| Piedmont Hospitalist Physicians Llc | |
|
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085 | |
| (770) 801-2500 | |
| (770) 803-2121 |
| Full Name | Piedmont Hospitalist Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1133 Eagles Landing Pkwy, Stockbridge, Georgia |
| Authorized Official Name and Position | Christy Aquino (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4702713427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Hospitalist Physicians Llc Po Box 102321 Atlanta GA 30368-2321 Ph: (770) 801-2500 | Piedmont Hospitalist Physicians Llc 1133 Eagles Landing Pkwy Stockbridge GA 30281-5085 Ph: (770) 801-2500 |
| NPI Number | 1548219660 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 06/26/2025 |
| Medicare PECOS PAC ID | 1951299163 |
|---|---|
| Medicare Enrollment ID | O20040309000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548219660 | NPI | - | NPPES |
| CB2534 | Other | GA | RR MEDICARE |
| GRP38415 | Other | GA | MEDICARE |
| 522884590A | Medicaid | GA |
| Provider Name | Anita Haugabrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710442 PECOS PAC ID: 6608789292 Enrollment ID: I20031110000572 |
| Provider Name | Andy M Jaffal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316927262 PECOS PAC ID: 3577456557 Enrollment ID: I20040204000307 |
| Provider Name | Laura E Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538165709 PECOS PAC ID: 9638167919 Enrollment ID: I20040505000128 |
| Provider Name | Stanley Wayne Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396729463 PECOS PAC ID: 3375538200 Enrollment ID: I20040618000280 |
| Provider Name | James M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053395129 PECOS PAC ID: 5597750430 Enrollment ID: I20040623000288 |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508837576 PECOS PAC ID: 0042296139 Enrollment ID: I20040629000219 |
| Provider Name | Rotimi B Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427037910 PECOS PAC ID: 8527032614 Enrollment ID: I20040824000918 |
| Provider Name | Amanda L Davis Herin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356377154 PECOS PAC ID: 5597730721 Enrollment ID: I20040831000681 |
| Provider Name | Eric A Awad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578557500 PECOS PAC ID: 7911973391 Enrollment ID: I20040908000599 |
| Provider Name | Radcliff K Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598714545 PECOS PAC ID: 3678541752 Enrollment ID: I20040917000509 |
| Provider Name | Smriti Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730127440 PECOS PAC ID: 0345201570 Enrollment ID: I20041021000504 |
| Provider Name | Jeremy N Meisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679513865 PECOS PAC ID: 6204890817 Enrollment ID: I20041115000077 |
| Provider Name | Willie W Tapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104875012 PECOS PAC ID: 2961466917 Enrollment ID: I20041118000686 |
| Provider Name | Brian L Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588689848 PECOS PAC ID: 4981661782 Enrollment ID: I20041214000138 |
| Provider Name | Heather H Germann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841288925 PECOS PAC ID: 5698744209 Enrollment ID: I20041214000884 |
| Provider Name | Maxcene Oreus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184707879 PECOS PAC ID: 7618930033 Enrollment ID: I20041222000197 |
| Provider Name | Rajeswari C Natarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093883100 PECOS PAC ID: 5597714816 Enrollment ID: I20050113000640 |
| Provider Name | Anedi Gisela Eme-akwari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366553257 PECOS PAC ID: 1850332362 Enrollment ID: I20050516000238 |
| Provider Name | Christopher S Russell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609866839 PECOS PAC ID: 4385685239 Enrollment ID: I20050520000290 |
| Provider Name | Lawrence G Seiden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295709772 PECOS PAC ID: 5698718369 Enrollment ID: I20050603000203 |
| Provider Name | Syed Wasi Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285770347 PECOS PAC ID: 3173567526 Enrollment ID: I20050617000143 |
| Provider Name | Kodjo T Ayertey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053494278 PECOS PAC ID: 0749212918 Enrollment ID: I20050908000633 |
| Provider Name | Emeka Augustus Uwakwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427059096 PECOS PAC ID: 0244255461 Enrollment ID: I20051006000933 |
| Provider Name | Adeel Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225052442 PECOS PAC ID: 1052336187 Enrollment ID: I20051019000109 |
| Provider Name | Efe Efemini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205919990 PECOS PAC ID: 8123044112 Enrollment ID: I20051019000521 |
| Provider Name | Sanjay I Serrao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346204062 PECOS PAC ID: 4880611250 Enrollment ID: I20051026000231 |
| Provider Name | Eze C Ugwueze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710963814 PECOS PAC ID: 3476571126 Enrollment ID: I20051110000667 |
| Provider Name | Nicole E Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740204171 PECOS PAC ID: 0345244497 Enrollment ID: I20060905000205 |
| Provider Name | Abiy Mekoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023064938 PECOS PAC ID: 3678590346 Enrollment ID: I20061212000551 |
| Provider Name | Ernesto Fernandez Beer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063512283 PECOS PAC ID: 7315049509 Enrollment ID: I20070219000212 |
| Provider Name | Jodi Taylor Steed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932158185 PECOS PAC ID: 6406951813 Enrollment ID: I20070413000160 |
| Provider Name | Oyeyemi K Amosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740350255 PECOS PAC ID: 9133229487 Enrollment ID: I20070716000396 |
| Provider Name | Noble C Iwuagwu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811004484 PECOS PAC ID: 4587765375 Enrollment ID: I20070724000215 |
| Provider Name | Bharani Oggu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093805814 PECOS PAC ID: 4587768189 Enrollment ID: I20071113000063 |
| Provider Name | Nina D Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619163698 PECOS PAC ID: 6800979410 Enrollment ID: I20080205000602 |
| Provider Name | Walker G Carter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700962644 PECOS PAC ID: 4284710104 Enrollment ID: I20080318000474 |
| Provider Name | Angela D Swayne |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790885960 PECOS PAC ID: 4880763200 Enrollment ID: I20080527000192 |
| Provider Name | Shreedhar N Nagnur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538168968 PECOS PAC ID: 7618936188 Enrollment ID: I20080603000264 |
| Provider Name | Luminita D Neacsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487668349 PECOS PAC ID: 0749206779 Enrollment ID: I20080605000084 |
| Provider Name | Sonia Camphor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285670166 PECOS PAC ID: 7012915317 Enrollment ID: I20080721000737 |
| Provider Name | Bijay Pandey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942417738 PECOS PAC ID: 5597839266 Enrollment ID: I20080730000351 |
| Provider Name | Nnaemeka Freddy Okaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730281825 PECOS PAC ID: 7911904164 Enrollment ID: I20080811000355 |
| Provider Name | Crystal A Comeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578570644 PECOS PAC ID: 0840365391 Enrollment ID: I20080818000429 |
| Provider Name | Robert W Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659462919 PECOS PAC ID: 5698841609 Enrollment ID: I20080827000343 |
| Provider Name | Fayyaz U Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144319567 PECOS PAC ID: 5294801775 Enrollment ID: I20080908000011 |
| Provider Name | Aduse Opoku Agyemen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235302670 PECOS PAC ID: 1850467911 Enrollment ID: I20080915000142 |
| Provider Name | Stephanie B Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255512984 PECOS PAC ID: 7719055037 Enrollment ID: I20081014000048 |
| Provider Name | Mesha C Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649363599 PECOS PAC ID: 9234298506 Enrollment ID: I20081103000034 |
| Provider Name | Jitendrakumar A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770785727 PECOS PAC ID: 7911066022 Enrollment ID: I20081104000662 |
| Provider Name | Pamela A Clanton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699790964 PECOS PAC ID: 5092724419 Enrollment ID: I20081210000647 |
| Provider Name | Abdul Faisal O Akesode |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376799338 PECOS PAC ID: 4688739352 Enrollment ID: I20090212000114 |
| Provider Name | Olusegun John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174796130 PECOS PAC ID: 2062578164 Enrollment ID: I20090225000299 |
| Provider Name | Ravi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531636 PECOS PAC ID: 7911975560 Enrollment ID: I20090303000308 |
| Provider Name | Joshua A King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814591 PECOS PAC ID: 3779633508 Enrollment ID: I20090617000044 |
| Provider Name | Veeral Kinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881857555 PECOS PAC ID: 2365515152 Enrollment ID: I20090722000342 |
| Provider Name | Laurentia Lascar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124049028 PECOS PAC ID: 2163483868 Enrollment ID: I20090817000464 |
| Provider Name | Brian A Bledsoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710159710 PECOS PAC ID: 5890840631 Enrollment ID: I20090901000143 |
| Provider Name | Chetan A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831328772 PECOS PAC ID: 3779638192 Enrollment ID: I20090908000281 |
| Provider Name | Vishal Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548447105 PECOS PAC ID: 5092860411 Enrollment ID: I20090908000327 |
| Provider Name | Ashish C Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500437 PECOS PAC ID: 8729134523 Enrollment ID: I20090921000151 |
| Provider Name | Nesrudin I Hamid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265604136 PECOS PAC ID: 3274689948 Enrollment ID: I20090922000170 |
| Provider Name | Sandeepkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982849808 PECOS PAC ID: 5092851451 Enrollment ID: I20091015000371 |
| Provider Name | Jeffrey English |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508856790 PECOS PAC ID: 3375681463 Enrollment ID: I20091110000539 |
| Provider Name | Mihai Lascar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194749051 PECOS PAC ID: 3779544101 Enrollment ID: I20091221000407 |
| Provider Name | Mohammed Abdu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760696520 PECOS PAC ID: 3173679487 Enrollment ID: I20100223000361 |
| Provider Name | Tiffaney S Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962653816 PECOS PAC ID: 9739215351 Enrollment ID: I20100407000168 |
| Provider Name | Cheryl Elizabeth Willingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548587264 PECOS PAC ID: 7911037403 Enrollment ID: I20100609000842 |
| Provider Name | Gotam Chand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437318524 PECOS PAC ID: 9638201783 Enrollment ID: I20100726000074 |
| Provider Name | Subhashini Ramesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124225792 PECOS PAC ID: 0143354910 Enrollment ID: I20100816000400 |
| Provider Name | Cesar Y Figueroa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255386835 PECOS PAC ID: 8527955616 Enrollment ID: I20100816000474 |
| Provider Name | Richard Mikilitus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760461305 PECOS PAC ID: 5092831552 Enrollment ID: I20100922000524 |
| Provider Name | Susan J Clymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881858074 PECOS PAC ID: 0648396655 Enrollment ID: I20100928000519 |
| Provider Name | Cherie M Lamb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952573768 PECOS PAC ID: 1456477371 Enrollment ID: I20100929000296 |
| Provider Name | Vipul Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831416304 PECOS PAC ID: 0547452898 Enrollment ID: I20101006000016 |
| Provider Name | Ramesh G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184643678 PECOS PAC ID: 4284614223 Enrollment ID: I20101014000539 |
| Provider Name | Alexandra J Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902111578 PECOS PAC ID: 4981899432 Enrollment ID: I20101110001022 |
| Provider Name | Bamidele Ayotunde Ajibola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644589 PECOS PAC ID: 4082809009 Enrollment ID: I20101116000257 |
| Provider Name | Nana K Britwum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275512329 PECOS PAC ID: 0446232367 Enrollment ID: I20101203000603 |
| Provider Name | Tamar Gabelaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697395 PECOS PAC ID: 8820092638 Enrollment ID: I20101206000247 |
| Provider Name | Barbara Joslow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982669503 PECOS PAC ID: 3678762515 Enrollment ID: I20110107000865 |
| Provider Name | Brandi Patrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124292800 PECOS PAC ID: 3476735309 Enrollment ID: I20110314000426 |
| Provider Name | Anurita Dass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518152495 PECOS PAC ID: 9739365628 Enrollment ID: I20110510000552 |
| Provider Name | Rakshitkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841493830 PECOS PAC ID: 8426234006 Enrollment ID: I20110516000674 |
| Provider Name | Jessica S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063701613 PECOS PAC ID: 4486822350 Enrollment ID: I20110720000142 |
| Provider Name | Eva Beaulieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366603557 PECOS PAC ID: 0547439978 Enrollment ID: I20110801000792 |
| Provider Name | Regina F Ayeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720375165 PECOS PAC ID: 7517137185 Enrollment ID: I20110909002599 |
| Provider Name | Marie-veronique Bielo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043475874 PECOS PAC ID: 1456522804 Enrollment ID: I20110915000731 |
| Provider Name | Michel Tanios |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033365218 PECOS PAC ID: 4385816875 Enrollment ID: I20111005000354 |
| Provider Name | Chinwe N Aligwekwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609037936 PECOS PAC ID: 8426220427 Enrollment ID: I20111018000180 |
| Provider Name | Mark Bradshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316107428 PECOS PAC ID: 6608049275 Enrollment ID: I20111026000362 |
| Provider Name | Edsworth John |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841331881 PECOS PAC ID: 6002905080 Enrollment ID: I20111129000127 |
| Provider Name | Shuconda K Sturdivant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528340056 PECOS PAC ID: 2062670342 Enrollment ID: I20120215000588 |
| Provider Name | Jagdish R Sidhpura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184617599 PECOS PAC ID: 7517067671 Enrollment ID: I20120322000433 |
| Provider Name | Terri L Milburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811262736 PECOS PAC ID: 3375705403 Enrollment ID: I20120507000265 |
| Provider Name | Linda Idun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609047844 PECOS PAC ID: 8224109145 Enrollment ID: I20120523000368 |
| Provider Name | Johnny L Bonner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336306547 PECOS PAC ID: 2062605462 Enrollment ID: I20120705000250 |
| Provider Name | Christopher C Sitler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750519062 PECOS PAC ID: 1850572926 Enrollment ID: I20120718000522 |
| Provider Name | Gregory E Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982832739 PECOS PAC ID: 8820244718 Enrollment ID: I20120808000713 |
| Provider Name | William C Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447568738 PECOS PAC ID: 9436321916 Enrollment ID: I20120827000352 |
| Provider Name | Payal Nanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073741559 PECOS PAC ID: 9436306966 Enrollment ID: I20120905000679 |
| Provider Name | Ikramullah Ahmadani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497702567 PECOS PAC ID: 5294636304 Enrollment ID: I20120926000020 |
| Provider Name | Amy Harrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568620136 PECOS PAC ID: 3173774916 Enrollment ID: I20121105000035 |
| Provider Name | Breanna L Sorace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871844431 PECOS PAC ID: 3678724267 Enrollment ID: I20121107000522 |
| Provider Name | Serge Geffrard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700838273 PECOS PAC ID: 9032132253 Enrollment ID: I20121226000386 |
| Provider Name | Mary O Nwoke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588891261 PECOS PAC ID: 3476707381 Enrollment ID: I20130130000356 |
| Provider Name | Taryn Prestidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790032910 PECOS PAC ID: 8729223912 Enrollment ID: I20130315000370 |
| Provider Name | Atrac Kay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811188006 PECOS PAC ID: 4981849908 Enrollment ID: I20130322000291 |
| Provider Name | Angelica M De Lisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720267263 PECOS PAC ID: 4587754981 Enrollment ID: I20130430000082 |
| Provider Name | Claire Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326369331 PECOS PAC ID: 5799924437 Enrollment ID: I20130610000640 |
| Provider Name | Darin Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497755706 PECOS PAC ID: 6103719604 Enrollment ID: I20130610000733 |
| Provider Name | Kailash Khiani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669747374 PECOS PAC ID: 5597921932 Enrollment ID: I20130614000434 |
| Provider Name | Vijanti Khiani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205143229 PECOS PAC ID: 2567647308 Enrollment ID: I20130701000570 |
| Provider Name | Kimberly A Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336482918 PECOS PAC ID: 3870733009 Enrollment ID: I20130710000860 |
| Provider Name | Shannon Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144482803 PECOS PAC ID: 8820239593 Enrollment ID: I20130723000037 |
| Provider Name | Christopher Whitmore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790006070 PECOS PAC ID: 7517108962 Enrollment ID: I20130726000403 |
| Provider Name | Elrond Y Teo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124230750 PECOS PAC ID: 8325289556 Enrollment ID: I20130730000672 |
| Provider Name | Brendan J Doucette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114267374 PECOS PAC ID: 4587805643 Enrollment ID: I20130801000271 |
| Provider Name | Charles Shannon Bradford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811215643 PECOS PAC ID: 3870735590 Enrollment ID: I20130809000023 |
| Provider Name | Joseph Lavallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871720003 PECOS PAC ID: 4284788803 Enrollment ID: I20130815000761 |
| Provider Name | Krishna Goli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932384427 PECOS PAC ID: 7416033477 Enrollment ID: I20130823000466 |
| Provider Name | Heidi T Woessner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225272941 PECOS PAC ID: 0749428928 Enrollment ID: I20130824000241 |
| Provider Name | Catherine I Onyiuke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750344560 PECOS PAC ID: 9436183944 Enrollment ID: I20130827000900 |
| Provider Name | Ivorie Alexis Drayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629389838 PECOS PAC ID: 4587829064 Enrollment ID: I20130905000498 |
| Provider Name | Omokayode A Omotoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942520036 PECOS PAC ID: 8729222757 Enrollment ID: I20130913000103 |
| Provider Name | Bridget S Etter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477873628 PECOS PAC ID: 8527202852 Enrollment ID: I20130926000260 |
| Provider Name | Zuhair Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881913309 PECOS PAC ID: 5799919676 Enrollment ID: I20131008001276 |
| Provider Name | Darlene R Crittenden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013340314 PECOS PAC ID: 2769617992 Enrollment ID: I20131024001007 |
| Provider Name | Sunil R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780028779 PECOS PAC ID: 7719112606 Enrollment ID: I20131031000293 |
| Provider Name | Ankur Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760702922 PECOS PAC ID: 9931335064 Enrollment ID: I20131120001307 |
| Provider Name | Klepper Alfredo Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477713725 PECOS PAC ID: 9133359375 Enrollment ID: I20140307001128 |
| Provider Name | Mignon Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811328586 PECOS PAC ID: 0042440240 Enrollment ID: I20140310001113 |
| Provider Name | Erin Ann Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336561729 PECOS PAC ID: 4688805963 Enrollment ID: I20140331000511 |
| Provider Name | Sridevi Manginani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609156975 PECOS PAC ID: 0648444646 Enrollment ID: I20140415002219 |
| Provider Name | Abhay J Deshmukh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861726481 PECOS PAC ID: 6305087834 Enrollment ID: I20140506000387 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20140620000795 |
| Provider Name | Curtis Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055790 PECOS PAC ID: 6103041603 Enrollment ID: I20140625001022 |
| Provider Name | Christianah Adekoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548689755 PECOS PAC ID: 6406074293 Enrollment ID: I20140819002383 |
| Provider Name | Isaac Annan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336112234 PECOS PAC ID: 1456311307 Enrollment ID: I20140820000917 |
| Provider Name | Angella Elaine Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609008622 PECOS PAC ID: 7416175567 Enrollment ID: I20140902001838 |
| Provider Name | Blessing N Aneke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326332198 PECOS PAC ID: 7911127790 Enrollment ID: I20140929002124 |
| Provider Name | Candice M Delk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033496625 PECOS PAC ID: 7719108968 Enrollment ID: I20141031001721 |
| Provider Name | Margaret Elaine Abate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710962113 PECOS PAC ID: 3072679125 Enrollment ID: I20141105001251 |
| Provider Name | Pritesh B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548557697 PECOS PAC ID: 2466774658 Enrollment ID: I20141125000249 |
| Provider Name | Marc A Duran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487935631 PECOS PAC ID: 5799007662 Enrollment ID: I20141203001668 |
| Provider Name | Premnath Karre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225341167 PECOS PAC ID: 1052596061 Enrollment ID: I20150228000132 |
| Provider Name | Yolanda M Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427428234 PECOS PAC ID: 0547587362 Enrollment ID: I20150316001147 |
| Provider Name | Odiah E Nwaezeapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215078324 PECOS PAC ID: 6709978968 Enrollment ID: I20150420002070 |
| Provider Name | Christopher Dalinkus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033341078 PECOS PAC ID: 9931233731 Enrollment ID: I20150428000619 |
| Provider Name | Jaymin M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770877813 PECOS PAC ID: 9436397478 Enrollment ID: I20150519001701 |
| Provider Name | Joash T Lazarus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720374754 PECOS PAC ID: 1254652829 Enrollment ID: I20150608001888 |
| Provider Name | Befikir Astil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285900647 PECOS PAC ID: 4789998758 Enrollment ID: I20150804005422 |
| Provider Name | Daisy K Azana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942559893 PECOS PAC ID: 5496061467 Enrollment ID: I20150904002462 |
| Provider Name | Sarita Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740301035 PECOS PAC ID: 8325131097 Enrollment ID: I20150915002012 |
| Provider Name | Nneamaka A Ifechukwude |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821356775 PECOS PAC ID: 0648588327 Enrollment ID: I20150929002559 |
| Provider Name | Hodan Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407112618 PECOS PAC ID: 3971811530 Enrollment ID: I20150930002442 |
| Provider Name | Kapeel Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942439161 PECOS PAC ID: 7012164981 Enrollment ID: I20151020001983 |
| Provider Name | Millicent Ogoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881074912 PECOS PAC ID: 3375852965 Enrollment ID: I20151021003230 |
| Provider Name | Tianna E Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003175431 PECOS PAC ID: 6103060462 Enrollment ID: I20151030000251 |
| Provider Name | Dwayne Lee Chance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508121567 PECOS PAC ID: 6608004825 Enrollment ID: I20151030000574 |
| Provider Name | Alfred Vijay Rathinam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629287776 PECOS PAC ID: 4688768781 Enrollment ID: I20151110001597 |
| Provider Name | Julinkumar Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487881421 PECOS PAC ID: 8729398334 Enrollment ID: I20151111002243 |
| Provider Name | Christopher T. Middendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780970921 PECOS PAC ID: 6002062924 Enrollment ID: I20151124000907 |
| Provider Name | Izzeldin Abdalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760731962 PECOS PAC ID: 9830320092 Enrollment ID: I20151201002615 |
| Provider Name | Kishore Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205084399 PECOS PAC ID: 8729259718 Enrollment ID: I20151204001585 |
| Provider Name | Keerti Kantilal Bhanushali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376851170 PECOS PAC ID: 2567693955 Enrollment ID: I20160106000464 |
| Provider Name | Brenda Kay Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326419201 PECOS PAC ID: 3779886395 Enrollment ID: I20160114001642 |
| Provider Name | Chinonye Nwoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245662139 PECOS PAC ID: 9234432089 Enrollment ID: I20160128000800 |
| Provider Name | Elaine Trieu Wenstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861709073 PECOS PAC ID: 3870732175 Enrollment ID: I20160203001986 |
| Provider Name | Shannon Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487971263 PECOS PAC ID: 6709027436 Enrollment ID: I20160204002026 |
| Provider Name | Moshe Bachar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669736559 PECOS PAC ID: 6204075856 Enrollment ID: I20160223000913 |
| Provider Name | Natasha N Nanpatee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700149911 PECOS PAC ID: 8325343734 Enrollment ID: I20160223002063 |
| Provider Name | Usman Manzoor Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538421243 PECOS PAC ID: 9638473234 Enrollment ID: I20160427000659 |
| Provider Name | Ronald Collier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942466750 PECOS PAC ID: 2466777602 Enrollment ID: I20160513001923 |
| Provider Name | Anna M Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033573266 PECOS PAC ID: 9032409420 Enrollment ID: I20160525002830 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20160812002179 |
| Provider Name | Katherine E Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831335165 PECOS PAC ID: 3173745718 Enrollment ID: I20160815002570 |
| Provider Name | Ray Hinton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669811246 PECOS PAC ID: 1355583741 Enrollment ID: I20160907002526 |
| Provider Name | Theresa D Stembridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740647148 PECOS PAC ID: 0749584506 Enrollment ID: I20160914001973 |
| Provider Name | Marc Neeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194168559 PECOS PAC ID: 2264728435 Enrollment ID: I20160914002134 |
| Provider Name | Arpan Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609118173 PECOS PAC ID: 5496995698 Enrollment ID: I20160922000900 |
| Provider Name | David Paulk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336106475 PECOS PAC ID: 5395041412 Enrollment ID: I20160923000366 |
| Provider Name | Atishi D Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154764777 PECOS PAC ID: 9335371236 Enrollment ID: I20161005001315 |
| Provider Name | Megan H Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760821656 PECOS PAC ID: 5092003145 Enrollment ID: I20161005002674 |
| Provider Name | Marvin L Vaishnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184069510 PECOS PAC ID: 0042512972 Enrollment ID: I20161019002374 |
| Provider Name | Neel G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366738502 PECOS PAC ID: 4183870009 Enrollment ID: I20161025000553 |
| Provider Name | Vincent E Pair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114294188 PECOS PAC ID: 7315113503 Enrollment ID: I20161212000793 |
| Provider Name | Monali P Sidhpura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881038644 PECOS PAC ID: 1456655505 Enrollment ID: I20161215000693 |
| Provider Name | Danielle M Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073913505 PECOS PAC ID: 2264654490 Enrollment ID: I20161219002156 |
| Provider Name | Leslie K Tomek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982647228 PECOS PAC ID: 7214986108 Enrollment ID: I20161220002466 |
| Provider Name | Diana Won Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508200718 PECOS PAC ID: 8820379878 Enrollment ID: I20170105000565 |
| Provider Name | David August Schulte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255680096 PECOS PAC ID: 5799092243 Enrollment ID: I20170110001883 |
| Provider Name | Sherre Adukwa-quaynor Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518403054 PECOS PAC ID: 8820372857 Enrollment ID: I20170310001238 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20170419002897 |
| Provider Name | Keldreca Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447797600 PECOS PAC ID: 5799062501 Enrollment ID: I20170504000954 |
| Provider Name | Chioma Vivian Udogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487825667 PECOS PAC ID: 2163588963 Enrollment ID: I20170601000277 |
| Provider Name | Vinil Sidhpura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679917488 PECOS PAC ID: 9638447600 Enrollment ID: I20170615000533 |
| Provider Name | Ronnie Marrache |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821172396 PECOS PAC ID: 7214911544 Enrollment ID: I20170621003240 |
| Provider Name | Roger Vega Blanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983114 PECOS PAC ID: 0648540294 Enrollment ID: I20170714001298 |
| Provider Name | Amber Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023438553 PECOS PAC ID: 8527360585 Enrollment ID: I20170815003194 |
| Provider Name | Sarubh Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043544992 PECOS PAC ID: 4486800711 Enrollment ID: I20170821000147 |
| Provider Name | Chinyelu Nwasike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164839148 PECOS PAC ID: 9537484696 Enrollment ID: I20170831002418 |
| Provider Name | Trammell Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881012029 PECOS PAC ID: 0244535920 Enrollment ID: I20170905003087 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20170908002747 |
| Provider Name | Dora Dominguez-diaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447667803 PECOS PAC ID: 3375816390 Enrollment ID: I20170913000855 |
| Provider Name | Guimy Alexis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194145987 PECOS PAC ID: 3779857529 Enrollment ID: I20170918003837 |
| Provider Name | Kumud Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396969218 PECOS PAC ID: 4789855628 Enrollment ID: I20170925002639 |
| Provider Name | My Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659798122 PECOS PAC ID: 3173822582 Enrollment ID: I20171009000715 |
| Provider Name | Bhavesh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649681750 PECOS PAC ID: 7517258536 Enrollment ID: I20171009002888 |
| Provider Name | Rolondo Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073933800 PECOS PAC ID: 9931401866 Enrollment ID: I20171013001862 |
| Provider Name | Mohammedkomel I Momin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518226026 PECOS PAC ID: 9032374202 Enrollment ID: I20171018000874 |
| Provider Name | Laura Ashley Booth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992032973 PECOS PAC ID: 1759529654 Enrollment ID: I20171019000278 |
| Provider Name | Osarenomase Egharevba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083913230 PECOS PAC ID: 8527284520 Enrollment ID: I20171221001338 |
| Provider Name | Anna Katema |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891051231 PECOS PAC ID: 7315205259 Enrollment ID: I20171221002377 |
| Provider Name | Schvon Bussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093139693 PECOS PAC ID: 4284994138 Enrollment ID: I20180214001045 |
| Provider Name | Helio J Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821416108 PECOS PAC ID: 2163788290 Enrollment ID: I20180530002604 |
| Provider Name | Amy Saulsby-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053711747 PECOS PAC ID: 5890019178 Enrollment ID: I20180609000062 |
| Provider Name | Sarah Latif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023364965 PECOS PAC ID: 0648414318 Enrollment ID: I20180625000083 |
| Provider Name | Farhan Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912318940 PECOS PAC ID: 3375832025 Enrollment ID: I20180710001687 |
| Provider Name | Dilesh J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114338944 PECOS PAC ID: 5395066963 Enrollment ID: I20180725003161 |
| Provider Name | Pruthu P Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871892547 PECOS PAC ID: 3971816117 Enrollment ID: I20180803002017 |
| Provider Name | Mallikarjun Samala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093101511 PECOS PAC ID: 6709182157 Enrollment ID: I20180813002143 |
| Provider Name | Arsezahra Momin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033592852 PECOS PAC ID: 1759672926 Enrollment ID: I20180905001915 |
| Provider Name | Antonia Ashade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770829798 PECOS PAC ID: 8325331150 Enrollment ID: I20180918000651 |
| Provider Name | Donald Ford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902286743 PECOS PAC ID: 7214288745 Enrollment ID: I20180924000567 |
| Provider Name | Taiwo Sheyin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285019885 PECOS PAC ID: 3173874443 Enrollment ID: I20180925004270 |
| Provider Name | David Ezriel Katz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720006539 PECOS PAC ID: 0749357531 Enrollment ID: I20180926000945 |
| Provider Name | Jessica Visser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912249756 PECOS PAC ID: 6901185784 Enrollment ID: I20181005002241 |
| Provider Name | Candice Cheryl Darville |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871835520 PECOS PAC ID: 2062764814 Enrollment ID: I20181006000049 |
| Provider Name | Simone Cherie Nicole Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912494238 PECOS PAC ID: 8325390917 Enrollment ID: I20181009003407 |
| Provider Name | Lesa-marie Mckinley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851779359 PECOS PAC ID: 6103178595 Enrollment ID: I20181012001666 |
| Provider Name | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255609186 PECOS PAC ID: 2163678723 Enrollment ID: I20181018003122 |
| Provider Name | Jerian Kishma Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891277612 PECOS PAC ID: 2668725144 Enrollment ID: I20181030003325 |
| Provider Name | Emily Nance Mason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649690967 PECOS PAC ID: 1557585940 Enrollment ID: I20181108001188 |
| Provider Name | Salome Sookdieopersad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137520 PECOS PAC ID: 7214171461 Enrollment ID: I20181127001380 |
| Provider Name | Dominique Leon Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063903615 PECOS PAC ID: 8527302884 Enrollment ID: I20181128000943 |
| Provider Name | Karl Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124295332 PECOS PAC ID: 4587983861 Enrollment ID: I20190111001789 |
| Provider Name | Andrew Alexander Ke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265826341 PECOS PAC ID: 6204131436 Enrollment ID: I20190219000189 |
| Provider Name | Marie Leblanc-riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790145563 PECOS PAC ID: 5698014512 Enrollment ID: I20190311001827 |
| Provider Name | William Patrick Roche |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326396490 PECOS PAC ID: 9638479975 Enrollment ID: I20190313001229 |
| Provider Name | Jacquelyn Miranda Trammell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730644980 PECOS PAC ID: 5496095564 Enrollment ID: I20190327002828 |
| Provider Name | Sonia Brar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487965364 PECOS PAC ID: 8224271168 Enrollment ID: I20190418002464 |
| Provider Name | Ameet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548667934 PECOS PAC ID: 2961773585 Enrollment ID: I20190503000579 |
| Provider Name | Joy Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265996417 PECOS PAC ID: 3375886955 Enrollment ID: I20190522002480 |
| Provider Name | Arturo Gilberto Torres |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871657221 PECOS PAC ID: 4587980057 Enrollment ID: I20190606000039 |
| Provider Name | Nurat Abiola Aro-lambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336623487 PECOS PAC ID: 8527391432 Enrollment ID: I20190607002562 |
| Provider Name | Meron Abraha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528412558 PECOS PAC ID: 1951694553 Enrollment ID: I20190626003991 |
| Provider Name | Ngozi Ifeadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811342587 PECOS PAC ID: 8426340654 Enrollment ID: I20190720000025 |
| Provider Name | Joshua Thomas Wewel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700149184 PECOS PAC ID: 8325338585 Enrollment ID: I20190731003413 |
| Provider Name | Matthew Leo Morton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770903676 PECOS PAC ID: 1951603760 Enrollment ID: I20190808003658 |
| Provider Name | Olufunsho K Adekunle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275982209 PECOS PAC ID: 4486940673 Enrollment ID: I20190812003583 |
| Provider Name | Folake Kofo-idowu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174937858 PECOS PAC ID: 2668775248 Enrollment ID: I20190918001920 |
| Provider Name | Shawn Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922462704 PECOS PAC ID: 8123358926 Enrollment ID: I20190920002037 |
| Provider Name | Kevin Sullivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346656170 PECOS PAC ID: 2769751833 Enrollment ID: I20190925000994 |
| Provider Name | Mwamba Mwila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629427570 PECOS PAC ID: 8426388695 Enrollment ID: I20191001003271 |
| Provider Name | Jaipal Makhija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720419914 PECOS PAC ID: 5597984674 Enrollment ID: I20191015000351 |
| Provider Name | Pearl Amoako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013482975 PECOS PAC ID: 3678804804 Enrollment ID: I20191018001797 |
| Provider Name | Pooja Rani Makhija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891141636 PECOS PAC ID: 1456683432 Enrollment ID: I20191023003067 |
| Provider Name | Linda Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982050969 PECOS PAC ID: 6608163530 Enrollment ID: I20191029001891 |
| Provider Name | Shivani P Anumolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215382304 PECOS PAC ID: 4880026301 Enrollment ID: I20191120003360 |
| Provider Name | Nanna Frimpong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306291448 PECOS PAC ID: 1759714512 Enrollment ID: I20191209002045 |
| Provider Name | Ivania T Irby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205369253 PECOS PAC ID: 3678808672 Enrollment ID: I20191212002845 |
| Provider Name | Stacey Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245794387 PECOS PAC ID: 1456786912 Enrollment ID: I20200111000041 |
| Provider Name | Deepa Nankani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033496948 PECOS PAC ID: 1850517582 Enrollment ID: I20200115003080 |
| Provider Name | Caroline Alena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528395696 PECOS PAC ID: 8527208214 Enrollment ID: I20200117002402 |
| Provider Name | Josephine U Anuforo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366898330 PECOS PAC ID: 5597190322 Enrollment ID: I20200123003171 |
| Provider Name | Andre Levester Mccollough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316294200 PECOS PAC ID: 4587964549 Enrollment ID: I20200204002840 |
| Provider Name | Brielle Cartwright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710484969 PECOS PAC ID: 7113252164 Enrollment ID: I20200224000342 |
| Provider Name | Vibhu Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033315965 PECOS PAC ID: 6901979111 Enrollment ID: I20200301000008 |
| Provider Name | Irlande Robillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558515387 PECOS PAC ID: 8426348913 Enrollment ID: I20200312001478 |
| Provider Name | Neeraja Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1124442181 PECOS PAC ID: 7810325933 Enrollment ID: I20200323002825 |
| Provider Name | Nkechinyere Angela Obiefuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417103417 PECOS PAC ID: 0143368951 Enrollment ID: I20200330000030 |
| Provider Name | Michael Stiefel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427111681 PECOS PAC ID: 7911973417 Enrollment ID: I20200402003585 |
| Provider Name | Aimee Bolstein Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679106298 PECOS PAC ID: 5496184913 Enrollment ID: I20200405000217 |
| Provider Name | Jatan J Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893646 PECOS PAC ID: 4789978289 Enrollment ID: I20200420000434 |
| Provider Name | Danny Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114558723 PECOS PAC ID: 8123458692 Enrollment ID: I20200423003039 |
| Provider Name | Mary Y Truitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093129975 PECOS PAC ID: 8022312719 Enrollment ID: I20200504002878 |
| Provider Name | Brainerd Ese Ewarien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881089936 PECOS PAC ID: 6103172788 Enrollment ID: I20200515001716 |
| Provider Name | Audra Turbeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558997619 PECOS PAC ID: 7810328283 Enrollment ID: I20200519002240 |
| Provider Name | Jennifer Real |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598779191 PECOS PAC ID: 6608884267 Enrollment ID: I20200611003364 |
| Provider Name | Janet Rono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467015818 PECOS PAC ID: 2668894700 Enrollment ID: I20200618003003 |
| Provider Name | Tejumade Adelore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316493638 PECOS PAC ID: 5193148625 Enrollment ID: I20200630003492 |
| Provider Name | Jay Jagdish Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801327804 PECOS PAC ID: 2860762564 Enrollment ID: I20200708001737 |
| Provider Name | Mark Lelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437682853 PECOS PAC ID: 4486929007 Enrollment ID: I20200717000610 |
| Provider Name | Reginald Hurtt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659892792 PECOS PAC ID: 3375967441 Enrollment ID: I20200722000898 |
| Provider Name | Getnet Tioum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972036721 PECOS PAC ID: 2769808781 Enrollment ID: I20200820001360 |
| Provider Name | Andrew Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790305746 PECOS PAC ID: 9739506437 Enrollment ID: I20200826001760 |
| Provider Name | Jessica P Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20200903003026 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20200903003664 |
| Provider Name | Mazen A Almidani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20200904000149 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20200904000622 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20200908002053 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20200912000081 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20200914000215 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20200915000330 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20200916002388 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200917000495 |
| Provider Name | Neil Linder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821442559 PECOS PAC ID: 0446582290 Enrollment ID: I20200917001604 |
| Provider Name | Tolawak Beyene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730522202 PECOS PAC ID: 7416244306 Enrollment ID: I20200918000509 |
| Provider Name | Lori D Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407464183 PECOS PAC ID: 9638597842 Enrollment ID: I20200918002098 |
| Provider Name | Mark Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20200919000127 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20200922001479 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20200928001489 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20201005002077 |
| Provider Name | Kelley M Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073174579 PECOS PAC ID: 5193142065 Enrollment ID: I20201007000430 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20201009001386 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20201012000002 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20201012000528 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20201013003055 |
| Provider Name | Vivek Baluja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538205539 PECOS PAC ID: 0143408989 Enrollment ID: I20201015001088 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20201019001615 |
| Provider Name | Kathleen Alexis Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992310718 PECOS PAC ID: 8022438548 Enrollment ID: I20201021001633 |
| Provider Name | Chad Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538472899 PECOS PAC ID: 5395974240 Enrollment ID: I20201026001067 |
| Provider Name | Gargi Schneider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114293735 PECOS PAC ID: 7214238559 Enrollment ID: I20201030001258 |
| Provider Name | James W Corley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720512072 PECOS PAC ID: 1456680123 Enrollment ID: I20201106002153 |
| Provider Name | Mary Katherine Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861644809 PECOS PAC ID: 6608286281 Enrollment ID: I20201110003426 |
| Provider Name | Michael Bobrov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306372289 PECOS PAC ID: 0648681437 Enrollment ID: I20201130002513 |
| Provider Name | Adeel Choudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497140081 PECOS PAC ID: 2567736663 Enrollment ID: I20201215000369 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210105002994 |
| Provider Name | Kevin E Immanuel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962664615 PECOS PAC ID: 1355567157 Enrollment ID: I20210113002111 |
| Provider Name | Aleksandr Shikhman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578988390 PECOS PAC ID: 1052530144 Enrollment ID: I20210119002956 |
| Provider Name | Devin Vaishnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184149130 PECOS PAC ID: 4789959255 Enrollment ID: I20210127003616 |
| Provider Name | Vimal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639556657 PECOS PAC ID: 8022319409 Enrollment ID: I20210129000132 |
| Provider Name | Anh T Nguyen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073826467 PECOS PAC ID: 1759694292 Enrollment ID: I20210201002388 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20210203001254 |
| Provider Name | John Pham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326429002 PECOS PAC ID: 2668776188 Enrollment ID: I20210217000700 |
| Provider Name | Uzoma Anaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942568233 PECOS PAC ID: 6002186087 Enrollment ID: I20210228000022 |
| Provider Name | Rebecca Jentzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750518635 PECOS PAC ID: 7517123276 Enrollment ID: I20210331000093 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20210331000606 |
| Provider Name | Asma Zakaria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346407657 PECOS PAC ID: 4688727084 Enrollment ID: I20210507000396 |
| Provider Name | Jayne Hee Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740444751 PECOS PAC ID: 5698842094 Enrollment ID: I20210512000037 |
| Provider Name | Liliana Aguilar-pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982202099 PECOS PAC ID: 0648689943 Enrollment ID: I20210517000768 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20210528001915 |
| Provider Name | Endale Sisay Mengesha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528556891 PECOS PAC ID: 6002215704 Enrollment ID: I20210601000487 |
| Provider Name | Orlando W Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730572793 PECOS PAC ID: 7517248677 Enrollment ID: I20210615002787 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20210617002328 |
| Provider Name | Samuel Ikechukwu Ogbuchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912403320 PECOS PAC ID: 0042610537 Enrollment ID: I20210621003384 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20210630001876 |
| Provider Name | Dimitry Olivier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619246568 PECOS PAC ID: 5092961383 Enrollment ID: I20210715001284 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20210729001921 |
| Provider Name | Fahad K Choudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477057461 PECOS PAC ID: 3577803246 Enrollment ID: I20210802001446 |
| Provider Name | Saheed Olaleye Soleye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225533987 PECOS PAC ID: 1254735038 Enrollment ID: I20210802003301 |
| Provider Name | Gabriel Menendez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619400520 PECOS PAC ID: 4183901960 Enrollment ID: I20210803001378 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20210803001514 |
| Provider Name | Samuel Quaynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215319710 PECOS PAC ID: 6507175569 Enrollment ID: I20210803003503 |
| Provider Name | Yonte Burnam Wright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841796000 PECOS PAC ID: 4284038803 Enrollment ID: I20210804001760 |
| Provider Name | Susan Audet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669912143 PECOS PAC ID: 6800846791 Enrollment ID: I20210812002231 |
| Provider Name | Bannur Ramanna Nandeesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003304619 PECOS PAC ID: 3971907882 Enrollment ID: I20210813000907 |
| Provider Name | Madhuri Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932649514 PECOS PAC ID: 3072884998 Enrollment ID: I20210817002917 |
| Provider Name | Amisha Atul Kadiwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376034215 PECOS PAC ID: 3870998149 Enrollment ID: I20210825000500 |
| Provider Name | Basilio Nii Ayitey Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124515838 PECOS PAC ID: 3476958422 Enrollment ID: I20210830000786 |
| Provider Name | Abiot Lemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184111411 PECOS PAC ID: 6103222658 Enrollment ID: I20210908002350 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20210915000645 |
| Provider Name | Neelima Nimmagadda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912238643 PECOS PAC ID: 1254455538 Enrollment ID: I20210915003229 |
| Provider Name | Brian D Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770057788 PECOS PAC ID: 9739419516 Enrollment ID: I20210922003151 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20211013001234 |
| Provider Name | Starane Shepherd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922391523 PECOS PAC ID: 8527375336 Enrollment ID: I20211019001495 |
| Provider Name | Precious Oghenefejiro Odunvbun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881185387 PECOS PAC ID: 0143618249 Enrollment ID: I20211021003009 |
| Provider Name | Mary Hannah Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275122616 PECOS PAC ID: 1850789736 Enrollment ID: I20211026001736 |
| Provider Name | Abiodun Laoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255754198 PECOS PAC ID: 9335459601 Enrollment ID: I20211105002419 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20211111001051 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20211111001526 |
| Provider Name | Marlyn Lake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952405318 PECOS PAC ID: 4486754074 Enrollment ID: I20211111002823 |
| Provider Name | Showanna L Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508495268 PECOS PAC ID: 7719376367 Enrollment ID: I20211119001373 |
| Provider Name | Nattasha Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20211120000037 |
| Provider Name | Zuzana Barbret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568067924 PECOS PAC ID: 8921498064 Enrollment ID: I20211206000638 |
| Provider Name | Philippe Gerard Douyon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306169487 PECOS PAC ID: 3072755396 Enrollment ID: I20211208002491 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20211211000165 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20211212000000 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20211213000506 |
| Provider Name | Danielle L Stembridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023689049 PECOS PAC ID: 3072904499 Enrollment ID: I20211220000830 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20211229001408 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220103001990 |
| Provider Name | Satinder K Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20220106000458 |
| Provider Name | Jabulani Sidile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164650743 PECOS PAC ID: 9830312842 Enrollment ID: I20220106001158 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20220118000061 |
| Provider Name | Guha K Venkatraman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356517593 PECOS PAC ID: 3476721887 Enrollment ID: I20220124001538 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20220127001075 |
| Provider Name | Kathleen Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699426908 PECOS PAC ID: 3870986821 Enrollment ID: I20220215001930 |
| Provider Name | Mohammad Annaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962481168 PECOS PAC ID: 1658385638 Enrollment ID: I20220310001930 |
| Provider Name | Mohammad Naghz Ahmad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588315667 PECOS PAC ID: 2264827773 Enrollment ID: I20220321000970 |
| Provider Name | Jewell Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568789212 PECOS PAC ID: 5496140873 Enrollment ID: I20220322000878 |
| Provider Name | Peter Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255996781 PECOS PAC ID: 3678801974 Enrollment ID: I20220413000988 |
| Provider Name | Jina Kiele Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609525492 PECOS PAC ID: 9335536267 Enrollment ID: I20220425001023 |
| Provider Name | Sparkle Toland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801228895 PECOS PAC ID: 8729215116 Enrollment ID: I20220426002260 |
| Provider Name | Elizabeth Laird Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062053 PECOS PAC ID: 4082001789 Enrollment ID: I20220427002976 |
| Provider Name | Wendi I Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220509001692 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220511000934 |
| Provider Name | Dipal N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922568203 PECOS PAC ID: 1153700505 Enrollment ID: I20220615002578 |
| Provider Name | Evan Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023547890 PECOS PAC ID: 2567853666 Enrollment ID: I20220620000572 |
| Provider Name | Mahmoud Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982157400 PECOS PAC ID: 6002151461 Enrollment ID: I20220628002133 |
| Provider Name | Michele Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336465160 PECOS PAC ID: 1052504545 Enrollment ID: I20220713002208 |
| Provider Name | Silu Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578050399 PECOS PAC ID: 4688923543 Enrollment ID: I20220714000535 |
| Provider Name | Amr K Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538722483 PECOS PAC ID: 0143555896 Enrollment ID: I20220726000387 |
| Provider Name | Fnu Samarta Alias Monika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982268579 PECOS PAC ID: 6103152582 Enrollment ID: I20220803001229 |
| Provider Name | Brittany M Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508329426 PECOS PAC ID: 9537493184 Enrollment ID: I20220803002476 |
| Provider Name | Amna Ramzan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063953297 PECOS PAC ID: 0244612356 Enrollment ID: I20220805003134 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220809002600 |
| Provider Name | Fawad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659827921 PECOS PAC ID: 6103112354 Enrollment ID: I20220817000592 |
| Provider Name | John Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043251648 PECOS PAC ID: 0840294773 Enrollment ID: I20220817003421 |
| Provider Name | Manjit Pakkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821358003 PECOS PAC ID: 7719143379 Enrollment ID: I20220818001473 |
| Provider Name | Viral Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508126780 PECOS PAC ID: 5395901854 Enrollment ID: I20220821000000 |
| Provider Name | Gasim Elshazali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922128339 PECOS PAC ID: 3274661889 Enrollment ID: I20220822000736 |
| Provider Name | Bertine Metago Lundberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821231861 PECOS PAC ID: 9335523349 Enrollment ID: I20220824003617 |
| Provider Name | Maria Micaela Schachter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477083343 PECOS PAC ID: 4082985791 Enrollment ID: I20220825002761 |
| Provider Name | Kajal Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184183469 PECOS PAC ID: 3476888207 Enrollment ID: I20220829002279 |
| Provider Name | Dominic Amakye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760045223 PECOS PAC ID: 1153719273 Enrollment ID: I20220902000189 |
| Provider Name | Swetha Priya Chaparala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295398964 PECOS PAC ID: 7618352733 Enrollment ID: I20220909002050 |
| Provider Name | Leondus Samuel Mciver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437612017 PECOS PAC ID: 2062897002 Enrollment ID: I20220912003610 |
| Provider Name | Janvi H Wadiwala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457914616 PECOS PAC ID: 9739415225 Enrollment ID: I20220919000384 |
| Provider Name | Steven J Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220922003208 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220927000895 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20220927002120 |
| Provider Name | Anna Babaie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669905568 PECOS PAC ID: 3577837210 Enrollment ID: I20220927003102 |
| Provider Name | Rizwan Shahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467854992 PECOS PAC ID: 8123393287 Enrollment ID: I20221005003810 |
| Provider Name | Kyle William Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20221011002399 |
| Provider Name | Malesse B Waje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790138451 PECOS PAC ID: 6800140682 Enrollment ID: I20221012001061 |
| Provider Name | Sheyar Wala Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720511769 PECOS PAC ID: 7517357783 Enrollment ID: I20221012003643 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20221024000260 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20221024002718 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20221025000777 |
| Provider Name | Iman Dabiri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841721628 PECOS PAC ID: 5799058194 Enrollment ID: I20221026001220 |
| Provider Name | Christopher Uzochukwu Esonu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417453135 PECOS PAC ID: 3173871191 Enrollment ID: I20221026002331 |
| Provider Name | Hau P Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861050866 PECOS PAC ID: 4789919929 Enrollment ID: I20221026002727 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20221027000727 |
| Provider Name | Nishedh Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023538337 PECOS PAC ID: 1951672757 Enrollment ID: I20221031001277 |
| Provider Name | Marta Anna Gaertig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376006957 PECOS PAC ID: 7214304435 Enrollment ID: I20221101001215 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20221115002904 |
| Provider Name | Ebunoluwa Onafalujo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447749932 PECOS PAC ID: 6305189184 Enrollment ID: I20221117001335 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20221128002262 |
| Provider Name | Anand Sarma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285961375 PECOS PAC ID: 9830333111 Enrollment ID: I20221208001547 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20221213001184 |
| Provider Name | Bashir Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659537827 PECOS PAC ID: 5799932406 Enrollment ID: I20221222001751 |
| Provider Name | Eric Lamarr Elmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891420121 PECOS PAC ID: 1153791322 Enrollment ID: I20230104001147 |
| Provider Name | Christopher Bourean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851823231 PECOS PAC ID: 6204100258 Enrollment ID: I20230104002632 |
| Provider Name | Dileep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538545918 PECOS PAC ID: 1951663814 Enrollment ID: I20230104002965 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20230131001580 |
| Provider Name | Hisham Abdelmotilib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417445677 PECOS PAC ID: 3870840747 Enrollment ID: I20230131002677 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20230222001572 |
| Provider Name | Jasmine Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124730593 PECOS PAC ID: 2567835291 Enrollment ID: I20230228002748 |
| Provider Name | Lorraine Rufaro Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619682093 PECOS PAC ID: 8123491313 Enrollment ID: I20230309001253 |
| Provider Name | Diana Alsbrook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942798004 PECOS PAC ID: 1759639891 Enrollment ID: I20230320001010 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20230321001472 |
| Provider Name | Veronica Ikonge Gichana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477296739 PECOS PAC ID: 2769857960 Enrollment ID: I20230330002791 |
| Provider Name | Chris Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114362613 PECOS PAC ID: 7416196639 Enrollment ID: I20230330003055 |
| Provider Name | Anna Barminova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790292100 PECOS PAC ID: 0345659710 Enrollment ID: I20230403000678 |
| Provider Name | Edward Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20230404000536 |
| Provider Name | Brian Birdsong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841750031 PECOS PAC ID: 2264762053 Enrollment ID: I20230404001015 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20230406001927 |
| Provider Name | William F Dotson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033343579 PECOS PAC ID: 7719103332 Enrollment ID: I20230425000516 |
| Provider Name | Roshawn Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134758972 PECOS PAC ID: 2961867098 Enrollment ID: I20230425002032 |
| Provider Name | Mark Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230427002887 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20230428000180 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230501001956 |
| Provider Name | Mallory Noelle Luckey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770932170 PECOS PAC ID: 4183902356 Enrollment ID: I20230502000494 |
| Provider Name | Kristen Whitlock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20230503000305 |
| Provider Name | Felix Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20230503000677 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230504002785 |
| Provider Name | Bradley Marc Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230524001077 |
| Provider Name | Chinmaya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508481003 PECOS PAC ID: 0345663688 Enrollment ID: I20230615002090 |
| Provider Name | Gary Jonathan Myrthil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649835125 PECOS PAC ID: 3072848688 Enrollment ID: I20230619000600 |
| Provider Name | Onoriode Kesiena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740819523 PECOS PAC ID: 6800294422 Enrollment ID: I20230619000759 |
| Provider Name | Victor Vahid Lami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073969523 PECOS PAC ID: 4183055478 Enrollment ID: I20230621002570 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230626000567 |
| Provider Name | Thomas Augustin Scofield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205484524 PECOS PAC ID: 2163845298 Enrollment ID: I20230628001510 |
| Provider Name | Oluwaremilekun Z Tolu-akinnawo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447888128 PECOS PAC ID: 4284093196 Enrollment ID: I20230710001842 |
| Provider Name | Emily Anne Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992426803 PECOS PAC ID: 9830559152 Enrollment ID: I20230719000199 |
| Provider Name | Nirav Bipinkumar Zalavadiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386264919 PECOS PAC ID: 9638590896 Enrollment ID: I20230724000391 |
| Provider Name | Zeeshan Ajmal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619533031 PECOS PAC ID: 1951639319 Enrollment ID: I20230725002058 |
| Provider Name | Demareo Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588003479 PECOS PAC ID: 6800181801 Enrollment ID: I20230725002867 |
| Provider Name | Njika Atemnkeng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548870298 PECOS PAC ID: 6709251648 Enrollment ID: I20230731000067 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20230801001426 |
| Provider Name | Yussuf Ismail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841796745 PECOS PAC ID: 9638577604 Enrollment ID: I20230808001437 |
| Provider Name | Estella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20230811001071 |
| Provider Name | Thinn Ei San |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760002307 PECOS PAC ID: 6002219334 Enrollment ID: I20230814002265 |
| Provider Name | Tinuola Omoniyi Andre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083238448 PECOS PAC ID: 5991177305 Enrollment ID: I20230824001094 |
| Provider Name | Parth Sheth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184114837 PECOS PAC ID: 8729325089 Enrollment ID: I20230824002376 |
| Provider Name | Parham Jeff Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20230824003177 |
| Provider Name | Bhavan Upendrakumar Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922458611 PECOS PAC ID: 6103221940 Enrollment ID: I20230825002173 |
| Provider Name | Kenosha Latrice Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275886103 PECOS PAC ID: 6709249246 Enrollment ID: I20230830003310 |
| Provider Name | Christopher Newey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871751305 PECOS PAC ID: 0941513170 Enrollment ID: I20230831004183 |
| Provider Name | Eptesam Sufiyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184358079 PECOS PAC ID: 5597128975 Enrollment ID: I20230901000288 |
| Provider Name | Selene Dabney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477182418 PECOS PAC ID: 1153798293 Enrollment ID: I20230907000453 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230908003561 |
| Provider Name | Danoushka L Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20230911000320 |
| Provider Name | Crystal Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801021886 PECOS PAC ID: 9931321338 Enrollment ID: I20230913003001 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20230918004163 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230920003285 |
| Provider Name | Hermelinda Abcede |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891956678 PECOS PAC ID: 3577732601 Enrollment ID: I20230921003369 |
| Provider Name | Numthip Chitravas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073761789 PECOS PAC ID: 4486898095 Enrollment ID: I20230922001375 |
| Provider Name | Amanda Lynn Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386428712 PECOS PAC ID: 0648624676 Enrollment ID: I20230926000517 |
| Provider Name | Irem Nasir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205018124 PECOS PAC ID: 9739261363 Enrollment ID: I20230926004259 |
| Provider Name | Cameron Thomas Kennelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285253401 PECOS PAC ID: 1557783578 Enrollment ID: I20231002002650 |
| Provider Name | Jacob Arthur Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20231024002155 |
| Provider Name | Tanner Mobley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093334229 PECOS PAC ID: 0648696336 Enrollment ID: I20231109002603 |
| Provider Name | Justin T De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20231120002096 |
| Provider Name | Sang Myung Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700433398 PECOS PAC ID: 9739512278 Enrollment ID: I20231211001073 |
| Provider Name | Abhishek Lunagariya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336582030 PECOS PAC ID: 2961629753 Enrollment ID: I20231227002430 |
| Provider Name | Asma Moussaoui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720424898 PECOS PAC ID: 8426354432 Enrollment ID: I20240117000887 |
| Provider Name | Anjelica Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205616349 PECOS PAC ID: 9133571938 Enrollment ID: I20240117002776 |
| Provider Name | Appaji Rayi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184930133 PECOS PAC ID: 4981915824 Enrollment ID: I20240118002684 |
| Provider Name | Anantha Vellipuram |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265745582 PECOS PAC ID: 4486898293 Enrollment ID: I20240119002323 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20240220002682 |
| Provider Name | James Price |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902269988 PECOS PAC ID: 7517302987 Enrollment ID: I20240226002929 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20240304001116 |
| Provider Name | Oyebisi Moriliat Kilani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013614668 PECOS PAC ID: 5698111326 Enrollment ID: I20240315002108 |
| Provider Name | Bo Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20240320001078 |
| Provider Name | Yi Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629327986 PECOS PAC ID: 0547538118 Enrollment ID: I20240403000576 |
| Provider Name | Diego Condes Diez Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760802540 PECOS PAC ID: 7214267822 Enrollment ID: I20240408000140 |
| Provider Name | Soumya Shivashankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881155588 PECOS PAC ID: 1951771245 Enrollment ID: I20240411002357 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20240416003205 |
| Provider Name | Nikosazana Alaezi Belman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548919103 PECOS PAC ID: 6002255536 Enrollment ID: I20240417001946 |
| Provider Name | Ather Taqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154637593 PECOS PAC ID: 0941520126 Enrollment ID: I20240417002076 |
| Provider Name | Danielle Haskins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144232893 PECOS PAC ID: 0840337333 Enrollment ID: I20240422000519 |
| Provider Name | Khadija Irshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528494689 PECOS PAC ID: 1153673462 Enrollment ID: I20240423001534 |
| Provider Name | Danhely Cruz-vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164008975 PECOS PAC ID: 7719385509 Enrollment ID: I20240503002844 |
| Provider Name | Lyle J Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20240515004271 |
| Provider Name | Chibuzo F Agbakwuru-onyike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538747688 PECOS PAC ID: 9335520279 Enrollment ID: I20240516002418 |
| Provider Name | Muhammad Raza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518541721 PECOS PAC ID: 1557760394 Enrollment ID: I20240529002255 |
| Provider Name | Chase Stanford Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770903031 PECOS PAC ID: 6002034972 Enrollment ID: I20240529002814 |
| Provider Name | Danah Martrece Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801527502 PECOS PAC ID: 8325580459 Enrollment ID: I20240605000334 |
| Provider Name | Stacie L Ricketts-mccook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053956045 PECOS PAC ID: 8729470356 Enrollment ID: I20240605001741 |
| Provider Name | Jorge Torres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134652134 PECOS PAC ID: 2668725417 Enrollment ID: I20240607002765 |
| Provider Name | Erica Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20240611003960 |
| Provider Name | Diana Rubi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437731452 PECOS PAC ID: 4183028400 Enrollment ID: I20240612000189 |
| Provider Name | Walter Yaw Agyeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295311082 PECOS PAC ID: 0446658801 Enrollment ID: I20240612000598 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20240613001167 |
| Provider Name | Chinwe N Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20240619000888 |
| Provider Name | Julian Hawkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205416575 PECOS PAC ID: 0749723575 Enrollment ID: I20240620002709 |
| Provider Name | Danelvis Paredes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326562257 PECOS PAC ID: 1254795941 Enrollment ID: I20240621003455 |
| Provider Name | Felicia Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942833769 PECOS PAC ID: 9234673690 Enrollment ID: I20240627000369 |
| Provider Name | Abasiodu Umoh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407432834 PECOS PAC ID: 7911309661 Enrollment ID: I20240703000430 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20240709001374 |
| Provider Name | William Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649706474 PECOS PAC ID: 6204105380 Enrollment ID: I20240709002424 |
| Provider Name | Roy Kedem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164449153 PECOS PAC ID: 7618975103 Enrollment ID: I20240712003715 |
| Provider Name | Nicholas Zalewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669818399 PECOS PAC ID: 5597906115 Enrollment ID: I20240715000226 |
| Provider Name | Hawwa Reesha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083290621 PECOS PAC ID: 3274079520 Enrollment ID: I20240723000807 |
| Provider Name | Ashley W Primus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548558000 PECOS PAC ID: 4587882113 Enrollment ID: I20240725001209 |
| Provider Name | Olawole Ibiyinka Akinboboye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154995397 PECOS PAC ID: 4284171745 Enrollment ID: I20240801001691 |
| Provider Name | Dereje Seyoum Legesse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245852284 PECOS PAC ID: 6507268638 Enrollment ID: I20240806001577 |
| Provider Name | David Albert Brenner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124072475 PECOS PAC ID: 3476552399 Enrollment ID: I20240807000303 |
| Provider Name | Robert Malka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174785513 PECOS PAC ID: 7416118658 Enrollment ID: I20240807000668 |
| Provider Name | Sophiee Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063255172 PECOS PAC ID: 3072050038 Enrollment ID: I20240808000325 |
| Provider Name | Nancy Bello |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669734620 PECOS PAC ID: 8022382126 Enrollment ID: I20240814000124 |
| Provider Name | Xi Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760041826 PECOS PAC ID: 3173977485 Enrollment ID: I20240815000158 |
| Provider Name | Hojoong Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215015755 PECOS PAC ID: 6709982267 Enrollment ID: I20240815003279 |
| Provider Name | Douglas Franz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053582221 PECOS PAC ID: 7214009042 Enrollment ID: I20240816001034 |
| Provider Name | Sheri Patrice Walls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407432487 PECOS PAC ID: 9537557657 Enrollment ID: I20240819003081 |
| Provider Name | Gabriel Menendez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619400520 PECOS PAC ID: 4183901960 Enrollment ID: I20240820000915 |
| Provider Name | Lesly Giselle Aguilar Tabora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467638601 PECOS PAC ID: 1759450984 Enrollment ID: I20240821002997 |
| Provider Name | Nelson Airewele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20240823000169 |
| Provider Name | Ada Appolonia Offor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518717891 PECOS PAC ID: 3678012770 Enrollment ID: I20240903001177 |
| Provider Name | Michael C Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20240905003110 |
| Provider Name | Aprylle Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285256487 PECOS PAC ID: 5698176410 Enrollment ID: I20241001002394 |
| Provider Name | Christopher Kelesoglou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124589015 PECOS PAC ID: 8921540659 Enrollment ID: I20241021001121 |
| Provider Name | Paulo Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033606660 PECOS PAC ID: 2668725359 Enrollment ID: I20241025000646 |
| Provider Name | Zulfiqar Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20241029000052 |
| Provider Name | Chinelo Onyeka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245819796 PECOS PAC ID: 7517490113 Enrollment ID: I20241104000798 |
| Provider Name | Jose P Falero-pomales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801373089 PECOS PAC ID: 5698001071 Enrollment ID: I20241104001619 |
| Provider Name | Nusha Fareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952982100 PECOS PAC ID: 9537693833 Enrollment ID: I20241108002465 |
| Provider Name | Uzoamaka Flake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184043523 PECOS PAC ID: 8921300781 Enrollment ID: I20241111000614 |
| Provider Name | Arun B Pillai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831753227 PECOS PAC ID: 6103150180 Enrollment ID: I20241113001378 |
| Provider Name | Claire Morley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407433121 PECOS PAC ID: 4789087321 Enrollment ID: I20241118000776 |
| Provider Name | Adam Sitzmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902366560 PECOS PAC ID: 2961821210 Enrollment ID: I20241118001944 |
| Provider Name | Stephen L Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093159444 PECOS PAC ID: 3779857735 Enrollment ID: I20241119000040 |
| Provider Name | Pravin George |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083857866 PECOS PAC ID: 3072737162 Enrollment ID: I20241120004123 |
| Provider Name | Rachel E Carlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023472115 PECOS PAC ID: 8123311487 Enrollment ID: I20241126002041 |
| Provider Name | Stellamaris Nyambura Michuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811722036 PECOS PAC ID: 2365977451 Enrollment ID: I20241126003338 |
| Provider Name | Piotr Tekiela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902268626 PECOS PAC ID: 2264725290 Enrollment ID: I20241203002119 |
| Provider Name | Shanele Vaughn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902194822 PECOS PAC ID: 4688961675 Enrollment ID: I20241209002161 |
| Provider Name | Matthew Broderick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417338336 PECOS PAC ID: 8325353626 Enrollment ID: I20241209002338 |
| Provider Name | Tariq Jawaid Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20241209003337 |
| Provider Name | Pierre U Etienne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124468400 PECOS PAC ID: 2961714084 Enrollment ID: I20241212000054 |
| Provider Name | Kevin Schmitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952780108 PECOS PAC ID: 2567709959 Enrollment ID: I20241217001150 |
| Provider Name | Sheri D Christian-armstrong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679996706 PECOS PAC ID: 6103104138 Enrollment ID: I20241217004415 |
| Provider Name | Akash Attreya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619239670 PECOS PAC ID: 7810131158 Enrollment ID: I20241230000651 |
| Provider Name | Neelima Nimmagadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912238643 PECOS PAC ID: 1254455538 Enrollment ID: I20241231001078 |
| Provider Name | Akshay Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861061376 PECOS PAC ID: 3577964691 Enrollment ID: I20250107000813 |
| Provider Name | Gaurav Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548794563 PECOS PAC ID: 5890032262 Enrollment ID: I20250110000394 |
| Provider Name | Rachel Latremouille |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215565841 PECOS PAC ID: 8628482296 Enrollment ID: I20250113001904 |
| Provider Name | Sara E Hocker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710141502 PECOS PAC ID: 3678697752 Enrollment ID: I20250116003084 |
| Provider Name | Kita Laini Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689820912 PECOS PAC ID: 5294981841 Enrollment ID: I20250116003889 |
| Provider Name | Taiwo H Emiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729334 PECOS PAC ID: 9234543117 Enrollment ID: I20250123001466 |
| Provider Name | Ava Giugliano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851826309 PECOS PAC ID: 1557631793 Enrollment ID: I20250123002108 |
| Provider Name | Ricci St. Jules |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578917613 PECOS PAC ID: 0547692980 Enrollment ID: I20250130000197 |
| Provider Name | Julie Seibert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740253822 PECOS PAC ID: 9436115961 Enrollment ID: I20250130003720 |
| Provider Name | Karl M Meisel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508068750 PECOS PAC ID: 2365608965 Enrollment ID: I20250131002597 |
| Provider Name | Katherine Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588412639 PECOS PAC ID: 3476083692 Enrollment ID: I20250203003461 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20250204001098 |
| Provider Name | Mark Borsody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20250205003128 |
| Provider Name | Hamidreza Abbasi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578060075 PECOS PAC ID: 6406194455 Enrollment ID: I20250211003356 |
| Provider Name | Mohamad Orabi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447632369 PECOS PAC ID: 1153638135 Enrollment ID: I20250219000017 |
| Provider Name | Swaroop Pawar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073778627 PECOS PAC ID: 0749439495 Enrollment ID: I20250219002745 |
| Provider Name | Randall Dunston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730746603 PECOS PAC ID: 9234466830 Enrollment ID: I20250225000201 |
| Provider Name | Annie Cavalier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164050605 PECOS PAC ID: 4880036706 Enrollment ID: I20250228000542 |
| Provider Name | Malik Ghannam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669995528 PECOS PAC ID: 9436423696 Enrollment ID: I20250304000000 |
| Provider Name | Andrew Peter Rose-innes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578649224 PECOS PAC ID: 3971583238 Enrollment ID: I20250313000235 |
Advocacy Healthcare Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Country Club Dr, Suite 100 D, Stockbridge, GA 30281 Phone: 615-430-7877 | |
The Doctor's Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 770-506-3386 Fax: 770-506-3381 | |
The Doctor's Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3579 Highway 138 Se, Suite 201, Stockbridge, GA 30281 Phone: 770-507-0029 Fax: 770-507-9990 | |
Rediclinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 N Henry Blvd, Stockbridge, GA 30281 Phone: 713-935-0333 | |
Zam Zam Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Surge Stone Ln, Stockbridge, GA 30281 Phone: 520-262-9979 | |
Premier Family Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7444 Hannover Pkwy S Ste 225, Stockbridge, GA 30281 Phone: 404-981-3376 | |
Alpha Medical Wellness And Walk In Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Medical Way, Suite B, Stockbridge, GA 30281 Phone: 678-759-0059 Fax: 678-623-8054 |