| Pinnacle Health Hospitalist Services LLC | |
|
4300 Londonderry Rd Harrisburg PA 17109-5317 | |
| (717) 231-8772 | |
| (717) 231-8435 |
| Full Name | Pinnacle Health Hospitalist Services LLC |
|---|---|
| Speciality | Hospitalist |
| Location | 4300 Londonderry Rd, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Christopher P Markley (SENIOR VP, CFO) |
| Authorized Official Contact | 7172318210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Health Hospitalist Services LLC 409 S 2nd St Suite 2f Harrisburg PA 17104-1612 | Pinnacle Health Hospitalist Services LLC 4300 Londonderry Rd Harrisburg PA 17109-5317 Ph: (717) 231-8772 |
| NPI Number | 1023458148 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 01/15/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 9739313545 |
|---|---|
| Medicare Enrollment ID | O20131010001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023458148 | NPI | - | NPPES |
| 102888471 0002 | Medicaid | PA |
| Provider Name | Dale Robert Lent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225076995 PECOS PAC ID: 8123924255 Enrollment ID: I20031210000233 |
| Provider Name | Sawsan Y Zammam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710913553 PECOS PAC ID: 9830096874 Enrollment ID: I20031217000537 |
| Provider Name | Juliusz Nitecki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366402794 PECOS PAC ID: 1052214343 Enrollment ID: I20040202000922 |
| Provider Name | Carl S Colombo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326075482 PECOS PAC ID: 7517851595 Enrollment ID: I20040211000076 |
| Provider Name | John D Goldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306802277 PECOS PAC ID: 6103809140 Enrollment ID: I20040610000633 |
| Provider Name | Sandra S Halbruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962469320 PECOS PAC ID: 6406839455 Enrollment ID: I20040610000702 |
| Provider Name | Ricardo C Calla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306804620 PECOS PAC ID: 7416937263 Enrollment ID: I20040722000283 |
| Provider Name | Joseph C Macdonald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467495929 PECOS PAC ID: 1658342274 Enrollment ID: I20040805000431 |
| Provider Name | David P Albright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528000619 PECOS PAC ID: 4789583857 Enrollment ID: I20040818000956 |
| Provider Name | Michael J Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215930227 PECOS PAC ID: 6002881356 Enrollment ID: I20040831000009 |
| Provider Name | Steven Lilie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477582328 PECOS PAC ID: 9335118520 Enrollment ID: I20040924000640 |
| Provider Name | John T Cinicola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407848674 PECOS PAC ID: 2365401452 Enrollment ID: I20041005000675 |
| Provider Name | Anthony J Lacorte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104889963 PECOS PAC ID: 9234194978 Enrollment ID: I20041122001240 |
| Provider Name | Nimesh D Vesuwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740253574 PECOS PAC ID: 4981508025 Enrollment ID: I20041209000136 |
| Provider Name | Nadine S Srouji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700840279 PECOS PAC ID: 5496703712 Enrollment ID: I20050104000380 |
| Provider Name | Alice Q Mccullough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346268489 PECOS PAC ID: 0648217760 Enrollment ID: I20050411000861 |
| Provider Name | Daniel Fischman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356302558 PECOS PAC ID: 1557303435 Enrollment ID: I20050601000952 |
| Provider Name | Julie A. Callender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518949635 PECOS PAC ID: 0941238935 Enrollment ID: I20050801000445 |
| Provider Name | Thomas R Stoner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609871490 PECOS PAC ID: 8022049097 Enrollment ID: I20050830000213 |
| Provider Name | Carlos L Cream |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700835733 PECOS PAC ID: 7911923404 Enrollment ID: I20051024000855 |
| Provider Name | Mila Berdecia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549970 PECOS PAC ID: 4981684206 Enrollment ID: I20051028000473 |
| Provider Name | Farshad Sepahpanah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033179460 PECOS PAC ID: 9739195157 Enrollment ID: I20060222000547 |
| Provider Name | Michael Scot Spangler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730125907 PECOS PAC ID: 4880607795 Enrollment ID: I20060719000100 |
| Provider Name | Frank G Kusi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457375164 PECOS PAC ID: 8921007774 Enrollment ID: I20061205000689 |
| Provider Name | Thomas Z Pineo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154397453 PECOS PAC ID: 1456269950 Enrollment ID: I20061208000015 |
| Provider Name | Olutunde O Odeyemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730100397 PECOS PAC ID: 3476552720 Enrollment ID: I20061214000012 |
| Provider Name | Veronica Ledvin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467462507 PECOS PAC ID: 0648279703 Enrollment ID: I20070326000176 |
| Provider Name | Henry E Ostman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851516504 PECOS PAC ID: 9830297357 Enrollment ID: I20070607000206 |
| Provider Name | Tzvetalin Alex Boshnakov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689669269 PECOS PAC ID: 7911966528 Enrollment ID: I20070703000219 |
| Provider Name | Basant K Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558427377 PECOS PAC ID: 7214029966 Enrollment ID: I20070825000071 |
| Provider Name | Roy Kedem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164449153 PECOS PAC ID: 7618975103 Enrollment ID: I20070907000035 |
| Provider Name | Edwin Shadzeka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124213459 PECOS PAC ID: 8325132129 Enrollment ID: I20070925000214 |
| Provider Name | Shane J Mcafee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912109521 PECOS PAC ID: 7911093315 Enrollment ID: I20071017000183 |
| Provider Name | Melissa S Hix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619038189 PECOS PAC ID: 0648368241 Enrollment ID: I20071115000242 |
| Provider Name | Ricardo a Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669467957 PECOS PAC ID: 9133101009 Enrollment ID: I20071210000069 |
| Provider Name | Donald Harrison Bucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396945176 PECOS PAC ID: 6103915434 Enrollment ID: I20071210000106 |
| Provider Name | Lester L Himmelreich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982699583 PECOS PAC ID: 6305805912 Enrollment ID: I20071211000121 |
| Provider Name | Martin Karlicek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487861126 PECOS PAC ID: 2062591274 Enrollment ID: I20080429000770 |
| Provider Name | Meagan L Bilbrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336342229 PECOS PAC ID: 9133291586 Enrollment ID: I20080701000143 |
| Provider Name | Rashid Anjum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093972119 PECOS PAC ID: 9931271905 Enrollment ID: I20080708000448 |
| Provider Name | Shailesh Malhotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669440301 PECOS PAC ID: 6103926548 Enrollment ID: I20080711000021 |
| Provider Name | Flavie Lesage-justafort |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164610143 PECOS PAC ID: 6406920313 Enrollment ID: I20080811000125 |
| Provider Name | Elena R Dailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063627784 PECOS PAC ID: 1355416017 Enrollment ID: I20080815000238 |
| Provider Name | Kristine R Kuhn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093905523 PECOS PAC ID: 2769557941 Enrollment ID: I20080822000319 |
| Provider Name | Tariq Nawaz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477769735 PECOS PAC ID: 6608969316 Enrollment ID: I20080905000045 |
| Provider Name | Adam I Wasserman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841290962 PECOS PAC ID: 0749356061 Enrollment ID: I20080910000070 |
| Provider Name | Faith Jabers Matzoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508813288 PECOS PAC ID: 9032193016 Enrollment ID: I20080924000125 |
| Provider Name | Michael P Vanscoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780842849 PECOS PAC ID: 2062570708 Enrollment ID: I20081023000658 |
| Provider Name | Wubnew E Zewdie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982871786 PECOS PAC ID: 1951479757 Enrollment ID: I20090317000394 |
| Provider Name | Daniel M Weiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003013988 PECOS PAC ID: 7517024136 Enrollment ID: I20090326000404 |
| Provider Name | Gregory D Kohler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518193671 PECOS PAC ID: 1557412541 Enrollment ID: I20090702000516 |
| Provider Name | Jason E Scott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245220292 PECOS PAC ID: 4385797729 Enrollment ID: I20090731000561 |
| Provider Name | Casey Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902033418 PECOS PAC ID: 1850445388 Enrollment ID: I20090819000155 |
| Provider Name | Gabriel a Gabasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376780171 PECOS PAC ID: 4789730748 Enrollment ID: I20090917000051 |
| Provider Name | Ravinder S Dhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578757688 PECOS PAC ID: 0749336295 Enrollment ID: I20090924000233 |
| Provider Name | Ikbal a Vahora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386889483 PECOS PAC ID: 6204982515 Enrollment ID: I20090928000516 |
| Provider Name | Pshtiwan a Tahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346417730 PECOS PAC ID: 1658417514 Enrollment ID: I20091006000646 |
| Provider Name | Vimala V Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972744977 PECOS PAC ID: 4587700117 Enrollment ID: I20091012000392 |
| Provider Name | Erez Dar Dachinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215192752 PECOS PAC ID: 2769528314 Enrollment ID: I20091013000076 |
| Provider Name | Hannah L Cutter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740516939 PECOS PAC ID: 5395883490 Enrollment ID: I20091110000600 |
| Provider Name | Kirti Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689815680 PECOS PAC ID: 6507905650 Enrollment ID: I20091202000360 |
| Provider Name | Andrew C Mayfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336476118 PECOS PAC ID: 4183767551 Enrollment ID: I20100208000089 |
| Provider Name | Abdulai M Bukari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851391072 PECOS PAC ID: 0244367597 Enrollment ID: I20100419000799 |
| Provider Name | Veena M Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932190337 PECOS PAC ID: 9638206550 Enrollment ID: I20100427000033 |
| Provider Name | Rijesh Raj Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316261670 PECOS PAC ID: 5890826721 Enrollment ID: I20100622000026 |
| Provider Name | Chakra B Gurung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043477128 PECOS PAC ID: 5890989503 Enrollment ID: I20101027000053 |
| Provider Name | Adedoyin Akintide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518142991 PECOS PAC ID: 5991856551 Enrollment ID: I20101227000349 |
| Provider Name | Abdelsalam M Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083628119 PECOS PAC ID: 6002915568 Enrollment ID: I20110119000785 |
| Provider Name | Manish Guragain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205069820 PECOS PAC ID: 4587847603 Enrollment ID: I20110328000734 |
| Provider Name | Olufemi Awosika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790083384 PECOS PAC ID: 0143406850 Enrollment ID: I20110513000545 |
| Provider Name | Darlene a Pileski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639405681 PECOS PAC ID: 4284802950 Enrollment ID: I20110725000081 |
| Provider Name | Angelica P Duarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982898599 PECOS PAC ID: 6002085123 Enrollment ID: I20110808000066 |
| Provider Name | Ahmed Tarique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699785725 PECOS PAC ID: 3375578008 Enrollment ID: I20110922000046 |
| Provider Name | Gagandeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720240021 PECOS PAC ID: 9234300922 Enrollment ID: I20110929000627 |
| Provider Name | Margaret R Beck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871795344 PECOS PAC ID: 6305019894 Enrollment ID: I20111028000036 |
| Provider Name | Conrad Krawiec |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225201635 PECOS PAC ID: 2860665379 Enrollment ID: I20111028000294 |
| Provider Name | Nirmal Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306875968 PECOS PAC ID: 4688847981 Enrollment ID: I20111102000253 |
| Provider Name | Ivan Tsutskiridze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871510842 PECOS PAC ID: 1153393400 Enrollment ID: I20111109000070 |
| Provider Name | Taryn E Routson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922383918 PECOS PAC ID: 3577737154 Enrollment ID: I20111116000553 |
| Provider Name | Adam John Hellyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215214085 PECOS PAC ID: 2062689763 Enrollment ID: I20120120000572 |
| Provider Name | Sharon E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891884375 PECOS PAC ID: 2769482298 Enrollment ID: I20120222000313 |
| Provider Name | Venkateswarlu Muvva |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942480553 PECOS PAC ID: 2567627425 Enrollment ID: I20120628000046 |
| Provider Name | James B Cruz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871726745 PECOS PAC ID: 5890950182 Enrollment ID: I20120712000384 |
| Provider Name | Mary K Purtle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669731154 PECOS PAC ID: 7113183435 Enrollment ID: I20120731000543 |
| Provider Name | Andrea L Kilgore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336437037 PECOS PAC ID: 4385890680 Enrollment ID: I20120801000720 |
| Provider Name | Vinod K Nookala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376772269 PECOS PAC ID: 0244486223 Enrollment ID: I20120807000390 |
| Provider Name | Lawrence D Appel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952375453 PECOS PAC ID: 4284643990 Enrollment ID: I20120809000071 |
| Provider Name | Rama G Muppalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912137472 PECOS PAC ID: 1456507276 Enrollment ID: I20120810000375 |
| Provider Name | Arash Pasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780828095 PECOS PAC ID: 2365698008 Enrollment ID: I20120810000627 |
| Provider Name | Nangalya Tirthala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497986897 PECOS PAC ID: 9537315270 Enrollment ID: I20120810000631 |
| Provider Name | Jeffrey M Aversa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992850887 PECOS PAC ID: 4082602644 Enrollment ID: I20120813000061 |
| Provider Name | Erin R Colello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710245980 PECOS PAC ID: 1557517265 Enrollment ID: I20120813000630 |
| Provider Name | Wael Adel Samuel Hanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932339868 PECOS PAC ID: 5991952244 Enrollment ID: I20120822000197 |
| Provider Name | Shavkat R Ruziev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578724308 PECOS PAC ID: 1850560483 Enrollment ID: I20120911000216 |
| Provider Name | Dorothy E Oseghale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558590448 PECOS PAC ID: 9436307634 Enrollment ID: I20120913000078 |
| Provider Name | Marian Pokuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20120918000280 |
| Provider Name | Kaitlin Killian Hellyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992055313 PECOS PAC ID: 9133378276 Enrollment ID: I20121004000238 |
| Provider Name | Venkataranga Nallapareddygari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518257856 PECOS PAC ID: 8325299605 Enrollment ID: I20121114000303 |
| Provider Name | Rachael-ann M Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992005235 PECOS PAC ID: 1759534563 Enrollment ID: I20130103000176 |
| Provider Name | Julia a Goehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649526104 PECOS PAC ID: 4880849512 Enrollment ID: I20130304000439 |
| Provider Name | Amy S Wesoly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396081907 PECOS PAC ID: 1254586837 Enrollment ID: I20130305000467 |
| Provider Name | Elizabeth a Tuttle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780980680 PECOS PAC ID: 4789868985 Enrollment ID: I20130305000536 |
| Provider Name | Joanna Paula Sta. Cruz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548492622 PECOS PAC ID: 9234376831 Enrollment ID: I20130517000333 |
| Provider Name | Pooja Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821228644 PECOS PAC ID: 1052550688 Enrollment ID: I20130612000060 |
| Provider Name | Salim Baghli |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528268810 PECOS PAC ID: 0244313591 Enrollment ID: I20130617000070 |
| Provider Name | Mark Yoffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437477502 PECOS PAC ID: 4789825605 Enrollment ID: I20130718000514 |
| Provider Name | Vinod K Nagabhairu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972734986 PECOS PAC ID: 0547402539 Enrollment ID: I20130803000005 |
| Provider Name | Kayla a Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790126613 PECOS PAC ID: 6204078496 Enrollment ID: I20130819000451 |
| Provider Name | Elsa a Wakefield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912348848 PECOS PAC ID: 1850533951 Enrollment ID: I20130819000727 |
| Provider Name | Chioma Enyeribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700192275 PECOS PAC ID: 9032398227 Enrollment ID: I20130821000648 |
| Provider Name | Ketan V Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790001535 PECOS PAC ID: 2163665159 Enrollment ID: I20130823000039 |
| Provider Name | Ramin S Yazdanfar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619280013 PECOS PAC ID: 2961645866 Enrollment ID: I20130824000223 |
| Provider Name | Muhammad F Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770804759 PECOS PAC ID: 4587807250 Enrollment ID: I20130828000156 |
| Provider Name | Vijayavani Anand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174831937 PECOS PAC ID: 0547404220 Enrollment ID: I20130919000136 |
| Provider Name | Muzafar a Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548490998 PECOS PAC ID: 4789828401 Enrollment ID: I20130919000590 |
| Provider Name | Fahima Azizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477865814 PECOS PAC ID: 9234363581 Enrollment ID: I20130930000209 |
| Provider Name | Kamini K Jagdish |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891758504 PECOS PAC ID: 8729080254 Enrollment ID: I20131023000202 |
| Provider Name | Ankit Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851601637 PECOS PAC ID: 0547495723 Enrollment ID: I20131023001706 |
| Provider Name | Amanda E Hershey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003249079 PECOS PAC ID: 7113153511 Enrollment ID: I20131113000581 |
| Provider Name | Bilal Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831401397 PECOS PAC ID: 8426284217 Enrollment ID: I20131127000863 |
| Provider Name | Casey D Belski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457587479 PECOS PAC ID: 5991932840 Enrollment ID: I20131220001024 |
| Provider Name | Ashley M Karli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407282163 PECOS PAC ID: 5991932618 Enrollment ID: I20131228000154 |
| Provider Name | Suhail Shafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710149349 PECOS PAC ID: 1951461987 Enrollment ID: I20140227001392 |
| Provider Name | Pavankumar B Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407004708 PECOS PAC ID: 7416135934 Enrollment ID: I20140804000703 |
| Provider Name | Mansi R Kamdar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336409101 PECOS PAC ID: 9234356510 Enrollment ID: I20140811000319 |
| Provider Name | William N Coward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831358498 PECOS PAC ID: 6103095450 Enrollment ID: I20140819001641 |
| Provider Name | Elizabeth M Fowler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700139979 PECOS PAC ID: 8426276148 Enrollment ID: I20140821001581 |
| Provider Name | Kristie Malloy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609280031 PECOS PAC ID: 7911125109 Enrollment ID: I20140829002009 |
| Provider Name | Kelly a Gurreri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497166862 PECOS PAC ID: 3678791886 Enrollment ID: I20140902000220 |
| Provider Name | Yick Hei Au |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184902926 PECOS PAC ID: 5597907105 Enrollment ID: I20140915001378 |
| Provider Name | Amanda Christine Shultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982011516 PECOS PAC ID: 1456570654 Enrollment ID: I20140922000889 |
| Provider Name | Brittany E Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134414907 PECOS PAC ID: 6709006752 Enrollment ID: I20140925002113 |
| Provider Name | Casey L Dunaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417363458 PECOS PAC ID: 6204056179 Enrollment ID: I20140929001169 |
| Provider Name | Thuy Nhu Le-rathell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760700389 PECOS PAC ID: 3476773649 Enrollment ID: I20141010000689 |
| Provider Name | Cristopher Daniel Palomino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659770519 PECOS PAC ID: 3678794609 Enrollment ID: I20141016000953 |
| Provider Name | Maryam Gul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891906103 PECOS PAC ID: 7719109354 Enrollment ID: I20141114000161 |
| Provider Name | William L Bambach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548567076 PECOS PAC ID: 9436471786 Enrollment ID: I20141124000985 |
| Provider Name | Edie L Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982000642 PECOS PAC ID: 0244552701 Enrollment ID: I20141211001651 |
| Provider Name | Nikunj Prafulbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548573405 PECOS PAC ID: 7810182565 Enrollment ID: I20141224001068 |
| Provider Name | Lei Du |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790100659 PECOS PAC ID: 5092039347 Enrollment ID: I20150115001615 |
| Provider Name | Thach Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043614860 PECOS PAC ID: 6507181534 Enrollment ID: I20150213000609 |
| Provider Name | Magdy Girgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417268657 PECOS PAC ID: 7214179720 Enrollment ID: I20150313000095 |
| Provider Name | George Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932377884 PECOS PAC ID: 8224292610 Enrollment ID: I20150407000900 |
| Provider Name | Sehee V Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295022986 PECOS PAC ID: 0648599621 Enrollment ID: I20150427000456 |
| Provider Name | Benny Bhaskar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386874998 PECOS PAC ID: 8921256736 Enrollment ID: I20150526001935 |
| Provider Name | Stania Valerice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598913618 PECOS PAC ID: 1052508397 Enrollment ID: I20150601000066 |
| Provider Name | Sayed a Kazi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326234899 PECOS PAC ID: 3072761774 Enrollment ID: I20150630001244 |
| Provider Name | Justyna Bart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932461332 PECOS PAC ID: 9830401504 Enrollment ID: I20150709000322 |
| Provider Name | Henock M Ayalew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679830624 PECOS PAC ID: 2769794478 Enrollment ID: I20150709001542 |
| Provider Name | Alfredo T Zacarias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609122928 PECOS PAC ID: 3577705938 Enrollment ID: I20150728003227 |
| Provider Name | Troy H Cover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427369610 PECOS PAC ID: 0244544799 Enrollment ID: I20150729007007 |
| Provider Name | Maria C Hartz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073993762 PECOS PAC ID: 4587978457 Enrollment ID: I20150805008737 |
| Provider Name | Alia Alsaidy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033475405 PECOS PAC ID: 8527298157 Enrollment ID: I20150806012191 |
| Provider Name | Annamaria Autorino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043659097 PECOS PAC ID: 6103048426 Enrollment ID: I20150812006378 |
| Provider Name | Jaymin V Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285997940 PECOS PAC ID: 0042431488 Enrollment ID: I20150813010129 |
| Provider Name | Liya Galooshian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558617480 PECOS PAC ID: 6204078371 Enrollment ID: I20150817002721 |
| Provider Name | Laura Liggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376927996 PECOS PAC ID: 5991012874 Enrollment ID: I20150910001434 |
| Provider Name | Katherine E Stonesifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447627674 PECOS PAC ID: 9537476296 Enrollment ID: I20150914002519 |
| Provider Name | Christopher M Fechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351990 PECOS PAC ID: 7113235037 Enrollment ID: I20150925002086 |
| Provider Name | Meghan Anne Turk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265795256 PECOS PAC ID: 4284943960 Enrollment ID: I20151020001290 |
| Provider Name | Kathryn E Palisoc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750643714 PECOS PAC ID: 1355651803 Enrollment ID: I20151112001502 |
| Provider Name | Yugandhar C Kalagara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285039602 PECOS PAC ID: 6608176128 Enrollment ID: I20151204000970 |
| Provider Name | Robert J Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609868942 PECOS PAC ID: 7012929706 Enrollment ID: I20151207000796 |
| Provider Name | Janine L Liggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336512870 PECOS PAC ID: 1850691262 Enrollment ID: I20151207002296 |
| Provider Name | Yuriy Semak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104257328 PECOS PAC ID: 1254633134 Enrollment ID: I20160108002072 |
| Provider Name | Yohannes D Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346473923 PECOS PAC ID: 3072757608 Enrollment ID: I20160120001811 |
| Provider Name | Anthony H Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730520057 PECOS PAC ID: 8224269402 Enrollment ID: I20160711001396 |
| Provider Name | Krishna C Nemani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982025631 PECOS PAC ID: 0941594873 Enrollment ID: I20160816000086 |
| Provider Name | Alex Sassani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518317296 PECOS PAC ID: 3274828025 Enrollment ID: I20160818001755 |
| Provider Name | Francisco a Daniels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205941796 PECOS PAC ID: 0648254698 Enrollment ID: I20160908001065 |
| Provider Name | Michael Tkach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700129202 PECOS PAC ID: 3971829839 Enrollment ID: I20160908002503 |
| Provider Name | Dilshad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194165993 PECOS PAC ID: 6507160520 Enrollment ID: I20160909000110 |
| Provider Name | Bryson L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508319021 PECOS PAC ID: 6002102373 Enrollment ID: I20160913001118 |
| Provider Name | Quazi Kamran Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881035855 PECOS PAC ID: 3375775323 Enrollment ID: I20160914001162 |
| Provider Name | Carol a Ricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528421963 PECOS PAC ID: 2668769506 Enrollment ID: I20160921001051 |
| Provider Name | Gretchen C Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578017851 PECOS PAC ID: 9133416720 Enrollment ID: I20160926001454 |
| Provider Name | Amina M Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073957668 PECOS PAC ID: 0345551172 Enrollment ID: I20161006001592 |
| Provider Name | Hao Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649581448 PECOS PAC ID: 3678862257 Enrollment ID: I20161130002432 |
| Provider Name | Camille a Sisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124572896 PECOS PAC ID: 2769762822 Enrollment ID: I20161206002382 |
| Provider Name | Mary a Bennett Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124560289 PECOS PAC ID: 8921389578 Enrollment ID: I20161220000671 |
| Provider Name | Michael Yefimovich Neyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619224615 PECOS PAC ID: 9436467222 Enrollment ID: I20161221000030 |
| Provider Name | Rebecca J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780041723 PECOS PAC ID: 6800178179 Enrollment ID: I20170120001838 |
| Provider Name | Pauline a Joshua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174962286 PECOS PAC ID: 6800180464 Enrollment ID: I20170124001515 |
| Provider Name | Sheri M Lamparter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922540020 PECOS PAC ID: 1557645520 Enrollment ID: I20170313000710 |
| Provider Name | Olutoyin Ekundayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053862292 PECOS PAC ID: 6406131762 Enrollment ID: I20170329000386 |
| Provider Name | Ahmed Nuaimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265824700 PECOS PAC ID: 3375831126 Enrollment ID: I20170509000467 |
| Provider Name | Kristine M Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982153870 PECOS PAC ID: 6204103351 Enrollment ID: I20170522001744 |
| Provider Name | Anas M Atrash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891744801 PECOS PAC ID: 0547285777 Enrollment ID: I20170525000926 |
| Provider Name | Sarah L Pelletier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760922835 PECOS PAC ID: 6406124502 Enrollment ID: I20170614000609 |
| Provider Name | David B Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003044934 PECOS PAC ID: 8729244462 Enrollment ID: I20170622002539 |
| Provider Name | Stacy L Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285166520 PECOS PAC ID: 8527337005 Enrollment ID: I20170627002874 |
| Provider Name | Jerry W Tu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477963734 PECOS PAC ID: 8921377326 Enrollment ID: I20170628001085 |
| Provider Name | Tyler S Proper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699204511 PECOS PAC ID: 0840569612 Enrollment ID: I20170711000599 |
| Provider Name | Alexia Arhontakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710414628 PECOS PAC ID: 3173893518 Enrollment ID: I20170718003202 |
| Provider Name | Elizabeth Heisler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427588318 PECOS PAC ID: 4284904962 Enrollment ID: I20170728001198 |
| Provider Name | Sarah E Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962818377 PECOS PAC ID: 1355569013 Enrollment ID: I20170801001678 |
| Provider Name | Jared Michael Benz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356697825 PECOS PAC ID: 4385932391 Enrollment ID: I20170802000787 |
| Provider Name | Jason Rahme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649443276 PECOS PAC ID: 5092732180 Enrollment ID: I20170804000086 |
| Provider Name | Fabian Alcaraz-angulo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144696576 PECOS PAC ID: 2769754514 Enrollment ID: I20170815000589 |
| Provider Name | Gregory R Spisak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922412378 PECOS PAC ID: 7416229042 Enrollment ID: I20170817000291 |
| Provider Name | Tina I Rosengrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316315864 PECOS PAC ID: 9436421088 Enrollment ID: I20170817001317 |
| Provider Name | Kunal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760808711 PECOS PAC ID: 0446522858 Enrollment ID: I20170821000564 |
| Provider Name | Elaina R Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558898718 PECOS PAC ID: 7012289309 Enrollment ID: I20170822000711 |
| Provider Name | Jaimie Trout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629591664 PECOS PAC ID: 4587936737 Enrollment ID: I20170823000191 |
| Provider Name | Charis Whitney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568876597 PECOS PAC ID: 0446477004 Enrollment ID: I20170825002435 |
| Provider Name | David E King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194252015 PECOS PAC ID: 2961774856 Enrollment ID: I20170828003209 |
| Provider Name | Chase Stanford Turner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770903031 PECOS PAC ID: 6002034972 Enrollment ID: I20170830003525 |
| Provider Name | Anne Valerie V Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558778993 PECOS PAC ID: 9436422078 Enrollment ID: I20170905000247 |
| Provider Name | Fidelis Ojevwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124468293 PECOS PAC ID: 7810283843 Enrollment ID: I20170905000581 |
| Provider Name | Jarod Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245769975 PECOS PAC ID: 8921372574 Enrollment ID: I20170920000969 |
| Provider Name | Herit M Vachhani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699194068 PECOS PAC ID: 3072731181 Enrollment ID: I20171012002260 |
| Provider Name | Sarah L Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912423146 PECOS PAC ID: 8527333772 Enrollment ID: I20171013002228 |
| Provider Name | Ankush Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629445721 PECOS PAC ID: 3173899861 Enrollment ID: I20171025000355 |
| Provider Name | Jesus Vargas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487017059 PECOS PAC ID: 9133495674 Enrollment ID: I20171027000480 |
| Provider Name | Joey a Rudd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184076036 PECOS PAC ID: 4082970306 Enrollment ID: I20171102000297 |
| Provider Name | Ashad S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184016719 PECOS PAC ID: 5193000529 Enrollment ID: I20171129002046 |
| Provider Name | Autumn Renee Dixon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528588910 PECOS PAC ID: 2264799261 Enrollment ID: I20171129002583 |
| Provider Name | Kam Mueller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265943625 PECOS PAC ID: 5496013989 Enrollment ID: I20171209000112 |
| Provider Name | Jason Lee Higgs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386059160 PECOS PAC ID: 5698051175 Enrollment ID: I20171211000582 |
| Provider Name | Silpa Kosuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568809812 PECOS PAC ID: 6800028853 Enrollment ID: I20171220002257 |
| Provider Name | Cody Alan Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316450539 PECOS PAC ID: 4284993890 Enrollment ID: I20180104001404 |
| Provider Name | Kojo Sasah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355755 PECOS PAC ID: 3678832862 Enrollment ID: I20180116001244 |
| Provider Name | Melissa S Mcmurtrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487177713 PECOS PAC ID: 4789943606 Enrollment ID: I20180122001206 |
| Provider Name | Mohamadsalim M Saiyed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932411725 PECOS PAC ID: 2466693759 Enrollment ID: I20180508000189 |
| Provider Name | Patrick C Starsinic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326421249 PECOS PAC ID: 6103171723 Enrollment ID: I20180621001764 |
| Provider Name | Justin K Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962822593 PECOS PAC ID: 6608170683 Enrollment ID: I20180621002092 |
| Provider Name | Irina V Mishagina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285049064 PECOS PAC ID: 5395962344 Enrollment ID: I20180622000920 |
| Provider Name | Benjamin D Simcox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316327299 PECOS PAC ID: 7618257981 Enrollment ID: I20180626000827 |
| Provider Name | Quan T Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003290628 PECOS PAC ID: 4880908268 Enrollment ID: I20180828001284 |
| Provider Name | Gurpreet Singh Sandhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477938710 PECOS PAC ID: 2567739972 Enrollment ID: I20180828001669 |
| Provider Name | Saketram Komanduri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417331893 PECOS PAC ID: 7719237551 Enrollment ID: I20180829001285 |
| Provider Name | Mary Ngaleu Nkamany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083009278 PECOS PAC ID: 1951651488 Enrollment ID: I20180905000153 |
| Provider Name | Lauren Michele Hanly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194221226 PECOS PAC ID: 0446500789 Enrollment ID: I20180906001466 |
| Provider Name | Alyssa Lauren Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184118986 PECOS PAC ID: 1759631948 Enrollment ID: I20180910001673 |
| Provider Name | Erica Korin Wentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063892545 PECOS PAC ID: 3375856487 Enrollment ID: I20180911001457 |
| Provider Name | Shrabonti Saha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063893915 PECOS PAC ID: 4981955267 Enrollment ID: I20180926000354 |
| Provider Name | Rory Barrett Milcarek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780063867 PECOS PAC ID: 4183937238 Enrollment ID: I20181002002642 |
| Provider Name | Haley Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457833741 PECOS PAC ID: 5092067298 Enrollment ID: I20181017001284 |
| Provider Name | Joshua G Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134590987 PECOS PAC ID: 3678864956 Enrollment ID: I20181023001036 |
| Provider Name | Ahmed Z Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851779326 PECOS PAC ID: 2062765845 Enrollment ID: I20181024001559 |
| Provider Name | Vinh-truyen Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679693105 PECOS PAC ID: 3870689490 Enrollment ID: I20181211001925 |
| Provider Name | Tonya L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225512940 PECOS PAC ID: 3577808674 Enrollment ID: I20181218001945 |
| Provider Name | Shane Richard Specht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023545662 PECOS PAC ID: 7911279732 Enrollment ID: I20181227001341 |
| Provider Name | Rebekah Lynne Youse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992276521 PECOS PAC ID: 2860738630 Enrollment ID: I20190116000062 |
| Provider Name | Natalie M Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922577576 PECOS PAC ID: 5799022471 Enrollment ID: I20190204001966 |
| Provider Name | Ankita B Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942773486 PECOS PAC ID: 2062750409 Enrollment ID: I20190211002117 |
| Provider Name | Peter E Cunnius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700343290 PECOS PAC ID: 1951642008 Enrollment ID: I20190418000525 |
| Provider Name | Michael Friters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205286481 PECOS PAC ID: 7012250798 Enrollment ID: I20190521000937 |
| Provider Name | John E Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265885313 PECOS PAC ID: 7012201809 Enrollment ID: I20190618000760 |
| Provider Name | Yana V Dilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164980793 PECOS PAC ID: 5496089583 Enrollment ID: I20190624001923 |
| Provider Name | Matthew Kerper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881055820 PECOS PAC ID: 4082990577 Enrollment ID: I20190711001925 |
| Provider Name | Kristie M Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669824397 PECOS PAC ID: 2365738085 Enrollment ID: I20190712000056 |
| Provider Name | Adefolaseyi L Aderotoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891146585 PECOS PAC ID: 7012200207 Enrollment ID: I20190717000511 |
| Provider Name | Melaku Tesfaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417390527 PECOS PAC ID: 2466742747 Enrollment ID: I20190730001174 |
| Provider Name | Nichole L Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710339072 PECOS PAC ID: 4082907803 Enrollment ID: I20190801002530 |
| Provider Name | Anna Shusharina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558822767 PECOS PAC ID: 2567799604 Enrollment ID: I20190812002668 |
| Provider Name | Johat Aponte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033504030 PECOS PAC ID: 6406103233 Enrollment ID: I20190827000600 |
| Provider Name | Collin Hamilton O'neil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588226039 PECOS PAC ID: 7416285556 Enrollment ID: I20190827002585 |
| Provider Name | Bethany a Fink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013576313 PECOS PAC ID: 4284962275 Enrollment ID: I20190829001302 |
| Provider Name | Kameron M Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629631320 PECOS PAC ID: 0648509455 Enrollment ID: I20190904000546 |
| Provider Name | Carl M Madej |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780030114 PECOS PAC ID: 7113210022 Enrollment ID: I20190913002392 |
| Provider Name | May Kyaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811351737 PECOS PAC ID: 5597019877 Enrollment ID: I20190917001200 |
| Provider Name | Manjit K Jhajj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205182649 PECOS PAC ID: 0042504987 Enrollment ID: I20191001000161 |
| Provider Name | Karampal Kaur Mand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326401415 PECOS PAC ID: 5294022646 Enrollment ID: I20191007000017 |
| Provider Name | Mateo Cindric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649622333 PECOS PAC ID: 5799041596 Enrollment ID: I20191011001684 |
| Provider Name | Jonathan Aaron Miknis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306491147 PECOS PAC ID: 2668704685 Enrollment ID: I20191024000878 |
| Provider Name | Sandy Saintelia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851743801 PECOS PAC ID: 4688967946 Enrollment ID: I20191031000574 |
| Provider Name | April N Cindric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790136869 PECOS PAC ID: 0042576852 Enrollment ID: I20191105000956 |
| Provider Name | Chloe Suzanne Strader |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801447446 PECOS PAC ID: 4284067190 Enrollment ID: I20191207000015 |
| Provider Name | Allison Jane Fella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275175697 PECOS PAC ID: 9638502388 Enrollment ID: I20191210002900 |
| Provider Name | Kati a Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083265318 PECOS PAC ID: 0648603316 Enrollment ID: I20191211000245 |
| Provider Name | Ismaela Tezera Teferi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194103820 PECOS PAC ID: 9234563776 Enrollment ID: I20191217000292 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20200205001979 |
| Provider Name | Kayla C Barrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689204927 PECOS PAC ID: 4183051774 Enrollment ID: I20200220000405 |
| Provider Name | Digantkumar L Paghdal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306133921 PECOS PAC ID: 9931322997 Enrollment ID: I20200406000774 |
| Provider Name | Maksim Y Khayznikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659704963 PECOS PAC ID: 0648565754 Enrollment ID: I20200520001877 |
| Provider Name | Yaw Fordjour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710411798 PECOS PAC ID: 1153691928 Enrollment ID: I20200611001711 |
| Provider Name | Swapna Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598299596 PECOS PAC ID: 3274801188 Enrollment ID: I20200721000035 |
| Provider Name | Olivia Catherine Flick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841818796 PECOS PAC ID: 8123442159 Enrollment ID: I20200722003434 |
| Provider Name | Premkumar C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144754177 PECOS PAC ID: 0941579486 Enrollment ID: I20200807000021 |
| Provider Name | Michelle X Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366979072 PECOS PAC ID: 9436420155 Enrollment ID: I20200812002255 |
| Provider Name | Sergiy Georgiyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821324831 PECOS PAC ID: 2163670241 Enrollment ID: I20200817000262 |
| Provider Name | Jamal F Benson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255955837 PECOS PAC ID: 3577989896 Enrollment ID: I20200818001412 |
| Provider Name | Erik P Shadle |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477080075 PECOS PAC ID: 5294158242 Enrollment ID: I20200819000135 |
| Provider Name | Kinjalben R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578090809 PECOS PAC ID: 5294091039 Enrollment ID: I20200921000287 |
| Provider Name | Brendan Scot Tanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023556008 PECOS PAC ID: 3870862220 Enrollment ID: I20200922000115 |
| Provider Name | Donnie L Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508390865 PECOS PAC ID: 8921372855 Enrollment ID: I20200928000948 |
| Provider Name | Rahul Shenoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366963118 PECOS PAC ID: 8325314164 Enrollment ID: I20201005001491 |
| Provider Name | Matthew Heffernan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033646955 PECOS PAC ID: 0143592931 Enrollment ID: I20201005002255 |
| Provider Name | Jennifer M Barner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417271990 PECOS PAC ID: 8123448495 Enrollment ID: I20201027000196 |
| Provider Name | Jafar Aljazeeri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003415589 PECOS PAC ID: 5991115768 Enrollment ID: I20201105001971 |
| Provider Name | Paul Martin Hoffman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780101436 PECOS PAC ID: 2860759198 Enrollment ID: I20210126000047 |
| Provider Name | Danielle Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790310357 PECOS PAC ID: 2365857166 Enrollment ID: I20210208002245 |
| Provider Name | Rachel Lyn Hamrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417581851 PECOS PAC ID: 9436566924 Enrollment ID: I20210330000650 |
| Provider Name | Richard William Schur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720574791 PECOS PAC ID: 9638426026 Enrollment ID: I20210430002076 |
| Provider Name | Kira Mengistu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386098952 PECOS PAC ID: 8224329784 Enrollment ID: I20210520001062 |
| Provider Name | Jennifer Leigh Kneppar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194137349 PECOS PAC ID: 1850513748 Enrollment ID: I20210525001259 |
| Provider Name | Stephen Bruening |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699261677 PECOS PAC ID: 8426306820 Enrollment ID: I20210525001301 |
| Provider Name | Taylor J Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992294441 PECOS PAC ID: 6103181300 Enrollment ID: I20210610000235 |
| Provider Name | Mohammad O Bukhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306334073 PECOS PAC ID: 0840546321 Enrollment ID: I20210615000289 |
| Provider Name | Shelby Lorraine Lutz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760975296 PECOS PAC ID: 1254732704 Enrollment ID: I20210622002513 |
| Provider Name | Jean-phillip Okhovat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497103105 PECOS PAC ID: 0941595862 Enrollment ID: I20210726003124 |
| Provider Name | Christopher Ignatz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538655501 PECOS PAC ID: 6305193525 Enrollment ID: I20210809000853 |
| Provider Name | Binita Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063900314 PECOS PAC ID: 0941604813 Enrollment ID: I20210814000158 |
| Provider Name | Oscar Joel Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548767338 PECOS PAC ID: 4587068457 Enrollment ID: I20210814000173 |
| Provider Name | Sunita Neupane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871099101 PECOS PAC ID: 0446654321 Enrollment ID: I20210816000326 |
| Provider Name | Maria Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828556 PECOS PAC ID: 2264785104 Enrollment ID: I20210830000597 |
| Provider Name | Janet Chan Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851898662 PECOS PAC ID: 0143626374 Enrollment ID: I20210913003217 |
| Provider Name | Laura a Watkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588995179 PECOS PAC ID: 7012179880 Enrollment ID: I20211006000940 |
| Provider Name | Farheen Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316488208 PECOS PAC ID: 3476824301 Enrollment ID: I20211015000140 |
| Provider Name | Amanda Marie Pacenta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851061758 PECOS PAC ID: 1951799451 Enrollment ID: I20211103000954 |
| Provider Name | Rachael Sterner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790457554 PECOS PAC ID: 9335538206 Enrollment ID: I20211115001804 |
| Provider Name | Kimberly a Nkemakolam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437578630 PECOS PAC ID: 2466724091 Enrollment ID: I20211122001821 |
| Provider Name | Sahar Tahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417452863 PECOS PAC ID: 7810387727 Enrollment ID: I20211208003281 |
| Provider Name | Oday Awad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447633730 PECOS PAC ID: 7719235407 Enrollment ID: I20211221000442 |
| Provider Name | Scott J. Haarburger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811490766 PECOS PAC ID: 1951708718 Enrollment ID: I20220106000259 |
| Provider Name | London Clarke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902564834 PECOS PAC ID: 8123419876 Enrollment ID: I20220106002175 |
| Provider Name | Gregory Stryjewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932450624 PECOS PAC ID: 9133363948 Enrollment ID: I20220110000008 |
| Provider Name | Erica Renee Murren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669126082 PECOS PAC ID: 7517352982 Enrollment ID: I20220322000698 |
| Provider Name | Samavia Munir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811477136 PECOS PAC ID: 7517203425 Enrollment ID: I20220331001868 |
| Provider Name | Esam a Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104320043 PECOS PAC ID: 6305190687 Enrollment ID: I20220401000329 |
| Provider Name | Migel a Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144568973 PECOS PAC ID: 4880973833 Enrollment ID: I20220510000159 |
| Provider Name | Uyi-oghosa Idemudia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629065131 PECOS PAC ID: 3173555885 Enrollment ID: I20220526002814 |
| Provider Name | Justin Timothy Lounder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417417775 PECOS PAC ID: 2668850819 Enrollment ID: I20220601000324 |
| Provider Name | Sunita Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649263476 PECOS PAC ID: 1759283641 Enrollment ID: I20220609003041 |
| Provider Name | Ashar Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528527413 PECOS PAC ID: 7214316728 Enrollment ID: I20220614000031 |
| Provider Name | Alfred Osakpolor Aiyanyor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245790658 PECOS PAC ID: 0648659185 Enrollment ID: I20220614001048 |
| Provider Name | William Donald Gower York |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275142564 PECOS PAC ID: 7911325642 Enrollment ID: I20220709000022 |
| Provider Name | Kyle Brockman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093275158 PECOS PAC ID: 7012398241 Enrollment ID: I20220720000808 |
| Provider Name | Dean Post |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629270632 PECOS PAC ID: 3072601186 Enrollment ID: I20220729001469 |
| Provider Name | Jourdan Krotec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437712734 PECOS PAC ID: 1456735794 Enrollment ID: I20220906000145 |
| Provider Name | Jennifer Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639796543 PECOS PAC ID: 2466856935 Enrollment ID: I20220914002181 |
| Provider Name | Ranese Jeffery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700440997 PECOS PAC ID: 3779910906 Enrollment ID: I20221019003014 |
| Provider Name | Umer Farooq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568975977 PECOS PAC ID: 9931430519 Enrollment ID: I20221117000305 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20221206003175 |
| Provider Name | Miguel Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578724746 PECOS PAC ID: 1254504848 Enrollment ID: I20230103002500 |
| Provider Name | Noella Yefon Shadzeka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407143993 PECOS PAC ID: 3971775388 Enrollment ID: I20230221003290 |
| Provider Name | Renu Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841411824 PECOS PAC ID: 8325084551 Enrollment ID: I20230413000813 |
| Provider Name | Maritza T Harper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285973123 PECOS PAC ID: 6709155898 Enrollment ID: I20230504001262 |
| Provider Name | Nasir Alhamdan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669036067 PECOS PAC ID: 7911234109 Enrollment ID: I20230515001968 |
| Provider Name | Benjamin Ravichander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932722121 PECOS PAC ID: 5597122424 Enrollment ID: I20230607002146 |
| Provider Name | Mahaswi Sirangi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336760230 PECOS PAC ID: 1153789623 Enrollment ID: I20230615002753 |
| Provider Name | Aleksei Godok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104432038 PECOS PAC ID: 4789042979 Enrollment ID: I20230620003527 |
| Provider Name | Firdausi Matawalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568086932 PECOS PAC ID: 1759749989 Enrollment ID: I20230621001375 |
| Provider Name | Kevin Matthew Nowakowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538780515 PECOS PAC ID: 9436518735 Enrollment ID: I20230705001969 |
| Provider Name | Liudmila S Mikhno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104320878 PECOS PAC ID: 1254722291 Enrollment ID: I20230718001897 |
| Provider Name | Joseph S Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013538115 PECOS PAC ID: 0143680322 Enrollment ID: I20230719003247 |
| Provider Name | Jonathan Anzmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891291878 PECOS PAC ID: 3971838814 Enrollment ID: I20230810001152 |
| Provider Name | Joshua Stadler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558970129 PECOS PAC ID: 2769845742 Enrollment ID: I20230823002711 |
| Provider Name | Angela Marie Montalvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124647276 PECOS PAC ID: 1153744347 Enrollment ID: I20230911000022 |
| Provider Name | Nathan W Koller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497060727 PECOS PAC ID: 4789873373 Enrollment ID: I20230911003806 |
| Provider Name | Ronald D. Jeffreys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347282 PECOS PAC ID: 4880659911 Enrollment ID: I20231113003729 |
| Provider Name | Christine Shind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164006250 PECOS PAC ID: 5799186441 Enrollment ID: I20240513003384 |
| Provider Name | Kinza Salim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497322358 PECOS PAC ID: 9335540822 Enrollment ID: I20240603002915 |
| Provider Name | Rabin Adhikari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205410610 PECOS PAC ID: 2961945365 Enrollment ID: I20240613001888 |
| Provider Name | Omar Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447833355 PECOS PAC ID: 2961945100 Enrollment ID: I20240617002053 |
| Provider Name | Lauren Lee Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508550708 PECOS PAC ID: 6507306842 Enrollment ID: I20240912003058 |
| Provider Name | Jacob Thomas Witmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548096076 PECOS PAC ID: 0345772539 Enrollment ID: I20241012000128 |
| Provider Name | Masiku Agatha Mdala-gausi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164725180 PECOS PAC ID: 4587804455 Enrollment ID: I20250402003595 |
| Provider Name | Michael B Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033599113 PECOS PAC ID: 9234416033 Enrollment ID: I20250416003626 |
| Provider Name | Marvi Gurbakhshani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659942738 PECOS PAC ID: 3678019411 Enrollment ID: I20250423001562 |
| Provider Name | Dhanesh Kumar Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447909445 PECOS PAC ID: 1658881784 Enrollment ID: I20250609001412 |
| Provider Name | Sara Elizabeth Hoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265239677 PECOS PAC ID: 0345755245 Enrollment ID: I20250710004098 |
| Provider Name | Devashish Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659021764 PECOS PAC ID: 1759767015 Enrollment ID: I20250718003159 |
| Provider Name | Henry S Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467198531 PECOS PAC ID: 0143601633 Enrollment ID: I20250723004108 |
| Provider Name | Kyle Tkach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194516765 PECOS PAC ID: 9830606375 Enrollment ID: I20250729002553 |
| Provider Name | Syed Zejah Ali Gilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316679269 PECOS PAC ID: 5193223345 Enrollment ID: I20250807003446 |
| Provider Name | Chidiebube Egwim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962866467 PECOS PAC ID: 2264725605 Enrollment ID: I20250905004034 |
| Provider Name | Alexis Nworah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386901411 PECOS PAC ID: 6002122496 Enrollment ID: I20250916001804 |
| Provider Name | Alexis M Aiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114660651 PECOS PAC ID: 1254718273 Enrollment ID: I20250922003352 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568109411 PECOS PAC ID: 1456736610 Enrollment ID: I20251002002118 |
| Provider Name | Zohaib Mumtaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710338934 PECOS PAC ID: 6901183664 Enrollment ID: I20251015001836 |
| Provider Name | Haidar Alwaeli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740972678 PECOS PAC ID: 9335501022 Enrollment ID: I20251020002286 |
| Provider Name | Diane Scalera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750254389 PECOS PAC ID: 7113412289 Enrollment ID: I20251217000881 |
| Provider Name | Lisa a Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508715376 PECOS PAC ID: 9638654833 Enrollment ID: I20260325003569 |
| Provider Name | Godiva Kamwanya Biayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649129735 PECOS PAC ID: 6608341565 Enrollment ID: I20260408001190 |
| Provider Name | Hannah Grace Ferrante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053264069 PECOS PAC ID: 9335610724 Enrollment ID: I20260605003934 |
| Provider Name | Bibek Dhungana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700563673 PECOS PAC ID: 6608347018 Enrollment ID: I20260608000125 |
Onsight Health Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2595 Interstate Dr Ste 103, Harrisburg, PA 17110 Phone: 502-244-2420 Fax: 502-996-8282 |
Colonial Park Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4807 Jonestown Rd, Suite 141, Harrisburg, PA 17109 Phone: 717-657-3030 Fax: 717-671-0991 |
Pinnacle Health Regional Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 S 2nd St, Suite 2f, Harrisburg, PA 17104 Phone: 717-231-8929 |
Hamilton Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 17th St, Harrisburg, PA 17104 Phone: 717-232-9971 |
Community Check-up Center of South Harrisburg Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38c Hall Mnr, Harrisburg, PA 17104 Phone: 717-233-1700 Fax: 717-236-8752 |
Hamilton Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 Fulton St, Harrisburg, PA 17102 Phone: 717-230-3906 |