| Physician Groups Lc | |
|
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 | |
| (314) 996-7644 | |
| (314) 996-7658 |
| Full Name | Physician Groups Lc |
|---|---|
| Speciality | Clinic/Center |
| Location | 670 Mason Ridge Center Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Karen Canter-koester (VP OPERATIONS AND STRATEGY) |
| Authorized Official Contact | 3149967610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Groups Lc 670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | Physician Groups Lc 670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 |
| NPI Number | 1285664268 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 07/23/2021 |
| Medicare PECOS PAC ID | 3072421254 |
|---|---|
| Medicare Enrollment ID | O20040220001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285664268 | NPI | - | NPPES |
| CC66523 | Other | MO | MEDICARE RAILROAD |
| 504451907 | Medicaid | MO |
| Provider Name | Ping Chang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124091194 PECOS PAC ID: 1355253006 Enrollment ID: I20031103000203 |
| Provider Name | Barbara J Green |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497783997 PECOS PAC ID: 0547172686 Enrollment ID: I20031105000612 |
| Provider Name | Eran M Hahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952396251 PECOS PAC ID: 3870406242 Enrollment ID: I20031111000505 |
| Provider Name | Thomas J Kirisits |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053352005 PECOS PAC ID: 3870496680 Enrollment ID: I20040129000604 |
| Provider Name | Mary B Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694659 PECOS PAC ID: 9133014293 Enrollment ID: I20040217001161 |
| Provider Name | Vinay Kamat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760522916 PECOS PAC ID: 5597653931 Enrollment ID: I20040308001115 |
| Provider Name | David J Kardesch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609875699 PECOS PAC ID: 5395647804 Enrollment ID: I20040421001381 |
| Provider Name | Loria A Lindsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467447607 PECOS PAC ID: 0648266841 Enrollment ID: I20040422001357 |
| Provider Name | David J Sewall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336149111 PECOS PAC ID: 0547162059 Enrollment ID: I20040422001469 |
| Provider Name | Cherese Y Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194724062 PECOS PAC ID: 5496738965 Enrollment ID: I20040608000388 |
| Provider Name | Steven L Kurzweil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134123946 PECOS PAC ID: 6204814536 Enrollment ID: I20040712001421 |
| Provider Name | Timothy R. Isakson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487790168 PECOS PAC ID: 9335128388 Enrollment ID: I20040714001347 |
| Provider Name | Andre P Bouhasin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508808635 PECOS PAC ID: 3173593167 Enrollment ID: I20040728000134 |
| Provider Name | Diana L Westerfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962440883 PECOS PAC ID: 2365412079 Enrollment ID: I20040729001000 |
| Provider Name | Doris J Tribune Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174572762 PECOS PAC ID: 5890769434 Enrollment ID: I20040820000516 |
| Provider Name | Stanley Mathew |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376644484 PECOS PAC ID: 4082500558 Enrollment ID: I20040830000004 |
| Provider Name | Andrea L Stephens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447276670 PECOS PAC ID: 0648246108 Enrollment ID: I20040907000399 |
| Provider Name | Mehreen B Khann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942292420 PECOS PAC ID: 2567422793 Enrollment ID: I20041013000101 |
| Provider Name | Carolyn M Jachna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558378216 PECOS PAC ID: 3779544911 Enrollment ID: I20041021000533 |
| Provider Name | Brian J Gallagher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639285356 PECOS PAC ID: 7618939240 Enrollment ID: I20041027000362 |
| Provider Name | Rahul S Phatak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124086038 PECOS PAC ID: 1658337290 Enrollment ID: I20041206001007 |
| Provider Name | Paul Lecuyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427161298 PECOS PAC ID: 6103882675 Enrollment ID: I20041207000019 |
| Provider Name | Ann Marie S Rockamann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013943406 PECOS PAC ID: 3476449570 Enrollment ID: I20050103000517 |
| Provider Name | Richard A Bertelsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427153766 PECOS PAC ID: 8527026855 Enrollment ID: I20050103000569 |
| Provider Name | Laurie A Klabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326074907 PECOS PAC ID: 4789642018 Enrollment ID: I20050103000588 |
| Provider Name | Mary K Knight Macheca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134145378 PECOS PAC ID: 3274581897 Enrollment ID: I20050110000924 |
| Provider Name | Nancy S Giaimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699719971 PECOS PAC ID: 4688622137 Enrollment ID: I20050111000639 |
| Provider Name | Stephanie Lyn Sandberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649273160 PECOS PAC ID: 8426009671 Enrollment ID: I20050204000043 |
| Provider Name | Qaiser Jawaid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437110681 PECOS PAC ID: 0749232304 Enrollment ID: I20050211000637 |
| Provider Name | Mark D Taber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336100650 PECOS PAC ID: 9436102241 Enrollment ID: I20050222000017 |
| Provider Name | Jacqueline E Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134275662 PECOS PAC ID: 7911951629 Enrollment ID: I20050307000004 |
| Provider Name | Eileen F Mckeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477768877 PECOS PAC ID: 2365497732 Enrollment ID: I20050318000024 |
| Provider Name | John B Weltmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720038052 PECOS PAC ID: 6507812278 Enrollment ID: I20050324001274 |
| Provider Name | Yolanda Bledsoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396855391 PECOS PAC ID: 5799731204 Enrollment ID: I20050329000006 |
| Provider Name | Pervez A Alvi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932160348 PECOS PAC ID: 8022065234 Enrollment ID: I20050401000036 |
| Provider Name | Jyoti G Kulkarni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649281668 PECOS PAC ID: 3173560141 Enrollment ID: I20050412000009 |
| Provider Name | Julia Partin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245218106 PECOS PAC ID: 8325087653 Enrollment ID: I20050427000227 |
| Provider Name | Eric Colton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790723492 PECOS PAC ID: 0244271245 Enrollment ID: I20050519000926 |
| Provider Name | Kamal R Demetry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174548549 PECOS PAC ID: 0840233417 Enrollment ID: I20050606000000 |
| Provider Name | Robert G Kopitsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831182807 PECOS PAC ID: 2860428844 Enrollment ID: I20050712000003 |
| Provider Name | Mei Huang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417972597 PECOS PAC ID: 2163459546 Enrollment ID: I20050719000115 |
| Provider Name | Michele A Brother |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033153598 PECOS PAC ID: 6204866882 Enrollment ID: I20050813000164 |
| Provider Name | Mark Charles Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073586848 PECOS PAC ID: 2668402942 Enrollment ID: I20050816001047 |
| Provider Name | Charles Lieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871510396 PECOS PAC ID: 3476584095 Enrollment ID: I20050824000025 |
| Provider Name | Mohamed A S Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285607135 PECOS PAC ID: 4486686219 Enrollment ID: I20050901000185 |
| Provider Name | Sean A Mcintosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700997731 PECOS PAC ID: 5395777031 Enrollment ID: I20050902000178 |
| Provider Name | Katharine Ponzillo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184678625 PECOS PAC ID: 6507882073 Enrollment ID: I20051024000634 |
| Provider Name | Ghassan H Khoukaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376526418 PECOS PAC ID: 4880644269 Enrollment ID: I20051116000749 |
| Provider Name | Michele M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326020041 PECOS PAC ID: 6800833138 Enrollment ID: I20051215000861 |
| Provider Name | Jamal Makhoul |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114904745 PECOS PAC ID: 3779504774 Enrollment ID: I20051216000581 |
| Provider Name | Margaret A Rempe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891721155 PECOS PAC ID: 8527007897 Enrollment ID: I20060105000665 |
| Provider Name | Esther F Adade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245214162 PECOS PAC ID: 6901820323 Enrollment ID: I20060124000542 |
| Provider Name | Michael A Missler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417999467 PECOS PAC ID: 4082624440 Enrollment ID: I20060428000427 |
| Provider Name | Rama G Naidu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114978483 PECOS PAC ID: 7113952540 Enrollment ID: I20060501000582 |
| Provider Name | Tracy Wynette Norfleet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487680377 PECOS PAC ID: 9931110699 Enrollment ID: I20060509000464 |
| Provider Name | Howis Yvette Aros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033126156 PECOS PAC ID: 8628071214 Enrollment ID: I20060822000108 |
| Provider Name | Jeffrey Mormol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639103377 PECOS PAC ID: 7113922618 Enrollment ID: I20060915000170 |
| Provider Name | David J Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861433195 PECOS PAC ID: 2466457106 Enrollment ID: I20061002000198 |
| Provider Name | Azamuddin Khaja |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699723486 PECOS PAC ID: 7618973322 Enrollment ID: I20061019000315 |
| Provider Name | Andrew J Krainik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821010968 PECOS PAC ID: 9931106010 Enrollment ID: I20061102000348 |
| Provider Name | Scott Kreisel Roos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770596983 PECOS PAC ID: 2264430750 Enrollment ID: I20061116000357 |
| Provider Name | Bibi I Hasnain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467562983 PECOS PAC ID: 3678534237 Enrollment ID: I20070111000238 |
| Provider Name | Brian A Grus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053421065 PECOS PAC ID: 4688776511 Enrollment ID: I20070223000563 |
| Provider Name | Bindu Finnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851327340 PECOS PAC ID: 8729180245 Enrollment ID: I20070301000052 |
| Provider Name | Timothy D Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396762910 PECOS PAC ID: 6901901883 Enrollment ID: I20070423000007 |
| Provider Name | Matthew A Beckerdite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821062266 PECOS PAC ID: 5698872703 Enrollment ID: I20070524000646 |
| Provider Name | John J Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083689061 PECOS PAC ID: 7517064421 Enrollment ID: I20070529000290 |
| Provider Name | Daniel Maestas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407823511 PECOS PAC ID: 4789782616 Enrollment ID: I20070531000164 |
| Provider Name | Khalid Naseer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851341366 PECOS PAC ID: 9335177047 Enrollment ID: I20070614000102 |
| Provider Name | Andrea L Mose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275741266 PECOS PAC ID: 9537268412 Enrollment ID: I20070618000176 |
| Provider Name | Christopher T Sloan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578556775 PECOS PAC ID: 3274503008 Enrollment ID: I20070621000349 |
| Provider Name | Kimberly A Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306053087 PECOS PAC ID: 4385743681 Enrollment ID: I20070627000625 |
| Provider Name | Scott D Kirkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972604908 PECOS PAC ID: 1153421276 Enrollment ID: I20070703000012 |
| Provider Name | Kirsten M Mcdaniel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427027515 PECOS PAC ID: 7618068560 Enrollment ID: I20070807000066 |
| Provider Name | Bridget S Rutledge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083747067 PECOS PAC ID: 5395837918 Enrollment ID: I20070827000628 |
| Provider Name | Gina Iheonu Uzendu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740481142 PECOS PAC ID: 7012000334 Enrollment ID: I20070831000595 |
| Provider Name | Karen A Voegtle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104823251 PECOS PAC ID: 7517962269 Enrollment ID: I20070911000068 |
| Provider Name | Frederick B Durer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982601027 PECOS PAC ID: 5799780441 Enrollment ID: I20070911000648 |
| Provider Name | Betty Rachel Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073715702 PECOS PAC ID: 5698862621 Enrollment ID: I20071107000420 |
| Provider Name | Margaret Gray Swain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245267178 PECOS PAC ID: 2264521046 Enrollment ID: I20071130000549 |
| Provider Name | Tammy Lee Ann Vandermolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588853741 PECOS PAC ID: 3072603059 Enrollment ID: I20071213000676 |
| Provider Name | Matthew Reuter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588874820 PECOS PAC ID: 6608956180 Enrollment ID: I20080109000754 |
| Provider Name | Jeffrey M Swinarski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821104464 PECOS PAC ID: 6709968571 Enrollment ID: I20080201000105 |
| Provider Name | Donald G Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760591705 PECOS PAC ID: 9638251416 Enrollment ID: I20080201000164 |
| Provider Name | Howard D Kohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053496745 PECOS PAC ID: 5991887770 Enrollment ID: I20080201000178 |
| Provider Name | Theodore J Schuerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285745257 PECOS PAC ID: 8426130204 Enrollment ID: I20080201000195 |
| Provider Name | Michelle Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659480689 PECOS PAC ID: 0143302927 Enrollment ID: I20080201000205 |
| Provider Name | Michael P Fuller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194732842 PECOS PAC ID: 3577645365 Enrollment ID: I20080201000230 |
| Provider Name | Douglas H Pogue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326055070 PECOS PAC ID: 2668554452 Enrollment ID: I20080201000236 |
| Provider Name | Lilibeth Maria Cayabyab Loe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578672614 PECOS PAC ID: 0345322137 Enrollment ID: I20080201000258 |
| Provider Name | Charmaine Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972613297 PECOS PAC ID: 3971685769 Enrollment ID: I20080201000265 |
| Provider Name | Catherine A Hermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437268596 PECOS PAC ID: 1052493863 Enrollment ID: I20080201000344 |
| Provider Name | John L Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871604520 PECOS PAC ID: 6002998812 Enrollment ID: I20080201000368 |
| Provider Name | Zinnat Meghjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639186398 PECOS PAC ID: 7416030044 Enrollment ID: I20080206000039 |
| Provider Name | John Ellena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487767240 PECOS PAC ID: 7618885898 Enrollment ID: I20080206000439 |
| Provider Name | Jean Berra Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205947173 PECOS PAC ID: 8527141928 Enrollment ID: I20080208000004 |
| Provider Name | Barry A Singer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932210671 PECOS PAC ID: 1759464985 Enrollment ID: I20080212000294 |
| Provider Name | Rebecca Rugen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023129954 PECOS PAC ID: 0648353771 Enrollment ID: I20080213000456 |
| Provider Name | David J Ban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245349380 PECOS PAC ID: 6901989037 Enrollment ID: I20080213000463 |
| Provider Name | Mark C Gunby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699886309 PECOS PAC ID: 2163506890 Enrollment ID: I20080220000052 |
| Provider Name | Anne Marie Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538272307 PECOS PAC ID: 9537245121 Enrollment ID: I20080324000285 |
| Provider Name | Amy C Eberhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518148428 PECOS PAC ID: 6002993128 Enrollment ID: I20080414000179 |
| Provider Name | Michelle E Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467639278 PECOS PAC ID: 0840379459 Enrollment ID: I20080508000069 |
| Provider Name | Michelle L Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013118215 PECOS PAC ID: 9436228277 Enrollment ID: I20080519000794 |
| Provider Name | Meera R Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427120948 PECOS PAC ID: 0345312476 Enrollment ID: I20080708000051 |
| Provider Name | Nicole E Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235340332 PECOS PAC ID: 6204908007 Enrollment ID: I20080711000086 |
| Provider Name | Roger Guillemette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417981333 PECOS PAC ID: 8224101712 Enrollment ID: I20080716000502 |
| Provider Name | Olga Rudomiotov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497965990 PECOS PAC ID: 8628141058 Enrollment ID: I20080718000192 |
| Provider Name | Gabriel E Soto |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528148491 PECOS PAC ID: 6507931151 Enrollment ID: I20080818000282 |
| Provider Name | Dianna J Ohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952560260 PECOS PAC ID: 0648347963 Enrollment ID: I20080929000016 |
| Provider Name | Sharon M J Muhs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528240702 PECOS PAC ID: 9335208610 Enrollment ID: I20081030000771 |
| Provider Name | Kelly D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285880724 PECOS PAC ID: 9032270574 Enrollment ID: I20081203000126 |
| Provider Name | James M Goldring |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992715775 PECOS PAC ID: 6507933157 Enrollment ID: I20081205000821 |
| Provider Name | Mindy N Carlyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538322524 PECOS PAC ID: 3577624246 Enrollment ID: I20081212000694 |
| Provider Name | Thomas Wayne Fulbright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548213119 PECOS PAC ID: 1557302080 Enrollment ID: I20090320000099 |
| Provider Name | Sumera Younus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003962820 PECOS PAC ID: 8224130885 Enrollment ID: I20090420000273 |
| Provider Name | Nancy J Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982637302 PECOS PAC ID: 2860540291 Enrollment ID: I20090423000287 |
| Provider Name | Christopher Charles Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437306297 PECOS PAC ID: 7911056551 Enrollment ID: I20090601000270 |
| Provider Name | Kevin J Quigley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447454103 PECOS PAC ID: 5092867101 Enrollment ID: I20090721000762 |
| Provider Name | Katherine Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376573923 PECOS PAC ID: 1254485485 Enrollment ID: I20090821000344 |
| Provider Name | James Lawrence Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902079619 PECOS PAC ID: 7517012198 Enrollment ID: I20090903000169 |
| Provider Name | Cheryl M Hohe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942433966 PECOS PAC ID: 8123174638 Enrollment ID: I20090925000093 |
| Provider Name | Daniel L Wagner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942419452 PECOS PAC ID: 3173669736 Enrollment ID: I20091013000131 |
| Provider Name | Douglas W Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700018504 PECOS PAC ID: 9032256300 Enrollment ID: I20091020000371 |
| Provider Name | Gena Loraine Napier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073654091 PECOS PAC ID: 6709923493 Enrollment ID: I20091029000254 |
| Provider Name | Steven Paul Hart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891821997 PECOS PAC ID: 1355441296 Enrollment ID: I20091111000226 |
| Provider Name | Cindy M Fortado Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629118088 PECOS PAC ID: 7618015611 Enrollment ID: I20091112000045 |
| Provider Name | Katherine Kougias Temprano |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629082599 PECOS PAC ID: 4981636628 Enrollment ID: I20091117000587 |
| Provider Name | Rafael E Figueroa Dugarte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265699805 PECOS PAC ID: 6800935438 Enrollment ID: I20091120000187 |
| Provider Name | Robert J Obert |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891880225 PECOS PAC ID: 7618016270 Enrollment ID: I20091120000499 |
| Provider Name | Kimberly Lynne Borchers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396940862 PECOS PAC ID: 9234278417 Enrollment ID: I20091201000332 |
| Provider Name | Devika Rani Nagaraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881644714 PECOS PAC ID: 2163562661 Enrollment ID: I20091214000633 |
| Provider Name | Oscar A Schwartz |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1003807314 PECOS PAC ID: 9436292497 Enrollment ID: I20100130000194 |
| Provider Name | Stuart T Higano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114998978 PECOS PAC ID: 1759395635 Enrollment ID: I20100225000914 |
| Provider Name | Tariq Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710970587 PECOS PAC ID: 2567414691 Enrollment ID: I20100301000762 |
| Provider Name | Evan Grant Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174605620 PECOS PAC ID: 2961547997 Enrollment ID: I20100302000837 |
| Provider Name | Riad Azar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952358970 PECOS PAC ID: 2163567728 Enrollment ID: I20100306000381 |
| Provider Name | Anthony J Berni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710980875 PECOS PAC ID: 3779553508 Enrollment ID: I20100310000087 |
| Provider Name | Savitha V Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992989370 PECOS PAC ID: 9234264599 Enrollment ID: I20100312000094 |
| Provider Name | Robert Snitzer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225037252 PECOS PAC ID: 4082516596 Enrollment ID: I20100312000720 |
| Provider Name | Maria L Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740517515 PECOS PAC ID: 9739214362 Enrollment ID: I20100320000256 |
| Provider Name | Barry Keith Abramson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922025980 PECOS PAC ID: 3971514472 Enrollment ID: I20100515000116 |
| Provider Name | Andrew S Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093732026 PECOS PAC ID: 1456489244 Enrollment ID: I20100515000119 |
| Provider Name | Earl Gene Draves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164416624 PECOS PAC ID: 2961567680 Enrollment ID: I20100521000142 |
| Provider Name | Jeffrey Leonard Draves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164416996 PECOS PAC ID: 4183713621 Enrollment ID: I20100521000174 |
| Provider Name | Marc K Lewen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174565915 PECOS PAC ID: 5193813806 Enrollment ID: I20100521000730 |
| Provider Name | Martin B Ast |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679515415 PECOS PAC ID: 8820186539 Enrollment ID: I20100602001008 |
| Provider Name | Amie S Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568452324 PECOS PAC ID: 1456481050 Enrollment ID: I20100608000647 |
| Provider Name | Michael A Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699857151 PECOS PAC ID: 0941372742 Enrollment ID: I20100617000779 |
| Provider Name | Sarada Sripada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932172939 PECOS PAC ID: 5890826440 Enrollment ID: I20100626000237 |
| Provider Name | Nadeem N Sufi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629041553 PECOS PAC ID: 8123938933 Enrollment ID: I20100626000243 |
| Provider Name | John M Hatlelid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194796698 PECOS PAC ID: 8426159310 Enrollment ID: I20100628000589 |
| Provider Name | Cheryl A Faber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124017520 PECOS PAC ID: 1052412947 Enrollment ID: I20100628000823 |
| Provider Name | Kevin J Sides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821096652 PECOS PAC ID: 2365573649 Enrollment ID: I20100630000584 |
| Provider Name | William David Birenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407876550 PECOS PAC ID: 1052479128 Enrollment ID: I20100714000529 |
| Provider Name | Benjamin A Voss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053517656 PECOS PAC ID: 9537291216 Enrollment ID: I20100715000355 |
| Provider Name | Latha M Myla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972576890 PECOS PAC ID: 3274665765 Enrollment ID: I20100720000003 |
| Provider Name | Fatima A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083687669 PECOS PAC ID: 9638201874 Enrollment ID: I20100723000008 |
| Provider Name | Saad Alkaade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033433594 PECOS PAC ID: 9436283652 Enrollment ID: I20100810000548 |
| Provider Name | Anna O Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003135591 PECOS PAC ID: 8527192558 Enrollment ID: I20100812000984 |
| Provider Name | Melissa J Lueking |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043454812 PECOS PAC ID: 2668507484 Enrollment ID: I20100813001081 |
| Provider Name | Melissa Joy Kiefer Mcelwrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205157807 PECOS PAC ID: 7214061951 Enrollment ID: I20100817000154 |
| Provider Name | Michael J Paul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972526994 PECOS PAC ID: 9931233574 Enrollment ID: I20100817001661 |
| Provider Name | John C Wendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386601128 PECOS PAC ID: 0244311421 Enrollment ID: I20100818000443 |
| Provider Name | Mark E Belew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730112996 PECOS PAC ID: 5496712507 Enrollment ID: I20100824001191 |
| Provider Name | Arjun Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780619957 PECOS PAC ID: 5991829400 Enrollment ID: I20100903000504 |
| Provider Name | Carlos M Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417934894 PECOS PAC ID: 6901845817 Enrollment ID: I20100910000375 |
| Provider Name | Caren Pauline Schaecher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326067711 PECOS PAC ID: 6800911033 Enrollment ID: I20100913000145 |
| Provider Name | G Paul Yazdi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265477806 PECOS PAC ID: 1557260510 Enrollment ID: I20100917000671 |
| Provider Name | Laura L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194923151 PECOS PAC ID: 3375668874 Enrollment ID: I20100920001216 |
| Provider Name | Paula C Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962720458 PECOS PAC ID: 0547385056 Enrollment ID: I20100921000024 |
| Provider Name | Chaudhary M Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649252461 PECOS PAC ID: 3678699907 Enrollment ID: I20100923001448 |
| Provider Name | Jennifer K Feldmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104144815 PECOS PAC ID: 3375669245 Enrollment ID: I20100928001395 |
| Provider Name | Claudia R Krasnoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245294081 PECOS PAC ID: 8921124843 Enrollment ID: I20100929000269 |
| Provider Name | Mark J Jostes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477518595 PECOS PAC ID: 1456477363 Enrollment ID: I20100929000307 |
| Provider Name | Christine M Ladd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962466896 PECOS PAC ID: 1355467184 Enrollment ID: I20100929000422 |
| Provider Name | Katherine J Martin-bredahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427388776 PECOS PAC ID: 4880886159 Enrollment ID: I20101005000362 |
| Provider Name | Christi D Menges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346442332 PECOS PAC ID: 3274726914 Enrollment ID: I20101026000661 |
| Provider Name | Patricia Jo Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992799225 PECOS PAC ID: 9436226024 Enrollment ID: I20101117000878 |
| Provider Name | Anne Lyng Hibbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184618415 PECOS PAC ID: 8527135110 Enrollment ID: I20101117001179 |
| Provider Name | Anne Rebecca Seyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669673653 PECOS PAC ID: 7113113572 Enrollment ID: I20101124000314 |
| Provider Name | Christopher M Speidel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427037936 PECOS PAC ID: 9537355987 Enrollment ID: I20101124000749 |
| Provider Name | Ranjani P Ramanathan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639212335 PECOS PAC ID: 8123209293 Enrollment ID: I20110222001045 |
| Provider Name | Jane Michele Hollman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780725192 PECOS PAC ID: 4981888393 Enrollment ID: I20110408000717 |
| Provider Name | Karl Taira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457582082 PECOS PAC ID: 5294881033 Enrollment ID: I20110504000313 |
| Provider Name | Zamir Eidelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194806497 PECOS PAC ID: 0840384079 Enrollment ID: I20110511000189 |
| Provider Name | Susan Rutledge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780645382 PECOS PAC ID: 1052597861 Enrollment ID: I20110512000117 |
| Provider Name | Nicholas P Taraska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841318052 PECOS PAC ID: 8628255825 Enrollment ID: I20110615000099 |
| Provider Name | Anshu Jain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588820468 PECOS PAC ID: 1456529379 Enrollment ID: I20110720000677 |
| Provider Name | Sandeep Hindupur |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124164066 PECOS PAC ID: 2163692674 Enrollment ID: I20110818000747 |
| Provider Name | Lauren M Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073775052 PECOS PAC ID: 2062682081 Enrollment ID: I20110831000275 |
| Provider Name | Robert Baipath Rilpuou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104146372 PECOS PAC ID: 6709056492 Enrollment ID: I20110908001618 |
| Provider Name | Chaitanya K Kotagiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588825228 PECOS PAC ID: 2567633498 Enrollment ID: I20110926000126 |
| Provider Name | Seow Voon Yew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942518675 PECOS PAC ID: 3173795382 Enrollment ID: I20111012000697 |
| Provider Name | Gloria Michelle P Edacheril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144502253 PECOS PAC ID: 1153594221 Enrollment ID: I20111105000101 |
| Provider Name | James Edward Alonso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063506566 PECOS PAC ID: 8325214562 Enrollment ID: I20120110000399 |
| Provider Name | Narine Sargsyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609032598 PECOS PAC ID: 2769651587 Enrollment ID: I20120201000924 |
| Provider Name | Beverly D Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306112388 PECOS PAC ID: 0648432401 Enrollment ID: I20120424000688 |
| Provider Name | Kimberly D Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891002929 PECOS PAC ID: 6901088111 Enrollment ID: I20120511000427 |
| Provider Name | Naeem Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347902 PECOS PAC ID: 6002720349 Enrollment ID: I20120524000123 |
| Provider Name | Kalu Onuma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447415518 PECOS PAC ID: 4183888761 Enrollment ID: I20120611000620 |
| Provider Name | Amanda S Trudell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992968416 PECOS PAC ID: 8426212622 Enrollment ID: I20120620000369 |
| Provider Name | Karthik Ramaswamy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295787885 PECOS PAC ID: 0446148670 Enrollment ID: I20120705000186 |
| Provider Name | Daniel R Herleth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235365776 PECOS PAC ID: 8729243027 Enrollment ID: I20120712000470 |
| Provider Name | Gayla Estelle Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184852592 PECOS PAC ID: 3173789419 Enrollment ID: I20120731000732 |
| Provider Name | Emily K Barden |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598023368 PECOS PAC ID: 0345496725 Enrollment ID: I20120820000429 |
| Provider Name | Ximena Soledad Schnurr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043444342 PECOS PAC ID: 3577731991 Enrollment ID: I20120820001026 |
| Provider Name | Susan M Tellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881946358 PECOS PAC ID: 1052561842 Enrollment ID: I20121102000099 |
| Provider Name | Jamie L Tueth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619100989 PECOS PAC ID: 1759532591 Enrollment ID: I20121103000145 |
| Provider Name | Sara B Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851642235 PECOS PAC ID: 4789836396 Enrollment ID: I20121206000043 |
| Provider Name | Jonathan K Borchers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588869101 PECOS PAC ID: 3476608308 Enrollment ID: I20121214000454 |
| Provider Name | Ann M Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033460324 PECOS PAC ID: 5597910299 Enrollment ID: I20130304000093 |
| Provider Name | Lisa A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326387887 PECOS PAC ID: 8123266533 Enrollment ID: I20130524000174 |
| Provider Name | Ernesto Jose Negron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841475845 PECOS PAC ID: 8628194347 Enrollment ID: I20130716000900 |
| Provider Name | Huzaifa Quaizar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326334343 PECOS PAC ID: 7416198486 Enrollment ID: I20130802000555 |
| Provider Name | Naveen Kumar Reddy Bondalapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104147214 PECOS PAC ID: 3779724406 Enrollment ID: I20130816000361 |
| Provider Name | Romel Izquierdo-malon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033422357 PECOS PAC ID: 1557505054 Enrollment ID: I20130924000508 |
| Provider Name | Jennifer M Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992018287 PECOS PAC ID: 1254575608 Enrollment ID: I20130925000176 |
| Provider Name | Sunitha Sequeira |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366698730 PECOS PAC ID: 6204060114 Enrollment ID: I20131009000098 |
| Provider Name | Thishara Merza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073773347 PECOS PAC ID: 3274699319 Enrollment ID: I20131009000920 |
| Provider Name | Jei Florensari Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033104047 PECOS PAC ID: 9537222872 Enrollment ID: I20131010001337 |
| Provider Name | Katherine L Figura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922363456 PECOS PAC ID: 7810122629 Enrollment ID: I20131104000829 |
| Provider Name | Sophia Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598081432 PECOS PAC ID: 7517193303 Enrollment ID: I20131127000854 |
| Provider Name | Bazgha I Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841517158 PECOS PAC ID: 7618115031 Enrollment ID: I20131216001327 |
| Provider Name | Mahmud Al Furgani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528369782 PECOS PAC ID: 2365670809 Enrollment ID: I20140108001582 |
| Provider Name | Michelle Erin Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174607618 PECOS PAC ID: 2163651936 Enrollment ID: I20140128001126 |
| Provider Name | Stephanie Lynne Gram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831523851 PECOS PAC ID: 6204065766 Enrollment ID: I20140203000088 |
| Provider Name | Zandra N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528496437 PECOS PAC ID: 9739319120 Enrollment ID: I20140304001755 |
| Provider Name | James O Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629011846 PECOS PAC ID: 0547336661 Enrollment ID: I20140415000548 |
| Provider Name | Sara K Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912349283 PECOS PAC ID: 8628201597 Enrollment ID: I20140429001865 |
| Provider Name | Leen Husni Ali Al-sayyed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053626242 PECOS PAC ID: 2062656531 Enrollment ID: I20140616000676 |
| Provider Name | Samara D Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306285986 PECOS PAC ID: 7113143314 Enrollment ID: I20140724000723 |
| Provider Name | Charles S Grimshaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851590673 PECOS PAC ID: 9234355959 Enrollment ID: I20140731002914 |
| Provider Name | Erica A Banes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437300555 PECOS PAC ID: 3173740453 Enrollment ID: I20140811000403 |
| Provider Name | Kehinde F Hambolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023439445 PECOS PAC ID: 0345467429 Enrollment ID: I20140813002109 |
| Provider Name | Rami Alassaad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235449265 PECOS PAC ID: 5799903167 Enrollment ID: I20140826002419 |
| Provider Name | Christopher R Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568402683 PECOS PAC ID: 8527061225 Enrollment ID: I20140904000672 |
| Provider Name | John T Paruch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194952358 PECOS PAC ID: 1456579499 Enrollment ID: I20140904000723 |
| Provider Name | Anis Berhil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811283609 PECOS PAC ID: 4587802293 Enrollment ID: I20141017000861 |
| Provider Name | Tara Renea Wadlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346641115 PECOS PAC ID: 1850512419 Enrollment ID: I20141023001060 |
| Provider Name | Elizabeth A Huenefeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609279025 PECOS PAC ID: 0345562302 Enrollment ID: I20141201002173 |
| Provider Name | Crystal Lynn Pipkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548665607 PECOS PAC ID: 8022330067 Enrollment ID: I20141203000230 |
| Provider Name | Asim Ayaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144509563 PECOS PAC ID: 7416279807 Enrollment ID: I20141215001710 |
| Provider Name | Shannon Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386048023 PECOS PAC ID: 2264755610 Enrollment ID: I20141216001987 |
| Provider Name | Maria T Motta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679979439 PECOS PAC ID: 3779806674 Enrollment ID: I20141230000267 |
| Provider Name | Sarah R Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346656121 PECOS PAC ID: 7416270012 Enrollment ID: I20150107001386 |
| Provider Name | Kimberly H Harsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20150522001371 |
| Provider Name | Julie E Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467830018 PECOS PAC ID: 9739490822 Enrollment ID: I20150616001241 |
| Provider Name | Jonathan Charles Seccombe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124255849 PECOS PAC ID: 6103047097 Enrollment ID: I20150721000711 |
| Provider Name | Laurie A Giltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932584075 PECOS PAC ID: 5496069304 Enrollment ID: I20150806010046 |
| Provider Name | Juletta Avagyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013278944 PECOS PAC ID: 4789821323 Enrollment ID: I20150819008716 |
| Provider Name | Michael R Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871756379 PECOS PAC ID: 7618283961 Enrollment ID: I20150901000902 |
| Provider Name | Kim J Carroll |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982847042 PECOS PAC ID: 8224287115 Enrollment ID: I20150910002639 |
| Provider Name | Laura D Mueller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194017228 PECOS PAC ID: 3274840004 Enrollment ID: I20150911000191 |
| Provider Name | Erin M Dumontier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386934768 PECOS PAC ID: 7113234964 Enrollment ID: I20150911000695 |
| Provider Name | Raji P Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528444726 PECOS PAC ID: 9638487267 Enrollment ID: I20151001001606 |
| Provider Name | Amanda L Molitor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689061285 PECOS PAC ID: 1355650854 Enrollment ID: I20151023001582 |
| Provider Name | Kristen E Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972073 PECOS PAC ID: 8022328467 Enrollment ID: I20151113002311 |
| Provider Name | Emily Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750754446 PECOS PAC ID: 9335440890 Enrollment ID: I20151229001275 |
| Provider Name | Sarah E Nangle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487940961 PECOS PAC ID: 3375846827 Enrollment ID: I20160118000408 |
| Provider Name | Victoria G Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790141083 PECOS PAC ID: 8921301094 Enrollment ID: I20160122001741 |
| Provider Name | Brian Michael Fishman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225391824 PECOS PAC ID: 6608171210 Enrollment ID: I20160219000268 |
| Provider Name | Angela C Clercx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477910461 PECOS PAC ID: 1254636889 Enrollment ID: I20160219001004 |
| Provider Name | Shontel M Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932593910 PECOS PAC ID: 4789992595 Enrollment ID: I20160314000087 |
| Provider Name | Omolola Ajoke Omotoso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154514529 PECOS PAC ID: 4183781420 Enrollment ID: I20160314000288 |
| Provider Name | Jessica Lynn Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487027025 PECOS PAC ID: 4183929862 Enrollment ID: I20160317001471 |
| Provider Name | Megan K Sipes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386005874 PECOS PAC ID: 6204133044 Enrollment ID: I20160323000059 |
| Provider Name | Brandy L Raich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891155768 PECOS PAC ID: 3870890361 Enrollment ID: I20160329000716 |
| Provider Name | Alex Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891057501 PECOS PAC ID: 4082916515 Enrollment ID: I20160330002499 |
| Provider Name | Umaree Bybee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154788263 PECOS PAC ID: 7113225772 Enrollment ID: I20160414001171 |
| Provider Name | Trina J Blythe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316080559 PECOS PAC ID: 1456650761 Enrollment ID: I20160506001876 |
| Provider Name | Monica Y Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922030865 PECOS PAC ID: 3274822507 Enrollment ID: I20160510001060 |
| Provider Name | Brittany Nicole Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699122911 PECOS PAC ID: 2466744396 Enrollment ID: I20160713000619 |
| Provider Name | Gus Theodos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053401422 PECOS PAC ID: 8729134945 Enrollment ID: I20160715000279 |
| Provider Name | Timothy J Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699036731 PECOS PAC ID: 0446487953 Enrollment ID: I20160722001648 |
| Provider Name | Tahreem S Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962847129 PECOS PAC ID: 6002058666 Enrollment ID: I20160906000108 |
| Provider Name | Lauren Oberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427401017 PECOS PAC ID: 5890081418 Enrollment ID: I20160908001164 |
| Provider Name | Nathan H Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093154254 PECOS PAC ID: 5698904910 Enrollment ID: I20160909002223 |
| Provider Name | Amy L Schomer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346229010 PECOS PAC ID: 3870744873 Enrollment ID: I20160909002532 |
| Provider Name | Jennifer V Crouch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902246705 PECOS PAC ID: 9032343256 Enrollment ID: I20160912000112 |
| Provider Name | Andrea Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447612601 PECOS PAC ID: 6709173776 Enrollment ID: I20160920001414 |
| Provider Name | Jolene K Borders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598065468 PECOS PAC ID: 8325335243 Enrollment ID: I20160921000527 |
| Provider Name | Joseph Arnold Baidoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164798534 PECOS PAC ID: 3072777838 Enrollment ID: I20160927000199 |
| Provider Name | Matthew E Schoenherr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902198781 PECOS PAC ID: 5092939447 Enrollment ID: I20160927001878 |
| Provider Name | Uyen Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427498286 PECOS PAC ID: 4688800063 Enrollment ID: I20161011002280 |
| Provider Name | Sherry Wei Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336401330 PECOS PAC ID: 4284922824 Enrollment ID: I20161013001606 |
| Provider Name | Rachel Landgraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215487863 PECOS PAC ID: 9234418625 Enrollment ID: I20161107001661 |
| Provider Name | Michael Opoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578520235 PECOS PAC ID: 2769445741 Enrollment ID: I20170110001030 |
| Provider Name | Cyriacus Anaele |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942456256 PECOS PAC ID: 2769541366 Enrollment ID: I20170118001413 |
| Provider Name | Michelle R Mick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033652862 PECOS PAC ID: 2961784277 Enrollment ID: I20170123000581 |
| Provider Name | Marianne Torbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982017976 PECOS PAC ID: 4981913688 Enrollment ID: I20170203000574 |
| Provider Name | Jacqueline M Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588102099 PECOS PAC ID: 1951684067 Enrollment ID: I20170216000416 |
| Provider Name | Pierre E Laughton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578523999 PECOS PAC ID: 2860579778 Enrollment ID: I20170306000491 |
| Provider Name | Sabina Gallion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316205305 PECOS PAC ID: 2860708971 Enrollment ID: I20170308001854 |
| Provider Name | Jason E Portell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457896664 PECOS PAC ID: 2163707175 Enrollment ID: I20170314000059 |
| Provider Name | Becky J Wheat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265980460 PECOS PAC ID: 2860778560 Enrollment ID: I20170412001269 |
| Provider Name | Jared M Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023608 PECOS PAC ID: 5597042382 Enrollment ID: I20170504000265 |
| Provider Name | Anton Marek Clemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225163454 PECOS PAC ID: 5799868451 Enrollment ID: I20170518000472 |
| Provider Name | Scott Thomas Kloeppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989592 PECOS PAC ID: 3072881945 Enrollment ID: I20170616002310 |
| Provider Name | Kerith L Lucco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588780662 PECOS PAC ID: 2961562061 Enrollment ID: I20170622001321 |
| Provider Name | Renu Teckchandani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831477421 PECOS PAC ID: 6608092119 Enrollment ID: I20170724001413 |
| Provider Name | Shazia Abbas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205086998 PECOS PAC ID: 3779751086 Enrollment ID: I20170725000464 |
| Provider Name | Omar A Al-abboud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740693449 PECOS PAC ID: 9638471493 Enrollment ID: I20170809000493 |
| Provider Name | Tamara D Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154869220 PECOS PAC ID: 0042582389 Enrollment ID: I20170821002155 |
| Provider Name | Archana Sinha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386932978 PECOS PAC ID: 5496034969 Enrollment ID: I20170822001231 |
| Provider Name | Mitchell J Durante |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861837783 PECOS PAC ID: 2668775172 Enrollment ID: I20170825003482 |
| Provider Name | Michael W Nash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376577825 PECOS PAC ID: 8325040942 Enrollment ID: I20170907000777 |
| Provider Name | Devin R Willis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295175057 PECOS PAC ID: 7012143449 Enrollment ID: I20170913002736 |
| Provider Name | Jane Clara Gelfand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770996795 PECOS PAC ID: 6103190475 Enrollment ID: I20170926000471 |
| Provider Name | Karen D Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849578 PECOS PAC ID: 1254606346 Enrollment ID: I20170928002406 |
| Provider Name | Mohamed B Ramadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235548413 PECOS PAC ID: 2163797101 Enrollment ID: I20171002001917 |
| Provider Name | Rachel M Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922517697 PECOS PAC ID: 5698040178 Enrollment ID: I20171010000539 |
| Provider Name | Shereece N Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104338318 PECOS PAC ID: 1557627049 Enrollment ID: I20171116001820 |
| Provider Name | Kathleen A Wohldmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619484268 PECOS PAC ID: 8224399787 Enrollment ID: I20180223001429 |
| Provider Name | Stephanie R Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306345624 PECOS PAC ID: 3577825470 Enrollment ID: I20180312002113 |
| Provider Name | Aryn Kathleen Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811496003 PECOS PAC ID: 6103188255 Enrollment ID: I20180329001408 |
| Provider Name | Jessica M Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952898348 PECOS PAC ID: 0446514871 Enrollment ID: I20180510000804 |
| Provider Name | Justin M Goldsmith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417339920 PECOS PAC ID: 0143585265 Enrollment ID: I20180521000635 |
| Provider Name | Yugandhar Kandimalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982840336 PECOS PAC ID: 4981862901 Enrollment ID: I20180612003335 |
| Provider Name | Caitlin Sue Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861873077 PECOS PAC ID: 6305193806 Enrollment ID: I20180714000114 |
| Provider Name | Aaron L Tang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841456522 PECOS PAC ID: 9830447291 Enrollment ID: I20180801003983 |
| Provider Name | Kathleen E Jaeger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609280619 PECOS PAC ID: 4284854951 Enrollment ID: I20180829000350 |
| Provider Name | Anthony Mario King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891100038 PECOS PAC ID: 5193035384 Enrollment ID: I20180829002171 |
| Provider Name | Desirai Ann Rogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982085759 PECOS PAC ID: 9830403740 Enrollment ID: I20180830002722 |
| Provider Name | Kelsie Anne Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376097329 PECOS PAC ID: 8022393990 Enrollment ID: I20180905000452 |
| Provider Name | Kevin Patrick Dehaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912265174 PECOS PAC ID: 2062644982 Enrollment ID: I20180905001467 |
| Provider Name | Christopher Lee Chappell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649651910 PECOS PAC ID: 9436445798 Enrollment ID: I20180912002032 |
| Provider Name | Amanda Hammes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467872663 PECOS PAC ID: 5698995702 Enrollment ID: I20180914002806 |
| Provider Name | Anuj Chhaparia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457747859 PECOS PAC ID: 7911209481 Enrollment ID: I20180921001847 |
| Provider Name | Ricardo Antonio Rodriguez Mejia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508241431 PECOS PAC ID: 7012268303 Enrollment ID: I20180926000620 |
| Provider Name | Genevieve Catherine Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295155000 PECOS PAC ID: 9133470305 Enrollment ID: I20180927000732 |
| Provider Name | Zahra Fatimah Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912388695 PECOS PAC ID: 5799036901 Enrollment ID: I20180927002160 |
| Provider Name | Brent Alan Huffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154367282 PECOS PAC ID: 2668453168 Enrollment ID: I20180928001306 |
| Provider Name | Reshma Eugene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578948188 PECOS PAC ID: 0840509675 Enrollment ID: I20180928002381 |
| Provider Name | Adam L Trimpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205302460 PECOS PAC ID: 5991059149 Enrollment ID: I20181107001290 |
| Provider Name | Jeremy Daniel Defoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225393739 PECOS PAC ID: 0244592764 Enrollment ID: I20181227001204 |
| Provider Name | Valentina Jordan Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639650120 PECOS PAC ID: 6901144765 Enrollment ID: I20190221000047 |
| Provider Name | Kwabena Owusu Dekyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265499289 PECOS PAC ID: 9830184944 Enrollment ID: I20190228002484 |
| Provider Name | Jane M Angle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932617925 PECOS PAC ID: 4587904180 Enrollment ID: I20190319000065 |
| Provider Name | Amy L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811412513 PECOS PAC ID: 1254672009 Enrollment ID: I20190404002667 |
| Provider Name | Samantha M Mintert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750847984 PECOS PAC ID: 9638410939 Enrollment ID: I20190415002891 |
| Provider Name | Matthew David Telmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760954952 PECOS PAC ID: 6406198639 Enrollment ID: I20190508001765 |
| Provider Name | Tiffany R Anzalone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881153815 PECOS PAC ID: 1355683525 Enrollment ID: I20190509000222 |
| Provider Name | Katherine C Schoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215591375 PECOS PAC ID: 0042543704 Enrollment ID: I20190612000143 |
| Provider Name | Stacey Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558929471 PECOS PAC ID: 5890029722 Enrollment ID: I20190627000326 |
| Provider Name | Mustafa A Alsaid Alkhreisat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205268588 PECOS PAC ID: 3678869153 Enrollment ID: I20190802002010 |
| Provider Name | John Paul Shoup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427476100 PECOS PAC ID: 3072860584 Enrollment ID: I20190805001029 |
| Provider Name | Melissa Sue Mudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336472 PECOS PAC ID: 9638406309 Enrollment ID: I20190805001206 |
| Provider Name | Stephen Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710374111 PECOS PAC ID: 2163739509 Enrollment ID: I20190815000105 |
| Provider Name | Kelsey Moon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962852186 PECOS PAC ID: 3779859764 Enrollment ID: I20190815000254 |
| Provider Name | Katelyn P Smelser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205221215 PECOS PAC ID: 2668775099 Enrollment ID: I20190819002896 |
| Provider Name | Bradley Carl Witbrodt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275899718 PECOS PAC ID: 8921300104 Enrollment ID: I20190820001303 |
| Provider Name | Nickolai C Detert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154987097 PECOS PAC ID: 5597093559 Enrollment ID: I20190829000120 |
| Provider Name | Kelli Ann Kreher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558742791 PECOS PAC ID: 8325352503 Enrollment ID: I20190910000302 |
| Provider Name | Leigh Rose Ball |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134583925 PECOS PAC ID: 7214223734 Enrollment ID: I20190919000913 |
| Provider Name | Chiniya Thapa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295049146 PECOS PAC ID: 4183866122 Enrollment ID: I20191025001324 |
| Provider Name | Tiffany Katherine Adams-holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780038893 PECOS PAC ID: 4587956016 Enrollment ID: I20191030000132 |
| Provider Name | Sukepma Giri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700014651 PECOS PAC ID: 4789836438 Enrollment ID: I20191112003135 |
| Provider Name | Matthew Raymond Decuffa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588013726 PECOS PAC ID: 3678847993 Enrollment ID: I20191113000491 |
| Provider Name | Jason Ross Rudman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487072229 PECOS PAC ID: 4587096599 Enrollment ID: I20191113001080 |
| Provider Name | Mweemba Chipepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104225648 PECOS PAC ID: 8527334473 Enrollment ID: I20191113002780 |
| Provider Name | Amelia L Aubuchon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881246908 PECOS PAC ID: 0941633093 Enrollment ID: I20191204001815 |
| Provider Name | Brandy La-keysha Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700391281 PECOS PAC ID: 4385077825 Enrollment ID: I20191213001390 |
| Provider Name | Samara Epps Mcelroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235431198 PECOS PAC ID: 3577798966 Enrollment ID: I20200115002182 |
| Provider Name | Jenna S Deken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376009456 PECOS PAC ID: 1557796737 Enrollment ID: I20200116000112 |
| Provider Name | Soumil Lele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972967602 PECOS PAC ID: 0244666873 Enrollment ID: I20200130001151 |
| Provider Name | Puspalatha Sajja |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225448970 PECOS PAC ID: 0446687230 Enrollment ID: I20200217000152 |
| Provider Name | Amy Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922566157 PECOS PAC ID: 5092142760 Enrollment ID: I20200219002508 |
| Provider Name | Michele F Salvatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013289867 PECOS PAC ID: 2163850421 Enrollment ID: I20200319001923 |
| Provider Name | Pooja Parth Vyas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740674928 PECOS PAC ID: 3476856659 Enrollment ID: I20200322000140 |
| Provider Name | Sara R Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669007100 PECOS PAC ID: 5597194332 Enrollment ID: I20200331000625 |
| Provider Name | Christian G Caceres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255787628 PECOS PAC ID: 6002194701 Enrollment ID: I20200506002538 |
| Provider Name | Erin J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366074353 PECOS PAC ID: 4183055502 Enrollment ID: I20200518003012 |
| Provider Name | Curtis Merle Steyers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861745721 PECOS PAC ID: 9537581327 Enrollment ID: I20200624002029 |
| Provider Name | Jordan Michele Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851910947 PECOS PAC ID: 3274955752 Enrollment ID: I20200630001339 |
| Provider Name | Melissa A Hager |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033590732 PECOS PAC ID: 7719294602 Enrollment ID: I20200709003423 |
| Provider Name | Queziah Greenidge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760913701 PECOS PAC ID: 4486078391 Enrollment ID: I20200724002288 |
| Provider Name | Adrianne Nicole Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255953907 PECOS PAC ID: 9537584966 Enrollment ID: I20200803001186 |
| Provider Name | Saqib Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376978064 PECOS PAC ID: 5294964250 Enrollment ID: I20200813002891 |
| Provider Name | Rajan Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760839088 PECOS PAC ID: 0143647578 Enrollment ID: I20200814002092 |
| Provider Name | Kimberly A Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942730320 PECOS PAC ID: 1850667775 Enrollment ID: I20200821000591 |
| Provider Name | Adam Arnold Shpigel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417223447 PECOS PAC ID: 2567612161 Enrollment ID: I20200824000134 |
| Provider Name | Victoria Elizabeth Eschmann |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508484072 PECOS PAC ID: 6709203607 Enrollment ID: I20200824001459 |
| Provider Name | Moye Philip Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063932986 PECOS PAC ID: 0042589806 Enrollment ID: I20200825001277 |
| Provider Name | Abigail Thuet Chitwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841647310 PECOS PAC ID: 8628364528 Enrollment ID: I20200826000163 |
| Provider Name | Piyush Srivastava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568985802 PECOS PAC ID: 2062839681 Enrollment ID: I20200827003050 |
| Provider Name | Jeremy Tietjens |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023384831 PECOS PAC ID: 1052623758 Enrollment ID: I20200827003118 |
| Provider Name | Ngozidilenna Ada Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841636354 PECOS PAC ID: 2567786353 Enrollment ID: I20200831002518 |
| Provider Name | Tiago Araujo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730600156 PECOS PAC ID: 2466726153 Enrollment ID: I20200901000423 |
| Provider Name | Daniel Weisel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629506522 PECOS PAC ID: 4385061373 Enrollment ID: I20200908000754 |
| Provider Name | Betsey M Steimel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376196162 PECOS PAC ID: 4082034137 Enrollment ID: I20201012002240 |
| Provider Name | Whitney Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015768 PECOS PAC ID: 3274944426 Enrollment ID: I20201119002947 |
| Provider Name | Hiralben Gandhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710423710 PECOS PAC ID: 1658654579 Enrollment ID: I20210108000807 |
| Provider Name | Lisa A Burnitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619249893 PECOS PAC ID: 5092013839 Enrollment ID: I20210108000921 |
| Provider Name | Nicole M Burdge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629684865 PECOS PAC ID: 0648684282 Enrollment ID: I20210122001067 |
| Provider Name | Anna Marie Kemner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871192781 PECOS PAC ID: 9931515897 Enrollment ID: I20210302000262 |
| Provider Name | Paige Elizabeth Pluester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427648203 PECOS PAC ID: 1153739131 Enrollment ID: I20210412000653 |
| Provider Name | Kari L Reimann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437655883 PECOS PAC ID: 2466861166 Enrollment ID: I20210510002603 |
| Provider Name | Alissa Ballard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508359100 PECOS PAC ID: 4981006566 Enrollment ID: I20210706002644 |
| Provider Name | John Spencer Mays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083108062 PECOS PAC ID: 8729410790 Enrollment ID: I20210714000243 |
| Provider Name | Segun Oladipo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245727684 PECOS PAC ID: 4385047877 Enrollment ID: I20210721001922 |
| Provider Name | Devin R Cash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740774835 PECOS PAC ID: 5597194597 Enrollment ID: I20210723002386 |
| Provider Name | Christine C Piper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154740413 PECOS PAC ID: 5395175103 Enrollment ID: I20210729000694 |
| Provider Name | Matthew L Gerling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407387376 PECOS PAC ID: 1658643838 Enrollment ID: I20210731000212 |
| Provider Name | Thomas A Dear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841610011 PECOS PAC ID: 1658794250 Enrollment ID: I20210813000391 |
| Provider Name | Meghan Carol Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326610072 PECOS PAC ID: 9638574668 Enrollment ID: I20210830000069 |
| Provider Name | Andre Robert Theuerkauf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932693181 PECOS PAC ID: 6709281744 Enrollment ID: I20210830000570 |
| Provider Name | Taryn M White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225560303 PECOS PAC ID: 9537431978 Enrollment ID: I20210907000812 |
| Provider Name | Ayaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629573142 PECOS PAC ID: 3870999097 Enrollment ID: I20210913002806 |
| Provider Name | Jonathan Buck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861847790 PECOS PAC ID: 0446538003 Enrollment ID: I20210914001466 |
| Provider Name | Dorian G Shimotani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407344393 PECOS PAC ID: 5496001042 Enrollment ID: I20210914001756 |
| Provider Name | Tara A Carman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407529498 PECOS PAC ID: 3476950478 Enrollment ID: I20210917001012 |
| Provider Name | Archana Machavarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063866374 PECOS PAC ID: 4486984440 Enrollment ID: I20210927002285 |
| Provider Name | Lauren Gabrielle Azoury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407520166 PECOS PAC ID: 3476951641 Enrollment ID: I20211004000387 |
| Provider Name | Shannon E Lemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134725385 PECOS PAC ID: 9931598950 Enrollment ID: I20211112002279 |
| Provider Name | Norman Chege Njihi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538732110 PECOS PAC ID: 5496145955 Enrollment ID: I20211124001430 |
| Provider Name | Danyelle R Stillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316601701 PECOS PAC ID: 1557751989 Enrollment ID: I20211129002053 |
| Provider Name | Elisabeth Anacius |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003109828 PECOS PAC ID: 7810155090 Enrollment ID: I20211202000623 |
| Provider Name | Amin Valliani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669559241 PECOS PAC ID: 5193771707 Enrollment ID: I20220114001329 |
| Provider Name | Jessica Justine Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700480076 PECOS PAC ID: 2163815812 Enrollment ID: I20220202001045 |
| Provider Name | Ashley M Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306329594 PECOS PAC ID: 0345593513 Enrollment ID: I20220202001515 |
| Provider Name | Stacy R Mevs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932249356 PECOS PAC ID: 5193859486 Enrollment ID: I20220222001029 |
| Provider Name | Anne Burton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366405060 PECOS PAC ID: 5991708067 Enrollment ID: I20220328001312 |
| Provider Name | Onyema Nnanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164872768 PECOS PAC ID: 7416224175 Enrollment ID: I20220329001318 |
| Provider Name | Gabrielle Marie Plummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093477242 PECOS PAC ID: 8224425996 Enrollment ID: I20220427001707 |
| Provider Name | Cassandra Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700358025 PECOS PAC ID: 2466839089 Enrollment ID: I20220519001096 |
| Provider Name | Matthew Baer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861978082 PECOS PAC ID: 9739581000 Enrollment ID: I20220715002082 |
| Provider Name | Nathan A Cobb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720648157 PECOS PAC ID: 4284968041 Enrollment ID: I20220728002931 |
| Provider Name | Nicholas Burton Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902225766 PECOS PAC ID: 9537497219 Enrollment ID: I20220811001676 |
| Provider Name | Morgan Elise Lippert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193639 PECOS PAC ID: 1658754072 Enrollment ID: I20220818000517 |
| Provider Name | Manideep Duttuluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164912341 PECOS PAC ID: 8224410220 Enrollment ID: I20220823000853 |
| Provider Name | Uchenne Evans Mbaraonye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629633235 PECOS PAC ID: 4789067844 Enrollment ID: I20220823000941 |
| Provider Name | Stephanie L Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497215891 PECOS PAC ID: 8921336108 Enrollment ID: I20220824003007 |
| Provider Name | Rebecca M Wiesehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639739733 PECOS PAC ID: 4183955057 Enrollment ID: I20220826000544 |
| Provider Name | Mary C Livergood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093196842 PECOS PAC ID: 9537475421 Enrollment ID: I20220902001291 |
| Provider Name | Yusuf O Alimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447810221 PECOS PAC ID: 1557697216 Enrollment ID: I20220903000292 |
| Provider Name | Lindsey Jovene Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871221242 PECOS PAC ID: 5799160743 Enrollment ID: I20220913000197 |
| Provider Name | Daniel Elizondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366002362 PECOS PAC ID: 1456687672 Enrollment ID: I20220913000682 |
| Provider Name | Hannah M Vetter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750888350 PECOS PAC ID: 1153678495 Enrollment ID: I20220915000370 |
| Provider Name | Melissa A Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255712014 PECOS PAC ID: 1456663533 Enrollment ID: I20220915000706 |
| Provider Name | Samantha Rivera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568029593 PECOS PAC ID: 1355726514 Enrollment ID: I20220923002520 |
| Provider Name | Michele R Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417427584 PECOS PAC ID: 1759627656 Enrollment ID: I20221013003485 |
| Provider Name | Christopher A Ray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881188985 PECOS PAC ID: 1850772245 Enrollment ID: I20221019001007 |
| Provider Name | Morgan Michelle Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811625676 PECOS PAC ID: 3375919178 Enrollment ID: I20221019002281 |
| Provider Name | Lea S Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407419187 PECOS PAC ID: 3577899491 Enrollment ID: I20221101000988 |
| Provider Name | Lyndsay Audra Mignon Duffe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073282026 PECOS PAC ID: 3678940889 Enrollment ID: I20221101001193 |
| Provider Name | Patrick J Moen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063893220 PECOS PAC ID: 7113229667 Enrollment ID: I20221108000779 |
| Provider Name | Jooho P Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205228723 PECOS PAC ID: 1850635681 Enrollment ID: I20221205001485 |
| Provider Name | Sarah I Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023513074 PECOS PAC ID: 4284989351 Enrollment ID: I20221206002621 |
| Provider Name | Wanda Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720212350 PECOS PAC ID: 1355592916 Enrollment ID: I20221215000889 |
| Provider Name | Samantha Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700597002 PECOS PAC ID: 4385013002 Enrollment ID: I20221219002566 |
| Provider Name | Debra J Connell-dent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558904508 PECOS PAC ID: 1153750997 Enrollment ID: I20221230001325 |
| Provider Name | Amanda Christine Stilwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669196010 PECOS PAC ID: 1850761883 Enrollment ID: I20230106002618 |
| Provider Name | Jaymie L Woodsmall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356079297 PECOS PAC ID: 8426428467 Enrollment ID: I20230107000203 |
| Provider Name | Fariah Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568774347 PECOS PAC ID: 5991993032 Enrollment ID: I20230109001167 |
| Provider Name | Ross Thomas Quinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463418 PECOS PAC ID: 2961873971 Enrollment ID: I20230130000221 |
| Provider Name | Nnamdi Anunobi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548767775 PECOS PAC ID: 4688047418 Enrollment ID: I20230227001030 |
| Provider Name | Kayla Denise Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174235105 PECOS PAC ID: 6002289626 Enrollment ID: I20230302000427 |
| Provider Name | Andrea Volkerding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922412717 PECOS PAC ID: 8527364819 Enrollment ID: I20230313001311 |
| Provider Name | Hussam Fustok |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740669845 PECOS PAC ID: 5991052995 Enrollment ID: I20230314001216 |
| Provider Name | Adnan Shahid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558865097 PECOS PAC ID: 8628324852 Enrollment ID: I20230330002322 |
| Provider Name | Roohi Siraj |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760885693 PECOS PAC ID: 2961834908 Enrollment ID: I20230424001297 |
| Provider Name | Maeghan Ashlee Wegener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457995466 PECOS PAC ID: 3173988185 Enrollment ID: I20230426002646 |
| Provider Name | Rachael Lynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346950862 PECOS PAC ID: 5496114977 Enrollment ID: I20230630000935 |
| Provider Name | Alexander M Markov |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053806927 PECOS PAC ID: 9335498880 Enrollment ID: I20230817002199 |
| Provider Name | Peter C Westman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346866902 PECOS PAC ID: 1658799689 Enrollment ID: I20230818003357 |
| Provider Name | Vonzell O Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861674921 PECOS PAC ID: 4082884333 Enrollment ID: I20230829000714 |
| Provider Name | David J Waddell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144239500 PECOS PAC ID: 5395826382 Enrollment ID: I20230906003264 |
| Provider Name | Jorge Arturo Carrasco Avila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578172755 PECOS PAC ID: 9638533086 Enrollment ID: I20230918004133 |
| Provider Name | Kyler M Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720607880 PECOS PAC ID: 2769895515 Enrollment ID: I20230919001305 |
| Provider Name | Zachary Hill Douglas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437643574 PECOS PAC ID: 9830553221 Enrollment ID: I20230919001677 |
| Provider Name | Svetlana Kovaleva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679066500 PECOS PAC ID: 6204182207 Enrollment ID: I20230919003873 |
| Provider Name | Rachel C Pasquesi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508325705 PECOS PAC ID: 1658605803 Enrollment ID: I20230920000245 |
| Provider Name | Claire S Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740818319 PECOS PAC ID: 5294104006 Enrollment ID: I20230920001194 |
| Provider Name | Christina M Thoma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881124311 PECOS PAC ID: 9830460070 Enrollment ID: I20230922000310 |
| Provider Name | Swaroop Shanker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417332479 PECOS PAC ID: 9638460009 Enrollment ID: I20231207003096 |
| Provider Name | Rachel L Duncan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639601628 PECOS PAC ID: 3173945425 Enrollment ID: I20231229000863 |
| Provider Name | Keerthana Anand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093240897 PECOS PAC ID: 6507131927 Enrollment ID: I20240103003128 |
| Provider Name | Kirsten Marae Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205586112 PECOS PAC ID: 7012360803 Enrollment ID: I20240129001095 |
| Provider Name | Maureen Awuor Abongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225819048 PECOS PAC ID: 4284077892 Enrollment ID: I20240212001199 |
| Provider Name | Mary F Hans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457604878 PECOS PAC ID: 0941643332 Enrollment ID: I20240213003295 |
| Provider Name | Lauren E Hagerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905295 PECOS PAC ID: 8224474549 Enrollment ID: I20240308002895 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |