Physicians Of Cape Cod Hospital - Medicare Primary Care in Hyannis, MA

Physicians Of Cape Cod Hospital is a medicare enrolled primary clinic (Radiology - Neuroradiology) in Hyannis, Massachusetts. The current practice location for Physicians Of Cape Cod Hospital is 27 Park St, Hyannis, Massachusetts. For appointments, you can reach them via phone at (508) 957-8667. The mailing address for Physicians Of Cape Cod Hospital is 297 North St Ste 221, Hyannis, Massachusetts and phone number is (508) 862-7777.

Physicians Of Cape Cod Hospital is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679832364. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (508) 957-8667.

Contact Information

Physicians Of Cape Cod Hospital
27 Park St
Hyannis
MA 02601
(508) 957-8667
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePhysicians Of Cape Cod Hospital
SpecialityRadiology
Location27 Park St, Hyannis, Massachusetts
Authorized Official Name and PositionMichael Connors (CEO)
Authorized Official Contact5089578540
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physicians Of Cape Cod Hospital
297 North St Ste 221
Hyannis
MA 02601-5133

Ph: (508) 862-7777
Physicians Of Cape Cod Hospital
27 Park St
Hyannis
MA 02601

Ph: (508) 957-8667

NPI Details:

NPI Number1679832364
Provider Enumeration Date05/15/2012
Last Update Date02/15/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9638326671
Medicare Enrollment IDO20120828000193

Medical Identifiers

Medical identifiers for Physicians Of Cape Cod Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679832364NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
2085N0700XRadiology - Neuroradiology (* (Not Available))Primary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
208M00000XHospitalist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physicians Of Cape Cod Hospital acts as a billing entity for following providers:
Provider NameSimonne Stahl
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1417020660
PECOS PAC ID: 9830003151
Enrollment ID: I20031119000376
Provider NameSalma Batool Anwar
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1285624916
PECOS PAC ID: 1254230840
Enrollment ID: I20040102000428
Provider NameEllen M Westman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922092782
PECOS PAC ID: 7214839406
Enrollment ID: I20040127000569
Provider NameKimberely Mead-walters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073534665
PECOS PAC ID: 6305731845
Enrollment ID: I20040216000492
Provider NameKathryn Hughes
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225017296
PECOS PAC ID: 3577452382
Enrollment ID: I20040311000449
Provider NameJohn Santilli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063567899
PECOS PAC ID: 8729970983
Enrollment ID: I20040325000326
Provider NamePrem S Shekar
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1760448955
PECOS PAC ID: 0648162453
Enrollment ID: I20040326000732
Provider NameJohn Ferullo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1528056439
PECOS PAC ID: 7416849708
Enrollment ID: I20040330000388
Provider NameKarl Coyner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609861418
PECOS PAC ID: 8921096322
Enrollment ID: I20040504001234
Provider NameJudith Lavigniac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154340834
PECOS PAC ID: 7517878283
Enrollment ID: I20040524000476
Provider NameAlan Berrick
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1427059831
PECOS PAC ID: 5597746354
Enrollment ID: I20040527000185
Provider NameLinda C Jones
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275502643
PECOS PAC ID: 0547242620
Enrollment ID: I20040602001416
Provider NameRobert L Doyle
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609851658
PECOS PAC ID: 8820072705
Enrollment ID: I20040617000360
Provider NameJames J Kelly
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700993391
PECOS PAC ID: 5890779706
Enrollment ID: I20040617000560
Provider NameDavid A Silver
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1275591786
PECOS PAC ID: 5890770358
Enrollment ID: I20040621000488
Provider NameCarl R. Larsen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659471662
PECOS PAC ID: 6507843158
Enrollment ID: I20040701001220
Provider NameKathryn Rudman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1497718035
PECOS PAC ID: 0345228771
Enrollment ID: I20040712000525
Provider NameDavid A Shaff
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063518504
PECOS PAC ID: 1153309547
Enrollment ID: I20040712001072
Provider NamePaul M Gagnon
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679532436
PECOS PAC ID: 2365421799
Enrollment ID: I20040719000367
Provider NameEugene Park Chung
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528030525
PECOS PAC ID: 4486624160
Enrollment ID: I20040729000712
Provider NameJill S Oxley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1316984420
PECOS PAC ID: 9739150400
Enrollment ID: I20040804001880
Provider NameGeraldine K Maikath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497722987
PECOS PAC ID: 4688645286
Enrollment ID: I20040805000923
Provider NamePhilip D Kousoubris
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1447350442
PECOS PAC ID: 1759352230
Enrollment ID: I20040805001596
Provider NameDavid M Jackman
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1386622413
PECOS PAC ID: 1658346184
Enrollment ID: I20040830000086
Provider NameDouglas Fellows
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1063467827
PECOS PAC ID: 7618942970
Enrollment ID: I20040831000053
Provider NameTamara T Takoudes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669404109
PECOS PAC ID: 3678549516
Enrollment ID: I20040902000655
Provider NameFidencio Saldana
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1316917404
PECOS PAC ID: 4880662964
Enrollment ID: I20040917000478
Provider NameWilliam J Pegg
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285798074
PECOS PAC ID: 3870553746
Enrollment ID: I20041014000857
Provider NameFrancis P Macmillan
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205804952
PECOS PAC ID: 6507828696
Enrollment ID: I20041101000741
Provider NameGregory Robke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003843202
PECOS PAC ID: 5496718975
Enrollment ID: I20041105000378
Provider NameNancy R Gantz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851482335
PECOS PAC ID: 8123081569
Enrollment ID: I20041108000349
Provider NameRussell A Blinder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477548394
PECOS PAC ID: 1153384144
Enrollment ID: I20041110000844
Provider NameDavid E Leeman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932193851
PECOS PAC ID: 5294790986
Enrollment ID: I20041122000924
Provider NameMark Shapiro
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164405270
PECOS PAC ID: 5395701395
Enrollment ID: I20041201000941
Provider NameMichael V Orlov
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1407844020
PECOS PAC ID: 1658337092
Enrollment ID: I20041207000765
Provider NameMarina V Yaroshenko
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568443471
PECOS PAC ID: 8224096060
Enrollment ID: I20041228000255
Provider NameSarah D Montgomery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285754937
PECOS PAC ID: 8527016021
Enrollment ID: I20050111000985
Provider NameLynette Mccloy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649220757
PECOS PAC ID: 9638128176
Enrollment ID: I20050121000470
Provider NameHossam E Yassin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447269782
PECOS PAC ID: 2163485467
Enrollment ID: I20050304000211
Provider NameColleen Feltmate
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1538144308
PECOS PAC ID: 7012962772
Enrollment ID: I20050315000785
Provider NameAlbert A Barrows
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1316994007
PECOS PAC ID: 7719933779
Enrollment ID: I20050323000906
Provider NameLawrence B Pliss
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1013001619
PECOS PAC ID: 1456307289
Enrollment ID: I20050324000864
Provider NamePhilip J. Dombrowski
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679672794
PECOS PAC ID: 5799731139
Enrollment ID: I20050329000408
Provider NameDavid R Lovett
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1790753283
PECOS PAC ID: 0345296661
Enrollment ID: I20050329001161
Provider NameZiad Farah
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1700854619
PECOS PAC ID: 1456308238
Enrollment ID: I20050404000888
Provider NameChester H Mohr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205930807
PECOS PAC ID: 8527979392
Enrollment ID: I20050404000986
Provider NameRichard J Angelo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1407837305
PECOS PAC ID: 2062469737
Enrollment ID: I20050405000559
Provider NameBasia A Mcanaw
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1801864483
PECOS PAC ID: 5698713923
Enrollment ID: I20050419000038
Provider NameCynthia M Rodriguez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104894690
PECOS PAC ID: 3870531098
Enrollment ID: I20050419000939
Provider NameWilliam O Agel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871560375
PECOS PAC ID: 0749228468
Enrollment ID: I20050421001422
Provider NameJohn D Osmond
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144267477
PECOS PAC ID: 4587613336
Enrollment ID: I20050502000160
Provider NameLawrence S Mcauliffe
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447358874
PECOS PAC ID: 0143206615
Enrollment ID: I20050502000307
Provider NamePaul D Teague
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1841396397
PECOS PAC ID: 9032158720
Enrollment ID: I20050502001213
Provider NameDebra L Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699715896
PECOS PAC ID: 0042250235
Enrollment ID: I20050506000421
Provider NameLeroy M Parker
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1629046776
PECOS PAC ID: 3072554369
Enrollment ID: I20050517000706
Provider NameAlice M Daley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942276407
PECOS PAC ID: 4688617798
Enrollment ID: I20050608001022
Provider NameDianne E Coscia
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811976632
PECOS PAC ID: 7416991757
Enrollment ID: I20050616000962
Provider NameMichael A Mecley
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1609828920
PECOS PAC ID: 3375585680
Enrollment ID: I20050620001081
Provider NameCharles I Haffajee
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952397523
PECOS PAC ID: 9739124777
Enrollment ID: I20050621000827
Provider NameNancy J O Connor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164459285
PECOS PAC ID: 9234174038
Enrollment ID: I20050622000880
Provider NameKaren Maney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881675528
PECOS PAC ID: 7517931322
Enrollment ID: I20050624000129
Provider NameFrank G Basile
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1225015340
PECOS PAC ID: 6901841352
Enrollment ID: I20050627000029
Provider NameJacalyn A Mcmanus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205804762
PECOS PAC ID: 7618912825
Enrollment ID: I20050628000018
Provider NameHope E Peters
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790757193
PECOS PAC ID: 6608811898
Enrollment ID: I20050628000698
Provider NameMarcia Peaslee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659346401
PECOS PAC ID: 4789620758
Enrollment ID: I20050629000930
Provider NameEric D Jacobsen
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457321861
PECOS PAC ID: 2567408354
Enrollment ID: I20050701000315
Provider NameKathleen I Flynn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487692778
PECOS PAC ID: 5597701227
Enrollment ID: I20050705000499
Provider NameEan Y Callanan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366417156
PECOS PAC ID: 4385670504
Enrollment ID: I20050711000455
Provider NameJorge A Alfonso
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013983402
PECOS PAC ID: 6901832708
Enrollment ID: I20050713000393
Provider NamePeter M Kang
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1568401560
PECOS PAC ID: 6507893534
Enrollment ID: I20050721000493
Provider NameShannon M List
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225158983
PECOS PAC ID: 7113955527
Enrollment ID: I20050727000970
Provider NameDavid M Kelly
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184618910
PECOS PAC ID: 6204809817
Enrollment ID: I20050728000928
Provider NameMatthew J Hamilton
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1982652814
PECOS PAC ID: 5597795856
Enrollment ID: I20050816000865
Provider NameStephan G Muhlebach
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710965157
PECOS PAC ID: 4486685138
Enrollment ID: I20050823000613
Provider NamePeter L Friedman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1841398252
PECOS PAC ID: 3375574494
Enrollment ID: I20050829000099
Provider NameEleanor R Sullivan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518919836
PECOS PAC ID: 1557393246
Enrollment ID: I20050901000756
Provider NameKelly M Swanson
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1306814223
PECOS PAC ID: 7810929908
Enrollment ID: I20050909000462
Provider NameChester M Hedgepeth
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1063409233
PECOS PAC ID: 7012940471
Enrollment ID: I20050915000649
Provider NamePhilip N Chiotellis
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1073566675
PECOS PAC ID: 0749222057
Enrollment ID: I20050917000230
Provider NameEleanor A North
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982784146
PECOS PAC ID: 8921032509
Enrollment ID: I20050922000947
Provider NameJames A Mccarthy
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1245337963
PECOS PAC ID: 7618901166
Enrollment ID: I20050923000214
Provider NameMarcial A Santos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366423196
PECOS PAC ID: 3577597970
Enrollment ID: I20050926000383
Provider NameMichael Zavarin
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1972581312
PECOS PAC ID: 1254366826
Enrollment ID: I20051003000337
Provider NameKimberly W Ebb
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790777589
PECOS PAC ID: 7416972708
Enrollment ID: I20051005001068
Provider NameDebbie Fuentes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639144074
PECOS PAC ID: 0244257590
Enrollment ID: I20051027000397
Provider NameRosa A Moncholi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568430494
PECOS PAC ID: 5890712749
Enrollment ID: I20051029000192
Provider NameHenry R Casey
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1881662468
PECOS PAC ID: 3678591740
Enrollment ID: I20051107001058
Provider NameKevin J Mulroy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740255595
PECOS PAC ID: 4183527948
Enrollment ID: I20051110000458
Provider NameCatherine M Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255308755
PECOS PAC ID: 8921028556
Enrollment ID: I20051129000122
Provider NameLaurel A Miller
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1093780843
PECOS PAC ID: 8426078627
Enrollment ID: I20051202000400
Provider NameLori B. Sheehan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1134143597
PECOS PAC ID: 5294705786
Enrollment ID: I20051207000526
Provider NameMarie Ngom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477505873
PECOS PAC ID: 0446272546
Enrollment ID: I20060103000340
Provider NameJill Allen
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1285671453
PECOS PAC ID: 4082606363
Enrollment ID: I20060110000501
Provider NameMatthew C Tooker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376663047
PECOS PAC ID: 5092729657
Enrollment ID: I20060202000696
Provider NameKathleen A Dietz Lovett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780652263
PECOS PAC ID: 7517972979
Enrollment ID: I20060207000647
Provider NamePaymon Kayhani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215995543
PECOS PAC ID: 2365457579
Enrollment ID: I20060209000138
Provider NameEllen T Carty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124078811
PECOS PAC ID: 7517972763
Enrollment ID: I20060209000453
Provider NameShari M Marscheider
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487636262
PECOS PAC ID: 2163439183
Enrollment ID: I20060316000309
Provider NameDale K Weldon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1316004989
PECOS PAC ID: 8628086527
Enrollment ID: I20060404000675
Provider NameKaoru A Mizuguchi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1174585020
PECOS PAC ID: 1153332077
Enrollment ID: I20060508000174
Provider NameAndrew Ciccarelli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407893738
PECOS PAC ID: 9436162302
Enrollment ID: I20060718000181
Provider NameAshwini Sahni
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1649233529
PECOS PAC ID: 4789697558
Enrollment ID: I20060720000316
Provider NameShawn M Rayder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013907609
PECOS PAC ID: 7911942271
Enrollment ID: I20060906000373
Provider NameZubin D Irani
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1154339612
PECOS PAC ID: 5294790184
Enrollment ID: I20060914000609
Provider NamePhilip M Wade
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1215977350
PECOS PAC ID: 0749245298
Enrollment ID: I20060926000174
Provider NameArthur Weinstock
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487629234
PECOS PAC ID: 2365448404
Enrollment ID: I20061012000128
Provider NameRosa E Ramirez Mendez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871549444
PECOS PAC ID: 2668478462
Enrollment ID: I20061019000184
Provider NameMolly Ann Sullivan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1679679906
PECOS PAC ID: 7911932207
Enrollment ID: I20061019000206
Provider NameRicardo C Nario
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295777621
PECOS PAC ID: 9830196401
Enrollment ID: I20061025000315
Provider NameAlanna J Coolong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972604254
PECOS PAC ID: 4284631854
Enrollment ID: I20061025000322
Provider NameChad Harston
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649260910
PECOS PAC ID: 9739186503
Enrollment ID: I20061109000115
Provider NameSteven Todd Mccormack
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023000338
PECOS PAC ID: 4183651987
Enrollment ID: I20061109000190
Provider NameOlivera J Bogunovic Sotelo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1063526937
PECOS PAC ID: 1254227168
Enrollment ID: I20061128000245
Provider NameMohamed Mahmoud
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033191366
PECOS PAC ID: 2163420191
Enrollment ID: I20061129000206
Provider NameGail M Marshall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316018633
PECOS PAC ID: 3375541329
Enrollment ID: I20061129000363
Provider NameJudy L Howell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952458432
PECOS PAC ID: 2860493194
Enrollment ID: I20070129000620
Provider NameJohn A Kalin
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1295783447
PECOS PAC ID: 9335141902
Enrollment ID: I20070210000112
Provider NameTracy L Green
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1659350742
PECOS PAC ID: 6901900687
Enrollment ID: I20070406000270
Provider NameMary E Macgregor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528194172
PECOS PAC ID: 5597862516
Enrollment ID: I20070525000097
Provider NameJonathan L Streeter
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962461665
PECOS PAC ID: 6204936628
Enrollment ID: I20070713000211
Provider NameJohn J Pan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174740005
PECOS PAC ID: 1951402015
Enrollment ID: I20070719000739
Provider NameAnatoly M Sukharsky
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518093194
PECOS PAC ID: 6709987704
Enrollment ID: I20070720000344
Provider NameScott White
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144276338
PECOS PAC ID: 4385745215
Enrollment ID: I20070723000508
Provider NameJoseph M Gergyes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336116060
PECOS PAC ID: 6507967361
Enrollment ID: I20070723000846
Provider NameMichael Papper
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1053432104
PECOS PAC ID: 6305937640
Enrollment ID: I20070801000252
Provider NameLinda Porto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891904959
PECOS PAC ID: 9739270943
Enrollment ID: I20070802000095
Provider NameCharles Williams
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053301572
PECOS PAC ID: 7113828245
Enrollment ID: I20070809000683
Provider NameAra Ketchedjian
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1467599720
PECOS PAC ID: 8820189293
Enrollment ID: I20070814000709
Provider NamePaul William Evans
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1114076452
PECOS PAC ID: 1254425663
Enrollment ID: I20070917000161
Provider NameSarita Bajracharya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043434160
PECOS PAC ID: 4385739705
Enrollment ID: I20071001000338
Provider NameKaren Monaghan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295861623
PECOS PAC ID: 7315034527
Enrollment ID: I20071106000076
Provider NameJayanta T Mukherjee
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023120250
PECOS PAC ID: 3375587074
Enrollment ID: I20071119000598
Provider NameCharles Cho
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740260025
PECOS PAC ID: 8426956772
Enrollment ID: I20071129000099
Provider NameClaude Laurent Roger Joseph Sader
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1578510392
PECOS PAC ID: 6800780487
Enrollment ID: I20080108000557
Provider NameNicole M Salter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609068220
PECOS PAC ID: 3678654225
Enrollment ID: I20080122000029
Provider NameMaria G Cicchetti
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1174506752
PECOS PAC ID: 5991881419
Enrollment ID: I20080325000247
Provider NameJennifer H Ladner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1801833488
PECOS PAC ID: 7012093628
Enrollment ID: I20080430000658
Provider NameBrian T Rice
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1700838281
PECOS PAC ID: 9234119140
Enrollment ID: I20080501000175
Provider NameSohail K Mahboobi
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1861535262
PECOS PAC ID: 1052490752
Enrollment ID: I20080507000056
Provider NameDavid E Nawrocki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710172317
PECOS PAC ID: 6406925965
Enrollment ID: I20080523000260
Provider NameMark W Wolfe
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962500322
PECOS PAC ID: 1557447166
Enrollment ID: I20080709000548
Provider NameLisa R Capra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295772200
PECOS PAC ID: 2769556158
Enrollment ID: I20080804000019
Provider NameJill K Lanahan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1497738215
PECOS PAC ID: 1759459795
Enrollment ID: I20081004000048
Provider NameSuneel Dhand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255516472
PECOS PAC ID: 2163590878
Enrollment ID: I20081008000466
Provider NameRichard M Hebert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801050190
PECOS PAC ID: 5890863468
Enrollment ID: I20081009000405
Provider NameJennifer Lee Crook
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427011691
PECOS PAC ID: 4789755042
Enrollment ID: I20081015000325
Provider NameMaria Jasinskas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1134391022
PECOS PAC ID: 3577621465
Enrollment ID: I20081021000802
Provider NameTamer Khafagy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932391422
PECOS PAC ID: 3173681723
Enrollment ID: I20081025000126
Provider NameLeonard Digiovanni
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1124081401
PECOS PAC ID: 9133288137
Enrollment ID: I20081105000768
Provider NameLisa R Ferley
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699733469
PECOS PAC ID: 4587643598
Enrollment ID: I20081107000182
Provider NameMartha Fox Segal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619127453
PECOS PAC ID: 5597824300
Enrollment ID: I20081110000048
Provider NamePaul J Houle
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1184624330
PECOS PAC ID: 0042383408
Enrollment ID: I20081202000252
Provider NameKatherine K Parsons
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1992833065
PECOS PAC ID: 3274694997
Enrollment ID: I20081212000236
Provider NameBart L Main
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689770604
PECOS PAC ID: 4385635762
Enrollment ID: I20081219000031
Provider NameJohn H Gullett
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1902950843
PECOS PAC ID: 3678593134
Enrollment ID: I20090131000048
Provider NameScott A Slater
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518918291
PECOS PAC ID: 2264596279
Enrollment ID: I20090205000170
Provider NamePeter Chiotellis
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1275793952
PECOS PAC ID: 4486719754
Enrollment ID: I20090220000061
Provider NameRichard Zelman
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1518904267
PECOS PAC ID: 9537225081
Enrollment ID: I20090306000522
Provider NameTimothy W Herrick
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1356308555
PECOS PAC ID: 5698822773
Enrollment ID: I20090407000005
Provider NameJacqueline Krzeminski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225125271
PECOS PAC ID: 5991855942
Enrollment ID: I20090612000072
Provider NameDaniel J Canaday
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1427042266
PECOS PAC ID: 4688725625
Enrollment ID: I20090702000121
Provider NameIryna G Chastain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285801407
PECOS PAC ID: 7618028606
Enrollment ID: I20090702000539
Provider NameEdward Courville
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1962501114
PECOS PAC ID: 9830241405
Enrollment ID: I20090713000025
Provider NameEwa M Preneta
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1548226954
PECOS PAC ID: 9436201480
Enrollment ID: I20090722000304
Provider NameBrian Gill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639336423
PECOS PAC ID: 9234284951
Enrollment ID: I20090902000190
Provider NameRobb E Hoehlein
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215981345
PECOS PAC ID: 7416965249
Enrollment ID: I20090904000103
Provider NameAndrew G Van Vugt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235398629
PECOS PAC ID: 2769538529
Enrollment ID: I20090918000475
Provider NameAmy B Molis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144373036
PECOS PAC ID: 2567508674
Enrollment ID: I20091002000509
Provider NameMiriam Cerutti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609077437
PECOS PAC ID: 2769528363
Enrollment ID: I20091013000439
Provider NameKristen M Carroll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609105667
PECOS PAC ID: 0143365635
Enrollment ID: I20100309000244
Provider NameDiane M Ofria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396077665
PECOS PAC ID: 2264561901
Enrollment ID: I20100519000026
Provider NamePatricia Ryan-blanchard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639144421
PECOS PAC ID: 0547399685
Enrollment ID: I20100527000283
Provider NameKevin T Kelly
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1225024656
PECOS PAC ID: 3779572755
Enrollment ID: I20100627000018
Provider NameJacqueline A Tung
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255502027
PECOS PAC ID: 3971634080
Enrollment ID: I20100706000055
Provider NamePaul R Blando
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063451862
PECOS PAC ID: 2062544562
Enrollment ID: I20100720000141
Provider NameMelissa M Mauro Small
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1275507360
PECOS PAC ID: 6305978578
Enrollment ID: I20100723000345
Provider NameFrank Joseph Welte
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568676948
PECOS PAC ID: 6800933847
Enrollment ID: I20100728000709
Provider NameCharlotte Atiemo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851587380
PECOS PAC ID: 6406980879
Enrollment ID: I20100820000351
Provider NameCassandra D Hobgood
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1407069669
PECOS PAC ID: 7911021233
Enrollment ID: I20100824000163
Provider NameSean P Horrigan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1821140351
PECOS PAC ID: 5092839209
Enrollment ID: I20100825000150
Provider NameTimothy Reed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457320632
PECOS PAC ID: 1254498553
Enrollment ID: I20100901000016
Provider NameRushdia Z Yusuf
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1396782348
PECOS PAC ID: 6305962440
Enrollment ID: I20100927001023
Provider NameElizabeth Manzo
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1912050857
PECOS PAC ID: 9234255167
Enrollment ID: I20100928000890
Provider NameLars C Erickson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518957190
PECOS PAC ID: 7012959059
Enrollment ID: I20100929001420
Provider NameTimothy Arruda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538134333
PECOS PAC ID: 3375737083
Enrollment ID: I20101027000006
Provider NameAmjad Almahameed
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780793828
PECOS PAC ID: 2567472889
Enrollment ID: I20101027000020
Provider NameLauren J Johnson Lavender
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316266919
PECOS PAC ID: 8123212206
Enrollment ID: I20101102001366
Provider NameJennifer I Roser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972829307
PECOS PAC ID: 4183818289
Enrollment ID: I20101103000118
Provider NameChristopher Jason Haddock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619283496
PECOS PAC ID: 2466646385
Enrollment ID: I20101104000235
Provider NameBruce Andrew Koplan
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1083663298
PECOS PAC ID: 6507051810
Enrollment ID: I20101112000143
Provider NameAyesha Khalid
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1528285921
PECOS PAC ID: 6507937505
Enrollment ID: I20101207000519
Provider NameAndrew D Mann
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740266436
PECOS PAC ID: 2961398193
Enrollment ID: I20101213000489
Provider NameNajam A Zaidi
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1679558266
PECOS PAC ID: 9537072186
Enrollment ID: I20110131000022
Provider NameThomas M Burch
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1508806126
PECOS PAC ID: 0941286405
Enrollment ID: I20110202000203
Provider NameRuth A Barron
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649340712
PECOS PAC ID: 9739369331
Enrollment ID: I20110215000432
Provider NameKaty L Mcelroy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184801086
PECOS PAC ID: 8921177122
Enrollment ID: I20110422000307
Provider NameAnstrice Mary Braga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073818993
PECOS PAC ID: 6901081157
Enrollment ID: I20110503000447
Provider NameMartin Zammert
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1801959549
PECOS PAC ID: 6103002738
Enrollment ID: I20110517000293
Provider NameAsha I Parekh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457434714
PECOS PAC ID: 2567640683
Enrollment ID: I20110620000553
Provider NameNihar Desai
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700930120
PECOS PAC ID: 8729256698
Enrollment ID: I20110720000044
Provider NameAnne D Morris
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144491911
PECOS PAC ID: 2961670468
Enrollment ID: I20110728000400
Provider NameSharon L Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013069483
PECOS PAC ID: 6608040779
Enrollment ID: I20111130000102
Provider NameDavid Jon Pombo
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1588720783
PECOS PAC ID: 0345316105
Enrollment ID: I20111214000567
Provider NameSallie Zanoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841506599
PECOS PAC ID: 1355517731
Enrollment ID: I20120106000194
Provider NameJohn M Bete
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457577652
PECOS PAC ID: 7810182326
Enrollment ID: I20120201000145
Provider NameDaniel B Kramer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710013495
PECOS PAC ID: 6800058678
Enrollment ID: I20120425000058
Provider NameAlexander J Adduci
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306890017
PECOS PAC ID: 2466498365
Enrollment ID: I20120615000345
Provider NameLara Bryan-rest
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144404948
PECOS PAC ID: 0547393506
Enrollment ID: I20120813000086
Provider NameJeremy M Doniger
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1538354873
PECOS PAC ID: 2264691419
Enrollment ID: I20120813000223
Provider NameNathan T Jones
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1265683254
PECOS PAC ID: 5597913848
Enrollment ID: I20120912000321
Provider NameAnne M Poliquin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144395310
PECOS PAC ID: 9436173283
Enrollment ID: I20120913000514
Provider NameJennifer Gilbert-cohen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1104062918
PECOS PAC ID: 5395801138
Enrollment ID: I20120920000544
Provider NamePreeti Sharma
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215214804
PECOS PAC ID: 5991954554
Enrollment ID: I20120926000238
Provider NameZiv Paz
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1013233733
PECOS PAC ID: 2668621590
Enrollment ID: I20121009000302
Provider NamePeter R Ward
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1831280973
PECOS PAC ID: 0042218646
Enrollment ID: I20121105000143
Provider NameSushrut Jangi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1376770115
PECOS PAC ID: 2769633452
Enrollment ID: I20121106000013
Provider NameColleen Ryfa
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1336356211
PECOS PAC ID: 2860643152
Enrollment ID: I20121114000440
Provider NameZlatan Kurjakovic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538396700
PECOS PAC ID: 1153572227
Enrollment ID: I20121119000595
Provider NameDiana Suris
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972731537
PECOS PAC ID: 1759532799
Enrollment ID: I20121121000345
Provider NameNargiza Yuldasheva
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225264021
PECOS PAC ID: 6103078043
Enrollment ID: I20121128000686
Provider NameAlan C Sun
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1104076843
PECOS PAC ID: 2769518075
Enrollment ID: I20121129000208
Provider NameKimberly Crocker Crowther
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417293879
PECOS PAC ID: 0446405245
Enrollment ID: I20130228000213
Provider NameStephanie I Cody
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205098522
PECOS PAC ID: 6204986151
Enrollment ID: I20130311000311
Provider NameAmy Lynn French
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1841511946
PECOS PAC ID: 3870738974
Enrollment ID: I20130320000374
Provider NameAllison F Miskiv
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952640112
PECOS PAC ID: 8123264462
Enrollment ID: I20130411000370
Provider NameMichael Halassa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811124639
PECOS PAC ID: 0941469001
Enrollment ID: I20130628000535
Provider NameNoa Hughes
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558682104
PECOS PAC ID: 9335389451
Enrollment ID: I20130712000097
Provider NameJaclyn C Flanigan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1659547370
PECOS PAC ID: 3577704840
Enrollment ID: I20130729000868
Provider NameJeffrey R. Swanson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1255568705
PECOS PAC ID: 2062653223
Enrollment ID: I20130731000005
Provider NameJessica Bennett
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770804478
PECOS PAC ID: 4688815848
Enrollment ID: I20130731000024
Provider NameKyle C Chaplic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730444936
PECOS PAC ID: 8224270129
Enrollment ID: I20130806000056
Provider NameAmanda Ortengren
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407178494
PECOS PAC ID: 7012176886
Enrollment ID: I20130806000240
Provider NameDoris Kim
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548374713
PECOS PAC ID: 9830332410
Enrollment ID: I20130829000428
Provider NameMohammad Nourmohammadi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356542187
PECOS PAC ID: 7416190814
Enrollment ID: I20130904000741
Provider NameFiras Y Naji
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578883997
PECOS PAC ID: 9436393618
Enrollment ID: I20130910000834
Provider NameGeoffrey N Champagne
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023343498
PECOS PAC ID: 7113178005
Enrollment ID: I20130912000019
Provider NameCarrie Consalvi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952743841
PECOS PAC ID: 9133363161
Enrollment ID: I20130913000040
Provider NameJaclyn R Boulais
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1750602496
PECOS PAC ID: 8921233685
Enrollment ID: I20131105000807
Provider NameJoao M Tavares
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1245227925
PECOS PAC ID: 2860454147
Enrollment ID: I20131107000783
Provider NameIrene C Coletsos
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013108869
PECOS PAC ID: 5092941476
Enrollment ID: I20131113000042
Provider NameEllen Ficks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316116668
PECOS PAC ID: 3072749175
Enrollment ID: I20131120000446
Provider NameErin A Bohula
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1619176732
PECOS PAC ID: 1254599459
Enrollment ID: I20131217000986
Provider NameBrandon S Randleman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356519961
PECOS PAC ID: 2062589229
Enrollment ID: I20131227001204
Provider NameMartha J Haverly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942476445
PECOS PAC ID: 0446488076
Enrollment ID: I20140106000610
Provider NameKarl C Stajduhar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356386734
PECOS PAC ID: 8426073941
Enrollment ID: I20140210000433
Provider NamePeter A Bourell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487975124
PECOS PAC ID: 4486884350
Enrollment ID: I20140221000334
Provider NameJohn A Besaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689717563
PECOS PAC ID: 4183850969
Enrollment ID: I20140306001447
Provider NameRichard P Junghans
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1124029376
PECOS PAC ID: 8628015096
Enrollment ID: I20140307000567
Provider NameMargaret M Dyer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942528658
PECOS PAC ID: 0143450106
Enrollment ID: I20140313001298
Provider NameRiad Ettunsi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073828893
PECOS PAC ID: 4688805906
Enrollment ID: I20140328001457
Provider NameDoris Bernacet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033547633
PECOS PAC ID: 0547492712
Enrollment ID: I20140423000151
Provider NameJodi S Belson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1912974973
PECOS PAC ID: 8628149010
Enrollment ID: I20140512001306
Provider NameErin E Dacey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003246190
PECOS PAC ID: 7911120027
Enrollment ID: I20140519000442
Provider NameSunil Kapur
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1144458399
PECOS PAC ID: 4789837865
Enrollment ID: I20140627002122
Provider NameNatalia Berry
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780810291
PECOS PAC ID: 3173786746
Enrollment ID: I20140709001574
Provider NameNorah R Emara
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1548557192
PECOS PAC ID: 6103041934
Enrollment ID: I20140710001039
Provider NameDaniel Glazer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184866576
PECOS PAC ID: 2668697251
Enrollment ID: I20140716001014
Provider NameVeljko M Popov
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033371430
PECOS PAC ID: 6002032141
Enrollment ID: I20140724002574
Provider NameFrancis S Lam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376838227
PECOS PAC ID: 2264658269
Enrollment ID: I20140729000507
Provider NameMichael Royster
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184913899
PECOS PAC ID: 1658598297
Enrollment ID: I20140805003090
Provider NameLauren G Daniels
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194011627
PECOS PAC ID: 9537393392
Enrollment ID: I20140820002052
Provider NameBenjamin R Levin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356631436
PECOS PAC ID: 8729206404
Enrollment ID: I20140821000324
Provider NameLeila Frangieh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659798981
PECOS PAC ID: 8921226507
Enrollment ID: I20140822001402
Provider NameSuzanne Giordano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144635202
PECOS PAC ID: 7012135965
Enrollment ID: I20140905001949
Provider NameStephanie L Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174932776
PECOS PAC ID: 4880813773
Enrollment ID: I20140908001135
Provider NameKhawaja Rahman
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1871687038
PECOS PAC ID: 3870539083
Enrollment ID: I20140924000987
Provider NameAnna Charyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427487131
PECOS PAC ID: 0446470975
Enrollment ID: I20141006001793
Provider NameElissa C Thompson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1710157615
PECOS PAC ID: 2961570874
Enrollment ID: I20141022002284
Provider NameCarol Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225445851
PECOS PAC ID: 8426279837
Enrollment ID: I20141029000743
Provider NameSamad Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710278270
PECOS PAC ID: 2961634522
Enrollment ID: I20141112001004
Provider NameIanthe A Arboleda
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1326257957
PECOS PAC ID: 8224175302
Enrollment ID: I20141124001630
Provider NameLisa A Crary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376947424
PECOS PAC ID: 5395068985
Enrollment ID: I20150107001130
Provider NameAmy Walenga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336145499
PECOS PAC ID: 5597659102
Enrollment ID: I20150406001617
Provider NameAshley E Margossian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265822233
PECOS PAC ID: 8729306311
Enrollment ID: I20150410000956
Provider NameCorey Signs
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1003209305
PECOS PAC ID: 1658692843
Enrollment ID: I20150529002046
Provider NameJohn W Reynolds
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881787984
PECOS PAC ID: 9335031103
Enrollment ID: I20150622000271
Provider NameAndreas Christoph Mauer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1477739597
PECOS PAC ID: 1456518224
Enrollment ID: I20150622000285
Provider NameJeffrey M Martin
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1225357684
PECOS PAC ID: 0941512511
Enrollment ID: I20150710000291
Provider NameAmogh Srivastava
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386873008
PECOS PAC ID: 3779709787
Enrollment ID: I20150722005599
Provider NameMathew Pulicken
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1629231832
PECOS PAC ID: 8921274804
Enrollment ID: I20150729006703
Provider NameDonna M Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063711414
PECOS PAC ID: 1951616580
Enrollment ID: I20150812006265
Provider NameRoy Bryan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396021648
PECOS PAC ID: 7113171240
Enrollment ID: I20150812008003
Provider NameTara J Chute
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1023303997
PECOS PAC ID: 0345472114
Enrollment ID: I20150814014294
Provider NamePatrick Cahill
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1578884698
PECOS PAC ID: 9739494774
Enrollment ID: I20150819008335
Provider NameAmy T Garland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386925931
PECOS PAC ID: 4385876457
Enrollment ID: I20150820010048
Provider NameJennifer Anne Mcguirl
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427387620
PECOS PAC ID: 2668788423
Enrollment ID: I20150825004350
Provider NameDavinderpal Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265712236
PECOS PAC ID: 3779714555
Enrollment ID: I20150831001945
Provider NameDavid W Rancourt
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861626475
PECOS PAC ID: 7315125937
Enrollment ID: I20150909000798
Provider NameKei Yamada
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487895959
PECOS PAC ID: 5092986497
Enrollment ID: I20150909001327
Provider NameRene Chalom
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407816481
PECOS PAC ID: 6800874413
Enrollment ID: I20150910000881
Provider NameSergey Karamnov
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487948790
PECOS PAC ID: 2365759800
Enrollment ID: I20150916002506
Provider NameKristen M Russell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780060889
PECOS PAC ID: 7719294156
Enrollment ID: I20150916002551
Provider NameMargaret C. Connolly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811370620
PECOS PAC ID: 9032426002
Enrollment ID: I20150923002930
Provider NameCharles J Kert
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1023024031
PECOS PAC ID: 2961428537
Enrollment ID: I20150925000784
Provider NameKyle D Hirschman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801175401
PECOS PAC ID: 2466686126
Enrollment ID: I20150929000393
Provider NameLinda S Dorflinger
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1487794202
PECOS PAC ID: 7113988965
Enrollment ID: I20150930001813
Provider NameJessica A Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730569948
PECOS PAC ID: 9436467727
Enrollment ID: I20151007000255
Provider NameJanelle C Laudone
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386936920
PECOS PAC ID: 1951529304
Enrollment ID: I20151013001292
Provider NamePauline F Turley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912384124
PECOS PAC ID: 7315256534
Enrollment ID: I20151028002480
Provider NameHannah Moselsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982071536
PECOS PAC ID: 9739489873
Enrollment ID: I20151123000650
Provider NameMary- Amanda W O'neill
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548550882
PECOS PAC ID: 2466773247
Enrollment ID: I20151211000876
Provider NameTimothy Breitholtz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679646467
PECOS PAC ID: 1759309099
Enrollment ID: I20160107002920
Provider NameEmily-rose M Virden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194193441
PECOS PAC ID: 4082919261
Enrollment ID: I20160225001938
Provider NameAnuj Patel
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1679721617
PECOS PAC ID: 3476771155
Enrollment ID: I20160309000675
Provider NameReza Fazel
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1881795730
PECOS PAC ID: 9234106188
Enrollment ID: I20160321002075
Provider NameCatherine Rose Major
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467437582
PECOS PAC ID: 4981793189
Enrollment ID: I20160407000274
Provider NameChristopher Troy Koch
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114144417
PECOS PAC ID: 6608940226
Enrollment ID: I20160414001195
Provider NameMohammed F Quraishi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871545269
PECOS PAC ID: 8123030814
Enrollment ID: I20160414002182
Provider NameAaron M. Dickstein
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1003059239
PECOS PAC ID: 4082878061
Enrollment ID: I20160609001876
Provider NameJeremy Wortman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548549736
PECOS PAC ID: 7618115577
Enrollment ID: I20160615000714
Provider NameMary E Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245451814
PECOS PAC ID: 5799078200
Enrollment ID: I20160721000516
Provider NameKarissa Brazauskas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1841511185
PECOS PAC ID: 3476711045
Enrollment ID: I20160907000847
Provider NameAnush Sa Sahakian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972942928
PECOS PAC ID: 7810284791
Enrollment ID: I20160920002036
Provider NameChristopher Jackson
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1053601765
PECOS PAC ID: 7719282326
Enrollment ID: I20160921000755
Provider NameLura W Marks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235379496
PECOS PAC ID: 6002973906
Enrollment ID: I20161003001210
Provider NameBrooklyn Bach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780077750
PECOS PAC ID: 6901194000
Enrollment ID: I20161005000757
Provider NameCristina Carpio
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548403165
PECOS PAC ID: 1355639329
Enrollment ID: I20161011000513
Provider NameJana L French
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649619263
PECOS PAC ID: 4284863168
Enrollment ID: I20161012000600
Provider NameNikhil Raswant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669869830
PECOS PAC ID: 1951372374
Enrollment ID: I20161013001522
Provider NameDita Mayer
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1336436187
PECOS PAC ID: 1456642339
Enrollment ID: I20161024000008
Provider NameTendoh F Timoh
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1235371154
PECOS PAC ID: 9537481999
Enrollment ID: I20161104001566
Provider NameJonathan Jaksha
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871555649
PECOS PAC ID: 3274632054
Enrollment ID: I20161108001557
Provider NameEdward C Khalil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922200377
PECOS PAC ID: 8921107228
Enrollment ID: I20161109000140
Provider NameMary Daley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487093282
PECOS PAC ID: 5496054785
Enrollment ID: I20161205000583
Provider NameShannon Patrick Calhoun
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598715278
PECOS PAC ID: 7911804398
Enrollment ID: I20161213002016
Provider NameJason Grennan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1457313314
PECOS PAC ID: 9830179092
Enrollment ID: I20161215001584
Provider NameMatthew Masiello
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720083892
PECOS PAC ID: 5395027841
Enrollment ID: I20170118002658
Provider NameChristina M Vassileva
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1124172135
PECOS PAC ID: 4082752662
Enrollment ID: I20170213000221
Provider NameEmily Popler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558604140
PECOS PAC ID: 4587943253
Enrollment ID: I20170223001964
Provider NameBriana Nicole Torrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184175150
PECOS PAC ID: 9537443999
Enrollment ID: I20170302000677
Provider NameSusan Hilburn
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1396772679
PECOS PAC ID: 3779478995
Enrollment ID: I20170302002038
Provider NameRachael Phelan
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1619360369
PECOS PAC ID: 7416232962
Enrollment ID: I20170323001196
Provider NameMichelle R Martinis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366822967
PECOS PAC ID: 4284943754
Enrollment ID: I20170330000146
Provider NameMary B Gallagher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093258832
PECOS PAC ID: 7517243413
Enrollment ID: I20170407000124
Provider NameDamian E. Dupuy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861480733
PECOS PAC ID: 5799800066
Enrollment ID: I20170407001565
Provider NameSabrina Badloe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427497155
PECOS PAC ID: 7214213826
Enrollment ID: I20170414000349
Provider NameAllison Summers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316926272
PECOS PAC ID: 1052366267
Enrollment ID: I20170420000120
Provider NameNechole E Rudolph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790223121
PECOS PAC ID: 0042596231
Enrollment ID: I20170425001248
Provider NameRuth A Neborsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356890636
PECOS PAC ID: 0840577912
Enrollment ID: I20170428000307
Provider NameJeffrey Dorr
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013279595
PECOS PAC ID: 9436436755
Enrollment ID: I20170515000664
Provider NameDawn Gellar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467985606
PECOS PAC ID: 1658658943
Enrollment ID: I20170516001520
Provider NameJason Edward Derek Saucedo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1528270253
PECOS PAC ID: 1456515543
Enrollment ID: I20170518001928
Provider NameMarlene S Wentworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245665553
PECOS PAC ID: 3476820275
Enrollment ID: I20170526001692
Provider NameAlok Tewari
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1689011397
PECOS PAC ID: 8921315441
Enrollment ID: I20170605001980
Provider NameTracy A Feitor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093240350
PECOS PAC ID: 7012285372
Enrollment ID: I20170612000033
Provider NameJevon Plunkett-rondeau
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952729410
PECOS PAC ID: 5799083622
Enrollment ID: I20170621002128
Provider NameKathleen M Sheridan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720058712
PECOS PAC ID: 4587672068
Enrollment ID: I20170628001407
Provider NameJuan Ramirez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396158382
PECOS PAC ID: 4880811132
Enrollment ID: I20170713000904
Provider NameArvind Von Keudell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1548491335
PECOS PAC ID: 1850546565
Enrollment ID: I20170717002063
Provider NameAnna Prishutova
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164733812
PECOS PAC ID: 0648403303
Enrollment ID: I20170822000521
Provider NameJeffrey Muler
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1285631739
PECOS PAC ID: 4789585886
Enrollment ID: I20170928001783
Provider NameDerin Tugal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1336466523
PECOS PAC ID: 3678846904
Enrollment ID: I20170929000313
Provider NamePaula Kirby-long
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1063566925
PECOS PAC ID: 5294822482
Enrollment ID: I20171004001066
Provider NameVeronica Camara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649796509
PECOS PAC ID: 6608141320
Enrollment ID: I20171005003465
Provider NameJessica Lawrence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235591363
PECOS PAC ID: 4880993104
Enrollment ID: I20171006001406
Provider NameRajeev Sharma
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710309950
PECOS PAC ID: 9335367960
Enrollment ID: I20171030003229
Provider NameNaomi K Pappas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396260196
PECOS PAC ID: 1951677335
Enrollment ID: I20171031000328
Provider NameKathryn Eileen Doherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629437116
PECOS PAC ID: 1355607813
Enrollment ID: I20171116000488
Provider NameSarah West Allen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1942503875
PECOS PAC ID: 9133300379
Enrollment ID: I20171205002742
Provider NameGeorge Madaus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538528385
PECOS PAC ID: 0840557393
Enrollment ID: I20171208000297
Provider NameZsolt T Orban
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275534281
PECOS PAC ID: 0941388185
Enrollment ID: I20171212002245
Provider NameLydia Zhang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235243346
PECOS PAC ID: 5991754244
Enrollment ID: I20171212002448
Provider NameHusein Q Campwala
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1972568533
PECOS PAC ID: 0648456905
Enrollment ID: I20180129000838
Provider NamePatrick B Reeves
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003253410
PECOS PAC ID: 3678880325
Enrollment ID: I20180129002209
Provider NameJanine Zuromski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245492461
PECOS PAC ID: 6204081565
Enrollment ID: I20180130001810
Provider NameAaron Paul Kithcart
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912206608
PECOS PAC ID: 3173752722
Enrollment ID: I20180220000498
Provider NameKatherine Garlo
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1447511878
PECOS PAC ID: 2466686225
Enrollment ID: I20180323001144
Provider NameArthur J Boujoukos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740252832
PECOS PAC ID: 2769416585
Enrollment ID: I20180326002637
Provider NameRichard K Lim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992936744
PECOS PAC ID: 4082864236
Enrollment ID: I20180329000238
Provider NameDaniel Paul Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982920591
PECOS PAC ID: 2264463587
Enrollment ID: I20180413001432
Provider NameKelly H Provencher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790898252
PECOS PAC ID: 6901903772
Enrollment ID: I20180430002125
Provider NameRuth K Mielke
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1316005697
PECOS PAC ID: 8123915972
Enrollment ID: I20180504000318
Provider NamePhilip Daniel Poorvu
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1154683779
PECOS PAC ID: 4789822230
Enrollment ID: I20180515002102
Provider NameEmily R.w. Lopes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669885737
PECOS PAC ID: 1557588852
Enrollment ID: I20180518000590
Provider NameAamer Farooki
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316941859
PECOS PAC ID: 5698768539
Enrollment ID: I20180518000957
Provider NameCharles D Resor
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003040676
PECOS PAC ID: 7214183615
Enrollment ID: I20180518001363
Provider NameFareed Riyaz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023454279
PECOS PAC ID: 7719128347
Enrollment ID: I20180523000111
Provider NameShruti Gupta
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1619314853
PECOS PAC ID: 5294963344
Enrollment ID: I20180530002124
Provider NameJohn Andrew Johnson
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1043650641
PECOS PAC ID: 3678853215
Enrollment ID: I20180611001644
Provider NameJason Selinger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407240120
PECOS PAC ID: 9537468871
Enrollment ID: I20180614000994
Provider NameKara J Perrelli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124196886
PECOS PAC ID: 8921171398
Enrollment ID: I20180620001690
Provider NameLily R Devaraj
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1295153021
PECOS PAC ID: 8022363787
Enrollment ID: I20180620002393
Provider NameBushra A Awidi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265848907
PECOS PAC ID: 2567717143
Enrollment ID: I20180622000941
Provider NameAnish J. Mehta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841672672
PECOS PAC ID: 7517272305
Enrollment ID: I20180628002185
Provider NameAaron W Beck
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1013349315
PECOS PAC ID: 3072869056
Enrollment ID: I20180705000927
Provider NameShawn Braunagel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1154766079
PECOS PAC ID: 7416242037
Enrollment ID: I20180723001728
Provider NameAmr Daia
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306229257
PECOS PAC ID: 8022365709
Enrollment ID: I20180726001471
Provider NameSadip Pant
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1205124724
PECOS PAC ID: 1355563412
Enrollment ID: I20180731001837
Provider NameGustavo J Bauza
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043479595
PECOS PAC ID: 8123250206
Enrollment ID: I20180806000638
Provider NameHaixia Jia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104207430
PECOS PAC ID: 4183890759
Enrollment ID: I20180807002729
Provider NameKimberly Anne O'dell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982123527
PECOS PAC ID: 5799034278
Enrollment ID: I20180816000395
Provider NameJiaxiang Liu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1891175097
PECOS PAC ID: 2961708102
Enrollment ID: I20180827002483
Provider NameWendi A Cardeiro
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962428573
PECOS PAC ID: 4789699067
Enrollment ID: I20180917001262
Provider NameSheridan Fitzgerald Reiger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518349174
PECOS PAC ID: 2567778434
Enrollment ID: I20180925002876
Provider NameChristopher L. Lops
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669892014
PECOS PAC ID: 1557679875
Enrollment ID: I20181004000461
Provider NamePatrice N O'sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225515695
PECOS PAC ID: 0244582104
Enrollment ID: I20181004001537
Provider NameJiahua Li
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700225901
PECOS PAC ID: 4486950110
Enrollment ID: I20181005001422
Provider NameAna Paula Oppenheimer
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1063640092
PECOS PAC ID: 6709051097
Enrollment ID: I20181009002384
Provider NameElias Paris
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962848242
PECOS PAC ID: 7214206952
Enrollment ID: I20181015000475
Provider NameMukti J Patel-prineas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083932990
PECOS PAC ID: 0840439840
Enrollment ID: I20181030002821
Provider NameKathryn E. Twomey
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063755817
PECOS PAC ID: 3971722364
Enrollment ID: I20181115002800
Provider NameLindsay R Lacorte
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285999250
PECOS PAC ID: 8325332430
Enrollment ID: I20181119000594
Provider NameElizabeth M Speed
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598928178
PECOS PAC ID: 9739319765
Enrollment ID: I20181203002908
Provider NameElizabeth Leach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386068807
PECOS PAC ID: 7416291190
Enrollment ID: I20181206002255
Provider NameLuke James Higgins
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316264328
PECOS PAC ID: 3779732946
Enrollment ID: I20181214000085
Provider NameDorothy Dulko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689804726
PECOS PAC ID: 8628124260
Enrollment ID: I20181219000796
Provider NameJennifer D Marlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376018663
PECOS PAC ID: 5294070074
Enrollment ID: I20181226000374
Provider NameReza Zonozi
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1790104115
PECOS PAC ID: 4789807413
Enrollment ID: I20190104000510
Provider NameArtur Velcani
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710211701
PECOS PAC ID: 7214179134
Enrollment ID: I20190111002339
Provider NameHoward J Harvin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548259500
PECOS PAC ID: 4688640543
Enrollment ID: I20190202000153
Provider NameManuel Balderas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851404545
PECOS PAC ID: 6800956962
Enrollment ID: I20190206001480
Provider NameMichael J Oboyle
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1750479598
PECOS PAC ID: 1153311394
Enrollment ID: I20190208001248
Provider NameDaniel M Carr
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801233507
PECOS PAC ID: 2163760430
Enrollment ID: I20190212000667
Provider NameBrian Mikolasko
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346669512
PECOS PAC ID: 5496021768
Enrollment ID: I20190226002091
Provider NameJoan B Keel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942531934
PECOS PAC ID: 8921135401
Enrollment ID: I20190319000733
Provider NameAfolarin Ayomide Amodu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194196410
PECOS PAC ID: 6608116090
Enrollment ID: I20190321001782
Provider NameDhruv Desai
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1265872584
PECOS PAC ID: 7911247978
Enrollment ID: I20190329000519
Provider NameSylwia Karpinski
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1265622302
PECOS PAC ID: 4981745924
Enrollment ID: I20190409002336
Provider NameTony Wang
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013322452
PECOS PAC ID: 9830430388
Enrollment ID: I20190410000186
Provider NameSusane A. Dickson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1194804054
PECOS PAC ID: 4385796002
Enrollment ID: I20190417000656
Provider NameSuzanne Balliett Storch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730115825
PECOS PAC ID: 2264406263
Enrollment ID: I20190418001113
Provider NameNicholas A. Marston
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1851655617
PECOS PAC ID: 1951604305
Enrollment ID: I20190506001803
Provider NameAlexandra O Santilli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205379617
PECOS PAC ID: 6709129950
Enrollment ID: I20190510001032
Provider NameDogan H Temizer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1407847031
PECOS PAC ID: 5395643910
Enrollment ID: I20190514002105
Provider NameBrian George Daggett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114925716
PECOS PAC ID: 9830105592
Enrollment ID: I20190610001294
Provider NameRaj P Shah
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215377981
PECOS PAC ID: 5890042089
Enrollment ID: I20190624001819
Provider NameDipak B Ramkumar
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1639412976
PECOS PAC ID: 3870890809
Enrollment ID: I20190710000838
Provider NamePatrick R Peavy
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1063823094
PECOS PAC ID: 9830415587
Enrollment ID: I20190711001434
Provider NameJoseph William Marchese
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1457694671
PECOS PAC ID: 5294037339
Enrollment ID: I20190723000896
Provider NameJoseph James Vannort
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831138965
PECOS PAC ID: 4284521030
Enrollment ID: I20190725002774
Provider NameAlyssa Horvath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104487719
PECOS PAC ID: 0345576369
Enrollment ID: I20190730000874
Provider NameInes Kurjakovic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821544149
PECOS PAC ID: 9032445895
Enrollment ID: I20190731002966
Provider NameKyla Danielle Huebner
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1356813448
PECOS PAC ID: 8820325277
Enrollment ID: I20190808001627
Provider NameJoshua Lupton
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144612094
PECOS PAC ID: 4183934870
Enrollment ID: I20190812002956
Provider NameKathryn Cambron
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396749867
PECOS PAC ID: 8224016530
Enrollment ID: I20190927001316
Provider NameBamby Forrest
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124684063
PECOS PAC ID: 0446581540
Enrollment ID: I20191003001431
Provider NameAwais Ahmed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316213481
PECOS PAC ID: 3173837242
Enrollment ID: I20191031001067
Provider NameNishi Dedania
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952728966
PECOS PAC ID: 4385954015
Enrollment ID: I20191105000886
Provider NameAshley Tarr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174176374
PECOS PAC ID: 2567894637
Enrollment ID: I20191111001381
Provider NameThomas H Openshaw
Provider TypePractitioner - Hematology
Provider IdentifiersNPI Number: 1588695811
PECOS PAC ID: 8426090382
Enrollment ID: I20191121001018
Provider NameCathy Ann Perkins
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053522615
PECOS PAC ID: 9638168412
Enrollment ID: I20191212000654
Provider NameOmotola T'sarumi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710369376
PECOS PAC ID: 6507290012
Enrollment ID: I20191216001913
Provider NameQi Zheng
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518281542
PECOS PAC ID: 4880982362
Enrollment ID: I20200207000386
Provider NameJason T Wilhelm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245870815
PECOS PAC ID: 4183051584
Enrollment ID: I20200225000919
Provider NameKelly Ann Shine
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1477522472
PECOS PAC ID: 9739247594
Enrollment ID: I20200226002341
Provider NameArkadi Beloiartsev
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1639556988
PECOS PAC ID: 9335454651
Enrollment ID: I20200310002247
Provider NameAdjoa N. Anyane-yeboa
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851666978
PECOS PAC ID: 3072813203
Enrollment ID: I20200326002712
Provider NameHala H Karnib
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1104112259
PECOS PAC ID: 1759513849
Enrollment ID: I20200331002477
Provider NameStanley R Smith
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003802968
PECOS PAC ID: 4082527205
Enrollment ID: I20200401000975
Provider NameEdward John Wyluda
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1477846236
PECOS PAC ID: 3971884586
Enrollment ID: I20200402000552
Provider NameShannon L St. Clair
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881030997
PECOS PAC ID: 3678714268
Enrollment ID: I20200402003686
Provider NameDianne Elizabeth Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306811419
PECOS PAC ID: 7214967561
Enrollment ID: I20200413003622
Provider NameAmbreen Khalil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063564268
PECOS PAC ID: 2163618406
Enrollment ID: I20200429001426
Provider NameJungjin Kim
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1528488376
PECOS PAC ID: 7618228891
Enrollment ID: I20200603002852
Provider NameMatthew Sloan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1801281357
PECOS PAC ID: 1456658954
Enrollment ID: I20200812000134
Provider NameChristina G O'brien
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174052112
PECOS PAC ID: 4385982768
Enrollment ID: I20200817000791
Provider NameRoberto S Amado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518498484
PECOS PAC ID: 4981978996
Enrollment ID: I20200818002188
Provider NameFahad Zafar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1871013755
PECOS PAC ID: 5799101994
Enrollment ID: I20200819000602
Provider NameRebecca Hoppe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922537851
PECOS PAC ID: 0042540668
Enrollment ID: I20200820001343
Provider NameZachary N Gross
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205369527
PECOS PAC ID: 2860762713
Enrollment ID: I20200820001532
Provider NameDenise Kalbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164041166
PECOS PAC ID: 5092131946
Enrollment ID: I20200821002418
Provider NameDavid Grimaldi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1295267391
PECOS PAC ID: 0143593863
Enrollment ID: I20200831000464
Provider NameEric Ray
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1124550967
PECOS PAC ID: 5395018006
Enrollment ID: I20200922000198
Provider NameMary Huerter
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1043502008
PECOS PAC ID: 2264742949
Enrollment ID: I20200923000612
Provider NameTimothy A Conner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750385357
PECOS PAC ID: 6709784119
Enrollment ID: I20200928001370
Provider NameAmmar Taha
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992032577
PECOS PAC ID: 1850538968
Enrollment ID: I20201001002681
Provider NameIngrid Z Hyder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407088446
PECOS PAC ID: 9830518240
Enrollment ID: I20201005002426
Provider NameSarah Harnois
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811429632
PECOS PAC ID: 8022381748
Enrollment ID: I20201006000117
Provider NameDavid Scott Henley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1770518128
PECOS PAC ID: 2769374032
Enrollment ID: I20201019002411
Provider NameChristina Cutter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598235541
PECOS PAC ID: 9638599343
Enrollment ID: I20201019003137
Provider NameGeoffrey Fey
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053415364
PECOS PAC ID: 5799742383
Enrollment ID: I20201020003466
Provider NameJonathan Grant Reed
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588653075
PECOS PAC ID: 3577669928
Enrollment ID: I20201102001769
Provider NameMia Christine Giles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194338871
PECOS PAC ID: 8123438108
Enrollment ID: I20201103000279
Provider NameHussain Khawaja
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1770734436
PECOS PAC ID: 7214100346
Enrollment ID: I20201104002062
Provider NameTatyana A Pankratova
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1013216324
PECOS PAC ID: 9931341864
Enrollment ID: I20201104002451
Provider NameShawn T Stone
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891040689
PECOS PAC ID: 6103103569
Enrollment ID: I20201108000015
Provider NameNatalia Allison-bjoerloew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689936890
PECOS PAC ID: 6204086812
Enrollment ID: I20201118002510
Provider NameKara Margaret Joseph
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1821484106
PECOS PAC ID: 1355654047
Enrollment ID: I20201119002546
Provider NameMarc Hamet
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1295700920
PECOS PAC ID: 7214941756
Enrollment ID: I20201130002483
Provider NamePeter Hsu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003173592
PECOS PAC ID: 1557597176
Enrollment ID: I20201130002622
Provider NameWaheed Jalalzai
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669444246
PECOS PAC ID: 6305816513
Enrollment ID: I20201214000065
Provider NameJulie M Sieben
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396077764
PECOS PAC ID: 3173794245
Enrollment ID: I20201214002687
Provider NameWilson Phu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1770014250
PECOS PAC ID: 4587941562
Enrollment ID: I20201218002494
Provider NameAli Alikhani
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1336582519
PECOS PAC ID: 6204072986
Enrollment ID: I20201219000058
Provider NameOmmar Afzal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154673879
PECOS PAC ID: 5890001077
Enrollment ID: I20210127001160
Provider NameLaura Talamo
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1437416096
PECOS PAC ID: 7810125812
Enrollment ID: I20210326001485
Provider NameMichael Bevilacqua
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1609210632
PECOS PAC ID: 2769621465
Enrollment ID: I20210405000251
Provider NameFang Yu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1811159296
PECOS PAC ID: 9830214154
Enrollment ID: I20210412002111
Provider NameEmily C Gomes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225652639
PECOS PAC ID: 8729497821
Enrollment ID: I20210430001295
Provider NameChristian Noble
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1407137094
PECOS PAC ID: 3577730662
Enrollment ID: I20210503002012
Provider NameJohan Hendrik Leonard Boneschansker
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1124474028
PECOS PAC ID: 4284920703
Enrollment ID: I20210504000877
Provider NameLaura Zanfes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912251729
PECOS PAC ID: 5698918860
Enrollment ID: I20210517000831
Provider NameJake Vrdoljak
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619976230
PECOS PAC ID: 8527253400
Enrollment ID: I20210611002121
Provider NameMichael Cardenas
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1043639081
PECOS PAC ID: 0547486474
Enrollment ID: I20210615002287
Provider NameKelsey M Barber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013268390
PECOS PAC ID: 9032361977
Enrollment ID: I20210624002606
Provider NameZachary A Zanfes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760829030
PECOS PAC ID: 8123377538
Enrollment ID: I20210720000191
Provider NameKayleigh E Eckstrom
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467026955
PECOS PAC ID: 6709289879
Enrollment ID: I20210727002250
Provider NameGina Waitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548457021
PECOS PAC ID: 4486735792
Enrollment ID: I20210806002153
Provider NameKaren G Phillips
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1801992813
PECOS PAC ID: 8729024161
Enrollment ID: I20210825002946
Provider NameLucy Lane
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033478565
PECOS PAC ID: 7911208038
Enrollment ID: I20210907001333
Provider NameJohn M Gaudet
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1326543414
PECOS PAC ID: 0345596458
Enrollment ID: I20211005000256
Provider NameAmy Gianino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033753009
PECOS PAC ID: 4789013871
Enrollment ID: I20211006003305
Provider NameCourtney Emery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104498674
PECOS PAC ID: 6204234057
Enrollment ID: I20211007002877
Provider NameKevin W Marcum
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619166675
PECOS PAC ID: 0042480303
Enrollment ID: I20211101000895
Provider NameJason Robert Divito
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558604876
PECOS PAC ID: 4183981947
Enrollment ID: I20211108001125
Provider NameMonjari Gillian
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265533665
PECOS PAC ID: 4587550876
Enrollment ID: I20211109001606
Provider NameJovielle Dawn Maire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407347925
PECOS PAC ID: 9436548088
Enrollment ID: I20211119001414
Provider NameAlok Tewari
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1689011397
PECOS PAC ID: 8921315441
Enrollment ID: I20211124000195
Provider NameDung B Nguyen
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1891736625
PECOS PAC ID: 3375537590
Enrollment ID: I20211215002025
Provider NameKimberly A Dias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194274415
PECOS PAC ID: 5890075956
Enrollment ID: I20220316003391
Provider NameLawrence Lee
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1134207095
PECOS PAC ID: 5799923330
Enrollment ID: I20220411001127
Provider NameAna Coutinho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346999604
PECOS PAC ID: 3577959741
Enrollment ID: I20220415001249
Provider NameMarat Mavliutov
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1366004335
PECOS PAC ID: 7911394408
Enrollment ID: I20220502002062
Provider NameAbbas H Rupawala
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1649583782
PECOS PAC ID: 4587896667
Enrollment ID: I20220513000527
Provider NameSam J Bloom
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1972063311
PECOS PAC ID: 4880920958
Enrollment ID: I20220523000385
Provider NameEthan Glazener
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1831620475
PECOS PAC ID: 4688900061
Enrollment ID: I20220610002009
Provider NameMuhammad F Khalid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770804759
PECOS PAC ID: 4587807250
Enrollment ID: I20220711000170
Provider NameSiva Patimalla Venkata
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1740412337
PECOS PAC ID: 9032359724
Enrollment ID: I20220719002912
Provider NameNematullah Sharaf
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1386141000
PECOS PAC ID: 3072868298
Enrollment ID: I20220726003786
Provider NameMinal F Cordeiro
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1134649775
PECOS PAC ID: 4880966639
Enrollment ID: I20220802001801
Provider NameHeather Nicole Holland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811645526
PECOS PAC ID: 7618350273
Enrollment ID: I20220815000187
Provider NameVikram Balakumar
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1770924243
PECOS PAC ID: 6406073741
Enrollment ID: I20220815000395
Provider NameJulie Chiu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1184288219
PECOS PAC ID: 2062895162
Enrollment ID: I20220823002399
Provider NameKaren L Vega
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851853030
PECOS PAC ID: 3779810122
Enrollment ID: I20220824002162
Provider NameAlina A Barmanwalla
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1336636695
PECOS PAC ID: 7618351503
Enrollment ID: I20220825003516
Provider NameRavi R Sarpatwari
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669829651
PECOS PAC ID: 7113212440
Enrollment ID: I20220908003151
Provider NameEric Benjamin Mbedi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629538681
PECOS PAC ID: 5799160206
Enrollment ID: I20220920002208
Provider NameIulia Veronica Seaman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417682030
PECOS PAC ID: 9830565019
Enrollment ID: I20221012002834
Provider NameSaqib Masroor
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1932147634
PECOS PAC ID: 3375456551
Enrollment ID: I20221102000825
Provider NameShanil Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154974145
PECOS PAC ID: 5890162309
Enrollment ID: I20221111001434
Provider NameUyanga Batnyam
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1295112241
PECOS PAC ID: 5890024871
Enrollment ID: I20221114002148
Provider NameRichard Dowd
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1528446465
PECOS PAC ID: 5890084552
Enrollment ID: I20221128001664
Provider NameRachel Kossack Golden
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619468220
PECOS PAC ID: 1951779719
Enrollment ID: I20221129001024
Provider NameVinodhini Subramanian
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1013906858
PECOS PAC ID: 4688626930
Enrollment ID: I20221220000705
Provider NameMathew S Lopes
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952714941
PECOS PAC ID: 1951528264
Enrollment ID: I20230124003453
Provider NameMark Dennis Geronimo
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1215132949
PECOS PAC ID: 4082738596
Enrollment ID: I20230131001533
Provider NameLisa A Chapman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265189336
PECOS PAC ID: 1951772862
Enrollment ID: I20230131002512
Provider NameYu Zhao
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1780177758
PECOS PAC ID: 2668722612
Enrollment ID: I20230201001168
Provider NameAria Williams
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1154566412
PECOS PAC ID: 7517112683
Enrollment ID: I20230207003257
Provider NameAnton E Coleman
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1740263227
PECOS PAC ID: 9032196035
Enrollment ID: I20230209002154
Provider NameShaheen Emmanuel Lakhan
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1649585944
PECOS PAC ID: 4082937255
Enrollment ID: I20230216002563
Provider NameRobert Yancey
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1407804792
PECOS PAC ID: 1153395884
Enrollment ID: I20230220001867
Provider NameFauz Miriam Blakely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659021715
PECOS PAC ID: 2365814399
Enrollment ID: I20230220002637
Provider NameRobert C Pease
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1790198596
PECOS PAC ID: 9335364371
Enrollment ID: I20230221002752
Provider NameJerris-stephanie Okonkwo
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710418959
PECOS PAC ID: 4284007394
Enrollment ID: I20230309002933
Provider NameTheresa G Sheehan
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1265504179
PECOS PAC ID: 0345297149
Enrollment ID: I20230322002138
Provider NameBenjamin Thomas Welborn
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1770016263
PECOS PAC ID: 2769751627
Enrollment ID: I20230403001844
Provider NameDanielle Ashley Tully
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497469456
PECOS PAC ID: 0547625337
Enrollment ID: I20230501001249
Provider NameDeborah Jiang
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1700267044
PECOS PAC ID: 3476895152
Enrollment ID: I20230524000294
Provider NameAmber N Edinoff
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144545344
PECOS PAC ID: 8022347319
Enrollment ID: I20230530000788
Provider NameKaitlyn A Dombrowski
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1548889090
PECOS PAC ID: 3577920230
Enrollment ID: I20230612001386
Provider NameLisa Curtain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245795491
PECOS PAC ID: 5597006080
Enrollment ID: I20230619000652
Provider NameMary D Rockas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174010045
PECOS PAC ID: 5092052274
Enrollment ID: I20230718000454
Provider NameMegan E Emmich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104351857
PECOS PAC ID: 9739459561
Enrollment ID: I20230719003271
Provider NameOgnjen Stevanovic
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558802819
PECOS PAC ID: 3577809938
Enrollment ID: I20230817000316
Provider NameDanielle Lynne Pfister
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1649954959
PECOS PAC ID: 0648633693
Enrollment ID: I20230824000996
Provider NameStephanie M Tripathi
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1164113007
PECOS PAC ID: 1355704297
Enrollment ID: I20230825000961
Provider NameRhiannon Chubb
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1184153462
PECOS PAC ID: 2163791062
Enrollment ID: I20230828002868
Provider NameMustafa J Habib
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639655004
PECOS PAC ID: 0749685097
Enrollment ID: I20230912000575
Provider NameAdipong Brickshawana
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1528590106
PECOS PAC ID: 0446673560
Enrollment ID: I20230915002447
Provider NameEric Cheung
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043672421
PECOS PAC ID: 8628364031
Enrollment ID: I20230926001980
Provider NameKerri Jean Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003590316
PECOS PAC ID: 6103270756
Enrollment ID: I20230929002581
Provider NameSarah Grace Simonelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205234390
PECOS PAC ID: 8022463892
Enrollment ID: I20231013001979
Provider NameMadison Sommers Mcnary
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1972292712
PECOS PAC ID: 7416305834
Enrollment ID: I20231127000466
Provider NameTonya Bower
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205303815
PECOS PAC ID: 0648514232
Enrollment ID: I20231208001584
Provider NameSathish Subramanian
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1962922708
PECOS PAC ID: 1759654924
Enrollment ID: I20231208002898
Provider NameHolly Rebecca Womack
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1114556206
PECOS PAC ID: 2365865078
Enrollment ID: I20231221000808
Provider NameMichael N Hitsman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306387907
PECOS PAC ID: 9931531787
Enrollment ID: I20240103004431
Provider NameMorgan Mccarthy Cote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346014453
PECOS PAC ID: 3274984596
Enrollment ID: I20240110004071
Provider NameLena G Liu
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1003376039
PECOS PAC ID: 2961731054
Enrollment ID: I20240229002793
Provider NameSatya Shreenivas
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1699830901
PECOS PAC ID: 9234255415
Enrollment ID: I20240313003612

Reviews and Comments


Radiology in Hyannis, MA

Sleepmed
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 270 Communication Way, Suite 4b, Hyannis, MA 02601
Phone: 978-536-7400    
Cape Holistic Health, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 677 W Main St, Hyannis, MA 02601
Phone: 781-258-7077    
Mid Cape Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 489 Bearses Way, Unit A-4, Hyannis, MA 02601
Phone: 508-771-4095    Fax: 508-771-9466
Mobile Healthcare Services Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 372 Yarmouth Rd, Hyannis, MA 02601
Phone: 774-521-8909    
Cape Cod Internal Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 35 Cedar St, Hyannis, MA 02601
Phone: 508-778-6363    Fax: 508-778-6677
Primary Care Of Cape Cod Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 89 Lewis Bay Rd Unit 4, Hyannis, MA 02601
Phone: 508-418-6600    Fax: 508-796-2177
Harbor Health Services Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 735 Attucks Ln, Hyannis, MA 02601
Phone: 508-778-5420    Fax: 508-778-8747

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.