 7911120779 Enrollment ID: I20170815001458 |
| Provider Name | Heather L Mcarthur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821345463 PECOS PAC ID: 0840594354 Enrollment ID: I20170828002146 |
| Provider Name | Justine Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386986420 PECOS PAC ID: 7517257165 Enrollment ID: I20170907001712 |
| Provider Name | Katherine F Ready |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609139062 PECOS PAC ID: 8527289305 Enrollment ID: I20171003005245 |
| Provider Name | Pushapdeep K Brar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699097279 PECOS PAC ID: 0244400109 Enrollment ID: I20171102003085 |
| Provider Name | Kelley Crusius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801145867 PECOS PAC ID: 6002173366 Enrollment ID: I20171122001349 |
| Provider Name | Kathleen Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629484472 PECOS PAC ID: 4880960012 Enrollment ID: I20171214002920 |
| Provider Name | Michael G Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326051129 PECOS PAC ID: 6204828478 Enrollment ID: I20180111001846 |
| Provider Name | Sarah A Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972773547 PECOS PAC ID: 6305029059 Enrollment ID: I20180301000836 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20180531002299 |
| Provider Name | Maura J Frith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124429691 PECOS PAC ID: 2961779038 Enrollment ID: I20180621001763 |
| Provider Name | Chen-wen Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20180721000132 |
| Provider Name | Joseph M Wilkinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548648777 PECOS PAC ID: 6901109313 Enrollment ID: I20180806002939 |
| Provider Name | Thomas A Caton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532108 PECOS PAC ID: 3577781673 Enrollment ID: I20180816001136 |
| Provider Name | Chinar Agarwal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265872691 PECOS PAC ID: 0547510620 Enrollment ID: I20180911002822 |
| Provider Name | Sydney Marie Lefay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801215249 PECOS PAC ID: 7113216193 Enrollment ID: I20181029001864 |
| Provider Name | Marie Didario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740591304 PECOS PAC ID: 3678700291 Enrollment ID: I20181231001893 |
| Provider Name | Michael I Bozuk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700800604 PECOS PAC ID: 5799707626 Enrollment ID: I20190201001722 |
| Provider Name | Veronica L Simmonds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801004445 PECOS PAC ID: 8022202753 Enrollment ID: I20190301001247 |
| Provider Name | Heather Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538572177 PECOS PAC ID: 2365711843 Enrollment ID: I20190410002297 |
| Provider Name | Clark O Parrish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891791232 PECOS PAC ID: 3971672262 Enrollment ID: I20190425000637 |
| Provider Name | Dennis Patrick Grusenmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20190621002037 |
| Provider Name | Mark R Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245649029 PECOS PAC ID: 7810249331 Enrollment ID: I20190705000619 |
| Provider Name | Kristen A Dill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174069637 PECOS PAC ID: 2466737978 Enrollment ID: I20191111001729 |
| Provider Name | Richard J Veerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568823482 PECOS PAC ID: 6608169586 Enrollment ID: I20191231001006 |
| Provider Name | Lacey Lynn Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821552225 PECOS PAC ID: 3274967500 Enrollment ID: I20200306001879 |
| Provider Name | Kimberly Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477837326 PECOS PAC ID: 9638345648 Enrollment ID: I20200317002754 |
| Provider Name | Karen S Himebaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447252507 PECOS PAC ID: 9739255266 Enrollment ID: I20200331001312 |
| Provider Name | Brett Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518243716 PECOS PAC ID: 2769630441 Enrollment ID: I20200417001077 |
| Provider Name | Carla Sue Rosenblum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376616151 PECOS PAC ID: 3274636477 Enrollment ID: I20200417003001 |
| Provider Name | Eunlee Chung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962697920 PECOS PAC ID: 3870680291 Enrollment ID: I20200430001753 |
| Provider Name | Inga Giske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20200518000683 |
| Provider Name | Stephanie M Dulian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255502423 PECOS PAC ID: 0749340362 Enrollment ID: I20200521001706 |
| Provider Name | Joshua Alexander Buehler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558795971 PECOS PAC ID: 7214207489 Enrollment ID: I20200727000449 |
| Provider Name | Elizabeth M Callan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063775732 PECOS PAC ID: 8921325671 Enrollment ID: I20200727003707 |
| Provider Name | Cory J Gibbens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023633831 PECOS PAC ID: 0840610473 Enrollment ID: I20201020000900 |
| Provider Name | Melissa D Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023590197 PECOS PAC ID: 1052652500 Enrollment ID: I20201111000608 |
| Provider Name | Brady H Sibbett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700240561 PECOS PAC ID: 5395039879 Enrollment ID: I20201119001712 |
| Provider Name | Dianna R Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194099143 PECOS PAC ID: 6406017821 Enrollment ID: I20201119003265 |
| Provider Name | Robyn Hitchcock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003038803 PECOS PAC ID: 5193888204 Enrollment ID: I20210128002925 |
| Provider Name | Laura J Burpee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386826071 PECOS PAC ID: 0941383590 Enrollment ID: I20210510001107 |
| Provider Name | Brian Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20210524000565 |
| Provider Name | Alia Abida Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699165944 PECOS PAC ID: 1658640180 Enrollment ID: I20210706001177 |
| Provider Name | Jonas I Pologe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366806382 PECOS PAC ID: 8426394040 Enrollment ID: I20210721003296 |
| Provider Name | Arissa R Walberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891185286 PECOS PAC ID: 2062709660 Enrollment ID: I20210723003226 |
| Provider Name | Annaleigh Boggess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164855730 PECOS PAC ID: 6800167594 Enrollment ID: I20210726002935 |
| Provider Name | Sushan Yang Sweeney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851788921 PECOS PAC ID: 6204139736 Enrollment ID: I20210809001528 |
| Provider Name | Maura Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20210813000754 |
| Provider Name | Esther Toe-mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336562974 PECOS PAC ID: 7416289236 Enrollment ID: I20210819003247 |
| Provider Name | Kerry Lee Shannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013211317 PECOS PAC ID: 2961770276 Enrollment ID: I20211018002438 |
| Provider Name | Joel Valencia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538695788 PECOS PAC ID: 1254682685 Enrollment ID: I20211129002300 |
| Provider Name | Carol Wiediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033285242 PECOS PAC ID: 2567546773 Enrollment ID: I20220308002640 |
| Provider Name | Sara Covey Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477161453 PECOS PAC ID: 9638563620 Enrollment ID: I20220309000788 |
| Provider Name | Jon Ahlstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437146065 PECOS PAC ID: 9537067103 Enrollment ID: I20220412000739 |
| Provider Name | Nicholas Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20220421001341 |
| Provider Name | Julie A Tenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20220425002464 |
| Provider Name | Liza Rodriguez-jimenez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346222049 PECOS PAC ID: 1456315563 Enrollment ID: I20220428000446 |
| Provider Name | Tricia Maloney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528728169 PECOS PAC ID: 0244618312 Enrollment ID: I20220601001514 |
| Provider Name | Francis Hacker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770923591 PECOS PAC ID: 9931405032 Enrollment ID: I20220726000521 |
| Provider Name | Patrick E Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134655855 PECOS PAC ID: 9739561358 Enrollment ID: I20220728003727 |
| Provider Name | Reena Baharani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659631950 PECOS PAC ID: 5395018865 Enrollment ID: I20220804001265 |
| Provider Name | Jordan R Chick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477015436 PECOS PAC ID: 7719361617 Enrollment ID: I20220825003960 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20221003000681 |
| Provider Name | Paul Buchek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043934821 PECOS PAC ID: 8426424482 Enrollment ID: I20221014002702 |
| Provider Name | Maximilian Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699206193 PECOS PAC ID: 4284961525 Enrollment ID: I20221017001868 |
| Provider Name | John Mckenna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316333610 PECOS PAC ID: 0345530465 Enrollment ID: I20221021000831 |
| Provider Name | Sophie C Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20221114000251 |
| Provider Name | Mona Batra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053304634 PECOS PAC ID: 1658319876 Enrollment ID: I20221121002302 |
| Provider Name | Dolly Okwado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598401648 PECOS PAC ID: 9739550005 Enrollment ID: I20230124002053 |
| Provider Name | Joan C Tash |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982853412 PECOS PAC ID: 9638237092 Enrollment ID: I20230125003099 |
| Provider Name | Jai Jung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841723541 PECOS PAC ID: 5890101802 Enrollment ID: I20230202001140 |
| Provider Name | Byron Patrick Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538819990 PECOS PAC ID: 2264804244 Enrollment ID: I20230221002612 |
| Provider Name | Sadie Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467167098 PECOS PAC ID: 4183099120 Enrollment ID: I20230405001740 |
| Provider Name | Donald L Pierce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790197523 PECOS PAC ID: 4880811264 Enrollment ID: I20230517002436 |
| Provider Name | Janette Coelho Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992090708 PECOS PAC ID: 4981844305 Enrollment ID: I20230523002747 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230607001792 |
| Provider Name | Deborah A Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801529888 PECOS PAC ID: 1355701582 Enrollment ID: I20230719000834 |
| Provider Name | Gary P Gleason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215072665 PECOS PAC ID: 9133108616 Enrollment ID: I20230802001606 |
| Provider Name | John Stanger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598290900 PECOS PAC ID: 1557722501 Enrollment ID: I20230807002918 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230824002628 |
| Provider Name | Lisa Diane Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336804277 PECOS PAC ID: 2567825375 Enrollment ID: I20230828000615 |
| Provider Name | Ezra J Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144932997 PECOS PAC ID: 9234592726 Enrollment ID: I20230831001018 |
| Provider Name | Kristina C Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659749471 PECOS PAC ID: 5890003271 Enrollment ID: I20230919003674 |
| Provider Name | Holly H Omar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104912120 PECOS PAC ID: 4082649934 Enrollment ID: I20231016000855 |
| Provider Name | Hershenta R Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466844 PECOS PAC ID: 6204213325 Enrollment ID: I20231018001778 |
| Provider Name | Emily S Downing Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20231026004152 |
| Provider Name | Nadia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093925 PECOS PAC ID: 2860540754 Enrollment ID: I20231108001925 |
| Provider Name | Jeffry Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063477545 PECOS PAC ID: 7113961012 Enrollment ID: I20231222002631 |
| Provider Name | Omar Naji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20240129003824 |
Planned Parenthood Of Southwestern Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4969 Highway 101, Florence, OR 97439 Phone: 541-344-2632 Fax: 541-344-6519 | |
Oregon Integrated Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 9th St Unit 4, Florence, OR 97439 Phone: 866-972-0235 Fax: 458-201-3775 | |
Wellspring Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Highway 126 Ste H, Florence, OR 97439 Phone: 541-902-8860 | |
Peace Harbor Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 9th St, Florence, OR 97439 Phone: 541-686-7191 Fax: 541-335-2325 | |
Monarch Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2775 Hwy 101, Suite B, Florence, OR 97439 Phone: 541-465-3966 Fax: 541-465-3967 | |
Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4480 Highway 101 Ste G, Florence, OR 97439 Phone: 458-215-2185 |