| Phoebe Physician Group Inc | |
|
500 W 3rd Ave Ste 101 Albany GA 31701-1900 | |
| (229) 312-5800 | |
| (229) 312-5853 |
| Full Name | Phoebe Physician Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 W 3rd Ave Ste 101, Albany, Georgia |
| Authorized Official Name and Position | Robert Lagesse (SR VP OF PHYSICIAN PRACTICES) |
| Authorized Official Contact | 2293121000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoebe Physician Group Inc Po Box 13493 Belfast ME 04915-4025 Ph: (229) 312-5800 | Phoebe Physician Group Inc 500 W 3rd Ave Ste 101 Albany GA 31701-1900 Ph: (229) 312-5800 |
| NPI Number | 1487899464 |
|---|---|
| Provider Enumeration Date | 12/05/2008 |
| Last Update Date | 06/26/2014 |
| Medicare PECOS PAC ID | 8426112350 |
|---|---|
| Medicare Enrollment ID | O20090121000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487899464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Sandea Greene-harris |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295784429 PECOS PAC ID: 1759294671 Enrollment ID: I20031107000038 |
| Provider Name | Matthew B Grundfast |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124011085 PECOS PAC ID: 8527962869 Enrollment ID: I20031125000517 |
| Provider Name | Halvor Parris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861475535 PECOS PAC ID: 9739085234 Enrollment ID: I20031208000295 |
| Provider Name | Allison H Hays |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033193529 PECOS PAC ID: 5395641674 Enrollment ID: I20031209000095 |
| Provider Name | Brian K Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437191350 PECOS PAC ID: 0648176818 Enrollment ID: I20031209000548 |
| Provider Name | Rupert A Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922119650 PECOS PAC ID: 5395641492 Enrollment ID: I20031210000531 |
| Provider Name | Richard Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386618122 PECOS PAC ID: 9335046002 Enrollment ID: I20031219000066 |
| Provider Name | Jose A Rodriguez Franco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457355356 PECOS PAC ID: 6305745589 Enrollment ID: I20040107000363 |
| Provider Name | Diana Margaret Whiteman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366490419 PECOS PAC ID: 6002719200 Enrollment ID: I20040127000713 |
| Provider Name | Gopalakrishana Derebail |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194710723 PECOS PAC ID: 8123931128 Enrollment ID: I20040202000646 |
| Provider Name | Patricia Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982689204 PECOS PAC ID: 4981597192 Enrollment ID: I20040203000412 |
| Provider Name | Markus E Roberson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356396600 PECOS PAC ID: 8628961695 Enrollment ID: I20040204000225 |
| Provider Name | Lorenzo Carson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962486415 PECOS PAC ID: 6709779457 Enrollment ID: I20040205000814 |
| Provider Name | Clifford E Church |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598748204 PECOS PAC ID: 1658264346 Enrollment ID: I20040205001052 |
| Provider Name | Robert S Dickerson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003853052 PECOS PAC ID: 5193618650 Enrollment ID: I20040206000765 |
| Provider Name | Vanessa A Cabaron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861456790 PECOS PAC ID: 0345135646 Enrollment ID: I20040217000069 |
| Provider Name | Daniel J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265491294 PECOS PAC ID: 5092601682 Enrollment ID: I20040226000524 |
| Provider Name | Edwin J Fortenbery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073596789 PECOS PAC ID: 2264329762 Enrollment ID: I20040301000444 |
| Provider Name | William J Davanzo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598947970 PECOS PAC ID: 5092601179 Enrollment ID: I20040301001175 |
| Provider Name | Robert Glover |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760547913 PECOS PAC ID: 6800784075 Enrollment ID: I20040309000571 |
| Provider Name | Mahsheed Khajavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114945979 PECOS PAC ID: 2769370873 Enrollment ID: I20040310000027 |
| Provider Name | Karen E Lovett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518941079 PECOS PAC ID: 1557259413 Enrollment ID: I20040310001014 |
| Provider Name | Donald H Daniel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003885534 PECOS PAC ID: 8224920806 Enrollment ID: I20040329000053 |
| Provider Name | Betty Jo Songer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184634420 PECOS PAC ID: 2567456767 Enrollment ID: I20040412000663 |
| Provider Name | Grady A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710206552 PECOS PAC ID: 5597759514 Enrollment ID: I20040413000563 |
| Provider Name | Sheila F Sumpter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184611931 PECOS PAC ID: 0941294672 Enrollment ID: I20040414000410 |
| Provider Name | Max Wolf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427042498 PECOS PAC ID: 7911992946 Enrollment ID: I20040419000470 |
| Provider Name | Suresh K Lakhanpal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043293715 PECOS PAC ID: 5698760536 Enrollment ID: I20040419001311 |
| Provider Name | Patrick T Crimmins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497785539 PECOS PAC ID: 4385631944 Enrollment ID: I20040427000926 |
| Provider Name | Dale M Lawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609843069 PECOS PAC ID: 4587651013 Enrollment ID: I20040427001492 |
| Provider Name | John Tatman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336194638 PECOS PAC ID: 5698765667 Enrollment ID: I20040513000484 |
| Provider Name | Coretta Delia Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306884374 PECOS PAC ID: 7012908114 Enrollment ID: I20040519000092 |
| Provider Name | Derrick W Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811983091 PECOS PAC ID: 5193706315 Enrollment ID: I20040525000915 |
| Provider Name | Linda K Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063448892 PECOS PAC ID: 4789666793 Enrollment ID: I20040603000735 |
| Provider Name | Dennis C Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043203425 PECOS PAC ID: 3779565650 Enrollment ID: I20040604000387 |
| Provider Name | Amie Beth Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972554848 PECOS PAC ID: 2961484555 Enrollment ID: I20040607000634 |
| Provider Name | Syed Nabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262429 PECOS PAC ID: 7618950890 Enrollment ID: I20040609000734 |
| Provider Name | Michael Shane Busman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073584504 PECOS PAC ID: 7012991854 Enrollment ID: I20040617000839 |
| Provider Name | Charles W Holley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598737728 PECOS PAC ID: 1951387109 Enrollment ID: I20040628000932 |
| Provider Name | Troy F Kimsey |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1295908150 PECOS PAC ID: 9638158777 Enrollment ID: I20040714000463 |
| Provider Name | Ronson Hughes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811917586 PECOS PAC ID: 7113907304 Enrollment ID: I20040720000900 |
| Provider Name | Anthony V Hoots |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699747824 PECOS PAC ID: 3779560933 Enrollment ID: I20040729000944 |
| Provider Name | Umamaheswari Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538152855 PECOS PAC ID: 0042281123 Enrollment ID: I20040803000626 |
| Provider Name | Joseph L Talley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861483497 PECOS PAC ID: 3072587419 Enrollment ID: I20040823000622 |
| Provider Name | David Q Bobo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770574386 PECOS PAC ID: 4486628831 Enrollment ID: I20040823000658 |
| Provider Name | Ellis R Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659362283 PECOS PAC ID: 9436123783 Enrollment ID: I20040823000699 |
| Provider Name | Rotimi B Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427037910 PECOS PAC ID: 8527032614 Enrollment ID: I20040824000918 |
| Provider Name | Velda J Givens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376631861 PECOS PAC ID: 0244207231 Enrollment ID: I20040910000131 |
| Provider Name | Anozie A Ukaonu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497727325 PECOS PAC ID: 9537151980 Enrollment ID: I20040917000623 |
| Provider Name | Chinwe E Ukaonu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285606269 PECOS PAC ID: 6901874866 Enrollment ID: I20040920000555 |
| Provider Name | Wanda J Gobin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578513669 PECOS PAC ID: 5799753117 Enrollment ID: I20040922000989 |
| Provider Name | Kim Kim Guthas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700836970 PECOS PAC ID: 5294704946 Enrollment ID: I20040929000438 |
| Provider Name | Pamela S Hodges |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770704900 PECOS PAC ID: 2264400241 Enrollment ID: I20041008000102 |
| Provider Name | Lansing C Hillman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558351809 PECOS PAC ID: 7810958303 Enrollment ID: I20041020000770 |
| Provider Name | Carlos E Franco Paredes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770595977 PECOS PAC ID: 9739141383 Enrollment ID: I20041027000522 |
| Provider Name | Joseph M Trasmonte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194708487 PECOS PAC ID: 1850353426 Enrollment ID: I20041102000374 |
| Provider Name | Michael L Ruppenthal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437131232 PECOS PAC ID: 7113980764 Enrollment ID: I20041105000053 |
| Provider Name | Dan W Pulsipher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194721019 PECOS PAC ID: 0345203386 Enrollment ID: I20041110000430 |
| Provider Name | John B Abell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144285073 PECOS PAC ID: 3072578905 Enrollment ID: I20041119000794 |
| Provider Name | Nalini A Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659311645 PECOS PAC ID: 1557326659 Enrollment ID: I20041201000103 |
| Provider Name | Lalit Vadlamani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770552648 PECOS PAC ID: 2668467481 Enrollment ID: I20041206000554 |
| Provider Name | William T Garrett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750351862 PECOS PAC ID: 4385601046 Enrollment ID: I20041214000726 |
| Provider Name | Peter A Donnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477523371 PECOS PAC ID: 3577512102 Enrollment ID: I20050120000646 |
| Provider Name | Lewis C Stanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538170931 PECOS PAC ID: 5890744437 Enrollment ID: I20050120000693 |
| Provider Name | William Knopf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922007541 PECOS PAC ID: 6608831136 Enrollment ID: I20050125000099 |
| Provider Name | Yveline D Jean-claude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730127945 PECOS PAC ID: 8527018837 Enrollment ID: I20050125000478 |
| Provider Name | Sheree H Wolfenden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275569568 PECOS PAC ID: 0547210361 Enrollment ID: I20050128000371 |
| Provider Name | Michael A Kelley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104984871 PECOS PAC ID: 3577516384 Enrollment ID: I20050222000066 |
| Provider Name | Michael Eugene Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942232681 PECOS PAC ID: 3274588421 Enrollment ID: I20050322000378 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20050425000489 |
| Provider Name | Derek J Heard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215921176 PECOS PAC ID: 6305887423 Enrollment ID: I20050519000276 |
| Provider Name | Wallace D Mays |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881667988 PECOS PAC ID: 2264474725 Enrollment ID: I20050527000005 |
| Provider Name | John W Newton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982712014 PECOS PAC ID: 5890731657 Enrollment ID: I20050701000049 |
| Provider Name | Fleming Burroughs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003982299 PECOS PAC ID: 7214973767 Enrollment ID: I20050706000620 |
| Provider Name | Francis N Herrbold |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356342281 PECOS PAC ID: 3779519715 Enrollment ID: I20050712000356 |
| Provider Name | Troy Skidmore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104870997 PECOS PAC ID: 6204863582 Enrollment ID: I20050719000246 |
| Provider Name | Stephen M Weiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356391965 PECOS PAC ID: 6709813942 Enrollment ID: I20050720000262 |
| Provider Name | Marvin Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700838232 PECOS PAC ID: 6103854609 Enrollment ID: I20050727000076 |
| Provider Name | Dichen Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336178565 PECOS PAC ID: 2466483557 Enrollment ID: I20050829000607 |
| Provider Name | Manishkumar R Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427047422 PECOS PAC ID: 5496787178 Enrollment ID: I20050901000716 |
| Provider Name | Alfred L Woodard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194710830 PECOS PAC ID: 6507779501 Enrollment ID: I20050913000729 |
| Provider Name | Marshall G Tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326031865 PECOS PAC ID: 6305879990 Enrollment ID: I20050914000752 |
| Provider Name | Brenda J Garland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912995226 PECOS PAC ID: 4284668005 Enrollment ID: I20050921000807 |
| Provider Name | Bennie B Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932170461 PECOS PAC ID: 2961436654 Enrollment ID: I20050922000149 |
| Provider Name | Jeffrey R Hoopes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679577654 PECOS PAC ID: 7517866387 Enrollment ID: I20050923000526 |
| Provider Name | Susan D Boyett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023036142 PECOS PAC ID: 4688609795 Enrollment ID: I20050928000164 |
| Provider Name | Daniel Eldridge Mcalvin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477576023 PECOS PAC ID: 9739134628 Enrollment ID: I20050928000723 |
| Provider Name | Justin-barry J Jerome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891785077 PECOS PAC ID: 0749215044 Enrollment ID: I20051005000333 |
| Provider Name | Adeel Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225052442 PECOS PAC ID: 1052336187 Enrollment ID: I20051019000109 |
| Provider Name | Stephen K Souther |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124022017 PECOS PAC ID: 0547169302 Enrollment ID: I20051025000950 |
| Provider Name | Steven C Wolinsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285638007 PECOS PAC ID: 9335048107 Enrollment ID: I20051025001029 |
| Provider Name | Charles C Mitchell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164426151 PECOS PAC ID: 0244139004 Enrollment ID: I20051025001089 |
| Provider Name | Charles Bruce Moomey |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689671364 PECOS PAC ID: 4981622487 Enrollment ID: I20051109000841 |
| Provider Name | Patrick J Omess |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215947544 PECOS PAC ID: 5395764948 Enrollment ID: I20051114000549 |
| Provider Name | Henry S Teaford |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013070564 PECOS PAC ID: 0941220503 Enrollment ID: I20051129000401 |
| Provider Name | David B Drury |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124093380 PECOS PAC ID: 8325069677 Enrollment ID: I20051215000014 |
| Provider Name | Cynthia P Drury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194790626 PECOS PAC ID: 4082635214 Enrollment ID: I20051215000020 |
| Provider Name | James S Sinclair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437142320 PECOS PAC ID: 0941224992 Enrollment ID: I20060119000089 |
| Provider Name | Chadalavada Kishore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891788741 PECOS PAC ID: 4385668664 Enrollment ID: I20060125000830 |
| Provider Name | William Kellogg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265490643 PECOS PAC ID: 7517974769 Enrollment ID: I20060313000332 |
| Provider Name | John T Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932171568 PECOS PAC ID: 4587671664 Enrollment ID: I20060315000011 |
| Provider Name | Amy J Grasman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720071079 PECOS PAC ID: 2163434010 Enrollment ID: I20060615000229 |
| Provider Name | Dale Robert Yingling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265495337 PECOS PAC ID: 3779595574 Enrollment ID: I20060619000014 |
| Provider Name | Mana L Kasongo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356388805 PECOS PAC ID: 6709898232 Enrollment ID: I20060626000170 |
| Provider Name | Harsh W Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801888433 PECOS PAC ID: 3971582149 Enrollment ID: I20060629000271 |
| Provider Name | Bridget A Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942249487 PECOS PAC ID: 3779596853 Enrollment ID: I20060712000114 |
| Provider Name | Patrina Lockette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508899907 PECOS PAC ID: 7810900453 Enrollment ID: I20060726000104 |
| Provider Name | Donnie L Mcmickle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306881438 PECOS PAC ID: 1658384151 Enrollment ID: I20060731000311 |
| Provider Name | Kelly A Clay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457327181 PECOS PAC ID: 7214967470 Enrollment ID: I20060802000300 |
| Provider Name | Tobi A Okafo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255383246 PECOS PAC ID: 3870596976 Enrollment ID: I20060810000113 |
| Provider Name | Piyushkumar R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790708279 PECOS PAC ID: 4082618368 Enrollment ID: I20060828000471 |
| Provider Name | Sarah L Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538178389 PECOS PAC ID: 8224033071 Enrollment ID: I20060929000001 |
| Provider Name | John Charles Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164470761 PECOS PAC ID: 1456341916 Enrollment ID: I20061018000016 |
| Provider Name | Barbara J Kupka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124090030 PECOS PAC ID: 0143227421 Enrollment ID: I20061030000281 |
| Provider Name | William Kelvin Lane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538171376 PECOS PAC ID: 7315945888 Enrollment ID: I20061116000220 |
| Provider Name | Richard W Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700842879 PECOS PAC ID: 2769492685 Enrollment ID: I20061127000147 |
| Provider Name | Robert Cella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619904364 PECOS PAC ID: 4587663372 Enrollment ID: I20061205000143 |
| Provider Name | Abiy Mekoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023064938 PECOS PAC ID: 3678590346 Enrollment ID: I20061212000551 |
| Provider Name | Mary A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275619108 PECOS PAC ID: 4284633223 Enrollment ID: I20061220000301 |
| Provider Name | Dan E Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194710194 PECOS PAC ID: 8022018514 Enrollment ID: I20070108000018 |
| Provider Name | Marlene P Gregg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760486658 PECOS PAC ID: 4183613417 Enrollment ID: I20070125000205 |
| Provider Name | Gary Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053427690 PECOS PAC ID: 6103846282 Enrollment ID: I20070206000147 |
| Provider Name | Olufunsho Bankole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487714911 PECOS PAC ID: 2668474164 Enrollment ID: I20070213000513 |
| Provider Name | Perry M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922168103 PECOS PAC ID: 3173525672 Enrollment ID: I20070213000553 |
| Provider Name | Shailaja R. Sappati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619949773 PECOS PAC ID: 3577549484 Enrollment ID: I20070215000001 |
| Provider Name | Daniel A Yacono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518018738 PECOS PAC ID: 0840279907 Enrollment ID: I20070219000409 |
| Provider Name | Michael A Aquadro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528130044 PECOS PAC ID: 5991807455 Enrollment ID: I20070301000388 |
| Provider Name | James A Sexson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366502155 PECOS PAC ID: 7618071432 Enrollment ID: I20070403000394 |
| Provider Name | Philip J Paustian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215946850 PECOS PAC ID: 8921007907 Enrollment ID: I20070409000377 |
| Provider Name | Noah B Hatcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205964202 PECOS PAC ID: 0941305429 Enrollment ID: I20070411000188 |
| Provider Name | Kimberly Morris Lemonds |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1922149335 PECOS PAC ID: 3577669183 Enrollment ID: I20070427000350 |
| Provider Name | James G Underwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902910565 PECOS PAC ID: 5890716518 Enrollment ID: I20070516000014 |
| Provider Name | Paul Donnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255327680 PECOS PAC ID: 8325147515 Enrollment ID: I20070629000084 |
| Provider Name | Patricia Rose Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679693204 PECOS PAC ID: 5698874899 Enrollment ID: I20070629000168 |
| Provider Name | Adeyosoye Temitope Dawodu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932132685 PECOS PAC ID: 0840224077 Enrollment ID: I20070716000360 |
| Provider Name | Carol A Pisarello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679577019 PECOS PAC ID: 8123129772 Enrollment ID: I20070726000110 |
| Provider Name | Robert O Spruill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609808179 PECOS PAC ID: 6507967866 Enrollment ID: I20070731000297 |
| Provider Name | Kalpesh C Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831396803 PECOS PAC ID: 9436240744 Enrollment ID: I20070801000034 |
| Provider Name | Bernadette D Blount |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356434500 PECOS PAC ID: 6800898131 Enrollment ID: I20070810000130 |
| Provider Name | Kitty M Van Meter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902005358 PECOS PAC ID: 3274620935 Enrollment ID: I20071029000381 |
| Provider Name | Lydia C Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790799740 PECOS PAC ID: 0840264701 Enrollment ID: I20080312000353 |
| Provider Name | Randall J Cannady |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033394739 PECOS PAC ID: 3476630542 Enrollment ID: I20080414000605 |
| Provider Name | William O Mallow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396793733 PECOS PAC ID: 8729012737 Enrollment ID: I20080516000420 |
| Provider Name | Jessica Lee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790972578 PECOS PAC ID: 0941379713 Enrollment ID: I20080520000283 |
| Provider Name | Catherine Harrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174572655 PECOS PAC ID: 8729075163 Enrollment ID: I20080527000301 |
| Provider Name | Nicole Brigette Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043260946 PECOS PAC ID: 2860477445 Enrollment ID: I20080602000405 |
| Provider Name | Clarence W Paine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851373195 PECOS PAC ID: 8123199114 Enrollment ID: I20080618000753 |
| Provider Name | Busurat K Oladunjoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194890319 PECOS PAC ID: 9133290158 Enrollment ID: I20080619000195 |
| Provider Name | Robert D Scheirer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851360754 PECOS PAC ID: 9234216144 Enrollment ID: I20080623000441 |
| Provider Name | Cara Carter Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750562831 PECOS PAC ID: 6002987724 Enrollment ID: I20080624000096 |
| Provider Name | Samrajya L K Gogineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306932983 PECOS PAC ID: 9436220092 Enrollment ID: I20080625000545 |
| Provider Name | Nagma Sharma Lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619155181 PECOS PAC ID: 0749353407 Enrollment ID: I20080715000073 |
| Provider Name | Mufaddal F Kheda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083734982 PECOS PAC ID: 6002980448 Enrollment ID: I20080804000456 |
| Provider Name | Clay Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134383730 PECOS PAC ID: 0840365029 Enrollment ID: I20080822000324 |
| Provider Name | Randal Kris Shipley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720243561 PECOS PAC ID: 0840365805 Enrollment ID: I20080826000646 |
| Provider Name | James D Bise |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336149988 PECOS PAC ID: 1355417346 Enrollment ID: I20080827000159 |
| Provider Name | Mohammed Singapuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619195732 PECOS PAC ID: 0749360261 Enrollment ID: I20080904000100 |
| Provider Name | Heather Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659534717 PECOS PAC ID: 2466528609 Enrollment ID: I20080911000483 |
| Provider Name | Ananka A Myrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326211087 PECOS PAC ID: 0143397133 Enrollment ID: I20080917000044 |
| Provider Name | Ashley G Giddens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558517839 PECOS PAC ID: 7416024088 Enrollment ID: I20080923000747 |
| Provider Name | Jeong Hun Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619131299 PECOS PAC ID: 6608943121 Enrollment ID: I20080925000503 |
| Provider Name | Deanna J Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972713790 PECOS PAC ID: 4385712611 Enrollment ID: I20081014000091 |
| Provider Name | Phyllis Eason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174596746 PECOS PAC ID: 1355307075 Enrollment ID: I20081024000255 |
| Provider Name | Jessica M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558518472 PECOS PAC ID: 9537227178 Enrollment ID: I20081025000024 |
| Provider Name | Eric M Lehman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689611618 PECOS PAC ID: 8022176601 Enrollment ID: I20081027000246 |
| Provider Name | Anthony Mwangi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083604532 PECOS PAC ID: 3476535683 Enrollment ID: I20081103000245 |
| Provider Name | Wanda A Hubble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760631188 PECOS PAC ID: 3274693452 Enrollment ID: I20081118000242 |
| Provider Name | Krishna M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952371379 PECOS PAC ID: 8426119587 Enrollment ID: I20081208000237 |
| Provider Name | George T Fredrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366554982 PECOS PAC ID: 6709819865 Enrollment ID: I20081216000655 |
| Provider Name | Gandhiji Yalamanchili |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104813575 PECOS PAC ID: 5890699136 Enrollment ID: I20090121000611 |
| Provider Name | Ira G Knepp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174517379 PECOS PAC ID: 0345144689 Enrollment ID: I20090121000634 |
| Provider Name | Anthony Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962445353 PECOS PAC ID: 6507750528 Enrollment ID: I20090128000241 |
| Provider Name | Mark D Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376545053 PECOS PAC ID: 1456254473 Enrollment ID: I20090204000574 |
| Provider Name | James M Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861644429 PECOS PAC ID: 1052476041 Enrollment ID: I20090206000273 |
| Provider Name | Olusegun S John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174796130 PECOS PAC ID: 2062578164 Enrollment ID: I20090225000299 |
| Provider Name | Robert Sakulanda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558526566 PECOS PAC ID: 1557421872 Enrollment ID: I20090306000394 |
| Provider Name | Peter Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184754384 PECOS PAC ID: 6406876010 Enrollment ID: I20090603000387 |
| Provider Name | Gurinder Js Doad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134117591 PECOS PAC ID: 7517908825 Enrollment ID: I20090625000505 |
| Provider Name | Casidy Enfinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386892446 PECOS PAC ID: 1355492596 Enrollment ID: I20090629000055 |
| Provider Name | Patricia B Fennessy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144407917 PECOS PAC ID: 6800947706 Enrollment ID: I20090707000283 |
| Provider Name | William B Abbott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760489744 PECOS PAC ID: 7012985534 Enrollment ID: I20090715000476 |
| Provider Name | Lesley J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649426024 PECOS PAC ID: 2062564917 Enrollment ID: I20090723000526 |
| Provider Name | Daniel J Martin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265505622 PECOS PAC ID: 5991858789 Enrollment ID: I20090727000292 |
| Provider Name | Faith E Causbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699867770 PECOS PAC ID: 1759434459 Enrollment ID: I20090728000688 |
| Provider Name | Brendan J Groarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316041783 PECOS PAC ID: 9931252038 Enrollment ID: I20090807000242 |
| Provider Name | James Murtagh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20090818000351 |
| Provider Name | Thomas G Tyner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720091390 PECOS PAC ID: 5890698070 Enrollment ID: I20090820000091 |
| Provider Name | John W Mix |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558543389 PECOS PAC ID: 3476607797 Enrollment ID: I20090820000244 |
| Provider Name | Rakesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750590030 PECOS PAC ID: 5496815755 Enrollment ID: I20091014000435 |
| Provider Name | Douglas R Joyner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285726182 PECOS PAC ID: 9830289719 Enrollment ID: I20091026000012 |
| Provider Name | Jeremiah A Joyner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346363892 PECOS PAC ID: 6608915129 Enrollment ID: I20091123000315 |
| Provider Name | Robert A Ludwick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043300999 PECOS PAC ID: 6406950732 Enrollment ID: I20091124000039 |
| Provider Name | Candace E Usry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013149574 PECOS PAC ID: 6709925530 Enrollment ID: I20091208000072 |
| Provider Name | Ashraf I Sedfawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972761153 PECOS PAC ID: 2769521434 Enrollment ID: I20091209000588 |
| Provider Name | Hanna A Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831100866 PECOS PAC ID: 1951441328 Enrollment ID: I20091215000517 |
| Provider Name | Jude I Emokpare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629292198 PECOS PAC ID: 6204976632 Enrollment ID: I20091216000286 |
| Provider Name | Mona Batra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053304634 PECOS PAC ID: 1658319876 Enrollment ID: I20091222000162 |
| Provider Name | Thomas R Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740370691 PECOS PAC ID: 9739283052 Enrollment ID: I20091228000302 |
| Provider Name | Misty F Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053645697 PECOS PAC ID: 2567504236 Enrollment ID: I20100119000050 |
| Provider Name | Eugene H Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538165386 PECOS PAC ID: 0840334256 Enrollment ID: I20100224000100 |
| Provider Name | Anita N Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447333471 PECOS PAC ID: 3476697772 Enrollment ID: I20100225000009 |
| Provider Name | Henry A Sakow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114904042 PECOS PAC ID: 5496881492 Enrollment ID: I20100330000018 |
| Provider Name | Michelle G Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851524649 PECOS PAC ID: 4688701154 Enrollment ID: I20100415000364 |
| Provider Name | Nilofer Ahmed Ahsan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245338615 PECOS PAC ID: 7618004086 Enrollment ID: I20100416000612 |
| Provider Name | Michael S Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205822814 PECOS PAC ID: 3072640879 Enrollment ID: I20100428000218 |
| Provider Name | Tracy Rosenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215909361 PECOS PAC ID: 9234267394 Enrollment ID: I20100511000299 |
| Provider Name | Michael Sein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922070077 PECOS PAC ID: 1658409719 Enrollment ID: I20100511000340 |
| Provider Name | Augusto Soltero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346407814 PECOS PAC ID: 4688702665 Enrollment ID: I20100512000735 |
| Provider Name | William P Fricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376538165 PECOS PAC ID: 7517095235 Enrollment ID: I20100517000390 |
| Provider Name | Lauren Giometti Imhoff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417279753 PECOS PAC ID: 2860521556 Enrollment ID: I20100518000381 |
| Provider Name | Tamara H Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457683757 PECOS PAC ID: 8527197912 Enrollment ID: I20100524000263 |
| Provider Name | Gary W Swartzentruber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083937908 PECOS PAC ID: 7719016575 Enrollment ID: I20100603000832 |
| Provider Name | Cheryl Elizabeth Willingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548587264 PECOS PAC ID: 7911037403 Enrollment ID: I20100609000842 |
| Provider Name | Ayodeji T George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255521126 PECOS PAC ID: 1052405511 Enrollment ID: I20100614000270 |
| Provider Name | Alan Wayne J Howard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972725919 PECOS PAC ID: 7416048228 Enrollment ID: I20100621000039 |
| Provider Name | Peggy J Bergrab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285953695 PECOS PAC ID: 5395876486 Enrollment ID: I20100707000193 |
| Provider Name | Asa A Peek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336127802 PECOS PAC ID: 1951432988 Enrollment ID: I20100708000265 |
| Provider Name | Kizhake C Kurian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427082486 PECOS PAC ID: 1254303704 Enrollment ID: I20100708000416 |
| Provider Name | Bernard Scoggins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073624615 PECOS PAC ID: 1052495702 Enrollment ID: I20100719000290 |
| Provider Name | Tamika D Ussery-freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629045521 PECOS PAC ID: 3173655628 Enrollment ID: I20100719000396 |
| Provider Name | Brian N Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629307277 PECOS PAC ID: 1658403126 Enrollment ID: I20100719000648 |
| Provider Name | John E Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841301496 PECOS PAC ID: 3577695998 Enrollment ID: I20100721000488 |
| Provider Name | Samer A Zeayter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578543047 PECOS PAC ID: 5395777627 Enrollment ID: I20100726000311 |
| Provider Name | Donna Edmond-king |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407950876 PECOS PAC ID: 7214060375 Enrollment ID: I20100727000513 |
| Provider Name | Richard Bowe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619085230 PECOS PAC ID: 9234213984 Enrollment ID: I20100810000068 |
| Provider Name | John M Fennessy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568635324 PECOS PAC ID: 6406980523 Enrollment ID: I20100811000717 |
| Provider Name | Willie L Lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194046961 PECOS PAC ID: 1759415821 Enrollment ID: I20100812000149 |
| Provider Name | Jason C Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386752673 PECOS PAC ID: 7810021847 Enrollment ID: I20100812000961 |
| Provider Name | Lamar Houston Moree |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306853510 PECOS PAC ID: 1951435809 Enrollment ID: I20100816000008 |
| Provider Name | Michael J Coleman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437267077 PECOS PAC ID: 2163556739 Enrollment ID: I20100818000336 |
| Provider Name | Bradley J Germany |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275641581 PECOS PAC ID: 2769516376 Enrollment ID: I20100818000847 |
| Provider Name | Latai Grant Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679519573 PECOS PAC ID: 9032128657 Enrollment ID: I20100824000085 |
| Provider Name | Vickie L Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124330030 PECOS PAC ID: 1456475664 Enrollment ID: I20100825000147 |
| Provider Name | Ketan M Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326054305 PECOS PAC ID: 7113827387 Enrollment ID: I20100831000165 |
| Provider Name | George Patton Pennington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669471926 PECOS PAC ID: 3476678749 Enrollment ID: I20100910000548 |
| Provider Name | Harikrishnan Damodaran-nair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871608125 PECOS PAC ID: 3870675945 Enrollment ID: I20100915000771 |
| Provider Name | Jeffery Joe Dockery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831182674 PECOS PAC ID: 9638294150 Enrollment ID: I20100921000167 |
| Provider Name | Marla B Morgan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003848821 PECOS PAC ID: 4082739503 Enrollment ID: I20100921000181 |
| Provider Name | Richard Mikilitus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760461305 PECOS PAC ID: 5092831552 Enrollment ID: I20100922000524 |
| Provider Name | Jill S Olek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154632685 PECOS PAC ID: 1951427095 Enrollment ID: I20100927001004 |
| Provider Name | Thomas J Ungarino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245297209 PECOS PAC ID: 9739371279 Enrollment ID: I20101004000016 |
| Provider Name | Michael R Wenslow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376857078 PECOS PAC ID: 2264624162 Enrollment ID: I20101011000853 |
| Provider Name | Donte Flanagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083927958 PECOS PAC ID: 7517150501 Enrollment ID: I20101022000527 |
| Provider Name | Paul J Steinberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710167424 PECOS PAC ID: 6406049329 Enrollment ID: I20101022000962 |
| Provider Name | Malcolm G Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023323516 PECOS PAC ID: 4688867369 Enrollment ID: I20101026001164 |
| Provider Name | Henry Albert Pridgen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790893402 PECOS PAC ID: 1456456375 Enrollment ID: I20101026001471 |
| Provider Name | Hamilton V Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710165287 PECOS PAC ID: 9537353578 Enrollment ID: I20101103000614 |
| Provider Name | Kirby Odis Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801987292 PECOS PAC ID: 5799830758 Enrollment ID: I20101119000653 |
| Provider Name | Catherine H Saunders |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1164732939 PECOS PAC ID: 0840486122 Enrollment ID: I20101129000676 |
| Provider Name | Thinh Le Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790016541 PECOS PAC ID: 4284821174 Enrollment ID: I20101203000959 |
| Provider Name | William K Garnto |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144327958 PECOS PAC ID: 0244427144 Enrollment ID: I20101203001006 |
| Provider Name | Christopher T Ludlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861464703 PECOS PAC ID: 2264629476 Enrollment ID: I20101213001159 |
| Provider Name | Michel Pare |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912089533 PECOS PAC ID: 2163634841 Enrollment ID: I20101216000426 |
| Provider Name | Christinia M Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1093025991 PECOS PAC ID: 4789872854 Enrollment ID: I20101216000621 |
| Provider Name | Patricia A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134420268 PECOS PAC ID: 9830388859 Enrollment ID: I20110106000533 |
| Provider Name | Ramana P Rao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215920491 PECOS PAC ID: 8224085220 Enrollment ID: I20110106000588 |
| Provider Name | Kimberly S Brown |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205829009 PECOS PAC ID: 3577516954 Enrollment ID: I20110112000814 |
| Provider Name | Steven S Yang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053370353 PECOS PAC ID: 7214966571 Enrollment ID: I20110216000077 |
| Provider Name | Mac Bradley Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942514609 PECOS PAC ID: 5092997940 Enrollment ID: I20110314000581 |
| Provider Name | Mehdi Shahpoury Arani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790947471 PECOS PAC ID: 5799967667 Enrollment ID: I20110314000856 |
| Provider Name | Chelsi L Tullos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538466883 PECOS PAC ID: 4789867334 Enrollment ID: I20110321000246 |
| Provider Name | Samantha H Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841436318 PECOS PAC ID: 1355524356 Enrollment ID: I20110329000886 |
| Provider Name | Patrice Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609053248 PECOS PAC ID: 9436336237 Enrollment ID: I20110603000259 |
| Provider Name | Jyotir K Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306830203 PECOS PAC ID: 2264597079 Enrollment ID: I20110607000524 |
| Provider Name | Rachel Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457528648 PECOS PAC ID: 2264581149 Enrollment ID: I20110617000106 |
| Provider Name | Sean R Sheff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275654717 PECOS PAC ID: 9638364995 Enrollment ID: I20110617000470 |
| Provider Name | Ronald H Odom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568754646 PECOS PAC ID: 1153509013 Enrollment ID: I20110623000105 |
| Provider Name | Christopher C Hills |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518024488 PECOS PAC ID: 7618155524 Enrollment ID: I20110623000724 |
| Provider Name | Helen A Westbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346310935 PECOS PAC ID: 5597856005 Enrollment ID: I20110629000585 |
| Provider Name | Andrea M Hoots |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467603969 PECOS PAC ID: 1355408626 Enrollment ID: I20110708000097 |
| Provider Name | Shelby C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073744280 PECOS PAC ID: 1052589231 Enrollment ID: I20110713000498 |
| Provider Name | James Vincent Palazzolo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457315434 PECOS PAC ID: 9931189305 Enrollment ID: I20110719000466 |
| Provider Name | I Reese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669479945 PECOS PAC ID: 0749251098 Enrollment ID: I20110721000448 |
| Provider Name | Brett A. Krummert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285807834 PECOS PAC ID: 5193993988 Enrollment ID: I20110721000677 |
| Provider Name | Carissa A Sanjuan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689838526 PECOS PAC ID: 4587832274 Enrollment ID: I20110725000303 |
| Provider Name | Kelley H Plant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114865 PECOS PAC ID: 0345419966 Enrollment ID: I20110816000113 |
| Provider Name | Rowland O Chigbu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598949687 PECOS PAC ID: 0840460135 Enrollment ID: I20110824000128 |
| Provider Name | Emily C Bradburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548558398 PECOS PAC ID: 8325218449 Enrollment ID: I20110829000485 |
| Provider Name | Josephine Amalia Taverna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629283833 PECOS PAC ID: 0446420293 Enrollment ID: I20110902000446 |
| Provider Name | Jeong Sok Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639359342 PECOS PAC ID: 1456521012 Enrollment ID: I20110909002445 |
| Provider Name | Raquel De Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174785216 PECOS PAC ID: 5294905865 Enrollment ID: I20110909002547 |
| Provider Name | James Sutherland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811982945 PECOS PAC ID: 5496783276 Enrollment ID: I20110919000433 |
| Provider Name | Laura H Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699068114 PECOS PAC ID: 1153592209 Enrollment ID: I20110921000113 |
| Provider Name | Traci K Yawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053690636 PECOS PAC ID: 2668643669 Enrollment ID: I20110923000252 |
| Provider Name | Bhavesh Arvindbhai Gajjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497903447 PECOS PAC ID: 6709057672 Enrollment ID: I20110926000583 |
| Provider Name | Gregory Alvin Cumberbatch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952552945 PECOS PAC ID: 9537331079 Enrollment ID: I20111005000938 |
| Provider Name | David L Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649599416 PECOS PAC ID: 5294907499 Enrollment ID: I20111012000531 |
| Provider Name | William H Buntin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1528172137 PECOS PAC ID: 7810169968 Enrollment ID: I20111013000360 |
| Provider Name | Britt Anthony Boone |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1861506511 PECOS PAC ID: 7012189129 Enrollment ID: I20111014000442 |
| Provider Name | Mary H Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407960065 PECOS PAC ID: 0143492009 Enrollment ID: I20111019000241 |
| Provider Name | Leigh E Wenslow |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1053691386 PECOS PAC ID: 4486827243 Enrollment ID: I20111024000519 |
| Provider Name | Britton C Suber |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962516567 PECOS PAC ID: 5092988766 Enrollment ID: I20111026000299 |
| Provider Name | George B Thornton |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1609176221 PECOS PAC ID: 7214100817 Enrollment ID: I20111026000754 |
| Provider Name | Olga B Carroll |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1144506171 PECOS PAC ID: 2567635972 Enrollment ID: I20111031000734 |
| Provider Name | Brent S Deem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760435416 PECOS PAC ID: 7911971221 Enrollment ID: I20111102000031 |
| Provider Name | Yasmeen Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649206962 PECOS PAC ID: 8628058807 Enrollment ID: I20111108000709 |
| Provider Name | Noleen C Afolabi-brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558573667 PECOS PAC ID: 6103090048 Enrollment ID: I20111110000813 |
| Provider Name | Barnwell Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689825234 PECOS PAC ID: 0749454759 Enrollment ID: I20111130000676 |
| Provider Name | Thomas A Hilsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922093665 PECOS PAC ID: 6608040647 Enrollment ID: I20111201000093 |
| Provider Name | Michael H Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336379734 PECOS PAC ID: 6204981723 Enrollment ID: I20111219000241 |
| Provider Name | James L Griffith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184677999 PECOS PAC ID: 0345227393 Enrollment ID: I20120104000568 |
| Provider Name | Shashank K Jha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174800072 PECOS PAC ID: 7719153360 Enrollment ID: I20120131000672 |
| Provider Name | Stalina C Gowdie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205143716 PECOS PAC ID: 8123285855 Enrollment ID: I20120207000603 |
| Provider Name | Leah D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689945644 PECOS PAC ID: 8820255300 Enrollment ID: I20120210000768 |
| Provider Name | Jennifer Dulin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730352048 PECOS PAC ID: 0446418776 Enrollment ID: I20120216000127 |
| Provider Name | Nurulhusein Nurbhai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023064672 PECOS PAC ID: 7810997764 Enrollment ID: I20120229000706 |
| Provider Name | Glenn L Goodhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568481356 PECOS PAC ID: 5496917304 Enrollment ID: I20120509000654 |
| Provider Name | Ruth D Montalvo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447346721 PECOS PAC ID: 6608976329 Enrollment ID: I20120516000600 |
| Provider Name | Kathleen L Klotz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528154846 PECOS PAC ID: 5597928150 Enrollment ID: I20120517000287 |
| Provider Name | Linda Idun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609047844 PECOS PAC ID: 8224109145 Enrollment ID: I20120523000368 |
| Provider Name | Chinyelu Ofodile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821231432 PECOS PAC ID: 0042474223 Enrollment ID: I20120620000155 |
| Provider Name | Sharon L Wilt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760492185 PECOS PAC ID: 4183714603 Enrollment ID: I20120621000331 |
| Provider Name | James M Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083811442 PECOS PAC ID: 3173671112 Enrollment ID: I20120627000095 |
| Provider Name | Deann E Bing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396972048 PECOS PAC ID: 5991960718 Enrollment ID: I20120629000144 |
| Provider Name | Ufuoma Y Philemon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346477049 PECOS PAC ID: 2567627144 Enrollment ID: I20120705000175 |
| Provider Name | Robert Peter Oristaglio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295838290 PECOS PAC ID: 5597860163 Enrollment ID: I20120717000570 |
| Provider Name | Sara Chappell Knabe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740501881 PECOS PAC ID: 4082870118 Enrollment ID: I20120718000305 |
| Provider Name | Ignatius N. Ohamadike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730382342 PECOS PAC ID: 2163678293 Enrollment ID: I20120806000703 |
| Provider Name | Jeffrey R Lowery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619236916 PECOS PAC ID: 1951557941 Enrollment ID: I20120807000546 |
| Provider Name | Russell E Jones |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336351865 PECOS PAC ID: 2668628678 Enrollment ID: I20120807000681 |
| Provider Name | Nayyer Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437291994 PECOS PAC ID: 6901997204 Enrollment ID: I20120807000835 |
| Provider Name | Heath J Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932464542 PECOS PAC ID: 5294981916 Enrollment ID: I20120813000749 |
| Provider Name | Nosheen Azam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184852600 PECOS PAC ID: 5496902017 Enrollment ID: I20120904000193 |
| Provider Name | Lorette V Fahie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326002353 PECOS PAC ID: 8224109244 Enrollment ID: I20120912000694 |
| Provider Name | Larry Larue Marsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205115268 PECOS PAC ID: 2668645110 Enrollment ID: I20120912000727 |
| Provider Name | Syed A Imam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144413733 PECOS PAC ID: 7618147521 Enrollment ID: I20121011000218 |
| Provider Name | Babar Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649266016 PECOS PAC ID: 2860387891 Enrollment ID: I20121015000121 |
| Provider Name | Tonya R Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396015871 PECOS PAC ID: 4486812112 Enrollment ID: I20121025000448 |
| Provider Name | Gabrielle Gauthier Permanente |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1669724829 PECOS PAC ID: 8527218577 Enrollment ID: I20121029000079 |
| Provider Name | Amber L Albritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568715340 PECOS PAC ID: 3678723426 Enrollment ID: I20121101000275 |
| Provider Name | James Willard Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427076280 PECOS PAC ID: 6709892508 Enrollment ID: I20121112000214 |
| Provider Name | Thai Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740544493 PECOS PAC ID: 7810148111 Enrollment ID: I20121114000507 |
| Provider Name | Dawn Glisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740531516 PECOS PAC ID: 0648421701 Enrollment ID: I20121119000406 |
| Provider Name | Nariel C Offomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851380489 PECOS PAC ID: 5799758983 Enrollment ID: I20121128000528 |
| Provider Name | Tiffany M Fallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801140769 PECOS PAC ID: 4789836586 Enrollment ID: I20121130000049 |
| Provider Name | Olanrewaju Olayemi Ladipo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528363959 PECOS PAC ID: 1153573928 Enrollment ID: I20121203000018 |
| Provider Name | Bonnie F Skinner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962753137 PECOS PAC ID: 7517119043 Enrollment ID: I20121210000160 |
| Provider Name | Gregory M Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962756288 PECOS PAC ID: 7012160070 Enrollment ID: I20121227000221 |
| Provider Name | Michelle A Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518075506 PECOS PAC ID: 3971498346 Enrollment ID: I20130111000027 |
| Provider Name | Marcie G Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699010157 PECOS PAC ID: 0840443230 Enrollment ID: I20130115000333 |
| Provider Name | Kristi A Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669468914 PECOS PAC ID: 2365489457 Enrollment ID: I20130129000174 |
| Provider Name | Franklin Chinagorom Ohiagbaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972749034 PECOS PAC ID: 4789854365 Enrollment ID: I20130130000348 |
| Provider Name | Mary O Nwoke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891261 PECOS PAC ID: 3476707381 Enrollment ID: I20130130000356 |
| Provider Name | Benjamin Lee Hicks |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1184961963 PECOS PAC ID: 2163676784 Enrollment ID: I20130207000437 |
| Provider Name | Michael F Salvia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932194602 PECOS PAC ID: 9537131016 Enrollment ID: I20130208000217 |
| Provider Name | Daniel R Skinner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396083887 PECOS PAC ID: 7517111792 Enrollment ID: I20130218000285 |
| Provider Name | Shahid Atta Elahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558514232 PECOS PAC ID: 2264596873 Enrollment ID: I20130220000302 |
| Provider Name | Zackary J Whitaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518204486 PECOS PAC ID: 5395980270 Enrollment ID: I20130325000424 |
| Provider Name | Anthonia O Ekpenike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659577484 PECOS PAC ID: 8426174814 Enrollment ID: I20130403000301 |
| Provider Name | Rebecca M Hammack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841518370 PECOS PAC ID: 1759527179 Enrollment ID: I20130409000422 |
| Provider Name | Jennifer H Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598006496 PECOS PAC ID: 8224274584 Enrollment ID: I20130411000565 |
| Provider Name | Anna V Rentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417297011 PECOS PAC ID: 7810133188 Enrollment ID: I20130412000090 |
| Provider Name | Pamela P Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134460033 PECOS PAC ID: 3779729561 Enrollment ID: I20130424000235 |
| Provider Name | Daniel H Singleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497066682 PECOS PAC ID: 0648426197 Enrollment ID: I20130523000642 |
| Provider Name | Kristin A Tott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144481839 PECOS PAC ID: 6103072327 Enrollment ID: I20130604000027 |
| Provider Name | Raja Shekhar Reddy Sappati Biyyani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366462160 PECOS PAC ID: 4880607241 Enrollment ID: I20130617000568 |
| Provider Name | Marcia L Tankersly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194160283 PECOS PAC ID: 6800035718 Enrollment ID: I20130625000156 |
| Provider Name | Woodwin M Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053612325 PECOS PAC ID: 2163662685 Enrollment ID: I20130705000367 |
| Provider Name | Kashyap Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093977290 PECOS PAC ID: 8022258557 Enrollment ID: I20130705000431 |
| Provider Name | Jeffrey Y Lee |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316145675 PECOS PAC ID: 6608977079 Enrollment ID: I20130712000399 |
| Provider Name | Curtis C Quinn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164497269 PECOS PAC ID: 9032006408 Enrollment ID: I20130716000920 |
| Provider Name | Ronnie Tom Oommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581887 PECOS PAC ID: 8325289077 Enrollment ID: I20130723000902 |
| Provider Name | Steven Mcneal Potter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023179975 PECOS PAC ID: 7911148119 Enrollment ID: I20130731000458 |
| Provider Name | J Richard L Evanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003072604 PECOS PAC ID: 9032351978 Enrollment ID: I20130806000496 |
| Provider Name | Sanjay K Munireddy |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1255476107 PECOS PAC ID: 0345482980 Enrollment ID: I20130812000602 |
| Provider Name | Jimi S Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619318045 PECOS PAC ID: 2961644505 Enrollment ID: I20130812000641 |
| Provider Name | Lawrence J Mcdermott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801838818 PECOS PAC ID: 0345291019 Enrollment ID: I20130815000648 |
| Provider Name | Veera V Pavuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255504098 PECOS PAC ID: 7012089329 Enrollment ID: I20130904000497 |
| Provider Name | Khaja S Mohammed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194952739 PECOS PAC ID: 5496998874 Enrollment ID: I20130904000504 |
| Provider Name | Wajid Siddiqui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669647889 PECOS PAC ID: 0345309571 Enrollment ID: I20130904000518 |
| Provider Name | John Paul K Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1578999173 PECOS PAC ID: 1557595972 Enrollment ID: I20131017001139 |
| Provider Name | Victor Hugo Urbieta Caceres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386922938 PECOS PAC ID: 7810121282 Enrollment ID: I20131018000646 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20131030001535 |
| Provider Name | Andrew Monroe Cross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679535975 PECOS PAC ID: 9032120415 Enrollment ID: I20131112000159 |
| Provider Name | Patricia Kloser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801988787 PECOS PAC ID: 9537328760 Enrollment ID: I20131112001150 |
| Provider Name | Adrian Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538375076 PECOS PAC ID: 1153558440 Enrollment ID: I20131211001930 |
| Provider Name | David C Hardy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487997086 PECOS PAC ID: 2668609702 Enrollment ID: I20131216001331 |
| Provider Name | Dayna London |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477751089 PECOS PAC ID: 6103084710 Enrollment ID: I20131218000469 |
| Provider Name | Marvin P Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740345214 PECOS PAC ID: 6002848223 Enrollment ID: I20131219000946 |
| Provider Name | Ricky Justin Mccullough |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245469519 PECOS PAC ID: 0446438451 Enrollment ID: I20140103000728 |
| Provider Name | Vivian Nchinda Kenmoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265694921 PECOS PAC ID: 2668648387 Enrollment ID: I20140124000352 |
| Provider Name | Ifechukwude E Nwadei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821434945 PECOS PAC ID: 3375774060 Enrollment ID: I20140321000954 |
| Provider Name | Lori A Mcintosh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710956602 PECOS PAC ID: 6800890138 Enrollment ID: I20140326002362 |
| Provider Name | Patricia K Justus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144350232 PECOS PAC ID: 2860426871 Enrollment ID: I20140331001222 |
| Provider Name | Peter Hinds |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245436518 PECOS PAC ID: 3173788569 Enrollment ID: I20140401001874 |
| Provider Name | Robert L Geer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861815391 PECOS PAC ID: 2163653296 Enrollment ID: I20140402001571 |
| Provider Name | Allison Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861815524 PECOS PAC ID: 6305078247 Enrollment ID: I20140408002027 |
| Provider Name | Clifford Vernor Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548468036 PECOS PAC ID: 3971686106 Enrollment ID: I20140522000646 |
| Provider Name | Helen O Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154742542 PECOS PAC ID: 8123242062 Enrollment ID: I20140614000176 |
| Provider Name | Vijay Verma |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891956926 PECOS PAC ID: 6305027715 Enrollment ID: I20140617001478 |
| Provider Name | William F Scully |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851555742 PECOS PAC ID: 3577787241 Enrollment ID: I20140619001292 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20140620000795 |
| Provider Name | Richard B Frady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770903486 PECOS PAC ID: 7214151794 Enrollment ID: I20140624002299 |
| Provider Name | Kimberly Greenhill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578989737 PECOS PAC ID: 4880819382 Enrollment ID: I20140625000782 |
| Provider Name | Curtis Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055790 PECOS PAC ID: 6103041603 Enrollment ID: I20140625001022 |
| Provider Name | Jason R Chapman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447437090 PECOS PAC ID: 1456576578 Enrollment ID: I20140703001959 |
| Provider Name | Deedee T Diep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033499942 PECOS PAC ID: 0143454181 Enrollment ID: I20140718000632 |
| Provider Name | Michelle M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265852651 PECOS PAC ID: 8325265648 Enrollment ID: I20140811001498 |
| Provider Name | Isaac B Annan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336112234 PECOS PAC ID: 1456311307 Enrollment ID: I20140820000917 |
| Provider Name | Jinne N Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497162325 PECOS PAC ID: 8123246741 Enrollment ID: I20140822002576 |
| Provider Name | Dare Adewumi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265605091 PECOS PAC ID: 9133347446 Enrollment ID: I20140828001401 |
| Provider Name | Laurence So |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245273812 PECOS PAC ID: 6800959149 Enrollment ID: I20140904002156 |
| Provider Name | Lamont Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205816899 PECOS PAC ID: 6800987975 Enrollment ID: I20140910001670 |
| Provider Name | Muneeruddin Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245400985 PECOS PAC ID: 8921288689 Enrollment ID: I20140910001755 |
| Provider Name | Dhaval Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245524909 PECOS PAC ID: 5698994317 Enrollment ID: I20140911001395 |
| Provider Name | Witemba Kabange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720493703 PECOS PAC ID: 9830318112 Enrollment ID: I20140918001356 |
| Provider Name | Nwamaka M Onuigbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497983639 PECOS PAC ID: 7416105473 Enrollment ID: I20140923001492 |
| Provider Name | Terrance L Cannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063829208 PECOS PAC ID: 9931328937 Enrollment ID: I20140923001888 |
| Provider Name | Christopher J Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750353355 PECOS PAC ID: 6901881192 Enrollment ID: I20140923002334 |
| Provider Name | Lawrence Eugene Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962633164 PECOS PAC ID: 3476773417 Enrollment ID: I20140925001539 |
| Provider Name | Gagan Kumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932281466 PECOS PAC ID: 1153499835 Enrollment ID: I20141006000813 |
| Provider Name | Kelsey R Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952717431 PECOS PAC ID: 6103046271 Enrollment ID: I20141013002397 |
| Provider Name | Barry O Iguobadia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750671004 PECOS PAC ID: 2769603539 Enrollment ID: I20141020001401 |
| Provider Name | Joyce M Mccook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982005682 PECOS PAC ID: 7517071541 Enrollment ID: I20141027001362 |
| Provider Name | Bianca Kierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568862068 PECOS PAC ID: 0446471619 Enrollment ID: I20141103000215 |
| Provider Name | William Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578854725 PECOS PAC ID: 1557583754 Enrollment ID: I20141103001792 |
| Provider Name | Jonathan M Shank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568724268 PECOS PAC ID: 0446472237 Enrollment ID: I20141111001563 |
| Provider Name | Ray W Eschmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063828887 PECOS PAC ID: 8628290335 Enrollment ID: I20141113001345 |
| Provider Name | Anita S Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932510757 PECOS PAC ID: 6608198973 Enrollment ID: I20141124001432 |
| Provider Name | Samantha P Mccaskill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295857696 PECOS PAC ID: 9739401860 Enrollment ID: I20141201000863 |
| Provider Name | Kristen Sue Montgomery |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770989576 PECOS PAC ID: 8123340031 Enrollment ID: I20141204000191 |
| Provider Name | Gaston Da Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902011158 PECOS PAC ID: 5193825073 Enrollment ID: I20141209001591 |
| Provider Name | Vu Hoang |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1790189140 PECOS PAC ID: 3870815418 Enrollment ID: I20141209002198 |
| Provider Name | Barbara K Kirejczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225142763 PECOS PAC ID: 6800119710 Enrollment ID: I20141230000919 |
| Provider Name | Veronica R Applewhite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063783363 PECOS PAC ID: 2163689191 Enrollment ID: I20150109001896 |
| Provider Name | Winston C Ugbajah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134380520 PECOS PAC ID: 8527382696 Enrollment ID: I20150120001163 |
| Provider Name | Toks Macarthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164608964 PECOS PAC ID: 2264509041 Enrollment ID: I20150326001012 |
| Provider Name | Lauren S Meccarielli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386034593 PECOS PAC ID: 7517284631 Enrollment ID: I20150327002237 |
| Provider Name | Javan Alphonso Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597314 PECOS PAC ID: 3971563065 Enrollment ID: I20150331001834 |
| Provider Name | Beverly A Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023345410 PECOS PAC ID: 9436477395 Enrollment ID: I20150406001939 |
| Provider Name | Jaime Lynn Sather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538477369 PECOS PAC ID: 9234324591 Enrollment ID: I20150415002154 |
| Provider Name | Cassandra R Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913198 PECOS PAC ID: 8224357249 Enrollment ID: I20150424000980 |
| Provider Name | Jeniffer M Pelletier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093054702 PECOS PAC ID: 9335384262 Enrollment ID: I20150424001024 |
| Provider Name | Sabena K Ramsetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659553394 PECOS PAC ID: 1355424904 Enrollment ID: I20150424001568 |
| Provider Name | Greta S Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447644265 PECOS PAC ID: 6305165002 Enrollment ID: I20150430002089 |
| Provider Name | Mfon M Inyang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679884316 PECOS PAC ID: 7416182035 Enrollment ID: I20150519001690 |
| Provider Name | Natosha Manning-rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751206 PECOS PAC ID: 5092035543 Enrollment ID: I20150522001505 |
| Provider Name | Michelle D Thomas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659370039 PECOS PAC ID: 3678614591 Enrollment ID: I20150624001647 |
| Provider Name | Wael A Azer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841588241 PECOS PAC ID: 5991017840 Enrollment ID: I20150706002543 |
| Provider Name | Cynthia L Ragsdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639559149 PECOS PAC ID: 3274846290 Enrollment ID: I20150721000445 |
| Provider Name | Ahmad T Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710082425 PECOS PAC ID: 3072407451 Enrollment ID: I20150727002888 |
| Provider Name | Shanda D Newsome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760772313 PECOS PAC ID: 9436463940 Enrollment ID: I20150728005479 |
| Provider Name | Bascom Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518064583 PECOS PAC ID: 1052632015 Enrollment ID: I20150729009352 |
| Provider Name | Monisola Sanusi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053799973 PECOS PAC ID: 1456665702 Enrollment ID: I20150731014710 |
| Provider Name | Sushma Kakkerala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326395948 PECOS PAC ID: 3072820687 Enrollment ID: I20150915001418 |
| Provider Name | Sig-linda Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033291323 PECOS PAC ID: 5698869980 Enrollment ID: I20150915002416 |
| Provider Name | William L Koontz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699777268 PECOS PAC ID: 9638203698 Enrollment ID: I20150916002828 |
| Provider Name | Karen R Hamby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063542157 PECOS PAC ID: 5092023028 Enrollment ID: I20150924001985 |
| Provider Name | St Claire Gitau Sumaili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275911828 PECOS PAC ID: 3577871094 Enrollment ID: I20151002001836 |
| Provider Name | Sean P Kenney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235217118 PECOS PAC ID: 4082656533 Enrollment ID: I20151006001039 |
| Provider Name | Saurabh Sheel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265452791 PECOS PAC ID: 4880654771 Enrollment ID: I20151006001705 |
| Provider Name | Neelendu Dey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154575892 PECOS PAC ID: 3779748512 Enrollment ID: I20151007002595 |
| Provider Name | Robert C Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891170395 PECOS PAC ID: 6204144405 Enrollment ID: I20151008001505 |
| Provider Name | Cynithia Summerlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306070099 PECOS PAC ID: 8022327949 Enrollment ID: I20151015001815 |
| Provider Name | Oscar S Teal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144698887 PECOS PAC ID: 3072822915 Enrollment ID: I20151016000241 |
| Provider Name | Mary A Macy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811907199 PECOS PAC ID: 7214995927 Enrollment ID: I20151022000325 |
| Provider Name | Ryan Joel Eubanks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679949200 PECOS PAC ID: 5698084150 Enrollment ID: I20151023000104 |
| Provider Name | Chadwick William Stouffer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073737656 PECOS PAC ID: 0244425304 Enrollment ID: I20151104000619 |
| Provider Name | Anuj Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871766428 PECOS PAC ID: 2860552395 Enrollment ID: I20151106001420 |
| Provider Name | Sara N Cornwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417325630 PECOS PAC ID: 4486954179 Enrollment ID: I20151202001390 |
| Provider Name | Tracy Lynn Chason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033430814 PECOS PAC ID: 7719133933 Enrollment ID: I20151204002381 |
| Provider Name | Kim Schultheiss |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831227560 PECOS PAC ID: 4082792510 Enrollment ID: I20151208003253 |
| Provider Name | Michael A. Samotowka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437124021 PECOS PAC ID: 1759406382 Enrollment ID: I20151229001823 |
| Provider Name | Govindarajan Venkatesh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356317648 PECOS PAC ID: 1951599299 Enrollment ID: I20160125001857 |
| Provider Name | Chinonye Uzaoamaka Nwoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245662139 PECOS PAC ID: 9234432089 Enrollment ID: I20160128000800 |
| Provider Name | Hyacinth D Spence |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295703742 PECOS PAC ID: 1850312992 Enrollment ID: I20160201000106 |
| Provider Name | Shannon Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487971263 PECOS PAC ID: 6709027436 Enrollment ID: I20160204002026 |
| Provider Name | William P Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184646234 PECOS PAC ID: 9638192487 Enrollment ID: I20160212002079 |
| Provider Name | Stephen P Keith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457332066 PECOS PAC ID: 5294786414 Enrollment ID: I20160303000569 |
| Provider Name | Janssen Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568548790 PECOS PAC ID: 9133279698 Enrollment ID: I20160408001038 |
| Provider Name | Lawrence Crimmins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043279763 PECOS PAC ID: 0345312609 Enrollment ID: I20160408001650 |
| Provider Name | Cuong T Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1568825859 PECOS PAC ID: 5496054470 Enrollment ID: I20160426000049 |
| Provider Name | Peter K Meyers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437162716 PECOS PAC ID: 1658368725 Enrollment ID: I20160426000397 |
| Provider Name | Cleopatra Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679959852 PECOS PAC ID: 8325347206 Enrollment ID: I20160427001104 |
| Provider Name | Anca Pop |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871515817 PECOS PAC ID: 8921047911 Enrollment ID: I20160427001602 |
| Provider Name | Priyank Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285946988 PECOS PAC ID: 1052610631 Enrollment ID: I20160503001932 |
| Provider Name | Holly E Azimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487022273 PECOS PAC ID: 2365741808 Enrollment ID: I20160504001273 |
| Provider Name | Miriam Layne Vohrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114381282 PECOS PAC ID: 4789983222 Enrollment ID: I20160504001419 |
| Provider Name | Collins A Kwarteng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598943516 PECOS PAC ID: 0143407890 Enrollment ID: I20160506001902 |
| Provider Name | Keywanna Nichole Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588020234 PECOS PAC ID: 8123317252 Enrollment ID: I20160512002200 |
| Provider Name | Edward Kojo-eyiah Koomson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790929859 PECOS PAC ID: 9133378532 Enrollment ID: I20160606000562 |
| Provider Name | Giovanni Piovesana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770713943 PECOS PAC ID: 0042437634 Enrollment ID: I20160607001630 |
| Provider Name | Tiera A Barron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700232774 PECOS PAC ID: 8921390501 Enrollment ID: I20160630001869 |
| Provider Name | John Julius Mcgill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982847703 PECOS PAC ID: 0648584888 Enrollment ID: I20160718002430 |
| Provider Name | Jessica Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942658125 PECOS PAC ID: 5698068807 Enrollment ID: I20160726001813 |
| Provider Name | Emantavius M Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760871420 PECOS PAC ID: 7517250350 Enrollment ID: I20160801001650 |
| Provider Name | Gretchen Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811286297 PECOS PAC ID: 2961795703 Enrollment ID: I20160801001693 |
| Provider Name | Enrique P Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003046525 PECOS PAC ID: 5698996262 Enrollment ID: I20160805000244 |
| Provider Name | Daniel P Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548567548 PECOS PAC ID: 8527373950 Enrollment ID: I20160808001986 |
| Provider Name | Victoria A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578913000 PECOS PAC ID: 9739473083 Enrollment ID: I20160809001470 |
| Provider Name | Jason M Langer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750673760 PECOS PAC ID: 7618261686 Enrollment ID: I20160815000806 |
| Provider Name | Pablo A Rengifo-moreno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356500854 PECOS PAC ID: 1254457658 Enrollment ID: I20160817000849 |
| Provider Name | Michael A. Lam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336190883 PECOS PAC ID: 2062492390 Enrollment ID: I20160819000379 |
| Provider Name | Rhonda Jeannean Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003361064 PECOS PAC ID: 7517252828 Enrollment ID: I20160825002182 |
| Provider Name | Holley Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740630672 PECOS PAC ID: 0941595110 Enrollment ID: I20160826001229 |
| Provider Name | Tammy L Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538614664 PECOS PAC ID: 8022304617 Enrollment ID: I20160907003069 |
| Provider Name | Bradley T Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083168793 PECOS PAC ID: 1153617493 Enrollment ID: I20160913000229 |
| Provider Name | Letitia R Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366812562 PECOS PAC ID: 4486964954 Enrollment ID: I20160916000538 |
| Provider Name | Meredith Koomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447571294 PECOS PAC ID: 7810122512 Enrollment ID: I20160916002322 |
| Provider Name | Megan H Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760821656 PECOS PAC ID: 5092003145 Enrollment ID: I20161005002674 |
| Provider Name | Shaun L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134675531 PECOS PAC ID: 0143518217 Enrollment ID: I20161005003172 |
| Provider Name | Charles Franklin Gloster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790231793 PECOS PAC ID: 9830487800 Enrollment ID: I20161006000515 |
| Provider Name | Melissa K Milicevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366991374 PECOS PAC ID: 0840579819 Enrollment ID: I20161115000773 |
| Provider Name | Osita W Okechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386927382 PECOS PAC ID: 9739468745 Enrollment ID: I20161115002254 |
| Provider Name | Gail Ricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245680487 PECOS PAC ID: 4183905664 Enrollment ID: I20161220002357 |
| Provider Name | Daisy-scarlett Maccallum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508120924 PECOS PAC ID: 8628205705 Enrollment ID: I20170223002549 |
| Provider Name | Lori A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962852715 PECOS PAC ID: 7719261387 Enrollment ID: I20170227000586 |
| Provider Name | Larry E Tyrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366986606 PECOS PAC ID: 7416231485 Enrollment ID: I20170313000443 |
| Provider Name | John C Ohanu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487196705 PECOS PAC ID: 5193000883 Enrollment ID: I20170320002072 |
| Provider Name | Donica R Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265972954 PECOS PAC ID: 2163707456 Enrollment ID: I20170329001427 |
| Provider Name | Kendra P Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265979983 PECOS PAC ID: 8820373087 Enrollment ID: I20170330001444 |
| Provider Name | Pradeep R Thodima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720376197 PECOS PAC ID: 0143511402 Enrollment ID: I20170418002279 |
| Provider Name | Ayodeji Olarewaju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467711960 PECOS PAC ID: 4789952805 Enrollment ID: I20170614001362 |
| Provider Name | John R Macon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386198455 PECOS PAC ID: 2769750710 Enrollment ID: I20170614002850 |
| Provider Name | Mark Shapiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164405270 PECOS PAC ID: 5395701395 Enrollment ID: I20170614002960 |
| Provider Name | Noha Raouf Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023066206 PECOS PAC ID: 5395773899 Enrollment ID: I20170620000584 |
| Provider Name | Susan Furro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548790496 PECOS PAC ID: 5991075384 Enrollment ID: I20170718000835 |
| Provider Name | Temitope Oluwatosin Olarewaju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720375637 PECOS PAC ID: 6507009156 Enrollment ID: I20170718002111 |
| Provider Name | Christopher Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225550957 PECOS PAC ID: 9133490287 Enrollment ID: I20170808000789 |
| Provider Name | Anna W Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396267241 PECOS PAC ID: 7416229323 Enrollment ID: I20170826000247 |
| Provider Name | Jose Rebeil De La Rosa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003867375 PECOS PAC ID: 8325010093 Enrollment ID: I20170828002566 |
| Provider Name | Sarah B Exum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932622438 PECOS PAC ID: 7517230428 Enrollment ID: I20170828004758 |
| Provider Name | Margaret C Carter-poore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235652421 PECOS PAC ID: 6507139136 Enrollment ID: I20170901002753 |
| Provider Name | Antwuan G Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194263624 PECOS PAC ID: 9436422938 Enrollment ID: I20170905002962 |
| Provider Name | Terry Daniel Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447694823 PECOS PAC ID: 9830462365 Enrollment ID: I20170906000709 |
| Provider Name | Gary Trewick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482850 PECOS PAC ID: 6608179858 Enrollment ID: I20170906002554 |
| Provider Name | Wenlan Duan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336374446 PECOS PAC ID: 5799081030 Enrollment ID: I20170906002581 |
| Provider Name | Adel M Mohi Eldin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568430452 PECOS PAC ID: 3971406315 Enrollment ID: I20170906003900 |
| Provider Name | Daniel E Ukpong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376805192 PECOS PAC ID: 2567683410 Enrollment ID: I20170908002926 |
| Provider Name | Doriann T Stempinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417477811 PECOS PAC ID: 0547533622 Enrollment ID: I20170912002370 |
| Provider Name | Lashonda R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050304 PECOS PAC ID: 2769755867 Enrollment ID: I20170912003170 |
| Provider Name | Ryan Monti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629496880 PECOS PAC ID: 7214201037 Enrollment ID: I20170918002337 |
| Provider Name | Leslie G Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053768903 PECOS PAC ID: 4486948411 Enrollment ID: I20170919002905 |
| Provider Name | Lauren Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356871529 PECOS PAC ID: 4587938733 Enrollment ID: I20170927000283 |
| Provider Name | Stephen P Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922537190 PECOS PAC ID: 8729353453 Enrollment ID: I20171005003819 |
| Provider Name | Dorothy A Amaka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588902282 PECOS PAC ID: 0345488326 Enrollment ID: I20171009003154 |
| Provider Name | Jewell Robinson Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275988289 PECOS PAC ID: 6103104161 Enrollment ID: I20171011003845 |
| Provider Name | Guillermo Palacios |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831132711 PECOS PAC ID: 6901821172 Enrollment ID: I20171030002518 |
| Provider Name | Aloysius F Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477821155 PECOS PAC ID: 1355562273 Enrollment ID: I20171122001730 |
| Provider Name | Nauman A Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427187020 PECOS PAC ID: 2961466610 Enrollment ID: I20171122002176 |
| Provider Name | Warren Lott |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1780195917 PECOS PAC ID: 6103183066 Enrollment ID: I20171130002198 |
| Provider Name | Betsy Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104356302 PECOS PAC ID: 9739446238 Enrollment ID: I20171207001824 |
| Provider Name | Stephen Gregory Fedec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629048632 PECOS PAC ID: 5395725436 Enrollment ID: I20180102000681 |
| Provider Name | Brittany P Stalvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237263 PECOS PAC ID: 8022377621 Enrollment ID: I20180104001169 |
| Provider Name | Robert C Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942726054 PECOS PAC ID: 5496652190 Enrollment ID: I20180110003255 |
| Provider Name | Sarah E Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235659533 PECOS PAC ID: 4284993544 Enrollment ID: I20180111001647 |
| Provider Name | Kendy Verpile |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538254206 PECOS PAC ID: 2163525932 Enrollment ID: I20180118000257 |
| Provider Name | Charles Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558873307 PECOS PAC ID: 8729348446 Enrollment ID: I20180127000095 |
| Provider Name | Crystal D Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639403421 PECOS PAC ID: 4789845280 Enrollment ID: I20180127000152 |
| Provider Name | Justin Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073989 PECOS PAC ID: 3476813692 Enrollment ID: I20180208002089 |
| Provider Name | Joseph L Mariano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114442886 PECOS PAC ID: 1052674686 Enrollment ID: I20180413000360 |
| Provider Name | William T Dwight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316462211 PECOS PAC ID: 7719241611 Enrollment ID: I20180430002833 |
| Provider Name | Ekei J Tanifum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629186614 PECOS PAC ID: 7214078021 Enrollment ID: I20180508001247 |
| Provider Name | Melinda P Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093221574 PECOS PAC ID: 5395009807 Enrollment ID: I20180509002728 |
| Provider Name | Yarvarious Tarvett Standley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477077360 PECOS PAC ID: 8426313578 Enrollment ID: I20180521002182 |
| Provider Name | Dereje Gebreselassie Desta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427289321 PECOS PAC ID: 5799933214 Enrollment ID: I20180607002879 |
| Provider Name | Shayla Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922365501 PECOS PAC ID: 2567717655 Enrollment ID: I20180613001603 |
| Provider Name | Ina Vate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467963942 PECOS PAC ID: 0547515454 Enrollment ID: I20180618002447 |
| Provider Name | Marcia Elesea Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518322841 PECOS PAC ID: 7719277128 Enrollment ID: I20180619002381 |
| Provider Name | Jason Gabriel Barnhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043607112 PECOS PAC ID: 3173836715 Enrollment ID: I20180627002190 |
| Provider Name | Brent Waldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275087306 PECOS PAC ID: 0547527756 Enrollment ID: I20180702003574 |
| Provider Name | Chimalum Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982916763 PECOS PAC ID: 3476795410 Enrollment ID: I20180712002713 |
| Provider Name | Jjais G Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952798027 PECOS PAC ID: 9931456316 Enrollment ID: I20180716003457 |
| Provider Name | Kinshishi T Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821594870 PECOS PAC ID: 5597012955 Enrollment ID: I20180717003035 |
| Provider Name | John Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720595457 PECOS PAC ID: 3577810662 Enrollment ID: I20180719004116 |
| Provider Name | Katherine Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265939417 PECOS PAC ID: 6800143744 Enrollment ID: I20180723003294 |
| Provider Name | Joshua K Franklin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760980940 PECOS PAC ID: 9436407020 Enrollment ID: I20180730000494 |
| Provider Name | Ebba K Ebba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609857341 PECOS PAC ID: 6305104431 Enrollment ID: I20180730001749 |
| Provider Name | Gillian Leeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003300138 PECOS PAC ID: 8022366459 Enrollment ID: I20180801002415 |
| Provider Name | Samuel Shelby Mclaurin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821326927 PECOS PAC ID: 9739478686 Enrollment ID: I20180802001651 |
| Provider Name | Stephanie M Pannell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164733507 PECOS PAC ID: 5698904571 Enrollment ID: I20180802002320 |
| Provider Name | Brin E Freund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093151813 PECOS PAC ID: 8224338389 Enrollment ID: I20180806001792 |
| Provider Name | Justin Bradford Brown |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528365723 PECOS PAC ID: 8921248253 Enrollment ID: I20180809006183 |
| Provider Name | Abel Romero-corral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992966360 PECOS PAC ID: 3072730613 Enrollment ID: I20180815001913 |
| Provider Name | Shanti M Akers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649409426 PECOS PAC ID: 0446561039 Enrollment ID: I20180822001294 |
| Provider Name | Margree D Spight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215041710 PECOS PAC ID: 8527082262 Enrollment ID: I20180822003574 |
| Provider Name | Michael Kruesi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366940009 PECOS PAC ID: 7719236660 Enrollment ID: I20180827000077 |
| Provider Name | Matthew Osen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669812368 PECOS PAC ID: 4981987138 Enrollment ID: I20180828000794 |
| Provider Name | Jordan Knoefler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417377912 PECOS PAC ID: 9537381744 Enrollment ID: I20180828003901 |
| Provider Name | Michael Jay Scott Sheridan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1174519466 PECOS PAC ID: 1951203835 Enrollment ID: I20180904002260 |
| Provider Name | Ronald T Baptiste |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730473695 PECOS PAC ID: 7012220379 Enrollment ID: I20180907000770 |
| Provider Name | Carlos E Drago Ludowieg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265688824 PECOS PAC ID: 2961729850 Enrollment ID: I20180918002210 |
| Provider Name | Aniefiok Uyoe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598974719 PECOS PAC ID: 3173619525 Enrollment ID: I20180921001967 |
| Provider Name | Kristi S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407341902 PECOS PAC ID: 6507117827 Enrollment ID: I20180926001955 |
| Provider Name | Annie P Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972083905 PECOS PAC ID: 1254682297 Enrollment ID: I20181001002731 |
| Provider Name | Brian G. Purser |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962651414 PECOS PAC ID: 7012077613 Enrollment ID: I20181001003044 |
| Provider Name | Aimee Rieker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396233268 PECOS PAC ID: 9931450996 Enrollment ID: I20181002000000 |
| Provider Name | Sarah C Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235614389 PECOS PAC ID: 6608129366 Enrollment ID: I20181025001947 |
| Provider Name | Jada Rhymes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124400353 PECOS PAC ID: 8224336409 Enrollment ID: I20181102001938 |
| Provider Name | Richard E Lucky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952573545 PECOS PAC ID: 7719046903 Enrollment ID: I20181108002044 |
| Provider Name | Jeetendra B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255412094 PECOS PAC ID: 2769534171 Enrollment ID: I20181110000414 |
| Provider Name | Kelly D Mccarley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649753773 PECOS PAC ID: 6305190026 Enrollment ID: I20181116000190 |
| Provider Name | Mendel Kupfer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356383442 PECOS PAC ID: 2163423401 Enrollment ID: I20181201000272 |
| Provider Name | Shirishkumar N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477582930 PECOS PAC ID: 4183514631 Enrollment ID: I20181206000779 |
| Provider Name | Tamika Lynette Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205324548 PECOS PAC ID: 0749525038 Enrollment ID: I20181213003235 |
| Provider Name | Dezmond Hollings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457827289 PECOS PAC ID: 0941545248 Enrollment ID: I20181214000159 |
| Provider Name | Amitabh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346215712 PECOS PAC ID: 5496742629 Enrollment ID: I20181215000011 |
| Provider Name | Onyinyechi Uloma Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937084 PECOS PAC ID: 0749525798 Enrollment ID: I20181219000631 |
| Provider Name | Michael Dewitt Bowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336204569 PECOS PAC ID: 0446228019 Enrollment ID: I20190107001617 |
| Provider Name | Julie A Muliford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174095095 PECOS PAC ID: 6507102381 Enrollment ID: I20190116000414 |
| Provider Name | Heather Horton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861754657 PECOS PAC ID: 0244476901 Enrollment ID: I20190129002126 |
| Provider Name | Vivek R Huilgol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760426035 PECOS PAC ID: 7113973736 Enrollment ID: I20190208001995 |
| Provider Name | Srinivas Guptha Gunturu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609011287 PECOS PAC ID: 3971795030 Enrollment ID: I20190226003123 |
| Provider Name | Mustapha Timmy Issa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497227797 PECOS PAC ID: 7911247820 Enrollment ID: I20190312002470 |
| Provider Name | Mellanie Sledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144784513 PECOS PAC ID: 9830439603 Enrollment ID: I20190314002178 |
| Provider Name | Noelle A Rolle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003249194 PECOS PAC ID: 8628340254 Enrollment ID: I20190321001089 |
| Provider Name | Kevin Patrick Meyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750589610 PECOS PAC ID: 2163616897 Enrollment ID: I20190403002556 |
| Provider Name | Priscilla Ellen Egyir-biney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043661168 PECOS PAC ID: 1759675283 Enrollment ID: I20190403003124 |
| Provider Name | Megan Mitchell Rivera-o'rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851856124 PECOS PAC ID: 7810238482 Enrollment ID: I20190408002634 |
| Provider Name | Ryan B Breland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477725455 PECOS PAC ID: 8123248697 Enrollment ID: I20190517000588 |
| Provider Name | Governor H Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538639497 PECOS PAC ID: 4981947546 Enrollment ID: I20190522001561 |
| Provider Name | Stephen J Plumb |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750458535 PECOS PAC ID: 6204802127 Enrollment ID: I20190528001355 |
| Provider Name | Olumayowa P Abiodun |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730479452 PECOS PAC ID: 3870836265 Enrollment ID: I20190529000826 |
| Provider Name | Hazel A Mciver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487114351 PECOS PAC ID: 0941543342 Enrollment ID: I20190529001251 |
| Provider Name | Sreelatha Diviti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295144137 PECOS PAC ID: 1052654373 Enrollment ID: I20190529002699 |
| Provider Name | Ewalola Ijaduola |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306193016 PECOS PAC ID: 4789995929 Enrollment ID: I20190606000972 |
| Provider Name | Daniela Anahita Kloos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427491414 PECOS PAC ID: 6406144617 Enrollment ID: I20190618003815 |
| Provider Name | Tayler Alyse Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912470097 PECOS PAC ID: 7214261445 Enrollment ID: I20190621002277 |
| Provider Name | Ronald Louis Hamilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891090189 PECOS PAC ID: 0648452490 Enrollment ID: I20190625003261 |
| Provider Name | Mina Masry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902235963 PECOS PAC ID: 7416237664 Enrollment ID: I20190626003260 |
| Provider Name | George Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578718516 PECOS PAC ID: 2264688126 Enrollment ID: I20190628000546 |
| Provider Name | Laura M De Simone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700305208 PECOS PAC ID: 2567798150 Enrollment ID: I20190718003620 |
| Provider Name | Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427493899 PECOS PAC ID: 6608090162 Enrollment ID: I20190722003522 |
| Provider Name | James E Ragazino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457747503 PECOS PAC ID: 5799080354 Enrollment ID: I20190726002527 |
| Provider Name | Thomas Ellington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629420575 PECOS PAC ID: 0648566158 Enrollment ID: I20190730003886 |
| Provider Name | Haylee H Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124569777 PECOS PAC ID: 8628305125 Enrollment ID: I20190806003745 |
| Provider Name | John B Bocock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548680945 PECOS PAC ID: 4385952225 Enrollment ID: I20190806004004 |
| Provider Name | Olufunsho K Adekunle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275982209 PECOS PAC ID: 4486940673 Enrollment ID: I20190812003583 |
| Provider Name | Edwin T Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912153784 PECOS PAC ID: 8527384114 Enrollment ID: I20190819002622 |
| Provider Name | Hindiya Mustafa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134549926 PECOS PAC ID: 5597087619 Enrollment ID: I20190824000098 |
| Provider Name | Rami Bahloul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689023814 PECOS PAC ID: 9234410671 Enrollment ID: I20190826002924 |
| Provider Name | Ashley Ann Lounds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023567344 PECOS PAC ID: 8022385509 Enrollment ID: I20190827002661 |
| Provider Name | Garrett Lyle Collins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699124818 PECOS PAC ID: 4981932902 Enrollment ID: I20190828002143 |
| Provider Name | Amelia Angelica Harpe Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447813993 PECOS PAC ID: 5294064606 Enrollment ID: I20190910004066 |
| Provider Name | Martin Rutkowski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780950923 PECOS PAC ID: 4789976556 Enrollment ID: I20190912003467 |
| Provider Name | Joseph P Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164837696 PECOS PAC ID: 5890084289 Enrollment ID: I20190917003092 |
| Provider Name | Evans N Mabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922651223 PECOS PAC ID: 2860722733 Enrollment ID: I20190919002981 |
| Provider Name | Samuel Waling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053774018 PECOS PAC ID: 5991070013 Enrollment ID: I20190923001788 |
| Provider Name | Rashieda Timpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859140 PECOS PAC ID: 9537414594 Enrollment ID: I20191009001436 |
| Provider Name | Taylor Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548816457 PECOS PAC ID: 9739410556 Enrollment ID: I20191009001924 |
| Provider Name | Lemuel L Dent |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235139916 PECOS PAC ID: 8628163623 Enrollment ID: I20191011001261 |
| Provider Name | Allison E Josey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437710852 PECOS PAC ID: 6103157631 Enrollment ID: I20191014002306 |
| Provider Name | Koosh N Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386097210 PECOS PAC ID: 5193056562 Enrollment ID: I20191016001409 |
| Provider Name | Annie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952860959 PECOS PAC ID: 7315379633 Enrollment ID: I20191107000583 |
| Provider Name | Rupinder K Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386897734 PECOS PAC ID: 0840449989 Enrollment ID: I20191115000861 |
| Provider Name | Madison E Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194375543 PECOS PAC ID: 3476985235 Enrollment ID: I20191115001680 |
| Provider Name | Erica S Laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831748615 PECOS PAC ID: 0941632608 Enrollment ID: I20191118002923 |
| Provider Name | Kemberly Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154962348 PECOS PAC ID: 9931532397 Enrollment ID: I20191126001075 |
| Provider Name | James Allen Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518964873 PECOS PAC ID: 8527012541 Enrollment ID: I20191127000711 |
| Provider Name | Timothy Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235791518 PECOS PAC ID: 9133026859 Enrollment ID: I20191206001343 |
| Provider Name | Nanna Frimpong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306291448 PECOS PAC ID: 1759714512 Enrollment ID: I20191209002045 |
| Provider Name | Melissa Bickerstaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285275669 PECOS PAC ID: 6507299088 Enrollment ID: I20191216000069 |
| Provider Name | Ogemdi O Madu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477025112 PECOS PAC ID: 3274967245 Enrollment ID: I20191227001435 |
| Provider Name | Micralyn Wiechman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013562685 PECOS PAC ID: 8224463500 Enrollment ID: I20200114002689 |
| Provider Name | Serena N Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003339912 PECOS PAC ID: 0143655357 Enrollment ID: I20200116001546 |
| Provider Name | Margarette Damas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215134168 PECOS PAC ID: 3476440686 Enrollment ID: I20200127000050 |
| Provider Name | David Joseph Durniak Woska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518923630 PECOS PAC ID: 1658314109 Enrollment ID: I20200214001638 |
| Provider Name | Michael L Sobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235249301 PECOS PAC ID: 9133117971 Enrollment ID: I20200303000054 |
| Provider Name | David D Durden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194770776 PECOS PAC ID: 6103800297 Enrollment ID: I20200303002952 |
| Provider Name | Anthony L Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811537574 PECOS PAC ID: 4385071265 Enrollment ID: I20200305002824 |
| Provider Name | Belinda J Menke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679103147 PECOS PAC ID: 8224466149 Enrollment ID: I20200306002012 |
| Provider Name | David Hamrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295872737 PECOS PAC ID: 9032191077 Enrollment ID: I20200321000503 |
| Provider Name | James J Mc Farland |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760510978 PECOS PAC ID: 2062314453 Enrollment ID: I20200326001074 |
| Provider Name | Maria J Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598811937 PECOS PAC ID: 1254405475 Enrollment ID: I20200326003623 |
| Provider Name | Osama Gomaa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780820522 PECOS PAC ID: 6103097886 Enrollment ID: I20200407003934 |
| Provider Name | William Burton Epps, Jr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912948498 PECOS PAC ID: 6800709734 Enrollment ID: I20200417000705 |
| Provider Name | Nassifatou Bakary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447719711 PECOS PAC ID: 9335579143 Enrollment ID: I20200420000191 |
| Provider Name | Jatan J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893646 PECOS PAC ID: 4789978289 Enrollment ID: I20200420000434 |
| Provider Name | Tony Faris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720461932 PECOS PAC ID: 4284983073 Enrollment ID: I20200421003097 |
| Provider Name | Christopher Joseph Gasho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063778272 PECOS PAC ID: 1850631862 Enrollment ID: I20200423000609 |
| Provider Name | Stacie Griffis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881980092 PECOS PAC ID: 3678790144 Enrollment ID: I20200423000769 |
| Provider Name | Jack Haj Obeid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104808054 PECOS PAC ID: 9638139876 Enrollment ID: I20200423000846 |
| Provider Name | Tiffany M Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760520035 PECOS PAC ID: 8426946609 Enrollment ID: I20200423001145 |
| Provider Name | Robert P Kulchinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982683595 PECOS PAC ID: 0941228688 Enrollment ID: I20200423003058 |
| Provider Name | Marjorie F Lantum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669537312 PECOS PAC ID: 0345348645 Enrollment ID: I20200423003186 |
| Provider Name | Mark Andrew Mccommons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891006672 PECOS PAC ID: 1951651280 Enrollment ID: I20200424002804 |
| Provider Name | Novlett J Mcleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912285636 PECOS PAC ID: 2860651452 Enrollment ID: I20200424002847 |
| Provider Name | Marilee A Platzek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265091771 PECOS PAC ID: 3678802469 Enrollment ID: I20200427000995 |
| Provider Name | Devaughn Jerron Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184064131 PECOS PAC ID: 0941515704 Enrollment ID: I20200427001059 |
| Provider Name | Antonio Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053300590 PECOS PAC ID: 1951489152 Enrollment ID: I20200427001216 |
| Provider Name | Kirby Douglas Slifer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073507422 PECOS PAC ID: 8022906452 Enrollment ID: I20200428000297 |
| Provider Name | Mary P Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841201118 PECOS PAC ID: 6204871452 Enrollment ID: I20200429000711 |
| Provider Name | Mike M Supplice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689000101 PECOS PAC ID: 9830493949 Enrollment ID: I20200429000935 |
| Provider Name | Rosa E Turcios |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043308083 PECOS PAC ID: 2860585676 Enrollment ID: I20200429001073 |
| Provider Name | Arkady Vaknansky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801816608 PECOS PAC ID: 9436041803 Enrollment ID: I20200429001130 |
| Provider Name | Shyam Yallapragada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184620783 PECOS PAC ID: 4486550977 Enrollment ID: I20200429001421 |
| Provider Name | Heather Georgiana Pickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679102818 PECOS PAC ID: 6305276551 Enrollment ID: I20200430002128 |
| Provider Name | Loghman Huseynov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962891317 PECOS PAC ID: 5294041075 Enrollment ID: I20200504002750 |
| Provider Name | Ashley Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285254128 PECOS PAC ID: 4789015652 Enrollment ID: I20200508000647 |
| Provider Name | Mallori F Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295367282 PECOS PAC ID: 9931530854 Enrollment ID: I20200509000115 |
| Provider Name | Rodesia A Woodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033744602 PECOS PAC ID: 1254762016 Enrollment ID: I20200511002070 |
| Provider Name | Stephen F Alayli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861927592 PECOS PAC ID: 9234496324 Enrollment ID: I20200518001972 |
| Provider Name | Shaun Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063451656 PECOS PAC ID: 8123090446 Enrollment ID: I20200520002406 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20200521002816 |
| Provider Name | Michael Given |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104898980 PECOS PAC ID: 0042256141 Enrollment ID: I20200521002925 |
| Provider Name | Miguel Carmona Pires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720514540 PECOS PAC ID: 5991126211 Enrollment ID: I20200521003097 |
| Provider Name | Ahmed M Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508249285 PECOS PAC ID: 6901104207 Enrollment ID: I20200522000224 |
| Provider Name | Angela Dunn Hendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982186003 PECOS PAC ID: 8921348848 Enrollment ID: I20200522000325 |
| Provider Name | Randall Ochs Krawcheck |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609833169 PECOS PAC ID: 1759378334 Enrollment ID: I20200522000648 |
| Provider Name | Stacey Marie Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952701328 PECOS PAC ID: 3870894280 Enrollment ID: I20200522000772 |
| Provider Name | Barbara C Letourneau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306811963 PECOS PAC ID: 6204894645 Enrollment ID: I20200522001063 |
| Provider Name | Thomas Edward Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316907579 PECOS PAC ID: 2365462579 Enrollment ID: I20200526003010 |
| Provider Name | Christopher Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588689475 PECOS PAC ID: 6305970757 Enrollment ID: I20200527002695 |
| Provider Name | Frank Vandy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922219344 PECOS PAC ID: 0941485908 Enrollment ID: I20200527003005 |
| Provider Name | Donald Winters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205804630 PECOS PAC ID: 8921137530 Enrollment ID: I20200527003209 |
| Provider Name | Sarah J Stamper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700327632 PECOS PAC ID: 8729417431 Enrollment ID: I20200528003318 |
| Provider Name | Lisa K Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386877876 PECOS PAC ID: 1153469333 Enrollment ID: I20200601002316 |
| Provider Name | Nikunj Karsan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427574847 PECOS PAC ID: 8527480631 Enrollment ID: I20200618001732 |
| Provider Name | Franklin W Goldwire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124227012 PECOS PAC ID: 6709185515 Enrollment ID: I20200622001033 |
| Provider Name | Jontu L Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740701887 PECOS PAC ID: 0042585218 Enrollment ID: I20200626001623 |
| Provider Name | Tejumade Adelore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316493638 PECOS PAC ID: 5193148625 Enrollment ID: I20200630003492 |
| Provider Name | Charles J Thrower |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497395412 PECOS PAC ID: 7416384466 Enrollment ID: I20200701000734 |
| Provider Name | Megan E Karbowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1487291472 PECOS PAC ID: 9739515859 Enrollment ID: I20200702002611 |
| Provider Name | Katrina Freeman Sasine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700416385 PECOS PAC ID: 8426489626 Enrollment ID: I20200706002482 |
| Provider Name | Benjamin M Zussman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932468063 PECOS PAC ID: 0042633836 Enrollment ID: I20200713001931 |
| Provider Name | Caleb Rogers Penn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295202638 PECOS PAC ID: 6204250822 Enrollment ID: I20200715003152 |
| Provider Name | Olayinka Afolabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730526153 PECOS PAC ID: 3072804244 Enrollment ID: I20200722002377 |
| Provider Name | David C Lachman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083877765 PECOS PAC ID: 1456406032 Enrollment ID: I20200728000497 |
| Provider Name | Kewei Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619108354 PECOS PAC ID: 0244473668 Enrollment ID: I20200807002803 |
| Provider Name | Matthew B Barksdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821606492 PECOS PAC ID: 3678999307 Enrollment ID: I20200812001978 |
| Provider Name | Petra Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184896755 PECOS PAC ID: 9638248768 Enrollment ID: I20200812003784 |
| Provider Name | Eric L Lo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497782023 PECOS PAC ID: 8123193208 Enrollment ID: I20200828002651 |
| Provider Name | Victor O Barnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902327331 PECOS PAC ID: 7517398191 Enrollment ID: I20200902003533 |
| Provider Name | Ta-tanisha Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528679735 PECOS PAC ID: 8729405782 Enrollment ID: I20200904001867 |
| Provider Name | Aakar Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215391016 PECOS PAC ID: 2062706195 Enrollment ID: I20200910003218 |
| Provider Name | Neil R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134485006 PECOS PAC ID: 9739407941 Enrollment ID: I20200917000534 |
| Provider Name | Joel F Moorhead |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992223531 PECOS PAC ID: 0244658664 Enrollment ID: I20200917001035 |
| Provider Name | Paula Stewart |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902973886 PECOS PAC ID: 8628086246 Enrollment ID: I20200918000733 |
| Provider Name | Brittany L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861005084 PECOS PAC ID: 7012335250 Enrollment ID: I20200921000106 |
| Provider Name | Molly H Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568008787 PECOS PAC ID: 4880012939 Enrollment ID: I20200922001600 |
| Provider Name | Kaylee D White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427661289 PECOS PAC ID: 0042638116 Enrollment ID: I20200922002179 |
| Provider Name | Emma Liegh Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639796196 PECOS PAC ID: 3870911951 Enrollment ID: I20200922002605 |
| Provider Name | Francis Ogbobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578910378 PECOS PAC ID: 4981938644 Enrollment ID: I20200925002251 |
| Provider Name | Nchang Taka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700147238 PECOS PAC ID: 3678853231 Enrollment ID: I20200930002529 |
| Provider Name | Patricia L Little |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679610364 PECOS PAC ID: 2567445612 Enrollment ID: I20201005000990 |
| Provider Name | Michel Randolph Peter Wagner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447200647 PECOS PAC ID: 4486725561 Enrollment ID: I20201014000129 |
| Provider Name | Troy D Kramer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831108620 PECOS PAC ID: 9032201785 Enrollment ID: I20201014000441 |
| Provider Name | Thomas Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245837194 PECOS PAC ID: 6103246590 Enrollment ID: I20201023002984 |
| Provider Name | Christopher R Dougherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720336548 PECOS PAC ID: 9335392034 Enrollment ID: I20201026000557 |
| Provider Name | Jennie S Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962962209 PECOS PAC ID: 7214347533 Enrollment ID: I20201027002998 |
| Provider Name | Simon Jesus Kassis Hadid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548410590 PECOS PAC ID: 5193917136 Enrollment ID: I20201030000254 |
| Provider Name | Constance Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402373 PECOS PAC ID: 7113337650 Enrollment ID: I20201111002892 |
| Provider Name | Anne Reeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508950072 PECOS PAC ID: 2264604768 Enrollment ID: I20201120001164 |
| Provider Name | Susan A Pinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316552110 PECOS PAC ID: 4183035132 Enrollment ID: I20201123001549 |
| Provider Name | Manicia Shundreal Liddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568963866 PECOS PAC ID: 3779829908 Enrollment ID: I20201124002869 |
| Provider Name | Alejandro J Luis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700087251 PECOS PAC ID: 4385893338 Enrollment ID: I20201125000139 |
| Provider Name | Stacie L Rolland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124620935 PECOS PAC ID: 3678984374 Enrollment ID: I20201202000806 |
| Provider Name | Hector E Soriano-baron |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588051718 PECOS PAC ID: 9032426465 Enrollment ID: I20201207000404 |
| Provider Name | Brent R Fairbanks |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538418793 PECOS PAC ID: 0749433456 Enrollment ID: I20201211001538 |
| Provider Name | Shariah M Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689025991 PECOS PAC ID: 5294020012 Enrollment ID: I20210107000048 |
| Provider Name | Rebecca J Quigg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942231964 PECOS PAC ID: 7719390533 Enrollment ID: I20210114002628 |
| Provider Name | Edward R Ferguson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831156496 PECOS PAC ID: 5799718565 Enrollment ID: I20210119001180 |
| Provider Name | Angela Kearbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407444748 PECOS PAC ID: 2163836719 Enrollment ID: I20210122001627 |
| Provider Name | Charles C Gerz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497993380 PECOS PAC ID: 8921318858 Enrollment ID: I20210126000696 |
| Provider Name | Zane Kalter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649280041 PECOS PAC ID: 5597929687 Enrollment ID: I20210201002183 |
| Provider Name | Mercy I Amua Quarshie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063543817 PECOS PAC ID: 4688660855 Enrollment ID: I20210224002387 |
| Provider Name | Nathan E Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912269796 PECOS PAC ID: 6800051426 Enrollment ID: I20210225002511 |
| Provider Name | Brittany L Pines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351065 PECOS PAC ID: 0547675464 Enrollment ID: I20210226000080 |
| Provider Name | Keneyana Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912424052 PECOS PAC ID: 6800201732 Enrollment ID: I20210226000552 |
| Provider Name | Laura H Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999502 PECOS PAC ID: 4688089543 Enrollment ID: I20210226001744 |
| Provider Name | April Mccluster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770199408 PECOS PAC ID: 9638585144 Enrollment ID: I20210309000228 |
| Provider Name | Cynthia S Guevara-rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936221 PECOS PAC ID: 4385050780 Enrollment ID: I20210310000481 |
| Provider Name | Bonnie T Gleason |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023086881 PECOS PAC ID: 4688735053 Enrollment ID: I20210315000888 |
| Provider Name | Carlton I Glover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083093942 PECOS PAC ID: 6800187212 Enrollment ID: I20210315001045 |
| Provider Name | Kathleen Hollis Hammonds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235336777 PECOS PAC ID: 1951538263 Enrollment ID: I20210315001328 |
| Provider Name | William G Hutchison |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073603155 PECOS PAC ID: 2264488725 Enrollment ID: I20210315002038 |
| Provider Name | Warlyn Sosa Popoteur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043628050 PECOS PAC ID: 7012287303 Enrollment ID: I20210315002239 |
| Provider Name | Abralena Wilson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659406593 PECOS PAC ID: 7214269521 Enrollment ID: I20210315002417 |
| Provider Name | Antonio Maria Lazcano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235642380 PECOS PAC ID: 1456616564 Enrollment ID: I20210316000216 |
| Provider Name | Ramesh Donepudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962558171 PECOS PAC ID: 5395818165 Enrollment ID: I20210318003023 |
| Provider Name | William E Wallace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225087562 PECOS PAC ID: 9638198195 Enrollment ID: I20210322002676 |
| Provider Name | Subhan Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760865869 PECOS PAC ID: 4284930942 Enrollment ID: I20210323002534 |
| Provider Name | Faith Murray-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942693346 PECOS PAC ID: 4183934110 Enrollment ID: I20210323002577 |
| Provider Name | Gentry D. Cater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780269837 PECOS PAC ID: 8123437340 Enrollment ID: I20210429000822 |
| Provider Name | Clair D Felpel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962849679 PECOS PAC ID: 8921300302 Enrollment ID: I20210429002044 |
| Provider Name | Robert Todd Sautter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497172423 PECOS PAC ID: 1759654858 Enrollment ID: I20210520002940 |
| Provider Name | Lauren C Caserio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932784543 PECOS PAC ID: 8820497837 Enrollment ID: I20210525000631 |
| Provider Name | Frank Conrad Duerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194220939 PECOS PAC ID: 1052710407 Enrollment ID: I20210604001445 |
| Provider Name | Taiwen Chen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629062385 PECOS PAC ID: 9133193246 Enrollment ID: I20210611001737 |
| Provider Name | Maureen Hrishenko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275529786 PECOS PAC ID: 4981669652 Enrollment ID: I20210623001825 |
| Provider Name | Cassidy Wikoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396824264 PECOS PAC ID: 7911002795 Enrollment ID: I20210629000749 |
| Provider Name | Garland J Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518317973 PECOS PAC ID: 7113292665 Enrollment ID: I20210707000491 |
| Provider Name | Jessica D Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366769747 PECOS PAC ID: 3072755610 Enrollment ID: I20210709000157 |
| Provider Name | Gloria Esoimeme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861999526 PECOS PAC ID: 9830591908 Enrollment ID: I20210712003148 |
| Provider Name | Elizabeth Hartmann |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710151733 PECOS PAC ID: 3274779749 Enrollment ID: I20210713001513 |
| Provider Name | Jeffrey Alan Nasworthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679833255 PECOS PAC ID: 4486056462 Enrollment ID: I20210713003465 |
| Provider Name | Carmen M Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679185342 PECOS PAC ID: 4587066360 Enrollment ID: I20210715003931 |
| Provider Name | Alexis K Okoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891229928 PECOS PAC ID: 0547664286 Enrollment ID: I20210803002390 |
| Provider Name | Richard A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659724631 PECOS PAC ID: 7911301510 Enrollment ID: I20210804000885 |
| Provider Name | Jamila K Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083223135 PECOS PAC ID: 6305240920 Enrollment ID: I20210804001663 |
| Provider Name | Ashley L Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700476207 PECOS PAC ID: 7214331792 Enrollment ID: I20210805000613 |
| Provider Name | Pelagia E Kouloumberis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487804969 PECOS PAC ID: 8820129547 Enrollment ID: I20210811003693 |
| Provider Name | Paige Huston Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477129104 PECOS PAC ID: 7416351317 Enrollment ID: I20210813000492 |
| Provider Name | Olamide J. Oladipo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902125768 PECOS PAC ID: 2264670801 Enrollment ID: I20210813001551 |
| Provider Name | Charles O Olisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265582837 PECOS PAC ID: 9436215019 Enrollment ID: I20210816000815 |
| Provider Name | Milton F Stembridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538731690 PECOS PAC ID: 1850796962 Enrollment ID: I20210826002402 |
| Provider Name | Jennifer L Spargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366025561 PECOS PAC ID: 2769888783 Enrollment ID: I20210831000629 |
| Provider Name | Tharmathai Ramanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366730145 PECOS PAC ID: 1658513882 Enrollment ID: I20210908001732 |
| Provider Name | Dominiq Eric Okoduwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437653565 PECOS PAC ID: 9032453212 Enrollment ID: I20210909003199 |
| Provider Name | Karuppiah Arunachalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780930719 PECOS PAC ID: 5799005302 Enrollment ID: I20210921001759 |
| Provider Name | Akinbode S Egbelakin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104117522 PECOS PAC ID: 3577780626 Enrollment ID: I20210921002644 |
| Provider Name | Lucretia W Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710655097 PECOS PAC ID: 7214334986 Enrollment ID: I20210922002425 |
| Provider Name | Julie Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851060560 PECOS PAC ID: 1153728647 Enrollment ID: I20210927001329 |
| Provider Name | Mehrens E Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932442431 PECOS PAC ID: 1658518873 Enrollment ID: I20211006000626 |
| Provider Name | Cynthia A Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967317 PECOS PAC ID: 4284032194 Enrollment ID: I20211007000613 |
| Provider Name | A'ngelique Rose Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578069175 PECOS PAC ID: 8426307232 Enrollment ID: I20211011000908 |
| Provider Name | Gary Gross |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760434252 PECOS PAC ID: 2860594330 Enrollment ID: I20211014002727 |
| Provider Name | Wycliffe Okumu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832354 PECOS PAC ID: 9335295310 Enrollment ID: I20211018000571 |
| Provider Name | Ikenna Ugochukwu Onwumere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356518856 PECOS PAC ID: 1951445261 Enrollment ID: I20211018000930 |
| Provider Name | Gregory Duhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487034039 PECOS PAC ID: 8527319243 Enrollment ID: I20211019000986 |
| Provider Name | Cynthia Lynn Leaphart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396946984 PECOS PAC ID: 5496871808 Enrollment ID: I20211019001963 |
| Provider Name | Bahati Harden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679890552 PECOS PAC ID: 8820230907 Enrollment ID: I20211021000723 |
| Provider Name | Hatem Desoky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558636860 PECOS PAC ID: 2466720578 Enrollment ID: I20211022001525 |
| Provider Name | Gloria Koomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376816330 PECOS PAC ID: 2961711890 Enrollment ID: I20211022001756 |
| Provider Name | Gordon K Lindberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891889127 PECOS PAC ID: 3375523483 Enrollment ID: I20211022002079 |
| Provider Name | Ngozi Okoba |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679990360 PECOS PAC ID: 2163795212 Enrollment ID: I20211022002205 |
| Provider Name | Ghazala Q Roopani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528026408 PECOS PAC ID: 8729996806 Enrollment ID: I20211022002251 |
| Provider Name | Muhammad Ziad Souqiyyeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538612015 PECOS PAC ID: 8921389404 Enrollment ID: I20211023000139 |
| Provider Name | Daniel Talley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679596894 PECOS PAC ID: 7113947896 Enrollment ID: I20211023000156 |
| Provider Name | Chauncey Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568126860 PECOS PAC ID: 6709275837 Enrollment ID: I20211111001424 |
| Provider Name | Kenneth A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497410914 PECOS PAC ID: 4082004445 Enrollment ID: I20211130000623 |
| Provider Name | Thomas Mcswain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366106429 PECOS PAC ID: 9032509401 Enrollment ID: I20211130000860 |
| Provider Name | Stephanie A Minix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629574827 PECOS PAC ID: 4789931056 Enrollment ID: I20211206001440 |
| Provider Name | Aaron-nickolaos Zervos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174086110 PECOS PAC ID: 8921498890 Enrollment ID: I20211208001277 |
| Provider Name | Taylor M Griner |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356003909 PECOS PAC ID: 2860882776 Enrollment ID: I20211208003119 |
| Provider Name | Deena Hassaballa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679890446 PECOS PAC ID: 6002041639 Enrollment ID: I20211215001701 |
| Provider Name | Lauren M Hixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659038966 PECOS PAC ID: 4981095270 Enrollment ID: I20211221001204 |
| Provider Name | Sejalben J Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477966257 PECOS PAC ID: 6204165301 Enrollment ID: I20211222001758 |
| Provider Name | Stephen A Vartanian |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790990919 PECOS PAC ID: 8022296219 Enrollment ID: I20220119000854 |
| Provider Name | Stanley P Kokocki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306953633 PECOS PAC ID: 4486621760 Enrollment ID: I20220124002240 |
| Provider Name | William B Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376112326 PECOS PAC ID: 5597157537 Enrollment ID: I20220125000080 |
| Provider Name | Chima Anukam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407508088 PECOS PAC ID: 0648663302 Enrollment ID: I20220202001386 |
| Provider Name | Josiane Kanga Ewiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013669696 PECOS PAC ID: 9739572918 Enrollment ID: I20220210002481 |
| Provider Name | Cassandra S Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689327520 PECOS PAC ID: 5092109959 Enrollment ID: I20220218002164 |
| Provider Name | Jody R Neal |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669436697 PECOS PAC ID: 8527009232 Enrollment ID: I20220221002213 |
| Provider Name | Michael C Giudici |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336128354 PECOS PAC ID: 3577465046 Enrollment ID: I20220223002149 |
| Provider Name | Ajay Jani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972065712 PECOS PAC ID: 2860886405 Enrollment ID: I20220225000161 |
| Provider Name | Barbara Fallin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730476169 PECOS PAC ID: 4082904982 Enrollment ID: I20220315000474 |
| Provider Name | Hoda K Elzawahry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972791002 PECOS PAC ID: 4183751241 Enrollment ID: I20220425001286 |
| Provider Name | Kristen H Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619619202 PECOS PAC ID: 9739576364 Enrollment ID: I20220428001122 |
| Provider Name | Salah Elsaharty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982625224 PECOS PAC ID: 3072581800 Enrollment ID: I20220503002776 |
| Provider Name | Temidayo Ayotomiwa Abe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366947798 PECOS PAC ID: 9436546017 Enrollment ID: I20220504000412 |
| Provider Name | Heather B Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184375800 PECOS PAC ID: 8123405891 Enrollment ID: I20220518001976 |
| Provider Name | Stephanie Stolberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710116447 PECOS PAC ID: 8426354127 Enrollment ID: I20220601000343 |
| Provider Name | Eric David Martin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871708222 PECOS PAC ID: 3870736317 Enrollment ID: I20220621000219 |
| Provider Name | Nicole A Wagaman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689011405 PECOS PAC ID: 8820229222 Enrollment ID: I20220629001747 |
| Provider Name | James A Coman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417927815 PECOS PAC ID: 0143123166 Enrollment ID: I20220629002638 |
| Provider Name | Eddie Nelson Powell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992909543 PECOS PAC ID: 9234230624 Enrollment ID: I20220630001650 |
| Provider Name | Cinna John Attar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881157139 PECOS PAC ID: 7214317320 Enrollment ID: I20220707001349 |
| Provider Name | Leah C Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689304362 PECOS PAC ID: 1052793791 Enrollment ID: I20220728000360 |
| Provider Name | Cynthia A Willingham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134171895 PECOS PAC ID: 4183675960 Enrollment ID: I20220729001168 |
| Provider Name | John P Kuckelman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669882304 PECOS PAC ID: 0941516066 Enrollment ID: I20220812000705 |
| Provider Name | Gasim Elshazali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922128339 PECOS PAC ID: 3274661889 Enrollment ID: I20220822000736 |
| Provider Name | Mobin A Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154361715 PECOS PAC ID: 0941224711 Enrollment ID: I20220824000064 |
| Provider Name | Scott Johnson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962500900 PECOS PAC ID: 1557308822 Enrollment ID: I20220829003002 |
| Provider Name | William T Elkington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790129252 PECOS PAC ID: 5698041036 Enrollment ID: I20221010001642 |
| Provider Name | Benjamin Franklin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629389127 PECOS PAC ID: 4082081385 Enrollment ID: I20221028002123 |
| Provider Name | Chandra Levatte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548830136 PECOS PAC ID: 0143697607 Enrollment ID: I20221114000986 |
| Provider Name | Juan J Gallegos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073809778 PECOS PAC ID: 2567604093 Enrollment ID: I20221114002261 |
| Provider Name | Shilpa A Kadam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205052792 PECOS PAC ID: 1850521600 Enrollment ID: I20221128001575 |
| Provider Name | Joel D Neuman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164420436 PECOS PAC ID: 6800834953 Enrollment ID: I20221221000553 |
| Provider Name | Linda Udeani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780394981 PECOS PAC ID: 4688044845 Enrollment ID: I20230104000690 |
| Provider Name | Shaw M Tang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578684809 PECOS PAC ID: 5991898546 Enrollment ID: I20230206002289 |
| Provider Name | Srivadee Oravivattanakul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306097084 PECOS PAC ID: 4385862333 Enrollment ID: I20230214000725 |
| Provider Name | James Sumners |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588649115 PECOS PAC ID: 2062434301 Enrollment ID: I20230307001853 |
| Provider Name | Anna C Gill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740994870 PECOS PAC ID: 6507230232 Enrollment ID: I20230321001411 |
| Provider Name | Joshua L Warfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205533254 PECOS PAC ID: 8729452248 Enrollment ID: I20230324001394 |
| Provider Name | Anita Daxesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366902769 PECOS PAC ID: 7214265735 Enrollment ID: I20230325000077 |
| Provider Name | David Gitlitz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174605323 PECOS PAC ID: 7012972847 Enrollment ID: I20230426001537 |
| Provider Name | Heather L Burdwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124713532 PECOS PAC ID: 0446615223 Enrollment ID: I20230501000757 |
| Provider Name | Crystal Leach |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891115994 PECOS PAC ID: 9234485939 Enrollment ID: I20230503001920 |
| Provider Name | Victor Meaut |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851417307 PECOS PAC ID: 9638336704 Enrollment ID: I20230504001801 |
| Provider Name | Mitzi Oden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609562107 PECOS PAC ID: 9537525548 Enrollment ID: I20230517002685 |
| Provider Name | Lewis N Cunningham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497826796 PECOS PAC ID: 9133226012 Enrollment ID: I20230526000096 |
| Provider Name | Stephen J Word |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942990320 PECOS PAC ID: 0547627028 Enrollment ID: I20230530001356 |
| Provider Name | Andrea Latimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831899848 PECOS PAC ID: 4082071790 Enrollment ID: I20230610000032 |
| Provider Name | Maria D Mortel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447783592 PECOS PAC ID: 8426309121 Enrollment ID: I20230616000246 |
| Provider Name | Wesley Knight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689253783 PECOS PAC ID: 7416315833 Enrollment ID: I20230616001503 |
| Provider Name | Kofi D Seffah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942816962 PECOS PAC ID: 7012375256 Enrollment ID: I20230621001813 |
| Provider Name | Michael S Firstenberg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912961749 PECOS PAC ID: 3870517733 Enrollment ID: I20230622001911 |
| Provider Name | Jordan N Fuller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679922678 PECOS PAC ID: 9032402375 Enrollment ID: I20230623000719 |
| Provider Name | Nand Vinod Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750906012 PECOS PAC ID: 0042634750 Enrollment ID: I20230717002216 |
| Provider Name | Aedan P Mcdonough |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285162362 PECOS PAC ID: 1658731534 Enrollment ID: I20230725000035 |
| Provider Name | Thomas Adam Oliver |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861617755 PECOS PAC ID: 7113170234 Enrollment ID: I20230725000082 |
| Provider Name | Oluwatobi O Ogunfowora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942826649 PECOS PAC ID: 5294195186 Enrollment ID: I20230725000460 |
| Provider Name | Jordan Simmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366963084 PECOS PAC ID: 9335485804 Enrollment ID: I20230804003145 |
| Provider Name | Sathya Ram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245686898 PECOS PAC ID: 6103161351 Enrollment ID: I20230808004287 |
| Provider Name | Richard B Williams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477602746 PECOS PAC ID: 9739132382 Enrollment ID: I20230823001673 |
| Provider Name | Lauren B Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831876564 PECOS PAC ID: 6204299043 Enrollment ID: I20230828002147 |
| Provider Name | Aleah Rene Newberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952084378 PECOS PAC ID: 8729442504 Enrollment ID: I20230912003135 |
| Provider Name | Chris R Koford |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568651842 PECOS PAC ID: 6204850845 Enrollment ID: I20230922002023 |
| Provider Name | Daniel C Carney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316928500 PECOS PAC ID: 8224094461 Enrollment ID: I20230923000542 |
| Provider Name | Sylvie M Shiwiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568187599 PECOS PAC ID: 5496100604 Enrollment ID: I20231009000769 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720391279 PECOS PAC ID: 4385957208 Enrollment ID: I20231016002539 |
| Provider Name | Nathaniel Spencer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427582840 PECOS PAC ID: 1254682198 Enrollment ID: I20231025000471 |
| Provider Name | Sima Banerjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912140724 PECOS PAC ID: 3971826611 Enrollment ID: I20231108001567 |
| Provider Name | Deidra L Stallings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700442936 PECOS PAC ID: 0345602249 Enrollment ID: I20231114002663 |
| Provider Name | Stephanie M Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225801244 PECOS PAC ID: 8921456005 Enrollment ID: I20231130000122 |
| Provider Name | William Wagner Rose |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619995271 PECOS PAC ID: 4183891542 Enrollment ID: I20231201001971 |
| Provider Name | Sara Lami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730615212 PECOS PAC ID: 0143599688 Enrollment ID: I20231204001087 |
| Provider Name | Lekha Adiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457905168 PECOS PAC ID: 6608224506 Enrollment ID: I20231204001566 |
| Provider Name | Sidney T Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295303287 PECOS PAC ID: 9133579709 Enrollment ID: I20231221003293 |
| Provider Name | Tabitha Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538768965 PECOS PAC ID: 1850742206 Enrollment ID: I20240110001054 |
| Provider Name | Susan Hardie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003828773 PECOS PAC ID: 2163874017 Enrollment ID: I20240117000931 |
| Provider Name | Lindsey Eason |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376051110 PECOS PAC ID: 0749632511 Enrollment ID: I20240117001855 |
| Provider Name | Nashiva Hodge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871070912 PECOS PAC ID: 0042662827 Enrollment ID: I20240117002138 |
| Provider Name | Farida Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609816875 PECOS PAC ID: 4587644869 Enrollment ID: I20240118002549 |
| Provider Name | Sunanda N Sadanandan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992871339 PECOS PAC ID: 6507903564 Enrollment ID: I20240206003438 |
| Provider Name | Hassan Nasser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902293129 PECOS PAC ID: 2466876586 Enrollment ID: I20240215002593 |
| Provider Name | Julie Carr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275304859 PECOS PAC ID: 6305280124 Enrollment ID: I20240221000163 |
| Provider Name | Portia Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821442385 PECOS PAC ID: 5799075016 Enrollment ID: I20240228000012 |
| Provider Name | Mohammad R Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477965739 PECOS PAC ID: 7214303585 Enrollment ID: I20240305001786 |
| Provider Name | Christopher J Goltz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689829673 PECOS PAC ID: 0941443824 Enrollment ID: I20240306001092 |
| Provider Name | Alicia S Estillore Cruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447205737 PECOS PAC ID: 7416104641 Enrollment ID: I20240311000860 |
| Provider Name | Jithin George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689240269 PECOS PAC ID: 4284070426 Enrollment ID: I20240311003189 |
Alice Coachman Elementary School-based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1425 W Oakridge Dr, Albany, GA 31707 Phone: 229-432-6233 Fax: 229-432-9568 | |
Robert Harvey Elementary School-based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1305 E 2nd Ave, Albany, GA 31705 Phone: 229-405-6189 Fax: 229-299-4888 | |
South Albany Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Newton Rd, Albany, GA 31701 Phone: 229-431-3120 Fax: 229-431-3345 | |
Hotz Scoggins Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 S Madison St, Albany, GA 31701 Phone: 229-405-6959 Fax: 229-405-6975 | |
Albany Area Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1912 Arlington Ln, Albany, GA 31701 Phone: 229-501-2048 Fax: 229-394-4403 | |
Albany Internal Medicine Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2402 Osler Ct, Albany, GA 31707 Phone: 229-438-3302 Fax: 229-438-3384 | |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Jackson St, Albany, GA 31701 Phone: 615-221-5901 |