| Piedmont Professional Services, LLC | |
|
1855 Hudson Bridge Rd Stockbridge GA 30281-5000 | |
| (770) 801-2500 | |
| (770) 803-2121 |
| Full Name | Piedmont Professional Services, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1855 Hudson Bridge Rd, 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 Professional Services, LLC Po Box 102038 Atlanta GA 30368-2038 | Piedmont Professional Services, LLC 1855 Hudson Bridge Rd Stockbridge GA 30281-5000 Ph: (770) 801-2500 |
| NPI Number | 1104088905 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Medicare PECOS PAC ID | 8921176231 |
|---|---|
| Medicare Enrollment ID | O20081014000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104088905 | NPI | - | NPPES |
| Provider Name | Stanley P Coe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942384953 PECOS PAC ID: 3779495023 Enrollment ID: I20031104000553 |
| Provider Name | Harmon a Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215028253 PECOS PAC ID: 0244136562 Enrollment ID: I20031209000254 |
| Provider Name | Faheem Nusrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235121237 PECOS PAC ID: 5294632220 Enrollment ID: I20031217000473 |
| Provider Name | Robert J Kubek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306822192 PECOS PAC ID: 3274430954 Enrollment ID: I20031219000111 |
| Provider Name | Walter E Mashman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639174840 PECOS PAC ID: 4981501137 Enrollment ID: I20040116000701 |
| Provider Name | Thippeswamy H Murthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447255617 PECOS PAC ID: 9234030701 Enrollment ID: I20040116000936 |
| Provider Name | Harold D Carlson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023013315 PECOS PAC ID: 2860385978 Enrollment ID: I20040203001029 |
| Provider Name | Kenneth G Taylor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053316109 PECOS PAC ID: 3173418308 Enrollment ID: I20040217000960 |
| Provider Name | Hassan S Sayegh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194732297 PECOS PAC ID: 5698663805 Enrollment ID: I20040309000809 |
| Provider Name | Daryl a Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467468355 PECOS PAC ID: 8426043076 Enrollment ID: I20040419000319 |
| Provider Name | Robert Jay Balotin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205924537 PECOS PAC ID: 2163410432 Enrollment ID: I20040505000064 |
| Provider Name | Kevin Trapnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083796619 PECOS PAC ID: 3476537697 Enrollment ID: I20040615001782 |
| Provider Name | Charles L Braucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629007216 PECOS PAC ID: 5395729156 Enrollment ID: I20040617000975 |
| Provider Name | Stanley Wayne Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396729463 PECOS PAC ID: 3375538200 Enrollment ID: I20040618000280 |
| Provider Name | Guy C Arnall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760464341 PECOS PAC ID: 1951396878 Enrollment ID: I20040618000563 |
| Provider Name | Charles L Brown |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851307755 PECOS PAC ID: 2567447923 Enrollment ID: I20040621000625 |
| Provider Name | Robert D Hoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659388908 PECOS PAC ID: 9830174234 Enrollment ID: I20040621000892 |
| Provider Name | David E Vann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760466742 PECOS PAC ID: 8123013067 Enrollment ID: I20040621001077 |
| Provider Name | Louis L Battey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477569358 PECOS PAC ID: 9638154081 Enrollment ID: I20040621001367 |
| Provider Name | Lawrence E Simpson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982611786 PECOS PAC ID: 9830174176 Enrollment ID: I20040622000167 |
| Provider Name | James M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053395129 PECOS PAC ID: 5597750430 Enrollment ID: I20040623000288 |
| Provider Name | Christopher S Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346343134 PECOS PAC ID: 7517943616 Enrollment ID: I20040629000296 |
| Provider Name | Barbara L Norvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023028842 PECOS PAC ID: 2860478773 Enrollment ID: I20040629001245 |
| Provider Name | Joseph R Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366416166 PECOS PAC ID: 6305823162 Enrollment ID: I20040630000774 |
| Provider Name | Keith W Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932298775 PECOS PAC ID: 9739166273 Enrollment ID: I20040702000340 |
| Provider Name | Jodi L Chitwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811050933 PECOS PAC ID: 0941270490 Enrollment ID: I20040730000538 |
| Provider Name | Philicia L Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225126485 PECOS PAC ID: 8426029034 Enrollment ID: I20040805000304 |
| Provider Name | William J Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437243334 PECOS PAC ID: 4385615996 Enrollment ID: I20040805000337 |
| Provider Name | Frank N Alena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063508034 PECOS PAC ID: 3274505391 Enrollment ID: I20040810000419 |
| Provider Name | Carl D Mccurdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780679134 PECOS PAC ID: 8628041944 Enrollment ID: I20040816000752 |
| Provider Name | Karen T Hacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942392758 PECOS PAC ID: 5092789073 Enrollment ID: I20040825000135 |
| Provider Name | Heath W Hampton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750388500 PECOS PAC ID: 3375517212 Enrollment ID: I20040825000656 |
| Provider Name | John C Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174587588 PECOS PAC ID: 7214998079 Enrollment ID: I20041025000672 |
| Provider Name | Jefferson C Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033107164 PECOS PAC ID: 5799741021 Enrollment ID: I20041208000160 |
| Provider Name | Elizabeth M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851405005 PECOS PAC ID: 5294716262 Enrollment ID: I20041208000267 |
| Provider Name | Saju I Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871577296 PECOS PAC ID: 7719945922 Enrollment ID: I20041220000907 |
| Provider Name | Tessie Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053417949 PECOS PAC ID: 2365490463 Enrollment ID: I20050105000685 |
| Provider Name | Patrick B Railey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871529032 PECOS PAC ID: 6507815982 Enrollment ID: I20050113000184 |
| Provider Name | Marc I Unterman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427044858 PECOS PAC ID: 7810948346 Enrollment ID: I20050202000391 |
| Provider Name | Belinda a Brown Saddler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588763387 PECOS PAC ID: 3779534235 Enrollment ID: I20050202000586 |
| Provider Name | Demir Baykal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336158104 PECOS PAC ID: 2264485812 Enrollment ID: I20050224000008 |
| Provider Name | Monica O Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043356355 PECOS PAC ID: 9335192400 Enrollment ID: I20050301000496 |
| Provider Name | Andrea R Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275523045 PECOS PAC ID: 0345295473 Enrollment ID: I20050322000254 |
| Provider Name | Michael K Sopt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518905827 PECOS PAC ID: 0840245916 Enrollment ID: I20050322000501 |
| Provider Name | Jeffrey N Haller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659467629 PECOS PAC ID: 5991742983 Enrollment ID: I20050412000170 |
| Provider Name | Robert Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649230731 PECOS PAC ID: 1153363643 Enrollment ID: I20050525000281 |
| Provider Name | Jay L Curtin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366491813 PECOS PAC ID: 4284676396 Enrollment ID: I20050531000445 |
| Provider Name | Lawrence G Seiden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295709772 PECOS PAC ID: 5698718369 Enrollment ID: I20050603000203 |
| Provider Name | Kevin Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093764425 PECOS PAC ID: 5193639847 Enrollment ID: I20050608000056 |
| Provider Name | Sumandeep S Sangha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689679888 PECOS PAC ID: 0547204257 Enrollment ID: I20050614000654 |
| Provider Name | Syed Wasi Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285770347 PECOS PAC ID: 3173567526 Enrollment ID: I20050617000143 |
| Provider Name | Joretta a Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851316665 PECOS PAC ID: 7113961285 Enrollment ID: I20050620000492 |
| Provider Name | Kimberly a Edwards-hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770612467 PECOS PAC ID: 0042255168 Enrollment ID: I20050620001061 |
| Provider Name | Clifford N Grossman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1033191093 PECOS PAC ID: 6204877087 Enrollment ID: I20050628000492 |
| Provider Name | Faiz U Rehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730168261 PECOS PAC ID: 1951347053 Enrollment ID: I20050629000360 |
| Provider Name | Tia Neely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518033158 PECOS PAC ID: 8426085739 Enrollment ID: I20050721000752 |
| Provider Name | Samer B Blackmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104935063 PECOS PAC ID: 8022045921 Enrollment ID: I20050722000152 |
| Provider Name | Yacoba Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912974429 PECOS PAC ID: 6507894524 Enrollment ID: I20050801000689 |
| Provider Name | Shailesh Malla |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1437154267 PECOS PAC ID: 4284664236 Enrollment ID: I20050818000784 |
| Provider Name | Gautam Jagoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124092986 PECOS PAC ID: 9133150600 Enrollment ID: I20050824000612 |
| Provider Name | Kimberly Jean Windham-cope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063447902 PECOS PAC ID: 4688606080 Enrollment ID: I20050907000324 |
| Provider Name | Melody K Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023184850 PECOS PAC ID: 3870518954 Enrollment ID: I20051007000387 |
| Provider Name | Kelleen M Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295924058 PECOS PAC ID: 3274559224 Enrollment ID: I20051019000144 |
| Provider Name | Olubunkola M Olubi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962496992 PECOS PAC ID: 5193741155 Enrollment ID: I20051019000231 |
| Provider Name | Sanjay I Serrao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346204062 PECOS PAC ID: 4880611250 Enrollment ID: I20051026000231 |
| Provider Name | Richard J Breckwoldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942297106 PECOS PAC ID: 2264459908 Enrollment ID: I20051101000439 |
| Provider Name | Gregory T Rainwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972668200 PECOS PAC ID: 5597782128 Enrollment ID: I20051102000030 |
| Provider Name | Amy D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962560102 PECOS PAC ID: 5991724965 Enrollment ID: I20051118000404 |
| Provider Name | Teresa O Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508816505 PECOS PAC ID: 8426078932 Enrollment ID: I20051129000886 |
| Provider Name | Connie T Dupre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023121381 PECOS PAC ID: 1759301831 Enrollment ID: I20051205000274 |
| Provider Name | Sara Mobasseri- Egoavil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619984705 PECOS PAC ID: 3274523303 Enrollment ID: I20051207000479 |
| Provider Name | Amber Zafar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518151075 PECOS PAC ID: 0941222616 Enrollment ID: I20051221000824 |
| Provider Name | Donna F Groover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710923461 PECOS PAC ID: 6406878537 Enrollment ID: I20060103000627 |
| Provider Name | John H Foote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225084049 PECOS PAC ID: 0345262432 Enrollment ID: I20060104000141 |
| Provider Name | Ward B Rogers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316961188 PECOS PAC ID: 1557375375 Enrollment ID: I20060201000317 |
| Provider Name | Marandapalli R Sridharan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376562231 PECOS PAC ID: 2668489444 Enrollment ID: I20060320000588 |
| Provider Name | Nicole L Simpson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891717666 PECOS PAC ID: 3870568520 Enrollment ID: I20060411000054 |
| Provider Name | Kellie V Lane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396787321 PECOS PAC ID: 2365451895 Enrollment ID: I20060412000032 |
| Provider Name | Fareha Rahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144241126 PECOS PAC ID: 3678584588 Enrollment ID: I20060508000073 |
| Provider Name | Lawrence L Golusinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790742526 PECOS PAC ID: 9133131907 Enrollment ID: I20060616000079 |
| Provider Name | Ketan N Desai |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1912953340 PECOS PAC ID: 8729090998 Enrollment ID: I20060707000243 |
| Provider Name | Indumathi Bendi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508818147 PECOS PAC ID: 8022072727 Enrollment ID: I20060707000263 |
| Provider Name | Matthew L Scott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225054083 PECOS PAC ID: 8628072899 Enrollment ID: I20060830000170 |
| Provider Name | Roberto F Pereira |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1518963388 PECOS PAC ID: 8921071556 Enrollment ID: I20060929000002 |
| Provider Name | Michele T Edwards-paschal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477565810 PECOS PAC ID: 6103822713 Enrollment ID: I20061004000463 |
| Provider Name | Benjamin H Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437263902 PECOS PAC ID: 9436156916 Enrollment ID: I20061025000475 |
| Provider Name | Zoe J Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710921481 PECOS PAC ID: 6901817717 Enrollment ID: I20061109000186 |
| Provider Name | Amy D Kingman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992749659 PECOS PAC ID: 6901803790 Enrollment ID: I20061109000325 |
| Provider Name | John S Hyland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427143148 PECOS PAC ID: 9638170160 Enrollment ID: I20070125000196 |
| Provider Name | Grace C Loy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639264369 PECOS PAC ID: 7416958962 Enrollment ID: I20070125000307 |
| Provider Name | Wendell Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578556619 PECOS PAC ID: 2961308820 Enrollment ID: I20070129000552 |
| Provider Name | Lisa J Dillard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831153212 PECOS PAC ID: 5890898704 Enrollment ID: I20070314000397 |
| Provider Name | Tiffany B Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619035136 PECOS PAC ID: 1850495060 Enrollment ID: I20070328000261 |
| Provider Name | Ngozi Okeani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447318936 PECOS PAC ID: 7113021262 Enrollment ID: I20070329000041 |
| Provider Name | Chai Y Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528126786 PECOS PAC ID: 8123123544 Enrollment ID: I20070413000179 |
| Provider Name | Victoria M Wermers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689732190 PECOS PAC ID: 4284739616 Enrollment ID: I20070413000284 |
| Provider Name | Nancy Mcroyal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316916141 PECOS PAC ID: 6406951797 Enrollment ID: I20070416000153 |
| Provider Name | Deborah a Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891854303 PECOS PAC ID: 9032214341 Enrollment ID: I20070416000272 |
| Provider Name | Christopher J Cornille |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548396906 PECOS PAC ID: 5092811596 Enrollment ID: I20070430000337 |
| Provider Name | Helen W Ngigi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568503761 PECOS PAC ID: 9335247196 Enrollment ID: I20070604000010 |
| Provider Name | Loida Bonney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316998982 PECOS PAC ID: 6305862665 Enrollment ID: I20070627000066 |
| Provider Name | Fatima a Dalwai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912015769 PECOS PAC ID: 8820017130 Enrollment ID: I20070725000535 |
| Provider Name | April L Artis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891854865 PECOS PAC ID: 4284725680 Enrollment ID: I20070814000151 |
| Provider Name | Joseph I Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083624936 PECOS PAC ID: 9739274556 Enrollment ID: I20071009000010 |
| Provider Name | Susan M Towner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386845881 PECOS PAC ID: 5698861680 Enrollment ID: I20071023000081 |
| Provider Name | Amy L Varner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992909931 PECOS PAC ID: 7618066341 Enrollment ID: I20071204000393 |
| Provider Name | Victor E Corrigan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740289446 PECOS PAC ID: 2860457397 Enrollment ID: I20080211000733 |
| Provider Name | Sheng Yi Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649241902 PECOS PAC ID: 7810072519 Enrollment ID: I20080305000257 |
| Provider Name | Abdulla M Abdulla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174502694 PECOS PAC ID: 4789687500 Enrollment ID: I20080327000460 |
| Provider Name | Robert M Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588631923 PECOS PAC ID: 4385721315 Enrollment ID: I20080401000729 |
| Provider Name | Cynthia C Decamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346326493 PECOS PAC ID: 6608953682 Enrollment ID: I20080402000221 |
| Provider Name | Jonathan S Lowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699748061 PECOS PAC ID: 8527146950 Enrollment ID: I20080424000567 |
| Provider Name | William L Kriegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245229467 PECOS PAC ID: 0648358077 Enrollment ID: I20080424000627 |
| Provider Name | Andrei I Serbanescu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528032703 PECOS PAC ID: 5698854552 Enrollment ID: I20080502000377 |
| Provider Name | Angela Huff Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689618472 PECOS PAC ID: 5698854594 Enrollment ID: I20080505000021 |
| Provider Name | Iris D Amaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962545731 PECOS PAC ID: 3779652003 Enrollment ID: I20080513000388 |
| Provider Name | Samir P Chande |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902088941 PECOS PAC ID: 0840369989 Enrollment ID: I20080515000544 |
| Provider Name | Maria R Sostre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104019165 PECOS PAC ID: 4183703648 Enrollment ID: I20080516000442 |
| Provider Name | Marcus Sims |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427199546 PECOS PAC ID: 1850474016 Enrollment ID: I20080605000485 |
| Provider Name | George J Vellanikaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083619233 PECOS PAC ID: 0345147591 Enrollment ID: I20080616000387 |
| Provider Name | Charles Pettus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912902107 PECOS PAC ID: 2668557083 Enrollment ID: I20080616000404 |
| Provider Name | Samuel B Bleuez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255465696 PECOS PAC ID: 0648341834 Enrollment ID: I20080616000417 |
| Provider Name | Sanjay Sarin |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1184800534 PECOS PAC ID: 6709957913 Enrollment ID: I20080616000617 |
| Provider Name | Nimish N Dhruva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760487920 PECOS PAC ID: 3678643665 Enrollment ID: I20080707000021 |
| Provider Name | Jonathan R Murrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265400014 PECOS PAC ID: 1355378837 Enrollment ID: I20080707000213 |
| Provider Name | Richard N Fullerton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225133945 PECOS PAC ID: 9739137191 Enrollment ID: I20080801000436 |
| Provider Name | Shawnte M Hall-kraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982895124 PECOS PAC ID: 9638243561 Enrollment ID: I20080811000279 |
| Provider Name | Emilio Lacayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346337078 PECOS PAC ID: 7113090341 Enrollment ID: I20080813000049 |
| Provider Name | Marie J Cauvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154362523 PECOS PAC ID: 9931200094 Enrollment ID: I20080818000090 |
| Provider Name | Fayyaz U Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144319567 PECOS PAC ID: 5294801775 Enrollment ID: I20080908000011 |
| Provider Name | Brandi M Wynne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316152770 PECOS PAC ID: 2466528849 Enrollment ID: I20080909000323 |
| Provider Name | Miles H Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588609838 PECOS PAC ID: 1456428424 Enrollment ID: I20080917000816 |
| Provider Name | Catherine L Woodhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558340661 PECOS PAC ID: 1658476221 Enrollment ID: I20081107000407 |
| Provider Name | Natasha R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902072945 PECOS PAC ID: 7416018593 Enrollment ID: I20081208000437 |
| Provider Name | Jason R Hefner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902012206 PECOS PAC ID: 7517029614 Enrollment ID: I20081226000165 |
| Provider Name | Rahul Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932151628 PECOS PAC ID: 8325042203 Enrollment ID: I20081229000201 |
| Provider Name | Charlotte Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043284615 PECOS PAC ID: 4486619483 Enrollment ID: I20090113000411 |
| Provider Name | Carol M Odegaard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700876554 PECOS PAC ID: 5799848982 Enrollment ID: I20090114000561 |
| Provider Name | Stephen B Crosby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639321920 PECOS PAC ID: 7214091701 Enrollment ID: I20090128000270 |
| Provider Name | Stephen M Barnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598879108 PECOS PAC ID: 5092863308 Enrollment ID: I20090424000284 |
| Provider Name | Alan David Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679563423 PECOS PAC ID: 1052460292 Enrollment ID: I20090519000377 |
| Provider Name | Aysha Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982725594 PECOS PAC ID: 4587713631 Enrollment ID: I20090519000577 |
| Provider Name | Denise Lowman-kedzierski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093954562 PECOS PAC ID: 6608925516 Enrollment ID: I20090526000403 |
| Provider Name | Scott Jarrett Ramshur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437231396 PECOS PAC ID: 5799866729 Enrollment ID: I20090616000724 |
| Provider Name | Maria a Goyco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194839597 PECOS PAC ID: 0648326934 Enrollment ID: I20090929000466 |
| Provider Name | Steven R Sigman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134138241 PECOS PAC ID: 6305984675 Enrollment ID: I20091105000565 |
| Provider Name | Saghar Navid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871754283 PECOS PAC ID: 0941348098 Enrollment ID: I20091110000266 |
| Provider Name | Charmille a Hare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114140704 PECOS PAC ID: 3870631625 Enrollment ID: I20091116000241 |
| Provider Name | Druenell Linton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336327220 PECOS PAC ID: 2264571041 Enrollment ID: I20091208000555 |
| Provider Name | Sheryl a Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528297736 PECOS PAC ID: 0446390215 Enrollment ID: I20091230000043 |
| Provider Name | Kabir K Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699955377 PECOS PAC ID: 3476695594 Enrollment ID: I20100127000484 |
| Provider Name | Karen M Helland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255448205 PECOS PAC ID: 8921143827 Enrollment ID: I20100303000521 |
| Provider Name | Gregory S Berkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538145529 PECOS PAC ID: 4183689193 Enrollment ID: I20100319000194 |
| Provider Name | Andrew Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538112347 PECOS PAC ID: 5193852440 Enrollment ID: I20100420000009 |
| Provider Name | Lillian Nagaddya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932306099 PECOS PAC ID: 8325175037 Enrollment ID: I20100428000373 |
| Provider Name | John B Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548247729 PECOS PAC ID: 4789713777 Enrollment ID: I20100601000537 |
| Provider Name | Joel B Webber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992782155 PECOS PAC ID: 0749310340 Enrollment ID: I20100608000624 |
| Provider Name | Christy Blanchford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851389217 PECOS PAC ID: 2860523735 Enrollment ID: I20100622000450 |
| Provider Name | John R Ehret |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760470124 PECOS PAC ID: 4688705486 Enrollment ID: I20100623000050 |
| Provider Name | Thomas W Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356301436 PECOS PAC ID: 3072645365 Enrollment ID: I20100722000394 |
| Provider Name | Alvin Fred Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245290311 PECOS PAC ID: 4880726173 Enrollment ID: I20100722000409 |
| Provider Name | Felicia Lacksen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285693911 PECOS PAC ID: 9335271634 Enrollment ID: I20100722000418 |
| Provider Name | Amanda Downs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699734327 PECOS PAC ID: 1052443355 Enrollment ID: I20100722000430 |
| Provider Name | Karen V Harris-moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669568671 PECOS PAC ID: 2668506676 Enrollment ID: I20100812000669 |
| Provider Name | Suzanne Blauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922141530 PECOS PAC ID: 0345374138 Enrollment ID: I20100816000619 |
| Provider Name | Janet Diane Gerard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629029756 PECOS PAC ID: 7618001959 Enrollment ID: I20100823000294 |
| Provider Name | Dennis G Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518995885 PECOS PAC ID: 2163546623 Enrollment ID: I20100907000072 |
| Provider Name | Thomas a Mcelhannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407884893 PECOS PAC ID: 3870617335 Enrollment ID: I20100907000096 |
| Provider Name | Joseph Boecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346391505 PECOS PAC ID: 3072638485 Enrollment ID: I20100908000906 |
| Provider Name | Robert Winfred West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467555276 PECOS PAC ID: 4981699766 Enrollment ID: I20100910000249 |
| Provider Name | Don O Rowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245417666 PECOS PAC ID: 9436274438 Enrollment ID: I20100914001219 |
| Provider Name | Amy Sue Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962598912 PECOS PAC ID: 9335265412 Enrollment ID: I20100927000282 |
| Provider Name | Patrick S Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376687020 PECOS PAC ID: 9739205865 Enrollment ID: I20100927000931 |
| Provider Name | Jason Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407937899 PECOS PAC ID: 3971629908 Enrollment ID: I20100928000736 |
| Provider Name | Eric S Mitchell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821077793 PECOS PAC ID: 9436341146 Enrollment ID: I20101012001225 |
| Provider Name | Bozeman K Sherwood |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043325467 PECOS PAC ID: 4486733748 Enrollment ID: I20101015000332 |
| Provider Name | Eman L Kaldas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115187 PECOS PAC ID: 0143307173 Enrollment ID: I20101019000599 |
| Provider Name | Prathima Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457418816 PECOS PAC ID: 8628261724 Enrollment ID: I20101021000680 |
| Provider Name | Dennis K Harden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982715538 PECOS PAC ID: 3678766482 Enrollment ID: I20101028001168 |
| Provider Name | Thiruvannathapur Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245397652 PECOS PAC ID: 8224222617 Enrollment ID: I20101029000736 |
| Provider Name | Asim Kidwai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841483823 PECOS PAC ID: 4587858642 Enrollment ID: I20101102001243 |
| Provider Name | Peter J Bigham |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134154040 PECOS PAC ID: 7012099815 Enrollment ID: I20101110001018 |
| Provider Name | Jack T Saltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336212513 PECOS PAC ID: 5698706422 Enrollment ID: I20101111000023 |
| Provider Name | Islam Eltarawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588815674 PECOS PAC ID: 3870649411 Enrollment ID: I20101111000200 |
| Provider Name | Perry S Damian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255513529 PECOS PAC ID: 5496825382 Enrollment ID: I20101115000862 |
| Provider Name | Ermina Mujadzic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588790794 PECOS PAC ID: 5698822476 Enrollment ID: I20101116000354 |
| Provider Name | John Manor Entrekin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336234053 PECOS PAC ID: 9133314198 Enrollment ID: I20101116000790 |
| Provider Name | Debora Ann Goodrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245325968 PECOS PAC ID: 3779778733 Enrollment ID: I20101116000811 |
| Provider Name | Virgina Birnbach Hyland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023103744 PECOS PAC ID: 4688869688 Enrollment ID: I20101117000022 |
| Provider Name | Mac a Bowman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972549046 PECOS PAC ID: 0143317826 Enrollment ID: I20101120000123 |
| Provider Name | Michael S. Holman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598960619 PECOS PAC ID: 1951498633 Enrollment ID: I20101207000146 |
| Provider Name | Paul E Cundey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063447464 PECOS PAC ID: 4385726181 Enrollment ID: I20101210000108 |
| Provider Name | George Timothy Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369173 PECOS PAC ID: 3476528852 Enrollment ID: I20110127000477 |
| Provider Name | Kwon Su Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497752349 PECOS PAC ID: 9830164201 Enrollment ID: I20110127000489 |
| Provider Name | Kevin Daniel Lanclos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841297793 PECOS PAC ID: 4284609660 Enrollment ID: I20110202000103 |
| Provider Name | David Kandzari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871677930 PECOS PAC ID: 0143296483 Enrollment ID: I20110204000885 |
| Provider Name | Henry M Patton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396742144 PECOS PAC ID: 1658346036 Enrollment ID: I20110211000257 |
| Provider Name | Linda Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508164468 PECOS PAC ID: 2668655465 Enrollment ID: I20110331000201 |
| Provider Name | Jose G Rossello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831299007 PECOS PAC ID: 6507041613 Enrollment ID: I20110504000391 |
| Provider Name | Jennifer G Carruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033408331 PECOS PAC ID: 9335325448 Enrollment ID: I20110525000112 |
| Provider Name | Muhammad J Mohyuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598965352 PECOS PAC ID: 4789861329 Enrollment ID: I20110607000561 |
| Provider Name | Joseph C Poole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699935106 PECOS PAC ID: 7810167640 Enrollment ID: I20110902000142 |
| Provider Name | Jacqueline D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073771762 PECOS PAC ID: 5597936013 Enrollment ID: I20110914000024 |
| Provider Name | Charles Paul Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487636577 PECOS PAC ID: 6800826116 Enrollment ID: I20111013000353 |
| Provider Name | Julie P Presley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396793006 PECOS PAC ID: 4981879384 Enrollment ID: I20111214000249 |
| Provider Name | David Michael Carroll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770532038 PECOS PAC ID: 5799950101 Enrollment ID: I20111214000266 |
| Provider Name | Carolyn Harris Sigman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184762585 PECOS PAC ID: 9133394463 Enrollment ID: I20111214000643 |
| Provider Name | Esohe G Idusuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080436 PECOS PAC ID: 6709053267 Enrollment ID: I20120124000589 |
| Provider Name | Melissa W Seely-morgan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720035033 PECOS PAC ID: 0749298735 Enrollment ID: I20120321000621 |
| Provider Name | Charles a Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982638557 PECOS PAC ID: 5991893471 Enrollment ID: I20120327000078 |
| Provider Name | Raul R Blanco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134303498 PECOS PAC ID: 1456517523 Enrollment ID: I20120718000678 |
| Provider Name | Danielle M Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992968291 PECOS PAC ID: 0749438117 Enrollment ID: I20120911000215 |
| Provider Name | Sabrina J Wyllie-adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548428519 PECOS PAC ID: 4688730310 Enrollment ID: I20120920000393 |
| Provider Name | Safiah Vafaeian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871842427 PECOS PAC ID: 8921257635 Enrollment ID: I20121012000133 |
| Provider Name | Venyette a Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508129438 PECOS PAC ID: 9931351871 Enrollment ID: I20121128000674 |
| Provider Name | Brandy G Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336385475 PECOS PAC ID: 5799930889 Enrollment ID: I20130220000457 |
| Provider Name | Joseph M Crosby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770869893 PECOS PAC ID: 5597901975 Enrollment ID: I20130410000327 |
| Provider Name | Mary Charlot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578802286 PECOS PAC ID: 0840436010 Enrollment ID: I20130412000170 |
| Provider Name | Finda Kaimachiande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447591771 PECOS PAC ID: 6002052248 Enrollment ID: I20130415000120 |
| Provider Name | Katherine L Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144455643 PECOS PAC ID: 2466698501 Enrollment ID: I20130417000007 |
| 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 | Tricia W Thackston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801136593 PECOS PAC ID: 9638317258 Enrollment ID: I20130521000229 |
| Provider Name | Michael R Aho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477729051 PECOS PAC ID: 8022271568 Enrollment ID: I20130604000122 |
| Provider Name | Hima Bindu Kadiyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235187071 PECOS PAC ID: 9335175876 Enrollment ID: I20130613000300 |
| Provider Name | David C Rowan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366763070 PECOS PAC ID: 4385892728 Enrollment ID: I20130619000432 |
| Provider Name | Venkateshwar Rao Polsani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720035835 PECOS PAC ID: 4082642160 Enrollment ID: I20130705000506 |
| Provider Name | Elisha Poynter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477789493 PECOS PAC ID: 6002063971 Enrollment ID: I20130715000472 |
| Provider Name | Natalie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912209214 PECOS PAC ID: 8628240157 Enrollment ID: I20130716000668 |
| Provider Name | Cary Austin Sanders Hefty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114154077 PECOS PAC ID: 6002071362 Enrollment ID: I20130726000060 |
| Provider Name | Celeste M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477870020 PECOS PAC ID: 8628219045 Enrollment ID: I20130729000270 |
| Provider Name | Ajay Kumar Ravi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063533149 PECOS PAC ID: 3173792199 Enrollment ID: I20130730000122 |
| Provider Name | Jonathan M Patton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215057559 PECOS PAC ID: 7416198593 Enrollment ID: I20130801000426 |
| Provider Name | Selena Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598102733 PECOS PAC ID: 5597908277 Enrollment ID: I20130828000271 |
| Provider Name | Jyoti Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417115379 PECOS PAC ID: 7315180569 Enrollment ID: I20130909000055 |
| Provider Name | Divyalata Vishal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134462740 PECOS PAC ID: 9436393675 Enrollment ID: I20130910000405 |
| Provider Name | Sarat M Piduru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740466424 PECOS PAC ID: 5092959247 Enrollment ID: I20130910000535 |
| Provider Name | Michael Fortson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972593705 PECOS PAC ID: 4981848025 Enrollment ID: I20130911000749 |
| Provider Name | Tali Golan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629401831 PECOS PAC ID: 4981838174 Enrollment ID: I20131001000116 |
| Provider Name | Timber Wages Munoz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902231095 PECOS PAC ID: 5890920532 Enrollment ID: I20131105000265 |
| Provider Name | David J Poynter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033376439 PECOS PAC ID: 8820268972 Enrollment ID: I20131106001985 |
| Provider Name | Mirose P Verme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629404009 PECOS PAC ID: 2365679727 Enrollment ID: I20131211000963 |
| Provider Name | Julie B Banares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235554346 PECOS PAC ID: 5294968756 Enrollment ID: I20140507001732 |
| Provider Name | Latrese a Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861810749 PECOS PAC ID: 6002030947 Enrollment ID: I20140616000080 |
| Provider Name | Ted T Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871740332 PECOS PAC ID: 9830327626 Enrollment ID: I20140714001911 |
| Provider Name | Charles a Gilliland |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558584086 PECOS PAC ID: 5799953659 Enrollment ID: I20140903000648 |
| Provider Name | Mary K Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912165317 PECOS PAC ID: 6406026772 Enrollment ID: I20140910001454 |
| Provider Name | Omotayo O Akinmade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467629964 PECOS PAC ID: 3375611841 Enrollment ID: I20140929001267 |
| Provider Name | Chasity Renee Reese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669728697 PECOS PAC ID: 2062632623 Enrollment ID: I20141001002796 |
| Provider Name | Sara B Keeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053600650 PECOS PAC ID: 2365663721 Enrollment ID: I20141028001818 |
| Provider Name | Christopher Eric Henson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871688697 PECOS PAC ID: 8224054408 Enrollment ID: I20141108000124 |
| Provider Name | Lyna B. Ashu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932500600 PECOS PAC ID: 2961728688 Enrollment ID: I20150224000341 |
| Provider Name | Paula C Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033532023 PECOS PAC ID: 4183942824 Enrollment ID: I20150409001585 |
| Provider Name | Shaan Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902002280 PECOS PAC ID: 4981869716 Enrollment ID: I20150410001488 |
| Provider Name | Thea Lettley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942538293 PECOS PAC ID: 4981876802 Enrollment ID: I20150420000096 |
| Provider Name | Frances O Idowu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235529611 PECOS PAC ID: 3779802343 Enrollment ID: I20150501001970 |
| Provider Name | Adil M Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730366378 PECOS PAC ID: 0941492102 Enrollment ID: I20150505001777 |
| Provider Name | Kinzi Shewmake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568473809 PECOS PAC ID: 3577633791 Enrollment ID: I20150716000494 |
| Provider Name | Rashi Kanjira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457619249 PECOS PAC ID: 8325276959 Enrollment ID: I20150727002266 |
| Provider Name | Michelle Crumbley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023445418 PECOS PAC ID: 9032422159 Enrollment ID: I20150817002059 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285997700 PECOS PAC ID: 8022326545 Enrollment ID: I20151002001819 |
| Provider Name | Payal Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679994693 PECOS PAC ID: 0345558615 Enrollment ID: I20151006002638 |
| Provider Name | Hope V Bussenius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124216296 PECOS PAC ID: 9638488612 Enrollment ID: I20151013001768 |
| Provider Name | Kalindi Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073786729 PECOS PAC ID: 1153630199 Enrollment ID: I20151014001980 |
| Provider Name | Jasmine J Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233836 PECOS PAC ID: 2062721806 Enrollment ID: I20151019001646 |
| Provider Name | Gopika Naidu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003226069 PECOS PAC ID: 1951610435 Enrollment ID: I20151023000867 |
| Provider Name | Angela Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932405537 PECOS PAC ID: 7719141290 Enrollment ID: I20151110000668 |
| Provider Name | Victoria J.d Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558748343 PECOS PAC ID: 9931409356 Enrollment ID: I20151207002760 |
| Provider Name | Samyuktha N Muralidhara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841554185 PECOS PAC ID: 0648424390 Enrollment ID: I20151218001109 |
| Provider Name | Don Harper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376619304 PECOS PAC ID: 4183856511 Enrollment ID: I20151223000274 |
| Provider Name | Mae a Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679977227 PECOS PAC ID: 0749506681 Enrollment ID: I20160126000759 |
| Provider Name | Alison Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295833176 PECOS PAC ID: 9133151772 Enrollment ID: I20160412001817 |
| Provider Name | Sandra L Castle-oh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992716443 PECOS PAC ID: 3476735283 Enrollment ID: I20160502000301 |
| Provider Name | Miriam Vohrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114381282 PECOS PAC ID: 4789983222 Enrollment ID: I20160504001419 |
| Provider Name | Ivy a Fenin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780039131 PECOS PAC ID: 1850681271 Enrollment ID: I20160526000390 |
| Provider Name | Mark a Gibson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992744155 PECOS PAC ID: 5698772127 Enrollment ID: I20160628000411 |
| Provider Name | Jyotir H Jani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790877835 PECOS PAC ID: 6709771231 Enrollment ID: I20160817003282 |
| Provider Name | Joi Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699110205 PECOS PAC ID: 4688983331 Enrollment ID: I20160822002861 |
| Provider Name | Theresa D Stembridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740647148 PECOS PAC ID: 0749584506 Enrollment ID: I20160914001973 |
| Provider Name | India K. Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912346115 PECOS PAC ID: 6507090156 Enrollment ID: I20160923001489 |
| Provider Name | Marlon L Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174888366 PECOS PAC ID: 6305084989 Enrollment ID: I20161003002030 |
| Provider Name | Jessica Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598124380 PECOS PAC ID: 7911294103 Enrollment ID: I20161003002427 |
| Provider Name | Ambreen a Mardhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043657521 PECOS PAC ID: 2365665635 Enrollment ID: I20161004002587 |
| Provider Name | David Tian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598080129 PECOS PAC ID: 1153570908 Enrollment ID: I20161005000694 |
| Provider Name | Rajat Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235472655 PECOS PAC ID: 3476786534 Enrollment ID: I20161005002078 |
| Provider Name | Zahidul I Chowdhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023458890 PECOS PAC ID: 3779719190 Enrollment ID: I20161005002632 |
| Provider Name | Latrenda S Perkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659717569 PECOS PAC ID: 9739486218 Enrollment ID: I20161011001370 |
| Provider Name | Kirk B Laman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154329928 PECOS PAC ID: 0042206831 Enrollment ID: I20161024000908 |
| Provider Name | Erinn Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498387 PECOS PAC ID: 8325326309 Enrollment ID: I20161026000315 |
| Provider Name | Susan E Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427005354 PECOS PAC ID: 9931102902 Enrollment ID: I20161116002683 |
| Provider Name | Katherine M Duello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922242759 PECOS PAC ID: 3971748443 Enrollment ID: I20161214002072 |
| Provider Name | Lacey Hutchinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386908143 PECOS PAC ID: 4688823792 Enrollment ID: I20161216001411 |
| Provider Name | Henry a Woods |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245399575 PECOS PAC ID: 5294028288 Enrollment ID: I20161228000967 |
| Provider Name | Erich Heinz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902886724 PECOS PAC ID: 4486891330 Enrollment ID: I20161228001339 |
| Provider Name | Rhonda Tisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508315102 PECOS PAC ID: 0648551994 Enrollment ID: I20161229000922 |
| Provider Name | David August Schulte |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255680096 PECOS PAC ID: 5799092243 Enrollment ID: I20170110001883 |
| Provider Name | Manisha a Ruhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710334495 PECOS PAC ID: 1153603659 Enrollment ID: I20170118000555 |
| Provider Name | Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770711871 PECOS PAC ID: 0042474827 Enrollment ID: I20170315000922 |
| Provider Name | Falguni Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255888970 PECOS PAC ID: 6204111719 Enrollment ID: I20170324001118 |
| Provider Name | Jenean a Gardner Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588108922 PECOS PAC ID: 5890071948 Enrollment ID: I20170404002201 |
| Provider Name | Maritess Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013461425 PECOS PAC ID: 6406132166 Enrollment ID: I20170411002379 |
| Provider Name | Michael Posada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730626508 PECOS PAC ID: 9032495494 Enrollment ID: I20170419001660 |
| Provider Name | Robin P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487193777 PECOS PAC ID: 4789960006 Enrollment ID: I20170420001487 |
| Provider Name | Pei Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851827893 PECOS PAC ID: 6800164963 Enrollment ID: I20170613001671 |
| Provider Name | Lauren Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447786892 PECOS PAC ID: 0042589152 Enrollment ID: I20170705003036 |
| Provider Name | Brett Prylinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205254687 PECOS PAC ID: 7517256605 Enrollment ID: I20170724001068 |
| Provider Name | Matthew Crim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588993414 PECOS PAC ID: 5991954216 Enrollment ID: I20170802000883 |
| Provider Name | Tracy a Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942734710 PECOS PAC ID: 0244502490 Enrollment ID: I20170823000032 |
| Provider Name | Brittany Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871906081 PECOS PAC ID: 5193039055 Enrollment ID: I20170905001478 |
| Provider Name | Lauren W. Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275947483 PECOS PAC ID: 1153541495 Enrollment ID: I20170907003747 |
| Provider Name | Sunaina Jhurani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598047110 PECOS PAC ID: 4385949650 Enrollment ID: I20170913002037 |
| Provider Name | Garry Mcculloch |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1699065805 PECOS PAC ID: 4082912050 Enrollment ID: I20170914002158 |
| Provider Name | Courtney Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184036832 PECOS PAC ID: 6800118191 Enrollment ID: I20170915003276 |
| Provider Name | Erika Martinez-uribe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588077358 PECOS PAC ID: 2860614849 Enrollment ID: I20170918000633 |
| Provider Name | Arvind Sivakumaran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215258231 PECOS PAC ID: 1850691551 Enrollment ID: I20171003004985 |
| Provider Name | Neetu Pannala-lakshma Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124062534 PECOS PAC ID: 3274555313 Enrollment ID: I20171011003621 |
| Provider Name | Bich Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689088841 PECOS PAC ID: 9234356007 Enrollment ID: I20171013001457 |
| Provider Name | Clarke Latimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700041290 PECOS PAC ID: 3971641093 Enrollment ID: I20171030002372 |
| Provider Name | Stacy Woodard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760908917 PECOS PAC ID: 6204194715 Enrollment ID: I20171215001938 |
| Provider Name | Bania Gabriela Calero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386056307 PECOS PAC ID: 1759670581 Enrollment ID: I20180219001209 |
| Provider Name | Victoria L Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972773331 PECOS PAC ID: 3274602933 Enrollment ID: I20180609000122 |
| Provider Name | Michael J. Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093959553 PECOS PAC ID: 9436304458 Enrollment ID: I20180719001748 |
| Provider Name | Julie a Oglesby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023528460 PECOS PAC ID: 4486916855 Enrollment ID: I20180724003894 |
| Provider Name | Latonia Melissa Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366951741 PECOS PAC ID: 1759522832 Enrollment ID: I20180724004216 |
| Provider Name | Ashley Marie Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104337153 PECOS PAC ID: 9234491614 Enrollment ID: I20180731003893 |
| Provider Name | Adam Anglyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215321971 PECOS PAC ID: 6406148295 Enrollment ID: I20180813003144 |
| Provider Name | Jaine Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700129681 PECOS PAC ID: 4183973241 Enrollment ID: I20180822002350 |
| Provider Name | Qiao Zhou |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265795223 PECOS PAC ID: 7719237395 Enrollment ID: I20180830003411 |
| Provider Name | Anitha Koduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689803785 PECOS PAC ID: 1153558820 Enrollment ID: I20180831000762 |
| Provider Name | Pranam Kokilakumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376938696 PECOS PAC ID: 2567746274 Enrollment ID: I20180905003725 |
| Provider Name | Lise-stephana Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336510205 PECOS PAC ID: 9931450749 Enrollment ID: I20180918002256 |
| Provider Name | Retina M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497280994 PECOS PAC ID: 1355692781 Enrollment ID: I20180925002259 |
| Provider Name | Meesha Gwan-nulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669435707 PECOS PAC ID: 2163482068 Enrollment ID: I20181009003326 |
| Provider Name | Jensil Philip Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609295765 PECOS PAC ID: 7911223417 Enrollment ID: I20181015001268 |
| Provider Name | Vanessa Marie Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205325586 PECOS PAC ID: 4789936832 Enrollment ID: I20181017003588 |
| Provider Name | Angelique Letrell Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790298222 PECOS PAC ID: 0042563793 Enrollment ID: I20181025001527 |
| Provider Name | Jennifer Angela Mcnear |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962577239 PECOS PAC ID: 5597937698 Enrollment ID: I20181029001127 |
| Provider Name | Erika M Raines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942783147 PECOS PAC ID: 9739432238 Enrollment ID: I20181031000795 |
| Provider Name | Diondra Burney Atoyebi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255712337 PECOS PAC ID: 7618256546 Enrollment ID: I20181101001188 |
| Provider Name | Siraj Abdullah |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235450685 PECOS PAC ID: 1759509854 Enrollment ID: I20181105001960 |
| Provider Name | Roy Elie Abrahamian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083891196 PECOS PAC ID: 1658686597 Enrollment ID: I20181107003127 |
| Provider Name | Peter Flueckiger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396038543 PECOS PAC ID: 6002134806 Enrollment ID: I20181107003590 |
| Provider Name | Sharonda Shontrell Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033605118 PECOS PAC ID: 5092069120 Enrollment ID: I20181108001221 |
| Provider Name | Johnny Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497166623 PECOS PAC ID: 0941577571 Enrollment ID: I20181109001784 |
| Provider Name | Adam James Carlisle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669768586 PECOS PAC ID: 3779711684 Enrollment ID: I20181109002636 |
| Provider Name | Matthew B Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871976803 PECOS PAC ID: 0143565267 Enrollment ID: I20181218003104 |
| Provider Name | Emily Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750856712 PECOS PAC ID: 8325382765 Enrollment ID: I20190103003270 |
| Provider Name | Ashley Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578003133 PECOS PAC ID: 1355627100 Enrollment ID: I20190103003289 |
| Provider Name | Vibhav Shyam Rangarajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174844971 PECOS PAC ID: 9234353392 Enrollment ID: I20190129000168 |
| Provider Name | Saurabh Gulati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144511197 PECOS PAC ID: 2769720259 Enrollment ID: I20190207001694 |
| Provider Name | Nneka L Okpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063964039 PECOS PAC ID: 8527328467 Enrollment ID: I20190313003083 |
| Provider Name | Olga Matipe Nen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669998159 PECOS PAC ID: 6800136045 Enrollment ID: I20190325002684 |
| Provider Name | Lyudmila Milanina Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831661347 PECOS PAC ID: 0840524823 Enrollment ID: I20190625002308 |
| Provider Name | Aliya Safwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306395520 PECOS PAC ID: 9335475953 Enrollment ID: I20190719000976 |
| Provider Name | Esther Wimlen Wallach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275988198 PECOS PAC ID: 6608168679 Enrollment ID: I20190722000349 |
| Provider Name | Tashinea M. Bernadin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922454701 PECOS PAC ID: 5991097610 Enrollment ID: I20190723002456 |
| Provider Name | Loreli Garnica Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912361809 PECOS PAC ID: 7416246681 Enrollment ID: I20190723003890 |
| Provider Name | Bradley Goetz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356761548 PECOS PAC ID: 2062715881 Enrollment ID: I20190730004184 |
| Provider Name | Daniel Andrew Ortiz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194091132 PECOS PAC ID: 5193027829 Enrollment ID: I20190819001913 |
| Provider Name | Adam Kyle Deal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184951170 PECOS PAC ID: 1254631906 Enrollment ID: I20190820000962 |
| Provider Name | Elizabeth Maimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295216216 PECOS PAC ID: 1557699725 Enrollment ID: I20190826002951 |
| Provider Name | Hayden Koehler Aaron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699139246 PECOS PAC ID: 0143559724 Enrollment ID: I20190906001496 |
| Provider Name | Natasha Carpio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750640025 PECOS PAC ID: 3577707017 Enrollment ID: I20190909000798 |
| Provider Name | Mitkumar Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912293812 PECOS PAC ID: 1153542303 Enrollment ID: I20190909004263 |
| Provider Name | Roshin C Mathew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881983963 PECOS PAC ID: 1254660426 Enrollment ID: I20190912003621 |
| Provider Name | Rakesh Ishwarial Baman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134109051 PECOS PAC ID: 7012007941 Enrollment ID: I20190916001087 |
| Provider Name | Rani Lall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598021180 PECOS PAC ID: 1850530387 Enrollment ID: I20190925001059 |
| Provider Name | Ashish Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164873261 PECOS PAC ID: 9436480456 Enrollment ID: I20191004003230 |
| Provider Name | Hannah Timmerman Cofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356907596 PECOS PAC ID: 5890026835 Enrollment ID: I20191007000833 |
| Provider Name | Kelsay Paige Mcfall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124438619 PECOS PAC ID: 3072836816 Enrollment ID: I20191030002271 |
| Provider Name | Chad Waddell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053960914 PECOS PAC ID: 4082048079 Enrollment ID: I20191228000025 |
| Provider Name | Meredith Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720634397 PECOS PAC ID: 2163856832 Enrollment ID: I20200106001776 |
| Provider Name | Cindy Liberal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659922508 PECOS PAC ID: 1658706239 Enrollment ID: I20200109001471 |
| Provider Name | David Joseph Durniak Woska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518923630 PECOS PAC ID: 1658314109 Enrollment ID: I20200214001638 |
| Provider Name | Srinivasa R Chennareddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245367721 PECOS PAC ID: 1052411972 Enrollment ID: I20200226002563 |
| Provider Name | Lisa Ann Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578103008 PECOS PAC ID: 9234567348 Enrollment ID: I20200323002500 |
| Provider Name | Sibilla K Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407400260 PECOS PAC ID: 0648609362 Enrollment ID: I20200401001156 |
| Provider Name | Maulikkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831551126 PECOS PAC ID: 6507120227 Enrollment ID: I20200410002061 |
| Provider Name | Domineque Ariane Chhun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275016776 PECOS PAC ID: 3870923683 Enrollment ID: I20200420000225 |
| Provider Name | Miguel Carmona Pires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720514540 PECOS PAC ID: 5991126211 Enrollment ID: I20200521003097 |
| Provider Name | Hena Joshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275928749 PECOS PAC ID: 9234550203 Enrollment ID: I20200528003418 |
| Provider Name | Marisa Elise-guerette Chorney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558727925 PECOS PAC ID: 6305130139 Enrollment ID: I20200609003278 |
| Provider Name | William Dinsfriend |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780028720 PECOS PAC ID: 1456670876 Enrollment ID: I20200618002942 |
| Provider Name | Christopher Massad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033640115 PECOS PAC ID: 7911277793 Enrollment ID: I20200629000360 |
| Provider Name | Rakesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225415805 PECOS PAC ID: 8921315771 Enrollment ID: I20200707000970 |
| Provider Name | Bailee Blackburn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992246177 PECOS PAC ID: 1557632288 Enrollment ID: I20200709002521 |
| Provider Name | Rajeev Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194169417 PECOS PAC ID: 2163714643 Enrollment ID: I20200709003689 |
| Provider Name | Pratik Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174054894 PECOS PAC ID: 7214208818 Enrollment ID: I20200720003537 |
| Provider Name | Tina Varghese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780002725 PECOS PAC ID: 0345665568 Enrollment ID: I20200805002550 |
| Provider Name | Sujith Kuruvilla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548495849 PECOS PAC ID: 8921236845 Enrollment ID: I20200808000129 |
| Provider Name | Steven Hanrahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487188587 PECOS PAC ID: 9931442332 Enrollment ID: I20200812001848 |
| Provider Name | Edward Claude Clermont |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760749873 PECOS PAC ID: 6204253149 Enrollment ID: I20200824002853 |
| Provider Name | Mallory Shillinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023466570 PECOS PAC ID: 3375972003 Enrollment ID: I20200903003344 |
| Provider Name | Brandy L Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922620798 PECOS PAC ID: 0042630089 Enrollment ID: I20201013003164 |
| Provider Name | Idrissatu Bah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083237069 PECOS PAC ID: 5092125021 Enrollment ID: I20201103002225 |
| Provider Name | Brandon Kyle Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220292 PECOS PAC ID: 1951692730 Enrollment ID: I20201104001614 |
| Provider Name | Jessica a Nicoletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215542329 PECOS PAC ID: 2466863261 Enrollment ID: I20201130003055 |
| Provider Name | Caroline Bekele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962935767 PECOS PAC ID: 4587076641 Enrollment ID: I20201214001817 |
| Provider Name | Ashleigh Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730716689 PECOS PAC ID: 2769811298 Enrollment ID: I20201229001521 |
| Provider Name | Katrina Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376037507 PECOS PAC ID: 0042623308 Enrollment ID: I20210105001095 |
| Provider Name | Merlyn Kaalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316470594 PECOS PAC ID: 2365793916 Enrollment ID: I20210202003210 |
| Provider Name | Sherri Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659650695 PECOS PAC ID: 7618382490 Enrollment ID: I20210209002753 |
| Provider Name | Alexis Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851406 PECOS PAC ID: 3072873512 Enrollment ID: I20210222002312 |
| Provider Name | Abraham Mathai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215468483 PECOS PAC ID: 0042576514 Enrollment ID: I20210621002321 |
| Provider Name | Daniel Hampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972980795 PECOS PAC ID: 9638471345 Enrollment ID: I20210628003157 |
| Provider Name | Sonya J Chelliah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811480411 PECOS PAC ID: 9133478399 Enrollment ID: I20210628003317 |
| Provider Name | Patrice D. Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164722468 PECOS PAC ID: 4082016308 Enrollment ID: I20210709000285 |
| Provider Name | Marsha-gail Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285081349 PECOS PAC ID: 5597059121 Enrollment ID: I20210713002828 |
| Provider Name | David Moise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245734367 PECOS PAC ID: 1850794116 Enrollment ID: I20210723001199 |
| Provider Name | Naveed Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467711861 PECOS PAC ID: 9133378904 Enrollment ID: I20210726002151 |
| Provider Name | Cindy Laing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033606876 PECOS PAC ID: 9537419486 Enrollment ID: I20210802002338 |
| Provider Name | Lonnie Nicholas Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053873612 PECOS PAC ID: 3870828692 Enrollment ID: I20210812002014 |
| Provider Name | Miles Chia-hung Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750886768 PECOS PAC ID: 8325391386 Enrollment ID: I20210816001675 |
| Provider Name | Puja Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093212375 PECOS PAC ID: 1355690637 Enrollment ID: I20210818004247 |
| Provider Name | Lindsey Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942613765 PECOS PAC ID: 7810292612 Enrollment ID: I20210823003213 |
| Provider Name | Orvenie Bernardin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528565892 PECOS PAC ID: 0345645677 Enrollment ID: I20210824002207 |
| Provider Name | Melissa Rienstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407351117 PECOS PAC ID: 1759632011 Enrollment ID: I20210826001885 |
| Provider Name | Kilian Van Rijn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124523758 PECOS PAC ID: 3779988860 Enrollment ID: I20210827001719 |
| Provider Name | Deanna Joe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740789338 PECOS PAC ID: 5092061085 Enrollment ID: I20210831001894 |
| Provider Name | Nathan Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376037697 PECOS PAC ID: 9931456498 Enrollment ID: I20210903000812 |
| Provider Name | Nemil Atul Shah |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1093102915 PECOS PAC ID: 2769777879 Enrollment ID: I20210922003058 |
| Provider Name | Charles Chacha Maroa Babere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447754197 PECOS PAC ID: 6002155793 Enrollment ID: I20210927003401 |
| Provider Name | Rachel Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992302699 PECOS PAC ID: 2860800802 Enrollment ID: I20211001001132 |
| Provider Name | Manfred Tejerina Temmerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134489438 PECOS PAC ID: 9234486937 Enrollment ID: I20211004002260 |
| Provider Name | Robert Kuo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801208657 PECOS PAC ID: 3476864117 Enrollment ID: I20211019002020 |
| Provider Name | Nickolas Leaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245904200 PECOS PAC ID: 1254729676 Enrollment ID: I20211130001665 |
| Provider Name | Deidre Patrice Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396330411 PECOS PAC ID: 4789075821 Enrollment ID: I20211227000864 |
| Provider Name | Kenesia Genas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134685118 PECOS PAC ID: 3476944455 Enrollment ID: I20211230000334 |
| Provider Name | Tolulope Arowosegbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174283386 PECOS PAC ID: 8729470646 Enrollment ID: I20220126000570 |
| Provider Name | Shobashalini Chokkalingam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508865718 PECOS PAC ID: 4981645777 Enrollment ID: I20220201002262 |
| Provider Name | Kaythrine Ramp Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023769098 PECOS PAC ID: 5193118677 Enrollment ID: I20220204000633 |
| Provider Name | Jemese Richards-boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467985085 PECOS PAC ID: 9739504309 Enrollment ID: I20220207002223 |
| Provider Name | Trinity Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427722495 PECOS PAC ID: 8527452374 Enrollment ID: I20220222000972 |
| Provider Name | Michael Luo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760801286 PECOS PAC ID: 8527499151 Enrollment ID: I20220324000016 |
| Provider Name | Camille Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811049448 PECOS PAC ID: 6305904111 Enrollment ID: I20220414001831 |
| Provider Name | Dazhong Sun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205901030 PECOS PAC ID: 6204860042 Enrollment ID: I20220520000000 |
| Provider Name | David Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699158154 PECOS PAC ID: 1759670029 Enrollment ID: I20220613001396 |
| Provider Name | Xala Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962923292 PECOS PAC ID: 2961773296 Enrollment ID: I20220616000012 |
| Provider Name | Ajay Kumar Kaja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487918694 PECOS PAC ID: 3173820149 Enrollment ID: I20220624001788 |
| Provider Name | Maylissa Lydia Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306578711 PECOS PAC ID: 5597145441 Enrollment ID: I20220708002751 |
| Provider Name | Julia Jane Sieth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376034751 PECOS PAC ID: 3870974975 Enrollment ID: I20220721003783 |
| Provider Name | Besong Ebob Ogork |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851954440 PECOS PAC ID: 7911388814 Enrollment ID: I20220725001275 |
| Provider Name | Bashar Al-turk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699160408 PECOS PAC ID: 9739480617 Enrollment ID: I20220726000459 |
| Provider Name | Nadine Cyrilla Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073003364 PECOS PAC ID: 4789066150 Enrollment ID: I20220802000036 |
| Provider Name | Akhila Madala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003376104 PECOS PAC ID: 3971838756 Enrollment ID: I20220803002535 |
| Provider Name | Noor Ul Ain Munira Naz Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033679162 PECOS PAC ID: 0244569895 Enrollment ID: I20220803002842 |
| Provider Name | Jean-philippe Morisset |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316409063 PECOS PAC ID: 6901131937 Enrollment ID: I20220810000077 |
| Provider Name | Timothy Ryan Erdei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538621016 PECOS PAC ID: 9133456650 Enrollment ID: I20220816001905 |
| Provider Name | Shalini Chowdavarapu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609434281 PECOS PAC ID: 6103154448 Enrollment ID: I20220817001943 |
| Provider Name | Augusta Essuman-nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558927707 PECOS PAC ID: 0547643603 Enrollment ID: I20220823000755 |
| Provider Name | Leah Valour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841706652 PECOS PAC ID: 7810236866 Enrollment ID: I20220823003710 |
| Provider Name | Pratikkumar J. Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356789200 PECOS PAC ID: 0042506792 Enrollment ID: I20220913000172 |
| Provider Name | Katrina Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336607522 PECOS PAC ID: 7113253436 Enrollment ID: I20221101001648 |
| Provider Name | Hawwa S Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881889277 PECOS PAC ID: 7810154135 Enrollment ID: I20221209002502 |
| Provider Name | Young-jae Nam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952501405 PECOS PAC ID: 5597983197 Enrollment ID: I20221229001891 |
| Provider Name | Jacquelene L Dovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659084366 PECOS PAC ID: 5597137612 Enrollment ID: I20230217000992 |
| Provider Name | Kallan Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124550736 PECOS PAC ID: 1355761305 Enrollment ID: I20230302001273 |
| Provider Name | Andrew Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699162321 PECOS PAC ID: 3779832506 Enrollment ID: I20230327002205 |
| Provider Name | Kishore Sathiraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184289993 PECOS PAC ID: 0941535157 Enrollment ID: I20230410002705 |
| Provider Name | Amanda Marten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326534504 PECOS PAC ID: 4880938380 Enrollment ID: I20230503001031 |
| Provider Name | Yasmin Rosshandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689203754 PECOS PAC ID: 4688096555 Enrollment ID: I20230503002665 |
| Provider Name | Joseph G Livingston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558657643 PECOS PAC ID: 9032406194 Enrollment ID: I20230509000350 |
| Provider Name | Darryel Alexander Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285291286 PECOS PAC ID: 5799015483 Enrollment ID: I20230511000535 |
| Provider Name | Mary Melissa Mathes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235824160 PECOS PAC ID: 2062878077 Enrollment ID: I20230517002799 |
| Provider Name | Winston Hong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235664442 PECOS PAC ID: 3476977299 Enrollment ID: I20230607002682 |
| Provider Name | Alfred Ka-shing Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497375612 PECOS PAC ID: 4284092800 Enrollment ID: I20230614000629 |
| Provider Name | Suhag B Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396276689 PECOS PAC ID: 7012282072 Enrollment ID: I20230615000728 |
| Provider Name | Joseph Lightsey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033522990 PECOS PAC ID: 0749502458 Enrollment ID: I20230616001190 |
| Provider Name | Virginia Marie Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679040240 PECOS PAC ID: 6901264803 Enrollment ID: I20230626001803 |
| Provider Name | Chinwendu Catherine Korie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831727544 PECOS PAC ID: 9739549940 Enrollment ID: I20230720000138 |
| Provider Name | Yerie Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073960498 PECOS PAC ID: 0244525012 Enrollment ID: I20230726002479 |
| Provider Name | Liyun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932713658 PECOS PAC ID: 5799146106 Enrollment ID: I20230802000679 |
| Provider Name | Miriam M Onyegbula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306462619 PECOS PAC ID: 3678934692 Enrollment ID: I20230807001874 |
| Provider Name | Bryce Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962932830 PECOS PAC ID: 6901172873 Enrollment ID: I20230815001615 |
| Provider Name | Cullen Driscoll Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326686775 PECOS PAC ID: 1254754153 Enrollment ID: I20230821002202 |
| Provider Name | Priscilla Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578098695 PECOS PAC ID: 2264701614 Enrollment ID: I20230901002450 |
| Provider Name | Krupal Jay Hari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003347881 PECOS PAC ID: 0547530610 Enrollment ID: I20230908002965 |
| Provider Name | Kalpana Kugathasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710481114 PECOS PAC ID: 2961800446 Enrollment ID: I20230922001663 |
| Provider Name | Kalaimani Elango |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821452954 PECOS PAC ID: 4789921057 Enrollment ID: I20230922003090 |
| Provider Name | Pia Helene Milde Papadopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669933578 PECOS PAC ID: 4789038472 Enrollment ID: I20230928004042 |
| Provider Name | Jeannette Frei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679549125 PECOS PAC ID: 9133170541 Enrollment ID: I20231004002741 |
| Provider Name | Jordan Harrison Kemme |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497251375 PECOS PAC ID: 1658620612 Enrollment ID: I20231120000186 |
| Provider Name | Bradley James Abraham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205213162 PECOS PAC ID: 8123330040 Enrollment ID: I20231122000620 |
| Provider Name | Derek Evan Hsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548766066 PECOS PAC ID: 0446501191 Enrollment ID: I20231122001373 |
| Provider Name | Elizabeth Conyers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407873086 PECOS PAC ID: 7214954247 Enrollment ID: I20231215003376 |
| Provider Name | Virginia Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770360620 PECOS PAC ID: 2264885409 Enrollment ID: I20240124002562 |
| Provider Name | Quincy Alvin Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316574346 PECOS PAC ID: 1658714530 Enrollment ID: I20240207002962 |
| Provider Name | Nwamaka Dike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144858143 PECOS PAC ID: 8022452242 Enrollment ID: I20240215002801 |
| Provider Name | Ji Hye Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356978852 PECOS PAC ID: 7113340878 Enrollment ID: I20240326000277 |
| Provider Name | Shibu Philip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356430607 PECOS PAC ID: 6800893397 Enrollment ID: I20240404001126 |
| Provider Name | Senthil Balasubramanian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194108217 PECOS PAC ID: 3678879814 Enrollment ID: I20240415001041 |
| Provider Name | Kimiko Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750843637 PECOS PAC ID: 9436533734 Enrollment ID: I20240424003697 |
| Provider Name | Roschel Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780247353 PECOS PAC ID: 7719363001 Enrollment ID: I20240503001610 |
| Provider Name | Barbara Ibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063095859 PECOS PAC ID: 4082005137 Enrollment ID: I20240523002710 |
| Provider Name | Varun Pattisapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053767319 PECOS PAC ID: 0345662433 Enrollment ID: I20240627003610 |
| Provider Name | Erica Lovae Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396341897 PECOS PAC ID: 3375088388 Enrollment ID: I20240715002492 |
| Provider Name | Parisa Biazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033792908 PECOS PAC ID: 9739586934 Enrollment ID: I20240715002828 |
| Provider Name | Stephanie Okeke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306424403 PECOS PAC ID: 3072913847 Enrollment ID: I20240726000895 |
| Provider Name | Young Il Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730765595 PECOS PAC ID: 0143621805 Enrollment ID: I20240726003383 |
| Provider Name | Oluwabukola Naomi Famakinwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508430943 PECOS PAC ID: 5294139655 Enrollment ID: I20240801003352 |
| Provider Name | Gary C Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548649254 PECOS PAC ID: 8921400748 Enrollment ID: I20240806004005 |
| Provider Name | Mutiat Agbasionwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679142111 PECOS PAC ID: 1759782535 Enrollment ID: I20240809003100 |
| Provider Name | Jasbir Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912584608 PECOS PAC ID: 5991106957 Enrollment ID: I20240809003535 |
| Provider Name | Stephen Holby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467986976 PECOS PAC ID: 8123399342 Enrollment ID: I20240809003836 |
| Provider Name | Advija Ibrisimovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831775873 PECOS PAC ID: 1052719911 Enrollment ID: I20240814002265 |
| Provider Name | Grace Oluwaseyi Olatunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497324131 PECOS PAC ID: 9436521846 Enrollment ID: I20240814003865 |
| Provider Name | Afua Dufie Addo Vanderpuije |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346826302 PECOS PAC ID: 8729476841 Enrollment ID: I20240903000079 |
| Provider Name | Soumya Meda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356928451 PECOS PAC ID: 7517369200 Enrollment ID: I20240909002696 |
| Provider Name | Savannah M Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447824420 PECOS PAC ID: 0143623405 Enrollment ID: I20240918001022 |
| Provider Name | Jalessa J Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316528805 PECOS PAC ID: 3577962059 Enrollment ID: I20241007002040 |
| Provider Name | Hina Durani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598053654 PECOS PAC ID: 6901027408 Enrollment ID: I20241014003962 |
| Provider Name | Ledia Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801279120 PECOS PAC ID: 8224341086 Enrollment ID: I20241016004610 |
| Provider Name | Victoria Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336727304 PECOS PAC ID: 7416358775 Enrollment ID: I20241025000079 |
| Provider Name | Robert Favrot Vickers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891372199 PECOS PAC ID: 1254736911 Enrollment ID: I20241121000673 |
| Provider Name | Kiara Phelps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326629247 PECOS PAC ID: 6406257211 Enrollment ID: I20241125003939 |
| Provider Name | Katherine Mcfarlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831753243 PECOS PAC ID: 5294111795 Enrollment ID: I20241205002143 |
| Provider Name | Christina Skariah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518587476 PECOS PAC ID: 8123488517 Enrollment ID: I20241217004568 |
| Provider Name | Molly Smith Ingram |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396576732 PECOS PAC ID: 9931636495 Enrollment ID: I20241220003772 |
| Provider Name | Robert Mackey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235494170 PECOS PAC ID: 6901044619 Enrollment ID: I20250113001920 |
| Provider Name | Cierra Marneisha Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376354548 PECOS PAC ID: 1850821026 Enrollment ID: I20250204001855 |
| Provider Name | Josue A. Medina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437311321 PECOS PAC ID: 2062652878 Enrollment ID: I20250205003154 |
| Provider Name | Harold Pritchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023646734 PECOS PAC ID: 9234557042 Enrollment ID: I20250301000162 |
| Provider Name | Nicholas George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760917074 PECOS PAC ID: 0547620015 Enrollment ID: I20250314001904 |
| Provider Name | Grace Yi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346700457 PECOS PAC ID: 3375872062 Enrollment ID: I20250528002766 |
| Provider Name | Jennifer Crooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780281477 PECOS PAC ID: 4587062138 Enrollment ID: I20250604001766 |
| Provider Name | Stephen Eugene Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104280478 PECOS PAC ID: 1658759964 Enrollment ID: I20251001003653 |
| Provider Name | Allison Tapia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194475632 PECOS PAC ID: 0749661353 Enrollment ID: I20251006002417 |
| Provider Name | Keith Nesta Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174264907 PECOS PAC ID: 5092196774 Enrollment ID: I20251007000473 |
| Provider Name | Raghavendra Charan Makam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235378217 PECOS PAC ID: 5890961205 Enrollment ID: I20251022003433 |
| Provider Name | Ryan Slovak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073176616 PECOS PAC ID: 6507289857 Enrollment ID: I20251031001636 |
| Provider Name | Leonard Morneau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376937722 PECOS PAC ID: 5193125219 Enrollment ID: I20251201003489 |
| Provider Name | Aira Joyce Calima Aguas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386271468 PECOS PAC ID: 6709247869 Enrollment ID: I20251201003585 |
| Provider Name | Amilia Jeyachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710629217 PECOS PAC ID: 8628554243 Enrollment ID: I20260113002082 |
| Provider Name | Christian Bermudez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083783179 PECOS PAC ID: 0143259812 Enrollment ID: I20260116001438 |
| Provider Name | Robert Heidepriem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619959673 PECOS PAC ID: 0143121863 Enrollment ID: I20260126001191 |
| Provider Name | David Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144395187 PECOS PAC ID: 6507919420 Enrollment ID: I20260209000090 |
| Provider Name | Hector Tamez Aguilar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609048909 PECOS PAC ID: 9638473788 Enrollment ID: I20260210003203 |
| Provider Name | Kurt Fichtner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699888297 PECOS PAC ID: 3476902867 Enrollment ID: I20260225001775 |
| Provider Name | Mark Rheaume |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811177884 PECOS PAC ID: 9537238654 Enrollment ID: I20260402001671 |
| Provider Name | Shama Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083174502 PECOS PAC ID: 0042615585 Enrollment ID: I20260416003990 |
| Provider Name | Tin Lynn Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720672462 PECOS PAC ID: 0042786675 Enrollment ID: I20260420003342 |
| Provider Name | Darlene Olurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538747951 PECOS PAC ID: 3274937966 Enrollment ID: I20260512002465 |
| Provider Name | Sean Behan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144726639 PECOS PAC ID: 9537415674 Enrollment ID: I20260514002585 |
| Provider Name | Chika Ikenna Nwachukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417533472 PECOS PAC ID: 4789154329 Enrollment ID: I20260526000561 |
| Provider Name | Yuzhou Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386096535 PECOS PAC ID: 4789920067 Enrollment ID: I20260529004076 |
| Provider Name | Oyovwike Amedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609551654 PECOS PAC ID: 4880049980 Enrollment ID: I20260604003008 |
| Provider Name | Scott Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326601873 PECOS PAC ID: 4880063106 Enrollment ID: I20260623003828 |
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 |