| Presbyterian Medical Group | |
|
5901 Harper Dr Ne Albuquerque NM 87109-3587 | |
| (505) 823-8556 | |
| (505) 823-8555 |
| Full Name | Presbyterian Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 5901 Harper Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Clay Holderman (COO/CDS) |
| Authorized Official Contact | 5057247283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presbyterian Medical Group Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 Ph: (505) 923-5356 | Presbyterian Medical Group 5901 Harper Dr Ne Albuquerque NM 87109-3587 Ph: (505) 823-8556 |
| NPI Number | 1104802354 |
|---|---|
| Provider Enumeration Date | 12/20/2005 |
| Last Update Date | 08/30/2012 |
| Medicare PECOS PAC ID | 9234041708 |
|---|---|
| Medicare Enrollment ID | O20031103000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104802354 | NPI | - | NPPES |
| Provider Name | Jason W Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174551493 PECOS PAC ID: 7315850625 Enrollment ID: I20031111000751 |
| Provider Name | Jacqueline M Gladwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255385639 PECOS PAC ID: 5597679506 Enrollment ID: I20031114000134 |
| Provider Name | Reuben E Last |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346256997 PECOS PAC ID: 5092629022 Enrollment ID: I20031114000208 |
| Provider Name | George Ochs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376637751 PECOS PAC ID: 9234043993 Enrollment ID: I20031117000660 |
| Provider Name | Elena Bettoli-vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083730980 PECOS PAC ID: 4688578636 Enrollment ID: I20031121000492 |
| Provider Name | Michael R Emery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902990377 PECOS PAC ID: 8426954231 Enrollment ID: I20031211000636 |
| Provider Name | Karen Connaughton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023102415 PECOS PAC ID: 0749187227 Enrollment ID: I20031213000020 |
| Provider Name | Edward Payson Ripley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801980297 PECOS PAC ID: 9537066642 Enrollment ID: I20031217000332 |
| Provider Name | Sergio Sobredo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326008905 PECOS PAC ID: 0648179408 Enrollment ID: I20031231000420 |
| Provider Name | Karen C Oday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164483962 PECOS PAC ID: 8022917939 Enrollment ID: I20040108000548 |
| Provider Name | Dion E Gallant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730195439 PECOS PAC ID: 7911808704 Enrollment ID: I20040115000463 |
| Provider Name | Laura R Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336157460 PECOS PAC ID: 1456253590 Enrollment ID: I20040121000305 |
| Provider Name | Mahmood Reza Zamanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386641876 PECOS PAC ID: 6709788292 Enrollment ID: I20040124000065 |
| Provider Name | Melanie L Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356379598 PECOS PAC ID: 0244132637 Enrollment ID: I20040126000320 |
| Provider Name | Patricia W Carbajo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467457648 PECOS PAC ID: 4587567359 Enrollment ID: I20040129000359 |
| Provider Name | Valerie K Merl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477647865 PECOS PAC ID: 9830092675 Enrollment ID: I20040129000750 |
| Provider Name | William O Berlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700956349 PECOS PAC ID: 2264335942 Enrollment ID: I20040129000993 |
| Provider Name | Mihaela Bumbac Bujoi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164424214 PECOS PAC ID: 6305739897 Enrollment ID: I20040206000914 |
| Provider Name | Gregory E Jochems |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528184421 PECOS PAC ID: 7517852619 Enrollment ID: I20040218000225 |
| Provider Name | Delia D Garcia |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588758973 PECOS PAC ID: 3375438286 Enrollment ID: I20040219000301 |
| Provider Name | Ivan Pinon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902990393 PECOS PAC ID: 1951296714 Enrollment ID: I20040219000679 |
| Provider Name | Richard B Boxer |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164453502 PECOS PAC ID: 9931095510 Enrollment ID: I20040223000653 |
| Provider Name | Charles Finley Pace |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922190040 PECOS PAC ID: 9739075938 Enrollment ID: I20040225000260 |
| Provider Name | Nancy A Guinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740299379 PECOS PAC ID: 0446147102 Enrollment ID: I20040228000186 |
| Provider Name | Susan A Seedman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710993803 PECOS PAC ID: 7315834777 Enrollment ID: I20040301000863 |
| Provider Name | Denise J Fligner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891889689 PECOS PAC ID: 4789571175 Enrollment ID: I20040301001045 |
| Provider Name | Richard L Converse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013001486 PECOS PAC ID: 4880582006 Enrollment ID: I20040309000870 |
| Provider Name | Kathleen Callaghan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962449736 PECOS PAC ID: 1254221609 Enrollment ID: I20040318000745 |
| Provider Name | Theresa Michelle Genovese Elliott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801830179 PECOS PAC ID: 8224920913 Enrollment ID: I20040326001306 |
| Provider Name | Kayvan A Ellini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952460693 PECOS PAC ID: 6406848530 Enrollment ID: I20040331000233 |
| Provider Name | Melinda A King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649287681 PECOS PAC ID: 3870586381 Enrollment ID: I20040408000123 |
| Provider Name | Marianne Goshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588615769 PECOS PAC ID: 4789679689 Enrollment ID: I20040419001636 |
| Provider Name | Bruce B Storrs |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902832876 PECOS PAC ID: 6507852787 Enrollment ID: I20040422001233 |
| Provider Name | Elizabeth M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750341426 PECOS PAC ID: 4183612039 Enrollment ID: I20040501000064 |
| Provider Name | Camille M Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093703985 PECOS PAC ID: 8325036189 Enrollment ID: I20040503000418 |
| Provider Name | Jennifer A Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043245020 PECOS PAC ID: 3870583784 Enrollment ID: I20040514000065 |
| Provider Name | Silvia Khalsa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326132705 PECOS PAC ID: 4385634872 Enrollment ID: I20040517000315 |
| Provider Name | Debra Szymanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306955638 PECOS PAC ID: 2961492251 Enrollment ID: I20040518000141 |
| Provider Name | Gretchen Mueller-reuben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508841412 PECOS PAC ID: 9638160518 Enrollment ID: I20040519001504 |
| Provider Name | Peter G Holtz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477552172 PECOS PAC ID: 9335130236 Enrollment ID: I20040520000003 |
| Provider Name | Darcie L Robran Marquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982603478 PECOS PAC ID: 3072509488 Enrollment ID: I20040522000004 |
| Provider Name | Sandra L Whisler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316954365 PECOS PAC ID: 4688655996 Enrollment ID: I20040525000033 |
| Provider Name | Alford N Vassall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578678579 PECOS PAC ID: 7416948062 Enrollment ID: I20040526000336 |
| Provider Name | Bette C Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255402558 PECOS PAC ID: 9830170786 Enrollment ID: I20040526001032 |
| Provider Name | Robert M Lipscomb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326242801 PECOS PAC ID: 0244211142 Enrollment ID: I20040526001425 |
| Provider Name | Mazin A Al Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619968690 PECOS PAC ID: 9537140157 Enrollment ID: I20040528000078 |
| Provider Name | Naomi M Estrada Campos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831158633 PECOS PAC ID: 6204736077 Enrollment ID: I20040601000367 |
| Provider Name | Jacqueline L Cromeans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336233121 PECOS PAC ID: 8921080128 Enrollment ID: I20040602000773 |
| Provider Name | Deborah Z Allen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942394333 PECOS PAC ID: 6204818941 Enrollment ID: I20040604000937 |
| Provider Name | Daniel J St Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376638932 PECOS PAC ID: 1759365620 Enrollment ID: I20040617000266 |
| Provider Name | Paul Andrew Campbell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942394317 PECOS PAC ID: 0547245151 Enrollment ID: I20040618001227 |
| Provider Name | Timothy James Harkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427187277 PECOS PAC ID: 1759366925 Enrollment ID: I20040622000508 |
| Provider Name | Lana K Wagner |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1003890112 PECOS PAC ID: 8820074545 Enrollment ID: I20040624001389 |
| Provider Name | Stephen J Otero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720172109 PECOS PAC ID: 2668460098 Enrollment ID: I20040716000672 |
| Provider Name | Anti Nelly Soto-hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760464119 PECOS PAC ID: 3678553450 Enrollment ID: I20040722000531 |
| Provider Name | Swala K Abrams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235280256 PECOS PAC ID: 0042284424 Enrollment ID: I20040823000206 |
| Provider Name | Eric M Ketcham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134193352 PECOS PAC ID: 7911800164 Enrollment ID: I20040823001422 |
| Provider Name | Darren M Shafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003901265 PECOS PAC ID: 6709851298 Enrollment ID: I20040828000007 |
| Provider Name | Stanislav Belyaev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659368207 PECOS PAC ID: 3274500129 Enrollment ID: I20040911000029 |
| Provider Name | Leslie Allan Donaldson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477505477 PECOS PAC ID: 6406823277 Enrollment ID: I20040929001077 |
| Provider Name | Salvadeeswaran Lakshmi-narayanan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356470884 PECOS PAC ID: 5294704854 Enrollment ID: I20040929001279 |
| Provider Name | Luis Constantin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740284082 PECOS PAC ID: 5698734481 Enrollment ID: I20041007000401 |
| Provider Name | Lea Davies |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942221189 PECOS PAC ID: 1658359989 Enrollment ID: I20041013000128 |
| Provider Name | Douglas R Egli |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558455923 PECOS PAC ID: 1254393846 Enrollment ID: I20041027000038 |
| Provider Name | Angeline Fitzgerald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376598607 PECOS PAC ID: 9739141490 Enrollment ID: I20041103001204 |
| Provider Name | Mohammad R Hassan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427012681 PECOS PAC ID: 6305809542 Enrollment ID: I20041108001296 |
| Provider Name | Elaine S Edmonds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164437620 PECOS PAC ID: 1658334800 Enrollment ID: I20041109000109 |
| Provider Name | Damara L Kaplan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174525257 PECOS PAC ID: 3476515560 Enrollment ID: I20041110000030 |
| Provider Name | Bradley Raisher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912965237 PECOS PAC ID: 1951382712 Enrollment ID: I20041115000668 |
| Provider Name | Loutsios K Ierides |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578601753 PECOS PAC ID: 8224092705 Enrollment ID: I20041115000794 |
| Provider Name | Michael E Gurule |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447398623 PECOS PAC ID: 0244215606 Enrollment ID: I20041115000823 |
| Provider Name | Kamran Kamali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144378464 PECOS PAC ID: 0547233066 Enrollment ID: I20041116000061 |
| Provider Name | Carol M Marquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164448528 PECOS PAC ID: 0547162901 Enrollment ID: I20041118000179 |
| Provider Name | Emmanuel L Gallegos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740239748 PECOS PAC ID: 1759345853 Enrollment ID: I20041118000217 |
| Provider Name | James R Adair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578524906 PECOS PAC ID: 5597721142 Enrollment ID: I20041206000223 |
| Provider Name | Julie Farrer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720172190 PECOS PAC ID: 8325004500 Enrollment ID: I20041209000095 |
| Provider Name | Russell C Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437243821 PECOS PAC ID: 8224094305 Enrollment ID: I20041209000879 |
| Provider Name | Albert A Witte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801844139 PECOS PAC ID: 0446217186 Enrollment ID: I20041215000100 |
| Provider Name | Wendy S Kimmelman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003849662 PECOS PAC ID: 8426016353 Enrollment ID: I20041227000017 |
| Provider Name | Linda J Butros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043226780 PECOS PAC ID: 7012809411 Enrollment ID: I20050111001037 |
| Provider Name | Tahir Qaseem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295864395 PECOS PAC ID: 6002864394 Enrollment ID: I20050113001075 |
| Provider Name | Jesus Gonzalez Aller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801980289 PECOS PAC ID: 2062495930 Enrollment ID: I20050114000290 |
| Provider Name | Richard A Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689633935 PECOS PAC ID: 6507815420 Enrollment ID: I20050118000965 |
| Provider Name | Lynn E Nauman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144294067 PECOS PAC ID: 1254381676 Enrollment ID: I20050124000949 |
| Provider Name | Susanna Gonzales |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992899371 PECOS PAC ID: 4385694371 Enrollment ID: I20050127000393 |
| Provider Name | Bruce V Mathis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700893765 PECOS PAC ID: 3971597873 Enrollment ID: I20050203000233 |
| Provider Name | Praveen Kumar Roy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215958459 PECOS PAC ID: 5698726768 Enrollment ID: I20050207000118 |
| Provider Name | Jill A Slominski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073607461 PECOS PAC ID: 6901858406 Enrollment ID: I20050212000050 |
| Provider Name | David A Graeber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366458077 PECOS PAC ID: 9234182973 Enrollment ID: I20050223000125 |
| Provider Name | Ian Duchen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902829997 PECOS PAC ID: 6800849381 Enrollment ID: I20050224000319 |
| Provider Name | Mark Sagarin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326053885 PECOS PAC ID: 4981653698 Enrollment ID: I20050226000060 |
| Provider Name | Bruno Caridi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225123409 PECOS PAC ID: 2264480607 Enrollment ID: I20050304000677 |
| Provider Name | Carla L Vandyke |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134213937 PECOS PAC ID: 8123072816 Enrollment ID: I20050304000836 |
| Provider Name | Michelle R Cassell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699869495 PECOS PAC ID: 5395799837 Enrollment ID: I20050308001050 |
| Provider Name | Louis F Trost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538284328 PECOS PAC ID: 5890744981 Enrollment ID: I20050315000673 |
| Provider Name | Sandra G Mulligan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194819573 PECOS PAC ID: 0941251920 Enrollment ID: I20050316000414 |
| Provider Name | Joseph N Onyia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902990385 PECOS PAC ID: 6406801935 Enrollment ID: I20050317000740 |
| Provider Name | Scott C Carroll |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659333961 PECOS PAC ID: 4880645282 Enrollment ID: I20050321000636 |
| Provider Name | Teresa M Ainsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437107786 PECOS PAC ID: 6305898529 Enrollment ID: I20050322000289 |
| Provider Name | Edna Gail Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376536854 PECOS PAC ID: 7113829060 Enrollment ID: I20050328001095 |
| Provider Name | Lara L Goss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316942501 PECOS PAC ID: 3072584366 Enrollment ID: I20050330000130 |
| Provider Name | Sofya M Rubinchik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699706325 PECOS PAC ID: 8426003047 Enrollment ID: I20050330000815 |
| Provider Name | Nancy C Lehrhaupt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114099124 PECOS PAC ID: 4688611809 Enrollment ID: I20050409000106 |
| Provider Name | Tatiana Canning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245263730 PECOS PAC ID: 1254382781 Enrollment ID: I20050412001196 |
| Provider Name | Manuel C Archuleta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457460776 PECOS PAC ID: 6305890351 Enrollment ID: I20050415000884 |
| Provider Name | Marisa Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659466829 PECOS PAC ID: 4880631233 Enrollment ID: I20050418000022 |
| Provider Name | Raymond F Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497708754 PECOS PAC ID: 8325086408 Enrollment ID: I20050419001420 |
| Provider Name | William Frederick Wagner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871528455 PECOS PAC ID: 8921056581 Enrollment ID: I20050420000000 |
| Provider Name | Tawnya J Ingimundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821183005 PECOS PAC ID: 9234177890 Enrollment ID: I20050422001104 |
| Provider Name | Donna F Bateman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831208347 PECOS PAC ID: 8426004599 Enrollment ID: I20050502000048 |
| Provider Name | Santiago R Macias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154328094 PECOS PAC ID: 7911952940 Enrollment ID: I20050503000986 |
| Provider Name | Angela R Gallegos-macias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275527608 PECOS PAC ID: 0840245866 Enrollment ID: I20050503001043 |
| Provider Name | Rhonda R Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831283209 PECOS PAC ID: 8921053034 Enrollment ID: I20050504001250 |
| Provider Name | Karen J Spielbusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013903871 PECOS PAC ID: 8527015338 Enrollment ID: I20050510000797 |
| Provider Name | Christine A Rubie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528109105 PECOS PAC ID: 6507811015 Enrollment ID: I20050519000416 |
| Provider Name | Richard H Ming |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487748869 PECOS PAC ID: 8921055088 Enrollment ID: I20050531000849 |
| Provider Name | Leslie Susan Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316948706 PECOS PAC ID: 5799726881 Enrollment ID: I20050608001180 |
| Provider Name | Lori S Eanes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528091196 PECOS PAC ID: 6204727084 Enrollment ID: I20050613000552 |
| Provider Name | Eileen D Comstock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487748851 PECOS PAC ID: 7315974771 Enrollment ID: I20050718000996 |
| Provider Name | Lourdes Vizcarra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427065473 PECOS PAC ID: 8921912403 Enrollment ID: I20050725000557 |
| Provider Name | Andrea Demeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265469191 PECOS PAC ID: 5991748311 Enrollment ID: I20050725000895 |
| Provider Name | Aaron J Geswaldo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639174550 PECOS PAC ID: 5890736664 Enrollment ID: I20050802000132 |
| Provider Name | Robyn Gaffney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346221926 PECOS PAC ID: 7618913179 Enrollment ID: I20050805000859 |
| Provider Name | Kelly Lane Caperton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730253477 PECOS PAC ID: 7416983721 Enrollment ID: I20050829000572 |
| Provider Name | Anjali D Yeolekar-dasari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720105950 PECOS PAC ID: 7911941778 Enrollment ID: I20050907000917 |
| Provider Name | Michelle P Pent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275627655 PECOS PAC ID: 5698702256 Enrollment ID: I20050912000489 |
| Provider Name | Paul A Mikkelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346297769 PECOS PAC ID: 7719916758 Enrollment ID: I20050915000030 |
| Provider Name | Elliott L Crow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659465029 PECOS PAC ID: 5991734931 Enrollment ID: I20050915000068 |
| Provider Name | Mehrzad J Bozorgnia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528111952 PECOS PAC ID: 6709814395 Enrollment ID: I20050916000008 |
| Provider Name | Kevin E Hudenko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083608996 PECOS PAC ID: 2567498306 Enrollment ID: I20050919000910 |
| Provider Name | Diane M Nezar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366567158 PECOS PAC ID: 5193751931 Enrollment ID: I20050919000919 |
| Provider Name | Steven D Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831208198 PECOS PAC ID: 6305806670 Enrollment ID: I20050921000193 |
| Provider Name | Lori D Saiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861566499 PECOS PAC ID: 4880621143 Enrollment ID: I20050924000148 |
| Provider Name | Alice C Chavez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497788996 PECOS PAC ID: 6406884907 Enrollment ID: I20051003000584 |
| Provider Name | Lauren A Buchanan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457489056 PECOS PAC ID: 1153353347 Enrollment ID: I20051006000105 |
| Provider Name | Damen Sacoman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679596977 PECOS PAC ID: 5698728897 Enrollment ID: I20051012000075 |
| Provider Name | Daniel L Junck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851300974 PECOS PAC ID: 0648228981 Enrollment ID: I20051024000793 |
| Provider Name | Alexandra J Cvijanovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043295710 PECOS PAC ID: 4587694724 Enrollment ID: I20051025000019 |
| Provider Name | Hany N Yassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003802463 PECOS PAC ID: 3779500202 Enrollment ID: I20051025000109 |
| Provider Name | Noah A Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619061090 PECOS PAC ID: 5890727234 Enrollment ID: I20051105000391 |
| Provider Name | George W Skarbek- Borowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699721282 PECOS PAC ID: 4880610013 Enrollment ID: I20051110001012 |
| Provider Name | Wendy Fronterhouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558320770 PECOS PAC ID: 5597796722 Enrollment ID: I20051114000254 |
| Provider Name | Cordelia E Sever |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346311883 PECOS PAC ID: 0244259786 Enrollment ID: I20051115000259 |
| Provider Name | Natasha S Kolb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972612208 PECOS PAC ID: 3971522236 Enrollment ID: I20051115001208 |
| Provider Name | Cherie J Hayostek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114995990 PECOS PAC ID: 6608829981 Enrollment ID: I20051130000414 |
| Provider Name | Rebecca D Vasilion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730274911 PECOS PAC ID: 3274559141 Enrollment ID: I20051202000350 |
| Provider Name | Lucas Casul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881751410 PECOS PAC ID: 9830110949 Enrollment ID: I20051215000758 |
| Provider Name | Carisa A Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497849871 PECOS PAC ID: 2961420427 Enrollment ID: I20051216000161 |
| Provider Name | Lorene S Valdez Boyle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780650986 PECOS PAC ID: 1456373109 Enrollment ID: I20051223000049 |
| Provider Name | Elaine L Clanon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750351060 PECOS PAC ID: 9032130950 Enrollment ID: I20051223000087 |
| Provider Name | Elizabeth De Pirro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659360527 PECOS PAC ID: 3173599248 Enrollment ID: I20051227000254 |
| Provider Name | David E Mansfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609852961 PECOS PAC ID: 2466473673 Enrollment ID: I20060104000833 |
| Provider Name | William A Leeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588620447 PECOS PAC ID: 3577589621 Enrollment ID: I20060110001074 |
| Provider Name | Michael T Saiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992808224 PECOS PAC ID: 4284656794 Enrollment ID: I20060116000326 |
| Provider Name | Cynthia Chall-silva |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982713202 PECOS PAC ID: 4587688510 Enrollment ID: I20060118000071 |
| Provider Name | Roger Wesley Gildersleeve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770554149 PECOS PAC ID: 3870510159 Enrollment ID: I20060119000336 |
| Provider Name | Robin M Napoleone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649364027 PECOS PAC ID: 7618990805 Enrollment ID: I20060124000525 |
| Provider Name | Julie K Vansomeren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972697365 PECOS PAC ID: 3779507454 Enrollment ID: I20060127000219 |
| Provider Name | Edgar C Boedeker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861586935 PECOS PAC ID: 9739102567 Enrollment ID: I20060127000688 |
| Provider Name | Bill B Daugherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003900473 PECOS PAC ID: 0547274391 Enrollment ID: I20060131000701 |
| Provider Name | Ratchnee France |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225030042 PECOS PAC ID: 3678599503 Enrollment ID: I20060213000623 |
| Provider Name | Endel Aleksander Sorra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760454862 PECOS PAC ID: 5496760829 Enrollment ID: I20060215000382 |
| Provider Name | Juliet Arambulo Coquia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730204520 PECOS PAC ID: 6305890674 Enrollment ID: I20060221000332 |
| Provider Name | Daniel Arthur Shover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447242839 PECOS PAC ID: 6406861640 Enrollment ID: I20060221000436 |
| Provider Name | Charles F Benton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952491680 PECOS PAC ID: 4486661535 Enrollment ID: I20060315000176 |
| Provider Name | Isabel Lopez-colberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124053236 PECOS PAC ID: 4880601764 Enrollment ID: I20060317000317 |
| Provider Name | Rodney L Crabtree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801821913 PECOS PAC ID: 6800803644 Enrollment ID: I20060320000274 |
| Provider Name | Michael H Deprest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487677571 PECOS PAC ID: 6800803651 Enrollment ID: I20060320000358 |
| Provider Name | Mark D Erasmus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407879513 PECOS PAC ID: 4880601632 Enrollment ID: I20060320000372 |
| Provider Name | John Guttman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851326961 PECOS PAC ID: 7113839978 Enrollment ID: I20060320000606 |
| Provider Name | Qian-yun Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699798850 PECOS PAC ID: 5698782308 Enrollment ID: I20060321000169 |
| Provider Name | Stephen L Pilon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417902610 PECOS PAC ID: 0244247930 Enrollment ID: I20060322000006 |
| Provider Name | Margaret F Heck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528013927 PECOS PAC ID: 5698782381 Enrollment ID: I20060322000011 |
| Provider Name | Juliet M Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679500680 PECOS PAC ID: 2769490341 Enrollment ID: I20060323000191 |
| Provider Name | Gina Waymire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275556375 PECOS PAC ID: 9931117447 Enrollment ID: I20060324000405 |
| Provider Name | Michael B West |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902829021 PECOS PAC ID: 1456369966 Enrollment ID: I20060324000438 |
| Provider Name | Ana-maria Y Rael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457385338 PECOS PAC ID: 6305854811 Enrollment ID: I20060324000480 |
| Provider Name | Carol Red |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568495158 PECOS PAC ID: 6103834627 Enrollment ID: I20060324000507 |
| Provider Name | Eric M Magana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760576144 PECOS PAC ID: 5193733582 Enrollment ID: I20060327000478 |
| Provider Name | James K Poliner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861405409 PECOS PAC ID: 8224045273 Enrollment ID: I20060328000122 |
| Provider Name | Julia A Keating |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366475956 PECOS PAC ID: 0749298032 Enrollment ID: I20060328000651 |
| Provider Name | John L Butcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740216688 PECOS PAC ID: 0648221929 Enrollment ID: I20060328000691 |
| Provider Name | Bernard M Agbemadzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013940675 PECOS PAC ID: 3870501109 Enrollment ID: I20060329000148 |
| Provider Name | John Robert Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194777524 PECOS PAC ID: 9638187941 Enrollment ID: I20060329000153 |
| Provider Name | Christopher Conlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578598504 PECOS PAC ID: 0244248425 Enrollment ID: I20060329000689 |
| Provider Name | Haywood Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851385496 PECOS PAC ID: 3072596030 Enrollment ID: I20060426000196 |
| Provider Name | Arnel Anthony S Bobadilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043304413 PECOS PAC ID: 7214948207 Enrollment ID: I20060504000971 |
| Provider Name | Margaret E Vining |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326132713 PECOS PAC ID: 7911916523 Enrollment ID: I20060508000034 |
| Provider Name | John R Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326008764 PECOS PAC ID: 2466461462 Enrollment ID: I20060508000412 |
| Provider Name | Abby B Kunz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316031792 PECOS PAC ID: 0941210827 Enrollment ID: I20060509000765 |
| Provider Name | Mohammad A Vasef |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548258346 PECOS PAC ID: 0941218341 Enrollment ID: I20060509000998 |
| Provider Name | Matthew W Mckinley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720025737 PECOS PAC ID: 8224049960 Enrollment ID: I20060510000024 |
| Provider Name | Esteban A Henao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881653277 PECOS PAC ID: 1052323938 Enrollment ID: I20060614000136 |
| Provider Name | Andrew Black |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396773255 PECOS PAC ID: 9830102615 Enrollment ID: I20060720000369 |
| Provider Name | Delmar F Kampe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356386213 PECOS PAC ID: 3971547183 Enrollment ID: I20060807000054 |
| Provider Name | Jose Cortes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841242047 PECOS PAC ID: 1153361548 Enrollment ID: I20060809000241 |
| Provider Name | Tania D Pence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649294125 PECOS PAC ID: 0941203723 Enrollment ID: I20060816000575 |
| Provider Name | Mark E Unverzagt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922080621 PECOS PAC ID: 2567466345 Enrollment ID: I20060909000042 |
| Provider Name | Miguel E Pellerano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043257520 PECOS PAC ID: 8426051350 Enrollment ID: I20060911000167 |
| Provider Name | Robin N Hermes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467454744 PECOS PAC ID: 3072517663 Enrollment ID: I20060913000458 |
| Provider Name | Stephanie Karen Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144251778 PECOS PAC ID: 5092718833 Enrollment ID: I20060914000423 |
| Provider Name | Josephine T Trujillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972614873 PECOS PAC ID: 2567467608 Enrollment ID: I20060925000421 |
| Provider Name | Melinda Hall Hacker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1417982141 PECOS PAC ID: 6608871645 Enrollment ID: I20060925000470 |
| Provider Name | Martha R Hand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427093020 PECOS PAC ID: 2062418304 Enrollment ID: I20061010000686 |
| Provider Name | Andrew D Kalishman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609898196 PECOS PAC ID: 6901800275 Enrollment ID: I20061011000589 |
| Provider Name | Alfred B Varela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699766816 PECOS PAC ID: 7911903992 Enrollment ID: I20061014000033 |
| Provider Name | Toribio M Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174531628 PECOS PAC ID: 5597762005 Enrollment ID: I20061025000767 |
| Provider Name | Sergio Norberto Naranjo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780773218 PECOS PAC ID: 1355348202 Enrollment ID: I20061107000170 |
| Provider Name | Kimberly D Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811008717 PECOS PAC ID: 9335148980 Enrollment ID: I20061209000079 |
| Provider Name | Rosa M Galvez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821035437 PECOS PAC ID: 5395639454 Enrollment ID: I20070119000219 |
| Provider Name | Carmela C Mondragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942285473 PECOS PAC ID: 8224039987 Enrollment ID: I20070123000390 |
| Provider Name | John M Ogren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245215722 PECOS PAC ID: 9335140995 Enrollment ID: I20070124000611 |
| Provider Name | Lisa M Balduf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700817434 PECOS PAC ID: 7618957309 Enrollment ID: I20070201000539 |
| Provider Name | Shannon F Stromberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013027762 PECOS PAC ID: 3072577881 Enrollment ID: I20070203000134 |
| Provider Name | Diana M Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598764607 PECOS PAC ID: 1658374749 Enrollment ID: I20070220000362 |
| Provider Name | Kristi Valdez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508820747 PECOS PAC ID: 1759357932 Enrollment ID: I20070309000193 |
| Provider Name | Kelly E Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457491227 PECOS PAC ID: 4587767512 Enrollment ID: I20070313000325 |
| Provider Name | Fernando Jumalon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700846201 PECOS PAC ID: 7113970187 Enrollment ID: I20070323000473 |
| Provider Name | Darla H Bejnar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104980572 PECOS PAC ID: 5890899793 Enrollment ID: I20070403000209 |
| Provider Name | Marshall C Jordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982656880 PECOS PAC ID: 9436105848 Enrollment ID: I20070413000311 |
| Provider Name | Peter Appenzeller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255343448 PECOS PAC ID: 5890891949 Enrollment ID: I20070507000048 |
| Provider Name | Richard M Feddersen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730170754 PECOS PAC ID: 0244336394 Enrollment ID: I20070507000061 |
| Provider Name | James H Spigel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558352674 PECOS PAC ID: 7911003900 Enrollment ID: I20070508000614 |
| Provider Name | Andrew Horvath |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568466464 PECOS PAC ID: 6507769320 Enrollment ID: I20070511000372 |
| Provider Name | Mohammed Aslam Khan Lodhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427133073 PECOS PAC ID: 1355448192 Enrollment ID: I20070514000131 |
| Provider Name | Laura A Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831284009 PECOS PAC ID: 5092812602 Enrollment ID: I20070516000162 |
| Provider Name | Kelley P Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710921846 PECOS PAC ID: 8123125747 Enrollment ID: I20070516000221 |
| Provider Name | Michael J Crossey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972686145 PECOS PAC ID: 2062519457 Enrollment ID: I20070518000533 |
| Provider Name | Tamara M Goodman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013056282 PECOS PAC ID: 1759480346 Enrollment ID: I20070622000049 |
| Provider Name | Yolanda Martinez-salazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699768051 PECOS PAC ID: 6305946369 Enrollment ID: I20070705000524 |
| Provider Name | Dahua Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427010040 PECOS PAC ID: 1850492158 Enrollment ID: I20070730000690 |
| Provider Name | Kelly M Drescher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003875089 PECOS PAC ID: 2365346335 Enrollment ID: I20070817000075 |
| Provider Name | Kelly B Stuart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548312929 PECOS PAC ID: 2860584026 Enrollment ID: I20070817000633 |
| Provider Name | Denise M Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033130273 PECOS PAC ID: 6608968441 Enrollment ID: I20070823000813 |
| Provider Name | Moshe H Maor |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912086943 PECOS PAC ID: 2163415019 Enrollment ID: I20070825000039 |
| Provider Name | Denise A Gonzales |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326043415 PECOS PAC ID: 6507841731 Enrollment ID: I20070827000619 |
| Provider Name | Elizabeth S Whitacre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265512123 PECOS PAC ID: 0446342919 Enrollment ID: I20070829000030 |
| Provider Name | Paula L Hensley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811903487 PECOS PAC ID: 6002908597 Enrollment ID: I20070829000215 |
| Provider Name | Patricia Mary Herson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013968148 PECOS PAC ID: 6103861620 Enrollment ID: I20070904000004 |
| Provider Name | Ryan Lubert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578683785 PECOS PAC ID: 0446343693 Enrollment ID: I20070905000328 |
| Provider Name | Walter Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629162011 PECOS PAC ID: 9931173556 Enrollment ID: I20070913000389 |
| Provider Name | Kevin C Maben |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902916190 PECOS PAC ID: 3678667771 Enrollment ID: I20070920000214 |
| Provider Name | May Reyes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578624631 PECOS PAC ID: 6406820646 Enrollment ID: I20070921000005 |
| Provider Name | Baljinder S Sandhu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124167135 PECOS PAC ID: 4587758552 Enrollment ID: I20070921000038 |
| Provider Name | Suzanne L Dennehy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376743013 PECOS PAC ID: 2567557192 Enrollment ID: I20070927000570 |
| Provider Name | Michael Shoop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356357966 PECOS PAC ID: 0941396717 Enrollment ID: I20071010000375 |
| Provider Name | Angelo J Tomedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790792745 PECOS PAC ID: 0345336020 Enrollment ID: I20071010000538 |
| Provider Name | Anne C Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003823048 PECOS PAC ID: 9739275348 Enrollment ID: I20071012000136 |
| Provider Name | Dale L Steele |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437352440 PECOS PAC ID: 4082700620 Enrollment ID: I20071012000423 |
| Provider Name | Richard S Aries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932248937 PECOS PAC ID: 7012003312 Enrollment ID: I20071018000140 |
| Provider Name | Galen P Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700925708 PECOS PAC ID: 2668569427 Enrollment ID: I20071026000316 |
| Provider Name | Connie J Trujillo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023217650 PECOS PAC ID: 6406943901 Enrollment ID: I20071031000198 |
| Provider Name | Anita Lee Sloan-garcia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831262781 PECOS PAC ID: 0446347983 Enrollment ID: I20071031000528 |
| Provider Name | Herbert V Rachelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104971886 PECOS PAC ID: 1557393667 Enrollment ID: I20071121000208 |
| Provider Name | Douglas L Mcpherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841384229 PECOS PAC ID: 4981792009 Enrollment ID: I20071126000537 |
| Provider Name | Yolanda A Tso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164634127 PECOS PAC ID: 9234228016 Enrollment ID: I20071130000591 |
| Provider Name | Albert M Kwan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861473803 PECOS PAC ID: 2567466451 Enrollment ID: I20071221000060 |
| Provider Name | Christopher Jon Mcilwain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063528719 PECOS PAC ID: 0941232805 Enrollment ID: I20071221000272 |
| Provider Name | Edward Pienkos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356324669 PECOS PAC ID: 4385687060 Enrollment ID: I20080108000713 |
| Provider Name | Stefanie Ann Huff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598714404 PECOS PAC ID: 7315977691 Enrollment ID: I20080109000025 |
| Provider Name | Mary K Foucar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437165123 PECOS PAC ID: 9638064561 Enrollment ID: I20080109000297 |
| Provider Name | Lesley Carol Lomo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275524365 PECOS PAC ID: 1951306943 Enrollment ID: I20080109000334 |
| Provider Name | Nancy E Joste |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205841764 PECOS PAC ID: 1658451182 Enrollment ID: I20080109000426 |
| Provider Name | Paul D Cooney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568656189 PECOS PAC ID: 0547341562 Enrollment ID: I20080116000344 |
| Provider Name | Melissa Howell Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598959876 PECOS PAC ID: 8921995440 Enrollment ID: I20080118000353 |
| Provider Name | Hemanth Pai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316086309 PECOS PAC ID: 7416039219 Enrollment ID: I20080201000292 |
| Provider Name | Jayant Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558451039 PECOS PAC ID: 3577500404 Enrollment ID: I20080324000222 |
| Provider Name | Ricardo Rubio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811187644 PECOS PAC ID: 9234215666 Enrollment ID: I20080326000488 |
| Provider Name | Janet Eleanor Samorodin Mcilwain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275669558 PECOS PAC ID: 3779515648 Enrollment ID: I20080327000146 |
| Provider Name | Nina S Simon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811185036 PECOS PAC ID: 3375629322 Enrollment ID: I20080401000064 |
| Provider Name | Elizabeth T Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679589386 PECOS PAC ID: 2668559618 Enrollment ID: I20080401000922 |
| Provider Name | Kimberly A Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720155500 PECOS PAC ID: 7911084835 Enrollment ID: I20080402000681 |
| Provider Name | Marci C Gambarota |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689610248 PECOS PAC ID: 1658326632 Enrollment ID: I20080402000721 |
| Provider Name | Leonard A Romero |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407995418 PECOS PAC ID: 2769569557 Enrollment ID: I20080403000168 |
| Provider Name | Jill A Rhymes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770589475 PECOS PAC ID: 2365529799 Enrollment ID: I20080409000217 |
| Provider Name | Frederick S Hammill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538284765 PECOS PAC ID: 0042316358 Enrollment ID: I20080415000304 |
| Provider Name | Allyson B Esquibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760675391 PECOS PAC ID: 8729166319 Enrollment ID: I20080423000025 |
| Provider Name | Lydia J Fabbroni |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699820035 PECOS PAC ID: 6709964042 Enrollment ID: I20080428000026 |
| Provider Name | Chudi N Adi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992980015 PECOS PAC ID: 7113006230 Enrollment ID: I20080430000736 |
| Provider Name | Mitchell J Binder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043282155 PECOS PAC ID: 9234151283 Enrollment ID: I20080513000091 |
| Provider Name | Dale E Kester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396710943 PECOS PAC ID: 5294815023 Enrollment ID: I20080520000351 |
| Provider Name | Abhinav Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194841254 PECOS PAC ID: 1759467798 Enrollment ID: I20080520000680 |
| Provider Name | Melissa A Klein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780778167 PECOS PAC ID: 4587733191 Enrollment ID: I20080522000454 |
| Provider Name | Loretta A Garrett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558549667 PECOS PAC ID: 3577633932 Enrollment ID: I20080528000614 |
| Provider Name | Holly M Couture |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639353402 PECOS PAC ID: 8325125982 Enrollment ID: I20080602000855 |
| Provider Name | David Manuel Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801850151 PECOS PAC ID: 9335219237 Enrollment ID: I20080604000395 |
| Provider Name | Bridget M Coyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417032368 PECOS PAC ID: 8426129586 Enrollment ID: I20080617000338 |
| Provider Name | Cristi D Lubera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518910181 PECOS PAC ID: 8921170549 Enrollment ID: I20080626000281 |
| Provider Name | Ramesh Gopal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306831862 PECOS PAC ID: 1052338225 Enrollment ID: I20080714000202 |
| Provider Name | Donna M Kwilosz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699981506 PECOS PAC ID: 2668545252 Enrollment ID: I20080715000469 |
| Provider Name | Harold B Sunderman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831238856 PECOS PAC ID: 0244304616 Enrollment ID: I20080801000577 |
| Provider Name | Michael E Whiting |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659337020 PECOS PAC ID: 6002989811 Enrollment ID: I20080820000519 |
| Provider Name | Sharon Nunez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245379239 PECOS PAC ID: 6204901424 Enrollment ID: I20080821000493 |
| Provider Name | Julie Ann Silverhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831146737 PECOS PAC ID: 5698777068 Enrollment ID: I20080825000482 |
| Provider Name | John Angel Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417950460 PECOS PAC ID: 6103838321 Enrollment ID: I20080906000137 |
| Provider Name | Bonnie A Carmichael |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720127731 PECOS PAC ID: 4587731476 Enrollment ID: I20080918000194 |
| Provider Name | Robert M Khanlian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235352691 PECOS PAC ID: 3375631385 Enrollment ID: I20080926000442 |
| Provider Name | James M Probasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962467431 PECOS PAC ID: 1355419052 Enrollment ID: I20081008000369 |
| Provider Name | Deborah L Kern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306948591 PECOS PAC ID: 0244261246 Enrollment ID: I20081017000056 |
| Provider Name | Colbert E Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326187345 PECOS PAC ID: 4486714920 Enrollment ID: I20081113000631 |
| Provider Name | Stefan J Gutow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386691772 PECOS PAC ID: 4486697091 Enrollment ID: I20081120000371 |
| Provider Name | Louise A Mcdade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093988917 PECOS PAC ID: 3577623362 Enrollment ID: I20081124000683 |
| Provider Name | Sebastian Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730186362 PECOS PAC ID: 6608934815 Enrollment ID: I20081125000817 |
| Provider Name | Lucille Nichele Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780832360 PECOS PAC ID: 4981764578 Enrollment ID: I20081201000273 |
| Provider Name | Michael Walta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770643272 PECOS PAC ID: 8820177082 Enrollment ID: I20081209000133 |
| Provider Name | Huyentrang N Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013056043 PECOS PAC ID: 2264593086 Enrollment ID: I20081211000193 |
| Provider Name | Jon C Love |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376586925 PECOS PAC ID: 6406918077 Enrollment ID: I20081217000037 |
| Provider Name | Mario S Benavidez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982743985 PECOS PAC ID: 9335201250 Enrollment ID: I20081230000481 |
| Provider Name | Jane E Schauer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619061009 PECOS PAC ID: 5698838092 Enrollment ID: I20090112000405 |
| Provider Name | Lawrence A Nair |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730273111 PECOS PAC ID: 0648334425 Enrollment ID: I20090130000415 |
| Provider Name | Mark Drew Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306877667 PECOS PAC ID: 5294890281 Enrollment ID: I20090206000304 |
| Provider Name | Margaret J Nolan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285728667 PECOS PAC ID: 2163587106 Enrollment ID: I20090209000113 |
| Provider Name | Ulrike F Lebkuechner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225179179 PECOS PAC ID: 4688739634 Enrollment ID: I20090209000143 |
| Provider Name | Donna M Thibodeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053440933 PECOS PAC ID: 3173688124 Enrollment ID: I20090209000201 |
| Provider Name | Ann E Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366583296 PECOS PAC ID: 6002719747 Enrollment ID: I20090209000391 |
| Provider Name | Amy L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831356831 PECOS PAC ID: 0749352276 Enrollment ID: I20090219000478 |
| Provider Name | Marshall L Saiz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558456715 PECOS PAC ID: 2062578198 Enrollment ID: I20090225000563 |
| Provider Name | Robert B Miller |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477559425 PECOS PAC ID: 3971669318 Enrollment ID: I20090310000107 |
| Provider Name | Michele Mathilde Zerah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386660850 PECOS PAC ID: 1153352398 Enrollment ID: I20090316000497 |
| Provider Name | Katherine D Seluja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285824201 PECOS PAC ID: 3779640487 Enrollment ID: I20090325000247 |
| Provider Name | Carlos Corral |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245212539 PECOS PAC ID: 3072604750 Enrollment ID: I20090326000142 |
| Provider Name | Daniel M Gee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043359078 PECOS PAC ID: 8022175470 Enrollment ID: I20090330000341 |
| Provider Name | John Keitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912092818 PECOS PAC ID: 7618077751 Enrollment ID: I20090330000428 |
| Provider Name | Sharon S Gateley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750568515 PECOS PAC ID: 3577620954 Enrollment ID: I20090330000621 |
| Provider Name | Eddie G Benge |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609982453 PECOS PAC ID: 8628057106 Enrollment ID: I20090413000134 |
| Provider Name | Alice Sisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780676700 PECOS PAC ID: 9436206869 Enrollment ID: I20090422000032 |
| Provider Name | Sonam P Kundeling |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326044579 PECOS PAC ID: 1850297391 Enrollment ID: I20090422000359 |
| Provider Name | Augustina Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124112511 PECOS PAC ID: 5193873511 Enrollment ID: I20090423000147 |
| Provider Name | Joyce Feerer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962682187 PECOS PAC ID: 0749346872 Enrollment ID: I20090428000058 |
| Provider Name | Aurelia Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497992986 PECOS PAC ID: 4385792902 Enrollment ID: I20090507000648 |
| Provider Name | Margaret J English |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487649794 PECOS PAC ID: 2163571225 Enrollment ID: I20090519000643 |
| Provider Name | I-wen Tseng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376613323 PECOS PAC ID: 0345297255 Enrollment ID: I20090519000660 |
| Provider Name | Timothy Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366411126 PECOS PAC ID: 7911948054 Enrollment ID: I20090526000169 |
| Provider Name | Kevin B Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164517330 PECOS PAC ID: 8729137476 Enrollment ID: I20090528000595 |
| Provider Name | Brian E Willmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336118645 PECOS PAC ID: 6002978467 Enrollment ID: I20090603000080 |
| Provider Name | Daniel B Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992899363 PECOS PAC ID: 1355491770 Enrollment ID: I20090605000335 |
| Provider Name | David R Czuchlewski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750506812 PECOS PAC ID: 7012068604 Enrollment ID: I20090622000223 |
| Provider Name | Michael J Bauman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255470258 PECOS PAC ID: 8527133065 Enrollment ID: I20090709000709 |
| Provider Name | Miguel Iturregui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700853702 PECOS PAC ID: 8628018306 Enrollment ID: I20090717000430 |
| Provider Name | Harold F Baskin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467434878 PECOS PAC ID: 2769534767 Enrollment ID: I20090722000743 |
| Provider Name | David A Podolsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104965102 PECOS PAC ID: 6901958826 Enrollment ID: I20090723000177 |
| Provider Name | Vanita Sood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275671893 PECOS PAC ID: 7719030683 Enrollment ID: I20090727000095 |
| Provider Name | Samuel H Nay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396939781 PECOS PAC ID: 8123195534 Enrollment ID: I20090729000012 |
| Provider Name | Shelly A Stepenaskie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104020635 PECOS PAC ID: 7618078312 Enrollment ID: I20090804000743 |
| Provider Name | Leena Cherukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144369166 PECOS PAC ID: 5890848113 Enrollment ID: I20090804000814 |
| Provider Name | Jeffrey E Godwin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184604720 PECOS PAC ID: 7214831718 Enrollment ID: I20090806000663 |
| Provider Name | Alexander G Cianflone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902889280 PECOS PAC ID: 2567462500 Enrollment ID: I20090807000039 |
| Provider Name | Amit Kumar Garg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144463720 PECOS PAC ID: 8224180260 Enrollment ID: I20090807000054 |
| Provider Name | H Alexander Maas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306047550 PECOS PAC ID: 7214004639 Enrollment ID: I20090807000085 |
| Provider Name | Kevin M Mcgee |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1821137811 PECOS PAC ID: 3971661109 Enrollment ID: I20090811000370 |
| Provider Name | Stephanie D Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083852271 PECOS PAC ID: 8820142334 Enrollment ID: I20090818000828 |
| Provider Name | Mark R Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528092970 PECOS PAC ID: 8820142268 Enrollment ID: I20090819000349 |
| Provider Name | Michael W Criddle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326256967 PECOS PAC ID: 3678627064 Enrollment ID: I20090819000755 |
| Provider Name | Timothy James Durkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700078896 PECOS PAC ID: 8123172376 Enrollment ID: I20090821000571 |
| Provider Name | Christopher J Quintana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649319641 PECOS PAC ID: 3779638598 Enrollment ID: I20090831000562 |
| Provider Name | Megan E Mccoy-vialpando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093956179 PECOS PAC ID: 8325193964 Enrollment ID: I20090902000476 |
| Provider Name | David A Woog |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083616338 PECOS PAC ID: 9234021312 Enrollment ID: I20090904000215 |
| Provider Name | Ryan W Tingle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083723274 PECOS PAC ID: 9830244300 Enrollment ID: I20090904000285 |
| Provider Name | Prasad Mathew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760404255 PECOS PAC ID: 8123174364 Enrollment ID: I20090914000265 |
| Provider Name | James C Bloom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982692802 PECOS PAC ID: 8325194988 Enrollment ID: I20090923000287 |
| Provider Name | Stephanie B Gehres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093929143 PECOS PAC ID: 5395881411 Enrollment ID: I20091002000610 |
| Provider Name | Jennifer M Bach |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578655254 PECOS PAC ID: 0840336905 Enrollment ID: I20091005000318 |
| Provider Name | Edison Virgil Etsitty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376521500 PECOS PAC ID: 1951447986 Enrollment ID: I20091006000219 |
| Provider Name | Cheryl A Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306078860 PECOS PAC ID: 1355488545 Enrollment ID: I20091020000620 |
| Provider Name | Ajoy Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831238872 PECOS PAC ID: 1557409091 Enrollment ID: I20091103000685 |
| Provider Name | Nooshin Bagheri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083753081 PECOS PAC ID: 8729126008 Enrollment ID: I20091105000608 |
| Provider Name | Firouzeh Kasaie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881833978 PECOS PAC ID: 0143369793 Enrollment ID: I20091120000409 |
| Provider Name | Martin Watterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184669749 PECOS PAC ID: 5496740581 Enrollment ID: I20091202000333 |
| Provider Name | Elizabeth M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891928669 PECOS PAC ID: 8426197435 Enrollment ID: I20091204000351 |
| Provider Name | Francisco P Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275648248 PECOS PAC ID: 5193864098 Enrollment ID: I20091207000417 |
| Provider Name | Tammy Baillio Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548434905 PECOS PAC ID: 1951467976 Enrollment ID: I20091214000298 |
| Provider Name | Elin M Ritchie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972682078 PECOS PAC ID: 3476693920 Enrollment ID: I20091215000233 |
| Provider Name | Lori L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245568286 PECOS PAC ID: 3678613049 Enrollment ID: I20091215000519 |
| Provider Name | Guilherme B Marin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801129796 PECOS PAC ID: 0648310060 Enrollment ID: I20091216000212 |
| Provider Name | Vanessa Marin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124176037 PECOS PAC ID: 5496847733 Enrollment ID: I20091218000187 |
| Provider Name | Hector D Arredondo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255411633 PECOS PAC ID: 8921148974 Enrollment ID: I20091222000690 |
| Provider Name | Leon E Deprest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730273103 PECOS PAC ID: 6002957834 Enrollment ID: I20091230000542 |
| Provider Name | James T Wilkie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447322763 PECOS PAC ID: 3173664901 Enrollment ID: I20091230000556 |
| Provider Name | Penny L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659466811 PECOS PAC ID: 6709927536 Enrollment ID: I20091230000565 |
| Provider Name | Christopher Ronald Miera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932293313 PECOS PAC ID: 3779624531 Enrollment ID: I20091231000123 |
| Provider Name | Richmond G. Kilpatrick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235223611 PECOS PAC ID: 9335280957 Enrollment ID: I20100105000361 |
| Provider Name | Christina Chiang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982799169 PECOS PAC ID: 0941341580 Enrollment ID: I20100105000455 |
| Provider Name | Rhonda R Chavez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114011582 PECOS PAC ID: 5395886857 Enrollment ID: I20100105000777 |
| Provider Name | Terrence Reagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275627663 PECOS PAC ID: 6305987876 Enrollment ID: I20100106000057 |
| Provider Name | Tina Welker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316031701 PECOS PAC ID: 8921105222 Enrollment ID: I20100107000158 |
| Provider Name | Bret L Lapointe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043304421 PECOS PAC ID: 8224179692 Enrollment ID: I20100107000175 |
| Provider Name | David Jin Yu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740247378 PECOS PAC ID: 9931160959 Enrollment ID: I20100108000330 |
| Provider Name | Susan E Murphy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912091398 PECOS PAC ID: 3779624713 Enrollment ID: I20100112000852 |
| Provider Name | Gregory Pilette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467567776 PECOS PAC ID: 4981608650 Enrollment ID: I20100113000385 |
| Provider Name | David L Calhoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124112594 PECOS PAC ID: 8123169117 Enrollment ID: I20100113000436 |
| Provider Name | Lori H Finley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548354913 PECOS PAC ID: 4688715584 Enrollment ID: I20100113000648 |
| Provider Name | Carmen Paulina Inigo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790879179 PECOS PAC ID: 4587623012 Enrollment ID: I20100113000682 |
| Provider Name | Mary Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396839775 PECOS PAC ID: 7911048822 Enrollment ID: I20100113000794 |
| Provider Name | Patrick Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710071105 PECOS PAC ID: 6002957925 Enrollment ID: I20100113000801 |
| Provider Name | Ralph Moller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831283217 PECOS PAC ID: 9739220658 Enrollment ID: I20100113000805 |
| Provider Name | Ann M. Morey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477647857 PECOS PAC ID: 2365583283 Enrollment ID: I20100113000812 |
| Provider Name | Fernando Bayardo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174694616 PECOS PAC ID: 8628119542 Enrollment ID: I20100113000826 |
| Provider Name | Ilene N Kesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952410284 PECOS PAC ID: 1355482274 Enrollment ID: I20100113000829 |
| Provider Name | Monique P Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700957248 PECOS PAC ID: 8426199340 Enrollment ID: I20100113000847 |
| Provider Name | Emelia J Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598859985 PECOS PAC ID: 5597806414 Enrollment ID: I20100113000859 |
| Provider Name | Jonathan C Peachey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184749970 PECOS PAC ID: 2769523687 Enrollment ID: I20100113000883 |
| Provider Name | Richard F Madden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851485239 PECOS PAC ID: 7719028646 Enrollment ID: I20100113000936 |
| Provider Name | Diana Sanchezgallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700970191 PECOS PAC ID: 5597806455 Enrollment ID: I20100114000201 |
| Provider Name | Michael Hsu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255426425 PECOS PAC ID: 1557402427 Enrollment ID: I20100114000347 |
| Provider Name | Marlene Ember-bartolomei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093809469 PECOS PAC ID: 5092856971 Enrollment ID: I20100114000412 |
| Provider Name | Gail Rothfork |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083708473 PECOS PAC ID: 0244372159 Enrollment ID: I20100114000756 |
| Provider Name | Syed N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346334737 PECOS PAC ID: 0345382131 Enrollment ID: I20100115000735 |
| Provider Name | Cynthia A Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063506459 PECOS PAC ID: 0648312447 Enrollment ID: I20100115000819 |
| Provider Name | Anthony R Vigil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699869081 PECOS PAC ID: 6406998244 Enrollment ID: I20100116000344 |
| Provider Name | Jessica A Favis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639263007 PECOS PAC ID: 6608918446 Enrollment ID: I20100116000428 |
| Provider Name | Elaine D Papafrangos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457445835 PECOS PAC ID: 0244372084 Enrollment ID: I20100116000432 |
| Provider Name | Robert E Federici |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053315390 PECOS PAC ID: 3870651821 Enrollment ID: I20100119000183 |
| Provider Name | Peter L Driscoll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518052794 PECOS PAC ID: 5395750103 Enrollment ID: I20100120000791 |
| Provider Name | Bruce A Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356436430 PECOS PAC ID: 5496897944 Enrollment ID: I20100121000162 |
| Provider Name | Sean D Coston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609961887 PECOS PAC ID: 3971645474 Enrollment ID: I20100121000629 |
| Provider Name | Luz W Kwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437275336 PECOS PAC ID: 5597807982 Enrollment ID: I20100122000733 |
| Provider Name | Tushar P Dandade |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477647840 PECOS PAC ID: 7113069519 Enrollment ID: I20100122000764 |
| Provider Name | Deborah A Grady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316056641 PECOS PAC ID: 9830231133 Enrollment ID: I20100125000846 |
| Provider Name | William A Borgeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952495327 PECOS PAC ID: 2567504863 Enrollment ID: I20100125000851 |
| Provider Name | Archie J Sanchez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891889283 PECOS PAC ID: 4284776584 Enrollment ID: I20100125000853 |
| Provider Name | Isidora P Gallagher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528065570 PECOS PAC ID: 1850433178 Enrollment ID: I20100126000173 |
| Provider Name | Kathryn E Winters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952495343 PECOS PAC ID: 1557403771 Enrollment ID: I20100126000309 |
| Provider Name | Frank J Comunas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295829661 PECOS PAC ID: 9234198763 Enrollment ID: I20100127000905 |
| Provider Name | Stephen M Corriz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346343324 PECOS PAC ID: 8426044561 Enrollment ID: I20100128000583 |
| Provider Name | Kristen M Ostrem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811081292 PECOS PAC ID: 3173666187 Enrollment ID: I20100129000415 |
| Provider Name | John R. Pederson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366536740 PECOS PAC ID: 8325181340 Enrollment ID: I20100129000554 |
| Provider Name | Leslie Ann Sanchez Goettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306985312 PECOS PAC ID: 6608919568 Enrollment ID: I20100201000754 |
| Provider Name | Matthew R Montoya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568556942 PECOS PAC ID: 8729121447 Enrollment ID: I20100203000635 |
| Provider Name | Jeffrey N Dornbusch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154430486 PECOS PAC ID: 4082757711 Enrollment ID: I20100203000749 |
| Provider Name | Robert C Galagan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538253901 PECOS PAC ID: 7911040522 Enrollment ID: I20100204000565 |
| Provider Name | Santana M Fontana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184718553 PECOS PAC ID: 1456494079 Enrollment ID: I20100204000659 |
| Provider Name | Andrew B Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083708879 PECOS PAC ID: 8325181860 Enrollment ID: I20100204000897 |
| Provider Name | Craig A Jensen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336233717 PECOS PAC ID: 7416090626 Enrollment ID: I20100209000758 |
| Provider Name | David B Vickers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649365826 PECOS PAC ID: 6002950029 Enrollment ID: I20100215000326 |
| Provider Name | Timothy D Bajema |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851485247 PECOS PAC ID: 3577607480 Enrollment ID: I20100216000403 |
| Provider Name | Mariska A Wensink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225122617 PECOS PAC ID: 0446394357 Enrollment ID: I20100216000441 |
| Provider Name | Christine T Lujanpino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831283225 PECOS PAC ID: 6204970023 Enrollment ID: I20100217000612 |
| Provider Name | Sylvia S Crago |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851407530 PECOS PAC ID: 2668477241 Enrollment ID: I20100218000265 |
| Provider Name | James S Bruce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306930771 PECOS PAC ID: 6608910385 Enrollment ID: I20100218000483 |
| Provider Name | Karen E Walsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871687269 PECOS PAC ID: 5597809194 Enrollment ID: I20100220000084 |
| Provider Name | Martin L Miller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669566048 PECOS PAC ID: 0941344436 Enrollment ID: I20100222000657 |
| Provider Name | Anne Marie K Morosin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720173800 PECOS PAC ID: 3678617040 Enrollment ID: I20100223000533 |
| Provider Name | Julian Forrest Rowe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174618250 PECOS PAC ID: 0143364539 Enrollment ID: I20100223000751 |
| Provider Name | Clevius A Curry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487989927 PECOS PAC ID: 2860450004 Enrollment ID: I20100302000262 |
| Provider Name | Deborah M Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104910579 PECOS PAC ID: 3274678255 Enrollment ID: I20100302000263 |
| Provider Name | Chad Brady |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891705794 PECOS PAC ID: 7618954280 Enrollment ID: I20100302000843 |
| Provider Name | Rene A Madera-font |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740374131 PECOS PAC ID: 6305981044 Enrollment ID: I20100304000968 |
| Provider Name | Miles Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841230927 PECOS PAC ID: 9739132192 Enrollment ID: I20100306000360 |
| Provider Name | Richard Michael Mondragon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588638324 PECOS PAC ID: 4183642994 Enrollment ID: I20100316000127 |
| Provider Name | Anne C Kessler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801855309 PECOS PAC ID: 5193861706 Enrollment ID: I20100324001032 |
| Provider Name | Maria A Tapia-sauerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609960095 PECOS PAC ID: 3779610019 Enrollment ID: I20100419000681 |
| Provider Name | Sharon M Mullis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265627996 PECOS PAC ID: 2961582598 Enrollment ID: I20100420000404 |
| Provider Name | Victoria D Fernando |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073517686 PECOS PAC ID: 7517856263 Enrollment ID: I20100427000232 |
| Provider Name | Jamie Christine Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083708457 PECOS PAC ID: 5890836472 Enrollment ID: I20100521000544 |
| Provider Name | Aroboyi Veronica Imoisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669663696 PECOS PAC ID: 9830228105 Enrollment ID: I20100525000563 |
| Provider Name | Felicia Nieto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346473956 PECOS PAC ID: 5698804920 Enrollment ID: I20100525001047 |
| Provider Name | Comfort L Bonu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184696064 PECOS PAC ID: 2961477765 Enrollment ID: I20100526001097 |
| Provider Name | Luis Rigales Iii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033108972 PECOS PAC ID: 3173652104 Enrollment ID: I20100528000554 |
| Provider Name | Matthew J Maccarrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245319615 PECOS PAC ID: 4880741644 Enrollment ID: I20100611000580 |
| Provider Name | Debra Sheryl Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780615302 PECOS PAC ID: 1951358100 Enrollment ID: I20100701000523 |
| Provider Name | Judith L Gillum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447359138 PECOS PAC ID: 2264564004 Enrollment ID: I20100714000959 |
| Provider Name | Karen M Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396075768 PECOS PAC ID: 9830221423 Enrollment ID: I20100716000672 |
| Provider Name | Rosemary J Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366602146 PECOS PAC ID: 3971678574 Enrollment ID: I20100723000322 |
| Provider Name | Pamela P Vigil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144455031 PECOS PAC ID: 6901939156 Enrollment ID: I20100809000670 |
| Provider Name | Brianna Iversen Patman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609076553 PECOS PAC ID: 2567595747 Enrollment ID: I20100809001057 |
| Provider Name | Lizabeth Marinaro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225177231 PECOS PAC ID: 9436283660 Enrollment ID: I20100810000647 |
| Provider Name | Toni A Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285645093 PECOS PAC ID: 6103940887 Enrollment ID: I20100901000897 |
| Provider Name | William Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134173800 PECOS PAC ID: 6103820097 Enrollment ID: I20100907000586 |
| Provider Name | Steven Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780650853 PECOS PAC ID: 7911815410 Enrollment ID: I20101028000827 |
| Provider Name | Erika Solis-gilmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306987250 PECOS PAC ID: 0749477461 Enrollment ID: I20101207001191 |
| Provider Name | Joseph Feagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457381394 PECOS PAC ID: 0042311581 Enrollment ID: I20101207001243 |
| Provider Name | Keri Lynn Gard Rath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225057391 PECOS PAC ID: 2860493400 Enrollment ID: I20101214000121 |
| Provider Name | Tim I Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760688568 PECOS PAC ID: 6103013255 Enrollment ID: I20101215000347 |
| Provider Name | Jeffrey Raymond Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568442135 PECOS PAC ID: 1456548536 Enrollment ID: I20101215000762 |
| Provider Name | Marygrace A Castro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275672289 PECOS PAC ID: 6507053691 Enrollment ID: I20101215000816 |
| Provider Name | Victor L Sherman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811211766 PECOS PAC ID: 2769670736 Enrollment ID: I20101217000777 |
| Provider Name | Brian Gronert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457354045 PECOS PAC ID: 9638238637 Enrollment ID: I20101220000840 |
| Provider Name | Sanjiv Vig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194728550 PECOS PAC ID: 0547458390 Enrollment ID: I20101221000987 |
| Provider Name | Donald J Stinar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831270719 PECOS PAC ID: 5991993537 Enrollment ID: I20101222000917 |
| Provider Name | Roderick D Woods |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306929633 PECOS PAC ID: 7416846647 Enrollment ID: I20101222001017 |
| Provider Name | Daniel J Duhigg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689883456 PECOS PAC ID: 4587852199 Enrollment ID: I20101227000324 |
| Provider Name | Carolyn K Bryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881788685 PECOS PAC ID: 1456549898 Enrollment ID: I20101229000234 |
| Provider Name | Caitilin A Chestnut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437355815 PECOS PAC ID: 6901094192 Enrollment ID: I20110104000240 |
| Provider Name | Candace J Reid |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700193216 PECOS PAC ID: 7810186723 Enrollment ID: I20110107000500 |
| Provider Name | William A Brown |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1710900220 PECOS PAC ID: 3870658941 Enrollment ID: I20110114000634 |
| Provider Name | Carl C Friedrichs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386745206 PECOS PAC ID: 4385558386 Enrollment ID: I20110124000964 |
| Provider Name | Elisa D Lundin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386953263 PECOS PAC ID: 4183803828 Enrollment ID: I20110126000841 |
| Provider Name | Manuel Macapinlac |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811975345 PECOS PAC ID: 5496775785 Enrollment ID: I20110126000929 |
| Provider Name | Martha J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942528252 PECOS PAC ID: 3678752326 Enrollment ID: I20110126001014 |
| Provider Name | Jennifer Davenport |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225292154 PECOS PAC ID: 3173687241 Enrollment ID: I20110209000179 |
| Provider Name | Danielle Bridge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679506141 PECOS PAC ID: 0749369650 Enrollment ID: I20110209000348 |
| Provider Name | Jonathan R Kevan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760534861 PECOS PAC ID: 5991985731 Enrollment ID: I20110210000556 |
| Provider Name | Lana D Melendres Groves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548309537 PECOS PAC ID: 4789864208 Enrollment ID: I20110215000764 |
| Provider Name | Diana Lucia Darabant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538460928 PECOS PAC ID: 5698956068 Enrollment ID: I20110218000510 |
| Provider Name | Alace L Anaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861692766 PECOS PAC ID: 4486835444 Enrollment ID: I20110223000960 |
| Provider Name | Linda M. Garcia-lucero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235430877 PECOS PAC ID: 6608057393 Enrollment ID: I20110301000577 |
| Provider Name | Adela S Tam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033393475 PECOS PAC ID: 8022163815 Enrollment ID: I20110316000603 |
| Provider Name | Constance A Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568409829 PECOS PAC ID: 0547255812 Enrollment ID: I20110330000491 |
| Provider Name | Steven M Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609072081 PECOS PAC ID: 8123202918 Enrollment ID: I20110401000375 |
| Provider Name | Benjamin L Wagenman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467636951 PECOS PAC ID: 0446305866 Enrollment ID: I20110401000514 |
| Provider Name | Salim Amrani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295983195 PECOS PAC ID: 0042494882 Enrollment ID: I20110404000094 |
| Provider Name | Kimberly A Mella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467420455 PECOS PAC ID: 2668378787 Enrollment ID: I20110405000645 |
| Provider Name | Jennette A Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437459633 PECOS PAC ID: 7911181540 Enrollment ID: I20110406000453 |
| Provider Name | Ashish Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154394799 PECOS PAC ID: 4880683671 Enrollment ID: I20110406000474 |
| Provider Name | Markus E Garard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619950326 PECOS PAC ID: 6901933472 Enrollment ID: I20110406000952 |
| Provider Name | Lisa Ann Bishop |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306919030 PECOS PAC ID: 4880879790 Enrollment ID: I20110419000507 |
| Provider Name | Cindy Y Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679873541 PECOS PAC ID: 7416132105 Enrollment ID: I20110422000066 |
| Provider Name | Glen K Delaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154415941 PECOS PAC ID: 7416132675 Enrollment ID: I20110503000601 |
| Provider Name | Angela M Jo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881601813 PECOS PAC ID: 6800830639 Enrollment ID: I20110518000694 |
| Provider Name | Flavian Lupinetti |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063486371 PECOS PAC ID: 4688682099 Enrollment ID: I20110603000361 |
| Provider Name | Thelmo Fidel Barrantes-ramirez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780815258 PECOS PAC ID: 9931394160 Enrollment ID: I20110609000563 |
| Provider Name | Rulon Blake Holman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548569023 PECOS PAC ID: 9537346804 Enrollment ID: I20110614000565 |
| Provider Name | Jennifer L Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346231537 PECOS PAC ID: 4981882115 Enrollment ID: I20110617000046 |
| Provider Name | Jean Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710960604 PECOS PAC ID: 3476565003 Enrollment ID: I20110623000355 |
| Provider Name | Rita Rosalie S. Ongjoco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811987100 PECOS PAC ID: 7618941683 Enrollment ID: I20110628000823 |
| Provider Name | Kathryn L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659687887 PECOS PAC ID: 2961680525 Enrollment ID: I20110629000767 |
| Provider Name | Deborah Ann Volk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174574081 PECOS PAC ID: 4880596311 Enrollment ID: I20110722000254 |
| Provider Name | Jane E Mcmillan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831109156 PECOS PAC ID: 3274616669 Enrollment ID: I20110722000507 |
| Provider Name | Patricia A Costales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619131455 PECOS PAC ID: 5890965941 Enrollment ID: I20110826000455 |
| Provider Name | Zorisadday Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972776433 PECOS PAC ID: 8628248465 Enrollment ID: I20110902000305 |
| Provider Name | Gene Prendergast |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144370446 PECOS PAC ID: 0941336812 Enrollment ID: I20110912000739 |
| Provider Name | Kenneth J Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073506531 PECOS PAC ID: 9537054028 Enrollment ID: I20110913000478 |
| Provider Name | Arand D Pierce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295874295 PECOS PAC ID: 5890966394 Enrollment ID: I20110913000645 |
| Provider Name | Marc O Cleireachain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235306549 PECOS PAC ID: 1254502669 Enrollment ID: I20110915000253 |
| Provider Name | Joshua Careskey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659397230 PECOS PAC ID: 2961433149 Enrollment ID: I20110915000599 |
| Provider Name | Darrell Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740235480 PECOS PAC ID: 6406815364 Enrollment ID: I20110920000465 |
| Provider Name | Carol A Kiesling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912075847 PECOS PAC ID: 4688656739 Enrollment ID: I20110922000601 |
| Provider Name | Rebecca A Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902054620 PECOS PAC ID: 8527240951 Enrollment ID: I20110923000487 |
| Provider Name | Von G Samedi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376792036 PECOS PAC ID: 3375714116 Enrollment ID: I20110927000512 |
| Provider Name | Maude E Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679572283 PECOS PAC ID: 9335147586 Enrollment ID: I20110929000178 |
| Provider Name | Beth Saltzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366565350 PECOS PAC ID: 6709072143 Enrollment ID: I20110929000662 |
| Provider Name | Latha Raja Shankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568565646 PECOS PAC ID: 6709840895 Enrollment ID: I20110930000290 |
| Provider Name | Elizabeth C Holguin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770861171 PECOS PAC ID: 9638341282 Enrollment ID: I20111004000634 |
| Provider Name | Thomas Reich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043220478 PECOS PAC ID: 7719939453 Enrollment ID: I20111014000048 |
| Provider Name | Kristin S. Henningsen-schwarz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841579539 PECOS PAC ID: 5698948263 Enrollment ID: I20111026000371 |
| Provider Name | Yelena Kamoeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598044612 PECOS PAC ID: 1658544994 Enrollment ID: I20111101000449 |
| Provider Name | Eva Angeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295907160 PECOS PAC ID: 1052584380 Enrollment ID: I20111102000636 |
| Provider Name | Gregory Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326239690 PECOS PAC ID: 8921271065 Enrollment ID: I20111104000425 |
| Provider Name | Doris Marilu Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316101124 PECOS PAC ID: 9537332572 Enrollment ID: I20111107000823 |
| Provider Name | Culley Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184629727 PECOS PAC ID: 0143124958 Enrollment ID: I20111110000201 |
| Provider Name | Bard Layne Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639185192 PECOS PAC ID: 4789642505 Enrollment ID: I20111114000141 |
| Provider Name | Kerri Kustra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528008612 PECOS PAC ID: 6507843943 Enrollment ID: I20111116000662 |
| Provider Name | Nicole P Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730126343 PECOS PAC ID: 2860666120 Enrollment ID: I20111122000853 |
| Provider Name | Melanie Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528340122 PECOS PAC ID: 8729252036 Enrollment ID: I20111123000439 |
| Provider Name | Miguel Ramon Trujillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699970012 PECOS PAC ID: 3779757943 Enrollment ID: I20111128000522 |
| Provider Name | Bharat S Dara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558534883 PECOS PAC ID: 1850565037 Enrollment ID: I20111128000537 |
| Provider Name | Penny J Mader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518247758 PECOS PAC ID: 6901070184 Enrollment ID: I20111128000590 |
| Provider Name | Cheri Cerghizan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063796605 PECOS PAC ID: 3476727512 Enrollment ID: I20111129000486 |
| Provider Name | Alan M Dobson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174729404 PECOS PAC ID: 5193990877 Enrollment ID: I20111207000636 |
| Provider Name | Suzanne Burlone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053519926 PECOS PAC ID: 7315112091 Enrollment ID: I20111207000699 |
| Provider Name | Alexander Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649395039 PECOS PAC ID: 9234322058 Enrollment ID: I20111215000818 |
| Provider Name | Nelida Dumitrache |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225263734 PECOS PAC ID: 6608041801 Enrollment ID: I20111216000708 |
| Provider Name | Tiffany J Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831476548 PECOS PAC ID: 3678749520 Enrollment ID: I20111227000716 |
| Provider Name | Raymond Geoffrey Elmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881724961 PECOS PAC ID: 1355472499 Enrollment ID: I20111230000029 |
| Provider Name | Gilbert Esser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255470282 PECOS PAC ID: 4587830054 Enrollment ID: I20120104000792 |
| Provider Name | Troy E Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740329770 PECOS PAC ID: 3072780253 Enrollment ID: I20120112000094 |
| Provider Name | Tanya Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417233107 PECOS PAC ID: 5395912414 Enrollment ID: I20120112000585 |
| Provider Name | Maria Retunski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780979278 PECOS PAC ID: 2163699281 Enrollment ID: I20120112000624 |
| Provider Name | Frederick Joseph Snoy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518068535 PECOS PAC ID: 7416018346 Enrollment ID: I20120117000574 |
| Provider Name | Jennifer A Siegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114972536 PECOS PAC ID: 7416854096 Enrollment ID: I20120130000116 |
| Provider Name | Kurt Laurenz Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255600623 PECOS PAC ID: 0345407466 Enrollment ID: I20120201000521 |
| Provider Name | Corina I Procell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720172117 PECOS PAC ID: 2668639113 Enrollment ID: I20120210000374 |
| Provider Name | Joseph Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972565539 PECOS PAC ID: 2769668763 Enrollment ID: I20120215000993 |
| Provider Name | Francine Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639224959 PECOS PAC ID: 8921990169 Enrollment ID: I20120224000351 |
| Provider Name | Margaret H Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801888573 PECOS PAC ID: 1658361506 Enrollment ID: I20120225000063 |
| Provider Name | Paul Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396715058 PECOS PAC ID: 7719145531 Enrollment ID: I20120225000103 |
| Provider Name | Edward N Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023102407 PECOS PAC ID: 5597821769 Enrollment ID: I20120227000116 |
| Provider Name | Deepthi Byreddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861621369 PECOS PAC ID: 9234397902 Enrollment ID: I20120227000551 |
| Provider Name | Brenda Pereda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255519435 PECOS PAC ID: 2264692953 Enrollment ID: I20120404001024 |
| Provider Name | Maryam Bornaei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235408279 PECOS PAC ID: 1759542426 Enrollment ID: I20120406000020 |
| Provider Name | Michael D Wagner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043217797 PECOS PAC ID: 3678734258 Enrollment ID: I20120406000244 |
| Provider Name | Christine L Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548598071 PECOS PAC ID: 9830224146 Enrollment ID: I20120409000678 |
| Provider Name | Peter J Durso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932338563 PECOS PAC ID: 0840451803 Enrollment ID: I20120418000473 |
| Provider Name | Muhammad A Tarakji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750497863 PECOS PAC ID: 2668478652 Enrollment ID: I20120426000518 |
| Provider Name | Karl P Dittrich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295715225 PECOS PAC ID: 7416969712 Enrollment ID: I20120502000133 |
| Provider Name | Stephen A Rath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801090485 PECOS PAC ID: 0446301642 Enrollment ID: I20120503000113 |
| Provider Name | Jeffrey Warren Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093860090 PECOS PAC ID: 0547222697 Enrollment ID: I20120503000316 |
| Provider Name | Lisa L Mattke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790754737 PECOS PAC ID: 1355375916 Enrollment ID: I20120511000048 |
| Provider Name | Sharareh Sherry Hazini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366603060 PECOS PAC ID: 4284897018 Enrollment ID: I20120515000342 |
| Provider Name | Anthony R. Burton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033176375 PECOS PAC ID: 7113053463 Enrollment ID: I20120605000196 |
| Provider Name | Laura A Allen |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1144314519 PECOS PAC ID: 6800050725 Enrollment ID: I20120605000622 |
| Provider Name | Richard A Zak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316930506 PECOS PAC ID: 3678668084 Enrollment ID: I20120615000364 |
| Provider Name | Karen A Endacott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598734717 PECOS PAC ID: 1254378656 Enrollment ID: I20120619000043 |
| Provider Name | Amanda J Mc Laney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265505721 PECOS PAC ID: 3971502907 Enrollment ID: I20120622000129 |
| Provider Name | Alexei G Bakhirev |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770706459 PECOS PAC ID: 7618132556 Enrollment ID: I20120627000679 |
| Provider Name | Beatrize Sy Cua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780625566 PECOS PAC ID: 1759451222 Enrollment ID: I20120629000455 |
| Provider Name | Amtul Mahavesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558590216 PECOS PAC ID: 1254596901 Enrollment ID: I20120629000480 |
| Provider Name | Fred Ginsburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639125073 PECOS PAC ID: 4981615838 Enrollment ID: I20120702000204 |
| Provider Name | Irfan Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902046253 PECOS PAC ID: 6800051590 Enrollment ID: I20120702000388 |
| Provider Name | Karen L Kennicott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679602296 PECOS PAC ID: 9739344110 Enrollment ID: I20120710000514 |
| Provider Name | Jason M Cobb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386870376 PECOS PAC ID: 3577728740 Enrollment ID: I20120713000421 |
| Provider Name | Hamood Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568745180 PECOS PAC ID: 7810152006 Enrollment ID: I20120714000079 |
| Provider Name | Donald William Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639295181 PECOS PAC ID: 1951567015 Enrollment ID: I20120718000544 |
| Provider Name | Christopher S Loucks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841434495 PECOS PAC ID: 4082870985 Enrollment ID: I20120720000548 |
| Provider Name | Gloria J Blea Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023106432 PECOS PAC ID: 3779749312 Enrollment ID: I20120725000719 |
| Provider Name | Lan Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871792002 PECOS PAC ID: 2567618853 Enrollment ID: I20120801000597 |
| Provider Name | Juliet Labreche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477715308 PECOS PAC ID: 1557517380 Enrollment ID: I20120810000485 |
| Provider Name | Sonia P Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033482567 PECOS PAC ID: 4082860754 Enrollment ID: I20120813000163 |
| Provider Name | Neha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952531147 PECOS PAC ID: 0143476770 Enrollment ID: I20120814000083 |
| Provider Name | Benjamin Patrick Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891040978 PECOS PAC ID: 0042466526 Enrollment ID: I20120816000330 |
| Provider Name | Melinda K Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922242965 PECOS PAC ID: 1658528070 Enrollment ID: I20120820000914 |
| Provider Name | Kathleen C Voigt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831304047 PECOS PAC ID: 4587610761 Enrollment ID: I20120821000228 |
| Provider Name | Dolores J Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295080471 PECOS PAC ID: 4880841162 Enrollment ID: I20120821000556 |
| Provider Name | Justin Andrew Kan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649412321 PECOS PAC ID: 0244410611 Enrollment ID: I20120822000260 |
| Provider Name | Christina M Lovato |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750420741 PECOS PAC ID: 4082861216 Enrollment ID: I20120823000372 |
| Provider Name | Melissa D Sugar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447403456 PECOS PAC ID: 6901077205 Enrollment ID: I20120828000075 |
| Provider Name | Diana M Linderoth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053495630 PECOS PAC ID: 3072538115 Enrollment ID: I20120830000668 |
| Provider Name | Evan A Bowles |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831328319 PECOS PAC ID: 0143476119 Enrollment ID: I20120906000635 |
| Provider Name | Karen S Santacruz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689769762 PECOS PAC ID: 1658276951 Enrollment ID: I20120910000180 |
| Provider Name | Joshua A Hanson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457478497 PECOS PAC ID: 8820246242 Enrollment ID: I20120910000487 |
| Provider Name | Lalainia M Secreti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114984739 PECOS PAC ID: 6608839501 Enrollment ID: I20120911000483 |
| Provider Name | Shalini Ravi Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164699922 PECOS PAC ID: 2860640745 Enrollment ID: I20120918000894 |
| Provider Name | Karen May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629397161 PECOS PAC ID: 9537348743 Enrollment ID: I20120925000255 |
| Provider Name | Stephen Fiedler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932128204 PECOS PAC ID: 0345389144 Enrollment ID: I20120926000621 |
| Provider Name | Sophie Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033310677 PECOS PAC ID: 8123285970 Enrollment ID: I20120928000134 |
| Provider Name | Hector J Castro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528211372 PECOS PAC ID: 9830348234 Enrollment ID: I20120928000236 |
| Provider Name | Bhalachandra Akaram Kulkarni |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609953272 PECOS PAC ID: 4880843143 Enrollment ID: I20121001000299 |
| Provider Name | Philip D. Seidenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952366700 PECOS PAC ID: 7618860495 Enrollment ID: I20121002000448 |
| Provider Name | Terasa L Prock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528288974 PECOS PAC ID: 2062661119 Enrollment ID: I20121004000315 |
| Provider Name | John Lissoway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669673695 PECOS PAC ID: 2264571132 Enrollment ID: I20121011000079 |
| Provider Name | Lee S Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285703181 PECOS PAC ID: 1153571898 Enrollment ID: I20121016000006 |
| Provider Name | Nicole Y Romero |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306196993 PECOS PAC ID: 3577713940 Enrollment ID: I20121019000341 |
| Provider Name | Ramachandra R Gullapalli |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629371554 PECOS PAC ID: 0345490611 Enrollment ID: I20121022000696 |
| Provider Name | Erasicleia S Tzamaloukas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023360575 PECOS PAC ID: 5991955296 Enrollment ID: I20121023000231 |
| Provider Name | Marie L Brown-wagner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134235385 PECOS PAC ID: 9335273440 Enrollment ID: I20121101000616 |
| Provider Name | Natalie D Debassige |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700029386 PECOS PAC ID: 5496906257 Enrollment ID: I20121105000218 |
| Provider Name | Elias Nasr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912072604 PECOS PAC ID: 9234139940 Enrollment ID: I20121108000373 |
| Provider Name | Christopher S Calder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386693596 PECOS PAC ID: 4284615790 Enrollment ID: I20121128000337 |
| Provider Name | Basil A Anaele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437403813 PECOS PAC ID: 7315191475 Enrollment ID: I20130126000006 |
| Provider Name | Joseph R Flippo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134473762 PECOS PAC ID: 8325292493 Enrollment ID: I20130128000062 |
| Provider Name | Patrick C Brichta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992041289 PECOS PAC ID: 9537313531 Enrollment ID: I20130128000462 |
| Provider Name | Anneliese B Keller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710181219 PECOS PAC ID: 1355426883 Enrollment ID: I20130129000511 |
| Provider Name | Najeeb Ansari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992816227 PECOS PAC ID: 0547427270 Enrollment ID: I20130130000021 |
| Provider Name | Linda A Stout |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083660328 PECOS PAC ID: 3971599663 Enrollment ID: I20130204000114 |
| Provider Name | Zafar Parvez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750392361 PECOS PAC ID: 8921997677 Enrollment ID: I20130205000052 |
| Provider Name | Dennis A Silver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780726273 PECOS PAC ID: 9234295528 Enrollment ID: I20130211000529 |
| Provider Name | Sara Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780928085 PECOS PAC ID: 7315191541 Enrollment ID: I20130215000440 |
| Provider Name | Keri L Burns Booth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902063209 PECOS PAC ID: 6800077595 Enrollment ID: I20130216000009 |
| Provider Name | Patricia A Combs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184693566 PECOS PAC ID: 7214182468 Enrollment ID: I20130219000543 |
| Provider Name | Mohamad H Khafaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780867119 PECOS PAC ID: 3678720208 Enrollment ID: I20130222000235 |
| Provider Name | Karen S Adams |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1104818368 PECOS PAC ID: 5799777165 Enrollment ID: I20130305000219 |
| Provider Name | David Phelps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336127836 PECOS PAC ID: 0648299982 Enrollment ID: I20130320000287 |
| Provider Name | Seth Mccord |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982869228 PECOS PAC ID: 0749426161 Enrollment ID: I20130409000342 |
| Provider Name | Eliezer R Pangan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720132970 PECOS PAC ID: 9436046455 Enrollment ID: I20130415000007 |
| Provider Name | Isabel G Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295079572 PECOS PAC ID: 6406092642 Enrollment ID: I20130415000082 |
| Provider Name | Dratin S Lamb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104167436 PECOS PAC ID: 9537307848 Enrollment ID: I20130528000668 |
| Provider Name | Carl J Gilmore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003012493 PECOS PAC ID: 8820237191 Enrollment ID: I20130617000590 |
| Provider Name | Thomas Doncaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366530586 PECOS PAC ID: 8729104096 Enrollment ID: I20130619000031 |
| Provider Name | Alissa J Kraisosky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134207285 PECOS PAC ID: 7315957305 Enrollment ID: I20130624000169 |
| Provider Name | Alemayehu G Biffa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073838785 PECOS PAC ID: 2769621564 Enrollment ID: I20130626000414 |
| Provider Name | Elizabeth A Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598062358 PECOS PAC ID: 0446422950 Enrollment ID: I20130703000055 |
| Provider Name | Devon S Chabot-richards |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366648404 PECOS PAC ID: 3476793852 Enrollment ID: I20130708000466 |
| Provider Name | Lyudmyla Sinyenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063751279 PECOS PAC ID: 5092955245 Enrollment ID: I20130711000122 |
| Provider Name | Brynn J Duerden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528232154 PECOS PAC ID: 7618115072 Enrollment ID: I20130718000202 |
| Provider Name | Abhishek Ahuja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649455304 PECOS PAC ID: 6406910801 Enrollment ID: I20130729000975 |
| Provider Name | Rina Judea L Cabagnot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669712683 PECOS PAC ID: 6901048982 Enrollment ID: I20130805000749 |
| Provider Name | Mona V Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770809907 PECOS PAC ID: 2163664848 Enrollment ID: I20130808000424 |
| Provider Name | Kara M Gwin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275761637 PECOS PAC ID: 0941442644 Enrollment ID: I20130808000739 |
| Provider Name | Rina Patel Trujillo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548421571 PECOS PAC ID: 2567604952 Enrollment ID: I20130814000780 |
| Provider Name | Patrick A Craddock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477518710 PECOS PAC ID: 1658308218 Enrollment ID: I20130815000171 |
| Provider Name | Stephen F Hightower |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164516548 PECOS PAC ID: 0143313031 Enrollment ID: I20130819000688 |
| Provider Name | Abdo Maroun Saad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518149830 PECOS PAC ID: 6800038977 Enrollment ID: I20130820000749 |
| Provider Name | Mark Stovroff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750380689 PECOS PAC ID: 7810060308 Enrollment ID: I20130823000411 |
| Provider Name | James O Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700076197 PECOS PAC ID: 0648413542 Enrollment ID: I20130824000150 |
| Provider Name | Leonardo Macias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710154315 PECOS PAC ID: 6002059904 Enrollment ID: I20130824000157 |
| Provider Name | Muhammad Ali A Rana |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1588863120 PECOS PAC ID: 5294906715 Enrollment ID: I20130826000265 |
| Provider Name | Devin D Wahlen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316259930 PECOS PAC ID: 0446493258 Enrollment ID: I20130827000271 |
| Provider Name | Jennifer L Von Stroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864482 PECOS PAC ID: 6800039512 Enrollment ID: I20130828000636 |
| Provider Name | Steven Ogas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114243847 PECOS PAC ID: 4486897063 Enrollment ID: I20130829000422 |
| Provider Name | Christina C Chaney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487998639 PECOS PAC ID: 7810130341 Enrollment ID: I20130830000345 |
| Provider Name | Emily Martin Tarver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114128923 PECOS PAC ID: 4981744273 Enrollment ID: I20130903000596 |
| Provider Name | Lindsey J Patman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386840775 PECOS PAC ID: 3870749971 Enrollment ID: I20130906000585 |
| Provider Name | Anna Hoard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255568077 PECOS PAC ID: 4688818800 Enrollment ID: I20130910000181 |
| Provider Name | Patrick Dale Mulkey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396913729 PECOS PAC ID: 8921257205 Enrollment ID: I20130911000475 |
| Provider Name | Timothy S Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407846926 PECOS PAC ID: 3678650926 Enrollment ID: I20130912000527 |
| Provider Name | Thomas R Kious |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730165663 PECOS PAC ID: 1153370465 Enrollment ID: I20130913000361 |
| Provider Name | Tonya N Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487093340 PECOS PAC ID: 7113161043 Enrollment ID: I20130916000614 |
| Provider Name | Virginia Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174757934 PECOS PAC ID: 7911155429 Enrollment ID: I20130917000606 |
| Provider Name | Hillary Rose Elwood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962677757 PECOS PAC ID: 3779727557 Enrollment ID: I20130917000614 |
| Provider Name | Patrick Harvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285868927 PECOS PAC ID: 1052555885 Enrollment ID: I20130918000306 |
| Provider Name | Linda L Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609837855 PECOS PAC ID: 9436110566 Enrollment ID: I20130918000411 |
| Provider Name | Laura L Pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700219623 PECOS PAC ID: 7012151483 Enrollment ID: I20130925000391 |
| Provider Name | Naomi Moraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679914279 PECOS PAC ID: 7113161506 Enrollment ID: I20130925000674 |
| Provider Name | Whitney M Winham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073769352 PECOS PAC ID: 8224272521 Enrollment ID: I20130925000908 |
| Provider Name | Mariam Hashimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497998165 PECOS PAC ID: 0042461014 Enrollment ID: I20130927000020 |
| Provider Name | Robert C Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629305172 PECOS PAC ID: 3971639154 Enrollment ID: I20130927000194 |
| Provider Name | Kristen D Faith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023334125 PECOS PAC ID: 6901030220 Enrollment ID: I20130927000514 |
| Provider Name | Samuel J Reynolds |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730353483 PECOS PAC ID: 6002040268 Enrollment ID: I20131002000310 |
| Provider Name | Anthony M Savo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053471250 PECOS PAC ID: 3476455577 Enrollment ID: I20131003000442 |
| Provider Name | Anne F Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902957491 PECOS PAC ID: 2961432133 Enrollment ID: I20131004000220 |
| Provider Name | Brian Joseph Abbott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841591757 PECOS PAC ID: 9830323807 Enrollment ID: I20131004000454 |
| Provider Name | Olga I Andreyeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356305171 PECOS PAC ID: 4385645548 Enrollment ID: I20131015001243 |
| Provider Name | Jeffery T Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114138906 PECOS PAC ID: 6901042373 Enrollment ID: I20131017000184 |
| Provider Name | Lisa M Hunt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598030637 PECOS PAC ID: 4880829209 Enrollment ID: I20131021000307 |
| Provider Name | Maria K Samaras |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063847598 PECOS PAC ID: 4284869306 Enrollment ID: I20131028000203 |
| Provider Name | James C King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235207713 PECOS PAC ID: 9931195831 Enrollment ID: I20131028000699 |
| Provider Name | Maya A Lessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861825671 PECOS PAC ID: 7416182423 Enrollment ID: I20131029001442 |
| Provider Name | Jon R Hager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588695282 PECOS PAC ID: 7911986237 Enrollment ID: I20131105000268 |
| Provider Name | Jeremy Parsons |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427254572 PECOS PAC ID: 5991969933 Enrollment ID: I20131107000124 |
| Provider Name | Sandra Jean Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801912985 PECOS PAC ID: 7416016407 Enrollment ID: I20131108000779 |
| Provider Name | Vivienne Susan Prinz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194154823 PECOS PAC ID: 8527294107 Enrollment ID: I20131204001838 |
| Provider Name | Denise S Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528116597 PECOS PAC ID: 7618928029 Enrollment ID: I20131205000336 |
| Provider Name | Sally A Vender |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710151428 PECOS PAC ID: 0042447575 Enrollment ID: I20131209000656 |
| Provider Name | Ryan P Hodnick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073837704 PECOS PAC ID: 0547497794 Enrollment ID: I20131213000185 |
| Provider Name | Thomas G Mcconnell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659309482 PECOS PAC ID: 6103829270 Enrollment ID: I20131227001572 |
| Provider Name | Benjamin Huneycutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023050549 PECOS PAC ID: 4486626140 Enrollment ID: I20131230001533 |
| Provider Name | Ishmeal E Bradley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285896068 PECOS PAC ID: 9436387164 Enrollment ID: I20140102000255 |
| Provider Name | Peter A Headley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134394430 PECOS PAC ID: 1951539360 Enrollment ID: I20140110000460 |
| Provider Name | Joanne Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316256696 PECOS PAC ID: 9032177688 Enrollment ID: I20140121000291 |
| Provider Name | Abigail Mary Gilbert-savi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396982492 PECOS PAC ID: 0941438865 Enrollment ID: I20140122000723 |
| Provider Name | Bronwyn Kathleen Radcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588683213 PECOS PAC ID: 0345427563 Enrollment ID: I20140218000928 |
| Provider Name | Jennifer Schuman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780751560 PECOS PAC ID: 2668472226 Enrollment ID: I20140224000760 |
| Provider Name | Evan Enloe Minard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912955329 PECOS PAC ID: 7416902366 Enrollment ID: I20140227002029 |
| Provider Name | Mary E Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841621570 PECOS PAC ID: 3072743624 Enrollment ID: I20140227002116 |
| Provider Name | Allison Dao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689885485 PECOS PAC ID: 1759457302 Enrollment ID: I20140303001251 |
| Provider Name | Douglas P Clark |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235181132 PECOS PAC ID: 1951433440 Enrollment ID: I20140311001495 |
| Provider Name | Allison M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458862 PECOS PAC ID: 9638353196 Enrollment ID: I20140312001606 |
| Provider Name | My La |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760583959 PECOS PAC ID: 2264434299 Enrollment ID: I20140318000754 |
| Provider Name | William S Ervin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497772016 PECOS PAC ID: 8820052780 Enrollment ID: I20140319000163 |
| Provider Name | Elizabeth R Mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699877134 PECOS PAC ID: 9537229448 Enrollment ID: I20140319000263 |
| Provider Name | Gene Kopelson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952369829 PECOS PAC ID: 2062461882 Enrollment ID: I20140325000777 |
| Provider Name | Mansi B Mehta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790933778 PECOS PAC ID: 2567693054 Enrollment ID: I20140326001366 |
| Provider Name | Mauricio Rebolledo Medranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396003943 PECOS PAC ID: 0446481949 Enrollment ID: I20140326001763 |
| Provider Name | Deborah A Mcgrew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396774170 PECOS PAC ID: 6507847217 Enrollment ID: I20140326002016 |
| Provider Name | Jeanelle O Kious |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770592164 PECOS PAC ID: 4385700046 Enrollment ID: I20140331001277 |
| Provider Name | John Michael Benavidez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659686046 PECOS PAC ID: 5294967287 Enrollment ID: I20140404001482 |
| Provider Name | Momodu Kamar Oseni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851631733 PECOS PAC ID: 9537307681 Enrollment ID: I20140408001944 |
| Provider Name | Rebecca L Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679680623 PECOS PAC ID: 6507947462 Enrollment ID: I20140425000739 |
| Provider Name | Fernando Monreal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518296185 PECOS PAC ID: 0345473161 Enrollment ID: I20140501002158 |
| Provider Name | Aaron A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285898817 PECOS PAC ID: 0749453033 Enrollment ID: I20140506001347 |
| Provider Name | Jonathan W Hechanova |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396922381 PECOS PAC ID: 5597957209 Enrollment ID: I20140512000299 |
| Provider Name | Amber Jean Ray Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902223035 PECOS PAC ID: 0446473698 Enrollment ID: I20140516000264 |
| Provider Name | Victoria Castaneda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720092018 PECOS PAC ID: 3577720465 Enrollment ID: I20140519001381 |
| Provider Name | Mehmet C Guzelbeyoglu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174621130 PECOS PAC ID: 8426019001 Enrollment ID: I20140520002487 |
| Provider Name | Mary Martinez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184981102 PECOS PAC ID: 6709009624 Enrollment ID: I20140522000837 |
| Provider Name | Sikander Surana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780917542 PECOS PAC ID: 0547483943 Enrollment ID: I20140603000409 |
| Provider Name | Christopher Lyons |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134371263 PECOS PAC ID: 5496997355 Enrollment ID: I20140609001830 |
| Provider Name | Terence Andrew Rousseau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770795049 PECOS PAC ID: 7012082837 Enrollment ID: I20140611001776 |
| Provider Name | Paula L Mata-molina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407980428 PECOS PAC ID: 8820212616 Enrollment ID: I20140618000462 |
| Provider Name | Lynda Ann Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538141221 PECOS PAC ID: 1951210582 Enrollment ID: I20140623001706 |
| Provider Name | Odinaka Joseph Nnanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083036917 PECOS PAC ID: 7214152792 Enrollment ID: I20140626001076 |
| Provider Name | Colin Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235168642 PECOS PAC ID: 6305803842 Enrollment ID: I20140708000293 |
| Provider Name | Danielle P Prunty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659384048 PECOS PAC ID: 2062437205 Enrollment ID: I20140709001129 |
| Provider Name | Janelle R Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063703262 PECOS PAC ID: 3476787441 Enrollment ID: I20140716002623 |
| Provider Name | Shahroz Kidwai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013200062 PECOS PAC ID: 7618193871 Enrollment ID: I20140723002142 |
| Provider Name | Biatris A Barrera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245556513 PECOS PAC ID: 1254557226 Enrollment ID: I20140728002042 |
| Provider Name | Aaron J Reilly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174687990 PECOS PAC ID: 0244456234 Enrollment ID: I20140729000188 |
| Provider Name | Hannah Kerr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114123593 PECOS PAC ID: 7012133911 Enrollment ID: I20140730001114 |
| Provider Name | Karen L Niehaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093006611 PECOS PAC ID: 6204060023 Enrollment ID: I20140804001364 |
| Provider Name | Amy L Cuff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184914848 PECOS PAC ID: 5092940874 Enrollment ID: I20140805000457 |
| Provider Name | Sze Kim Pang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669597076 PECOS PAC ID: 1951444652 Enrollment ID: I20140814000943 |
| Provider Name | Erin Murata Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417273806 PECOS PAC ID: 4789801788 Enrollment ID: I20140815000347 |
| Provider Name | John W Bigelow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821389032 PECOS PAC ID: 9537393079 Enrollment ID: I20140820001109 |
| Provider Name | Pierre James Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790195725 PECOS PAC ID: 4587882337 Enrollment ID: I20140820001565 |
| Provider Name | Timothy Muchayi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073743902 PECOS PAC ID: 6608094305 Enrollment ID: I20140821000905 |
| Provider Name | Tanuj Saaraswat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134384480 PECOS PAC ID: 0446478101 Enrollment ID: I20140822000329 |
| Provider Name | Radu Butuc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245579796 PECOS PAC ID: 7113145715 Enrollment ID: I20140822002102 |
| Provider Name | Melissa L Valdez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598082281 PECOS PAC ID: 1052539301 Enrollment ID: I20140827002419 |
| Provider Name | Kristina N Rynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164848289 PECOS PAC ID: 1850519182 Enrollment ID: I20140828002128 |
| Provider Name | David B Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992891808 PECOS PAC ID: 8325236896 Enrollment ID: I20140908000632 |
| Provider Name | Melissa J Cline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497046536 PECOS PAC ID: 5890914642 Enrollment ID: I20140910001191 |
| Provider Name | Eric J Keller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508950981 PECOS PAC ID: 4587883855 Enrollment ID: I20140918001285 |
| Provider Name | Roberto Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043535560 PECOS PAC ID: 0840467973 Enrollment ID: I20140922001936 |
| Provider Name | Richard T Caldwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952392532 PECOS PAC ID: 0143294785 Enrollment ID: I20140923000869 |
| Provider Name | Lisa E Mcguire |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235216086 PECOS PAC ID: 2668617549 Enrollment ID: I20140924001582 |
| Provider Name | Joseph H. Feller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427183722 PECOS PAC ID: 5092859462 Enrollment ID: I20140925000400 |
| Provider Name | Lorena A Kroeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215349626 PECOS PAC ID: 1355561234 Enrollment ID: I20140926000815 |
| Provider Name | Evelyn L Lockhart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376751701 PECOS PAC ID: 4284790494 Enrollment ID: I20140926001015 |
| Provider Name | Carlos Rueda |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407902034 PECOS PAC ID: 8729243787 Enrollment ID: I20140929000906 |
| Provider Name | Bryan Stephen Brindeiro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871727578 PECOS PAC ID: 3476784729 Enrollment ID: I20141006001599 |
| Provider Name | Ahmad H Allaham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538457056 PECOS PAC ID: 4587898515 Enrollment ID: I20141008000642 |
| Provider Name | Jessica Alcon-romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710165881 PECOS PAC ID: 2567684764 Enrollment ID: I20141103001761 |
| Provider Name | Lisa Marie Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548669799 PECOS PAC ID: 0749402972 Enrollment ID: I20141104000152 |
| Provider Name | Lena A Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770991994 PECOS PAC ID: 1951523091 Enrollment ID: I20141105001529 |
| Provider Name | Maximus L'amour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285891184 PECOS PAC ID: 9436326006 Enrollment ID: I20141106000578 |
| Provider Name | Jamie Sue Mcreynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407961121 PECOS PAC ID: 5193748929 Enrollment ID: I20141113001736 |
| Provider Name | Nathaniel G Sharon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053632059 PECOS PAC ID: 3577790609 Enrollment ID: I20141114001055 |
| Provider Name | Anthony Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821400771 PECOS PAC ID: 0042432536 Enrollment ID: I20141118001544 |
| Provider Name | Gabriel A Palley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073800728 PECOS PAC ID: 8628202884 Enrollment ID: I20141119000190 |
| Provider Name | Kimberlee A Yeargin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952465841 PECOS PAC ID: 3173582467 Enrollment ID: I20141119002420 |
| Provider Name | Zachary R Book |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972739431 PECOS PAC ID: 5698922730 Enrollment ID: I20141121002189 |
| Provider Name | Kara Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023251055 PECOS PAC ID: 3072740919 Enrollment ID: I20141124001787 |
| Provider Name | Nadia Sky Iovettz-tereshchenko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801082482 PECOS PAC ID: 3870661408 Enrollment ID: I20141126000704 |
| Provider Name | Bethany Lynn Kolb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164621801 PECOS PAC ID: 9335310341 Enrollment ID: I20141126001673 |
| Provider Name | Drago Tolosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063446268 PECOS PAC ID: 5092773648 Enrollment ID: I20141204001641 |
| Provider Name | Kristina Danielle Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477959039 PECOS PAC ID: 2062734809 Enrollment ID: I20141204001659 |
| Provider Name | Alan M Heilpern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649219080 PECOS PAC ID: 0143127001 Enrollment ID: I20141211000638 |
| Provider Name | Melody A Shrack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306131602 PECOS PAC ID: 1658523865 Enrollment ID: I20141215000620 |
| Provider Name | Ritika Mahajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285947283 PECOS PAC ID: 4284868597 Enrollment ID: I20141216001678 |
| Provider Name | Lisa S Schuerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811212780 PECOS PAC ID: 2567642226 Enrollment ID: I20141217001564 |
| Provider Name | Kathleen M Chauvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669405395 PECOS PAC ID: 0446307318 Enrollment ID: I20141217001784 |
| Provider Name | Stephanie H Pendergrass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790959203 PECOS PAC ID: 6305169574 Enrollment ID: I20141218001607 |
| Provider Name | Anne Vallejos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154739167 PECOS PAC ID: 7911220181 Enrollment ID: I20141218001674 |
| Provider Name | Bridget Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700102407 PECOS PAC ID: 7012162290 Enrollment ID: I20141219001747 |
| Provider Name | Margie Teng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124353073 PECOS PAC ID: 2365606951 Enrollment ID: I20141222002455 |
| Provider Name | Lilia M Pedrego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770895054 PECOS PAC ID: 9830412824 Enrollment ID: I20141223002189 |
| Provider Name | Ion S Chuang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821034448 PECOS PAC ID: 2860488319 Enrollment ID: I20141224000324 |
| Provider Name | Kishor Bhende |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336304716 PECOS PAC ID: 7214250232 Enrollment ID: I20141224001207 |
| Provider Name | Marita L Campos-melady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700286457 PECOS PAC ID: 2264755115 Enrollment ID: I20141229000579 |
| Provider Name | Catherine Garofali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023422201 PECOS PAC ID: 0244553196 Enrollment ID: I20141229000657 |
| Provider Name | Rachel Davis Rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073777504 PECOS PAC ID: 0648179366 Enrollment ID: I20141229000867 |
| Provider Name | Erin Stopani |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356750210 PECOS PAC ID: 4183947054 Enrollment ID: I20141229001435 |
| Provider Name | Allan Shapiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467458943 PECOS PAC ID: 4587694054 Enrollment ID: I20141230000059 |
| Provider Name | Meredith A Cox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265744320 PECOS PAC ID: 9537482443 Enrollment ID: I20141230000894 |
| Provider Name | Daniel Arie Marancenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790937068 PECOS PAC ID: 7810180379 Enrollment ID: I20150107000825 |
| Provider Name | Sara Jordan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1902085822 PECOS PAC ID: 7618006685 Enrollment ID: I20150107001908 |
| Provider Name | Ana V Kuny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548676703 PECOS PAC ID: 8527381151 Enrollment ID: I20150112000595 |
| Provider Name | Linda K Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932514056 PECOS PAC ID: 5698099869 Enrollment ID: I20150116000309 |
| Provider Name | Denise Rodriguez Esquivel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578968517 PECOS PAC ID: 2860716941 Enrollment ID: I20150120001793 |
| Provider Name | Harlan Avery Rountree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093783649 PECOS PAC ID: 0648468652 Enrollment ID: I20150128000304 |
| Provider Name | Jaclyn Marie Mcalester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194133140 PECOS PAC ID: 6901121433 Enrollment ID: I20150204001501 |
| Provider Name | Jennifer A Degraauw |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316069727 PECOS PAC ID: 0042311433 Enrollment ID: I20150205000094 |
| Provider Name | Steven Kushel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831132745 PECOS PAC ID: 7618873597 Enrollment ID: I20150206000129 |
| Provider Name | Julia K Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447580642 PECOS PAC ID: 9830324334 Enrollment ID: I20150212001559 |
| Provider Name | Jeffery Owen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871532689 PECOS PAC ID: 7517010747 Enrollment ID: I20150223001343 |
| Provider Name | Aswani Kumar Alavala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528305703 PECOS PAC ID: 5698994416 Enrollment ID: I20150227001010 |
| Provider Name | Alexander Duncan Wielaard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144438995 PECOS PAC ID: 8325237662 Enrollment ID: I20150303001482 |
| Provider Name | Prajit Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841503844 PECOS PAC ID: 2365768264 Enrollment ID: I20150312001795 |
| Provider Name | David C Estabillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730427014 PECOS PAC ID: 8325202195 Enrollment ID: I20150316000239 |
| Provider Name | Darcy Rumberger Denegre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659683548 PECOS PAC ID: 8123269990 Enrollment ID: I20150317001824 |
| Provider Name | Brian L Holt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043496300 PECOS PAC ID: 3870627276 Enrollment ID: I20150317002180 |
| Provider Name | Nelson Roberto Pou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851499941 PECOS PAC ID: 1951472042 Enrollment ID: I20150318001783 |
| Provider Name | William Van Rice |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902840606 PECOS PAC ID: 5092842872 Enrollment ID: I20150319000206 |
| Provider Name | Lotachukwu R Ojide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811200025 PECOS PAC ID: 4688817810 Enrollment ID: I20150320000193 |
| Provider Name | Leora E Shein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912303900 PECOS PAC ID: 3274850912 Enrollment ID: I20150320000750 |
| Provider Name | Nicolas Cuttriss |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386890135 PECOS PAC ID: 0840517231 Enrollment ID: I20150324000529 |
| Provider Name | Clay H Schneiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194928853 PECOS PAC ID: 1456445758 Enrollment ID: I20150324001924 |
| Provider Name | Murray Forestell Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427187632 PECOS PAC ID: 1850475930 Enrollment ID: I20150408002016 |
| Provider Name | Jose Santos Pico |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528043783 PECOS PAC ID: 9830272079 Enrollment ID: I20150430000324 |
| Provider Name | Raquel Cisneros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801186341 PECOS PAC ID: 3870737133 Enrollment ID: I20150508001145 |
| Provider Name | Breton Chester Juberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376517243 PECOS PAC ID: 8921057217 Enrollment ID: I20150518000031 |
| Provider Name | Mary Gallegos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366732372 PECOS PAC ID: 5698095297 Enrollment ID: I20150521002625 |
| Provider Name | Cynthia Griego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184687923 PECOS PAC ID: 4486974664 Enrollment ID: I20150529001358 |
| Provider Name | Thomas Longley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245597970 PECOS PAC ID: 8921251091 Enrollment ID: I20150601001878 |
| Provider Name | Sharif A Halim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730355546 PECOS PAC ID: 8224359062 Enrollment ID: I20150605000797 |
| Provider Name | Pradeep Mitta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689942369 PECOS PAC ID: 7911228291 Enrollment ID: I20150611002961 |
| Provider Name | Erwyn Chua Ong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932429891 PECOS PAC ID: 2062723240 Enrollment ID: I20150615000446 |
| Provider Name | Aamer Rehman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336381342 PECOS PAC ID: 6901117951 Enrollment ID: I20150618000405 |
| Provider Name | Jonathan Lee Drew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710247382 PECOS PAC ID: 2961644984 Enrollment ID: I20150622000637 |
| Provider Name | Derek James Detemple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992788095 PECOS PAC ID: 2466437702 Enrollment ID: I20150629000528 |
| Provider Name | Payal Urvij Modhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083961072 PECOS PAC ID: 2365754249 Enrollment ID: I20150707000781 |
| Provider Name | Haily Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679839534 PECOS PAC ID: 7719299338 Enrollment ID: I20150709002052 |
| Provider Name | Michael R Bowen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245335736 PECOS PAC ID: 3072408244 Enrollment ID: I20150716000072 |
| Provider Name | David Stephen Saunders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750365433 PECOS PAC ID: 7911092390 Enrollment ID: I20150716002466 |
| Provider Name | Alberto Aguayo Rico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003181470 PECOS PAC ID: 7416274188 Enrollment ID: I20150721000821 |
| Provider Name | Prathima Guruguri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073850251 PECOS PAC ID: 6406076157 Enrollment ID: I20150730010817 |
| Provider Name | Mark Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063894939 PECOS PAC ID: 4688988637 Enrollment ID: I20150804004762 |
| Provider Name | Carlos A Revelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952738627 PECOS PAC ID: 0941514632 Enrollment ID: I20150810001146 |
| Provider Name | Kuljit Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902815350 PECOS PAC ID: 2163476953 Enrollment ID: I20150811005781 |
| Provider Name | Robert J Surawski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417277732 PECOS PAC ID: 2668613613 Enrollment ID: I20150813011769 |
| Provider Name | John Claude Bagwell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568424356 PECOS PAC ID: 0143279091 Enrollment ID: I20150814013504 |
| Provider Name | Aaron E Pritchard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790006377 PECOS PAC ID: 4587979745 Enrollment ID: I20150817002328 |
| Provider Name | Sigmund G Jenssen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538110796 PECOS PAC ID: 9032255542 Enrollment ID: I20150820012174 |
| Provider Name | Sarah Vertrees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013209519 PECOS PAC ID: 7416262217 Enrollment ID: I20150821013550 |
| Provider Name | Christopher Lee Walton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326129008 PECOS PAC ID: 7214999390 Enrollment ID: I20150901002395 |
| Provider Name | Jennifer F Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205219623 PECOS PAC ID: 5799091781 Enrollment ID: I20150908000389 |
| Provider Name | Laurie Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558391961 PECOS PAC ID: 1658334925 Enrollment ID: I20150910001277 |
| Provider Name | Antonio Robert Tavitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104202308 PECOS PAC ID: 4789991589 Enrollment ID: I20150910002248 |
| Provider Name | Jennifer Achilles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891965133 PECOS PAC ID: 4587738091 Enrollment ID: I20150910002334 |
| Provider Name | Lauren D Thaxton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760772859 PECOS PAC ID: 5294042966 Enrollment ID: I20150911001883 |
| Provider Name | Jovanna Marie Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403381 PECOS PAC ID: 5799092359 Enrollment ID: I20150914002658 |
| Provider Name | Miranda C Haley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326334814 PECOS PAC ID: 8527202217 Enrollment ID: I20150916000595 |
| Provider Name | Alfred C Emmel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225068083 PECOS PAC ID: 0941517247 Enrollment ID: I20150918001945 |
| Provider Name | Nathan Blue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427300938 PECOS PAC ID: 0244547438 Enrollment ID: I20150921002641 |
| Provider Name | Elizabeth H Latu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629196712 PECOS PAC ID: 8820305931 Enrollment ID: I20150922000273 |
| Provider Name | Yvonne M Ashbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285728923 PECOS PAC ID: 6103928262 Enrollment ID: I20150922000494 |
| Provider Name | Jaya Bathina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407086705 PECOS PAC ID: 5799908463 Enrollment ID: I20150922002633 |
| Provider Name | Selena Liao |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396060349 PECOS PAC ID: 0143465906 Enrollment ID: I20150923001142 |
| Provider Name | Marissa L Borrello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023484755 PECOS PAC ID: 7810205507 Enrollment ID: I20150929003029 |
| Provider Name | Mary Elizabeth Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427481738 PECOS PAC ID: 0749598266 Enrollment ID: I20151002001873 |
| Provider Name | Karan Mahajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407103575 PECOS PAC ID: 4082922414 Enrollment ID: I20151002002511 |
| Provider Name | Justin Oguinn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457589137 PECOS PAC ID: 0749430197 Enrollment ID: I20151003000011 |
| Provider Name | Akash Attreya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619239670 PECOS PAC ID: 7810131158 Enrollment ID: I20151006001867 |
| Provider Name | Amy Lee Collins-brenner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992904858 PECOS PAC ID: 3274774435 Enrollment ID: I20151007000230 |
| Provider Name | Sergiu Stefanescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215919261 PECOS PAC ID: 2860527488 Enrollment ID: I20151009001059 |
| Provider Name | Yang Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073810966 PECOS PAC ID: 1557670684 Enrollment ID: I20151012001514 |
| Provider Name | Anthony Henry Umpierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467412262 PECOS PAC ID: 0648275412 Enrollment ID: I20151013000755 |
| Provider Name | Audrey Marie Seidel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811924327 PECOS PAC ID: 0042213449 Enrollment ID: I20151014001454 |
| Provider Name | Celestina Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700253879 PECOS PAC ID: 8426367459 Enrollment ID: I20151014001513 |
| Provider Name | Charles Allen Caton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750341210 PECOS PAC ID: 3476457656 Enrollment ID: I20151014001642 |
| Provider Name | Thomas Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265559561 PECOS PAC ID: 4385953280 Enrollment ID: I20151015001087 |
| Provider Name | Christopher R Carter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003814799 PECOS PAC ID: 6002873031 Enrollment ID: I20151021000729 |
| Provider Name | Harvey Alan Pflanzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902906266 PECOS PAC ID: 0648229963 Enrollment ID: I20151028002914 |
| Provider Name | Dean William Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336519990 PECOS PAC ID: 7012227986 Enrollment ID: I20151104002176 |
| Provider Name | Dawn Lea Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568838381 PECOS PAC ID: 8426368333 Enrollment ID: I20151105000607 |
| Provider Name | Catherine Ruhl |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457464695 PECOS PAC ID: 6305732439 Enrollment ID: I20151106000324 |
| Provider Name | My Ha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598131773 PECOS PAC ID: 7012227846 Enrollment ID: I20151107000002 |
| Provider Name | Stephanie Tucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417137977 PECOS PAC ID: 8224212253 Enrollment ID: I20151107000119 |
| Provider Name | Jill Rains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235507443 PECOS PAC ID: 5890005631 Enrollment ID: I20151107000194 |
| Provider Name | Ariele Bauers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457699001 PECOS PAC ID: 3375853088 Enrollment ID: I20151110000555 |
| Provider Name | Tajdhary Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427472182 PECOS PAC ID: 8022328921 Enrollment ID: I20151110001141 |
| Provider Name | Sri Rama Krishna Benerji Paruchuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104057389 PECOS PAC ID: 5597911784 Enrollment ID: I20151112000248 |
| Provider Name | Pilaiporn Palakawong Na Ayudhya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487966461 PECOS PAC ID: 4284877069 Enrollment ID: I20151113000947 |
| Provider Name | Fouad Reda |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487775433 PECOS PAC ID: 0941479711 Enrollment ID: I20151114000111 |
| Provider Name | Christopher W Gist |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881685584 PECOS PAC ID: 8820025554 Enrollment ID: I20151116000042 |
| Provider Name | Deborah Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265418602 PECOS PAC ID: 9335047489 Enrollment ID: I20151125000364 |
| Provider Name | Barbara Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154304814 PECOS PAC ID: 8628378080 Enrollment ID: I20151208001176 |
| Provider Name | Mary J Seiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902164536 PECOS PAC ID: 5193966471 Enrollment ID: I20151208001745 |
| Provider Name | Thomas T Hui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487725206 PECOS PAC ID: 7618992223 Enrollment ID: I20151214001379 |
| Provider Name | Peter Witt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255319877 PECOS PAC ID: 9830126614 Enrollment ID: I20151215002429 |
| Provider Name | Whitney E Steinmetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073945382 PECOS PAC ID: 5395975346 Enrollment ID: I20151216001165 |
| Provider Name | Maria Corazon Hizon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154557635 PECOS PAC ID: 7719124635 Enrollment ID: I20151230001228 |
| Provider Name | Naga Prasad Grandhe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700058377 PECOS PAC ID: 3274684170 Enrollment ID: I20160105002527 |
| Provider Name | Heather E Marancenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528073384 PECOS PAC ID: 7618997198 Enrollment ID: I20160108000665 |
| Provider Name | Amer Zuhair Mahmoud |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285889402 PECOS PAC ID: 5597991471 Enrollment ID: I20160113000077 |
| Provider Name | Gabriela C Prieto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023260841 PECOS PAC ID: 7517260433 Enrollment ID: I20160126001828 |
| Provider Name | Marie C Bartholdi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205149341 PECOS PAC ID: 0749403566 Enrollment ID: I20160202002276 |
| Provider Name | Jayne Marie Mccormick |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801948740 PECOS PAC ID: 8921040528 Enrollment ID: I20160203000203 |
| Provider Name | Ahmad J Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093966418 PECOS PAC ID: 0547428633 Enrollment ID: I20160224001702 |
| Provider Name | James J Reese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467581272 PECOS PAC ID: 2567630304 Enrollment ID: I20160302002045 |
| Provider Name | Leslie Chupp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962562579 PECOS PAC ID: 7719035039 Enrollment ID: I20160302002728 |
| Provider Name | Veronica Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841671278 PECOS PAC ID: 5193021640 Enrollment ID: I20160309000555 |
| Provider Name | Christian Percy Mannsfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104844935 PECOS PAC ID: 1052362126 Enrollment ID: I20160315001233 |
| Provider Name | Mark Bryniarski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528063161 PECOS PAC ID: 6608818646 Enrollment ID: I20160316002530 |
| Provider Name | Milton Randall Dalbow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972561314 PECOS PAC ID: 7012070683 Enrollment ID: I20160407000061 |
| Provider Name | Robin D Freedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326408857 PECOS PAC ID: 4486952264 Enrollment ID: I20160412000126 |
| Provider Name | Stephen Andrew Buscemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396119129 PECOS PAC ID: 1658675780 Enrollment ID: I20160415000716 |
| Provider Name | Tana L Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245500974 PECOS PAC ID: 8123327350 Enrollment ID: I20160422000393 |
| Provider Name | Craig B Cade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134173370 PECOS PAC ID: 5698721926 Enrollment ID: I20160427000091 |
| Provider Name | Janet E Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093188724 PECOS PAC ID: 7719286889 Enrollment ID: I20160428000312 |
| Provider Name | Eric Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093198020 PECOS PAC ID: 6204125446 Enrollment ID: I20160511002169 |
| Provider Name | Ripal Harsad Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114217338 PECOS PAC ID: 5395978126 Enrollment ID: I20160517001200 |
| Provider Name | Kevin Nesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407116858 PECOS PAC ID: 2163737453 Enrollment ID: I20160526002326 |
| Provider Name | Paras Malhotra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275799694 PECOS PAC ID: 6901049576 Enrollment ID: I20160527000554 |
| Provider Name | Hung Vu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508977893 PECOS PAC ID: 2668442310 Enrollment ID: I20160531000803 |
| Provider Name | William Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689819484 PECOS PAC ID: 9436297454 Enrollment ID: I20160601002821 |
| Provider Name | Shaylin Kristal Cersosimo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831410570 PECOS PAC ID: 8527202878 Enrollment ID: I20160603000710 |
| Provider Name | James A Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346509726 PECOS PAC ID: 8820318975 Enrollment ID: I20160613000030 |
| Provider Name | Jennifer Mosier Quam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033571567 PECOS PAC ID: 5799075248 Enrollment ID: I20160613000702 |
| Provider Name | Donald Tait |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568718674 PECOS PAC ID: 7113166083 Enrollment ID: I20160615001493 |
| Provider Name | Brent Gear |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801868898 PECOS PAC ID: 0143279190 Enrollment ID: I20160620000775 |
| Provider Name | Mark J Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013145531 PECOS PAC ID: 1254591274 Enrollment ID: I20160621000818 |
| Provider Name | Taryn E Goff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891942728 PECOS PAC ID: 2668763640 Enrollment ID: I20160622001055 |
| Provider Name | James Goldsmith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326351214 PECOS PAC ID: 0446541205 Enrollment ID: I20160624001920 |
| Provider Name | Kara Elizabeth Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700199478 PECOS PAC ID: 4082844667 Enrollment ID: I20160627000900 |
| Provider Name | Emily E Drummond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003143918 PECOS PAC ID: 2264673631 Enrollment ID: I20160627002010 |
| Provider Name | Camille Antoinette Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508195918 PECOS PAC ID: 6204971492 Enrollment ID: I20160628000835 |
| Provider Name | Radim Soucek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598105082 PECOS PAC ID: 4688966187 Enrollment ID: I20160701000305 |
| Provider Name | Christopher N Roybal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639375397 PECOS PAC ID: 8224253869 Enrollment ID: I20160701001677 |
| Provider Name | Wut Yi Hninn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992128557 PECOS PAC ID: 6901198183 Enrollment ID: I20160708000184 |
| Provider Name | Nancy Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003230517 PECOS PAC ID: 7719279835 Enrollment ID: I20160711002359 |
| Provider Name | Manideep Gotur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710384581 PECOS PAC ID: 9335431337 Enrollment ID: I20160712002715 |
| Provider Name | Jessica V Seward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194123653 PECOS PAC ID: 3779899745 Enrollment ID: I20160712003072 |
| Provider Name | Grace Dalmacion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639453921 PECOS PAC ID: 2668629270 Enrollment ID: I20160714001227 |
| Provider Name | Linda Rae Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487010237 PECOS PAC ID: 9032401872 Enrollment ID: I20160714001316 |
| Provider Name | Shana Nisenbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669715793 PECOS PAC ID: 4587890504 Enrollment ID: I20160715000621 |
| Provider Name | Carlos Ayub Sarabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184056269 PECOS PAC ID: 6305139874 Enrollment ID: I20160720002219 |
| Provider Name | Rebecca Anne Smith Sealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614591 PECOS PAC ID: 9537452826 Enrollment ID: I20160725001146 |
| Provider Name | Chandrahasa Annem |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801175559 PECOS PAC ID: 0345533634 Enrollment ID: I20160725001181 |
| Provider Name | Anabelle Ramos Rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134232432 PECOS PAC ID: 5395713077 Enrollment ID: I20160729000016 |
| Provider Name | Lihang Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326487158 PECOS PAC ID: 5698070423 Enrollment ID: I20160729000806 |
| Provider Name | Elise Blinder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730408030 PECOS PAC ID: 1153556261 Enrollment ID: I20160801001919 |
| Provider Name | Frank Czul Gurdian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518199702 PECOS PAC ID: 3971896721 Enrollment ID: I20160801002017 |
| Provider Name | Raena Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073870432 PECOS PAC ID: 5698085298 Enrollment ID: I20160803000865 |
| Provider Name | Jaren Plagata Delfin Gravagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689063323 PECOS PAC ID: 8729372297 Enrollment ID: I20160805000532 |
| Provider Name | Ian Medoro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467773739 PECOS PAC ID: 2062646219 Enrollment ID: I20160806000043 |
| Provider Name | Emmett Broxson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013023035 PECOS PAC ID: 0941594741 Enrollment ID: I20160806000052 |
| Provider Name | Mary Kara Bucci |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285727883 PECOS PAC ID: 9335154509 Enrollment ID: I20160809001300 |
| Provider Name | Sanjay S. Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356505192 PECOS PAC ID: 2163655697 Enrollment ID: I20160812000372 |
| Provider Name | Joseph L Bergsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760825186 PECOS PAC ID: 6406080852 Enrollment ID: I20160812000635 |
| Provider Name | Razan H Alkhouri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356584486 PECOS PAC ID: 3375798200 Enrollment ID: I20160812000778 |
| Provider Name | Dennis Manuel Hurtado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790793412 PECOS PAC ID: 8224027909 Enrollment ID: I20160812001628 |
| Provider Name | Christina A Armijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144684317 PECOS PAC ID: 5395039317 Enrollment ID: I20160812001748 |
| Provider Name | Amanda Medoro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356662670 PECOS PAC ID: 3274844253 Enrollment ID: I20160816000968 |
| Provider Name | Blair Hough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467407031 PECOS PAC ID: 3072594514 Enrollment ID: I20160816001265 |
| Provider Name | Thomas Weiler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114243144 PECOS PAC ID: 9537454228 Enrollment ID: I20160819000373 |
| Provider Name | Kimberly A Hall-moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225014038 PECOS PAC ID: 4486626017 Enrollment ID: I20160820000079 |
| Provider Name | Lori Starke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710925995 PECOS PAC ID: 4385654912 Enrollment ID: I20160822002585 |
| Provider Name | Brea A Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497940506 PECOS PAC ID: 9638237456 Enrollment ID: I20160823001324 |
| Provider Name | Paulino Rivera-torres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427266972 PECOS PAC ID: 8527135987 Enrollment ID: I20160824001830 |
| Provider Name | Howard Y Bernstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609884774 PECOS PAC ID: 3476848797 Enrollment ID: I20160825002658 |
| Provider Name | Ashley A Crum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245673946 PECOS PAC ID: 3173750742 Enrollment ID: I20160826001510 |
| Provider Name | Sudha Pravinkumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215266036 PECOS PAC ID: 8820284805 Enrollment ID: I20160901001562 |
| Provider Name | Brian Rand Gebhardt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295020162 PECOS PAC ID: 5395031868 Enrollment ID: I20160909000087 |
| Provider Name | Mario Ernesto E Henriquez Alvarenga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972941813 PECOS PAC ID: 0941596175 Enrollment ID: I20160914000733 |
| Provider Name | Daniel Earl Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508211921 PECOS PAC ID: 2062708191 Enrollment ID: I20160915001273 |
| Provider Name | Weiwei Dai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417248469 PECOS PAC ID: 4587898879 Enrollment ID: I20160917000108 |
| Provider Name | Raghu C Vanama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528324944 PECOS PAC ID: 5890003685 Enrollment ID: I20160926000836 |
| Provider Name | Patrick O Sobande |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801846191 PECOS PAC ID: 2264447457 Enrollment ID: I20160926002307 |
| Provider Name | Jennifer T Griego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336692508 PECOS PAC ID: 8628365145 Enrollment ID: I20160928000421 |
| Provider Name | Ahmed A El-emawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609212505 PECOS PAC ID: 4486888104 Enrollment ID: I20160928001082 |
| Provider Name | Sara M Bush |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104192293 PECOS PAC ID: 6800101643 Enrollment ID: I20160929002424 |
| Provider Name | Justin J Sommer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275876559 PECOS PAC ID: 2769618891 Enrollment ID: I20161005000733 |
| Provider Name | Vivek R Katukuri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215292339 PECOS PAC ID: 8123316239 Enrollment ID: I20161005001344 |
| Provider Name | Bilal Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386902260 PECOS PAC ID: 8628366747 Enrollment ID: I20161005001595 |
| Provider Name | Melissa Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386197036 PECOS PAC ID: 0042508186 Enrollment ID: I20161005002109 |
| Provider Name | Megan Molleck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821434382 PECOS PAC ID: 1759517543 Enrollment ID: I20161006000052 |
| Provider Name | Valerie Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649617440 PECOS PAC ID: 4981830171 Enrollment ID: I20161010001870 |
| Provider Name | Quynh Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104169481 PECOS PAC ID: 3274759618 Enrollment ID: I20161011000789 |
| Provider Name | Michael Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679028468 PECOS PAC ID: 9830487511 Enrollment ID: I20161012001714 |
| Provider Name | David Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932169653 PECOS PAC ID: 3476532086 Enrollment ID: I20161013000221 |
| Provider Name | Diane Cynthia Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609322007 PECOS PAC ID: 6204124928 Enrollment ID: I20161013000362 |
| Provider Name | Michael A Hoks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003256686 PECOS PAC ID: 6103122866 Enrollment ID: I20161013000923 |
| Provider Name | Elizabeth Bryniarski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326133067 PECOS PAC ID: 7315919560 Enrollment ID: I20161014001228 |
| Provider Name | Jeanna A Ford |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619383395 PECOS PAC ID: 2961623244 Enrollment ID: I20161014001460 |
| Provider Name | Talha Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497194559 PECOS PAC ID: 6608099080 Enrollment ID: I20161014002128 |
| Provider Name | Jennifer Bishop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073777140 PECOS PAC ID: 0941440895 Enrollment ID: I20161017001032 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20161018000667 |
| Provider Name | Jesse A Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750319273 PECOS PAC ID: 1850317728 Enrollment ID: I20161021002046 |
| Provider Name | Alfred A Van Baak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528355153 PECOS PAC ID: 5698909992 Enrollment ID: I20161027002244 |
| Provider Name | Veneta K Ianakieva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568805018 PECOS PAC ID: 1850525254 Enrollment ID: I20161102000101 |
| Provider Name | John C Brock |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154327393 PECOS PAC ID: 3678674538 Enrollment ID: I20161102000587 |
| Provider Name | Ruth L Lamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972624302 PECOS PAC ID: 3274726583 Enrollment ID: I20161103000294 |
| Provider Name | Augustine O Bosah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588794192 PECOS PAC ID: 1759448103 Enrollment ID: I20161103002030 |
| Provider Name | Andrew Schannen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669785937 PECOS PAC ID: 6901127281 Enrollment ID: I20161107001471 |
| Provider Name | Steven L Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982714150 PECOS PAC ID: 6608990965 Enrollment ID: I20161108000099 |
| Provider Name | Craig Anthony Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508892555 PECOS PAC ID: 6507860764 Enrollment ID: I20161108001846 |
| Provider Name | Dolce T Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922554054 PECOS PAC ID: 9335428416 Enrollment ID: I20161111001950 |
| Provider Name | Indira Veerapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528327863 PECOS PAC ID: 1456570753 Enrollment ID: I20161129002757 |
| Provider Name | Amelia Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306997747 PECOS PAC ID: 8022074517 Enrollment ID: I20161201002396 |
| Provider Name | Seth E Kagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336302801 PECOS PAC ID: 2163611237 Enrollment ID: I20161203000245 |
| Provider Name | Scott Brian Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477009975 PECOS PAC ID: 0547540726 Enrollment ID: I20161205001155 |
| Provider Name | Christine Saavedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588114193 PECOS PAC ID: 5193005056 Enrollment ID: I20161212000015 |
| Provider Name | Jonathan Y Ji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477603504 PECOS PAC ID: 1456538172 Enrollment ID: I20161212000166 |
| Provider Name | Sean Patrick Obrien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598109662 PECOS PAC ID: 9032344478 Enrollment ID: I20161212000421 |
| Provider Name | Bipin Jot Bagga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699017475 PECOS PAC ID: 7012210925 Enrollment ID: I20161213000294 |
| Provider Name | Matilda Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083681811 PECOS PAC ID: 1658358759 Enrollment ID: I20161213002236 |
| Provider Name | Thomas Joseph Knott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265987283 PECOS PAC ID: 7911285408 Enrollment ID: I20161214002286 |
| Provider Name | Kimberly A Mackey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952533739 PECOS PAC ID: 5698055325 Enrollment ID: I20161214002295 |
| Provider Name | Veronica M Amesquita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427503234 PECOS PAC ID: 1052691797 Enrollment ID: I20161215000005 |
| Provider Name | Nancy L Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215226758 PECOS PAC ID: 9537476890 Enrollment ID: I20161215000689 |
| Provider Name | Howard Irwin Pryor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508824541 PECOS PAC ID: 4981853793 Enrollment ID: I20161216000239 |
| Provider Name | Natalie Renee Mcelhany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932659000 PECOS PAC ID: 6406136068 Enrollment ID: I20161217000122 |
| Provider Name | Anne Karlovitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366993024 PECOS PAC ID: 8022398684 Enrollment ID: I20161217000171 |
| Provider Name | Chandel A Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447706023 PECOS PAC ID: 0345521803 Enrollment ID: I20161222000053 |
| Provider Name | Vipul S Bodar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073903803 PECOS PAC ID: 6709179369 Enrollment ID: I20161222000134 |
| Provider Name | Susan Marie Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295279156 PECOS PAC ID: 3870874787 Enrollment ID: I20170109002423 |
| Provider Name | Joanne S Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649712886 PECOS PAC ID: 1658653985 Enrollment ID: I20170123001131 |
| Provider Name | Janet Wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316306210 PECOS PAC ID: 8729386750 Enrollment ID: I20170124000864 |
| Provider Name | Rawel S Randhawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689781361 PECOS PAC ID: 4789602715 Enrollment ID: I20170124002425 |
| Provider Name | Bertha Parthenia Richardson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184674707 PECOS PAC ID: 0547243487 Enrollment ID: I20170125001579 |
| Provider Name | Indravadan Vyas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942299888 PECOS PAC ID: 6800895228 Enrollment ID: I20170126001386 |
| Provider Name | Kelly Whitehead-price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710268099 PECOS PAC ID: 4587839568 Enrollment ID: I20170127000265 |
| Provider Name | Laura K Merrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093167330 PECOS PAC ID: 9830471846 Enrollment ID: I20170127001582 |
| Provider Name | Wolfgang Stehr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548461346 PECOS PAC ID: 2567687098 Enrollment ID: I20170128000000 |
| Provider Name | Wendy Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962488288 PECOS PAC ID: 9638156656 Enrollment ID: I20170202002400 |
| Provider Name | Keri J Maracchini |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689119240 PECOS PAC ID: 3072896794 Enrollment ID: I20170203000318 |
| Provider Name | Kirti Chavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417259243 PECOS PAC ID: 7517100233 Enrollment ID: I20170213000821 |
| Provider Name | Diane M Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184791105 PECOS PAC ID: 6406908755 Enrollment ID: I20170222000142 |
| Provider Name | Xavier L Gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518996909 PECOS PAC ID: 5991795049 Enrollment ID: I20170222002329 |
| Provider Name | Krisseda S Solomon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902920028 PECOS PAC ID: 8921105693 Enrollment ID: I20170227002361 |
| Provider Name | Ginger Y Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891949129 PECOS PAC ID: 0446534093 Enrollment ID: I20170228001207 |
| Provider Name | Davut J Savaser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922266089 PECOS PAC ID: 4082870696 Enrollment ID: I20170303001776 |
| Provider Name | Zaher Naji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497857528 PECOS PAC ID: 8325216930 Enrollment ID: I20170306001192 |
| Provider Name | Xiaxin Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881807022 PECOS PAC ID: 4587730882 Enrollment ID: I20170310000376 |
| Provider Name | Fatma A Reda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043238934 PECOS PAC ID: 0345227336 Enrollment ID: I20170310000630 |
| Provider Name | Sarah Knowlton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083151534 PECOS PAC ID: 6800170853 Enrollment ID: I20170311000096 |
| Provider Name | Leah Enright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720234776 PECOS PAC ID: 6901026814 Enrollment ID: I20170313002011 |
| Provider Name | Kaycee Camille Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952844045 PECOS PAC ID: 2365727344 Enrollment ID: I20170315000965 |
| Provider Name | Kenneth Michael Dale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932158771 PECOS PAC ID: 6901793637 Enrollment ID: I20170321002398 |
| Provider Name | Jessie B Batchelor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609184621 PECOS PAC ID: 1850578352 Enrollment ID: I20170323000219 |
| Provider Name | Danielle Esters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780643346 PECOS PAC ID: 5698747848 Enrollment ID: I20170323000649 |
| Provider Name | Flor Sosteme Guerengomba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396181806 PECOS PAC ID: 7113227547 Enrollment ID: I20170330001357 |
| Provider Name | Vinay K Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609189497 PECOS PAC ID: 2365768157 Enrollment ID: I20170330001879 |
| Provider Name | James Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730507955 PECOS PAC ID: 3476850116 Enrollment ID: I20170405002161 |
| Provider Name | Kimberly Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033640263 PECOS PAC ID: 2466738372 Enrollment ID: I20170407000412 |
| Provider Name | Baudilio J Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023105632 PECOS PAC ID: 5890853600 Enrollment ID: I20170407001634 |
| Provider Name | Samantha Gallegos- Gollihugh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780129403 PECOS PAC ID: 3678859436 Enrollment ID: I20170410000718 |
| Provider Name | Shireen Jindani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285810598 PECOS PAC ID: 5991863235 Enrollment ID: I20170411000357 |
| Provider Name | Nicole Lynn Dyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053499426 PECOS PAC ID: 8729971189 Enrollment ID: I20170412000671 |
| Provider Name | Diane Janet Meitzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841300027 PECOS PAC ID: 2264718626 Enrollment ID: I20170419001465 |
| Provider Name | Kevin W Olden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386682185 PECOS PAC ID: 4486622636 Enrollment ID: I20170420000208 |
| Provider Name | Chidozie C Agu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982952156 PECOS PAC ID: 5395036610 Enrollment ID: I20170421000545 |
| Provider Name | Monica Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20170502000619 |
| Provider Name | Adrian M Moretti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700172590 PECOS PAC ID: 6608181698 Enrollment ID: I20170504002218 |
| Provider Name | Abigail O Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710353487 PECOS PAC ID: 7911215637 Enrollment ID: I20170512001536 |
| Provider Name | Consuelo L Mccash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558783506 PECOS PAC ID: 6800173147 Enrollment ID: I20170515001602 |
| Provider Name | Veronica Marie King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043744519 PECOS PAC ID: 9133496458 Enrollment ID: I20170517000419 |
| Provider Name | Devang R Butani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245585017 PECOS PAC ID: 6507087228 Enrollment ID: I20170517000599 |
| Provider Name | Margaret Ann Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548681349 PECOS PAC ID: 9133496490 Enrollment ID: I20170517001750 |
| Provider Name | Anne Reeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508950072 PECOS PAC ID: 2264604768 Enrollment ID: I20170519000554 |
| Provider Name | Margarita Avitia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831630656 PECOS PAC ID: 8628345709 Enrollment ID: I20170519001350 |
| Provider Name | Tu Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154767929 PECOS PAC ID: 3476776774 Enrollment ID: I20170520000124 |
| Provider Name | Jeanne M Cabeza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716227 PECOS PAC ID: 1052350188 Enrollment ID: I20170522002309 |
| Provider Name | Laura B Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932641826 PECOS PAC ID: 8325315336 Enrollment ID: I20170523001761 |
| Provider Name | Anu George Neeliyara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093252223 PECOS PAC ID: 8426325473 Enrollment ID: I20170524000108 |
| Provider Name | Juan J Hernandez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871512764 PECOS PAC ID: 4789608928 Enrollment ID: I20170524000228 |
| Provider Name | Horim Choi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689017584 PECOS PAC ID: 3870720113 Enrollment ID: I20170524002275 |
| Provider Name | Vipin Mittal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780996439 PECOS PAC ID: 8325316508 Enrollment ID: I20170612001184 |
| Provider Name | Robin Beth Garelick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194745588 PECOS PAC ID: 0840470613 Enrollment ID: I20170612001932 |
| Provider Name | Yahuza Siba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417204223 PECOS PAC ID: 5991073934 Enrollment ID: I20170616000935 |
| Provider Name | Carly Nathan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235670977 PECOS PAC ID: 3072881887 Enrollment ID: I20170620003175 |
| Provider Name | Ujjval Bankimchandra Jariwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871888438 PECOS PAC ID: 9133378664 Enrollment ID: I20170621000527 |
| Provider Name | Molly Ann Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144549262 PECOS PAC ID: 9537301833 Enrollment ID: I20170621002645 |
| Provider Name | Ruchita Jariwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497000889 PECOS PAC ID: 2365710852 Enrollment ID: I20170626002172 |
| Provider Name | Yan Zhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518389287 PECOS PAC ID: 9436378783 Enrollment ID: I20170629000494 |
| Provider Name | Nelu Daniel Cojanu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629260161 PECOS PAC ID: 7810086105 Enrollment ID: I20170629001773 |
| Provider Name | Anna Alle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013449156 PECOS PAC ID: 9335418698 Enrollment ID: I20170630000869 |
| Provider Name | Jamie Rae Santistevan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639515851 PECOS PAC ID: 8628385531 Enrollment ID: I20170703000675 |
| Provider Name | Rajesh Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407881964 PECOS PAC ID: 1951443860 Enrollment ID: I20170703001233 |
| Provider Name | Kerry L Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275927923 PECOS PAC ID: 1153632757 Enrollment ID: I20170705001032 |
| Provider Name | Kareem Riad Mostafa Eid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649590118 PECOS PAC ID: 7911276993 Enrollment ID: I20170706002756 |
| Provider Name | Luke B Donnelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073953568 PECOS PAC ID: 4981973856 Enrollment ID: I20170708000108 |
| Provider Name | Gregory T Sherr |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013061084 PECOS PAC ID: 4183657604 Enrollment ID: I20170711000188 |
| Provider Name | Ronald D Patrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679559728 PECOS PAC ID: 0941282149 Enrollment ID: I20170711000385 |
| Provider Name | Fazia Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679886394 PECOS PAC ID: 3173748472 Enrollment ID: I20170711001020 |
| Provider Name | Eunice Cordoba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689671943 PECOS PAC ID: 0749559474 Enrollment ID: I20170711003682 |
| Provider Name | Yuki Sakai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053726844 PECOS PAC ID: 8527337153 Enrollment ID: I20170712003960 |
| Provider Name | Joshua Kinnunen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326439548 PECOS PAC ID: 0749500601 Enrollment ID: I20170713000398 |
| Provider Name | Adesina Hussein Sanni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184039760 PECOS PAC ID: 0345519997 Enrollment ID: I20170713000759 |
| Provider Name | Christopher Hawthorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801216882 PECOS PAC ID: 0446578306 Enrollment ID: I20170713001172 |
| Provider Name | Michaela Jean Sakumura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275953341 PECOS PAC ID: 4789804014 Enrollment ID: I20170714001565 |
| Provider Name | Victor Rivera-santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500791 PECOS PAC ID: 0648540120 Enrollment ID: I20170717000224 |
| Provider Name | Clifford Stermer |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730529918 PECOS PAC ID: 4880964345 Enrollment ID: I20170717002718 |
| Provider Name | David E Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205836558 PECOS PAC ID: 4082514658 Enrollment ID: I20170721001525 |
| Provider Name | Aimee J Wendelsdorf |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457627879 PECOS PAC ID: 4082849948 Enrollment ID: I20170721001964 |
| Provider Name | Kamil Prasad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518403989 PECOS PAC ID: 5193095289 Enrollment ID: I20170722000056 |
| Provider Name | Carrie A Bakunas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629311352 PECOS PAC ID: 6204125792 Enrollment ID: I20170727000683 |
| Provider Name | Heather Sherwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982016572 PECOS PAC ID: 7214235571 Enrollment ID: I20170728002563 |
| Provider Name | Clay Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124576327 PECOS PAC ID: 0749551299 Enrollment ID: I20170802002226 |
| Provider Name | Meredith Barlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962821637 PECOS PAC ID: 3870710098 Enrollment ID: I20170803001209 |
| Provider Name | Regan E Riley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174865869 PECOS PAC ID: 8628349032 Enrollment ID: I20170803001384 |
| Provider Name | Naomi I Bancroft |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063830842 PECOS PAC ID: 1355661349 Enrollment ID: I20170807000389 |
| Provider Name | Beeling Armijo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447549704 PECOS PAC ID: 9638395783 Enrollment ID: I20170807002769 |
| Provider Name | Sandra E Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639598824 PECOS PAC ID: 1355569583 Enrollment ID: I20170807003528 |
| Provider Name | Jorge Armando Uribe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679872923 PECOS PAC ID: 0749551828 Enrollment ID: I20170808001915 |
| Provider Name | Rachel Marie Larivee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427304732 PECOS PAC ID: 3678844768 Enrollment ID: I20170808002374 |
| Provider Name | Alvin J Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487920393 PECOS PAC ID: 9234400193 Enrollment ID: I20170810002713 |
| Provider Name | Irasema Llewellyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225567449 PECOS PAC ID: 2264703149 Enrollment ID: I20170810003645 |
| Provider Name | Andra Kofahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265774533 PECOS PAC ID: 2163706631 Enrollment ID: I20170811000422 |
| Provider Name | Aba Saaba Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033642764 PECOS PAC ID: 4284905050 Enrollment ID: I20170814000434 |
| Provider Name | Natasha Abruzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962932731 PECOS PAC ID: 5799057402 Enrollment ID: I20170815003929 |
| Provider Name | Jacob D Jensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215292669 PECOS PAC ID: 6406177294 Enrollment ID: I20170817000062 |
| Provider Name | Jonathan Bolton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053329466 PECOS PAC ID: 9436154580 Enrollment ID: I20170817000689 |
| Provider Name | Lindsay Ann Uribe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275832636 PECOS PAC ID: 5193018224 Enrollment ID: I20170818002750 |
| Provider Name | David Zarikta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073033650 PECOS PAC ID: 4183996424 Enrollment ID: I20170821002398 |
| Provider Name | Ali Abou Yassine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689953846 PECOS PAC ID: 7012289390 Enrollment ID: I20170822000171 |
| Provider Name | Tamala Jean Eberly Bos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265491815 PECOS PAC ID: 2860584182 Enrollment ID: I20170822001749 |
| Provider Name | Echelle Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184145799 PECOS PAC ID: 6204108483 Enrollment ID: I20170823001202 |
| Provider Name | Mohamad Karam Baaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477818227 PECOS PAC ID: 9931427309 Enrollment ID: I20170823002647 |
| Provider Name | Guangbin Xia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105364 PECOS PAC ID: 3870786247 Enrollment ID: I20170824001845 |
| Provider Name | Edith Gurrola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700141157 PECOS PAC ID: 2567746944 Enrollment ID: I20170824003275 |
| Provider Name | Carmelda Labaze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902149073 PECOS PAC ID: 5890915433 Enrollment ID: I20170826000327 |
| Provider Name | Suzelle Larocque Moffitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083677793 PECOS PAC ID: 9032213053 Enrollment ID: I20170828000414 |
| Provider Name | Renee Varoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538586466 PECOS PAC ID: 8224257266 Enrollment ID: I20170830000682 |
| Provider Name | Henry Roybal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205256369 PECOS PAC ID: 1951695360 Enrollment ID: I20170830001707 |
| Provider Name | Alison Thurber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790196905 PECOS PAC ID: 7416220280 Enrollment ID: I20170830002894 |
| Provider Name | Jennifer Ann Landman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720103518 PECOS PAC ID: 7517230030 Enrollment ID: I20170906000452 |
| Provider Name | Dessislava Ianakieva |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386088516 PECOS PAC ID: 1355574625 Enrollment ID: I20170906000561 |
| Provider Name | David May |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841597127 PECOS PAC ID: 1850696089 Enrollment ID: I20170906001978 |
| Provider Name | Kathy Onsurez Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588189690 PECOS PAC ID: 9638442965 Enrollment ID: I20170907001723 |
| Provider Name | Aissa C Steiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265850531 PECOS PAC ID: 5890915540 Enrollment ID: I20170908000055 |
| Provider Name | Kevin J Peine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649541301 PECOS PAC ID: 5597913574 Enrollment ID: I20170908000376 |
| Provider Name | Siva Kumar Muddana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306246335 PECOS PAC ID: 4688947849 Enrollment ID: I20170911000360 |
| Provider Name | Angela M Arenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023432606 PECOS PAC ID: 5890069744 Enrollment ID: I20170916000099 |
| Provider Name | Robert A Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366862716 PECOS PAC ID: 5395962773 Enrollment ID: I20170916000343 |
| Provider Name | Matthew Jonas Messa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053528844 PECOS PAC ID: 3476602814 Enrollment ID: I20170918000318 |
| Provider Name | Francine Heying |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194247965 PECOS PAC ID: 6709150501 Enrollment ID: I20170918001638 |
| Provider Name | Ariel J Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093133050 PECOS PAC ID: 6204054281 Enrollment ID: I20170921002728 |
| Provider Name | Sarah Cherian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982970638 PECOS PAC ID: 0648586461 Enrollment ID: I20170922003029 |
| Provider Name | Jairon Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730454836 PECOS PAC ID: 1355641275 Enrollment ID: I20170927002851 |
| Provider Name | Alex Milciades Cano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770902058 PECOS PAC ID: 5092933168 Enrollment ID: I20170928000718 |
| Provider Name | Austin Glenn Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083034920 PECOS PAC ID: 7012282171 Enrollment ID: I20170929001296 |
| Provider Name | Eric C Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497017339 PECOS PAC ID: 7911226402 Enrollment ID: I20171002000396 |
| Provider Name | Mehul U Daulat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508270745 PECOS PAC ID: 2466671276 Enrollment ID: I20171002001882 |
| Provider Name | Janice Bingle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962503797 PECOS PAC ID: 3476828427 Enrollment ID: I20171002002210 |
| Provider Name | Maria Lynn Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013433192 PECOS PAC ID: 4183999840 Enrollment ID: I20171005000534 |
| Provider Name | Soumya Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730426909 PECOS PAC ID: 7214202977 Enrollment ID: I20171005000740 |
| Provider Name | Gary John Coomber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275558967 PECOS PAC ID: 7719166636 Enrollment ID: I20171005002622 |
| Provider Name | Barbara J Blasko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689741597 PECOS PAC ID: 5092603944 Enrollment ID: I20171009001415 |
| Provider Name | Samad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278270 PECOS PAC ID: 2961634522 Enrollment ID: I20171009002600 |
| Provider Name | Luke W Bulthuis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487944773 PECOS PAC ID: 1456648062 Enrollment ID: I20171010000772 |
| Provider Name | Katrin S Lamprecht |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457797250 PECOS PAC ID: 1850617044 Enrollment ID: I20171010001068 |
| Provider Name | Elisa Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932510542 PECOS PAC ID: 8123246279 Enrollment ID: I20171011000291 |
| Provider Name | Christopher Steven Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982014718 PECOS PAC ID: 5092094086 Enrollment ID: I20171011001345 |
| Provider Name | June Tibaleka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891115465 PECOS PAC ID: 8729382841 Enrollment ID: I20171011001454 |
| Provider Name | Elaina Dinallo-escalante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508272394 PECOS PAC ID: 6305134255 Enrollment ID: I20171012000139 |
| Provider Name | Mohammad Abraar Quraishi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992095335 PECOS PAC ID: 3971878141 Enrollment ID: I20171014000356 |
| Provider Name | Christine Arminda Fordham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427316231 PECOS PAC ID: 7618243809 Enrollment ID: I20171016000713 |
| Provider Name | Jordan Treworgy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144627100 PECOS PAC ID: 5597031757 Enrollment ID: I20171017000347 |
| Provider Name | Ayyappa Mysore Rangaraju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093059925 PECOS PAC ID: 3971879131 Enrollment ID: I20171017000681 |
| Provider Name | Andrea D Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225264880 PECOS PAC ID: 9739455817 Enrollment ID: I20171017001949 |
| Provider Name | Lea Pazos Creekmur O'dell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407097827 PECOS PAC ID: 3678741964 Enrollment ID: I20171018002325 |
| Provider Name | David Pierce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073593802 PECOS PAC ID: 5698676443 Enrollment ID: I20171018003267 |
| Provider Name | Nicole Ann Murray |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316323215 PECOS PAC ID: 4981912201 Enrollment ID: I20171020000198 |
| Provider Name | Amanda M Valdez-androlewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275042293 PECOS PAC ID: 9638445182 Enrollment ID: I20171027000706 |
| Provider Name | Linda L F Waggener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295250850 PECOS PAC ID: 1557637030 Enrollment ID: I20171027002258 |
| Provider Name | Kyle Patton Mccombs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861491359 PECOS PAC ID: 6406838242 Enrollment ID: I20171030000647 |
| Provider Name | Alison Leigh Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598004087 PECOS PAC ID: 9335442375 Enrollment ID: I20171030000679 |
| Provider Name | Fa-tia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477984326 PECOS PAC ID: 7517233935 Enrollment ID: I20171030001164 |
| Provider Name | Stephanie L Hubbard Mcgirt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134548357 PECOS PAC ID: 9133347248 Enrollment ID: I20171030002465 |
| Provider Name | Crystal Andrea Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912421017 PECOS PAC ID: 9739445818 Enrollment ID: I20171106001484 |
| Provider Name | Robert D Stewart |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659350668 PECOS PAC ID: 2365536505 Enrollment ID: I20171106002948 |
| Provider Name | Susan Blythe Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467430496 PECOS PAC ID: 6103897228 Enrollment ID: I20171109002206 |
| Provider Name | Pavel John Nockel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821314857 PECOS PAC ID: 2062708779 Enrollment ID: I20171113003279 |
| Provider Name | Dolly Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518047927 PECOS PAC ID: 6800700865 Enrollment ID: I20171113003519 |
| Provider Name | Renee Triplet |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023274131 PECOS PAC ID: 3173823077 Enrollment ID: I20171114000099 |
| Provider Name | Edward Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790043131 PECOS PAC ID: 4082851001 Enrollment ID: I20171115002713 |
| Provider Name | Benjamin Lawrence Kliot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093813255 PECOS PAC ID: 8123015971 Enrollment ID: I20171117000655 |
| Provider Name | Jessica Sonita Yoon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831352418 PECOS PAC ID: 8921284076 Enrollment ID: I20171128001952 |
| Provider Name | Javed P Caprietta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497282909 PECOS PAC ID: 5294092235 Enrollment ID: I20171130000690 |
| Provider Name | Thomas Betjeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164841565 PECOS PAC ID: 3274751185 Enrollment ID: I20171206001259 |
| Provider Name | Kimberlee Elizabeth Tafoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641838 PECOS PAC ID: 4183981657 Enrollment ID: I20171208001539 |
| Provider Name | Alaina Cortum Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629596168 PECOS PAC ID: 6800154337 Enrollment ID: I20171211001415 |
| Provider Name | Carol L Beadle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154835668 PECOS PAC ID: 4284992736 Enrollment ID: I20171211002374 |
| Provider Name | Daniel T Michaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790187565 PECOS PAC ID: 2961724109 Enrollment ID: I20171213002609 |
| Provider Name | Janine L Risser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558441634 PECOS PAC ID: 2062591209 Enrollment ID: I20171215000259 |
| Provider Name | Linda Jean Halvorson-kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033624887 PECOS PAC ID: 3870851033 Enrollment ID: I20171215000612 |
| Provider Name | Margaret Elizabeth Pusateri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639597214 PECOS PAC ID: 6800104134 Enrollment ID: I20171215000912 |
| Provider Name | Claire Elliott Herrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518192384 PECOS PAC ID: 8224200209 Enrollment ID: I20171219000478 |
| Provider Name | Nanette C Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194230714 PECOS PAC ID: 5597023549 Enrollment ID: I20171220001110 |
| Provider Name | Nina Nandy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992935001 PECOS PAC ID: 6507085206 Enrollment ID: I20171220002643 |
| Provider Name | Stephen H Horton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508826066 PECOS PAC ID: 7810945664 Enrollment ID: I20171226000268 |
| Provider Name | Christopher Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073838017 PECOS PAC ID: 6608029905 Enrollment ID: I20171228001439 |
| Provider Name | Aline Bayard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972961068 PECOS PAC ID: 2466756291 Enrollment ID: I20171229000262 |
| Provider Name | Neal E Rakov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528006806 PECOS PAC ID: 8729153200 Enrollment ID: I20180102000251 |
| Provider Name | Stanley Robert Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861535734 PECOS PAC ID: 2466519665 Enrollment ID: I20180102002342 |
| Provider Name | Hiranda Dodanwala |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104180496 PECOS PAC ID: 6002175148 Enrollment ID: I20180117001178 |
| Provider Name | Shannon H Fourtner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225111651 PECOS PAC ID: 1759317654 Enrollment ID: I20180119000428 |
| Provider Name | Natalya Gail Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700193075 PECOS PAC ID: 8628337623 Enrollment ID: I20180122000148 |
| Provider Name | Thomas W Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760400873 PECOS PAC ID: 4880739143 Enrollment ID: I20180126000412 |
| Provider Name | Sharmila Reddy Cheppalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477812832 PECOS PAC ID: 7315181765 Enrollment ID: I20180131000321 |
| Provider Name | Christopher Alan Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114906609 PECOS PAC ID: 2860573144 Enrollment ID: I20180131000615 |
| Provider Name | Amit Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598929176 PECOS PAC ID: 3971773383 Enrollment ID: I20180201002254 |
| Provider Name | Andrea E Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215443130 PECOS PAC ID: 4082974415 Enrollment ID: I20180205000704 |
| Provider Name | Hannah Kristine Quigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427400555 PECOS PAC ID: 8022398908 Enrollment ID: I20180207000636 |
| Provider Name | Dmitry Ulend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306344718 PECOS PAC ID: 1557621729 Enrollment ID: I20180207002736 |
| Provider Name | Usha Venkatraj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760409668 PECOS PAC ID: 8729061627 Enrollment ID: I20180213002443 |
| Provider Name | Marjorie Patricia Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750364048 PECOS PAC ID: 6002905635 Enrollment ID: I20180214000097 |
| Provider Name | Elizabeth A Colson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851708663 PECOS PAC ID: 9133489917 Enrollment ID: I20180216001380 |
| Provider Name | Evan Espinosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134633498 PECOS PAC ID: 6901167659 Enrollment ID: I20180221001425 |
| Provider Name | Deann L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790039998 PECOS PAC ID: 7214297241 Enrollment ID: I20180227002176 |
| Provider Name | Rebecca Jean Blatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255530838 PECOS PAC ID: 7315063237 Enrollment ID: I20180228002481 |
| Provider Name | Stephanie N Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558625129 PECOS PAC ID: 1052672276 Enrollment ID: I20180305001988 |
| Provider Name | Cathy R Xu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609078831 PECOS PAC ID: 7012192305 Enrollment ID: I20180313000256 |
| Provider Name | Hayley D Escandon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336648609 PECOS PAC ID: 3072875954 Enrollment ID: I20180313002485 |
| Provider Name | Melissa Anne Belluomini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285148775 PECOS PAC ID: 4284996455 Enrollment ID: I20180328000925 |
| Provider Name | Jennifer Lynn Mccain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225294556 PECOS PAC ID: 4688994437 Enrollment ID: I20180417001593 |
| Provider Name | Stewart L Walther |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366732117 PECOS PAC ID: 9032334883 Enrollment ID: I20180419001686 |
| Provider Name | Whitney E Wyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972003119 PECOS PAC ID: 5799049854 Enrollment ID: I20180426001461 |
| Provider Name | David K Kaneshiro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235305327 PECOS PAC ID: 1254457336 Enrollment ID: I20180427001747 |
| Provider Name | Belinda Anne Rand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841794658 PECOS PAC ID: 2668736257 Enrollment ID: I20180507002697 |
| Provider Name | Rachel Anne Schuster |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033300223 PECOS PAC ID: 3577702281 Enrollment ID: I20180508000405 |
| Provider Name | Kirsten D Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871883041 PECOS PAC ID: 2668606708 Enrollment ID: I20180508001623 |
| Provider Name | Charlene Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033614383 PECOS PAC ID: 9931463494 Enrollment ID: I20180509000690 |
| Provider Name | Sarah Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215439062 PECOS PAC ID: 5698039014 Enrollment ID: I20180510000535 |
| Provider Name | Johanna Maria Viau Colindres |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609162387 PECOS PAC ID: 9931331196 Enrollment ID: I20180515001372 |
| Provider Name | Shiva Kumar R Mukkamalla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013268077 PECOS PAC ID: 6709141666 Enrollment ID: I20180523001655 |
| Provider Name | Darcy Justin Bains |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255713467 PECOS PAC ID: 7810204211 Enrollment ID: I20180530002762 |
| Provider Name | Christina Dawn Sandra Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467959387 PECOS PAC ID: 0143575456 Enrollment ID: I20180608001496 |
| Provider Name | Joseph Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346278728 PECOS PAC ID: 8820092505 Enrollment ID: I20180611002401 |
| Provider Name | Corinn Sadler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508060351 PECOS PAC ID: 2466609052 Enrollment ID: I20180612000210 |
| Provider Name | Joanna Mae Souers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023403151 PECOS PAC ID: 9436468436 Enrollment ID: I20180614000203 |
| Provider Name | Raul Alberto Herrera Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144636143 PECOS PAC ID: 9335494475 Enrollment ID: I20180614000286 |
| Provider Name | Maria Alejandra Mendoza Rincon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417331570 PECOS PAC ID: 3476808353 Enrollment ID: I20180618000940 |
| Provider Name | Chad A Berryman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578856233 PECOS PAC ID: 9638424526 Enrollment ID: I20180618001497 |
| Provider Name | Donatus M Egbonim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962440875 PECOS PAC ID: 7719931476 Enrollment ID: I20180619002472 |
| Provider Name | Mirza Moazam Beg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922449974 PECOS PAC ID: 5799081857 Enrollment ID: I20180620002268 |
| Provider Name | Robert Marc Moskowitz |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093022402 PECOS PAC ID: 8820343452 Enrollment ID: I20180621002146 |
| Provider Name | Samuel Marquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750380846 PECOS PAC ID: 5395762462 Enrollment ID: I20180622000619 |
| Provider Name | Andrew Kanade Yokoyama Berglund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518356799 PECOS PAC ID: 1850605122 Enrollment ID: I20180625003358 |
| Provider Name | Chakri Gavva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821432089 PECOS PAC ID: 4688920820 Enrollment ID: I20180702001268 |
| Provider Name | Ethan Binder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598028540 PECOS PAC ID: 6305135096 Enrollment ID: I20180702002764 |
| Provider Name | Harmanpreet Chawla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528501822 PECOS PAC ID: 0840546909 Enrollment ID: I20180702002995 |
| Provider Name | James Anthony Halfacre |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1053637157 PECOS PAC ID: 8729212444 Enrollment ID: I20180703000102 |
| Provider Name | Kaycee Fiaseu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669767752 PECOS PAC ID: 1951657055 Enrollment ID: I20180703001173 |
| Provider Name | Nicholas Alan Stygles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831431311 PECOS PAC ID: 0345468773 Enrollment ID: I20180703002592 |
| Provider Name | David M Glass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083000178 PECOS PAC ID: 7517270325 Enrollment ID: I20180705002648 |
| Provider Name | Jessica Nguyen-binder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801162466 PECOS PAC ID: 0244548956 Enrollment ID: I20180706001513 |
| Provider Name | Anand Athavale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275964371 PECOS PAC ID: 3476809286 Enrollment ID: I20180710001484 |
| Provider Name | Daniel Becchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356735294 PECOS PAC ID: 7911211156 Enrollment ID: I20180711003370 |
| Provider Name | Ahmad Hasan Amin Othman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255688271 PECOS PAC ID: 2961758503 Enrollment ID: I20180711003582 |
| Provider Name | Matthew Deel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235544842 PECOS PAC ID: 2264789726 Enrollment ID: I20180716002436 |
| Provider Name | Thomas C Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255727855 PECOS PAC ID: 9537473996 Enrollment ID: I20180719000747 |
| Provider Name | Eleni Gianacakes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083093116 PECOS PAC ID: 9537471545 Enrollment ID: I20180719003215 |
| Provider Name | Ziad Esper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184979809 PECOS PAC ID: 0840547840 Enrollment ID: I20180723001248 |
| Provider Name | Joseph F Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225423239 PECOS PAC ID: 0244544450 Enrollment ID: I20180723002726 |
| Provider Name | Jennifer Coffey Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013335470 PECOS PAC ID: 2567681844 Enrollment ID: I20180724000579 |
| Provider Name | Alfonso B Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356899975 PECOS PAC ID: 5395092258 Enrollment ID: I20180724000712 |
| Provider Name | Pratyusha Bollimunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508232679 PECOS PAC ID: 3779830559 Enrollment ID: I20180725001170 |
| Provider Name | Venu Madhav Ganipisetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770848640 PECOS PAC ID: 8224340245 Enrollment ID: I20180725003183 |
| Provider Name | Shantan G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689872848 PECOS PAC ID: 6002982360 Enrollment ID: I20180727000717 |
| Provider Name | Stacey Lambeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952796872 PECOS PAC ID: 1759639222 Enrollment ID: I20180801000109 |
| Provider Name | Ted Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134514383 PECOS PAC ID: 1951615558 Enrollment ID: I20180801001050 |
| Provider Name | Maria A Sandoval |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902292147 PECOS PAC ID: 8921302332 Enrollment ID: I20180801003321 |
| Provider Name | Rawan Maali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447645429 PECOS PAC ID: 7214241397 Enrollment ID: I20180802000878 |
| Provider Name | Kristyn B Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891289229 PECOS PAC ID: 2860740149 Enrollment ID: I20180802001225 |
| Provider Name | Ryan R Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578907754 PECOS PAC ID: 5193020451 Enrollment ID: I20180802001601 |
| Provider Name | John Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144616863 PECOS PAC ID: 2961717095 Enrollment ID: I20180803000803 |
| Provider Name | Walter Javier Voigt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780662353 PECOS PAC ID: 8628137379 Enrollment ID: I20180807001303 |
| Provider Name | Steven Pike |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215937719 PECOS PAC ID: 1951291004 Enrollment ID: I20180807002169 |
| Provider Name | Thomas Michael Bockman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578772471 PECOS PAC ID: 4183808199 Enrollment ID: I20180810001026 |
| Provider Name | Landon D Vinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922486075 PECOS PAC ID: 2264710136 Enrollment ID: I20180813002351 |
| Provider Name | Marcelo J Lacayo Baez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710322383 PECOS PAC ID: 7618225392 Enrollment ID: I20180813002791 |
| Provider Name | Christopher Bossart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740676634 PECOS PAC ID: 9335454438 Enrollment ID: I20180814001303 |
| Provider Name | Ryan Victor Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780029215 PECOS PAC ID: 2163790270 Enrollment ID: I20180814001369 |
| Provider Name | Julia T. Donovan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104892157 PECOS PAC ID: 7416924261 Enrollment ID: I20180814004070 |
| Provider Name | Steve T Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982193413 PECOS PAC ID: 0446509053 Enrollment ID: I20180815001090 |
| Provider Name | Sarah E Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689160376 PECOS PAC ID: 0244589885 Enrollment ID: I20180815002602 |
| Provider Name | Kathryn Ann Mickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871031914 PECOS PAC ID: 1456600915 Enrollment ID: I20180817000224 |
| Provider Name | David Ryan Burk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457613150 PECOS PAC ID: 5294051991 Enrollment ID: I20180817000360 |
| Provider Name | Thao Tran Marquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275696866 PECOS PAC ID: 7719072214 Enrollment ID: I20180817001358 |
| Provider Name | Shahrzad Tabibi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861591927 PECOS PAC ID: 6800951542 Enrollment ID: I20180820003021 |
| Provider Name | Timothy S Moore |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154647535 PECOS PAC ID: 4385863224 Enrollment ID: I20180820003544 |
| Provider Name | John Peter Janson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538570098 PECOS PAC ID: 0547581647 Enrollment ID: I20180821001848 |
| Provider Name | Bethany Carvajal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144545997 PECOS PAC ID: 5597014654 Enrollment ID: I20180822002532 |
| Provider Name | Jill Wendy Holtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902285646 PECOS PAC ID: 1951650068 Enrollment ID: I20180823000564 |
| Provider Name | Jeannette Elizabeth Ferguson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386083368 PECOS PAC ID: 8123314390 Enrollment ID: I20180827000991 |
| Provider Name | Dawn Drumm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508240821 PECOS PAC ID: 3173822178 Enrollment ID: I20180827003059 |
| Provider Name | Azaria C Ehlers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235516261 PECOS PAC ID: 1850640699 Enrollment ID: I20180828000740 |
| Provider Name | Parikshit Thakur Hameer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477822799 PECOS PAC ID: 8325350846 Enrollment ID: I20180828000975 |
| Provider Name | Kristin Anchors |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215324306 PECOS PAC ID: 4880909977 Enrollment ID: I20180904001061 |
| Provider Name | Lucy Ruan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437546348 PECOS PAC ID: 8325351513 Enrollment ID: I20180905002997 |
| Provider Name | Laura Finley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760867352 PECOS PAC ID: 5092065250 Enrollment ID: I20180910000521 |
| Provider Name | Brandon I Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457747917 PECOS PAC ID: 9032422811 Enrollment ID: I20180911002025 |
| Provider Name | Derek B Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912944661 PECOS PAC ID: 0143225276 Enrollment ID: I20180912002295 |
| Provider Name | Anoop Kumar Holalakere Sreenivasa Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558616300 PECOS PAC ID: 4082866413 Enrollment ID: I20180913002619 |
| Provider Name | Deborah Marie Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053399352 PECOS PAC ID: 2860456290 Enrollment ID: I20180919001260 |
| Provider Name | Mehdi Akhavan-heidari |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346414562 PECOS PAC ID: 4284709908 Enrollment ID: I20180919003294 |
| Provider Name | Michelle E Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134611635 PECOS PAC ID: 4082965512 Enrollment ID: I20180924000822 |
| Provider Name | Rebecca A Archuleta |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578042958 PECOS PAC ID: 5799036935 Enrollment ID: I20180926003247 |
| Provider Name | Nkechinyelu Vivian Nnebe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982886123 PECOS PAC ID: 1658622766 Enrollment ID: I20180927002898 |
| Provider Name | Hillary Ruth Goodwin-yildiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073038584 PECOS PAC ID: 8224392915 Enrollment ID: I20180928000521 |
| Provider Name | Michelle Rodriguez Chungtuyco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093195976 PECOS PAC ID: 9133436876 Enrollment ID: I20180928001277 |
| Provider Name | Philip A Sosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689092017 PECOS PAC ID: 4587915517 Enrollment ID: I20181001002420 |
| Provider Name | Sally A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861981193 PECOS PAC ID: 5193076172 Enrollment ID: I20181002001068 |
| Provider Name | William Kwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316320955 PECOS PAC ID: 8527334242 Enrollment ID: I20181002002464 |
| Provider Name | Helen Rhodes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043311194 PECOS PAC ID: 2062495112 Enrollment ID: I20181004002564 |
| Provider Name | Nora Elizabeth Lamartine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922427624 PECOS PAC ID: 6901022243 Enrollment ID: I20181012001310 |
| Provider Name | Robert Frohmader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609355536 PECOS PAC ID: 1153673421 Enrollment ID: I20181015002717 |
| Provider Name | Peter E Bergquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982645636 PECOS PAC ID: 6608894928 Enrollment ID: I20181016001225 |
| Provider Name | Mary Terese Anenkeng Anangfac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114408754 PECOS PAC ID: 0840543989 Enrollment ID: I20181019000378 |
| Provider Name | Maureen Mulvany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598242752 PECOS PAC ID: 1153674213 Enrollment ID: I20181019001793 |
| Provider Name | Katerina Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710467717 PECOS PAC ID: 3274886288 Enrollment ID: I20181022000510 |
| Provider Name | Sowmya Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346365673 PECOS PAC ID: 8527126234 Enrollment ID: I20181024000304 |
| Provider Name | Richard Diego Gonzales Y Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205101227 PECOS PAC ID: 2466676051 Enrollment ID: I20181105001467 |
| Provider Name | David John Fitzgerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316334246 PECOS PAC ID: 4981917622 Enrollment ID: I20181107002743 |
| Provider Name | Nicole J Herr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942663570 PECOS PAC ID: 2466706577 Enrollment ID: I20181108000140 |
| Provider Name | Paula A Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174007876 PECOS PAC ID: 0446504401 Enrollment ID: I20181112001221 |
| Provider Name | Ilhan Yildiz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093793499 PECOS PAC ID: 6901874296 Enrollment ID: I20181114002579 |
| Provider Name | Teddi Leah Denienne Swidinsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578090296 PECOS PAC ID: 2264708445 Enrollment ID: I20181114003126 |
| Provider Name | Heather Rene Alter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396210696 PECOS PAC ID: 5698029163 Enrollment ID: I20181120000790 |
| Provider Name | Juliana Wisher |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053403865 PECOS PAC ID: 8729354774 Enrollment ID: I20181120002045 |
| Provider Name | Andria Beamon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679960553 PECOS PAC ID: 8022322478 Enrollment ID: I20181129000970 |
| Provider Name | Olivia Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356836647 PECOS PAC ID: 3173867272 Enrollment ID: I20181130000085 |
| Provider Name | Misty Lunt Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265909238 PECOS PAC ID: 0547504680 Enrollment ID: I20181130001391 |
| Provider Name | Chirag Chavda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023314655 PECOS PAC ID: 9638347370 Enrollment ID: I20181206003340 |
| Provider Name | Jacqueline S Guinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067167 PECOS PAC ID: 3779828173 Enrollment ID: I20181212002730 |
| Provider Name | Michael Lucia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760574966 PECOS PAC ID: 7113830282 Enrollment ID: I20181214001143 |
| Provider Name | Terry L Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851743165 PECOS PAC ID: 4486932167 Enrollment ID: I20181214002930 |
| Provider Name | Erin Aleisha Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144797135 PECOS PAC ID: 8022353275 Enrollment ID: I20181217003021 |
| Provider Name | Dean Richard Fellabaum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669440483 PECOS PAC ID: 5597087411 Enrollment ID: I20181219000548 |
| Provider Name | Lindsay A Michaelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282022 PECOS PAC ID: 4183969066 Enrollment ID: I20181220002630 |
| Provider Name | Trevor E Quiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609288562 PECOS PAC ID: 3072886860 Enrollment ID: I20181231000359 |
| Provider Name | Michele Lynn Sequeira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013937473 PECOS PAC ID: 8729005251 Enrollment ID: I20190103000716 |
| Provider Name | Gaurav Nigam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437445947 PECOS PAC ID: 4385953215 Enrollment ID: I20190104000895 |
| Provider Name | Alexander J. Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114967171 PECOS PAC ID: 6002989050 Enrollment ID: I20190108003612 |
| Provider Name | Sherrie Dugas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023586898 PECOS PAC ID: 7012253214 Enrollment ID: I20190109000760 |
| Provider Name | Diana M Nicolas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790257558 PECOS PAC ID: 5395081376 Enrollment ID: I20190111001616 |
| Provider Name | Lori L Mcneal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952350001 PECOS PAC ID: 7012976913 Enrollment ID: I20190114003215 |
| Provider Name | Mark Andrew Nielsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790873164 PECOS PAC ID: 7517988900 Enrollment ID: I20190118002459 |
| Provider Name | Tera N Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659733731 PECOS PAC ID: 5496054629 Enrollment ID: I20190129000846 |
| Provider Name | Dawn Vigil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184196446 PECOS PAC ID: 1052658895 Enrollment ID: I20190131002840 |
| Provider Name | Karin Harned |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932677226 PECOS PAC ID: 3476891045 Enrollment ID: I20190207000460 |
| Provider Name | Amy Jelliffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417946609 PECOS PAC ID: 3577508845 Enrollment ID: I20190215002258 |
| Provider Name | Joseph S Stapczynski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316984206 PECOS PAC ID: 4284622705 Enrollment ID: I20190222002192 |
| Provider Name | Scot Alan Liepack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912924853 PECOS PAC ID: 9032188057 Enrollment ID: I20190226002417 |
| Provider Name | Chitra N Sambasivan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467665331 PECOS PAC ID: 6204153380 Enrollment ID: I20190227001128 |
| Provider Name | Teresa Wiese Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518258383 PECOS PAC ID: 1456593136 Enrollment ID: I20190306002044 |
| Provider Name | Erin E Joslin-gay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275014441 PECOS PAC ID: 4284973108 Enrollment ID: I20190311001625 |
| Provider Name | Jamie D Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275097420 PECOS PAC ID: 6406195361 Enrollment ID: I20190312000243 |
| Provider Name | Richard Saul Diaz Tushman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568493773 PECOS PAC ID: 3779589072 Enrollment ID: I20190313001680 |
| Provider Name | Rosemary Hunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033271390 PECOS PAC ID: 1951641745 Enrollment ID: I20190313002424 |
| Provider Name | Stuart Hochron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851310270 PECOS PAC ID: 0941379291 Enrollment ID: I20190313002861 |
| Provider Name | Friday Odomore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821539131 PECOS PAC ID: 3375813454 Enrollment ID: I20190321000188 |
| Provider Name | Gregory Ronald Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164438602 PECOS PAC ID: 0840295978 Enrollment ID: I20190326001757 |
| Provider Name | Leslie Roberson Fitzgibbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689147456 PECOS PAC ID: 1557601507 Enrollment ID: I20190329000120 |
| Provider Name | Stephanie Rae Abeyta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801211495 PECOS PAC ID: 2668713686 Enrollment ID: I20190401000945 |
| Provider Name | Richard Morgan Harlyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922574508 PECOS PAC ID: 9830430867 Enrollment ID: I20190401001010 |
| Provider Name | June A Mossop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669673836 PECOS PAC ID: 0244312098 Enrollment ID: I20190403001820 |
| Provider Name | Michael John Trobec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134180748 PECOS PAC ID: 2860403821 Enrollment ID: I20190408000657 |
| Provider Name | Tracy A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548662497 PECOS PAC ID: 2769704501 Enrollment ID: I20190409001026 |
| Provider Name | Rebecca M Mcsorley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538435508 PECOS PAC ID: 6608093539 Enrollment ID: I20190410003011 |
| Provider Name | Lorie Ann Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097588 PECOS PAC ID: 8921374026 Enrollment ID: I20190411000127 |
| Provider Name | Bhargav Chowdary Paleti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649535527 PECOS PAC ID: 8123340130 Enrollment ID: I20190411001913 |
| Provider Name | Megan A Krispinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346534989 PECOS PAC ID: 8729215033 Enrollment ID: I20190412001458 |
| Provider Name | Matthew K Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033680566 PECOS PAC ID: 2860733177 Enrollment ID: I20190416000113 |
| Provider Name | Eveline S Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427058932 PECOS PAC ID: 8426052994 Enrollment ID: I20190424001627 |
| Provider Name | Diane J Sansonetti |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730241241 PECOS PAC ID: 4183966948 Enrollment ID: I20190425002822 |
| Provider Name | Lisa A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396840211 PECOS PAC ID: 8224053673 Enrollment ID: I20190508000691 |
| Provider Name | Krystle M Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184185282 PECOS PAC ID: 7113260076 Enrollment ID: I20190515003093 |
| Provider Name | Cynthia A Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265836639 PECOS PAC ID: 3678897931 Enrollment ID: I20190520000944 |
| Provider Name | Surya Deepika Appalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891195400 PECOS PAC ID: 1052681541 Enrollment ID: I20190524001433 |
| Provider Name | John Draeger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023161601 PECOS PAC ID: 9830103068 Enrollment ID: I20190524002003 |
| Provider Name | Unyime Okposong Nseyo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497778310 PECOS PAC ID: 3577520006 Enrollment ID: I20190528002020 |
| Provider Name | Laura Nicole Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194169953 PECOS PAC ID: 3971810607 Enrollment ID: I20190528002524 |
| Provider Name | Honor Walther Heindl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699126995 PECOS PAC ID: 7810230125 Enrollment ID: I20190529001981 |
| Provider Name | Eve Danielle Candelaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821556804 PECOS PAC ID: 7618200965 Enrollment ID: I20190531001665 |
| Provider Name | Phillip J Camp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710229638 PECOS PAC ID: 8820214885 Enrollment ID: I20190603000900 |
| Provider Name | Jay Woody |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235209669 PECOS PAC ID: 5395833495 Enrollment ID: I20190605001254 |
| Provider Name | Richard Michael Rembecki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003884792 PECOS PAC ID: 4789831546 Enrollment ID: I20190607001542 |
| Provider Name | Nagendra Sarat Chandra Ayyagari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851629521 PECOS PAC ID: 9335304849 Enrollment ID: I20190610001422 |
| Provider Name | Caridad Merkel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952967952 PECOS PAC ID: 6204169089 Enrollment ID: I20190610002958 |
| Provider Name | Karl J Hapcic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376650218 PECOS PAC ID: 6103819123 Enrollment ID: I20190612002019 |
| Provider Name | Claire Detweiler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174941751 PECOS PAC ID: 0345590204 Enrollment ID: I20190613001373 |
| Provider Name | Andrew Hyden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346604402 PECOS PAC ID: 1052605144 Enrollment ID: I20190617002353 |
| Provider Name | Andrew Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568776565 PECOS PAC ID: 2860638301 Enrollment ID: I20190618001431 |
| Provider Name | Ola M Azzouqah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366854044 PECOS PAC ID: 8022238732 Enrollment ID: I20190618001819 |
| Provider Name | Jennifer Anne Hejtmanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043610371 PECOS PAC ID: 7618291584 Enrollment ID: I20190621000229 |
| Provider Name | Hareesh Kumar Gundlapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184903437 PECOS PAC ID: 6305064734 Enrollment ID: I20190626000680 |
| Provider Name | Paolo Romero |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962409235 PECOS PAC ID: 6800928847 Enrollment ID: I20190627003395 |
| Provider Name | James Cotton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306200803 PECOS PAC ID: 6406149699 Enrollment ID: I20190628000038 |
| Provider Name | Risa A Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912360264 PECOS PAC ID: 8325331507 Enrollment ID: I20190628001888 |
| Provider Name | Gabriela E Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649663535 PECOS PAC ID: 5496026528 Enrollment ID: I20190628002299 |
| Provider Name | Francisco B Rodriguez |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063434504 PECOS PAC ID: 3678543394 Enrollment ID: I20190628002320 |
| Provider Name | Tiffany L Stromberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518320084 PECOS PAC ID: 3173857786 Enrollment ID: I20190701001364 |
| Provider Name | Addie Joan Bugas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497114805 PECOS PAC ID: 0840544722 Enrollment ID: I20190709000185 |
| Provider Name | Justin Itty Mathew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417310764 PECOS PAC ID: 5193018273 Enrollment ID: I20190709001646 |
| Provider Name | Sharef W Al-mulaabed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013360353 PECOS PAC ID: 8527393743 Enrollment ID: I20190710003207 |
| Provider Name | Anne Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871632893 PECOS PAC ID: 0840337044 Enrollment ID: I20190715003129 |
| Provider Name | Christopher Norris Krone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386815074 PECOS PAC ID: 1153474978 Enrollment ID: I20190717001069 |
| Provider Name | Ebubechukwu C Njemanze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144774712 PECOS PAC ID: 4981948833 Enrollment ID: I20190722002648 |
| Provider Name | Deepak Padmanabha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639563109 PECOS PAC ID: 8921316969 Enrollment ID: I20190723001809 |
| Provider Name | Carlene Schleisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851755722 PECOS PAC ID: 9931494598 Enrollment ID: I20190723003259 |
| Provider Name | Ahmed H Alaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780063347 PECOS PAC ID: 4880901222 Enrollment ID: I20190725000749 |
| Provider Name | Simone Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467801399 PECOS PAC ID: 7214263474 Enrollment ID: I20190725000943 |
| Provider Name | Jennifer L Shonk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700236833 PECOS PAC ID: 7416236401 Enrollment ID: I20190725000974 |
| Provider Name | Tamal Roy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295199479 PECOS PAC ID: 1557659455 Enrollment ID: I20190731002883 |
| Provider Name | Hartmuth Bittner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104182245 PECOS PAC ID: 8820245053 Enrollment ID: I20190801001446 |
| Provider Name | Alyssa Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811301351 PECOS PAC ID: 6901199884 Enrollment ID: I20190801001835 |
| Provider Name | Elizabeth L Nicholas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154776011 PECOS PAC ID: 9537454129 Enrollment ID: I20190802000477 |
| Provider Name | Rabaiya Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437508041 PECOS PAC ID: 2668710112 Enrollment ID: I20190806003892 |
| Provider Name | Jigyasa Tewari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669768230 PECOS PAC ID: 0749597813 Enrollment ID: I20190809002101 |
| Provider Name | Eric Ohlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740643428 PECOS PAC ID: 3779810833 Enrollment ID: I20190812003568 |
| Provider Name | Keith P Dungo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417344102 PECOS PAC ID: 7416284591 Enrollment ID: I20190813000254 |
| Provider Name | Kalyan Chakravarthy Saginala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093198467 PECOS PAC ID: 7517250137 Enrollment ID: I20190813001063 |
| Provider Name | Hussein Alramini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497106512 PECOS PAC ID: 2264725506 Enrollment ID: I20190813002929 |
| Provider Name | Javan Jonathon Nation |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043478902 PECOS PAC ID: 9638396872 Enrollment ID: I20190813003651 |
| Provider Name | Norma Wahba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558710517 PECOS PAC ID: 3971898966 Enrollment ID: I20190815000370 |
| Provider Name | Philip Call |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255788568 PECOS PAC ID: 5991090557 Enrollment ID: I20190815001055 |
| Provider Name | Rachel Delan Munn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578954202 PECOS PAC ID: 7618233909 Enrollment ID: I20190820002950 |
| Provider Name | Stephen K Samoei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699336859 PECOS PAC ID: 1658609250 Enrollment ID: I20190820003896 |
| Provider Name | John Bowers |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902218001 PECOS PAC ID: 2567786205 Enrollment ID: I20190822001119 |
| Provider Name | Mubarak Waheed Sayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699038653 PECOS PAC ID: 7416241054 Enrollment ID: I20190826001012 |
| Provider Name | Thai Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821416512 PECOS PAC ID: 2567790751 Enrollment ID: I20190826003936 |
| Provider Name | Christopher Raymond Fredericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265094965 PECOS PAC ID: 4587992789 Enrollment ID: I20190827000263 |
| Provider Name | Leonardo L Alonso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518062249 PECOS PAC ID: 7618001520 Enrollment ID: I20190827002059 |
| Provider Name | Steven Robert Cali |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1134461296 PECOS PAC ID: 2769617174 Enrollment ID: I20190827003068 |
| Provider Name | Sara Kwan Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083078430 PECOS PAC ID: 1355634296 Enrollment ID: I20190827003550 |
| Provider Name | Laura Jane Elder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023019627 PECOS PAC ID: 0345403168 Enrollment ID: I20190827003659 |
| Provider Name | Theodore Albright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245684695 PECOS PAC ID: 6103154273 Enrollment ID: I20190827003816 |
| Provider Name | Barbara Sue Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881246247 PECOS PAC ID: 9638407745 Enrollment ID: I20190828001438 |
| Provider Name | Cameron E Jernigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972958692 PECOS PAC ID: 8729373865 Enrollment ID: I20190828002395 |
| Provider Name | Andre De Souza E Melo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720430788 PECOS PAC ID: 1850686106 Enrollment ID: I20190905000250 |
| Provider Name | Mackenzie A Kamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427436047 PECOS PAC ID: 7911257712 Enrollment ID: I20190905002478 |
| Provider Name | Eleni Marie Bucuvalas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952797300 PECOS PAC ID: 4688988074 Enrollment ID: I20190906000945 |
| Provider Name | Lauren Ashley Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295197556 PECOS PAC ID: 2264721299 Enrollment ID: I20190910002003 |
| Provider Name | Alfredo Nevarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558711846 PECOS PAC ID: 4981990686 Enrollment ID: I20190911000091 |
| Provider Name | Richard Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127880 PECOS PAC ID: 5496084709 Enrollment ID: I20190912000370 |
| Provider Name | Yibing Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669828133 PECOS PAC ID: 0648565515 Enrollment ID: I20190913001900 |
| Provider Name | Maria Pasillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609437334 PECOS PAC ID: 8729317870 Enrollment ID: I20190916000391 |
| Provider Name | Sara Achakzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487906996 PECOS PAC ID: 5991083032 Enrollment ID: I20190916003287 |
| Provider Name | Alyse Christine Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689235343 PECOS PAC ID: 3274862214 Enrollment ID: I20190917000910 |
| Provider Name | Francisco J Vargas Nava |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184170185 PECOS PAC ID: 1153650197 Enrollment ID: I20190917001006 |
| Provider Name | Jason W Schultz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952664039 PECOS PAC ID: 8426201542 Enrollment ID: I20190917003435 |
| Provider Name | Babu Sriram Maringanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245675222 PECOS PAC ID: 2163718552 Enrollment ID: I20190917004037 |
| Provider Name | Kyle P Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346392578 PECOS PAC ID: 9537129804 Enrollment ID: I20190918000745 |
| Provider Name | Chelsea Nicole Stotts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881253573 PECOS PAC ID: 1254661234 Enrollment ID: I20190918002375 |
| Provider Name | Benjamin Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407201858 PECOS PAC ID: 4284920240 Enrollment ID: I20190918003207 |
| Provider Name | Eric B Crandall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073711248 PECOS PAC ID: 1456401355 Enrollment ID: I20190919001694 |
| Provider Name | Siddharth Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104147891 PECOS PAC ID: 7315232741 Enrollment ID: I20190920001141 |
| Provider Name | Emiliza Cornejo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387691 PECOS PAC ID: 5193095420 Enrollment ID: I20190924000661 |
| Provider Name | David Pollack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457715211 PECOS PAC ID: 9830484815 Enrollment ID: I20190925000423 |
| Provider Name | Andrea Danielle Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750624714 PECOS PAC ID: 2365714482 Enrollment ID: I20190925001055 |
| Provider Name | Elizabeth Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538714498 PECOS PAC ID: 0840520326 Enrollment ID: I20190925003766 |
| Provider Name | Lenora Michelle Mathes |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1013259076 PECOS PAC ID: 9436383437 Enrollment ID: I20190926000810 |
| Provider Name | Isis Gabriela Romero Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558735530 PECOS PAC ID: 1850649328 Enrollment ID: I20190927000944 |
| Provider Name | Tamara M Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194724476 PECOS PAC ID: 0941298210 Enrollment ID: I20191001001904 |
| Provider Name | Nicholas Anthony Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770947855 PECOS PAC ID: 9436443546 Enrollment ID: I20191001002399 |
| Provider Name | Patrick E Ballard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982854980 PECOS PAC ID: 8729251103 Enrollment ID: I20191002002841 |
| Provider Name | Kalina Maria Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275193724 PECOS PAC ID: 7416287594 Enrollment ID: I20191003000290 |
| Provider Name | Courtney Carabajal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134468820 PECOS PAC ID: 6406187582 Enrollment ID: I20191004001063 |
| Provider Name | Sonya Lee Fiebig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417433350 PECOS PAC ID: 8022369487 Enrollment ID: I20191010000686 |
| Provider Name | Kaitlin Ann Devine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356704167 PECOS PAC ID: 3577894278 Enrollment ID: I20191010001928 |
| Provider Name | Eugene A Bonaroti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528068608 PECOS PAC ID: 0941241483 Enrollment ID: I20191014001497 |
| Provider Name | Casey Dart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114304193 PECOS PAC ID: 6305195702 Enrollment ID: I20191015001903 |
| Provider Name | Heather Candace Meiselman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568826527 PECOS PAC ID: 9830483056 Enrollment ID: I20191015003344 |
| Provider Name | Kelly V Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497008189 PECOS PAC ID: 5698006096 Enrollment ID: I20191016002629 |
| Provider Name | Danier Moore |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1316237282 PECOS PAC ID: 3779839469 Enrollment ID: I20191016003644 |
| Provider Name | Harmoni Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801441365 PECOS PAC ID: 8224369509 Enrollment ID: I20191017002094 |
| Provider Name | Jinghui Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699152538 PECOS PAC ID: 1254629793 Enrollment ID: I20191022001997 |
| Provider Name | Adenieki Mornan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669854501 PECOS PAC ID: 6103158134 Enrollment ID: I20191024001493 |
| Provider Name | Clayton Allen Bass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972598506 PECOS PAC ID: 1456300979 Enrollment ID: I20191025000854 |
| Provider Name | Olatokunbo Madupe Adeniyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174621809 PECOS PAC ID: 0244204204 Enrollment ID: I20191028000540 |
| Provider Name | Michael E Rowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619081205 PECOS PAC ID: 8729084462 Enrollment ID: I20191028001325 |
| Provider Name | Autumn E Stevenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801092747 PECOS PAC ID: 7416130216 Enrollment ID: I20191028002492 |
| Provider Name | Nicholas Parchim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104280767 PECOS PAC ID: 9335432277 Enrollment ID: I20191028003037 |
| Provider Name | Patrick Andrew Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437709532 PECOS PAC ID: 9032441837 Enrollment ID: I20191028003210 |
| Provider Name | John Beauchamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205221579 PECOS PAC ID: 6204190119 Enrollment ID: I20191029000968 |
| Provider Name | Jalayne Faulhaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669023602 PECOS PAC ID: 0840522546 Enrollment ID: I20191030000990 |
| Provider Name | Eric Scott Overton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225448327 PECOS PAC ID: 5092074773 Enrollment ID: I20191030001720 |
| Provider Name | Gregory Michael Chronowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598789570 PECOS PAC ID: 4486660107 Enrollment ID: I20191031000621 |
| Provider Name | Christina Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558789818 PECOS PAC ID: 8921320276 Enrollment ID: I20191031001527 |
| Provider Name | Melissa Ann Covington |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851457394 PECOS PAC ID: 5597838292 Enrollment ID: I20191101000603 |
| Provider Name | Rose Marie Bauldry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366985822 PECOS PAC ID: 3072845544 Enrollment ID: I20191101002282 |
| Provider Name | Joseph D Sheets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245688936 PECOS PAC ID: 8224329933 Enrollment ID: I20191102000033 |
| Provider Name | Kristopher J Ivey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346507076 PECOS PAC ID: 5597908343 Enrollment ID: I20191104001708 |
| Provider Name | Lisa Ethridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467005140 PECOS PAC ID: 2062744428 Enrollment ID: I20191105000140 |
| Provider Name | Teresa M Mazur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013002864 PECOS PAC ID: 0446234918 Enrollment ID: I20191105001277 |
| Provider Name | Jeffrey L Giddens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992774731 PECOS PAC ID: 4284612979 Enrollment ID: I20191105002206 |
| Provider Name | Helen A John-kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164453718 PECOS PAC ID: 7315113529 Enrollment ID: I20191106002393 |
| Provider Name | Mohammad Shahid |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720421902 PECOS PAC ID: 0547487308 Enrollment ID: I20191108000112 |
| Provider Name | Brian E Radtke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841226800 PECOS PAC ID: 4486667193 Enrollment ID: I20191108000819 |
| Provider Name | Maurice Geurts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598755068 PECOS PAC ID: 9032289434 Enrollment ID: I20191114002118 |
| Provider Name | Stacey Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871146464 PECOS PAC ID: 6406288349 Enrollment ID: I20191115000288 |
| Provider Name | Constance See-wei Kwan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366734626 PECOS PAC ID: 8022259498 Enrollment ID: I20191120002327 |
| Provider Name | Lindley Folkerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174878656 PECOS PAC ID: 0749543841 Enrollment ID: I20191121001727 |
| Provider Name | Erin Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063808285 PECOS PAC ID: 1052624673 Enrollment ID: I20191126002185 |
| Provider Name | Terry Singhapricha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346650181 PECOS PAC ID: 7810291515 Enrollment ID: I20191127000508 |
| Provider Name | Jessica Bartra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982252383 PECOS PAC ID: 6800229121 Enrollment ID: I20191127000810 |
| Provider Name | Claire E Escamilla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639150410 PECOS PAC ID: 7618996190 Enrollment ID: I20191127001588 |
| Provider Name | Russell Del Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942699574 PECOS PAC ID: 3476862301 Enrollment ID: I20191202001179 |
| Provider Name | Amy Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417379892 PECOS PAC ID: 7113350075 Enrollment ID: I20191206000660 |
| Provider Name | Kerry Clarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140743 PECOS PAC ID: 5991011355 Enrollment ID: I20191206001005 |
| Provider Name | Karen S Himebaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447252507 PECOS PAC ID: 9739255266 Enrollment ID: I20191206001150 |
| Provider Name | Tenzin Yangchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922241 PECOS PAC ID: 2567895261 Enrollment ID: I20191211001526 |
| Provider Name | Billie Jane Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207658 PECOS PAC ID: 9133552748 Enrollment ID: I20191211002287 |
| Provider Name | Verona Andrea Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548422421 PECOS PAC ID: 8921174202 Enrollment ID: I20191228000324 |
| Provider Name | Diana Lee Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144877218 PECOS PAC ID: 4486088333 Enrollment ID: I20191231000294 |
| Provider Name | Sumit Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851786925 PECOS PAC ID: 0345596979 Enrollment ID: I20200103001873 |
| Provider Name | Maria C Orourke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851325419 PECOS PAC ID: 2567533250 Enrollment ID: I20200108000282 |
| Provider Name | Dianne Marie Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720259427 PECOS PAC ID: 7911975693 Enrollment ID: I20200108000665 |
| Provider Name | Ellyn M Meshel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875242 PECOS PAC ID: 9335114024 Enrollment ID: I20200108000819 |
| Provider Name | Ashoka Rama Asundi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689875031 PECOS PAC ID: 4789734708 Enrollment ID: I20200108001126 |
| Provider Name | John Andrew Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528208097 PECOS PAC ID: 0143452383 Enrollment ID: I20200108002341 |
| Provider Name | Albert David Della Fave |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053744664 PECOS PAC ID: 8527297019 Enrollment ID: I20200110000381 |
| Provider Name | Salvatore Esposito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891766937 PECOS PAC ID: 6507765914 Enrollment ID: I20200113000559 |
| Provider Name | Lucas Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245784867 PECOS PAC ID: 3870928112 Enrollment ID: I20200115001282 |
| Provider Name | Gustavo Estrella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538208236 PECOS PAC ID: 0840371167 Enrollment ID: I20200127000152 |
| Provider Name | Ernesto Fuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649266461 PECOS PAC ID: 5395880306 Enrollment ID: I20200127001214 |
| Provider Name | Ajaykumar Jani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326092941 PECOS PAC ID: 7113924598 Enrollment ID: I20200129001614 |
| Provider Name | Edward Tobias Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164805362 PECOS PAC ID: 6800222415 Enrollment ID: I20200130000317 |
| Provider Name | Weafue Saab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780941690 PECOS PAC ID: 5698993525 Enrollment ID: I20200130001731 |
| Provider Name | Sarah O Sharkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184078719 PECOS PAC ID: 9133412067 Enrollment ID: I20200131001215 |
| Provider Name | Sarah Np Mele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548809973 PECOS PAC ID: 9739515248 Enrollment ID: I20200131001343 |
| Provider Name | Hugo Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487005740 PECOS PAC ID: 8921434390 Enrollment ID: I20200203001267 |
| Provider Name | Ashley Taylor Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063808384 PECOS PAC ID: 8224341888 Enrollment ID: I20200204001112 |
| Provider Name | Holly Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184935041 PECOS PAC ID: 1052566551 Enrollment ID: I20200205000940 |
| Provider Name | Audrey R Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598307530 PECOS PAC ID: 9931535036 Enrollment ID: I20200210001139 |
| Provider Name | Emily Ann Hoisington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356980585 PECOS PAC ID: 0244666261 Enrollment ID: I20200210002385 |
| Provider Name | Amanda Christine Renfro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598320251 PECOS PAC ID: 5092147942 Enrollment ID: I20200212001908 |
| Provider Name | Megan E Rishel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164688974 PECOS PAC ID: 7416000427 Enrollment ID: I20200218000227 |
| Provider Name | Maureen Condon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215130729 PECOS PAC ID: 2466645866 Enrollment ID: I20200219001151 |
| Provider Name | Rebekah E Mccann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114389327 PECOS PAC ID: 8628366515 Enrollment ID: I20200219002074 |
| Provider Name | Neelam Math |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982602512 PECOS PAC ID: 0446153548 Enrollment ID: I20200221000552 |
| Provider Name | Nadia Shaukat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164743134 PECOS PAC ID: 5193969582 Enrollment ID: I20200224000575 |
| Provider Name | Keith R Allen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134186901 PECOS PAC ID: 1153386891 Enrollment ID: I20200224000927 |
| Provider Name | Timothy Coakley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073559985 PECOS PAC ID: 9133128713 Enrollment ID: I20200224001106 |
| Provider Name | Danielle N Mascarenas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871980524 PECOS PAC ID: 6002120177 Enrollment ID: I20200226000760 |
| Provider Name | Adam Hillman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265063424 PECOS PAC ID: 0446687560 Enrollment ID: I20200228001974 |
| Provider Name | Monique Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750886404 PECOS PAC ID: 8224466057 Enrollment ID: I20200310001222 |
| Provider Name | Chad Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922081090 PECOS PAC ID: 9830095421 Enrollment ID: I20200326003377 |
| Provider Name | Steven P Rudis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316981350 PECOS PAC ID: 7810897022 Enrollment ID: I20200327000352 |
| Provider Name | Christine Black |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013282169 PECOS PAC ID: 7416186598 Enrollment ID: I20200327001798 |
| Provider Name | Burt Bromberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124135454 PECOS PAC ID: 3476593047 Enrollment ID: I20200331000081 |
| Provider Name | Marlo Rose Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821621004 PECOS PAC ID: 6406285238 Enrollment ID: I20200331000206 |
| Provider Name | Joshua Zara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295767077 PECOS PAC ID: 4789633629 Enrollment ID: I20200402003602 |
| Provider Name | Robert Royal Eastman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609877505 PECOS PAC ID: 7911800743 Enrollment ID: I20200408000192 |
| Provider Name | Lawrence W Gernon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225227069 PECOS PAC ID: 6709785967 Enrollment ID: I20200409001356 |
| Provider Name | Deonnae Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295178333 PECOS PAC ID: 9032476817 Enrollment ID: I20200416000681 |
| Provider Name | Shayla Freeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598150971 PECOS PAC ID: 0042512287 Enrollment ID: I20200422000403 |
| Provider Name | James E Roukema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891714713 PECOS PAC ID: 6406827609 Enrollment ID: I20200423000324 |
| Provider Name | Daniel Dworkis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902148505 PECOS PAC ID: 2961777180 Enrollment ID: I20200423000382 |
| Provider Name | Ann Marie Trout |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427095553 PECOS PAC ID: 4587647052 Enrollment ID: I20200423001675 |
| Provider Name | Reinaldo Acosta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619927571 PECOS PAC ID: 4486676251 Enrollment ID: I20200504000282 |
| Provider Name | Larry Joe Voelker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033215611 PECOS PAC ID: 0749200970 Enrollment ID: I20200504001912 |
| Provider Name | Samuel Rahn Caire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538208400 PECOS PAC ID: 3779649553 Enrollment ID: I20200505002360 |
| Provider Name | Richard Kubista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073561296 PECOS PAC ID: 6608890074 Enrollment ID: I20200511001564 |
| Provider Name | Frederick R Stack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548256977 PECOS PAC ID: 9638149230 Enrollment ID: I20200511003250 |
| Provider Name | Alan Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083716641 PECOS PAC ID: 0840475794 Enrollment ID: I20200518000654 |
| Provider Name | Silas Klaver |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093194425 PECOS PAC ID: 9830445121 Enrollment ID: I20200518001087 |
| Provider Name | Muralidhar Idamakanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740621481 PECOS PAC ID: 9032496807 Enrollment ID: I20200520001100 |
| Provider Name | Casey Ann Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063807733 PECOS PAC ID: 8820304207 Enrollment ID: I20200526001210 |
| Provider Name | Marisa E Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912369208 PECOS PAC ID: 2062774268 Enrollment ID: I20200527003133 |
| Provider Name | Unknown Abdul Hameed Zaid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679908800 PECOS PAC ID: 8820419989 Enrollment ID: I20200528002565 |
| Provider Name | Mauricio Torrealba Alonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730594193 PECOS PAC ID: 5395042642 Enrollment ID: I20200601000571 |
| Provider Name | Howard Ng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639161193 PECOS PAC ID: 1254370166 Enrollment ID: I20200602000627 |
| Provider Name | Swashti Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093120982 PECOS PAC ID: 3678994357 Enrollment ID: I20200604001986 |
| Provider Name | Tanya Belle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265814016 PECOS PAC ID: 3779897996 Enrollment ID: I20200608001033 |
| Provider Name | Stanley Nwabudike |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851700751 PECOS PAC ID: 6002105137 Enrollment ID: I20200610000469 |
| Provider Name | Bachar Samra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699115824 PECOS PAC ID: 6406193515 Enrollment ID: I20200611000607 |
| Provider Name | Imran Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811245632 PECOS PAC ID: 3870805856 Enrollment ID: I20200612000061 |
| Provider Name | Richard Purcell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821351842 PECOS PAC ID: 9032473582 Enrollment ID: I20200615002329 |
| Provider Name | Karla Almaraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477084275 PECOS PAC ID: 7517238116 Enrollment ID: I20200616001794 |
| Provider Name | Sharon Sama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265070288 PECOS PAC ID: 8527280387 Enrollment ID: I20200617000375 |
| Provider Name | Rani Indrani Devi Bijjam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760903074 PECOS PAC ID: 3173945268 Enrollment ID: I20200618000625 |
| Provider Name | Phillip Yuen Nun Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598315772 PECOS PAC ID: 4789006834 Enrollment ID: I20200619000105 |
| Provider Name | Jane Jenab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386789824 PECOS PAC ID: 0345389581 Enrollment ID: I20200623000253 |
| Provider Name | Brian Andrew Warmus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720441397 PECOS PAC ID: 8022369149 Enrollment ID: I20200624001079 |
| Provider Name | Jaclyn Lee Estes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730542911 PECOS PAC ID: 6901228659 Enrollment ID: I20200625000901 |
| Provider Name | Nicholas Swindle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932589033 PECOS PAC ID: 9537456058 Enrollment ID: I20200626001462 |
| Provider Name | Robert Mcatee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255770889 PECOS PAC ID: 1951602820 Enrollment ID: I20200629000476 |
| Provider Name | Elvina C Lingas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467973495 PECOS PAC ID: 1153743729 Enrollment ID: I20200629000660 |
| Provider Name | Chioma Muoghalu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679098313 PECOS PAC ID: 6709208200 Enrollment ID: I20200629002125 |
| Provider Name | Stephanie Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720519705 PECOS PAC ID: 4981975364 Enrollment ID: I20200629002284 |
| Provider Name | Vijaya Lakshmi Kankanala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841712122 PECOS PAC ID: 5597187047 Enrollment ID: I20200630000390 |
| Provider Name | Christopher G Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891228128 PECOS PAC ID: 6002187655 Enrollment ID: I20200630000520 |
| Provider Name | Timothy A Huerena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073047692 PECOS PAC ID: 4183994163 Enrollment ID: I20200630002978 |
| Provider Name | Bilal Alqam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982054250 PECOS PAC ID: 5193011047 Enrollment ID: I20200630003561 |
| Provider Name | Victoria Marie Corvino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477177632 PECOS PAC ID: 1658794193 Enrollment ID: I20200701000117 |
| Provider Name | James Elliot Karz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326560194 PECOS PAC ID: 0648693812 Enrollment ID: I20200707000089 |
| Provider Name | Michael Salisbury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497134506 PECOS PAC ID: 4587976295 Enrollment ID: I20200707002041 |
| Provider Name | Gopi Mara Koosham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235660101 PECOS PAC ID: 9133490402 Enrollment ID: I20200708002130 |
| Provider Name | Emily E Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083147748 PECOS PAC ID: 4385916113 Enrollment ID: I20200708002613 |
| Provider Name | Gina Marie Lutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013397363 PECOS PAC ID: 0244520419 Enrollment ID: I20200709001621 |
| Provider Name | Mollie Simmons |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1871883942 PECOS PAC ID: 1456633486 Enrollment ID: I20200709001822 |
| Provider Name | Jesse A Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750319273 PECOS PAC ID: 1850317728 Enrollment ID: I20200716003019 |
| Provider Name | Eric Stuart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447244819 PECOS PAC ID: 5294707659 Enrollment ID: I20200722001728 |
| Provider Name | Priya Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528599727 PECOS PAC ID: 1456624303 Enrollment ID: I20200722001898 |
| Provider Name | Leonardo Martin Oliva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477991529 PECOS PAC ID: 4688968985 Enrollment ID: I20200723000287 |
| Provider Name | Matthew Ryan Nowka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912435926 PECOS PAC ID: 7214205111 Enrollment ID: I20200723001006 |
| Provider Name | Benjamin Amirebrahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770018384 PECOS PAC ID: 4082978564 Enrollment ID: I20200727000046 |
| Provider Name | Renee Michelle Moffitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558724856 PECOS PAC ID: 4284961079 Enrollment ID: I20200727001343 |
| Provider Name | Jessica Mae Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003201427 PECOS PAC ID: 3274821145 Enrollment ID: I20200728001105 |
| Provider Name | Clay Hugh Joseph Mishler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871020065 PECOS PAC ID: 5496023129 Enrollment ID: I20200729000535 |
| Provider Name | Joseph Nathan Romero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346694874 PECOS PAC ID: 1355766007 Enrollment ID: I20200729001282 |
| Provider Name | Jessica Kneib |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710369319 PECOS PAC ID: 5991120677 Enrollment ID: I20200729002543 |
| Provider Name | Erin Blake |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1750624961 PECOS PAC ID: 4587673629 Enrollment ID: I20200730002099 |
| Provider Name | Nicole L Pinkerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104895481 PECOS PAC ID: 7113952995 Enrollment ID: I20200731000419 |
| Provider Name | David Fischman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538691712 PECOS PAC ID: 9739455080 Enrollment ID: I20200804000034 |
| Provider Name | Candy Lynn Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720188477 PECOS PAC ID: 9133104912 Enrollment ID: I20200804003811 |
| Provider Name | Christopher L Swyers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699135624 PECOS PAC ID: 6709179864 Enrollment ID: I20200805001891 |
| Provider Name | Linda Huffer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346310885 PECOS PAC ID: 7416139191 Enrollment ID: I20200805002830 |
| Provider Name | Christina Bungo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1831534874 PECOS PAC ID: 0547402141 Enrollment ID: I20200810000427 |
| Provider Name | Nedda Karimi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265895486 PECOS PAC ID: 3476847955 Enrollment ID: I20200810001154 |
| Provider Name | Brian Husen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801282355 PECOS PAC ID: 2961717699 Enrollment ID: I20200810001176 |
| Provider Name | Guy Kulumau Goodness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730602681 PECOS PAC ID: 5092073460 Enrollment ID: I20200810003501 |
| Provider Name | Jeffrey David Schuster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326155813 PECOS PAC ID: 2860553492 Enrollment ID: I20200811002774 |
| Provider Name | Bailey Lynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952834046 PECOS PAC ID: 2961757117 Enrollment ID: I20200817001318 |
| Provider Name | Linda R Neidhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437190030 PECOS PAC ID: 3072642198 Enrollment ID: I20200818000948 |
| Provider Name | Zachary Sussman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295910909 PECOS PAC ID: 3779805262 Enrollment ID: I20200818001526 |
| Provider Name | Miranda M Velikoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356874234 PECOS PAC ID: 6800167271 Enrollment ID: I20200820003489 |
| Provider Name | Nikhila Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073044079 PECOS PAC ID: 1052683109 Enrollment ID: I20200825000734 |
| Provider Name | Julian Robert Benavidez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336670405 PECOS PAC ID: 9335411073 Enrollment ID: I20200825002649 |
| Provider Name | Cassondra Lynn Burton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376960617 PECOS PAC ID: 9133436389 Enrollment ID: I20200826000811 |
| Provider Name | Laura Mihalko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023405834 PECOS PAC ID: 2466766720 Enrollment ID: I20200827003210 |
| Provider Name | Betsy Krause |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003262965 PECOS PAC ID: 8426342908 Enrollment ID: I20200831002043 |
| Provider Name | Amelia Brooks Kreienkamp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972023810 PECOS PAC ID: 3870910110 Enrollment ID: I20200901000833 |
| Provider Name | Jenna L Friedrichs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104271089 PECOS PAC ID: 8921391772 Enrollment ID: I20200901003473 |
| Provider Name | Ryan Mals |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265828214 PECOS PAC ID: 4385958438 Enrollment ID: I20200902002630 |
| Provider Name | Suzan Jaradat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285176859 PECOS PAC ID: 2668743378 Enrollment ID: I20200902002672 |
| Provider Name | Herbert Stern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306857784 PECOS PAC ID: 6305890682 Enrollment ID: I20200908000533 |
| Provider Name | Gregory Rosner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245318765 PECOS PAC ID: 9638157423 Enrollment ID: I20200909002870 |
| Provider Name | Brenda Lee Fuselier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899463 PECOS PAC ID: 2961820733 Enrollment ID: I20200910000739 |
| Provider Name | Gary Kanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568992220 PECOS PAC ID: 9931471752 Enrollment ID: I20200918000875 |
| Provider Name | Beverly Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619959806 PECOS PAC ID: 8123142544 Enrollment ID: I20200918001890 |
| Provider Name | Allison Shewmake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528598489 PECOS PAC ID: 1759650021 Enrollment ID: I20200921000159 |
| Provider Name | Holly Thomason French |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245859966 PECOS PAC ID: 8820416027 Enrollment ID: I20200921002561 |
| Provider Name | Clifton Christopher Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699384321 PECOS PAC ID: 7315366424 Enrollment ID: I20200923000758 |
| Provider Name | Hieu Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437685591 PECOS PAC ID: 0446521827 Enrollment ID: I20200923002187 |
| Provider Name | William J O Donnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538692298 PECOS PAC ID: 9436420684 Enrollment ID: I20200929001860 |
| Provider Name | Elizabeth Koffler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265962195 PECOS PAC ID: 1052681160 Enrollment ID: I20200930001854 |
| Provider Name | Bryan Andrew Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861000457 PECOS PAC ID: 8527487115 Enrollment ID: I20201001000176 |
| Provider Name | Janine Mancusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235776279 PECOS PAC ID: 8729407168 Enrollment ID: I20201002002539 |
| Provider Name | Mallory B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154787 PECOS PAC ID: 9830518281 Enrollment ID: I20201002002822 |
| Provider Name | Juan Corral Hurtado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669810461 PECOS PAC ID: 5698069961 Enrollment ID: I20201005000497 |
| Provider Name | Kathy Lynn Wirz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417514712 PECOS PAC ID: 4385077361 Enrollment ID: I20201007003031 |
| Provider Name | Tamara Wostal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093204315 PECOS PAC ID: 4284981085 Enrollment ID: I20201008003578 |
| Provider Name | Ashton Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639724255 PECOS PAC ID: 1557781515 Enrollment ID: I20201014000721 |
| Provider Name | Allison M Hemphill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891304523 PECOS PAC ID: 5496175358 Enrollment ID: I20201014001126 |
| Provider Name | Alejandro Salcido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710502117 PECOS PAC ID: 9931529781 Enrollment ID: I20201015001976 |
| Provider Name | Tammy Lynn Germany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790245330 PECOS PAC ID: 5496175283 Enrollment ID: I20201016000531 |
| Provider Name | Elizabeth S Garchar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801259973 PECOS PAC ID: 0446543607 Enrollment ID: I20201019000072 |
| Provider Name | Emily C Butcher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265057277 PECOS PAC ID: 6901226323 Enrollment ID: I20201022003761 |
| Provider Name | Robert Dikeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952835415 PECOS PAC ID: 8921376492 Enrollment ID: I20201027001672 |
| Provider Name | Jason Andrew Slate |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275648586 PECOS PAC ID: 4587636956 Enrollment ID: I20201028000875 |
| Provider Name | Corazon Adela Urioste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356652978 PECOS PAC ID: 5395155675 Enrollment ID: I20201028001915 |
| Provider Name | Rachel Leanne Garcia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831705094 PECOS PAC ID: 1456761642 Enrollment ID: I20201028002625 |
| Provider Name | Scott Jennings |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841269420 PECOS PAC ID: 3173618915 Enrollment ID: I20201103001408 |
| Provider Name | Margaret Le |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801162003 PECOS PAC ID: 1850697319 Enrollment ID: I20201113000292 |
| Provider Name | Parastou Malek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063945954 PECOS PAC ID: 5294006540 Enrollment ID: I20201117001108 |
| Provider Name | Jessica Riordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790028405 PECOS PAC ID: 3375784879 Enrollment ID: I20201119000481 |
| Provider Name | Mindy Mindy Jitmanowan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316372501 PECOS PAC ID: 5294146304 Enrollment ID: I20201120002231 |
| Provider Name | Elizabeth Sesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023616505 PECOS PAC ID: 4486065224 Enrollment ID: I20201130000785 |
| Provider Name | Yonna F Swingholm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124123229 PECOS PAC ID: 0345650784 Enrollment ID: I20201201001359 |
| Provider Name | Pamela Mina Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477780997 PECOS PAC ID: 2264783794 Enrollment ID: I20201203000141 |
| Provider Name | Jacquelyn Hasler Salas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558572099 PECOS PAC ID: 6507819372 Enrollment ID: I20201211000392 |
| Provider Name | Jia Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730795626 PECOS PAC ID: 0941612873 Enrollment ID: I20201216002952 |
| Provider Name | Shannon M Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205223484 PECOS PAC ID: 9931413747 Enrollment ID: I20201228001582 |
| Provider Name | John Christopher Mohs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184614570 PECOS PAC ID: 1052479805 Enrollment ID: I20201228002003 |
| Provider Name | Titus Plomaritis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780603738 PECOS PAC ID: 5193847952 Enrollment ID: I20210112001906 |
| Provider Name | Ariel A Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912513870 PECOS PAC ID: 8628481637 Enrollment ID: I20210113000367 |
| Provider Name | Joli Ann Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433952 PECOS PAC ID: 0840603775 Enrollment ID: I20210113001670 |
| Provider Name | Justeen Lords |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336528785 PECOS PAC ID: 0143554378 Enrollment ID: I20210114000042 |
| Provider Name | Shelly R Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316381460 PECOS PAC ID: 4385878958 Enrollment ID: I20210115000382 |
| Provider Name | Kate C Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902883044 PECOS PAC ID: 3375594773 Enrollment ID: I20210115000811 |
| Provider Name | Tamara Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376853374 PECOS PAC ID: 3072752559 Enrollment ID: I20210121002978 |
| Provider Name | Brooke Alissa Chapla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790195998 PECOS PAC ID: 0345654141 Enrollment ID: I20210205000024 |
| Provider Name | Lindsey Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629588504 PECOS PAC ID: 0941567721 Enrollment ID: I20210205000793 |
| Provider Name | Barry Irons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942303805 PECOS PAC ID: 7517945504 Enrollment ID: I20210209000934 |
| Provider Name | Sara Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205432523 PECOS PAC ID: 5092120519 Enrollment ID: I20210216001055 |
| Provider Name | Robert O Onchaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558885327 PECOS PAC ID: 3072928597 Enrollment ID: I20210216001124 |
| Provider Name | Glenn Jeffrey Pelletier |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440273 PECOS PAC ID: 5799758470 Enrollment ID: I20210225002268 |
| Provider Name | Elena Lavrovskaya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699973016 PECOS PAC ID: 7810069408 Enrollment ID: I20210226001585 |
| Provider Name | Cynthia Ann Hubach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386692994 PECOS PAC ID: 4486842440 Enrollment ID: I20210302002619 |
| Provider Name | Martha Louise Mcgowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013507573 PECOS PAC ID: 3072929892 Enrollment ID: I20210302003194 |
| Provider Name | Shawn M D Andrea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679734495 PECOS PAC ID: 7911161443 Enrollment ID: I20210303000817 |
| Provider Name | Colleen Michelle Conklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235426404 PECOS PAC ID: 0941616171 Enrollment ID: I20210312000147 |
| Provider Name | Sabrina K Rocke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194086611 PECOS PAC ID: 3870806029 Enrollment ID: I20210315000897 |
| Provider Name | Nasser J Moiduddin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689815888 PECOS PAC ID: 4082756416 Enrollment ID: I20210317000350 |
| Provider Name | Sirish Venkata Parvathaneni |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659360915 PECOS PAC ID: 5890725683 Enrollment ID: I20210319000611 |
| Provider Name | Ashley Nicole Champlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407449838 PECOS PAC ID: 3779990668 Enrollment ID: I20210319001263 |
| Provider Name | Matthew A Frederick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144404526 PECOS PAC ID: 9335271428 Enrollment ID: I20210325001905 |
| Provider Name | Joann Kim Ha Tran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083072664 PECOS PAC ID: 9032548573 Enrollment ID: I20210329000161 |
| Provider Name | Aaron Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861750283 PECOS PAC ID: 6204155955 Enrollment ID: I20210329000811 |
| Provider Name | Jeremy N Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447221031 PECOS PAC ID: 7416023478 Enrollment ID: I20210401000321 |
| Provider Name | Hanna Gasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285226753 PECOS PAC ID: 9638586894 Enrollment ID: I20210406000851 |
| Provider Name | Kristin Benavidez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689268450 PECOS PAC ID: 4688081888 Enrollment ID: I20210407000072 |
| Provider Name | Tanya Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437635927 PECOS PAC ID: 4082022066 Enrollment ID: I20210412000598 |
| Provider Name | Jennifer Lee Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669065462 PECOS PAC ID: 6507274511 Enrollment ID: I20210412002042 |
| Provider Name | Brandon R Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245521350 PECOS PAC ID: 4587883525 Enrollment ID: I20210421001974 |
| Provider Name | Lindsey M Garey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538744834 PECOS PAC ID: 3173931441 Enrollment ID: I20210427000364 |
| Provider Name | Maria Rebecca Gallego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437121308 PECOS PAC ID: 0648305227 Enrollment ID: I20210503002217 |
| Provider Name | Lynette Baca Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508441817 PECOS PAC ID: 6901215755 Enrollment ID: I20210506001732 |
| Provider Name | Edward Barrows |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578539169 PECOS PAC ID: 0446337570 Enrollment ID: I20210510000301 |
| Provider Name | Hope Jessica Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396355996 PECOS PAC ID: 5890104517 Enrollment ID: I20210511000618 |
| Provider Name | Brittany Paula Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164002275 PECOS PAC ID: 7012326622 Enrollment ID: I20210512001197 |
| Provider Name | Heather Applewhite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164834248 PECOS PAC ID: 5496059578 Enrollment ID: I20210513002455 |
| Provider Name | Nathan G Larason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902484900 PECOS PAC ID: 4284033564 Enrollment ID: I20210519002163 |
| Provider Name | Adora Anudu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629563051 PECOS PAC ID: 5799032645 Enrollment ID: I20210608000193 |
| Provider Name | Ravi Kumar Thimmisetty |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326321449 PECOS PAC ID: 9234431388 Enrollment ID: I20210609003150 |
| Provider Name | Glenda M Lopez-portillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497287080 PECOS PAC ID: 6608147046 Enrollment ID: I20210611001307 |
| Provider Name | Sharon L Atencio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457886772 PECOS PAC ID: 8426329269 Enrollment ID: I20210615000801 |
| Provider Name | Adam Banks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992061758 PECOS PAC ID: 2961791843 Enrollment ID: I20210615002134 |
| Provider Name | Gresa Sylejmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710482294 PECOS PAC ID: 4284982265 Enrollment ID: I20210615002993 |
| Provider Name | Maria Magdalena Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043893407 PECOS PAC ID: 8921408410 Enrollment ID: I20210621003507 |
| Provider Name | Jennifer Furman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710331301 PECOS PAC ID: 2365733219 Enrollment ID: I20210623001239 |
| Provider Name | Katrina Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912142829 PECOS PAC ID: 4981728227 Enrollment ID: I20210628001805 |
| Provider Name | Christina M Baros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584810 PECOS PAC ID: 5991106924 Enrollment ID: I20210629001454 |
| Provider Name | Melanie Kay Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275950198 PECOS PAC ID: 0941429849 Enrollment ID: I20210702001068 |
| Provider Name | Peter W Yeo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548765423 PECOS PAC ID: 4183026669 Enrollment ID: I20210706003274 |
| Provider Name | Kyle D Randolph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497250096 PECOS PAC ID: 3173871175 Enrollment ID: I20210707001533 |
| Provider Name | Emelia B Hakes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932562337 PECOS PAC ID: 6002109238 Enrollment ID: I20210708002100 |
| Provider Name | Sujata Mulekar Chouinard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043741432 PECOS PAC ID: 8628348539 Enrollment ID: I20210708003590 |
| Provider Name | Rachel K Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689214322 PECOS PAC ID: 0446652499 Enrollment ID: I20210713002215 |
| Provider Name | Ahmed Mostafa Nader Ramadan Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528478948 PECOS PAC ID: 5193028009 Enrollment ID: I20210713004042 |
| Provider Name | Joseph J Siebenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043889355 PECOS PAC ID: 1951703818 Enrollment ID: I20210714002928 |
| Provider Name | Palak Pankaj Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154715639 PECOS PAC ID: 7214231307 Enrollment ID: I20210715000960 |
| Provider Name | Lisa Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215345772 PECOS PAC ID: 7911215207 Enrollment ID: I20210720002432 |
| Provider Name | David A Elkins |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821159187 PECOS PAC ID: 0648464818 Enrollment ID: I20210721001206 |
| Provider Name | Himanshu N Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992296297 PECOS PAC ID: 5395148845 Enrollment ID: I20210722000034 |
| Provider Name | Jocelyn A Wu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740714567 PECOS PAC ID: 0547531030 Enrollment ID: I20210722001970 |
| Provider Name | Riemer Charles Praamsma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336645613 PECOS PAC ID: 9032465273 Enrollment ID: I20210723001365 |
| Provider Name | Gregory Larrieux |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699118174 PECOS PAC ID: 7315237161 Enrollment ID: I20210723002081 |
| Provider Name | Carissa E Solari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447748439 PECOS PAC ID: 3173871290 Enrollment ID: I20210726003451 |
| Provider Name | Lizette Alejandra Sidransky-ulloa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023682580 PECOS PAC ID: 3678976768 Enrollment ID: I20210727002884 |
| Provider Name | Gina Alice Etoll Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427554260 PECOS PAC ID: 1456609379 Enrollment ID: I20210729000083 |
| Provider Name | Niraj Ganjawala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346772001 PECOS PAC ID: 1951672690 Enrollment ID: I20210729001298 |
| Provider Name | Alexandre Robert Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699366328 PECOS PAC ID: 3678976404 Enrollment ID: I20210730001110 |
| Provider Name | Lindsay Marie Leblanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770078354 PECOS PAC ID: 2163857921 Enrollment ID: I20210805002836 |
| Provider Name | Christian M Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235636945 PECOS PAC ID: 2365790706 Enrollment ID: I20210809000063 |
| Provider Name | Mahvish Masood Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174061899 PECOS PAC ID: 4981952314 Enrollment ID: I20210809000137 |
| Provider Name | Nabeel Haidar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134613300 PECOS PAC ID: 7315341617 Enrollment ID: I20210809002940 |
| Provider Name | Misty Gay Mcarthur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134351513 PECOS PAC ID: 1153725387 Enrollment ID: I20210810000749 |
| Provider Name | Lilia Garza Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457025603 PECOS PAC ID: 4486058658 Enrollment ID: I20210810002319 |
| Provider Name | Maria M Colom Bickford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740761972 PECOS PAC ID: 1759632771 Enrollment ID: I20210810002395 |
| Provider Name | Chelsea M Hollander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093036865 PECOS PAC ID: 0345372702 Enrollment ID: I20210812000826 |
| Provider Name | Salah Z Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265912828 PECOS PAC ID: 5496006595 Enrollment ID: I20210816002602 |
| Provider Name | Timothy Andrew Carswell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326570094 PECOS PAC ID: 3870995533 Enrollment ID: I20210819000464 |
| Provider Name | Sean Peter Tirney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063484848 PECOS PAC ID: 8325070949 Enrollment ID: I20210824000127 |
| Provider Name | Kyle Bohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457730855 PECOS PAC ID: 0648528208 Enrollment ID: I20210824000949 |
| Provider Name | Yasser Alsamman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295113942 PECOS PAC ID: 1658675426 Enrollment ID: I20210824001742 |
| Provider Name | Jabez B John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629349576 PECOS PAC ID: 4587916135 Enrollment ID: I20210825002510 |
| Provider Name | Feven Bucklew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508436718 PECOS PAC ID: 6800291089 Enrollment ID: I20210826000888 |
| Provider Name | Katharine Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598337180 PECOS PAC ID: 6507261534 Enrollment ID: I20210830000236 |
| Provider Name | Joanne Elaine Baerg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356386577 PECOS PAC ID: 9537216973 Enrollment ID: I20210907000537 |
| Provider Name | Kassi Ackerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982082954 PECOS PAC ID: 7911210448 Enrollment ID: I20210907000914 |
| Provider Name | Jessica Marie Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093839375 PECOS PAC ID: 4284030834 Enrollment ID: I20210907001268 |
| Provider Name | David Brian Meredith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144463035 PECOS PAC ID: 9032347380 Enrollment ID: I20210907001442 |
| Provider Name | Julie Colette Everett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497251094 PECOS PAC ID: 4789932195 Enrollment ID: I20210909003556 |
| Provider Name | Chadd J Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548881469 PECOS PAC ID: 9133541360 Enrollment ID: I20210911000186 |
| Provider Name | Michael Angelo Schiavone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447213566 PECOS PAC ID: 1355396565 Enrollment ID: I20210915000189 |
| Provider Name | Bianca E Alvarez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932605805 PECOS PAC ID: 8325396799 Enrollment ID: I20210917001469 |
| Provider Name | Ryan P Kunkel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144648627 PECOS PAC ID: 5395961007 Enrollment ID: I20210922001920 |
| Provider Name | Hasan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215270152 PECOS PAC ID: 3274824081 Enrollment ID: I20210924001325 |
| Provider Name | Gray Lawrence Roberge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528412533 PECOS PAC ID: 1355638628 Enrollment ID: I20210925000040 |
| Provider Name | Daniel Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073004446 PECOS PAC ID: 3870990328 Enrollment ID: I20210925000080 |
| Provider Name | Staci Smart |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932772373 PECOS PAC ID: 9739586249 Enrollment ID: I20210927001960 |
| Provider Name | Ashley Shonese Barfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487001624 PECOS PAC ID: 8224365960 Enrollment ID: I20210929000719 |
| Provider Name | Daniel Bryan Pugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174937726 PECOS PAC ID: 2961749692 Enrollment ID: I20211005001998 |
| Provider Name | John Leslie Lehew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376048223 PECOS PAC ID: 0941608566 Enrollment ID: I20211013000736 |
| Provider Name | Sarah Abla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154819340 PECOS PAC ID: 1456609924 Enrollment ID: I20211014000663 |
| Provider Name | Tiffany Marie Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275203804 PECOS PAC ID: 9133527542 Enrollment ID: I20211014001580 |
| Provider Name | Nadia Guardado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003246125 PECOS PAC ID: 5597045724 Enrollment ID: I20211014002533 |
| Provider Name | Farinaz Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295230829 PECOS PAC ID: 7517215874 Enrollment ID: I20211014003064 |
| Provider Name | Norbert Jay Sanidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421820 PECOS PAC ID: 8224436613 Enrollment ID: I20211015001416 |
| Provider Name | Eliotte Hirshberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255502217 PECOS PAC ID: 7810989779 Enrollment ID: I20211019000522 |
| Provider Name | Lindsy Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457923351 PECOS PAC ID: 3971991274 Enrollment ID: I20211019000622 |
| Provider Name | John Dwight Seidner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881637148 PECOS PAC ID: 5799790895 Enrollment ID: I20211025002171 |
| Provider Name | Pavel Conovalciuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017080 PECOS PAC ID: 4587673504 Enrollment ID: I20211101001606 |
| Provider Name | Leslie A Becerra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932732351 PECOS PAC ID: 0042632960 Enrollment ID: I20211108000308 |
| Provider Name | Elizabeth Page Fix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699208579 PECOS PAC ID: 0244517696 Enrollment ID: I20211109001723 |
| Provider Name | Thomas R Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568440428 PECOS PAC ID: 3476812306 Enrollment ID: I20211110002681 |
| Provider Name | Darnell J Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366754616 PECOS PAC ID: 5395096416 Enrollment ID: I20211111002325 |
| Provider Name | Muayad Bayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134618382 PECOS PAC ID: 7911396809 Enrollment ID: I20211115002466 |
| Provider Name | Karissa Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659869824 PECOS PAC ID: 2961751987 Enrollment ID: I20211117000998 |
| Provider Name | John Warren Bishop |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407888126 PECOS PAC ID: 7012085368 Enrollment ID: I20211122001053 |
| Provider Name | Julia S Rauchfuss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699272385 PECOS PAC ID: 3173871274 Enrollment ID: I20211123003266 |
| Provider Name | Nicole Gruner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720572308 PECOS PAC ID: 3375894165 Enrollment ID: I20211129002119 |
| Provider Name | Nicholas F Rockefeller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699185660 PECOS PAC ID: 9638472400 Enrollment ID: I20211202000181 |
| Provider Name | Mara Veronika Saulitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134143209 PECOS PAC ID: 6901872928 Enrollment ID: I20211202001167 |
| Provider Name | Angela Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942525597 PECOS PAC ID: 1355658097 Enrollment ID: I20211202001835 |
| Provider Name | Jennifer Marie Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285303321 PECOS PAC ID: 7719377951 Enrollment ID: I20211202002212 |
| Provider Name | Jennifer Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538664925 PECOS PAC ID: 2668705773 Enrollment ID: I20211206001765 |
| Provider Name | Angela S Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760155501 PECOS PAC ID: 6800286774 Enrollment ID: I20211208001444 |
| Provider Name | Antonio Jose Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306379664 PECOS PAC ID: 2062784614 Enrollment ID: I20211209001122 |
| Provider Name | Sara Lee Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316447659 PECOS PAC ID: 5092077461 Enrollment ID: I20211210001456 |
| Provider Name | Mary Scheerer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346628302 PECOS PAC ID: 9739488958 Enrollment ID: I20211229000280 |
| Provider Name | Todd D Hultman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184669806 PECOS PAC ID: 7214998871 Enrollment ID: I20220104000279 |
| Provider Name | Marcus Allan Colker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255802179 PECOS PAC ID: 2466793427 Enrollment ID: I20220104001976 |
| Provider Name | Renee A Bacas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295952497 PECOS PAC ID: 1951578103 Enrollment ID: I20220104002491 |
| Provider Name | Jessie E Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760970057 PECOS PAC ID: 8426306481 Enrollment ID: I20220105001918 |
| Provider Name | Jorge Gonzalez-cruz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386850006 PECOS PAC ID: 4486753845 Enrollment ID: I20220112002289 |
| Provider Name | Roy H Joy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275660433 PECOS PAC ID: 2769428036 Enrollment ID: I20220113001489 |
| Provider Name | Kathryn A Mirabal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811340060 PECOS PAC ID: 5991197105 Enrollment ID: I20220120002451 |
| Provider Name | Elenah Lisignoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245998764 PECOS PAC ID: 7315339454 Enrollment ID: I20220121000971 |
| Provider Name | Seth Paul Olcese |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750644860 PECOS PAC ID: 9234562711 Enrollment ID: I20220121002293 |
| Provider Name | Neal Aj Nettesheim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083008676 PECOS PAC ID: 1052617701 Enrollment ID: I20220126000396 |
| Provider Name | Annie Kathleen Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497988174 PECOS PAC ID: 8123410024 Enrollment ID: I20220127000733 |
| Provider Name | Swarna Gaddam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750658639 PECOS PAC ID: 4082907464 Enrollment ID: I20220127003071 |
| Provider Name | Clayton M Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174972293 PECOS PAC ID: 0941596696 Enrollment ID: I20220128000101 |
| Provider Name | Ajay D Gohil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780757906 PECOS PAC ID: 4082674239 Enrollment ID: I20220205000129 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114048493 PECOS PAC ID: 1557467123 Enrollment ID: I20220205000172 |
| Provider Name | Prateek Patibandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326493958 PECOS PAC ID: 6002148210 Enrollment ID: I20220221001232 |
| Provider Name | Caitlyn Coffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649778960 PECOS PAC ID: 8921353624 Enrollment ID: I20220225000189 |
| Provider Name | Jacqueline J Schnedler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679764708 PECOS PAC ID: 3678989654 Enrollment ID: I20220303000888 |
| Provider Name | Darren Scott Edson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699777391 PECOS PAC ID: 4688663933 Enrollment ID: I20220310000455 |
| Provider Name | Brian Galinato |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013386226 PECOS PAC ID: 3577958545 Enrollment ID: I20220310000944 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220310000990 |
| Provider Name | Scott R Mueller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457747404 PECOS PAC ID: 7719296540 Enrollment ID: I20220310001021 |
| Provider Name | Margaret Gay Thorne Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588178677 PECOS PAC ID: 1850653288 Enrollment ID: I20220315002068 |
| Provider Name | Kristen M Kelly-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659532265 PECOS PAC ID: 6305093873 Enrollment ID: I20220325000857 |
| Provider Name | Jaron A Hubele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255094033 PECOS PAC ID: 4981099074 Enrollment ID: I20220329000281 |
| Provider Name | Maurine Branson Heard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326004037 PECOS PAC ID: 0042117210 Enrollment ID: I20220329000911 |
| Provider Name | Conrad Michael Cates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780357541 PECOS PAC ID: 1052718418 Enrollment ID: I20220330001139 |
| Provider Name | Samuel Kwong-ming Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790863884 PECOS PAC ID: 9830373893 Enrollment ID: I20220331001380 |
| Provider Name | Rashid Mirza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225780398 PECOS PAC ID: 1254727845 Enrollment ID: I20220407001406 |
| Provider Name | Matthew Morin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841605086 PECOS PAC ID: 6507180783 Enrollment ID: I20220411000826 |
| Provider Name | Robin Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871248963 PECOS PAC ID: 4981090230 Enrollment ID: I20220413001611 |
| Provider Name | Susan E Kinnear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033373337 PECOS PAC ID: 4880817535 Enrollment ID: I20220419000952 |
| Provider Name | Cora Ann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235724386 PECOS PAC ID: 7416365093 Enrollment ID: I20220420002461 |
| Provider Name | Amit Gupta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700840170 PECOS PAC ID: 3678532157 Enrollment ID: I20220421001403 |
| Provider Name | Geetha P Krishnan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699067132 PECOS PAC ID: 5092980938 Enrollment ID: I20220426000574 |
| Provider Name | Claudette Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194975003 PECOS PAC ID: 4587818984 Enrollment ID: I20220427000336 |
| Provider Name | Denise Marlo Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740825629 PECOS PAC ID: 3476986910 Enrollment ID: I20220427001426 |
| Provider Name | Kenneth John Vega |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962479238 PECOS PAC ID: 6406997758 Enrollment ID: I20220502000538 |
| Provider Name | Lisa M Baca-hummell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013677350 PECOS PAC ID: 6103203260 Enrollment ID: I20220512000108 |
| Provider Name | Andre Marks Burnier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902339021 PECOS PAC ID: 8325442239 Enrollment ID: I20220518000958 |
| Provider Name | Shubha Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265937999 PECOS PAC ID: 3971841248 Enrollment ID: I20220523000894 |
| Provider Name | Shelyna A Thawer-rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235147646 PECOS PAC ID: 9739270695 Enrollment ID: I20220525001956 |
| Provider Name | Melissa Jane Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699047639 PECOS PAC ID: 7416335682 Enrollment ID: I20220531000261 |
| Provider Name | Lon Abney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962883272 PECOS PAC ID: 7113267659 Enrollment ID: I20220603000523 |
| Provider Name | Manogna Nookathota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538575097 PECOS PAC ID: 3577842731 Enrollment ID: I20220608000015 |
| Provider Name | Samantha Cody Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780204404 PECOS PAC ID: 3779961404 Enrollment ID: I20220608000702 |
| Provider Name | Alma Alicia Lujan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215673025 PECOS PAC ID: 0345628996 Enrollment ID: I20220609002442 |
| Provider Name | Danh Tan Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740925106 PECOS PAC ID: 4183002694 Enrollment ID: I20220610001859 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20220621001976 |
| Provider Name | Pradeep Reddy Kathi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497142889 PECOS PAC ID: 0941507115 Enrollment ID: I20220622000326 |
| Provider Name | Gabriel Garcia Rosenbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619438215 PECOS PAC ID: 4587991336 Enrollment ID: I20220622001303 |
| Provider Name | Samuel Robert Mueting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871053132 PECOS PAC ID: 9739416843 Enrollment ID: I20220627003570 |
| Provider Name | Jessica R Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629714928 PECOS PAC ID: 2466832050 Enrollment ID: I20220628003665 |
| Provider Name | Heather Star Krause |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114493475 PECOS PAC ID: 5799165197 Enrollment ID: I20220701000617 |
| Provider Name | Kartikeya Kashyap |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831571850 PECOS PAC ID: 3476933714 Enrollment ID: I20220705002470 |
| Provider Name | Gary R Peplinski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134280134 PECOS PAC ID: 9537153192 Enrollment ID: I20220709000666 |
| Provider Name | Tara Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659014223 PECOS PAC ID: 4880074608 Enrollment ID: I20220711000330 |
| Provider Name | Bailey Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013653823 PECOS PAC ID: 6305226077 Enrollment ID: I20220712002114 |
| Provider Name | Patricia Ann Sternenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699406090 PECOS PAC ID: 4183004856 Enrollment ID: I20220712002258 |
| Provider Name | Jordanne Marie King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659897676 PECOS PAC ID: 3678992831 Enrollment ID: I20220714001027 |
| Provider Name | Samuel I Decker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629575907 PECOS PAC ID: 4183020852 Enrollment ID: I20220714003260 |
| Provider Name | Allie Coy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548754971 PECOS PAC ID: 2365797834 Enrollment ID: I20220715000524 |
| Provider Name | Joanne Rink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215991963 PECOS PAC ID: 7012967664 Enrollment ID: I20220715000582 |
| Provider Name | Usman Barlass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720469042 PECOS PAC ID: 4183916729 Enrollment ID: I20220715001941 |
| Provider Name | Joseph Patrick Bowens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851896138 PECOS PAC ID: 6507247921 Enrollment ID: I20220718000754 |
| Provider Name | Brandon James Wolff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760864300 PECOS PAC ID: 9234442401 Enrollment ID: I20220718001671 |
| Provider Name | Patrick K Kamba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104389105 PECOS PAC ID: 3375878267 Enrollment ID: I20220718003861 |
| Provider Name | Erin Dinehart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063918100 PECOS PAC ID: 5092196337 Enrollment ID: I20220719000989 |
| Provider Name | William M Bond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265993463 PECOS PAC ID: 6901134469 Enrollment ID: I20220719002194 |
| Provider Name | Colin Murphy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295145472 PECOS PAC ID: 2163739731 Enrollment ID: I20220720001669 |
| Provider Name | Onyinyechukwu Igbokwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811550585 PECOS PAC ID: 5991186801 Enrollment ID: I20220722000995 |
| Provider Name | Noelle Felz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072795 PECOS PAC ID: 0941554364 Enrollment ID: I20220722002906 |
| Provider Name | Calder Staben |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023544434 PECOS PAC ID: 7719213859 Enrollment ID: I20220725000863 |
| Provider Name | Dolkar Sherpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033542477 PECOS PAC ID: 9436452927 Enrollment ID: I20220725000896 |
| Provider Name | Charles Machell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245230507 PECOS PAC ID: 2062323066 Enrollment ID: I20220726000966 |
| Provider Name | Ahnya Michelle Booze-love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275799173 PECOS PAC ID: 9830310770 Enrollment ID: I20220801002110 |
| Provider Name | Nael Nabeel Saleem Haddad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144671330 PECOS PAC ID: 8628360633 Enrollment ID: I20220805001867 |
| Provider Name | David Slobodkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194795591 PECOS PAC ID: 3678545928 Enrollment ID: I20220805002496 |
| Provider Name | Ashlee Rose Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356075733 PECOS PAC ID: 6204218282 Enrollment ID: I20220808002276 |
| Provider Name | Kimberly Nicole White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417418302 PECOS PAC ID: 3476881871 Enrollment ID: I20220808002695 |
| Provider Name | Juan Gomez Cifuentes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124470984 PECOS PAC ID: 2163715194 Enrollment ID: I20220809000652 |
| Provider Name | Katarzyna M Wilamowska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760837181 PECOS PAC ID: 4284927211 Enrollment ID: I20220809000776 |
| Provider Name | Megan Louise Moorhead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831651793 PECOS PAC ID: 3971830852 Enrollment ID: I20220811000189 |
| Provider Name | Teressa Starr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215281167 PECOS PAC ID: 4183997133 Enrollment ID: I20220811000314 |
| Provider Name | Uma Keshava Murthy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245274182 PECOS PAC ID: 5799187852 Enrollment ID: I20220811002890 |
| Provider Name | Eric E Rightley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306309562 PECOS PAC ID: 6103153929 Enrollment ID: I20220817001804 |
| Provider Name | J George Quintana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831291590 PECOS PAC ID: 5092605063 Enrollment ID: I20220823003233 |
| Provider Name | Diane H Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770932311 PECOS PAC ID: 5799168720 Enrollment ID: I20220823004209 |
| Provider Name | Jennifer Rocio Delgado Felipa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003309261 PECOS PAC ID: 8820490691 Enrollment ID: I20220824002113 |
| Provider Name | Jeanine M Ricca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285677641 PECOS PAC ID: 3375438666 Enrollment ID: I20220825000390 |
| Provider Name | Jessica Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831822980 PECOS PAC ID: 8022492917 Enrollment ID: I20220825003708 |
| Provider Name | Alena Marie Apodaca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619613023 PECOS PAC ID: 0547644296 Enrollment ID: I20220830003827 |
| Provider Name | Angela S Borrego |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023493350 PECOS PAC ID: 8426366030 Enrollment ID: I20220831002844 |
| Provider Name | Ali Lunt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336494368 PECOS PAC ID: 1052795481 Enrollment ID: I20220901003023 |
| Provider Name | Samuel Crist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053872572 PECOS PAC ID: 9234513474 Enrollment ID: I20220907001523 |
| Provider Name | Fernando Sinaloa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043871809 PECOS PAC ID: 8628306313 Enrollment ID: I20220908000939 |
| Provider Name | Haley Jaey Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962040832 PECOS PAC ID: 7719300581 Enrollment ID: I20220909001449 |
| Provider Name | Juan Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043770936 PECOS PAC ID: 2961838347 Enrollment ID: I20220912000225 |
| Provider Name | Samuel S Carley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184187221 PECOS PAC ID: 0042547820 Enrollment ID: I20220912000381 |
| Provider Name | Gurpreet Singh Aujla |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609309681 PECOS PAC ID: 2163807165 Enrollment ID: I20220912001729 |
| Provider Name | Aiden Jake Pancer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609434893 PECOS PAC ID: 3274956446 Enrollment ID: I20220915000232 |
| Provider Name | Thanh N Meunphalangchai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225691454 PECOS PAC ID: 2062749906 Enrollment ID: I20220916001127 |
| Provider Name | Allan Tilden Herman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326604851 PECOS PAC ID: 1759614266 Enrollment ID: I20220916002030 |
| Provider Name | Steffi T Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477311 PECOS PAC ID: 6608251103 Enrollment ID: I20220920002181 |
| Provider Name | Umar Imtiaz Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316333925 PECOS PAC ID: 4385959881 Enrollment ID: I20220920003028 |
| Provider Name | Katherine Ogawa Douglas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730684465 PECOS PAC ID: 8123376050 Enrollment ID: I20220922003135 |
| Provider Name | Ladonna Jean Malone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952506859 PECOS PAC ID: 6608023668 Enrollment ID: I20220923001722 |
| Provider Name | Eryn Peregord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316432651 PECOS PAC ID: 1759638224 Enrollment ID: I20220926001254 |
| Provider Name | Gaurav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023571379 PECOS PAC ID: 4981089240 Enrollment ID: I20220929001658 |
| Provider Name | Parashar M Trivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952960437 PECOS PAC ID: 4082949235 Enrollment ID: I20220929001905 |
| Provider Name | Brandon Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821551268 PECOS PAC ID: 0749518561 Enrollment ID: I20220929002363 |
| Provider Name | Natasha Beachum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831757657 PECOS PAC ID: 2264818103 Enrollment ID: I20220930000598 |
| Provider Name | Eric Edward Berg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265619696 PECOS PAC ID: 4082860002 Enrollment ID: I20220930000624 |
| Provider Name | Jeanette M Atencio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679034961 PECOS PAC ID: 1658608765 Enrollment ID: I20221003000504 |
| Provider Name | Fatima R Naqvi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992159222 PECOS PAC ID: 2062708126 Enrollment ID: I20221003001305 |
| Provider Name | Maria Samantha Barreras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215591359 PECOS PAC ID: 1850623554 Enrollment ID: I20221003001930 |
| Provider Name | Joshua David Belle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043692494 PECOS PAC ID: 7012224793 Enrollment ID: I20221004002457 |
| Provider Name | Justin Dwayne Douglas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841820099 PECOS PAC ID: 0042696676 Enrollment ID: I20221004003301 |
| Provider Name | Elisabeth Holly Fox Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427786870 PECOS PAC ID: 1850777483 Enrollment ID: I20221004003348 |
| Provider Name | David Rutledge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588681183 PECOS PAC ID: 2062325467 Enrollment ID: I20221005000677 |
| Provider Name | Julia Marie Maclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114582228 PECOS PAC ID: 5991032815 Enrollment ID: I20221005001363 |
| Provider Name | David Andrew Mong |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1437100815 PECOS PAC ID: 8123095395 Enrollment ID: I20221005001536 |
| Provider Name | Shelby M Manno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215655287 PECOS PAC ID: 7416333091 Enrollment ID: I20221005001578 |
| Provider Name | Kalissa M Sprigg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710611587 PECOS PAC ID: 8729464326 Enrollment ID: I20221005002445 |
| Provider Name | Christopher Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114314515 PECOS PAC ID: 1153636675 Enrollment ID: I20221006001918 |
| Provider Name | Tilly T Ngo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740743871 PECOS PAC ID: 4082942859 Enrollment ID: I20221006002405 |
| Provider Name | Sandhya Devaraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659937506 PECOS PAC ID: 5193059780 Enrollment ID: I20221007002176 |
| Provider Name | Daniel Gregory Benson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629369772 PECOS PAC ID: 7315184801 Enrollment ID: I20221010002013 |
| Provider Name | Jason P Weinman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295948578 PECOS PAC ID: 6901935147 Enrollment ID: I20221011000510 |
| Provider Name | Angel L Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538889357 PECOS PAC ID: 4587030796 Enrollment ID: I20221013000092 |
| Provider Name | Lyle James Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20221013003137 |
| Provider Name | Sandy R Wienert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144571969 PECOS PAC ID: 9830331446 Enrollment ID: I20221019000429 |
| Provider Name | Chelsey Dawn Jorde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194440123 PECOS PAC ID: 3476929803 Enrollment ID: I20221026000755 |
| Provider Name | Trista F Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003306424 PECOS PAC ID: 9032466941 Enrollment ID: I20221027001158 |
| Provider Name | Huitzilin Mauricio Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20221029000013 |
| Provider Name | Jeffrey A Holman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154309615 PECOS PAC ID: 6800938325 Enrollment ID: I20221103003314 |
| Provider Name | Lorna P Browne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992901789 PECOS PAC ID: 4082794763 Enrollment ID: I20221104001083 |
| Provider Name | Amaranta Craig |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1881004281 PECOS PAC ID: 0749571859 Enrollment ID: I20221107000779 |
| Provider Name | Alexander J Bandin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790149433 PECOS PAC ID: 6507130937 Enrollment ID: I20221109002406 |
| Provider Name | Mukhtar Anees |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073714200 PECOS PAC ID: 2860463460 Enrollment ID: I20221109002827 |
| Provider Name | Laura Kathleen Kasher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881805794 PECOS PAC ID: 2264627488 Enrollment ID: I20221111001486 |
| Provider Name | Sanjay Galhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124344411 PECOS PAC ID: 3779779129 Enrollment ID: I20221114000065 |
| Provider Name | Farhood Firouzbakht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457770901 PECOS PAC ID: 8527320589 Enrollment ID: I20221114001219 |
| Provider Name | Brian M Fonseca |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356469316 PECOS PAC ID: 7517860174 Enrollment ID: I20221116000421 |
| Provider Name | Brooke Ainsley Huffsmith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477811305 PECOS PAC ID: 9133407232 Enrollment ID: I20221118002098 |
| Provider Name | Vanessa Renee Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801513650 PECOS PAC ID: 2365810421 Enrollment ID: I20221121001334 |
| Provider Name | Camilo Rosales |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831209634 PECOS PAC ID: 6305871385 Enrollment ID: I20221122002872 |
| Provider Name | Frederick French |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326024092 PECOS PAC ID: 5395978316 Enrollment ID: I20221128000320 |
| Provider Name | Shea O Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063829315 PECOS PAC ID: 8224351143 Enrollment ID: I20221129000107 |
| Provider Name | Raul Nelson Lugo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801866322 PECOS PAC ID: 7911995857 Enrollment ID: I20221130000252 |
| Provider Name | Dana M Hasten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174653638 PECOS PAC ID: 4880592260 Enrollment ID: I20221202003008 |
| Provider Name | Derly Oscar Cuellar |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275899940 PECOS PAC ID: 9830491216 Enrollment ID: I20221205000905 |
| Provider Name | Michelle A Pittman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740460351 PECOS PAC ID: 5698865103 Enrollment ID: I20221205003002 |
| Provider Name | Craig Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184021263 PECOS PAC ID: 8729395496 Enrollment ID: I20221206000375 |
| Provider Name | Thomas Eugene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912172305 PECOS PAC ID: 7810067139 Enrollment ID: I20221207000404 |
| Provider Name | Juan M Class |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992086599 PECOS PAC ID: 6002065091 Enrollment ID: I20221208001730 |
| Provider Name | Sean Diener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447976220 PECOS PAC ID: 7517336837 Enrollment ID: I20221208002069 |
| Provider Name | Jennifer Lynn Romanowicz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932528023 PECOS PAC ID: 8921401894 Enrollment ID: I20221212001170 |
| Provider Name | Arthur Rothstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477803393 PECOS PAC ID: 2062656101 Enrollment ID: I20221213003027 |
| Provider Name | Hagos Zeferu Aymut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922548890 PECOS PAC ID: 3476976275 Enrollment ID: I20221221000041 |
| Provider Name | Christy M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932539020 PECOS PAC ID: 2567832231 Enrollment ID: I20221222000141 |
| Provider Name | John Joseph Flaherty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528143807 PECOS PAC ID: 7315978780 Enrollment ID: I20221227000800 |
| Provider Name | Fray Martin Arroyo Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114471489 PECOS PAC ID: 1850634775 Enrollment ID: I20221228000619 |
| Provider Name | Max B Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962128272 PECOS PAC ID: 4183094410 Enrollment ID: I20230103002040 |
| Provider Name | Douglas Daniel Opie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154708451 PECOS PAC ID: 8921421702 Enrollment ID: I20230106000210 |
| Provider Name | Karuna Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336153733 PECOS PAC ID: 1557353505 Enrollment ID: I20230106000366 |
| Provider Name | Ghassan Kabbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730596040 PECOS PAC ID: 1759653710 Enrollment ID: I20230109002856 |
| Provider Name | Matthew Anthony Mcbride |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871536920 PECOS PAC ID: 1052325545 Enrollment ID: I20230111000846 |
| Provider Name | Nicola Ross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548597867 PECOS PAC ID: 0446621288 Enrollment ID: I20230113001953 |
| Provider Name | Sarah T Malka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114152832 PECOS PAC ID: 5698918134 Enrollment ID: I20230118002974 |
| Provider Name | Carolyn Saylor Hawk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841599099 PECOS PAC ID: 5193033637 Enrollment ID: I20230131003538 |
| Provider Name | Bree Anders Bacalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659861359 PECOS PAC ID: 4789939935 Enrollment ID: I20230206001369 |
| Provider Name | James Edward Egan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457346041 PECOS PAC ID: 8820131048 Enrollment ID: I20230215000523 |
| Provider Name | Conor Thomas Mccartney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003158221 PECOS PAC ID: 9537461082 Enrollment ID: I20230215000772 |
| Provider Name | Miko Birdsong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871209668 PECOS PAC ID: 6507238797 Enrollment ID: I20230216001945 |
| Provider Name | Timothy Matthew Robinson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093133514 PECOS PAC ID: 1355623794 Enrollment ID: I20230217001751 |
| Provider Name | Ghasem Imani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609307966 PECOS PAC ID: 1759754500 Enrollment ID: I20230227002014 |
| Provider Name | Barbara Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609008861 PECOS PAC ID: 8022481738 Enrollment ID: I20230228001685 |
| Provider Name | Larry D Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235261827 PECOS PAC ID: 7810088945 Enrollment ID: I20230302000859 |
| Provider Name | Sheetal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124132642 PECOS PAC ID: 7911969076 Enrollment ID: I20230302001028 |
| Provider Name | Lawrence G Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780667808 PECOS PAC ID: 0547279382 Enrollment ID: I20230306001127 |
| Provider Name | Jahnelle Louise Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497468011 PECOS PAC ID: 4981943826 Enrollment ID: I20230308000341 |
| Provider Name | Caridad Maylin De La Uz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205094828 PECOS PAC ID: 8527223890 Enrollment ID: I20230313000160 |
| Provider Name | Man Hsuan Melany Su |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720571763 PECOS PAC ID: 7113329236 Enrollment ID: I20230314002065 |
| Provider Name | Brandi R Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255045043 PECOS PAC ID: 6305210204 Enrollment ID: I20230315003205 |
| Provider Name | Madan Mohan Reddy Arugunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447598958 PECOS PAC ID: 5799095360 Enrollment ID: I20230317001095 |
| Provider Name | Ekong Uffort |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720240690 PECOS PAC ID: 4587802848 Enrollment ID: I20230318000013 |
| Provider Name | Alish Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972219210 PECOS PAC ID: 2668846403 Enrollment ID: I20230320000173 |
| Provider Name | Ashley Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154029767 PECOS PAC ID: 6305210683 Enrollment ID: I20230328002743 |
| Provider Name | Halley D Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336801208 PECOS PAC ID: 8123412764 Enrollment ID: I20230330002096 |
| Provider Name | Thomas Zarchary Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699188672 PECOS PAC ID: 3476779364 Enrollment ID: I20230331002683 |
| Provider Name | Joanne Elizabeth Lapetina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598723983 PECOS PAC ID: 5294732442 Enrollment ID: I20230404001527 |
| Provider Name | Sahithi Pamireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578016713 PECOS PAC ID: 2860723988 Enrollment ID: I20230406000382 |
| Provider Name | Kimberlea Anne Roe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306890694 PECOS PAC ID: 3375792872 Enrollment ID: I20230410002631 |
| Provider Name | Amber Marie Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881307924 PECOS PAC ID: 2961877675 Enrollment ID: I20230411002964 |
| Provider Name | Mahdis Solhjoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184157786 PECOS PAC ID: 0648517045 Enrollment ID: I20230413000772 |
| Provider Name | William Godfrey Wheeler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558623892 PECOS PAC ID: 4587886460 Enrollment ID: I20230417000602 |
| Provider Name | Angela Denise Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134837032 PECOS PAC ID: 4789059130 Enrollment ID: I20230417002136 |
| Provider Name | Melani Marie Kellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588365613 PECOS PAC ID: 4880069285 Enrollment ID: I20230418000783 |
| Provider Name | Donald Morere |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689678930 PECOS PAC ID: 7416910708 Enrollment ID: I20230427001778 |
| Provider Name | Tyson A Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346701448 PECOS PAC ID: 9739569898 Enrollment ID: I20230503003303 |
| Provider Name | Richard Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932427218 PECOS PAC ID: 4880810282 Enrollment ID: I20230504001188 |
| Provider Name | Dannette Reese Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528603339 PECOS PAC ID: 8325404734 Enrollment ID: I20230509002478 |
| Provider Name | Joseph Christopher Walloch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134477656 PECOS PAC ID: 8426414871 Enrollment ID: I20230510001331 |
| Provider Name | Billy Bravo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033389150 PECOS PAC ID: 5698954592 Enrollment ID: I20230511000069 |
| Provider Name | Lukas Dinstbier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528640604 PECOS PAC ID: 2466818497 Enrollment ID: I20230517003576 |
| Provider Name | Marcus Anthony Baca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386062503 PECOS PAC ID: 8729205943 Enrollment ID: I20230518003151 |
| Provider Name | John M Doan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518347939 PECOS PAC ID: 4082080882 Enrollment ID: I20230523002261 |
| Provider Name | Lily Alexandrovna Ryzhkova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114376381 PECOS PAC ID: 5294075560 Enrollment ID: I20230526001238 |
| Provider Name | Sheri D'lynn Christian-armstrong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679996706 PECOS PAC ID: 6103104138 Enrollment ID: I20230602001171 |
| Provider Name | Robin Towle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811038763 PECOS PAC ID: 4587021472 Enrollment ID: I20230608000858 |
| Provider Name | Sara Suzanne Kemp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790051167 PECOS PAC ID: 7517117757 Enrollment ID: I20230608001092 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20230612003304 |
| Provider Name | Nathan Elwood Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609307339 PECOS PAC ID: 2264702240 Enrollment ID: I20230613000461 |
| Provider Name | Jamie L Odden |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427588698 PECOS PAC ID: 0345510723 Enrollment ID: I20230613002216 |
| Provider Name | Kamesh Sivagnanam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396043055 PECOS PAC ID: 1658641485 Enrollment ID: I20230614003085 |
| Provider Name | Chelsea Kahle Bockelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891156709 PECOS PAC ID: 5092189027 Enrollment ID: I20230614003433 |
| Provider Name | Georgina Leamon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124558457 PECOS PAC ID: 4284903147 Enrollment ID: I20230614003981 |
| Provider Name | Andrew Leamon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750811865 PECOS PAC ID: 8527336023 Enrollment ID: I20230615000010 |
| Provider Name | Mahfuzul Majumdar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295984078 PECOS PAC ID: 2769543966 Enrollment ID: I20230615000373 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230616002615 |
| Provider Name | Brittnee R Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114633054 PECOS PAC ID: 4688032691 Enrollment ID: I20230623001541 |
| Provider Name | Tad P Callahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225112931 PECOS PAC ID: 2365689965 Enrollment ID: I20230701000406 |
| Provider Name | Chetan Narendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306132139 PECOS PAC ID: 7416277223 Enrollment ID: I20230705000017 |
| Provider Name | Robert Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962810937 PECOS PAC ID: 8527331305 Enrollment ID: I20230705000922 |
| Provider Name | Tiffany A Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740985274 PECOS PAC ID: 1951760958 Enrollment ID: I20230710000854 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20230710002074 |
| Provider Name | Ryan M Kiser |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144751165 PECOS PAC ID: 2365713799 Enrollment ID: I20230710003444 |
| Provider Name | Nicholas R Villalon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942525332 PECOS PAC ID: 6204063662 Enrollment ID: I20230711003725 |
| Provider Name | Roger Dwayne Shockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992240808 PECOS PAC ID: 7012292048 Enrollment ID: I20230712000014 |
| Provider Name | Melissa Corinne Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447335963 PECOS PAC ID: 5496785974 Enrollment ID: I20230712001336 |
| Provider Name | Jennifer Real |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598779191 PECOS PAC ID: 6608884267 Enrollment ID: I20230712003737 |
| Provider Name | Rosemina Anverhussein Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245726819 PECOS PAC ID: 0042670739 Enrollment ID: I20230712004406 |
| Provider Name | Adham Eyad Dukhi Obeidat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962054916 PECOS PAC ID: 2365802931 Enrollment ID: I20230713003086 |
| Provider Name | Andrew M Bivin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689202582 PECOS PAC ID: 6608292651 Enrollment ID: I20230713003673 |
| Provider Name | Pramesh Baral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912516022 PECOS PAC ID: 0648696955 Enrollment ID: I20230714000225 |
| Provider Name | Elisha Praveta Mahilal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528681095 PECOS PAC ID: 8426470782 Enrollment ID: I20230714000756 |
| Provider Name | Karen Abich Carracedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063054369 PECOS PAC ID: 1456777473 Enrollment ID: I20230715000212 |
| Provider Name | Eliana Milazzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225522980 PECOS PAC ID: 1850648957 Enrollment ID: I20230717003785 |
| Provider Name | Manoj Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104358043 PECOS PAC ID: 8921421009 Enrollment ID: I20230718001175 |
| Provider Name | Arash Shamsinejad Babaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750498119 PECOS PAC ID: 0446244438 Enrollment ID: I20230719000088 |
| Provider Name | Jason S Reich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992047088 PECOS PAC ID: 7618194457 Enrollment ID: I20230719000163 |
| Provider Name | Colin Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780025114 PECOS PAC ID: 6800253774 Enrollment ID: I20230719000692 |
| Provider Name | Timothy J Rupp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497766166 PECOS PAC ID: 8325007479 Enrollment ID: I20230719000905 |
| Provider Name | Daniel Brooks Levin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952796997 PECOS PAC ID: 5890084974 Enrollment ID: I20230719001531 |
| Provider Name | Lillian L Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770674962 PECOS PAC ID: 5395872634 Enrollment ID: I20230719004301 |
| Provider Name | Ha Ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942996566 PECOS PAC ID: 6608236815 Enrollment ID: I20230719004413 |
| Provider Name | Molly Maenchen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821521816 PECOS PAC ID: 6204296346 Enrollment ID: I20230720001854 |
| Provider Name | Jeffrey Wayland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205465028 PECOS PAC ID: 8426475971 Enrollment ID: I20230721002041 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20230725000619 |
| Provider Name | Jean-philippe Elie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164059309 PECOS PAC ID: 9234568544 Enrollment ID: I20230727000357 |
| Provider Name | Shawna Patrice Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043379456 PECOS PAC ID: 0941359475 Enrollment ID: I20230801001180 |
| Provider Name | Mohamed Abdelraouf Mo Abdelbaky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770103897 PECOS PAC ID: 9335500701 Enrollment ID: I20230801003553 |
| Provider Name | Eric Bachrach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679787071 PECOS PAC ID: 7416132329 Enrollment ID: I20230801003817 |
| Provider Name | Donna Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245739671 PECOS PAC ID: 4082075379 Enrollment ID: I20230802004313 |
| Provider Name | Edward Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588293880 PECOS PAC ID: 5395161673 Enrollment ID: I20230803003606 |
| Provider Name | David Armando Vivas Villarreal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619536737 PECOS PAC ID: 1850726969 Enrollment ID: I20230804000184 |
| Provider Name | Bakri M Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134660327 PECOS PAC ID: 7416318472 Enrollment ID: I20230807003449 |
| Provider Name | Victor K Gutierrez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114372059 PECOS PAC ID: 9133413479 Enrollment ID: I20230808000019 |
| Provider Name | Foma Munoh Kenne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972039378 PECOS PAC ID: 9133532559 Enrollment ID: I20230809001358 |
| Provider Name | Alexander Sasha Dragic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588158083 PECOS PAC ID: 3971855370 Enrollment ID: I20230810002342 |
| Provider Name | Jacob Jonathan Mayfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235660689 PECOS PAC ID: 0244652980 Enrollment ID: I20230811000043 |
| Provider Name | Allison M. Mcclain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841828910 PECOS PAC ID: 8820493927 Enrollment ID: I20230811003128 |
| Provider Name | Kalu B Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770119679 PECOS PAC ID: 0143643122 Enrollment ID: I20230814001130 |
| Provider Name | Alisa Clark Illescas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972131159 PECOS PAC ID: 2668898669 Enrollment ID: I20230816004151 |
| Provider Name | Chantelle Begian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972122190 PECOS PAC ID: 2961864202 Enrollment ID: I20230817002463 |
| Provider Name | Circe D Cooke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871569327 PECOS PAC ID: 5496704181 Enrollment ID: I20230818001669 |
| Provider Name | Kimberly Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891470829 PECOS PAC ID: 7214399351 Enrollment ID: I20230822000430 |
| Provider Name | Ethan Arthur Prairie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134749195 PECOS PAC ID: 3375965239 Enrollment ID: I20230823000494 |
| Provider Name | Kelsey Jordan Soppet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396374484 PECOS PAC ID: 9537586102 Enrollment ID: I20230823001008 |
| Provider Name | Joseph Valdez Pagador |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750910220 PECOS PAC ID: 4587081062 Enrollment ID: I20230823002526 |
| Provider Name | Adrienne Griffin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760877740 PECOS PAC ID: 1951729698 Enrollment ID: I20230829001070 |
| Provider Name | Anthony Charles Fredericks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114486107 PECOS PAC ID: 9537576566 Enrollment ID: I20230829003943 |
| Provider Name | Musab Bosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578191458 PECOS PAC ID: 7810350162 Enrollment ID: I20230905000121 |
| Provider Name | Claire Francesca Melo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699390344 PECOS PAC ID: 6103249768 Enrollment ID: I20230905003900 |
| Provider Name | Valerie J Lucrecio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265111678 PECOS PAC ID: 7911360177 Enrollment ID: I20230906000618 |
| Provider Name | Traci Lynne French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801842414 PECOS PAC ID: 3971523903 Enrollment ID: I20230907004322 |
| Provider Name | Alicia Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255969358 PECOS PAC ID: 7911386628 Enrollment ID: I20230911002495 |
| Provider Name | Chika Winifred Akabusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497383384 PECOS PAC ID: 9133583016 Enrollment ID: I20230911002968 |
| Provider Name | Carmen Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922787563 PECOS PAC ID: 8123482023 Enrollment ID: I20230911004027 |
| Provider Name | Umar Cheema |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1164919437 PECOS PAC ID: 0648528919 Enrollment ID: I20230912001622 |
| Provider Name | Parisa Lucia Kermani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245799311 PECOS PAC ID: 9234463811 Enrollment ID: I20230913000353 |
| Provider Name | Brian Scott Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144845884 PECOS PAC ID: 8224457759 Enrollment ID: I20230918000642 |
| Provider Name | Makita Leann Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558077198 PECOS PAC ID: 4789048273 Enrollment ID: I20230918000654 |
| Provider Name | Mila B Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336564004 PECOS PAC ID: 2567774433 Enrollment ID: I20230919000525 |
| Provider Name | Edward Chieke Nwanegbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891955944 PECOS PAC ID: 6002931227 Enrollment ID: I20230919001285 |
| Provider Name | Marwan M Iskandarani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255386470 PECOS PAC ID: 7719060433 Enrollment ID: I20230919002244 |
| Provider Name | Elizabeth Nicole Scripsick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619505450 PECOS PAC ID: 5799109161 Enrollment ID: I20230920000434 |
| Provider Name | Sarah Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215614540 PECOS PAC ID: 0547624827 Enrollment ID: I20230920000579 |
| Provider Name | Mohamed Abdel Kader Morsy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902865157 PECOS PAC ID: 0941222095 Enrollment ID: I20230921004354 |
| Provider Name | Ananya Das |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669457206 PECOS PAC ID: 9739145699 Enrollment ID: I20230928000066 |
| Provider Name | Christopher Roy Hawk |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578852265 PECOS PAC ID: 1557686219 Enrollment ID: I20230928000251 |
| Provider Name | Victoria Helen Mohr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700848223 PECOS PAC ID: 2567436801 Enrollment ID: I20230928002907 |
| Provider Name | Aditi Mittal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831611946 PECOS PAC ID: 2567720741 Enrollment ID: I20230929000205 |
| Provider Name | Abhinav Kumar Nadipalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841711397 PECOS PAC ID: 5698190676 Enrollment ID: I20230929000347 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20231002001237 |
| Provider Name | Noura Mohamed Sharabash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629250501 PECOS PAC ID: 4183791403 Enrollment ID: I20231003001833 |
| Provider Name | Guillermo Saul Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093334682 PECOS PAC ID: 2668899188 Enrollment ID: I20231004002634 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20231005002013 |
| Provider Name | Szandra Ruggles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699456491 PECOS PAC ID: 4183079411 Enrollment ID: I20231006000676 |
| Provider Name | Lori Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326104985 PECOS PAC ID: 5597053520 Enrollment ID: I20231006001218 |
| Provider Name | Sean Timothy Hearn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477516425 PECOS PAC ID: 1052304854 Enrollment ID: I20231009000078 |
| Provider Name | Bernard Rosal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770102352 PECOS PAC ID: 6608206461 Enrollment ID: I20231009003476 |
| Provider Name | Michelle Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508495631 PECOS PAC ID: 8628494630 Enrollment ID: I20231010002103 |
| Provider Name | John Jerius |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306848353 PECOS PAC ID: 3678472370 Enrollment ID: I20231010002176 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20231010004199 |
| Provider Name | Cynthia N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235730581 PECOS PAC ID: 7719390012 Enrollment ID: I20231010004223 |
| Provider Name | Karen Selene Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891470498 PECOS PAC ID: 9335594274 Enrollment ID: I20231012000075 |
| Provider Name | Harsh R Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255969051 PECOS PAC ID: 3870910383 Enrollment ID: I20231013003336 |
| Provider Name | Kathryn E Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871051300 PECOS PAC ID: 2668709502 Enrollment ID: I20231018004182 |
| Provider Name | Pervaiz Rahman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598772402 PECOS PAC ID: 8729021886 Enrollment ID: I20231020000247 |
| Provider Name | Ashley Crystal Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841978806 PECOS PAC ID: 4880040179 Enrollment ID: I20231023002064 |
| Provider Name | Alex Dominique Ramirez Polaco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861186611 PECOS PAC ID: 4981050291 Enrollment ID: I20231023002970 |
| Provider Name | Bradley Espeseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740463876 PECOS PAC ID: 2567708027 Enrollment ID: I20231024000794 |
| Provider Name | Lloyd Lee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851072524 PECOS PAC ID: 1052767290 Enrollment ID: I20231025000660 |
| Provider Name | Cathy Marie O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003955279 PECOS PAC ID: 6608834387 Enrollment ID: I20231028000574 |
| Provider Name | Arram Noshirvan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316431430 PECOS PAC ID: 7517384258 Enrollment ID: I20231028000608 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20231030000948 |
| Provider Name | Jasmine Valerie Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013362953 PECOS PAC ID: 5294160123 Enrollment ID: I20231030003892 |
| Provider Name | Muhammad Ali Pervaiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417174186 PECOS PAC ID: 9830290519 Enrollment ID: I20231031001581 |
| Provider Name | Appaji Rayi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184930133 PECOS PAC ID: 4981915824 Enrollment ID: I20231031001882 |
| Provider Name | Michael Rae Gardner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831517242 PECOS PAC ID: 3173823960 Enrollment ID: I20231031002217 |
| Provider Name | Jenna M Currie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508548066 PECOS PAC ID: 1951757764 Enrollment ID: I20231031002356 |
| Provider Name | Alonzo Lobato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568003580 PECOS PAC ID: 6204269186 Enrollment ID: I20231104000601 |
| Provider Name | Seth Hepner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609131663 PECOS PAC ID: 2466681671 Enrollment ID: I20231106001193 |
| Provider Name | Therese C Maestas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700661063 PECOS PAC ID: 7214384619 Enrollment ID: I20231107001189 |
| Provider Name | Vanessa N Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609552389 PECOS PAC ID: 9830546944 Enrollment ID: I20231111000169 |
| Provider Name | Yvonne Efeoghene Erusiafe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780145607 PECOS PAC ID: 6204178189 Enrollment ID: I20231113001435 |
| Provider Name | Don Edward Brinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235237090 PECOS PAC ID: 9739224148 Enrollment ID: I20231113003561 |
| Provider Name | Lauren Dayle Heckethorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437649423 PECOS PAC ID: 3779833454 Enrollment ID: I20231114000938 |
| Provider Name | Carlos Eduardo Ballesteros |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912384686 PECOS PAC ID: 0143516179 Enrollment ID: I20231116001248 |
| Provider Name | Nicole K Abeyta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083243711 PECOS PAC ID: 3476979485 Enrollment ID: I20231116002211 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20231201000475 |
| Provider Name | Asma Moussaoui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720424898 PECOS PAC ID: 8426354432 Enrollment ID: I20231201001524 |
| Provider Name | Bridgett M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20231201001940 |
| Provider Name | Charles Sweet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164568283 PECOS PAC ID: 8123181989 Enrollment ID: I20231201002335 |
| Provider Name | Daniel John Growney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659367936 PECOS PAC ID: 1355232166 Enrollment ID: I20231204000934 |
| Provider Name | Amber Sheikh Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730250374 PECOS PAC ID: 2567537640 Enrollment ID: I20231204001507 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20231205003835 |
| Provider Name | Alina Leshchiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134738230 PECOS PAC ID: 8426418948 Enrollment ID: I20231208001632 |
| Provider Name | Stephen Andrew Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831973189 PECOS PAC ID: 7618326125 Enrollment ID: I20231208003353 |
| Provider Name | Melissa Kaye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760547251 PECOS PAC ID: 0446271316 Enrollment ID: I20231211000672 |
| Provider Name | Sitwat F Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376004556 PECOS PAC ID: 4183967961 Enrollment ID: I20231211002077 |
| Provider Name | Andrea L Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942533807 PECOS PAC ID: 6901059849 Enrollment ID: I20231213000192 |
| Provider Name | Carmen Hupf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467629519 PECOS PAC ID: 0648348110 Enrollment ID: I20231214001459 |
| Provider Name | Melissa Ellen Schechter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245896901 PECOS PAC ID: 9830426725 Enrollment ID: I20231214001630 |
| Provider Name | Kristina Agranat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043726904 PECOS PAC ID: 3870856446 Enrollment ID: I20231214002837 |
| Provider Name | Bennett B King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609372176 PECOS PAC ID: 8123376191 Enrollment ID: I20231214003004 |
| Provider Name | Natalie Williamson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619285152 PECOS PAC ID: 3678830452 Enrollment ID: I20231215001016 |
| Provider Name | Sharon G Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467433672 PECOS PAC ID: 5799159802 Enrollment ID: I20231219000748 |
| Provider Name | David George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336133750 PECOS PAC ID: 4183516727 Enrollment ID: I20231219003278 |
| Provider Name | Colleen Winter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689127722 PECOS PAC ID: 3274984232 Enrollment ID: I20240104000889 |
| Provider Name | Nhut Minh Phan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992283402 PECOS PAC ID: 5890146682 Enrollment ID: I20240105001341 |
| Provider Name | Robert Leslie Bloom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821014846 PECOS PAC ID: 5294721320 Enrollment ID: I20240108000743 |
| Provider Name | Nan Wee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225019250 PECOS PAC ID: 3577844877 Enrollment ID: I20240109002044 |
| Provider Name | Maria M Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053661389 PECOS PAC ID: 1153557061 Enrollment ID: I20240117004890 |
| Provider Name | Lacy N Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508233156 PECOS PAC ID: 4284934068 Enrollment ID: I20240118001270 |
| Provider Name | Tammy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629617873 PECOS PAC ID: 9133547292 Enrollment ID: I20240122003330 |
| Provider Name | Stephanie Crosser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992861470 PECOS PAC ID: 8325490543 Enrollment ID: I20240123003212 |
| Provider Name | John Michael O'neal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053441774 PECOS PAC ID: 2668872011 Enrollment ID: I20240123003917 |
| Provider Name | Thomas Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437512209 PECOS PAC ID: 7315399599 Enrollment ID: I20240124000231 |
| Provider Name | Angel Toledo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588430268 PECOS PAC ID: 7911359195 Enrollment ID: I20240124000309 |
| Provider Name | Sandra Herrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437512126 PECOS PAC ID: 0143672337 Enrollment ID: I20240124000462 |
| Provider Name | Verjeana Gurley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639249691 PECOS PAC ID: 4880603216 Enrollment ID: I20240124001154 |
| Provider Name | Margaret Anne Migliorati |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548238678 PECOS PAC ID: 8921022807 Enrollment ID: I20240124001558 |
| Provider Name | Angelica Saenz-fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669245338 PECOS PAC ID: 6406209634 Enrollment ID: I20240124002292 |
| Provider Name | Robert K Becher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619086931 PECOS PAC ID: 7618320854 Enrollment ID: I20240124002571 |
| Provider Name | Pamela P Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871861757 PECOS PAC ID: 4082067178 Enrollment ID: I20240124004418 |
| Provider Name | Scott Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457705642 PECOS PAC ID: 8628360062 Enrollment ID: I20240125001704 |
| Provider Name | Allison Mullarney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740656024 PECOS PAC ID: 0840566758 Enrollment ID: I20240125004463 |
| Provider Name | Megan Waite |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487946612 PECOS PAC ID: 2860707114 Enrollment ID: I20240126002127 |
| Provider Name | Janelle J Morgan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417129396 PECOS PAC ID: 4789962093 Enrollment ID: I20240126002807 |
| Provider Name | Renea Reano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558960153 PECOS PAC ID: 5991113631 Enrollment ID: I20240126003129 |
| Provider Name | Cassaundra Mutum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518497874 PECOS PAC ID: 0840560074 Enrollment ID: I20240201000393 |
| Provider Name | Emiliana Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386661973 PECOS PAC ID: 7810127719 Enrollment ID: I20240205002156 |
| Provider Name | Divyansu Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710178702 PECOS PAC ID: 2668546771 Enrollment ID: I20240206000500 |
| Provider Name | Farrukh K Ashraf |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972730885 PECOS PAC ID: 4981854239 Enrollment ID: I20240206000718 |
| Provider Name | Stuart H Cline |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639364557 PECOS PAC ID: 6901249887 Enrollment ID: I20240207003051 |
| Provider Name | Trena Lanelle Stoute |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588003719 PECOS PAC ID: 8123313632 Enrollment ID: I20240208002249 |
| Provider Name | Deepti Bala Kallam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609209949 PECOS PAC ID: 5496054587 Enrollment ID: I20240209002254 |
| Provider Name | Jennifer Steele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821228206 PECOS PAC ID: 7416390869 Enrollment ID: I20240213002058 |
| Provider Name | Michael Leslie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548729684 PECOS PAC ID: 2264761345 Enrollment ID: I20240215000147 |
| Provider Name | Katia Jasmin Robinson Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003276833 PECOS PAC ID: 6103100276 Enrollment ID: I20240216000835 |
| Provider Name | Yi Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629327986 PECOS PAC ID: 0547538118 Enrollment ID: I20240219000858 |
| Provider Name | Lucy Cheng |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235580085 PECOS PAC ID: 4981974748 Enrollment ID: I20240219001422 |
| Provider Name | Catherine Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679747786 PECOS PAC ID: 0941441885 Enrollment ID: I20240221001206 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20240223000505 |
| Provider Name | Mirna M Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669155495 PECOS PAC ID: 5193160265 Enrollment ID: I20240228002193 |
| Provider Name | Joy Marie Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760702328 PECOS PAC ID: 0042441248 Enrollment ID: I20240228003629 |
| Provider Name | Madigan P Chandler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063841997 PECOS PAC ID: 9830534874 Enrollment ID: I20240229000437 |
| Provider Name | Maria Indira Flores Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194343954 PECOS PAC ID: 3779928601 Enrollment ID: I20240229003783 |
| Provider Name | Shannon L South |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841613007 PECOS PAC ID: 7214372945 Enrollment ID: I20240304001968 |
Double Happiness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Ponderosa Ave Ne, Albuquerque, NM 87110 Phone: 505-385-4127 Fax: 505-265-5041 | |
Albuquerque Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-314-0748 | |
Gabriella Good Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Indian Farm Ln Nw, Albuquerque, NM 87107 Phone: 505-259-8694 Fax: 186-660-7177 | |
Hands On Health Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111 Phone: 505-298-8020 | |
Medicus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 Montgomery Pkwy Ne, Albuquerque, NM 87111 Phone: 505-234-1040 Fax: 505-293-7183 | |
New Mexico Neuromuscular Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2741 Indian School Rd Ne, Albuquerque, NM 87106 Phone: 505-255-8682 Fax: 505-255-7890 | |
Lovelace Healthcare Center-rio Bravo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 Phone: 505-873-6400 Fax: 505-873-6403 |