| Physicians Eldercare PA | |
|
5306 Nc Highway 55 Ste 105 Durham NC 27713-7812 | |
| (337) 991-9276 | |
| (337) 943-0846 |
| Full Name | Physicians Eldercare PA |
|---|---|
| Speciality | General Practice |
| Location | 5306 Nc Highway 55 Ste 105, Durham, North Carolina |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Eldercare PA 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 408-0797 | Physicians Eldercare PA 5306 Nc Highway 55 Ste 105 Durham NC 27713-7812 Ph: (337) 991-9276 |
| NPI Number | 1023083268 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Medicare PECOS PAC ID | 0648184705 |
|---|---|
| Medicare Enrollment ID | O20031113000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023083268 | NPI | - | NPPES |
| 89012WF | Medicaid | NC | |
| CH9289 | Other | RR MRC | |
| 012WF | Other | NC | BCBS |
| H140/45282 | Other | PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Stephanie M Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770554040 PECOS PAC ID: 1759288988 Enrollment ID: I20031216000790 |
| Provider Name | Melissa M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285783415 PECOS PAC ID: 7810896891 Enrollment ID: I20040108000350 |
| Provider Name | Terry a Icard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861470379 PECOS PAC ID: 3779470604 Enrollment ID: I20040303001215 |
| Provider Name | John D Riser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396963310 PECOS PAC ID: 0143119057 Enrollment ID: I20040310001346 |
| Provider Name | Vanessa Stanton Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205896925 PECOS PAC ID: 6507852225 Enrollment ID: I20040420001513 |
| Provider Name | Gregory Bugaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093773699 PECOS PAC ID: 6406845361 Enrollment ID: I20040507000239 |
| Provider Name | Christopher M Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730156464 PECOS PAC ID: 2567443567 Enrollment ID: I20040526000566 |
| Provider Name | Kemi S Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225005028 PECOS PAC ID: 9133102742 Enrollment ID: I20040612000213 |
| Provider Name | John P Gambino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417924127 PECOS PAC ID: 9032197975 Enrollment ID: I20040708000779 |
| Provider Name | Akiko Omura |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437108610 PECOS PAC ID: 4688644040 Enrollment ID: I20040731000055 |
| Provider Name | Patrick J O Brien |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356374219 PECOS PAC ID: 1153223367 Enrollment ID: I20040819000709 |
| Provider Name | Christina E Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457420002 PECOS PAC ID: 6709850514 Enrollment ID: I20040825001288 |
| Provider Name | Renee a Middleton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295804854 PECOS PAC ID: 1153395967 Enrollment ID: I20040825001306 |
| Provider Name | Stephanie D Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952350241 PECOS PAC ID: 5799750394 Enrollment ID: I20040827000529 |
| Provider Name | Catherine E Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861590739 PECOS PAC ID: 6507834348 Enrollment ID: I20040920001159 |
| Provider Name | Jeffrey Francis Severa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215928403 PECOS PAC ID: 7618942475 Enrollment ID: I20041103001038 |
| Provider Name | Holly Layman Bernardini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205883113 PECOS PAC ID: 4183689656 Enrollment ID: I20041123001027 |
| Provider Name | Michael D Gwinn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134152002 PECOS PAC ID: 4082671979 Enrollment ID: I20041213000373 |
| Provider Name | Laura Woodruff Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912944513 PECOS PAC ID: 9739147307 Enrollment ID: I20041229000387 |
| Provider Name | Kevin Richard Clark |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053373399 PECOS PAC ID: 5799735445 Enrollment ID: I20050131000236 |
| Provider Name | Lori W Saunders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861452823 PECOS PAC ID: 0244282465 Enrollment ID: I20050216000440 |
| Provider Name | Tamsy E Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083694038 PECOS PAC ID: 1759333875 Enrollment ID: I20050217000331 |
| Provider Name | Jessica Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710963913 PECOS PAC ID: 3870546054 Enrollment ID: I20050228000848 |
| Provider Name | Lisa M Caporossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407969694 PECOS PAC ID: 6709832280 Enrollment ID: I20050328000934 |
| Provider Name | John D Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528047248 PECOS PAC ID: 1456249374 Enrollment ID: I20050401000627 |
| Provider Name | John Steven Corder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154300820 PECOS PAC ID: 0941257984 Enrollment ID: I20050401000639 |
| Provider Name | Candice P Key |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467444679 PECOS PAC ID: 0749220481 Enrollment ID: I20050511001013 |
| Provider Name | Ann C Sumners |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922180504 PECOS PAC ID: 5496797136 Enrollment ID: I20050524000307 |
| Provider Name | Wing Kee NG |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205865995 PECOS PAC ID: 6305880519 Enrollment ID: I20050617000274 |
| Provider Name | Karen C Caffey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912974726 PECOS PAC ID: 9436185469 Enrollment ID: I20050712000323 |
| Provider Name | James E Boston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356335939 PECOS PAC ID: 1153369699 Enrollment ID: I20050926000969 |
| Provider Name | Amy S Charlesworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497868954 PECOS PAC ID: 9032138664 Enrollment ID: I20051114000381 |
| Provider Name | Paul Ziomek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548357908 PECOS PAC ID: 7719955343 Enrollment ID: I20051206000961 |
| Provider Name | Tamara Elizabeth Chittenden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568495547 PECOS PAC ID: 3971524695 Enrollment ID: I20051209000298 |
| Provider Name | Thomas John Calogero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528138245 PECOS PAC ID: 6608846720 Enrollment ID: I20060106000185 |
| Provider Name | Lisa Marie Forgione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881645562 PECOS PAC ID: 5698774107 Enrollment ID: I20061211000604 |
| Provider Name | Rafael a Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336178706 PECOS PAC ID: 5092714394 Enrollment ID: I20061214000423 |
| Provider Name | Carol a Pilote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982618955 PECOS PAC ID: 7517966773 Enrollment ID: I20061215000504 |
| Provider Name | Autumn N Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104893916 PECOS PAC ID: 7517967342 Enrollment ID: I20070102000033 |
| Provider Name | Sean MD Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518052471 PECOS PAC ID: 4385647593 Enrollment ID: I20070201000269 |
| Provider Name | Kristin M Fowler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780750562 PECOS PAC ID: 3971505801 Enrollment ID: I20070206000651 |
| Provider Name | Michelle Christian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285633941 PECOS PAC ID: 9638272297 Enrollment ID: I20070320000277 |
| Provider Name | Deborah Ann Reid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902931843 PECOS PAC ID: 4981702693 Enrollment ID: I20070604000594 |
| Provider Name | Lamonica Keith Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093779662 PECOS PAC ID: 0648379750 Enrollment ID: I20070629000407 |
| Provider Name | Albert Shederick Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369462 PECOS PAC ID: 4486746401 Enrollment ID: I20070822001184 |
| Provider Name | Anita Wilson-merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710186812 PECOS PAC ID: 4981799616 Enrollment ID: I20070926000879 |
| Provider Name | Cathy M Heffner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598803173 PECOS PAC ID: 5799870507 Enrollment ID: I20071009000093 |
| Provider Name | Connie Sue Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619179132 PECOS PAC ID: 7618063686 Enrollment ID: I20071022000844 |
| Provider Name | Reza Rezai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891881959 PECOS PAC ID: 9436249232 Enrollment ID: I20071217000746 |
| Provider Name | Karen Stukes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831376433 PECOS PAC ID: 0244314524 Enrollment ID: I20080226000122 |
| Provider Name | Schrita Herriott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346410016 PECOS PAC ID: 1759460579 Enrollment ID: I20080506000178 |
| Provider Name | Vanessa Sturgill Fant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225013428 PECOS PAC ID: 1052205473 Enrollment ID: I20080604000215 |
| Provider Name | Meredith Hardee Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871751784 PECOS PAC ID: 1951474840 Enrollment ID: I20080725000345 |
| Provider Name | Dawn P Owens-watterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225100613 PECOS PAC ID: 2961504527 Enrollment ID: I20081008000766 |
| Provider Name | Anna Genevieve Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851575096 PECOS PAC ID: 4880752724 Enrollment ID: I20081022000367 |
| Provider Name | Delisa S Ordronneau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033364062 PECOS PAC ID: 4183786825 Enrollment ID: I20081215000439 |
| Provider Name | Bianca Rosso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851350177 PECOS PAC ID: 8527123256 Enrollment ID: I20090212000715 |
| Provider Name | Venezela Thomas Slade-hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083690036 PECOS PAC ID: 5294892097 Enrollment ID: I20090323000393 |
| Provider Name | Troy G Moise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437390440 PECOS PAC ID: 6507914397 Enrollment ID: I20090505000429 |
| Provider Name | Paul Russell Granzow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104908748 PECOS PAC ID: 3375691991 Enrollment ID: I20090507000663 |
| Provider Name | Taylor Katherine Goodnough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598745325 PECOS PAC ID: 2466471149 Enrollment ID: I20090512000671 |
| Provider Name | Margaret Bralley Shires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629211727 PECOS PAC ID: 5496805905 Enrollment ID: I20090603000688 |
| Provider Name | Chioma R Ekechukwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376650275 PECOS PAC ID: 4587735410 Enrollment ID: I20090620000015 |
| Provider Name | Karen E Powell-boone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831373927 PECOS PAC ID: 7416009089 Enrollment ID: I20090711000050 |
| Provider Name | Sherif G Naguib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316905151 PECOS PAC ID: 6901959857 Enrollment ID: I20090724000708 |
| Provider Name | Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275712986 PECOS PAC ID: 3678626785 Enrollment ID: I20090806000180 |
| Provider Name | Rajan Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881612687 PECOS PAC ID: 7719983766 Enrollment ID: I20090806000205 |
| Provider Name | Tyler D Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053583294 PECOS PAC ID: 8820142003 Enrollment ID: I20090822000147 |
| Provider Name | Khashana a Blake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356543490 PECOS PAC ID: 7012053002 Enrollment ID: I20091005000638 |
| Provider Name | Vinod K Doultani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487802377 PECOS PAC ID: 2668549924 Enrollment ID: I20091013000752 |
| Provider Name | Serana Spalding Markham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699001354 PECOS PAC ID: 0345388187 Enrollment ID: I20091116000125 |
| Provider Name | Holly Marie O'grady Vanbencoten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104151729 PECOS PAC ID: 7810036969 Enrollment ID: I20091202000326 |
| Provider Name | Scott a Sheldon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265475685 PECOS PAC ID: 2860432168 Enrollment ID: I20100213000037 |
| Provider Name | Sherry Leigh Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760445431 PECOS PAC ID: 9032245014 Enrollment ID: I20100329001089 |
| Provider Name | Dana P Giarrizzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497784680 PECOS PAC ID: 5395770044 Enrollment ID: I20100611000531 |
| Provider Name | Julie a Everidge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821319070 PECOS PAC ID: 4981735040 Enrollment ID: I20100706000679 |
| Provider Name | Edward Thurman Plyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316988058 PECOS PAC ID: 9335193242 Enrollment ID: I20100722000585 |
| Provider Name | Jaclynn Joan Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528171626 PECOS PAC ID: 4284783572 Enrollment ID: I20101222000836 |
| Provider Name | Dana Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053413773 PECOS PAC ID: 9537187729 Enrollment ID: I20110113000256 |
| Provider Name | Judith Harris Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336479815 PECOS PAC ID: 0840471207 Enrollment ID: I20110218000410 |
| Provider Name | Michael Christopher Ragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458359 PECOS PAC ID: 6608058524 Enrollment ID: I20110314000232 |
| Provider Name | Laura Boyle Gladden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699061671 PECOS PAC ID: 1557531134 Enrollment ID: I20110909002691 |
| Provider Name | Autumn Pereida Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871743211 PECOS PAC ID: 8022281104 Enrollment ID: I20111107000025 |
| Provider Name | Renee Irma Pitzele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720113707 PECOS PAC ID: 7719152958 Enrollment ID: I20111215000944 |
| Provider Name | Gerardo Enrique Arnaez Zapata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114014511 PECOS PAC ID: 4183721467 Enrollment ID: I20120120000757 |
| Provider Name | Morgan Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831467463 PECOS PAC ID: 8628235876 Enrollment ID: I20120131000622 |
| Provider Name | Carol Gibbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174606917 PECOS PAC ID: 9739346867 Enrollment ID: I20120201000591 |
| Provider Name | Stacie Ledford Stegall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457622862 PECOS PAC ID: 2466619945 Enrollment ID: I20120210000774 |
| Provider Name | Callie Griffin Stegall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306117627 PECOS PAC ID: 4385803741 Enrollment ID: I20120306000009 |
| Provider Name | Cynthia Ann Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649543745 PECOS PAC ID: 7315107588 Enrollment ID: I20120326000391 |
| Provider Name | Richard Oneal Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184692428 PECOS PAC ID: 7113187386 Enrollment ID: I20120326000412 |
| Provider Name | Latoya Sheree Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861766248 PECOS PAC ID: 7012178155 Enrollment ID: I20120417000152 |
| Provider Name | Maureen a Tumolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891963286 PECOS PAC ID: 4385814235 Enrollment ID: I20120418000154 |
| Provider Name | Megan J Schulz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790069805 PECOS PAC ID: 3870757602 Enrollment ID: I20120607000353 |
| Provider Name | Adam Creech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770718900 PECOS PAC ID: 1355506411 Enrollment ID: I20120625000026 |
| Provider Name | Frieda M Menzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801996285 PECOS PAC ID: 6800042912 Enrollment ID: I20120806000449 |
| Provider Name | Maria J Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972675775 PECOS PAC ID: 5294737169 Enrollment ID: I20120831000714 |
| Provider Name | David W Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831149814 PECOS PAC ID: 4880841493 Enrollment ID: I20120904000023 |
| Provider Name | Megan Leigh Rossiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013292564 PECOS PAC ID: 6800044405 Enrollment ID: I20120922000006 |
| Provider Name | Benjamin James Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235481748 PECOS PAC ID: 9032360581 Enrollment ID: I20121112000005 |
| Provider Name | Stephanie R Weatherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932451598 PECOS PAC ID: 3072764422 Enrollment ID: I20121112000096 |
| Provider Name | Jeanne C Bernat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952647026 PECOS PAC ID: 5597919670 Enrollment ID: I20130128000195 |
| Provider Name | Sunshine Marie Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992046833 PECOS PAC ID: 0143466193 Enrollment ID: I20130417000193 |
| Provider Name | Brittany a Mckinney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306187125 PECOS PAC ID: 8628215126 Enrollment ID: I20130430000301 |
| Provider Name | Kathy K Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954689 PECOS PAC ID: 2062653934 Enrollment ID: I20130719000210 |
| Provider Name | Lauren Strasser Kwankam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447690615 PECOS PAC ID: 0244473874 Enrollment ID: I20130830000123 |
| Provider Name | James Stocks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528339702 PECOS PAC ID: 0446417125 Enrollment ID: I20131025000561 |
| Provider Name | Lynn Barrier Barringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710313796 PECOS PAC ID: 7618102450 Enrollment ID: I20131101000314 |
| Provider Name | Kadye Barker Mccaslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634408 PECOS PAC ID: 1153557699 Enrollment ID: I20131112000312 |
| Provider Name | Shannon M Keef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558791541 PECOS PAC ID: 0345471694 Enrollment ID: I20140329000173 |
| Provider Name | Sonya Belin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013327949 PECOS PAC ID: 1557587011 Enrollment ID: I20140718002260 |
| Provider Name | Melissa a Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740601442 PECOS PAC ID: 9931325727 Enrollment ID: I20140731001548 |
| Provider Name | Jennifer Parker Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013245745 PECOS PAC ID: 0648497479 Enrollment ID: I20140818002778 |
| Provider Name | Priscilla Kopper Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922410414 PECOS PAC ID: 5294952065 Enrollment ID: I20140819001375 |
| Provider Name | Sara Lynne Kitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922425768 PECOS PAC ID: 4082832126 Enrollment ID: I20140902001431 |
| Provider Name | Aminu Isyaku Mohammed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205271145 PECOS PAC ID: 6406098599 Enrollment ID: I20140903001211 |
| Provider Name | Anne Marie Mukamana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720405392 PECOS PAC ID: 6002034055 Enrollment ID: I20140904001110 |
| Provider Name | Christopher Breuer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063689248 PECOS PAC ID: 4284854787 Enrollment ID: I20141006000632 |
| Provider Name | Nickcola Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992112007 PECOS PAC ID: 1456572916 Enrollment ID: I20141027000254 |
| Provider Name | James Walter Goforth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811945470 PECOS PAC ID: 9638320617 Enrollment ID: I20141103001566 |
| Provider Name | Wendy Brown Moose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386044501 PECOS PAC ID: 9335361146 Enrollment ID: I20141111002552 |
| Provider Name | Kelly J Walewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316087463 PECOS PAC ID: 1052488863 Enrollment ID: I20141210002263 |
| Provider Name | Shenif Ladak |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376948604 PECOS PAC ID: 5890018501 Enrollment ID: I20150105002200 |
| Provider Name | Pacharo Nyirongo Ndupu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194167080 PECOS PAC ID: 7618107335 Enrollment ID: I20150106001574 |
| Provider Name | Angelica F Felton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902247299 PECOS PAC ID: 1759605454 Enrollment ID: I20150129001656 |
| Provider Name | Alison D Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225433311 PECOS PAC ID: 2860718186 Enrollment ID: I20150304001658 |
| Provider Name | Anjali Epstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285911552 PECOS PAC ID: 5193983294 Enrollment ID: I20150323002586 |
| Provider Name | Tiyika J Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063803740 PECOS PAC ID: 9335466440 Enrollment ID: I20150331000623 |
| Provider Name | Tolulola Omololu Adeola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578582797 PECOS PAC ID: 6608959465 Enrollment ID: I20150425000244 |
| Provider Name | Karyl a Noonan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043601479 PECOS PAC ID: 0244559227 Enrollment ID: I20150427000220 |
| Provider Name | Heather L Koren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417349317 PECOS PAC ID: 2466771654 Enrollment ID: I20150511001565 |
| Provider Name | Jairon Daniel Downs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457645269 PECOS PAC ID: 3274758818 Enrollment ID: I20150603003019 |
| Provider Name | Jeanette Evelyn Lamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508253360 PECOS PAC ID: 9739491481 Enrollment ID: I20150708003003 |
| Provider Name | Stacey Stroh Rabindran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811371438 PECOS PAC ID: 5890002018 Enrollment ID: I20150920000001 |
| Provider Name | Rekita Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851774020 PECOS PAC ID: 1951619972 Enrollment ID: I20150924001749 |
| Provider Name | Rebecca M Henderson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639496458 PECOS PAC ID: 7012169204 Enrollment ID: I20151007000724 |
| Provider Name | Sylvia Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705911 PECOS PAC ID: 0941519136 Enrollment ID: I20151029001774 |
| Provider Name | Megan Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889749 PECOS PAC ID: 0446550974 Enrollment ID: I20151204001285 |
| Provider Name | Darrina O Milton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285002717 PECOS PAC ID: 7810298809 Enrollment ID: I20151216001585 |
| Provider Name | Kristin Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558726745 PECOS PAC ID: 3274837133 Enrollment ID: I20160212001786 |
| Provider Name | Denise W Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033584750 PECOS PAC ID: 7012213994 Enrollment ID: I20160303001127 |
| Provider Name | Melissa B Flack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750759833 PECOS PAC ID: 8123325164 Enrollment ID: I20160318000767 |
| Provider Name | Elizabeth Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942666326 PECOS PAC ID: 0648577197 Enrollment ID: I20160328001793 |
| Provider Name | Jessica Lyn Anstoetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629433644 PECOS PAC ID: 1153628425 Enrollment ID: I20160331001514 |
| Provider Name | Ashley Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356723159 PECOS PAC ID: 9234437849 Enrollment ID: I20160415000170 |
| Provider Name | Kimberly Mae Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104266683 PECOS PAC ID: 9032417498 Enrollment ID: I20160419000279 |
| Provider Name | Connor Alyshia Andreano Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598735086 PECOS PAC ID: 8224040977 Enrollment ID: I20160608000344 |
| Provider Name | Mary P Mentzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962858258 PECOS PAC ID: 6800188319 Enrollment ID: I20160701000541 |
| Provider Name | Sophia Praskala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154772150 PECOS PAC ID: 3779871413 Enrollment ID: I20161012000402 |
| Provider Name | Christopher S Motta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306200282 PECOS PAC ID: 8527353861 Enrollment ID: I20161104001869 |
| Provider Name | Jennifer T Stutts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881084192 PECOS PAC ID: 1052630266 Enrollment ID: I20161108001614 |
| Provider Name | Healy W Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982799821 PECOS PAC ID: 1850440769 Enrollment ID: I20170125002827 |
| Provider Name | Jasmine Dawn Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003351651 PECOS PAC ID: 0749564813 Enrollment ID: I20170309001192 |
| Provider Name | Mykah Payne Wike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821538893 PECOS PAC ID: 2769768357 Enrollment ID: I20170413002215 |
| Provider Name | Paige D Myers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972041804 PECOS PAC ID: 2769768951 Enrollment ID: I20170425001295 |
| Provider Name | Andre St Christopher Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20170803002494 |
| Provider Name | Amanda Ruth Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952836405 PECOS PAC ID: 5496028284 Enrollment ID: I20170830000012 |
| Provider Name | Joshua Lee Mowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528597739 PECOS PAC ID: 2860765617 Enrollment ID: I20170830002036 |
| Provider Name | Esther Njuguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699134684 PECOS PAC ID: 5597063370 Enrollment ID: I20170913002946 |
| Provider Name | Joel Mitchell Blass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154429850 PECOS PAC ID: 1850292475 Enrollment ID: I20171010000008 |
| Provider Name | Juliana Ramkumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548785363 PECOS PAC ID: 7416222856 Enrollment ID: I20171010003646 |
| Provider Name | Dana Lee Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396250254 PECOS PAC ID: 3577823756 Enrollment ID: I20180208000094 |
| Provider Name | Kiana Fussner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285146217 PECOS PAC ID: 2062772031 Enrollment ID: I20180213000383 |
| Provider Name | Vlastimil Smetka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20180327000672 |
| Provider Name | Sarah J Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437658796 PECOS PAC ID: 3173887007 Enrollment ID: I20180501001665 |
| Provider Name | Hana Alqariab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306348081 PECOS PAC ID: 9234493040 Enrollment ID: I20180502002774 |
| Provider Name | Kelli Armwood-bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740723063 PECOS PAC ID: 4880949320 Enrollment ID: I20180625000727 |
| Provider Name | Amanda Valerie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972889749 PECOS PAC ID: 4789930348 Enrollment ID: I20180712000384 |
| Provider Name | Carley Marie Zurfluh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477050508 PECOS PAC ID: 3577810027 Enrollment ID: I20180716001843 |
| Provider Name | Michelle Breedlove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316432099 PECOS PAC ID: 9133477755 Enrollment ID: I20180730002051 |
| Provider Name | Tarra M Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649762451 PECOS PAC ID: 2567710080 Enrollment ID: I20180731002189 |
| Provider Name | Cassandra Restrepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225527617 PECOS PAC ID: 8628326717 Enrollment ID: I20180806003357 |
| Provider Name | Genevieve Angelina Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285123109 PECOS PAC ID: 4981954484 Enrollment ID: I20180904002569 |
| Provider Name | Brandy B Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598241721 PECOS PAC ID: 1052662269 Enrollment ID: I20180927002204 |
| Provider Name | Evelyn Chang Kwok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124268834 PECOS PAC ID: 0547384125 Enrollment ID: I20181029001883 |
| Provider Name | Rachael Farish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275011017 PECOS PAC ID: 6608120886 Enrollment ID: I20181107002307 |
| Provider Name | Summer Graham Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023590973 PECOS PAC ID: 6800140112 Enrollment ID: I20181126000688 |
| Provider Name | Jahleen Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255819298 PECOS PAC ID: 2860736105 Enrollment ID: I20181128000142 |
| Provider Name | James Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144705955 PECOS PAC ID: 5799029062 Enrollment ID: I20181128001074 |
| Provider Name | Shaniqua Trichelle Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982157061 PECOS PAC ID: 3072857986 Enrollment ID: I20181204002095 |
| Provider Name | Patricia-marie Edge Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900013 PECOS PAC ID: 2163768599 Enrollment ID: I20190107001281 |
| Provider Name | Andrea Unzelmann Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376011403 PECOS PAC ID: 1355687708 Enrollment ID: I20190107002266 |
| Provider Name | Alexandra Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265950315 PECOS PAC ID: 1355607888 Enrollment ID: I20190118002610 |
| Provider Name | Elizabeth Edacheril Poulose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205304409 PECOS PAC ID: 7719225275 Enrollment ID: I20190208001961 |
| Provider Name | Judy Porter Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619441284 PECOS PAC ID: 5890036412 Enrollment ID: I20190409001969 |
| Provider Name | Jessy George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497222426 PECOS PAC ID: 6305183765 Enrollment ID: I20190409002543 |
| Provider Name | Tonya Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194288241 PECOS PAC ID: 0648512046 Enrollment ID: I20190506001436 |
| Provider Name | Hira Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942644752 PECOS PAC ID: 2264710649 Enrollment ID: I20190508003255 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20190508003326 |
| Provider Name | Mamta Chandak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699238675 PECOS PAC ID: 1850634114 Enrollment ID: I20190530000768 |
| Provider Name | Nicole N Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720509037 PECOS PAC ID: 8224361068 Enrollment ID: I20190610001455 |
| Provider Name | Martu Tennih Tamba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124323316 PECOS PAC ID: 7911230313 Enrollment ID: I20190617001742 |
| Provider Name | Neenah Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639735277 PECOS PAC ID: 5991039695 Enrollment ID: I20190701000953 |
| Provider Name | Tammy Graves Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578129151 PECOS PAC ID: 9234467523 Enrollment ID: I20190823003276 |
| Provider Name | Danielle N Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063072130 PECOS PAC ID: 0840529657 Enrollment ID: I20190904000947 |
| Provider Name | Heather Taylor Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023673993 PECOS PAC ID: 7719216456 Enrollment ID: I20190905003359 |
| Provider Name | Stephanie Carlile Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699333021 PECOS PAC ID: 3971832338 Enrollment ID: I20190910001955 |
| Provider Name | Amber Dawn Clapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518511625 PECOS PAC ID: 9335478429 Enrollment ID: I20190916001807 |
| Provider Name | Marian Pokuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20191007000146 |
| Provider Name | Tene Laverne Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972821510 PECOS PAC ID: 4183840093 Enrollment ID: I20191008003837 |
| Provider Name | Joanna T Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346893344 PECOS PAC ID: 1951633767 Enrollment ID: I20191029000263 |
| Provider Name | Robert Falge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740218577 PECOS PAC ID: 8022248418 Enrollment ID: I20191106003081 |
| Provider Name | Brandon Anthony Haubner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336526235 PECOS PAC ID: 0840595245 Enrollment ID: I20191118002877 |
| Provider Name | Lisa Mesmer Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205486081 PECOS PAC ID: 9638501232 Enrollment ID: I20191120002183 |
| Provider Name | Shannon J Burke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417502279 PECOS PAC ID: 7214360320 Enrollment ID: I20191203003195 |
| Provider Name | Brandy Lea Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588186969 PECOS PAC ID: 6709210982 Enrollment ID: I20191220001358 |
| Provider Name | Jennifer Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659880516 PECOS PAC ID: 7719312354 Enrollment ID: I20200108003023 |
| Provider Name | Allona J Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669015202 PECOS PAC ID: 6901231562 Enrollment ID: I20200109000649 |
| Provider Name | Lee Yarber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417592080 PECOS PAC ID: 6608201074 Enrollment ID: I20200113000390 |
| Provider Name | Jessica Dawn Breaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437795416 PECOS PAC ID: 7911332143 Enrollment ID: I20200116002310 |
| Provider Name | Timnecia Arrington Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295379204 PECOS PAC ID: 6608201603 Enrollment ID: I20200122001170 |
| Provider Name | Jessica L Weiland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619453289 PECOS PAC ID: 9830441104 Enrollment ID: I20200129002878 |
| Provider Name | Cresencia Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306485008 PECOS PAC ID: 9638506355 Enrollment ID: I20200219000277 |
| Provider Name | George J Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063522555 PECOS PAC ID: 3072610856 Enrollment ID: I20200304000810 |
| Provider Name | Damien Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043518087 PECOS PAC ID: 0840475711 Enrollment ID: I20200313000972 |
| Provider Name | Kimberly Elizabeth Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073147393 PECOS PAC ID: 5395175509 Enrollment ID: I20200430000305 |
| Provider Name | Oscar Njihi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780225458 PECOS PAC ID: 3274964614 Enrollment ID: I20200519000662 |
| Provider Name | Randi Popp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093793424 PECOS PAC ID: 9537107560 Enrollment ID: I20200530000194 |
| Provider Name | Dewey Todd Detar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750499604 PECOS PAC ID: 6305872029 Enrollment ID: I20200603002456 |
| Provider Name | Brittny L Mielke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629603774 PECOS PAC ID: 4981027398 Enrollment ID: I20200701002817 |
| Provider Name | Tiffany B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265518732 PECOS PAC ID: 4587097613 Enrollment ID: I20200710003052 |
| Provider Name | Jordan P Cole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437680352 PECOS PAC ID: 9335498468 Enrollment ID: I20200713000204 |
| Provider Name | Erin Maeve Morrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407314818 PECOS PAC ID: 3274956040 Enrollment ID: I20200713001310 |
| Provider Name | Chelsey Macedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700402674 PECOS PAC ID: 7911321302 Enrollment ID: I20200717001485 |
| Provider Name | Elspeth Angela Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245625714 PECOS PAC ID: 6305135401 Enrollment ID: I20200904000219 |
| Provider Name | Alicia Wilson Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114559283 PECOS PAC ID: 2668891631 Enrollment ID: I20200925000284 |
| Provider Name | Erin Kristina Ivanoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598203424 PECOS PAC ID: 5294006755 Enrollment ID: I20201026001102 |
| Provider Name | Karen Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811467871 PECOS PAC ID: 4183957038 Enrollment ID: I20201130003004 |
| Provider Name | Brandy Hunter Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902405095 PECOS PAC ID: 7416369764 Enrollment ID: I20201210002175 |
| Provider Name | Tiffany France Templeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952832701 PECOS PAC ID: 0648542894 Enrollment ID: I20201216000676 |
| Provider Name | Pamela Ann Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801431671 PECOS PAC ID: 2466864368 Enrollment ID: I20201217002676 |
| Provider Name | Trinette Mclain Wesseh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568767044 PECOS PAC ID: 6800070152 Enrollment ID: I20210106000568 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20210112000782 |
| Provider Name | Sharon Alene Welborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023614906 PECOS PAC ID: 9638583115 Enrollment ID: I20210123000161 |
| Provider Name | Erica Carole Marsico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740733591 PECOS PAC ID: 0345537965 Enrollment ID: I20210127000693 |
| Provider Name | Ashley Noble Donahue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760757991 PECOS PAC ID: 2961816111 Enrollment ID: I20210128002476 |
| Provider Name | Davina Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609475821 PECOS PAC ID: 6709293251 Enrollment ID: I20210329001599 |
| Provider Name | Iasia S Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710389515 PECOS PAC ID: 2567879893 Enrollment ID: I20210401001526 |
| Provider Name | Kelsey B Coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417544297 PECOS PAC ID: 0042627325 Enrollment ID: I20210402000887 |
| Provider Name | Erin Arima Whaling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437776499 PECOS PAC ID: 0042627119 Enrollment ID: I20210408000281 |
| Provider Name | Jonathan Snipes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821250077 PECOS PAC ID: 8123298254 Enrollment ID: I20210505002163 |
| Provider Name | Michelle Marie Stockhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787996 PECOS PAC ID: 0446556062 Enrollment ID: I20210602002605 |
| Provider Name | Dominique Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346861341 PECOS PAC ID: 5991121493 Enrollment ID: I20210608002615 |
| Provider Name | Stephanie Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770993412 PECOS PAC ID: 3476873480 Enrollment ID: I20210611001039 |
| Provider Name | Lindsey Allsbrook Blanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376110817 PECOS PAC ID: 3072913060 Enrollment ID: I20210614000453 |
| Provider Name | Anna Mataruka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497204119 PECOS PAC ID: 1658653357 Enrollment ID: I20210614000807 |
| Provider Name | Andrew E Mcgettigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700107034 PECOS PAC ID: 3072887660 Enrollment ID: I20210618001300 |
| Provider Name | Carole P Maclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306031935 PECOS PAC ID: 9638267461 Enrollment ID: I20210804000286 |
| Provider Name | Marcus Franklin Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871081745 PECOS PAC ID: 5092057471 Enrollment ID: I20210816000394 |
| Provider Name | Krystle Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542917 PECOS PAC ID: 6103160304 Enrollment ID: I20210816004130 |
| Provider Name | Crystal Gilmore-hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245797943 PECOS PAC ID: 6406281658 Enrollment ID: I20210826001296 |
| Provider Name | Autumn S Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063068781 PECOS PAC ID: 7517363476 Enrollment ID: I20210901002391 |
| Provider Name | Janis E Buono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811567662 PECOS PAC ID: 8123424314 Enrollment ID: I20210914001920 |
| Provider Name | Faiza Niaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336370816 PECOS PAC ID: 2567627151 Enrollment ID: I20210922001180 |
| Provider Name | Whitney Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730858226 PECOS PAC ID: 0143627620 Enrollment ID: I20210927001017 |
| Provider Name | Angela Nicole Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790458875 PECOS PAC ID: 4688072788 Enrollment ID: I20211004002080 |
| Provider Name | Melissa Benson Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629741640 PECOS PAC ID: 3971901786 Enrollment ID: I20211008001538 |
| Provider Name | Olivia Marie Gause |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104441922 PECOS PAC ID: 2860880846 Enrollment ID: I20211025000599 |
| Provider Name | La'trina Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992384341 PECOS PAC ID: 5395134373 Enrollment ID: I20211112000955 |
| Provider Name | Yevonnie Alvina Lowe-ingram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679721492 PECOS PAC ID: 5890925176 Enrollment ID: I20211122001399 |
| Provider Name | Tayler Gabrielle Mebane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192597 PECOS PAC ID: 5092105585 Enrollment ID: I20211123002307 |
| Provider Name | Carrie Elizabeth Avery Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306316179 PECOS PAC ID: 7113266362 Enrollment ID: I20211220000067 |
| Provider Name | Kia Colleton Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477826451 PECOS PAC ID: 3577723063 Enrollment ID: I20220119000049 |
| Provider Name | Rokima Michelle Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083377253 PECOS PAC ID: 0941693790 Enrollment ID: I20220131001883 |
| Provider Name | Corinne P Meynardie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609413566 PECOS PAC ID: 8123458999 Enrollment ID: I20220210000514 |
| Provider Name | Ambre Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902575384 PECOS PAC ID: 2769875806 Enrollment ID: I20220212000098 |
| Provider Name | Sherrika Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681594 PECOS PAC ID: 1254639875 Enrollment ID: I20220224002175 |
| Provider Name | Angela L Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467475061 PECOS PAC ID: 6002233871 Enrollment ID: I20220329001419 |
| Provider Name | Aldo Luigi Cordova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427589068 PECOS PAC ID: 5799117610 Enrollment ID: I20220429001639 |
| Provider Name | Blanche Noelle Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194473702 PECOS PAC ID: 3971981721 Enrollment ID: I20220607000808 |
| Provider Name | Elaine Ambrosio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124784533 PECOS PAC ID: 5092194639 Enrollment ID: I20220628001278 |
| Provider Name | Tiffany Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427792092 PECOS PAC ID: 1951781285 Enrollment ID: I20220705001842 |
| Provider Name | Jamye Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912488941 PECOS PAC ID: 0840532024 Enrollment ID: I20220718002801 |
| Provider Name | Janet M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548909559 PECOS PAC ID: 8921489162 Enrollment ID: I20220719001315 |
| Provider Name | Kara M Plemmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578202990 PECOS PAC ID: 2769864586 Enrollment ID: I20220726003352 |
| Provider Name | Erin Patrice Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962160762 PECOS PAC ID: 6103208426 Enrollment ID: I20220803002639 |
| Provider Name | Kristin Claude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225769 PECOS PAC ID: 8426302548 Enrollment ID: I20220824002151 |
| Provider Name | Shenika Lenette Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427706597 PECOS PAC ID: 7618351313 Enrollment ID: I20220830001475 |
| Provider Name | Marian Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043562150 PECOS PAC ID: 9436394079 Enrollment ID: I20220907003837 |
| Provider Name | Latifah Quanah Jeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184381659 PECOS PAC ID: 3870977960 Enrollment ID: I20220909000235 |
| Provider Name | Meredith Altenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659043412 PECOS PAC ID: 7810382843 Enrollment ID: I20220916000716 |
| Provider Name | Sarah Jane Stewart |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114422003 PECOS PAC ID: 1052669645 Enrollment ID: I20220916002994 |
| Provider Name | Petter Rophael |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235869272 PECOS PAC ID: 4385020270 Enrollment ID: I20220929002219 |
| Provider Name | Sarah Ann Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558611772 PECOS PAC ID: 2961636220 Enrollment ID: I20221015000070 |
| Provider Name | Binyue Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427497817 PECOS PAC ID: 0042433674 Enrollment ID: I20221019003142 |
| Provider Name | Fong Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124749452 PECOS PAC ID: 0749657005 Enrollment ID: I20221031001465 |
| Provider Name | Kenya Reeves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457825705 PECOS PAC ID: 5496093882 Enrollment ID: I20221106000059 |
| Provider Name | Krysta L Hartley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437795408 PECOS PAC ID: 4385075209 Enrollment ID: I20221215002526 |
| Provider Name | Tenisha Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366165490 PECOS PAC ID: 9739559147 Enrollment ID: I20221229001648 |
| Provider Name | Catherine Mendoza Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053039628 PECOS PAC ID: 2365812526 Enrollment ID: I20230104000458 |
| Provider Name | Amber Vermeesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689716995 PECOS PAC ID: 4082711098 Enrollment ID: I20230113002131 |
| Provider Name | Clay Corpening Ijams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154033736 PECOS PAC ID: 7012388507 Enrollment ID: I20230119002610 |
| Provider Name | Chelsea Brynn Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649939059 PECOS PAC ID: 7618348632 Enrollment ID: I20230130000529 |
| Provider Name | Anoop Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407299340 PECOS PAC ID: 3678945516 Enrollment ID: I20230202001265 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20230206002584 |
| Provider Name | Jaskeerat Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487035945 PECOS PAC ID: 4981915600 Enrollment ID: I20230207000881 |
| Provider Name | Sarah Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821701541 PECOS PAC ID: 1951773399 Enrollment ID: I20230213000988 |
| Provider Name | Silvia Krug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114638343 PECOS PAC ID: 7214309327 Enrollment ID: I20230217000511 |
| Provider Name | Cynthia Beth Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750093282 PECOS PAC ID: 4587037387 Enrollment ID: I20230227000157 |
| Provider Name | Shelby Lee Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336608009 PECOS PAC ID: 3971845892 Enrollment ID: I20230317001855 |
| Provider Name | Marisa Alana Drevenak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184372898 PECOS PAC ID: 5294109856 Enrollment ID: I20230322000224 |
| Provider Name | Darlene Brownlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157260 PECOS PAC ID: 0941333587 Enrollment ID: I20230330002328 |
| Provider Name | Jennifer Bostick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144756248 PECOS PAC ID: 0840561288 Enrollment ID: I20230407001160 |
| Provider Name | Kathryn a Kreis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386299691 PECOS PAC ID: 9638544281 Enrollment ID: I20230412001779 |
| Provider Name | Dana L Wiley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427006808 PECOS PAC ID: 5799726923 Enrollment ID: I20230419002811 |
| Provider Name | Nicole Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134825433 PECOS PAC ID: 4587029806 Enrollment ID: I20230420001042 |
| Provider Name | Laderria Whitted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760189880 PECOS PAC ID: 7315302486 Enrollment ID: I20230424002430 |
| Provider Name | Jennifer Lynn Lasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790474112 PECOS PAC ID: 4789040627 Enrollment ID: I20230518000622 |
| Provider Name | Michele Ann Barts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477248409 PECOS PAC ID: 9537526819 Enrollment ID: I20230531002855 |
| Provider Name | John Steven Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093407371 PECOS PAC ID: 3375900186 Enrollment ID: I20230609002939 |
| Provider Name | Victoria Paige Beamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194076 PECOS PAC ID: 8921331570 Enrollment ID: I20230629000083 |
| Provider Name | Mary Angela Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891840542 PECOS PAC ID: 9234102427 Enrollment ID: I20230801000743 |
| Provider Name | Corinne Cuppy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639282684 PECOS PAC ID: 9830153717 Enrollment ID: I20230816004285 |
| Provider Name | Antonio Gamboa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356780 PECOS PAC ID: 2264468222 Enrollment ID: I20230818002450 |
| Provider Name | Kari a Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457929903 PECOS PAC ID: 3779946124 Enrollment ID: I20230831004196 |
| Provider Name | Sophie Marian Draffin Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629691761 PECOS PAC ID: 8224492749 Enrollment ID: I20230915001697 |
| Provider Name | Yesenia Noyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871269605 PECOS PAC ID: 3173920865 Enrollment ID: I20231019000081 |
| Provider Name | Madison Riddle West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346920907 PECOS PAC ID: 0345697470 Enrollment ID: I20231113000175 |
| Provider Name | Erica Mingo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841588548 PECOS PAC ID: 0840682712 Enrollment ID: I20231116000289 |
| Provider Name | Michele Olivia Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497406979 PECOS PAC ID: 4981055027 Enrollment ID: I20240112002169 |
| Provider Name | Amber Elizabeth Jaggars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164291159 PECOS PAC ID: 1850743014 Enrollment ID: I20240123004517 |
| Provider Name | Virginia Mcquhae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124485883 PECOS PAC ID: 9638450653 Enrollment ID: I20240206003980 |
| Provider Name | Gina Desanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871656298 PECOS PAC ID: 1052370616 Enrollment ID: I20240223003289 |
| Provider Name | Ashley Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153791 PECOS PAC ID: 6103231725 Enrollment ID: I20240305000421 |
| Provider Name | Kina Kysonia Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477322139 PECOS PAC ID: 1153767587 Enrollment ID: I20240307004010 |
| Provider Name | Tonya Michele Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629416813 PECOS PAC ID: 7719323740 Enrollment ID: I20240312002765 |
| Provider Name | Allison Buryk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174151922 PECOS PAC ID: 1456781327 Enrollment ID: I20240316000069 |
| Provider Name | Shannon M Kimmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104505890 PECOS PAC ID: 1052758851 Enrollment ID: I20240327003789 |
| Provider Name | Jeffrey G Fellows |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487380713 PECOS PAC ID: 0648618199 Enrollment ID: I20240403003223 |
| Provider Name | Courtney Demaiya Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881311306 PECOS PAC ID: 0042658015 Enrollment ID: I20240410000352 |
| Provider Name | Irene Chebiwot Maiyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679347611 PECOS PAC ID: 3375983620 Enrollment ID: I20240502003794 |
| Provider Name | Carrie Frasure Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083484463 PECOS PAC ID: 2466893128 Enrollment ID: I20240513000510 |
| Provider Name | Sarah Lynn Mevissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841927001 PECOS PAC ID: 5698116259 Enrollment ID: I20240514001031 |
| Provider Name | Angela Demetrius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033852959 PECOS PAC ID: 9931540473 Enrollment ID: I20240515000130 |
| Provider Name | Audra Lynn Westbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306552658 PECOS PAC ID: 5193166544 Enrollment ID: I20240515004571 |
| Provider Name | Khianna Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063269439 PECOS PAC ID: 1658713532 Enrollment ID: I20240523001107 |
| Provider Name | Peter Anthony Bertelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235766338 PECOS PAC ID: 1557710597 Enrollment ID: I20240806001702 |
| Provider Name | Brittany Moore Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831715127 PECOS PAC ID: 8022556695 Enrollment ID: I20240814000506 |
| Provider Name | Jessica Oing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609347129 PECOS PAC ID: 5698013308 Enrollment ID: I20240830001691 |
| Provider Name | Ashley Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558853788 PECOS PAC ID: 7012269954 Enrollment ID: I20240911000788 |
| Provider Name | Keley Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386480192 PECOS PAC ID: 4981135183 Enrollment ID: I20240928000397 |
| Provider Name | Wendy Holcombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760246672 PECOS PAC ID: 3971041021 Enrollment ID: I20241024004624 |
| Provider Name | Shea Mobley Ruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114752847 PECOS PAC ID: 9638602881 Enrollment ID: I20241028001406 |
| Provider Name | Valerie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366151029 PECOS PAC ID: 0749645646 Enrollment ID: I20241120000227 |
| Provider Name | Marnie Shotwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124732102 PECOS PAC ID: 3173058112 Enrollment ID: I20241127001056 |
| Provider Name | Erin Lavette Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013372390 PECOS PAC ID: 8921303488 Enrollment ID: I20241204002708 |
| Provider Name | Cathleen Medellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154891646 PECOS PAC ID: 8729323241 Enrollment ID: I20241206000205 |
| Provider Name | Yvonne Styles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295374742 PECOS PAC ID: 7315096112 Enrollment ID: I20241216002027 |
| Provider Name | Donnie Brad Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508364936 PECOS PAC ID: 0941564314 Enrollment ID: I20241224001116 |
| Provider Name | Paul Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396458543 PECOS PAC ID: 2567833064 Enrollment ID: I20241231000924 |
| Provider Name | Elizabeth Troutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962220640 PECOS PAC ID: 8224566005 Enrollment ID: I20250107002170 |
| Provider Name | Janice Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083435457 PECOS PAC ID: 4789112947 Enrollment ID: I20250115003181 |
| Provider Name | Ashley Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025730 PECOS PAC ID: 4486913944 Enrollment ID: I20250215000128 |
| Provider Name | Crystal D. Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558076695 PECOS PAC ID: 0143740183 Enrollment ID: I20250220004048 |
| Provider Name | Yi Lu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093537839 PECOS PAC ID: 3173044237 Enrollment ID: I20250305001131 |
| Provider Name | Renarta Patrice Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598412926 PECOS PAC ID: 7911429436 Enrollment ID: I20250313002325 |
| Provider Name | Jawanner L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770877623 PECOS PAC ID: 5799953014 Enrollment ID: I20250314001755 |
| Provider Name | Brittany Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558735241 PECOS PAC ID: 7315245131 Enrollment ID: I20250320002644 |
| Provider Name | Cynthia Baubach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275649253 PECOS PAC ID: 8628416831 Enrollment ID: I20250321001088 |
| Provider Name | Ellysse Bertus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499453 PECOS PAC ID: 3072961549 Enrollment ID: I20250324002381 |
| Provider Name | Maria R Gomez-reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508677105 PECOS PAC ID: 2668995218 Enrollment ID: I20250325001532 |
| Provider Name | Linda Diane Patrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174348882 PECOS PAC ID: 3173046349 Enrollment ID: I20250327003769 |
| Provider Name | Stephan Andrew Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629647748 PECOS PAC ID: 4789107533 Enrollment ID: I20250402001126 |
| Provider Name | Nakisha Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699323972 PECOS PAC ID: 5092149237 Enrollment ID: I20250402003372 |
| Provider Name | Ifeoma Elizabeth Okani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255149142 PECOS PAC ID: 7911421854 Enrollment ID: I20250411002491 |
| Provider Name | Brooke Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265054464 PECOS PAC ID: 7012388341 Enrollment ID: I20250419000098 |
| Provider Name | Zsuzsanna Orosz Kuzenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497567432 PECOS PAC ID: 3870010671 Enrollment ID: I20250506000748 |
| Provider Name | Jennifer Violette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669522033 PECOS PAC ID: 5193042414 Enrollment ID: I20250512002857 |
| Provider Name | Jacqueline Marie Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346819430 PECOS PAC ID: 2769901438 Enrollment ID: I20250527001048 |
| Provider Name | Sophia Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235920281 PECOS PAC ID: 1951814607 Enrollment ID: I20250627000049 |
| Provider Name | Dillard Elmore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841225554 PECOS PAC ID: 1355355983 Enrollment ID: I20250702000384 |
| Provider Name | Emily Marie Haffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427896984 PECOS PAC ID: 9335653849 Enrollment ID: I20250708001696 |
| Provider Name | Berlande Blaise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396298071 PECOS PAC ID: 7315452356 Enrollment ID: I20250717001029 |
| Provider Name | Christopher Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396530093 PECOS PAC ID: 4688173958 Enrollment ID: I20250815000036 |
| Provider Name | Victoria Mawumenyo Puplampu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366284416 PECOS PAC ID: 8224538970 Enrollment ID: I20250826002893 |
| Provider Name | Melody Scarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235881020 PECOS PAC ID: 6608260492 Enrollment ID: I20250828003572 |
| Provider Name | Emiola Sanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003264755 PECOS PAC ID: 3779728464 Enrollment ID: I20250828005134 |
| Provider Name | Maggie Marie Damon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609664549 PECOS PAC ID: 7315448040 Enrollment ID: I20250903000044 |
| Provider Name | Lior Abramson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467072272 PECOS PAC ID: 0042632697 Enrollment ID: I20250910000570 |
| Provider Name | Adolly Fuabana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538951736 PECOS PAC ID: 2961905591 Enrollment ID: I20250910004090 |
| Provider Name | Rachel Ann Rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619710837 PECOS PAC ID: 8426552654 Enrollment ID: I20250919000278 |
| Provider Name | Denise Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255379319 PECOS PAC ID: 4789722273 Enrollment ID: I20250925000741 |
| Provider Name | Nana Yaa Konadu Ampratwum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790677664 PECOS PAC ID: 1658876016 Enrollment ID: I20250925003429 |
| Provider Name | Michael Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20250929001481 |
| Provider Name | Paul Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902866841 PECOS PAC ID: 7315018660 Enrollment ID: I20251001003690 |
| Provider Name | Rachel Yaghi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205484250 PECOS PAC ID: 5597191734 Enrollment ID: I20251001004583 |
| Provider Name | Mengesha Keelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942915939 PECOS PAC ID: 8820594195 Enrollment ID: I20251005000242 |
| Provider Name | Timothy Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235458092 PECOS PAC ID: 8729261557 Enrollment ID: I20251010002472 |
| Provider Name | Carina Manalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487942280 PECOS PAC ID: 1557536588 Enrollment ID: I20251015001248 |
| Provider Name | Kimberly Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819052 PECOS PAC ID: 3779861463 Enrollment ID: I20251016004474 |
| Provider Name | Rameka Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164985834 PECOS PAC ID: 3678908621 Enrollment ID: I20251022002146 |
| Provider Name | Bethany Ruth Wagler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043053788 PECOS PAC ID: 5496244568 Enrollment ID: I20251029001976 |
| Provider Name | Leah Michelle Hanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033084553 PECOS PAC ID: 8628560315 Enrollment ID: I20251120001459 |
| Provider Name | Courtney Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982575023 PECOS PAC ID: 4183117633 Enrollment ID: I20251203001396 |
| Provider Name | Shawn Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134591449 PECOS PAC ID: 8921585803 Enrollment ID: I20260122001179 |
| Provider Name | Shannon Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386518348 PECOS PAC ID: 9739666504 Enrollment ID: I20260122003334 |
| Provider Name | Shantele K Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780566059 PECOS PAC ID: 5890272413 Enrollment ID: I20260124000095 |
| Provider Name | Veronica Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811061062 PECOS PAC ID: 5991705386 Enrollment ID: I20260126001445 |
| Provider Name | Sheketa Renee White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477423416 PECOS PAC ID: 5890277107 Enrollment ID: I20260305002618 |
| Provider Name | Laura Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114786845 PECOS PAC ID: 8022511625 Enrollment ID: I20260328000365 |
| Provider Name | Ashley Gibbs-sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285327163 PECOS PAC ID: 5890137681 Enrollment ID: I20260330001194 |
| Provider Name | Kerry Natasha Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871982603 PECOS PAC ID: 5698240794 Enrollment ID: I20260407000708 |
| Provider Name | Alissa Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619742160 PECOS PAC ID: 1052754561 Enrollment ID: I20260408001837 |
| Provider Name | Michael Stewart Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750898326 PECOS PAC ID: 3375018914 Enrollment ID: I20260410001610 |
| Provider Name | Ann Maria Elder |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720064983 PECOS PAC ID: 4880583012 Enrollment ID: I20260615000290 |
Durham Recovery Response Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Crutchfield St, Durham, NC 27704 Phone: 919-797-1943 Fax: 919-560-0302 |
Durham Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 N Roxboro St, Durham, NC 27704 Phone: 919-471-1518 |
Triangle Geriatrics & Palliative Medicine, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 |
Duke Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710 Phone: 919-681-9355 |
Novant Health Durham Internal Medicine Southpoint Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713 Phone: 919-477-6900 Fax: 919-544-6210 |
American Current Care of North Carolina PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 |