| Privia Medical Group, Llc | |
|
950 N Glebe Rd Ste 700 Arlington VA 22203-4173 | |
| (571) 366-8850 | |
| (813) 315-6180 |
| Full Name | Privia Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 N Glebe Rd Ste 700, Arlington, Virginia |
| Authorized Official Name and Position | Brianna Foulkrod (AVP CREDENTIALING AND ENROLLMENT) |
| Authorized Official Contact | 5716502710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group, Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: (571) 650-2710 | Privia Medical Group, Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: (571) 366-8850 |
| NPI Number | 1013042480 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 01/27/2026 |
| Medicare PECOS PAC ID | 4385682061 |
|---|---|
| Medicare Enrollment ID | O20050422000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013042480 | NPI | - | NPPES |
| Provider Name | Bijal A Katarki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669583910 PECOS PAC ID: 3577475920 Enrollment ID: I20031104000200 |
| Provider Name | Lawrence M Stein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043203359 PECOS PAC ID: 3476459231 Enrollment ID: I20031211000429 |
| Provider Name | William A Condrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770643280 PECOS PAC ID: 7113825720 Enrollment ID: I20031220000074 |
| Provider Name | Walter S Von Pechmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023043361 PECOS PAC ID: 1153229075 Enrollment ID: I20031230000046 |
| Provider Name | Michael J Nathan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174614655 PECOS PAC ID: 0345140224 Enrollment ID: I20040109000095 |
| Provider Name | Anna Khanh Le |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841382553 PECOS PAC ID: 0345143004 Enrollment ID: I20040129000892 |
| Provider Name | Mark N Levy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154324010 PECOS PAC ID: 8921991266 Enrollment ID: I20040202001200 |
| Provider Name | Lawrence J Green |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073581344 PECOS PAC ID: 6608765623 Enrollment ID: I20040315001013 |
| Provider Name | Jima Telele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356465553 PECOS PAC ID: 7012807548 Enrollment ID: I20040318000559 |
| Provider Name | Kenneth Mark Brooks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073604435 PECOS PAC ID: 1355233107 Enrollment ID: I20040326000314 |
| Provider Name | Charles L Huh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255379889 PECOS PAC ID: 0749272185 Enrollment ID: I20040402001014 |
| Provider Name | Steven P Marshak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730110305 PECOS PAC ID: 6709879703 Enrollment ID: I20040406000586 |
| Provider Name | Chethana V Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710917869 PECOS PAC ID: 4385637206 Enrollment ID: I20040406001544 |
| Provider Name | Ramani Peruvemba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619924701 PECOS PAC ID: 7315931144 Enrollment ID: I20040413001533 |
| Provider Name | Stuart W Hough |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568417871 PECOS PAC ID: 4385638113 Enrollment ID: I20040413001558 |
| Provider Name | Bhanumathi Krishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730281395 PECOS PAC ID: 1850385402 Enrollment ID: I20040414001262 |
| Provider Name | Azita Moalemi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225077613 PECOS PAC ID: 3577558006 Enrollment ID: I20040415000615 |
| Provider Name | Naghmeh Tebyanian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659310043 PECOS PAC ID: 1052202314 Enrollment ID: I20040420000488 |
| Provider Name | Young Don Park |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134221781 PECOS PAC ID: 5496741530 Enrollment ID: I20040422001710 |
| Provider Name | Lauren Renee Rodgers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073502548 PECOS PAC ID: 6103813142 Enrollment ID: I20040429001323 |
| Provider Name | Asefa Mekonnen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306841812 PECOS PAC ID: 4688662570 Enrollment ID: I20040430001023 |
| Provider Name | Mark E Franke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114934650 PECOS PAC ID: 5395738017 Enrollment ID: I20040507000293 |
| Provider Name | Anita G Rentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265426555 PECOS PAC ID: 9830188416 Enrollment ID: I20040510000154 |
| Provider Name | Nathan N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981475 PECOS PAC ID: 8426049453 Enrollment ID: I20040519001135 |
| Provider Name | Newton Andrews |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245399369 PECOS PAC ID: 1254312226 Enrollment ID: I20040526000361 |
| Provider Name | Milo V Ferraro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881731636 PECOS PAC ID: 4789669508 Enrollment ID: I20040625000025 |
| Provider Name | Monica Bali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811082258 PECOS PAC ID: 1254318652 Enrollment ID: I20040702000880 |
| Provider Name | Mandana Hashefi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790740918 PECOS PAC ID: 4688652472 Enrollment ID: I20040708001275 |
| Provider Name | Andrew Paul Cichosz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073570800 PECOS PAC ID: 1951389683 Enrollment ID: I20040709000751 |
| Provider Name | Preetika K Sidhu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821066689 PECOS PAC ID: 6103804851 Enrollment ID: I20040709000954 |
| Provider Name | Mahmoud Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437118197 PECOS PAC ID: 2466430897 Enrollment ID: I20040712000595 |
| Provider Name | Irfan A Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033186531 PECOS PAC ID: 1658350269 Enrollment ID: I20040716000996 |
| Provider Name | Lori Kropfelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972803344 PECOS PAC ID: 3274512447 Enrollment ID: I20040720000668 |
| Provider Name | Konrad W Bakker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346246782 PECOS PAC ID: 7416936661 Enrollment ID: I20040721001066 |
| Provider Name | Shahid Shamim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932208543 PECOS PAC ID: 9537149935 Enrollment ID: I20040727000126 |
| Provider Name | Anthony J Rimicci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104831510 PECOS PAC ID: 4385614775 Enrollment ID: I20040731000331 |
| Provider Name | Husna R Baksh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740396092 PECOS PAC ID: 0143293860 Enrollment ID: I20040819000402 |
| Provider Name | James Bicksel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265424147 PECOS PAC ID: 9234105115 Enrollment ID: I20040902000953 |
| Provider Name | Richard A Digioia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417049446 PECOS PAC ID: 5294701595 Enrollment ID: I20040908000925 |
| Provider Name | Mary-margaret Lewis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487645750 PECOS PAC ID: 9234107145 Enrollment ID: I20040920000237 |
| Provider Name | Elizabeth A Intermill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689668980 PECOS PAC ID: 7113999855 Enrollment ID: I20040923000110 |
| Provider Name | Soonbok G Woo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285672105 PECOS PAC ID: 7315916152 Enrollment ID: I20040929000269 |
| Provider Name | Atiya Gopalani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407894124 PECOS PAC ID: 4284603911 Enrollment ID: I20040929001026 |
| Provider Name | Valerie Chrosniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982666590 PECOS PAC ID: 8325017643 Enrollment ID: I20041001000908 |
| Provider Name | Shalla H Khan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1114100583 PECOS PAC ID: 5294794731 Enrollment ID: I20041008000870 |
| Provider Name | Andrew Chung |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427151612 PECOS PAC ID: 1052371499 Enrollment ID: I20041012000249 |
| Provider Name | Christine H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104881838 PECOS PAC ID: 3072574128 Enrollment ID: I20041021000703 |
| Provider Name | Garry W Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558328534 PECOS PAC ID: 0749241420 Enrollment ID: I20041026000255 |
| Provider Name | Roy W Langley |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750394755 PECOS PAC ID: 9335101609 Enrollment ID: I20041028001113 |
| Provider Name | Bao N Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598713851 PECOS PAC ID: 4183521404 Enrollment ID: I20041101000915 |
| Provider Name | Toni L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336134675 PECOS PAC ID: 3870557697 Enrollment ID: I20041112000072 |
| Provider Name | Julia Stanford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235170853 PECOS PAC ID: 0749244101 Enrollment ID: I20041116000138 |
| Provider Name | Janine R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699771394 PECOS PAC ID: 5799740486 Enrollment ID: I20041124000609 |
| Provider Name | Mylene M Kedrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528052685 PECOS PAC ID: 6901862762 Enrollment ID: I20041203000711 |
| Provider Name | Suzan Elizabeth Shibla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174519227 PECOS PAC ID: 1052378916 Enrollment ID: I20041213000888 |
| Provider Name | Jeffry T Waldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548266117 PECOS PAC ID: 0244297729 Enrollment ID: I20041216000233 |
| Provider Name | Gary H Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386606952 PECOS PAC ID: 3577521624 Enrollment ID: I20041221000836 |
| Provider Name | Byron Cooper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164484341 PECOS PAC ID: 5193783199 Enrollment ID: I20041222000149 |
| Provider Name | Saba Samee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1063495695 PECOS PAC ID: 3971561556 Enrollment ID: I20041229000479 |
| Provider Name | Richard S Squires |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861485047 PECOS PAC ID: 8921056383 Enrollment ID: I20050112000375 |
| Provider Name | Mary Elizabeth Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578554887 PECOS PAC ID: 7416907522 Enrollment ID: I20050126001002 |
| Provider Name | Nicholette M Martin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578561098 PECOS PAC ID: 7113820960 Enrollment ID: I20050128000710 |
| Provider Name | Shishir Kumar Khetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20050131000471 |
| Provider Name | Michael J Grady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659497667 PECOS PAC ID: 3476510314 Enrollment ID: I20050202000479 |
| Provider Name | William M Steinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962408054 PECOS PAC ID: 0648222836 Enrollment ID: I20050216000248 |
| Provider Name | Rajesh Puri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194939033 PECOS PAC ID: 7810940954 Enrollment ID: I20050301000272 |
| Provider Name | Kantha R Stoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861436958 PECOS PAC ID: 0749236172 Enrollment ID: I20050329000365 |
| Provider Name | Douglas Frankel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578676151 PECOS PAC ID: 3274570544 Enrollment ID: I20050408000776 |
| Provider Name | Enrico A Giangeruso |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568560134 PECOS PAC ID: 8527005180 Enrollment ID: I20050414000793 |
| Provider Name | David W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093794067 PECOS PAC ID: 6709823248 Enrollment ID: I20050415000169 |
| Provider Name | Irving J Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225015175 PECOS PAC ID: 6608813142 Enrollment ID: I20050415000177 |
| Provider Name | Paul B Cannon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740285022 PECOS PAC ID: 8921046665 Enrollment ID: I20050421001563 |
| Provider Name | John P Valenti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831205186 PECOS PAC ID: 8426961483 Enrollment ID: I20050422000316 |
| Provider Name | Meliha H Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629164215 PECOS PAC ID: 6901844687 Enrollment ID: I20050422000328 |
| Provider Name | Fred F Taweel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538171046 PECOS PAC ID: 5890608848 Enrollment ID: I20050422000341 |
| Provider Name | Katherine E David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629084249 PECOS PAC ID: 8224077615 Enrollment ID: I20050426000461 |
| Provider Name | Elethia Vaughan Wampler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992724413 PECOS PAC ID: 5193764249 Enrollment ID: I20050427001311 |
| Provider Name | Steven Lerner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811091440 PECOS PAC ID: 0244279313 Enrollment ID: I20050427001439 |
| Provider Name | Jonathan Yager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043302615 PECOS PAC ID: 2860430428 Enrollment ID: I20050428000159 |
| Provider Name | Sandra I Tandeciarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981129 PECOS PAC ID: 0547209447 Enrollment ID: I20050429000605 |
| Provider Name | Carlos E Covarrubias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306839469 PECOS PAC ID: 6800836297 Enrollment ID: I20050504001236 |
| Provider Name | Jason Dougals Engel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285797605 PECOS PAC ID: 8022059930 Enrollment ID: I20050519001141 |
| Provider Name | Leanne J Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225033905 PECOS PAC ID: 3577505189 Enrollment ID: I20050524000956 |
| Provider Name | David R Duhamel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609869932 PECOS PAC ID: 2365484987 Enrollment ID: I20050524001076 |
| Provider Name | Robert D Hentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720012107 PECOS PAC ID: 9335181858 Enrollment ID: I20050525000475 |
| Provider Name | Tiffini R Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871509737 PECOS PAC ID: 4789626649 Enrollment ID: I20050601000862 |
| Provider Name | Ingrid M. Winterling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316053671 PECOS PAC ID: 5597701748 Enrollment ID: I20050628001271 |
| Provider Name | Lisa Ann Provance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588645378 PECOS PAC ID: 9830158955 Enrollment ID: I20050629000197 |
| Provider Name | Penelynne T Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477502110 PECOS PAC ID: 7214918994 Enrollment ID: I20050629000230 |
| Provider Name | Susanne L Prather |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902910953 PECOS PAC ID: 9133165509 Enrollment ID: I20050707000475 |
| Provider Name | Lindsey P Guirgues |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538131602 PECOS PAC ID: 6002842978 Enrollment ID: I20050712000686 |
| Provider Name | Mary A Buesing |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881602530 PECOS PAC ID: 4587690029 Enrollment ID: I20050715000199 |
| Provider Name | Sunanda A Sindhwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902991284 PECOS PAC ID: 9537197934 Enrollment ID: I20050727000831 |
| Provider Name | Andrew J Harding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699769745 PECOS PAC ID: 6608775655 Enrollment ID: I20050802000314 |
| Provider Name | Kelly Joyce Cowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225033731 PECOS PAC ID: 3870525082 Enrollment ID: I20050908000924 |
| Provider Name | Issa Yusuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912934571 PECOS PAC ID: 7214962463 Enrollment ID: I20050927001089 |
| Provider Name | Virginia Elesho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770545394 PECOS PAC ID: 3971528506 Enrollment ID: I20051012000493 |
| Provider Name | Zachary T Levine |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932176849 PECOS PAC ID: 2062437635 Enrollment ID: I20051012000879 |
| Provider Name | Anjali Sues |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700939915 PECOS PAC ID: 1153389507 Enrollment ID: I20051021000072 |
| Provider Name | Georgia S Willie-carnegie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730298845 PECOS PAC ID: 4486670122 Enrollment ID: I20051021000201 |
| Provider Name | Lori Shell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477522951 PECOS PAC ID: 4587681903 Enrollment ID: I20051025000979 |
| Provider Name | Dana F Marzilli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114997566 PECOS PAC ID: 5193742369 Enrollment ID: I20051027000160 |
| Provider Name | Terry A Garvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669436309 PECOS PAC ID: 8527085281 Enrollment ID: I20051101000649 |
| Provider Name | Rasha Ebeid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548205859 PECOS PAC ID: 0244258994 Enrollment ID: I20051110000715 |
| Provider Name | Steven M Zimmet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184617490 PECOS PAC ID: 6103844873 Enrollment ID: I20051110000851 |
| Provider Name | Samia Waseem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386660793 PECOS PAC ID: 1355360397 Enrollment ID: I20051118000133 |
| Provider Name | Uy Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194831065 PECOS PAC ID: 0345260576 Enrollment ID: I20051201000829 |
| Provider Name | Ji Eun Paik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528162021 PECOS PAC ID: 1850311978 Enrollment ID: I20051202000629 |
| Provider Name | Andrew William Bazemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609864099 PECOS PAC ID: 4789603572 Enrollment ID: I20051205000754 |
| Provider Name | Annick Stam Cheatham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154482685 PECOS PAC ID: 5294755104 Enrollment ID: I20051206000755 |
| Provider Name | Mary Kilavos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609841188 PECOS PAC ID: 8325069743 Enrollment ID: I20051213000854 |
| Provider Name | Arash Sarabi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861693475 PECOS PAC ID: 8022031616 Enrollment ID: I20060110000447 |
| Provider Name | Wendy Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184600801 PECOS PAC ID: 3476598087 Enrollment ID: I20060112000658 |
| Provider Name | Karen Shaevel Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154412559 PECOS PAC ID: 7517981681 Enrollment ID: I20060117000748 |
| Provider Name | Ann Raffo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497752224 PECOS PAC ID: 5193733293 Enrollment ID: I20060412000226 |
| Provider Name | Anju Verma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396724696 PECOS PAC ID: 8921030214 Enrollment ID: I20060420000259 |
| Provider Name | Kathryn R Colcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740244128 PECOS PAC ID: 1355352238 Enrollment ID: I20060505000847 |
| Provider Name | Oscar Ellison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972527356 PECOS PAC ID: 5092718585 Enrollment ID: I20060823000474 |
| Provider Name | Joshua Felsher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174507297 PECOS PAC ID: 7113956293 Enrollment ID: I20060830000192 |
| Provider Name | Jason Brodsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770582082 PECOS PAC ID: 4688678857 Enrollment ID: I20060830000199 |
| Provider Name | Mark William Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659306439 PECOS PAC ID: 8527951953 Enrollment ID: I20060919000442 |
| Provider Name | Sharon C Sherling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255380358 PECOS PAC ID: 3870498678 Enrollment ID: I20061004000129 |
| Provider Name | Brenda Rolander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992718118 PECOS PAC ID: 9234136888 Enrollment ID: I20061025000096 |
| Provider Name | Suchithra Nancherla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851312995 PECOS PAC ID: 4385642263 Enrollment ID: I20061201000530 |
| Provider Name | Caroline Huang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508804790 PECOS PAC ID: 7719986660 Enrollment ID: I20061204000447 |
| Provider Name | Thien-giang Bach-huynh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881649556 PECOS PAC ID: 4981603834 Enrollment ID: I20061204000541 |
| Provider Name | Chanda Athale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407858608 PECOS PAC ID: 3173522653 Enrollment ID: I20061211000307 |
| Provider Name | Henry Fox |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396810578 PECOS PAC ID: 0345249793 Enrollment ID: I20061212000321 |
| Provider Name | Nisha Chand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912938762 PECOS PAC ID: 1951301134 Enrollment ID: I20070112000083 |
| Provider Name | Lonnie D Davis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962447904 PECOS PAC ID: 1355342320 Enrollment ID: I20070118000538 |
| Provider Name | Terri Esterowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093789653 PECOS PAC ID: 3971501479 Enrollment ID: I20070124000148 |
| Provider Name | Vivien N To |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245334408 PECOS PAC ID: 7517969215 Enrollment ID: I20070209000059 |
| Provider Name | Monica Mihalache |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699723163 PECOS PAC ID: 6709889645 Enrollment ID: I20070216000350 |
| Provider Name | Cynthia T Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477648145 PECOS PAC ID: 3577665801 Enrollment ID: I20070216000372 |
| Provider Name | Rebecca Shaffer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104932805 PECOS PAC ID: 5395847099 Enrollment ID: I20070227000488 |
| Provider Name | Kavani S Milani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104919570 PECOS PAC ID: 2264530179 Enrollment ID: I20070530000549 |
| Provider Name | Meg Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497812184 PECOS PAC ID: 2668570227 Enrollment ID: I20070605000285 |
| Provider Name | Haritha Yalamanchilli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598834004 PECOS PAC ID: 3577663673 Enrollment ID: I20070702000493 |
| Provider Name | Jeffrey D Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326063587 PECOS PAC ID: 3779674403 Enrollment ID: I20070809000130 |
| Provider Name | Elizabeth Gannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245433572 PECOS PAC ID: 6305938754 Enrollment ID: I20070815000586 |
| Provider Name | Zakiya J Wynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982814224 PECOS PAC ID: 5395780647 Enrollment ID: I20070815000716 |
| Provider Name | Mehul J Desai |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114045341 PECOS PAC ID: 8123110483 Enrollment ID: I20070816000701 |
| Provider Name | Denise A Chevalier Hamilton |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518057397 PECOS PAC ID: 7517059066 Enrollment ID: I20070828001013 |
| Provider Name | Min S Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740227339 PECOS PAC ID: 8921073990 Enrollment ID: I20070904000495 |
| Provider Name | Tuananh T Vu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679515548 PECOS PAC ID: 3476647074 Enrollment ID: I20070913000151 |
| Provider Name | Anish S Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447465232 PECOS PAC ID: 6901990480 Enrollment ID: I20070913000933 |
| Provider Name | Douglas Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225053408 PECOS PAC ID: 6800862418 Enrollment ID: I20070924000347 |
| Provider Name | Michael G Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619036597 PECOS PAC ID: 8729173513 Enrollment ID: I20071009000706 |
| Provider Name | Donna Mazloomdoost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871704171 PECOS PAC ID: 9436245081 Enrollment ID: I20071012000538 |
| Provider Name | Sonya N Bethel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063466076 PECOS PAC ID: 4981790540 Enrollment ID: I20071012000541 |
| Provider Name | Carlos Picone |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861475840 PECOS PAC ID: 4183710627 Enrollment ID: I20071015000539 |
| Provider Name | Ruben Cintron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811904352 PECOS PAC ID: 4789771023 Enrollment ID: I20071227000175 |
| Provider Name | Scott D Spagnoli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861467326 PECOS PAC ID: 9739269820 Enrollment ID: I20080102000097 |
| Provider Name | Shobha Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447447974 PECOS PAC ID: 6709966260 Enrollment ID: I20080227000855 |
| Provider Name | Gayle D Masri Fridling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336267681 PECOS PAC ID: 1850475807 Enrollment ID: I20080228000621 |
| Provider Name | Albert A Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497717250 PECOS PAC ID: 9436158813 Enrollment ID: I20080305000104 |
| Provider Name | Talal Ghazal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700080520 PECOS PAC ID: 8325123276 Enrollment ID: I20080320000516 |
| Provider Name | Hon Yuen Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295771954 PECOS PAC ID: 6901796622 Enrollment ID: I20080401000188 |
| Provider Name | Susan Thompson Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083799118 PECOS PAC ID: 2466538434 Enrollment ID: I20080403000323 |
| Provider Name | Nadine Flaharty |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659420586 PECOS PAC ID: 0244317964 Enrollment ID: I20080404000742 |
| Provider Name | Winston R Liaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952502759 PECOS PAC ID: 5698852101 Enrollment ID: I20080408000799 |
| Provider Name | Jennifer R Santiago |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457437162 PECOS PAC ID: 3274611231 Enrollment ID: I20080416000598 |
| Provider Name | Jatinder Narula |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730371501 PECOS PAC ID: 8628157799 Enrollment ID: I20080501000276 |
| Provider Name | Barbara B Yosaitis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679617997 PECOS PAC ID: 6608945787 Enrollment ID: I20080515000074 |
| Provider Name | Jay C Tyroler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962544700 PECOS PAC ID: 9436228517 Enrollment ID: I20080515000102 |
| Provider Name | Edward G Koch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992854905 PECOS PAC ID: 6305920828 Enrollment ID: I20080517000053 |
| Provider Name | Sabrina De Conti Sladek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902004153 PECOS PAC ID: 2062583560 Enrollment ID: I20080611000052 |
| Provider Name | Brian M Egan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164598470 PECOS PAC ID: 5395815229 Enrollment ID: I20080613000044 |
| Provider Name | Terry A Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932274925 PECOS PAC ID: 4880766120 Enrollment ID: I20080702000283 |
| Provider Name | Scott T Forrest |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225103229 PECOS PAC ID: 9335211663 Enrollment ID: I20080702000298 |
| Provider Name | Christopher Charles Wyckoff |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669649620 PECOS PAC ID: 8426120114 Enrollment ID: I20080714000135 |
| Provider Name | John Irons |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932210366 PECOS PAC ID: 5890869531 Enrollment ID: I20080730000106 |
| Provider Name | Kathryn Wilson Hare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396946109 PECOS PAC ID: 5991879439 Enrollment ID: I20080801000287 |
| Provider Name | Wendy Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700854353 PECOS PAC ID: 2961577663 Enrollment ID: I20080814000459 |
| Provider Name | Carol C Jagdeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114013554 PECOS PAC ID: 9335214618 Enrollment ID: I20080821000098 |
| Provider Name | Andrea Schmieg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114081049 PECOS PAC ID: 8820163355 Enrollment ID: I20080821000440 |
| Provider Name | Joseph A Quash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427268424 PECOS PAC ID: 7416023130 Enrollment ID: I20080904000093 |
| Provider Name | Dan Bahadur Bishwakarma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184891665 PECOS PAC ID: 8921175142 Enrollment ID: I20080930000170 |
| Provider Name | Kathleen Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033328430 PECOS PAC ID: 6406924620 Enrollment ID: I20081001000295 |
| Provider Name | Joel L Koslow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063479186 PECOS PAC ID: 7618056722 Enrollment ID: I20081003000026 |
| Provider Name | Mandana Shafai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841376449 PECOS PAC ID: 7012085012 Enrollment ID: I20081003000447 |
| Provider Name | Neeraj Gupta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568685022 PECOS PAC ID: 2860443272 Enrollment ID: I20081015000190 |
| Provider Name | Nicole A Mcclendon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366605628 PECOS PAC ID: 8123187176 Enrollment ID: I20081105000265 |
| Provider Name | Courtney J Blair |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1730121344 PECOS PAC ID: 4880753763 Enrollment ID: I20081106000656 |
| Provider Name | Van Anh T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003023706 PECOS PAC ID: 7315047990 Enrollment ID: I20081118000624 |
| Provider Name | Barbara Onumah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548456379 PECOS PAC ID: 6406916550 Enrollment ID: I20081119000091 |
| Provider Name | Emily R Faltemier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770759524 PECOS PAC ID: 0244390342 Enrollment ID: I20081119000537 |
| Provider Name | Nancy L A Hafner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558375857 PECOS PAC ID: 3375603335 Enrollment ID: I20081120000289 |
| Provider Name | Liesl K Nottingham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154581486 PECOS PAC ID: 1951461888 Enrollment ID: I20081121000079 |
| Provider Name | Kathryn R Stover |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124113287 PECOS PAC ID: 2163582586 Enrollment ID: I20081201000241 |
| Provider Name | Katherine E Scully |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629226154 PECOS PAC ID: 9335200401 Enrollment ID: I20081208000324 |
| Provider Name | Ira L Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913284 PECOS PAC ID: 8820159650 Enrollment ID: I20081211000261 |
| Provider Name | Alan R Pollack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790781979 PECOS PAC ID: 4385668441 Enrollment ID: I20081211000640 |
| Provider Name | Christina I Braun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366419913 PECOS PAC ID: 6204998719 Enrollment ID: I20081217000511 |
| Provider Name | Lawrence H Schainker |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790781888 PECOS PAC ID: 6800958299 Enrollment ID: I20081218000453 |
| Provider Name | Colville W Heskey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558534586 PECOS PAC ID: 5193887958 Enrollment ID: I20090105000074 |
| Provider Name | Karlene V Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518187822 PECOS PAC ID: 3375603244 Enrollment ID: I20090112000222 |
| Provider Name | Andrew B Silva |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972569192 PECOS PAC ID: 7113906157 Enrollment ID: I20090113000397 |
| Provider Name | Lori Maciulla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528079837 PECOS PAC ID: 7719040856 Enrollment ID: I20090115000172 |
| Provider Name | Raymond J Murow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629171939 PECOS PAC ID: 1153485016 Enrollment ID: I20090122000120 |
| Provider Name | Vasilios Pyrgos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932353786 PECOS PAC ID: 7315001633 Enrollment ID: I20090202000401 |
| Provider Name | Minoo G Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861515728 PECOS PAC ID: 2365507928 Enrollment ID: I20090214000013 |
| Provider Name | Jennifer T Neria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174799852 PECOS PAC ID: 2567524531 Enrollment ID: I20090218000391 |
| Provider Name | Suzanne Rogacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073526703 PECOS PAC ID: 5496811176 Enrollment ID: I20090304000616 |
| Provider Name | John N Margolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346231669 PECOS PAC ID: 1254497647 Enrollment ID: I20090310000594 |
| Provider Name | Steven T Kariya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881696946 PECOS PAC ID: 5092872002 Enrollment ID: I20090318000575 |
| Provider Name | Francis G Oconnor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316925340 PECOS PAC ID: 2163589771 Enrollment ID: I20090326000394 |
| Provider Name | Wayne J Olan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629068333 PECOS PAC ID: 1951291285 Enrollment ID: I20090330000645 |
| Provider Name | Ather Anis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184770349 PECOS PAC ID: 2264506773 Enrollment ID: I20090402000311 |
| Provider Name | William H Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144226325 PECOS PAC ID: 7517014731 Enrollment ID: I20090403000590 |
| Provider Name | Adil Zahoor Ghauri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689671414 PECOS PAC ID: 6305878919 Enrollment ID: I20090409000318 |
| Provider Name | Haroon Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073578274 PECOS PAC ID: 2062434947 Enrollment ID: I20090409000501 |
| Provider Name | Bertha H Koomson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063445856 PECOS PAC ID: 7113074667 Enrollment ID: I20090420000605 |
| Provider Name | Ednan Mushtaq |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639129091 PECOS PAC ID: 9830247238 Enrollment ID: I20090423000048 |
| Provider Name | Nirjaleshwar Nikhar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366537938 PECOS PAC ID: 5799674388 Enrollment ID: I20090429000416 |
| Provider Name | Mayer Green |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922203785 PECOS PAC ID: 4082762125 Enrollment ID: I20090430000033 |
| Provider Name | Terri E Warner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386801124 PECOS PAC ID: 4284784133 Enrollment ID: I20090615000455 |
| Provider Name | Cheryl A Ferrier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750467692 PECOS PAC ID: 6305998055 Enrollment ID: I20090710000333 |
| Provider Name | Yamini V Saripalli |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437345709 PECOS PAC ID: 7719039825 Enrollment ID: I20090721000781 |
| Provider Name | Thomas E Maslen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699742791 PECOS PAC ID: 5294889861 Enrollment ID: I20090817000238 |
| Provider Name | Rachel Glaser |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568400711 PECOS PAC ID: 4486658267 Enrollment ID: I20090910000466 |
| Provider Name | Cheryl Anne Ostrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467682153 PECOS PAC ID: 3375689367 Enrollment ID: I20091005000641 |
| Provider Name | Veena Mysore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053318089 PECOS PAC ID: 5496756421 Enrollment ID: I20091009000197 |
| Provider Name | Tahir A Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184832735 PECOS PAC ID: 2264589662 Enrollment ID: I20091009000294 |
| Provider Name | Andres Mendez Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255409686 PECOS PAC ID: 3577609940 Enrollment ID: I20091015000434 |
| Provider Name | Anita L Silva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740395912 PECOS PAC ID: 9931252004 Enrollment ID: I20091015000590 |
| Provider Name | Anuradha P Dua |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528079241 PECOS PAC ID: 8426195835 Enrollment ID: I20091016000191 |
| Provider Name | Michael D Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376782201 PECOS PAC ID: 9335293364 Enrollment ID: I20091020000152 |
| Provider Name | Monica A O'rourke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285865444 PECOS PAC ID: 6800933482 Enrollment ID: I20091030000451 |
| Provider Name | Albert Coo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336160837 PECOS PAC ID: 3870631229 Enrollment ID: I20091105000294 |
| Provider Name | Supna B Lowery |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558308502 PECOS PAC ID: 0345277869 Enrollment ID: I20091105000550 |
| Provider Name | Christina G Go |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992980619 PECOS PAC ID: 8729126768 Enrollment ID: I20091111000334 |
| Provider Name | Peter G Hamm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457334401 PECOS PAC ID: 7911045687 Enrollment ID: I20091118000044 |
| Provider Name | Habib A Chotani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992702112 PECOS PAC ID: 4082790233 Enrollment ID: I20091120000093 |
| Provider Name | Sabahat Nawab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427055649 PECOS PAC ID: 6103988480 Enrollment ID: I20091120000123 |
| Provider Name | Purnima Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144388422 PECOS PAC ID: 2668511296 Enrollment ID: I20091120000158 |
| Provider Name | Dinesh K Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992834097 PECOS PAC ID: 7214077767 Enrollment ID: I20091215000220 |
| Provider Name | Charia L. Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720139587 PECOS PAC ID: 6709927510 Enrollment ID: I20091230000397 |
| Provider Name | Lerato N Kitleli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487804290 PECOS PAC ID: 4880736826 Enrollment ID: I20100128000682 |
| Provider Name | Donna M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164485272 PECOS PAC ID: 1850372137 Enrollment ID: I20100216000412 |
| Provider Name | Natasha A Lamming-lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750372835 PECOS PAC ID: 9537204367 Enrollment ID: I20100304000795 |
| Provider Name | Frank J Mayo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811991144 PECOS PAC ID: 3971515842 Enrollment ID: I20100310000746 |
| Provider Name | Kathleen Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851331110 PECOS PAC ID: 5193822104 Enrollment ID: I20100312000133 |
| Provider Name | Angele C Seiler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265493969 PECOS PAC ID: 3375615735 Enrollment ID: I20100323000344 |
| Provider Name | Paula M Bergamini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225099112 PECOS PAC ID: 0749352102 Enrollment ID: I20100323000557 |
| Provider Name | Jeff B Hales |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457344764 PECOS PAC ID: 9335275452 Enrollment ID: I20100329000457 |
| Provider Name | Andrea Lozouski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568681757 PECOS PAC ID: 7113053877 Enrollment ID: I20100405000177 |
| Provider Name | Jeanine N Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352587 PECOS PAC ID: 8921134636 Enrollment ID: I20100406000492 |
| Provider Name | Joseph N Villamor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740512193 PECOS PAC ID: 3870620339 Enrollment ID: I20100415000206 |
| Provider Name | Sabine C De La Croix-vaubois |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851486658 PECOS PAC ID: 0648307769 Enrollment ID: I20100422000049 |
| Provider Name | Joseph A Ball |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447254230 PECOS PAC ID: 3072640069 Enrollment ID: I20100422001042 |
| Provider Name | Rex B Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063418762 PECOS PAC ID: 8729115597 Enrollment ID: I20100427000702 |
| Provider Name | Michael A Filak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487657136 PECOS PAC ID: 7113054909 Enrollment ID: I20100428000013 |
| Provider Name | Lenore L Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245236926 PECOS PAC ID: 7911034699 Enrollment ID: I20100429000201 |
| Provider Name | Julie F Overholtzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790781474 PECOS PAC ID: 2163559840 Enrollment ID: I20100429000250 |
| Provider Name | Sharon M Yuras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548256894 PECOS PAC ID: 2668500273 Enrollment ID: I20100503000031 |
| Provider Name | Jenny Y Moy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093706301 PECOS PAC ID: 3375672769 Enrollment ID: I20100524000232 |
| Provider Name | Thomas M Pilkington |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669648176 PECOS PAC ID: 3375672702 Enrollment ID: I20100524000738 |
| Provider Name | Amy Levav |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982755112 PECOS PAC ID: 7416087283 Enrollment ID: I20100605000088 |
| Provider Name | Kavita R Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801002449 PECOS PAC ID: 5799815817 Enrollment ID: I20100615000819 |
| Provider Name | Jennifer B Pedicano |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568638229 PECOS PAC ID: 4587715438 Enrollment ID: I20100617000347 |
| Provider Name | Joseph Pollack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881912616 PECOS PAC ID: 0446381305 Enrollment ID: I20100622000412 |
| Provider Name | Po N Storrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447407309 PECOS PAC ID: 2062544471 Enrollment ID: I20100721000313 |
| Provider Name | Rahul Y Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083634034 PECOS PAC ID: 1557253424 Enrollment ID: I20100721000329 |
| Provider Name | Sunila S Walia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992773659 PECOS PAC ID: 4789716010 Enrollment ID: I20100721000729 |
| Provider Name | Seema Chaudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861471815 PECOS PAC ID: 1951326958 Enrollment ID: I20100802000105 |
| Provider Name | Sriraman Srinivasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457510059 PECOS PAC ID: 6103950332 Enrollment ID: I20100810000624 |
| Provider Name | Maximilian Oshalim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407932015 PECOS PAC ID: 6608900857 Enrollment ID: I20100810000939 |
| Provider Name | Madhu Lakshman Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356508956 PECOS PAC ID: 5597889535 Enrollment ID: I20100827000841 |
| Provider Name | Martha O Saavedra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073581831 PECOS PAC ID: 3072637602 Enrollment ID: I20100902000605 |
| Provider Name | Carolyn A Hammett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154331908 PECOS PAC ID: 8426947995 Enrollment ID: I20100907000344 |
| Provider Name | Lalitha Tadikonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265423586 PECOS PAC ID: 8022074707 Enrollment ID: I20100914000743 |
| Provider Name | Megan E Glascock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699006536 PECOS PAC ID: 2769507409 Enrollment ID: I20100917000486 |
| Provider Name | Christina I Baselga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477669414 PECOS PAC ID: 9032301593 Enrollment ID: I20101004000286 |
| Provider Name | David L Pontell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457352239 PECOS PAC ID: 2567672108 Enrollment ID: I20101007000333 |
| Provider Name | Nashwa Gabra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659340933 PECOS PAC ID: 6103018205 Enrollment ID: I20101007000842 |
| Provider Name | Carleen Tylenda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750343547 PECOS PAC ID: 5597764910 Enrollment ID: I20101008000508 |
| Provider Name | Nabil Andrawis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356310551 PECOS PAC ID: 9830139914 Enrollment ID: I20101025000425 |
| Provider Name | Robert M Hallivis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215938006 PECOS PAC ID: 8123211620 Enrollment ID: I20101026001000 |
| Provider Name | Abbe Larry Miller |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1215933973 PECOS PAC ID: 9931393642 Enrollment ID: I20101027000114 |
| Provider Name | Kelly Tanenholz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780688424 PECOS PAC ID: 7719083419 Enrollment ID: I20101028000200 |
| Provider Name | Jan Bachowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225092455 PECOS PAC ID: 4880888379 Enrollment ID: I20101028000855 |
| Provider Name | Kathryn D Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649447228 PECOS PAC ID: 4587858980 Enrollment ID: I20101029000890 |
| Provider Name | Daphna Henkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831160233 PECOS PAC ID: 3375508971 Enrollment ID: I20101111000923 |
| Provider Name | Shashank G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952340648 PECOS PAC ID: 1456546795 Enrollment ID: I20101111000966 |
| Provider Name | Gwen H Chu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699962456 PECOS PAC ID: 8921293150 Enrollment ID: I20101112000542 |
| Provider Name | Elaine C Reale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548350580 PECOS PAC ID: 6406041664 Enrollment ID: I20101112000928 |
| Provider Name | Robert P Holman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023026895 PECOS PAC ID: 0840382271 Enrollment ID: I20101122000659 |
| Provider Name | Brian P Driscoll |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376573329 PECOS PAC ID: 3577538289 Enrollment ID: I20101202000633 |
| Provider Name | Terence James Mccormally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255325890 PECOS PAC ID: 9335048396 Enrollment ID: I20101206000141 |
| Provider Name | Oladapo B Olarinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518194976 PECOS PAC ID: 8820285521 Enrollment ID: I20101207000927 |
| Provider Name | Katherine M Kemper Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376863837 PECOS PAC ID: 6002003340 Enrollment ID: I20101213000183 |
| Provider Name | Reshma Kundapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164578563 PECOS PAC ID: 2567555162 Enrollment ID: I20101213001127 |
| Provider Name | Guinevere T Que |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821158783 PECOS PAC ID: 7810185949 Enrollment ID: I20101216000160 |
| Provider Name | Costanza D Rutland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053484725 PECOS PAC ID: 4284822461 Enrollment ID: I20110104000086 |
| Provider Name | Jeffrey A Welgoss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194750414 PECOS PAC ID: 7214839752 Enrollment ID: I20110104000487 |
| Provider Name | Nicolette S Horbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407881790 PECOS PAC ID: 7618875535 Enrollment ID: I20110104001057 |
| Provider Name | Michael A Royfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922013317 PECOS PAC ID: 3870782667 Enrollment ID: I20110110000565 |
| Provider Name | Kevin J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194952978 PECOS PAC ID: 0648469114 Enrollment ID: I20110114000005 |
| Provider Name | David Bianchi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821022690 PECOS PAC ID: 2769584259 Enrollment ID: I20110118000875 |
| Provider Name | Mubasher Fazal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1740275551 PECOS PAC ID: 8628178621 Enrollment ID: I20110119001053 |
| Provider Name | Kenneth W Hauck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619907789 PECOS PAC ID: 2860409836 Enrollment ID: I20110120000084 |
| Provider Name | Valerie A Asher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306876347 PECOS PAC ID: 1052590254 Enrollment ID: I20110120000137 |
| Provider Name | Heba K Elzawahry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356507990 PECOS PAC ID: 3971631516 Enrollment ID: I20110120000180 |
| Provider Name | Deborah M Sarro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851515449 PECOS PAC ID: 1759560881 Enrollment ID: I20110121000450 |
| Provider Name | Cameron Sell Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366742280 PECOS PAC ID: 6002095148 Enrollment ID: I20110121000593 |
| Provider Name | Stephen Sarro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144219262 PECOS PAC ID: 5395823389 Enrollment ID: I20110125000353 |
| Provider Name | Hafez Daneshvar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1427242049 PECOS PAC ID: 5193841310 Enrollment ID: I20110131000694 |
| Provider Name | Sally Mcfarland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033220454 PECOS PAC ID: 0345307732 Enrollment ID: I20110209000202 |
| Provider Name | Michael A Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225267495 PECOS PAC ID: 6305026121 Enrollment ID: I20110211000323 |
| Provider Name | Ann Marie Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053480269 PECOS PAC ID: 8628258209 Enrollment ID: I20110215000251 |
| Provider Name | Craig P Colliver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891705836 PECOS PAC ID: 7113001173 Enrollment ID: I20110216000286 |
| Provider Name | Thien M Do |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740238195 PECOS PAC ID: 5395734743 Enrollment ID: I20110217000047 |
| Provider Name | Lance Lasner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710088299 PECOS PAC ID: 3375724503 Enrollment ID: I20110222000524 |
| Provider Name | Phu T Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669454237 PECOS PAC ID: 6406037597 Enrollment ID: I20110223000064 |
| Provider Name | Amy Yoshiko Nobu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750352738 PECOS PAC ID: 9638350481 Enrollment ID: I20110226000001 |
| Provider Name | David Cohen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710960794 PECOS PAC ID: 2668653445 Enrollment ID: I20110228000234 |
| Provider Name | Glenn Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639149925 PECOS PAC ID: 7810178365 Enrollment ID: I20110228000305 |
| Provider Name | Ken L Moles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396716379 PECOS PAC ID: 7416138144 Enrollment ID: I20110228000889 |
| Provider Name | Michael Solomon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205819026 PECOS PAC ID: 2860673522 Enrollment ID: I20110301000348 |
| Provider Name | Vienna Marvette Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477853604 PECOS PAC ID: 3072794635 Enrollment ID: I20110302000414 |
| Provider Name | Deborah Leavens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407840788 PECOS PAC ID: 2769381714 Enrollment ID: I20110302000435 |
| Provider Name | Merica Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083811855 PECOS PAC ID: 8729260302 Enrollment ID: I20110303000853 |
| Provider Name | Glenn L Sandler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619987559 PECOS PAC ID: 9436103140 Enrollment ID: I20110304000061 |
| Provider Name | Eric M Thomson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013144419 PECOS PAC ID: 5991987422 Enrollment ID: I20110304000490 |
| Provider Name | Amy E Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720194079 PECOS PAC ID: 6204018666 Enrollment ID: I20110308000050 |
| Provider Name | Anne C Schwartz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841284940 PECOS PAC ID: 4880777408 Enrollment ID: I20110309000440 |
| Provider Name | Kenneth Michael Karlin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528061074 PECOS PAC ID: 9234164567 Enrollment ID: I20110309000601 |
| Provider Name | Bridgett L Casadaban |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851503841 PECOS PAC ID: 6103008073 Enrollment ID: I20110314000800 |
| Provider Name | Nasir Ramin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144388794 PECOS PAC ID: 1951490788 Enrollment ID: I20110315000617 |
| Provider Name | Augustine A Dolcich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346234648 PECOS PAC ID: 8527241298 Enrollment ID: I20110318000264 |
| Provider Name | Marc G Plescia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497749121 PECOS PAC ID: 5496938045 Enrollment ID: I20110321000269 |
| Provider Name | Mercedes Quintos Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164424388 PECOS PAC ID: 5890978464 Enrollment ID: I20110321000473 |
| Provider Name | Benjamin F Stearn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922193572 PECOS PAC ID: 5890979470 Enrollment ID: I20110405001051 |
| Provider Name | Edward M Friedler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538161831 PECOS PAC ID: 9537180104 Enrollment ID: I20110412000139 |
| Provider Name | Lilly Kc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811981103 PECOS PAC ID: 0244414548 Enrollment ID: I20110412000161 |
| Provider Name | Camille A Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154315117 PECOS PAC ID: 4981888153 Enrollment ID: I20110413000026 |
| Provider Name | Charles A Umosella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811058951 PECOS PAC ID: 5193865137 Enrollment ID: I20110413000678 |
| Provider Name | Dennis A. Cullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104988054 PECOS PAC ID: 9739229774 Enrollment ID: I20110413000858 |
| Provider Name | Edward T Cullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083775126 PECOS PAC ID: 0840330874 Enrollment ID: I20110415000034 |
| Provider Name | Gregory Mathews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265529374 PECOS PAC ID: 3678620796 Enrollment ID: I20110415000454 |
| Provider Name | Jay Kaufman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1801868880 PECOS PAC ID: 8527978212 Enrollment ID: I20110425000333 |
| Provider Name | Alicia E Hutchins |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427357342 PECOS PAC ID: 5698950251 Enrollment ID: I20110425000496 |
| Provider Name | Michael A Silverstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982698270 PECOS PAC ID: 7214836279 Enrollment ID: I20110428000523 |
| Provider Name | Jason Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053305102 PECOS PAC ID: 6406755453 Enrollment ID: I20110428000560 |
| Provider Name | Kenneth H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205820354 PECOS PAC ID: 8729263066 Enrollment ID: I20110429000466 |
| Provider Name | Su C Yi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568456861 PECOS PAC ID: 3779768015 Enrollment ID: I20110429000513 |
| Provider Name | Jeffrey D Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739686 PECOS PAC ID: 9739364076 Enrollment ID: I20110429000543 |
| Provider Name | Louise D Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558355602 PECOS PAC ID: 2860391810 Enrollment ID: I20110502000054 |
| Provider Name | Phuong Trinh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679536486 PECOS PAC ID: 8022169705 Enrollment ID: I20110502000263 |
| Provider Name | James Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023002177 PECOS PAC ID: 0547169500 Enrollment ID: I20110502000518 |
| Provider Name | Monika Schlamminger Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881806578 PECOS PAC ID: 7517039951 Enrollment ID: I20110503000279 |
| Provider Name | Martine Jasmin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538349527 PECOS PAC ID: 1850576315 Enrollment ID: I20110513000304 |
| Provider Name | Stephanie Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104888973 PECOS PAC ID: 9537168950 Enrollment ID: I20110516000906 |
| Provider Name | Shirley Frimpong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508162306 PECOS PAC ID: 9739365214 Enrollment ID: I20110518000018 |
| Provider Name | Aditi Agarwal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568613115 PECOS PAC ID: 7416133996 Enrollment ID: I20110518000070 |
| Provider Name | Shahzad Ahmad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730110123 PECOS PAC ID: 3274719513 Enrollment ID: I20110520000271 |
| Provider Name | Stuart Stark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508836578 PECOS PAC ID: 4183643505 Enrollment ID: I20110520000699 |
| Provider Name | Bryan C Ego-osuala |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316070717 PECOS PAC ID: 9931386810 Enrollment ID: I20110601000473 |
| Provider Name | Joan D Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831183128 PECOS PAC ID: 8123927175 Enrollment ID: I20110601000878 |
| Provider Name | Sara D Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023275229 PECOS PAC ID: 0941487763 Enrollment ID: I20110603000410 |
| Provider Name | Syed M S Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144434887 PECOS PAC ID: 4688851306 Enrollment ID: I20110607000216 |
| Provider Name | Edwin H Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881763217 PECOS PAC ID: 9234232968 Enrollment ID: I20110609000265 |
| Provider Name | Hey-jin Kong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750338596 PECOS PAC ID: 2062699424 Enrollment ID: I20110613000096 |
| Provider Name | Reginald Mcmanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558438663 PECOS PAC ID: 5496932105 Enrollment ID: I20110613000245 |
| Provider Name | Christopher P Mcmanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982735916 PECOS PAC ID: 3678750387 Enrollment ID: I20110613000303 |
| Provider Name | Deepak K Sachdeva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487615811 PECOS PAC ID: 0446243059 Enrollment ID: I20110615000805 |
| Provider Name | Lynette Posorske |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598728305 PECOS PAC ID: 0244316917 Enrollment ID: I20110622000398 |
| Provider Name | Ratih B Sudharto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679788392 PECOS PAC ID: 1658462403 Enrollment ID: I20110622000503 |
| Provider Name | Melissa Antonik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316025372 PECOS PAC ID: 2365547148 Enrollment ID: I20110623000737 |
| Provider Name | Marion C Bissell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922093475 PECOS PAC ID: 9830376193 Enrollment ID: I20110629000034 |
| Provider Name | Hengameh Mesbahi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538101266 PECOS PAC ID: 0941293559 Enrollment ID: I20110708000303 |
| Provider Name | Bhavini V Trivedi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518912534 PECOS PAC ID: 4789668377 Enrollment ID: I20110715000268 |
| Provider Name | James Edward Gilbert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164472569 PECOS PAC ID: 0345366449 Enrollment ID: I20110726000872 |
| Provider Name | Juan Abril |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144421934 PECOS PAC ID: 7012002801 Enrollment ID: I20110802000284 |
| Provider Name | Tamara Levin Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275830945 PECOS PAC ID: 4587833421 Enrollment ID: I20110809000784 |
| Provider Name | Tina T Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083609309 PECOS PAC ID: 0042489700 Enrollment ID: I20110815000284 |
| Provider Name | Carolyn H Byron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013225218 PECOS PAC ID: 2062682792 Enrollment ID: I20110907000853 |
| Provider Name | Barbara M Mackie |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1861492852 PECOS PAC ID: 2668643990 Enrollment ID: I20110919000318 |
| Provider Name | Robert D Footer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376562116 PECOS PAC ID: 4587836812 Enrollment ID: I20111011000355 |
| Provider Name | Maria L Ramirez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720238363 PECOS PAC ID: 6103098926 Enrollment ID: I20111020000160 |
| Provider Name | Maria C Rueda-gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780844548 PECOS PAC ID: 2062684855 Enrollment ID: I20111021000144 |
| Provider Name | Nancy T Behram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902895063 PECOS PAC ID: 2365615648 Enrollment ID: I20111102000068 |
| Provider Name | Sumi M Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649227521 PECOS PAC ID: 4385815638 Enrollment ID: I20111114000532 |
| Provider Name | Sara E Brooks |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811154057 PECOS PAC ID: 9830225390 Enrollment ID: I20111123000413 |
| Provider Name | Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255518403 PECOS PAC ID: 6305011180 Enrollment ID: I20111206000312 |
| Provider Name | Kristina Hibshman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124100169 PECOS PAC ID: 6709052178 Enrollment ID: I20120106000110 |
| Provider Name | Gary M Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609872993 PECOS PAC ID: 3577737519 Enrollment ID: I20120112000031 |
| Provider Name | Timothy D Muir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518012806 PECOS PAC ID: 5890962583 Enrollment ID: I20120120000438 |
| Provider Name | Lori Kaler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629121538 PECOS PAC ID: 5597932038 Enrollment ID: I20120124000392 |
| Provider Name | Brian Krakower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467556704 PECOS PAC ID: 2365609500 Enrollment ID: I20120131000513 |
| Provider Name | Christopher Zanetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659475994 PECOS PAC ID: 7719144955 Enrollment ID: I20120131000584 |
| Provider Name | Andrea G Perlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457629057 PECOS PAC ID: 4789841958 Enrollment ID: I20120131000812 |
| Provider Name | Jamie L Zaita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134224025 PECOS PAC ID: 8426220138 Enrollment ID: I20120214000041 |
| Provider Name | Victoria L Merkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053306308 PECOS PAC ID: 3577462530 Enrollment ID: I20120228000597 |
| Provider Name | Joe Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518187137 PECOS PAC ID: 3577617778 Enrollment ID: I20120228000686 |
| Provider Name | Marjorie A.l. Hermes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144214784 PECOS PAC ID: 0143129197 Enrollment ID: I20120229000552 |
| Provider Name | Myron Shoham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285694083 PECOS PAC ID: 9335308832 Enrollment ID: I20120301000628 |
| Provider Name | Thomas P Ehrlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447244181 PECOS PAC ID: 4981896529 Enrollment ID: I20120305000222 |
| Provider Name | Alexander H Krist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629062872 PECOS PAC ID: 8325236615 Enrollment ID: I20120305000248 |
| Provider Name | Sandra Ratterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487649984 PECOS PAC ID: 4688866262 Enrollment ID: I20120306000698 |
| Provider Name | Samuel Moseley Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215921762 PECOS PAC ID: 3476452434 Enrollment ID: I20120307000275 |
| Provider Name | Maura Jean Sughrue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881688844 PECOS PAC ID: 2365341336 Enrollment ID: I20120313000150 |
| Provider Name | Jasmine Wanda Moghissi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407860794 PECOS PAC ID: 4385736552 Enrollment ID: I20120328000551 |
| Provider Name | Soloman Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578524997 PECOS PAC ID: 5395905004 Enrollment ID: I20120404000202 |
| Provider Name | Leonard Stephen Fischer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487614863 PECOS PAC ID: 1456511179 Enrollment ID: I20120404000237 |
| Provider Name | Richard Blosser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720048630 PECOS PAC ID: 6204898570 Enrollment ID: I20120425000516 |
| Provider Name | Jacob T Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346332939 PECOS PAC ID: 1951354091 Enrollment ID: I20120426000493 |
| Provider Name | Lee Irwin Blecher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336133875 PECOS PAC ID: 9335324334 Enrollment ID: I20120503000239 |
| Provider Name | Avni Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982775417 PECOS PAC ID: 1254436157 Enrollment ID: I20120508000054 |
| Provider Name | Walter J Hodges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033214911 PECOS PAC ID: 8729089818 Enrollment ID: I20120508000516 |
| Provider Name | Robert Leroy Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437143591 PECOS PAC ID: 1456537026 Enrollment ID: I20120515000051 |
| Provider Name | Steven Lipschutz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730288440 PECOS PAC ID: 1557524030 Enrollment ID: I20120523000025 |
| Provider Name | Kathleen K Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366704140 PECOS PAC ID: 0345405445 Enrollment ID: I20120622000026 |
| Provider Name | Rakesh Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013085505 PECOS PAC ID: 2062491699 Enrollment ID: I20120626000323 |
| Provider Name | Michael Reza Banihashemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558405944 PECOS PAC ID: 7517127780 Enrollment ID: I20120702000069 |
| Provider Name | Lawrence A Zimnoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881611556 PECOS PAC ID: 3072772771 Enrollment ID: I20120712000025 |
| Provider Name | Rami Z Tabbarah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285891952 PECOS PAC ID: 5092985887 Enrollment ID: I20120720000068 |
| Provider Name | Steven Behram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184687196 PECOS PAC ID: 7810911302 Enrollment ID: I20120720000443 |
| Provider Name | Christopher M. Mcmackin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255345096 PECOS PAC ID: 9032378781 Enrollment ID: I20120723000428 |
| Provider Name | Colleen M Borelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073775235 PECOS PAC ID: 4385800101 Enrollment ID: I20120724000244 |
| Provider Name | Nadim L Hallal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689898066 PECOS PAC ID: 3779749189 Enrollment ID: I20120730000047 |
| Provider Name | Aviva Ellenstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134394836 PECOS PAC ID: 5193971679 Enrollment ID: I20120816000378 |
| Provider Name | Frederick Donald Scott |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1952577447 PECOS PAC ID: 7113174384 Enrollment ID: I20120822000537 |
| Provider Name | Jessica L Mcafee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548556012 PECOS PAC ID: 5991952954 Enrollment ID: I20120827000139 |
| Provider Name | Rebecca P Spofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859858 PECOS PAC ID: 3577710490 Enrollment ID: I20120829000231 |
| Provider Name | Mahvash Mujahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902192479 PECOS PAC ID: 6204084437 Enrollment ID: I20120913000362 |
| Provider Name | Sushila Sheoran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144384371 PECOS PAC ID: 4486822186 Enrollment ID: I20120918000132 |
| Provider Name | Kathleen M Langan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538455001 PECOS PAC ID: 7517116486 Enrollment ID: I20121009000708 |
| Provider Name | Allanna D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396009155 PECOS PAC ID: 8628228251 Enrollment ID: I20121017000310 |
| Provider Name | Ritu Cuttica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942239942 PECOS PAC ID: 6800899774 Enrollment ID: I20121101000157 |
| Provider Name | Trina J Monty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063617678 PECOS PAC ID: 0941459754 Enrollment ID: I20121108000576 |
| Provider Name | Surin Rodino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215280946 PECOS PAC ID: 3678724713 Enrollment ID: I20121119000246 |
| Provider Name | Esra C Gokturk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154598100 PECOS PAC ID: 0446402952 Enrollment ID: I20121210000005 |
| Provider Name | Luiz E Malini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861603532 PECOS PAC ID: 0547307027 Enrollment ID: I20130110000057 |
| Provider Name | Neda Hashemi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487725784 PECOS PAC ID: 7315190493 Enrollment ID: I20130124000138 |
| Provider Name | Neeraja Tandra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821201385 PECOS PAC ID: 0446359947 Enrollment ID: I20130129000020 |
| Provider Name | Cessar L Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881852473 PECOS PAC ID: 6305034273 Enrollment ID: I20130201000048 |
| Provider Name | Gina Dapul-hidalgo |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1952592818 PECOS PAC ID: 1658526579 Enrollment ID: I20130226000569 |
| Provider Name | Maureen Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386950475 PECOS PAC ID: 2668617168 Enrollment ID: I20130405000004 |
| Provider Name | Victoria Geagea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235385451 PECOS PAC ID: 6507002029 Enrollment ID: I20130429000186 |
| Provider Name | Heath F Dreyfuss |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205001898 PECOS PAC ID: 2062659816 Enrollment ID: I20130515000057 |
| Provider Name | Barbara Szita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053611459 PECOS PAC ID: 1759528508 Enrollment ID: I20130515000091 |
| Provider Name | Leon W Kao |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1265639728 PECOS PAC ID: 6709939358 Enrollment ID: I20130524000283 |
| Provider Name | Nkechi Ileka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285974451 PECOS PAC ID: 5991944217 Enrollment ID: I20130618000498 |
| Provider Name | Terry Dickinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952587537 PECOS PAC ID: 3476706094 Enrollment ID: I20130620000308 |
| Provider Name | Beverly R Bayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255508818 PECOS PAC ID: 5991944795 Enrollment ID: I20130626000367 |
| Provider Name | Nancy M Maaty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598080632 PECOS PAC ID: 9638319247 Enrollment ID: I20130702000513 |
| Provider Name | Alexandra G Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245579358 PECOS PAC ID: 7113167453 Enrollment ID: I20130709000553 |
| Provider Name | Denise L Colton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427494343 PECOS PAC ID: 7012158207 Enrollment ID: I20130731000611 |
| Provider Name | Marc A Childress |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124117015 PECOS PAC ID: 4082856992 Enrollment ID: I20130806000145 |
| Provider Name | Daniel B Casey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063671451 PECOS PAC ID: 0547402315 Enrollment ID: I20130807000077 |
| Provider Name | Mohsin S Sheikh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417151259 PECOS PAC ID: 8527115757 Enrollment ID: I20130828000307 |
| Provider Name | Rachna Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649594623 PECOS PAC ID: 7810130028 Enrollment ID: I20130906000327 |
| Provider Name | Ki S Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447683073 PECOS PAC ID: 4587898887 Enrollment ID: I20130927000312 |
| Provider Name | Usman Zahir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346464740 PECOS PAC ID: 9830341122 Enrollment ID: I20131008000494 |
| Provider Name | Yu Chi C Wang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982861795 PECOS PAC ID: 6002040441 Enrollment ID: I20131017001808 |
| Provider Name | Mary Ellen Z Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447427000 PECOS PAC ID: 7517192750 Enrollment ID: I20131024001489 |
| Provider Name | Fernando Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20131030000213 |
| Provider Name | Saeedeh Jomehdokht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770738932 PECOS PAC ID: 2365677838 Enrollment ID: I20131109000171 |
| Provider Name | Maria Nasralla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578998142 PECOS PAC ID: 4082840475 Enrollment ID: I20131113000096 |
| Provider Name | Kelly Kathryn Mcguffin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295820553 PECOS PAC ID: 4183667389 Enrollment ID: I20131113000913 |
| Provider Name | Jennifer W Herrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043281652 PECOS PAC ID: 6709012552 Enrollment ID: I20131126001430 |
| Provider Name | Burcin U Fraser |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548444078 PECOS PAC ID: 4183851520 Enrollment ID: I20131211000283 |
| Provider Name | Sameer S Kadri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437316841 PECOS PAC ID: 2365609112 Enrollment ID: I20131213000982 |
| Provider Name | Rohit K Suri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962488056 PECOS PAC ID: 9436121142 Enrollment ID: I20131220000109 |
| Provider Name | Janice C Draper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508183864 PECOS PAC ID: 1355578147 Enrollment ID: I20131227000752 |
| Provider Name | Adebowale Prest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326030438 PECOS PAC ID: 4284669508 Enrollment ID: I20140108000953 |
| Provider Name | Michelle Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366790644 PECOS PAC ID: 7113155284 Enrollment ID: I20140117000079 |
| Provider Name | Lashea N Davis Roland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265674758 PECOS PAC ID: 3274761127 Enrollment ID: I20140122001556 |
| Provider Name | Jennifer Syracuse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225300031 PECOS PAC ID: 7810125556 Enrollment ID: I20140131001642 |
| Provider Name | Elizabeth K Burgwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225391568 PECOS PAC ID: 0042440547 Enrollment ID: I20140303000214 |
| Provider Name | Steven R Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952416612 PECOS PAC ID: 6507001807 Enrollment ID: I20140401000033 |
| Provider Name | Amy Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235175332 PECOS PAC ID: 3870520398 Enrollment ID: I20140402000119 |
| Provider Name | Carmen Ayala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649426750 PECOS PAC ID: 0941432686 Enrollment ID: I20140412000095 |
| Provider Name | Roya Azadarmaki |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912161977 PECOS PAC ID: 1850523093 Enrollment ID: I20140422001657 |
| Provider Name | Theresa B Shupe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902806474 PECOS PAC ID: 6709889231 Enrollment ID: I20140428001295 |
| Provider Name | Richard T Mahon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538237730 PECOS PAC ID: 7113168105 Enrollment ID: I20140507000130 |
| Provider Name | Sithu Win |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932427945 PECOS PAC ID: 2264684323 Enrollment ID: I20140507000323 |
| Provider Name | Farha H Naqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801054499 PECOS PAC ID: 9739312281 Enrollment ID: I20140507001378 |
| Provider Name | Heather M Duhame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912322991 PECOS PAC ID: 4385877760 Enrollment ID: I20140509001307 |
| Provider Name | Aisha K Keplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881016210 PECOS PAC ID: 8325270531 Enrollment ID: I20140513000453 |
| Provider Name | Daniel Finkelstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902870926 PECOS PAC ID: 5092948372 Enrollment ID: I20140513000782 |
| Provider Name | Jennifer A Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386060804 PECOS PAC ID: 9638392871 Enrollment ID: I20140515002183 |
| Provider Name | Nancy R Kadowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740254770 PECOS PAC ID: 8729201835 Enrollment ID: I20140519000493 |
| Provider Name | Merrill L Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558663112 PECOS PAC ID: 5395968374 Enrollment ID: I20140520001099 |
| Provider Name | Reva E Snow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962476986 PECOS PAC ID: 4486877354 Enrollment ID: I20140521001932 |
| Provider Name | Sally A Markell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851720783 PECOS PAC ID: 3870716707 Enrollment ID: I20140522000958 |
| Provider Name | Ana Markovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356322143 PECOS PAC ID: 8325261126 Enrollment ID: I20140523001505 |
| Provider Name | Sheanita R Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659699254 PECOS PAC ID: 6204059942 Enrollment ID: I20140527000697 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801972500 PECOS PAC ID: 8628291382 Enrollment ID: I20140527001165 |
| Provider Name | Leia M Medlock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659531077 PECOS PAC ID: 1254587355 Enrollment ID: I20140528001213 |
| Provider Name | Alison Black |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457562670 PECOS PAC ID: 0446473086 Enrollment ID: I20140528002084 |
| Provider Name | C.isabel G Jander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720040298 PECOS PAC ID: 5294959649 Enrollment ID: I20140605000665 |
| Provider Name | Camille E Horton Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649270331 PECOS PAC ID: 7214993534 Enrollment ID: I20140611001877 |
| Provider Name | Kathleen A Rausch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013979806 PECOS PAC ID: 1153546320 Enrollment ID: I20140701001476 |
| Provider Name | Andrea Bonanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235305061 PECOS PAC ID: 7618192717 Enrollment ID: I20140703001191 |
| Provider Name | Karen L Blackburn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396062956 PECOS PAC ID: 2365668787 Enrollment ID: I20140721001882 |
| Provider Name | Jonathan L Siddon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003194218 PECOS PAC ID: 1759512858 Enrollment ID: I20140722000930 |
| Provider Name | Marla Roche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932173952 PECOS PAC ID: 4385860634 Enrollment ID: I20140723001570 |
| Provider Name | Mariam Usman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891922944 PECOS PAC ID: 6204052327 Enrollment ID: I20140726000066 |
| Provider Name | Suzette R Scipio Ettienne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730252594 PECOS PAC ID: 5193940385 Enrollment ID: I20140805000472 |
| Provider Name | Patrisha Lm Lultschik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649696295 PECOS PAC ID: 4789801564 Enrollment ID: I20140819001659 |
| Provider Name | Ryan Mullen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497051536 PECOS PAC ID: 5395963516 Enrollment ID: I20140902000620 |
| Provider Name | Albert Enow Takem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437414455 PECOS PAC ID: 0840447405 Enrollment ID: I20140903000808 |
| Provider Name | Elisabeth Fox |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053491704 PECOS PAC ID: 0446314132 Enrollment ID: I20140903001008 |
| Provider Name | Mina M. Garrett-scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902998552 PECOS PAC ID: 8426141193 Enrollment ID: I20140905001465 |
| Provider Name | Melvin S Stern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124042254 PECOS PAC ID: 4082510656 Enrollment ID: I20140909000264 |
| Provider Name | Nail M Miakhel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366741753 PECOS PAC ID: 9234357823 Enrollment ID: I20140915001063 |
| Provider Name | Derek Kendall Johnson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1285622183 PECOS PAC ID: 4880653369 Enrollment ID: I20140917001575 |
| Provider Name | Kanwal S Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669449435 PECOS PAC ID: 6406817683 Enrollment ID: I20140918000396 |
| Provider Name | John P Tabacco |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437443330 PECOS PAC ID: 8224267489 Enrollment ID: I20140919000411 |
| Provider Name | Reza Golesorkhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922198183 PECOS PAC ID: 3971528241 Enrollment ID: I20140919001115 |
| Provider Name | Erica L Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134460421 PECOS PAC ID: 2062651284 Enrollment ID: I20140926000034 |
| Provider Name | Michael Glickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033559695 PECOS PAC ID: 3870713647 Enrollment ID: I20140929001504 |
| Provider Name | Minh-chau Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679913230 PECOS PAC ID: 0143440834 Enrollment ID: I20141001000016 |
| Provider Name | James S Coulter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427498799 PECOS PAC ID: 7618197831 Enrollment ID: I20141009001537 |
| Provider Name | Allison A Coulter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942640503 PECOS PAC ID: 0345460564 Enrollment ID: I20141009001543 |
| Provider Name | Jillian E Noyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124468780 PECOS PAC ID: 3870714975 Enrollment ID: I20141014001238 |
| Provider Name | Ilya Rabkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760822324 PECOS PAC ID: 9335360288 Enrollment ID: I20141020000062 |
| Provider Name | Richard C Loria |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902950272 PECOS PAC ID: 3678549441 Enrollment ID: I20141020001638 |
| Provider Name | Laura Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291491 PECOS PAC ID: 0244452084 Enrollment ID: I20141112000910 |
| Provider Name | Mark Jennings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164682688 PECOS PAC ID: 2567607633 Enrollment ID: I20141126000460 |
| Provider Name | Shuchi Vinayak Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174549836 PECOS PAC ID: 4587986237 Enrollment ID: I20141208001043 |
| Provider Name | Lisa B Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326366477 PECOS PAC ID: 2062666456 Enrollment ID: I20141209000958 |
| Provider Name | Sarah Papola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144639139 PECOS PAC ID: 8426370016 Enrollment ID: I20141210001608 |
| Provider Name | Jeffrey D Dodd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861444176 PECOS PAC ID: 5597840793 Enrollment ID: I20141215001364 |
| Provider Name | Rhanda Abd-elfattah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306286968 PECOS PAC ID: 8628391042 Enrollment ID: I20141216000682 |
| Provider Name | Victor Abdow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306806872 PECOS PAC ID: 1052365566 Enrollment ID: I20141223001983 |
| Provider Name | Susan Mannan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982735437 PECOS PAC ID: 2466775093 Enrollment ID: I20150106001090 |
| Provider Name | Jessica Marie Parrish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326399502 PECOS PAC ID: 3678896107 Enrollment ID: I20150108000568 |
| Provider Name | Brian A Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215279237 PECOS PAC ID: 1658695804 Enrollment ID: I20150120000103 |
| Provider Name | Carolyn Turpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023173200 PECOS PAC ID: 6608095054 Enrollment ID: I20150210002005 |
| Provider Name | Ramandeep M Dulai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629046495 PECOS PAC ID: 2961306923 Enrollment ID: I20150211000873 |
| Provider Name | Elizabeth Robson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083036388 PECOS PAC ID: 2264757939 Enrollment ID: I20150223000119 |
| Provider Name | Katie Y Zhang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801098702 PECOS PAC ID: 8224299391 Enrollment ID: I20150225001508 |
| Provider Name | Robin Witkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427095793 PECOS PAC ID: 3678899226 Enrollment ID: I20150226000889 |
| Provider Name | Aasha Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548428477 PECOS PAC ID: 5294051843 Enrollment ID: I20150226000948 |
| Provider Name | J Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639158066 PECOS PAC ID: 6901920057 Enrollment ID: I20150227000791 |
| Provider Name | Jeffrey Bernstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871534867 PECOS PAC ID: 9537485081 Enrollment ID: I20150228000146 |
| Provider Name | Alice Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700276854 PECOS PAC ID: 5597081992 Enrollment ID: I20150302002198 |
| Provider Name | Kenneth Ward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336113760 PECOS PAC ID: 2567375850 Enrollment ID: I20150305001241 |
| Provider Name | Yvette Sandoval |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619956703 PECOS PAC ID: 7719159367 Enrollment ID: I20150306001344 |
| Provider Name | Hoda Hachicho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104805290 PECOS PAC ID: 1355513904 Enrollment ID: I20150309001688 |
| Provider Name | Richard E Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811970056 PECOS PAC ID: 2567489909 Enrollment ID: I20150309001702 |
| Provider Name | Betty Siu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073609038 PECOS PAC ID: 8022064930 Enrollment ID: I20150310001787 |
| Provider Name | Farideh Jordan Abbasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326220047 PECOS PAC ID: 2961621313 Enrollment ID: I20150311000337 |
| Provider Name | Megan Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699118786 PECOS PAC ID: 7911223821 Enrollment ID: I20150311001012 |
| Provider Name | James Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043214810 PECOS PAC ID: 0840516472 Enrollment ID: I20150311001087 |
| Provider Name | Daniel Feldman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578505590 PECOS PAC ID: 6901122852 Enrollment ID: I20150311002323 |
| Provider Name | Michael Leatherwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497747349 PECOS PAC ID: 9032196662 Enrollment ID: I20150312001804 |
| Provider Name | Georgia Cu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629127824 PECOS PAC ID: 6305885237 Enrollment ID: I20150313000885 |
| Provider Name | Nicholas Tavani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811983224 PECOS PAC ID: 0941475529 Enrollment ID: I20150317001725 |
| Provider Name | Sean Patrick Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033371752 PECOS PAC ID: 2961624861 Enrollment ID: I20150318001591 |
| Provider Name | Alice C Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578737649 PECOS PAC ID: 3274692447 Enrollment ID: I20150323001332 |
| Provider Name | Robert Timothy Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326030040 PECOS PAC ID: 2668598095 Enrollment ID: I20150324000396 |
| Provider Name | Julio Menocal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164492401 PECOS PAC ID: 6103920368 Enrollment ID: I20150327000790 |
| Provider Name | Christian Bernard Estipona San Jose |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710288204 PECOS PAC ID: 9931428539 Enrollment ID: I20150504000596 |
| Provider Name | Kelly Mcdonald Barbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801816079 PECOS PAC ID: 2961393665 Enrollment ID: I20150519000820 |
| Provider Name | Erin M Keehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336532035 PECOS PAC ID: 0648590489 Enrollment ID: I20150519002430 |
| Provider Name | Sandra Wittholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508847799 PECOS PAC ID: 2860676491 Enrollment ID: I20150602001434 |
| Provider Name | Daniel S. Fitelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053545459 PECOS PAC ID: 3678884111 Enrollment ID: I20150624001890 |
| Provider Name | Erik L. Granados |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376644971 PECOS PAC ID: 2860703253 Enrollment ID: I20150626000326 |
| Provider Name | Anita R. Flower |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609984145 PECOS PAC ID: 3779895149 Enrollment ID: I20150629001240 |
| Provider Name | Elizabeth D. Flynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649371246 PECOS PAC ID: 6507178985 Enrollment ID: I20150629001564 |
| Provider Name | Cameron Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497149348 PECOS PAC ID: 8123346210 Enrollment ID: I20150706000146 |
| Provider Name | Joel Meshulam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871513697 PECOS PAC ID: 5698814820 Enrollment ID: I20150706001022 |
| Provider Name | Laura C. Panto Arling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952627655 PECOS PAC ID: 5799929923 Enrollment ID: I20150706001703 |
| Provider Name | Nathan M Pierce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538462692 PECOS PAC ID: 6901118678 Enrollment ID: I20150709000382 |
| Provider Name | Wendy C. Ault |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699885186 PECOS PAC ID: 2668784224 Enrollment ID: I20150710000028 |
| Provider Name | Jeffrey Nold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053488841 PECOS PAC ID: 3072825678 Enrollment ID: I20150710001167 |
| Provider Name | Olga Pomerleau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376532481 PECOS PAC ID: 1850604315 Enrollment ID: I20150714000396 |
| Provider Name | Elizabeth Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407992407 PECOS PAC ID: 5799097200 Enrollment ID: I20150714000571 |
| Provider Name | Susan H Burroughs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518951052 PECOS PAC ID: 4082513049 Enrollment ID: I20150714001020 |
| Provider Name | Linda Paxton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962440917 PECOS PAC ID: 4688987068 Enrollment ID: I20150714001100 |
| Provider Name | Diego Escobosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710054598 PECOS PAC ID: 3779895362 Enrollment ID: I20150714002036 |
| Provider Name | Maegan Renee Chaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528104452 PECOS PAC ID: 4082926662 Enrollment ID: I20150715001298 |
| Provider Name | Harneet R Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336288554 PECOS PAC ID: 1355401712 Enrollment ID: I20150716002429 |
| Provider Name | Jie Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104188317 PECOS PAC ID: 0446408926 Enrollment ID: I20150717000293 |
| Provider Name | Marsha A. Mason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831205129 PECOS PAC ID: 7517270481 Enrollment ID: I20150721002063 |
| Provider Name | Melody Pairo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528048824 PECOS PAC ID: 0648242982 Enrollment ID: I20150727001425 |
| Provider Name | Jay W Rhee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659532489 PECOS PAC ID: 5597984211 Enrollment ID: I20150731015861 |
| Provider Name | Amy Paulino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962540641 PECOS PAC ID: 4486968310 Enrollment ID: I20150805007553 |
| Provider Name | Thomas Hickey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851515738 PECOS PAC ID: 5496069213 Enrollment ID: I20150806010764 |
| Provider Name | Claire M Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063451508 PECOS PAC ID: 7416261110 Enrollment ID: I20150807013966 |
| Provider Name | Alicia C Morgan Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275577439 PECOS PAC ID: 2668786468 Enrollment ID: I20150807014078 |
| Provider Name | Tarique Zahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891955035 PECOS PAC ID: 1052625779 Enrollment ID: I20150807014736 |
| Provider Name | Pamela Matia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639125289 PECOS PAC ID: 1456665181 Enrollment ID: I20150807014984 |
| Provider Name | Jennifer Kottra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841347879 PECOS PAC ID: 9133433931 Enrollment ID: I20150810001105 |
| Provider Name | Louisa Ziglar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538336151 PECOS PAC ID: 2264556802 Enrollment ID: I20150810002410 |
| Provider Name | Taseen Mir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154470946 PECOS PAC ID: 5698795896 Enrollment ID: I20150810002641 |
| Provider Name | Stanley Voigt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154641751 PECOS PAC ID: 6406161140 Enrollment ID: I20150811003341 |
| Provider Name | Gena T Manley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275576670 PECOS PAC ID: 1759370539 Enrollment ID: I20150813010380 |
| Provider Name | Divya C Sridharan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265757397 PECOS PAC ID: 6406161843 Enrollment ID: I20150814012802 |
| Provider Name | Kimmala S Roundtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205210788 PECOS PAC ID: 0547576589 Enrollment ID: I20150904001562 |
| Provider Name | Mary June C So |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609258946 PECOS PAC ID: 4183931850 Enrollment ID: I20150911001953 |
| Provider Name | Darryl Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396153797 PECOS PAC ID: 3072733526 Enrollment ID: I20150914000177 |
| Provider Name | Priya Dnyanesh Ghadge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790916039 PECOS PAC ID: 1850522202 Enrollment ID: I20150915000191 |
| Provider Name | Mark L Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386910396 PECOS PAC ID: 6002065117 Enrollment ID: I20150917002398 |
| Provider Name | Laura H Vaughan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538222369 PECOS PAC ID: 9335457142 Enrollment ID: I20150928002825 |
| Provider Name | Andrew-thanh H Pho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881945228 PECOS PAC ID: 0547578205 Enrollment ID: I20150929002079 |
| Provider Name | Holly Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740342161 PECOS PAC ID: 4789721556 Enrollment ID: I20150929002754 |
| Provider Name | Theresa A Benchoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376527473 PECOS PAC ID: 5092985739 Enrollment ID: I20151001000088 |
| Provider Name | Patricia Michelle Coleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982910972 PECOS PAC ID: 7214245844 Enrollment ID: I20151001001438 |
| Provider Name | Dimitrios Sigounas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528228749 PECOS PAC ID: 6103134374 Enrollment ID: I20151008000207 |
| Provider Name | Anita Sikand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669541744 PECOS PAC ID: 9638494933 Enrollment ID: I20151014002037 |
| Provider Name | Christina Schrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861891566 PECOS PAC ID: 5092024711 Enrollment ID: I20151021000056 |
| Provider Name | George Iskander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457685034 PECOS PAC ID: 6901115534 Enrollment ID: I20151022001553 |
| Provider Name | Nana E Apedoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952785313 PECOS PAC ID: 5294044418 Enrollment ID: I20151028002633 |
| Provider Name | Lindsay Mayhood Liwanag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720457047 PECOS PAC ID: 3072823269 Enrollment ID: I20151029002009 |
| Provider Name | Robin S Witlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164847174 PECOS PAC ID: 6608186705 Enrollment ID: I20151102001088 |
| Provider Name | Genevieve Diamond-krebs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114399771 PECOS PAC ID: 8123338621 Enrollment ID: I20151113000163 |
| Provider Name | Arnold S Kirshenbaum |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1831145903 PECOS PAC ID: 5193983161 Enrollment ID: I20151117001196 |
| Provider Name | Valorie Anlage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275513053 PECOS PAC ID: 7416257415 Enrollment ID: I20151124000303 |
| Provider Name | Steven Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609846856 PECOS PAC ID: 9638479645 Enrollment ID: I20151124000606 |
| Provider Name | Inas Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649250325 PECOS PAC ID: 0345540399 Enrollment ID: I20151124001998 |
| Provider Name | Louis Bland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265412043 PECOS PAC ID: 8325348287 Enrollment ID: I20151125000009 |
| Provider Name | Angela Gadsby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457380370 PECOS PAC ID: 1355641226 Enrollment ID: I20151125000309 |
| Provider Name | Andrew K Mazur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902899719 PECOS PAC ID: 9133372055 Enrollment ID: I20151202000177 |
| Provider Name | Mei-lin Lu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114907896 PECOS PAC ID: 5991005654 Enrollment ID: I20151202000286 |
| Provider Name | Eunju Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114202058 PECOS PAC ID: 2769645878 Enrollment ID: I20151209001135 |
| Provider Name | Stephanie Perdue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073647442 PECOS PAC ID: 8527237825 Enrollment ID: I20151210002249 |
| Provider Name | Emily Skoda-mount |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629334867 PECOS PAC ID: 4587965595 Enrollment ID: I20151216002340 |
| Provider Name | Joanna M Bock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780728188 PECOS PAC ID: 6406902022 Enrollment ID: I20151217000057 |
| Provider Name | Zachary T Devilbiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942615471 PECOS PAC ID: 5193027365 Enrollment ID: I20160105001272 |
| Provider Name | Nirmal Choradia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366785586 PECOS PAC ID: 8426350463 Enrollment ID: I20160107000546 |
| Provider Name | William Stallard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694561 PECOS PAC ID: 5092017012 Enrollment ID: I20160108000067 |
| Provider Name | Viet H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245406636 PECOS PAC ID: 5496933368 Enrollment ID: I20160108000150 |
| Provider Name | Thomas Stallard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467866285 PECOS PAC ID: 1759683584 Enrollment ID: I20160111001006 |
| Provider Name | Akukeng W Mba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043686876 PECOS PAC ID: 6204144413 Enrollment ID: I20160111002012 |
| Provider Name | Beth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700269016 PECOS PAC ID: 8527360148 Enrollment ID: I20160113001179 |
| Provider Name | Clare Gosek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230929 PECOS PAC ID: 1254633803 Enrollment ID: I20160113002249 |
| Provider Name | Debra Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235344292 PECOS PAC ID: 8426129990 Enrollment ID: I20160126001135 |
| Provider Name | Wesley E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306659 PECOS PAC ID: 1355645987 Enrollment ID: I20160202001823 |
| Provider Name | Courtney Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275998486 PECOS PAC ID: 9335443902 Enrollment ID: I20160203000109 |
| Provider Name | Barbara Stevens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689653727 PECOS PAC ID: 8325342793 Enrollment ID: I20160204001115 |
| Provider Name | Brittany Larson Mcgrady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558775379 PECOS PAC ID: 7214232958 Enrollment ID: I20160218000279 |
| Provider Name | Tu M Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639544729 PECOS PAC ID: 8820393564 Enrollment ID: I20160218000369 |
| Provider Name | Terry Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649684465 PECOS PAC ID: 5991000465 Enrollment ID: I20160222000046 |
| Provider Name | Nitya Ramachandran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114973526 PECOS PAC ID: 7911202403 Enrollment ID: I20160222000635 |
| Provider Name | Susette Var |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730593559 PECOS PAC ID: 9537464920 Enrollment ID: I20160223001290 |
| Provider Name | Eleanor Tanno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285048009 PECOS PAC ID: 9335444314 Enrollment ID: I20160301000193 |
| Provider Name | Molly J Garges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447529011 PECOS PAC ID: 0547566721 Enrollment ID: I20160315000666 |
| Provider Name | Kelly J Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710174701 PECOS PAC ID: 7315035821 Enrollment ID: I20160317000161 |
| Provider Name | Allison B Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639583826 PECOS PAC ID: 1254551641 Enrollment ID: I20160318000125 |
| Provider Name | Sherry Hood Dulling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043691884 PECOS PAC ID: 3274830138 Enrollment ID: I20160322000032 |
| Provider Name | Annie T Do |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710199344 PECOS PAC ID: 5092897678 Enrollment ID: I20160408000078 |
| Provider Name | Julia B Levenson-bleicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750798468 PECOS PAC ID: 8224258371 Enrollment ID: I20160413001567 |
| Provider Name | Karen Robbins |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1114184967 PECOS PAC ID: 2961724182 Enrollment ID: I20160419000429 |
| Provider Name | Michael Andrew Cole |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013983501 PECOS PAC ID: 3274766613 Enrollment ID: I20160504001441 |
| Provider Name | Alvaro A Puig-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003064270 PECOS PAC ID: 2860649878 Enrollment ID: I20160517002471 |
| Provider Name | Elliott N Exar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235225723 PECOS PAC ID: 5395827240 Enrollment ID: I20160523002254 |
| Provider Name | Amir H Shahlaee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649214529 PECOS PAC ID: 6204888415 Enrollment ID: I20160524000027 |
| Provider Name | Stephanie Park |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225490105 PECOS PAC ID: 4880984541 Enrollment ID: I20160608001504 |
| Provider Name | Salil Malhotra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255382990 PECOS PAC ID: 8426348137 Enrollment ID: I20160609000193 |
| Provider Name | Lea Tesfahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730535634 PECOS PAC ID: 3072803600 Enrollment ID: I20160609001170 |
| Provider Name | Sylvie T Tchuindjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124406749 PECOS PAC ID: 0143510677 Enrollment ID: I20160613000077 |
| Provider Name | Catherine Ellis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548473150 PECOS PAC ID: 2365516333 Enrollment ID: I20160613000814 |
| Provider Name | Catherine D Daily |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871820084 PECOS PAC ID: 1759672132 Enrollment ID: I20160614002600 |
| Provider Name | Alexey Tolchinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710396510 PECOS PAC ID: 3779874961 Enrollment ID: I20160617001815 |
| Provider Name | Barnett G Mennen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184848004 PECOS PAC ID: 3072837434 Enrollment ID: I20160622000154 |
| Provider Name | Lauren B Messinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982970042 PECOS PAC ID: 3971737719 Enrollment ID: I20160628002265 |
| Provider Name | Farzana Kousar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386008530 PECOS PAC ID: 3971895392 Enrollment ID: I20160706000196 |
| Provider Name | Priya Murthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421060 PECOS PAC ID: 7113150251 Enrollment ID: I20160803000314 |
| Provider Name | Timothy J Yu |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457613879 PECOS PAC ID: 0547582538 Enrollment ID: I20160812001021 |
| Provider Name | Emily Limerick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669787396 PECOS PAC ID: 3971897950 Enrollment ID: I20160815001258 |
| Provider Name | Igor Dorokhine |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538229075 PECOS PAC ID: 5698776813 Enrollment ID: I20160816000977 |
| Provider Name | Nicole T Yedlinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366431645 PECOS PAC ID: 1759676604 Enrollment ID: I20160817001242 |
| Provider Name | Kellen Hill Burgwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851652754 PECOS PAC ID: 2163713371 Enrollment ID: I20160818000116 |
| Provider Name | Furhan Rashid Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20160818000892 |
| Provider Name | Jessica L Jabola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619260007 PECOS PAC ID: 2961797691 Enrollment ID: I20160819001851 |
| Provider Name | Grace E Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801103767 PECOS PAC ID: 2961791280 Enrollment ID: I20160822000687 |
| Provider Name | Susan Kioko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720491293 PECOS PAC ID: 7113249327 Enrollment ID: I20160824000508 |
| Provider Name | Shi-wei S Hwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457798217 PECOS PAC ID: 0244533271 Enrollment ID: I20160830000762 |
| Provider Name | Kharia J Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265668347 PECOS PAC ID: 7214176551 Enrollment ID: I20160831000134 |
| Provider Name | Yin Wu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053516401 PECOS PAC ID: 4284813197 Enrollment ID: I20160901002186 |
| Provider Name | Madelyn Grinc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881933182 PECOS PAC ID: 6406075837 Enrollment ID: I20160914000240 |
| Provider Name | Domenica Angiuli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629406871 PECOS PAC ID: 9638474711 Enrollment ID: I20160914002057 |
| Provider Name | Pallavi Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164798724 PECOS PAC ID: 1557592649 Enrollment ID: I20160919001254 |
| Provider Name | Belen Tesfaye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225349020 PECOS PAC ID: 0749579951 Enrollment ID: I20160920000417 |
| Provider Name | Majid H Ghauri |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1568427979 PECOS PAC ID: 8628004587 Enrollment ID: I20160920001223 |
| Provider Name | Roosevelt Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245486802 PECOS PAC ID: 5799832804 Enrollment ID: I20160921000039 |
| Provider Name | Noelia Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983825 PECOS PAC ID: 7214224062 Enrollment ID: I20160922001824 |
| Provider Name | Jessica L Sommer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861759227 PECOS PAC ID: 4688961329 Enrollment ID: I20160923002074 |
| Provider Name | Shetal R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518349638 PECOS PAC ID: 8123324787 Enrollment ID: I20161004001793 |
| Provider Name | Jason Anthony Breig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437545225 PECOS PAC ID: 4385941236 Enrollment ID: I20161004002144 |
| Provider Name | Michelle T Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457318941 PECOS PAC ID: 3779861885 Enrollment ID: I20161025000705 |
| Provider Name | Anu V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992141410 PECOS PAC ID: 5597980367 Enrollment ID: I20161025001763 |
| Provider Name | Christina Council |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831539451 PECOS PAC ID: 9234435967 Enrollment ID: I20161101000565 |
| Provider Name | Susan Fazilat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437602323 PECOS PAC ID: 4385922772 Enrollment ID: I20161107001392 |
| Provider Name | Ealena S Callender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851489793 PECOS PAC ID: 7810095742 Enrollment ID: I20161110000841 |
| Provider Name | Youngkey Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386027969 PECOS PAC ID: 6103121108 Enrollment ID: I20161117000307 |
| Provider Name | Margo Badman Fredericks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508311853 PECOS PAC ID: 3375823834 Enrollment ID: I20161130000029 |
| Provider Name | Julian Anh Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346674512 PECOS PAC ID: 9335448703 Enrollment ID: I20161215000893 |
| Provider Name | Betsy Vasquez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003995168 PECOS PAC ID: 7315909942 Enrollment ID: I20161219002110 |
| Provider Name | Tiffany Leray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730588633 PECOS PAC ID: 9234410663 Enrollment ID: I20161227000617 |
| Provider Name | Maryam R Sindi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437691664 PECOS PAC ID: 7214218130 Enrollment ID: I20170106001191 |
| Provider Name | Mikhail Shik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891767000 PECOS PAC ID: 4789677204 Enrollment ID: I20170109002596 |
| Provider Name | Kristin Renee Huenink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427475011 PECOS PAC ID: 4183921216 Enrollment ID: I20170110002595 |
| Provider Name | Laura Eleazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811365117 PECOS PAC ID: 8224310388 Enrollment ID: I20170125000804 |
| Provider Name | Jaclyn Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992356 PECOS PAC ID: 9133402811 Enrollment ID: I20170202001570 |
| Provider Name | Deborah V Suchman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972055457 PECOS PAC ID: 3678856069 Enrollment ID: I20170209000449 |
| Provider Name | Craig Philhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085076 PECOS PAC ID: 5496038416 Enrollment ID: I20170216001390 |
| Provider Name | Kate N Ojeyinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932655156 PECOS PAC ID: 7618250606 Enrollment ID: I20170217001415 |
| Provider Name | Erica Allen-winslow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659533800 PECOS PAC ID: 7517289671 Enrollment ID: I20170224000031 |
| Provider Name | Agiua I Heath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174747570 PECOS PAC ID: 5698951044 Enrollment ID: I20170224000147 |
| Provider Name | Christine M Klam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336684729 PECOS PAC ID: 8527342104 Enrollment ID: I20170227000962 |
| Provider Name | Douglas Alexander Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518283464 PECOS PAC ID: 1052551793 Enrollment ID: I20170301000435 |
| Provider Name | Elizabeth Ann Nerbun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770759649 PECOS PAC ID: 8921152141 Enrollment ID: I20170303000102 |
| Provider Name | Siobhan L Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104360825 PECOS PAC ID: 7911281225 Enrollment ID: I20170306002106 |
| Provider Name | Ali M Sajadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326028614 PECOS PAC ID: 0547294266 Enrollment ID: I20170404000482 |
| Provider Name | Roger Ewonkem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821288440 PECOS PAC ID: 8921196601 Enrollment ID: I20170405001386 |
| Provider Name | Keshia Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558806778 PECOS PAC ID: 4486939337 Enrollment ID: I20170407000983 |
| Provider Name | Rachel M Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437697075 PECOS PAC ID: 0840576641 Enrollment ID: I20170410001995 |
| Provider Name | Elizabeth Pavesich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134675010 PECOS PAC ID: 0446536171 Enrollment ID: I20170413000012 |
| Provider Name | Thomas L Pinckert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689613267 PECOS PAC ID: 4981981859 Enrollment ID: I20170502000269 |
| Provider Name | Susane C Njomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275077083 PECOS PAC ID: 3173800968 Enrollment ID: I20170504000135 |
| Provider Name | Lalitha Gudipaty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225296122 PECOS PAC ID: 4880836477 Enrollment ID: I20170516001171 |
| Provider Name | Silpa Pk Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811256381 PECOS PAC ID: 3173754314 Enrollment ID: I20170517000607 |
| Provider Name | Junsoo Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427283563 PECOS PAC ID: 3072769140 Enrollment ID: I20170524001809 |
| Provider Name | Neil Shea |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215222377 PECOS PAC ID: 1153625272 Enrollment ID: I20170525000249 |
| Provider Name | Neeharika Repaka |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235427592 PECOS PAC ID: 8729377817 Enrollment ID: I20170606001173 |
| Provider Name | Laura Parikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407172414 PECOS PAC ID: 2163790494 Enrollment ID: I20170609001394 |
| Provider Name | Faheem Ahmed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306285705 PECOS PAC ID: 5799900130 Enrollment ID: I20170626000896 |
| Provider Name | Michal Moskowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952768541 PECOS PAC ID: 2062781446 Enrollment ID: I20170628000045 |
| Provider Name | Sherry A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972041259 PECOS PAC ID: 7113296120 Enrollment ID: I20170707000639 |
| Provider Name | Sadiatu Malike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215470133 PECOS PAC ID: 2769751676 Enrollment ID: I20170710001295 |
| Provider Name | Shalini Gehani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164970281 PECOS PAC ID: 6204105992 Enrollment ID: I20170712001943 |
| Provider Name | Hani Sabahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710299847 PECOS PAC ID: 8820237506 Enrollment ID: I20170725002594 |
| Provider Name | Emily Balko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255867081 PECOS PAC ID: 0648540419 Enrollment ID: I20170727000425 |
| Provider Name | Christopher L-fu Luk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356753073 PECOS PAC ID: 8325357858 Enrollment ID: I20170727001518 |
| Provider Name | Vi Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750646956 PECOS PAC ID: 3971874538 Enrollment ID: I20170801001576 |
| Provider Name | Beatrix Molnar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164954087 PECOS PAC ID: 0446521348 Enrollment ID: I20170811000753 |
| Provider Name | Richard J Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043639180 PECOS PAC ID: 5890093173 Enrollment ID: I20170815002834 |
| Provider Name | Rebecca Elias Bachrach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922268259 PECOS PAC ID: 5294007944 Enrollment ID: I20170816000904 |
| Provider Name | Nithiya Panneerchelvam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154740140 PECOS PAC ID: 6507167996 Enrollment ID: I20170816001112 |
| Provider Name | Stephanie D Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568982601 PECOS PAC ID: 3274805841 Enrollment ID: I20170816002359 |
| Provider Name | Matthew C Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457763344 PECOS PAC ID: 3678860590 Enrollment ID: I20170816004210 |
| Provider Name | Renee Hadeed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114454196 PECOS PAC ID: 7810269263 Enrollment ID: I20170818001867 |
| Provider Name | Astaad H Dalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184067522 PECOS PAC ID: 6002195930 Enrollment ID: I20170824000601 |
| Provider Name | Diana Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104270529 PECOS PAC ID: 3779877535 Enrollment ID: I20170830003662 |
| Provider Name | Allison Behette O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904775 PECOS PAC ID: 5698048080 Enrollment ID: I20170906004057 |
| Provider Name | Ioana Jucan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588082267 PECOS PAC ID: 6002117850 Enrollment ID: I20170907000795 |
| Provider Name | Farah Nawaz Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194130294 PECOS PAC ID: 5799058012 Enrollment ID: I20170908001494 |
| Provider Name | Ruthann E Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538698527 PECOS PAC ID: 4082988076 Enrollment ID: I20170914000263 |
| Provider Name | Amber L Robins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710305453 PECOS PAC ID: 5698049351 Enrollment ID: I20170919000828 |
| Provider Name | Thuy Phuong T. Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003266552 PECOS PAC ID: 9335431329 Enrollment ID: I20170926000191 |
| Provider Name | Vivian Jiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467871160 PECOS PAC ID: 3577839679 Enrollment ID: I20171017002747 |
| Provider Name | Cheryl Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164841425 PECOS PAC ID: 3274809207 Enrollment ID: I20171019000589 |
| Provider Name | Melissa Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194242610 PECOS PAC ID: 6204102262 Enrollment ID: I20171019001883 |
| Provider Name | Ashley Deremer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972013936 PECOS PAC ID: 0840556411 Enrollment ID: I20171115000049 |
| Provider Name | Lawrence Gordon Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417979865 PECOS PAC ID: 4183634447 Enrollment ID: I20171116000083 |
| Provider Name | Mary Mallory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587530 PECOS PAC ID: 1951667450 Enrollment ID: I20171116002120 |
| Provider Name | Nandini Thillairajah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093762197 PECOS PAC ID: 5496011819 Enrollment ID: I20171117000362 |
| Provider Name | Kevin Jonathan Donohue |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366604555 PECOS PAC ID: 2567696396 Enrollment ID: I20171117001576 |
| Provider Name | Raymond Hugh Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669414769 PECOS PAC ID: 3577820448 Enrollment ID: I20171130002602 |
| Provider Name | Evan M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831540350 PECOS PAC ID: 7416241658 Enrollment ID: I20171201000151 |
| Provider Name | Melissa Justine Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568812014 PECOS PAC ID: 2264726314 Enrollment ID: I20171204000963 |
| Provider Name | Holly E Jonely |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326103342 PECOS PAC ID: 4981621752 Enrollment ID: I20171205000007 |
| Provider Name | Maureen A Filak-allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821448374 PECOS PAC ID: 9436442159 Enrollment ID: I20171205000127 |
| Provider Name | Elham M Taheri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023547320 PECOS PAC ID: 0547527111 Enrollment ID: I20171212000656 |
| Provider Name | Bridget C. Diakun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124539572 PECOS PAC ID: 9739447616 Enrollment ID: I20171226000151 |
| Provider Name | Bradley J Rolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689023624 PECOS PAC ID: 2062706211 Enrollment ID: I20180102000046 |
| Provider Name | Maggie Ruth Lyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346685567 PECOS PAC ID: 6103142187 Enrollment ID: I20180108001948 |
| Provider Name | Alexander Ahmad Kanaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831602333 PECOS PAC ID: 9537428693 Enrollment ID: I20180117001904 |
| Provider Name | Jessica Elizabeth Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992109805 PECOS PAC ID: 2062771074 Enrollment ID: I20180122000248 |
| Provider Name | Timothy A Arling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588930234 PECOS PAC ID: 4789994690 Enrollment ID: I20180201000117 |
| Provider Name | Asmita Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902311475 PECOS PAC ID: 6406116672 Enrollment ID: I20180207003057 |
| Provider Name | Jude Sudario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023430014 PECOS PAC ID: 3577823772 Enrollment ID: I20180208001028 |
| Provider Name | Qiong Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871018713 PECOS PAC ID: 9436410701 Enrollment ID: I20180301000252 |
| Provider Name | Shilla Pokuaa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417455585 PECOS PAC ID: 3072874338 Enrollment ID: I20180302001531 |
| Provider Name | Kimberly Amanda Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497799365 PECOS PAC ID: 6204842743 Enrollment ID: I20180313000748 |
| Provider Name | Michelle Irene Pego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493750 PECOS PAC ID: 8729362025 Enrollment ID: I20180315000888 |
| Provider Name | Myriam Diatta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982121976 PECOS PAC ID: 1456613884 Enrollment ID: I20180326000213 |
| Provider Name | Sonal Girish Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366608879 PECOS PAC ID: 7719031608 Enrollment ID: I20180404001724 |
| Provider Name | Margaret Cuthbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649770116 PECOS PAC ID: 6305109216 Enrollment ID: I20180405002701 |
| Provider Name | Lauren Collins-chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942719042 PECOS PAC ID: 0042573719 Enrollment ID: I20180410002514 |
| Provider Name | Uchechukwu Ifeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043736846 PECOS PAC ID: 6103189857 Enrollment ID: I20180411002953 |
| Provider Name | Kateri Andrea Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265935282 PECOS PAC ID: 0840553004 Enrollment ID: I20180423000160 |
| Provider Name | Shera Carlson Schreiber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295024271 PECOS PAC ID: 6002179264 Enrollment ID: I20180423000287 |
| Provider Name | Shani Cerritos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043667264 PECOS PAC ID: 1759645856 Enrollment ID: I20180425001717 |
| Provider Name | Patricia D Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780972034 PECOS PAC ID: 9436468154 Enrollment ID: I20180516002253 |
| Provider Name | Monica Luu Quach Hwang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629480454 PECOS PAC ID: 9931328895 Enrollment ID: I20180604000365 |
| Provider Name | Andrew Jay Siegel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982045043 PECOS PAC ID: 3274803556 Enrollment ID: I20180605001924 |
| Provider Name | Robert Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124121348 PECOS PAC ID: 1557390267 Enrollment ID: I20180620000020 |
| Provider Name | David Lindsay Leader |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336104181 PECOS PAC ID: 2062557465 Enrollment ID: I20180625001406 |
| Provider Name | Itamar Simhon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548774524 PECOS PAC ID: 5092061341 Enrollment ID: I20180629000259 |
| Provider Name | Christopher W Tsang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104187525 PECOS PAC ID: 7416173604 Enrollment ID: I20180705002160 |
| Provider Name | Alison Noell Huffstetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649665688 PECOS PAC ID: 7719294362 Enrollment ID: I20180709001828 |
| Provider Name | David Kammer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093941353 PECOS PAC ID: 1254595770 Enrollment ID: I20180709002243 |
| Provider Name | Jeffrey J Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245457290 PECOS PAC ID: 7012009491 Enrollment ID: I20180709002792 |
| Provider Name | Jerfi D Cicin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528020799 PECOS PAC ID: 3476688516 Enrollment ID: I20180709002797 |
| Provider Name | Romona Devi Satchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295025096 PECOS PAC ID: 8921223199 Enrollment ID: I20180710000585 |
| Provider Name | Gautam Khandelwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962445569 PECOS PAC ID: 1153394234 Enrollment ID: I20180711002496 |
| Provider Name | Jonathan N. Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053532861 PECOS PAC ID: 3173688165 Enrollment ID: I20180712003222 |
| Provider Name | Faith Frankel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013268580 PECOS PAC ID: 2668728197 Enrollment ID: I20180712003567 |
| Provider Name | Rebecca N Levitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770963886 PECOS PAC ID: 9335496850 Enrollment ID: I20180716000688 |
| Provider Name | Gay Gooden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124081955 PECOS PAC ID: 3072656156 Enrollment ID: I20180719003815 |
| Provider Name | Thomas Norton Bernard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366601684 PECOS PAC ID: 7911178819 Enrollment ID: I20180725000035 |
| Provider Name | Jonas M. Mcalarney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083657266 PECOS PAC ID: 8022087659 Enrollment ID: I20180725000106 |
| Provider Name | Nadine Hammoud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518373299 PECOS PAC ID: 6800191719 Enrollment ID: I20180801000007 |
| Provider Name | Daniel J Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871087940 PECOS PAC ID: 4789932542 Enrollment ID: I20180810000427 |
| Provider Name | Sahana P Hundal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992145700 PECOS PAC ID: 5294036745 Enrollment ID: I20180814003343 |
| Provider Name | Rebecca Verga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858975 PECOS PAC ID: 9335498377 Enrollment ID: I20180823002539 |
| Provider Name | Lexi E Culleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336626142 PECOS PAC ID: 6002165966 Enrollment ID: I20180827000495 |
| Provider Name | Ashley Kyra Tilahun |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609294941 PECOS PAC ID: 6608126453 Enrollment ID: I20180829001819 |
| Provider Name | Umu Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073003398 PECOS PAC ID: 2163772849 Enrollment ID: I20180829003313 |
| Provider Name | Rima A Bachour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346635521 PECOS PAC ID: 5193075513 Enrollment ID: I20180906000495 |
| Provider Name | Elizabeth Chacko Yogiaveetil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629335518 PECOS PAC ID: 9830449131 Enrollment ID: I20180907000572 |
| Provider Name | Faren Keely Clum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639565773 PECOS PAC ID: 3971871450 Enrollment ID: I20180912000119 |
| Provider Name | Ramulfo Ortega |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881190684 PECOS PAC ID: 0749545721 Enrollment ID: I20180912003411 |
| Provider Name | Laura Pickford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356327381 PECOS PAC ID: 2860641701 Enrollment ID: I20180914002236 |
| Provider Name | Grace Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295213908 PECOS PAC ID: 2961753728 Enrollment ID: I20180918003980 |
| Provider Name | Evangelia T Tsapos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649790239 PECOS PAC ID: 4385913227 Enrollment ID: I20180925000036 |
| Provider Name | Rachel Choi Bak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891215851 PECOS PAC ID: 7214206465 Enrollment ID: I20180925000068 |
| Provider Name | Richard Uribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790205755 PECOS PAC ID: 0446529598 Enrollment ID: I20180925001674 |
| Provider Name | Zain Jalal Sultan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073033031 PECOS PAC ID: 9133498389 Enrollment ID: I20180926000266 |
| Provider Name | William Towne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184144958 PECOS PAC ID: 7810266061 Enrollment ID: I20180926000436 |
| Provider Name | Kendall S Hancock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982124939 PECOS PAC ID: 6608145859 Enrollment ID: I20180926000567 |
| Provider Name | Michelle Downie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093137689 PECOS PAC ID: 4486905544 Enrollment ID: I20180928001553 |
| Provider Name | John A Andrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528588589 PECOS PAC ID: 8325319601 Enrollment ID: I20181002001680 |
| Provider Name | Janine N Prime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669996062 PECOS PAC ID: 7315213444 Enrollment ID: I20181004001628 |
| Provider Name | Gena E Leatzow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174001747 PECOS PAC ID: 2769734631 Enrollment ID: I20181004002084 |
| Provider Name | Cory Scott |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073037495 PECOS PAC ID: 3375805260 Enrollment ID: I20181008001484 |
| Provider Name | Victoria Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578045472 PECOS PAC ID: 5496008443 Enrollment ID: I20181022002348 |
| Provider Name | Deidre Ann Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144703299 PECOS PAC ID: 5597018762 Enrollment ID: I20181106000270 |
| Provider Name | Belinda C Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033441993 PECOS PAC ID: 1658406947 Enrollment ID: I20181119000020 |
| Provider Name | Miriam Hinaa Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639426497 PECOS PAC ID: 6305135575 Enrollment ID: I20181120000138 |
| Provider Name | Kathryn Anne Wingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023591971 PECOS PAC ID: 8426392713 Enrollment ID: I20181127001258 |
| Provider Name | Keum-hyeong Choi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700104726 PECOS PAC ID: 8123362134 Enrollment ID: I20181203001173 |
| Provider Name | Marianne Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790268977 PECOS PAC ID: 0042554933 Enrollment ID: I20181204001273 |
| Provider Name | Devon Roland Augustus Wilkie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912369802 PECOS PAC ID: 4284978917 Enrollment ID: I20181206000286 |
| Provider Name | Jessica R Hasson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942678883 PECOS PAC ID: 9133463813 Enrollment ID: I20181206002316 |
| Provider Name | Sasha Hileman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619461480 PECOS PAC ID: 0648514265 Enrollment ID: I20181207000972 |
| Provider Name | Joseph Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124152574 PECOS PAC ID: 5698809598 Enrollment ID: I20181210000316 |
| Provider Name | Olga Varnacheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952815771 PECOS PAC ID: 4981948452 Enrollment ID: I20181211000541 |
| Provider Name | Margaret Farrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780906438 PECOS PAC ID: 0244558617 Enrollment ID: I20181212000074 |
| Provider Name | Deborah Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649631326 PECOS PAC ID: 2668717877 Enrollment ID: I20181217001341 |
| Provider Name | Terri Dee Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386019800 PECOS PAC ID: 1759626443 Enrollment ID: I20181228000408 |
| Provider Name | Samantha S Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740756253 PECOS PAC ID: 2860737301 Enrollment ID: I20190102002611 |
| Provider Name | Kyla Wyatt Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912475781 PECOS PAC ID: 4385980747 Enrollment ID: I20190107002598 |
| Provider Name | Srijana Poudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538606009 PECOS PAC ID: 4183991060 Enrollment ID: I20190108000146 |
| Provider Name | Madinah A Abdullah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346637071 PECOS PAC ID: 2365739737 Enrollment ID: I20190108000855 |
| Provider Name | Gerard D Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336241272 PECOS PAC ID: 0244287456 Enrollment ID: I20190110000247 |
| Provider Name | Hosai Md Todd Hesham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225288608 PECOS PAC ID: 7315263647 Enrollment ID: I20190110001221 |
| Provider Name | Umair Sharih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952567547 PECOS PAC ID: 0749526549 Enrollment ID: I20190116001028 |
| Provider Name | Jung M Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114497351 PECOS PAC ID: 0648516252 Enrollment ID: I20190117002765 |
| Provider Name | David Warren Herzig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184885915 PECOS PAC ID: 6608098868 Enrollment ID: I20190123000382 |
| Provider Name | Shirley Frimpong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073893467 PECOS PAC ID: 6406193218 Enrollment ID: I20190131001444 |
| Provider Name | You Rim Ahmad Hur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952782880 PECOS PAC ID: 2264770742 Enrollment ID: I20190207001029 |
| Provider Name | Marshall Dispenza |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699897991 PECOS PAC ID: 1658619564 Enrollment ID: I20190218002839 |
| Provider Name | Caitlin Elyse Zaner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710276993 PECOS PAC ID: 1456577063 Enrollment ID: I20190227002954 |
| Provider Name | Deirdre F Angelastro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710333281 PECOS PAC ID: 8123391562 Enrollment ID: I20190305000159 |
| Provider Name | Emily Joann Brauninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578037834 PECOS PAC ID: 3870833379 Enrollment ID: I20190320001169 |
| Provider Name | Eric N Stashko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669715736 PECOS PAC ID: 4385936236 Enrollment ID: I20190404002295 |
| Provider Name | Paul Viktorovich Bobryshev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083980270 PECOS PAC ID: 5597065359 Enrollment ID: I20190405000544 |
| Provider Name | Jamie Bleyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881936318 PECOS PAC ID: 7012146442 Enrollment ID: I20190405002187 |
| Provider Name | Ryan James Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982993689 PECOS PAC ID: 9133445604 Enrollment ID: I20190408001980 |
| Provider Name | Madjimbaye Namde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164611364 PECOS PAC ID: 5890820716 Enrollment ID: I20190409000746 |
| Provider Name | Osman J Qaiyum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851774327 PECOS PAC ID: 1456657154 Enrollment ID: I20190411000305 |
| Provider Name | Ruperto Vallarta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750674412 PECOS PAC ID: 6204005127 Enrollment ID: I20190424001224 |
| Provider Name | Neeraj Gandotra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184801813 PECOS PAC ID: 9032284278 Enrollment ID: I20190426000014 |
| Provider Name | Lauren Genava Outlaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912193970 PECOS PAC ID: 2961573621 Enrollment ID: I20190508001998 |
| Provider Name | Tien Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962982405 PECOS PAC ID: 3173866076 Enrollment ID: I20190516001278 |
| Provider Name | Aliya B Ladha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821302175 PECOS PAC ID: 2769603729 Enrollment ID: I20190520000102 |
| Provider Name | Molly Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306409990 PECOS PAC ID: 5890038400 Enrollment ID: I20190523000727 |
| Provider Name | Marissa Martin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629534508 PECOS PAC ID: 9032452560 Enrollment ID: I20190523001890 |
| Provider Name | Elham Altaf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588953780 PECOS PAC ID: 7911200985 Enrollment ID: I20190530000159 |
| Provider Name | Katherine J Flaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619458221 PECOS PAC ID: 5698008316 Enrollment ID: I20190612002549 |
| Provider Name | Kellie Loughran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497228159 PECOS PAC ID: 9739427592 Enrollment ID: I20190617000041 |
| Provider Name | Julie A Lueking |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265833941 PECOS PAC ID: 7810212685 Enrollment ID: I20190617003312 |
| Provider Name | Flint Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215356894 PECOS PAC ID: 6204136658 Enrollment ID: I20190703002113 |
| Provider Name | Pasindu Bharatha Samarasinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598127003 PECOS PAC ID: 9234438557 Enrollment ID: I20190715000063 |
| Provider Name | Linda Thu Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407104813 PECOS PAC ID: 0547531170 Enrollment ID: I20190716002010 |
| Provider Name | Jessica Joyce Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831757533 PECOS PAC ID: 2163758509 Enrollment ID: I20190724000053 |
| Provider Name | Ellen Kate Sternenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487017406 PECOS PAC ID: 7719272855 Enrollment ID: I20190729002418 |
| Provider Name | Michael Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477627545 PECOS PAC ID: 0749517316 Enrollment ID: I20190806002211 |
| Provider Name | Chongfei Jin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598129371 PECOS PAC ID: 1052648458 Enrollment ID: I20190807003959 |
| Provider Name | Kathleen E Dawson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043870652 PECOS PAC ID: 8921335019 Enrollment ID: I20190813000506 |
| Provider Name | Hanbin Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821545906 PECOS PAC ID: 6800124652 Enrollment ID: I20190819001274 |
| Provider Name | Ferderico O Sanabria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356792667 PECOS PAC ID: 3173818168 Enrollment ID: I20190819002884 |
| Provider Name | Mitra Hafezi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043877111 PECOS PAC ID: 4789912817 Enrollment ID: I20190827002144 |
| Provider Name | Nicole Goitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578124947 PECOS PAC ID: 3870821812 Enrollment ID: I20190828003396 |
| Provider Name | Zakeih Chaker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720436082 PECOS PAC ID: 6204128010 Enrollment ID: I20190828003471 |
| Provider Name | Kendall L Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255726634 PECOS PAC ID: 0749587335 Enrollment ID: I20190830002001 |
| Provider Name | Claude Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316507064 PECOS PAC ID: 4486983038 Enrollment ID: I20190909000649 |
| Provider Name | Elizabeth Flory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659865970 PECOS PAC ID: 2668724097 Enrollment ID: I20190910002772 |
| Provider Name | Lisa X Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831683150 PECOS PAC ID: 1759639875 Enrollment ID: I20190910003494 |
| Provider Name | Matthew J Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881057230 PECOS PAC ID: 9436440344 Enrollment ID: I20190911000093 |
| Provider Name | Kayla A Vliet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508425463 PECOS PAC ID: 3173852316 Enrollment ID: I20190912002124 |
| Provider Name | Cindy F Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720018088 PECOS PAC ID: 5890708028 Enrollment ID: I20190917002581 |
| Provider Name | Anh N Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003264730 PECOS PAC ID: 2062742091 Enrollment ID: I20190918000714 |
| Provider Name | Katherine P Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295267151 PECOS PAC ID: 6406186477 Enrollment ID: I20190918002028 |
| Provider Name | Althea Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730734146 PECOS PAC ID: 8921338831 Enrollment ID: I20190919001284 |
| Provider Name | Michael Lopoukhine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477047793 PECOS PAC ID: 6800144767 Enrollment ID: I20190920000095 |
| Provider Name | Monica Byrne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467564518 PECOS PAC ID: 3870579022 Enrollment ID: I20190923002947 |
| Provider Name | Samar Benhusen Merriman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710244926 PECOS PAC ID: 4385974823 Enrollment ID: I20190925002400 |
| Provider Name | Kathleen Ann Tyson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538642426 PECOS PAC ID: 3072843556 Enrollment ID: I20190926000012 |
| Provider Name | Monique Stevens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376888172 PECOS PAC ID: 6002165248 Enrollment ID: I20190927000084 |
| Provider Name | Dony Maiguel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639726029 PECOS PAC ID: 4688905755 Enrollment ID: I20191004000643 |
| Provider Name | Sarah Dennemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215382940 PECOS PAC ID: 2668763806 Enrollment ID: I20191007000002 |
| Provider Name | Traci Marin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053692343 PECOS PAC ID: 3870824659 Enrollment ID: I20191009000325 |
| Provider Name | Melanie Jane Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881961407 PECOS PAC ID: 9830420611 Enrollment ID: I20191009000502 |
| Provider Name | Lauren Train |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235593039 PECOS PAC ID: 7719219682 Enrollment ID: I20191025000202 |
| Provider Name | Yumi Jono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437706561 PECOS PAC ID: 8527390244 Enrollment ID: I20191030002171 |
| Provider Name | Maryam Mohammadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568775369 PECOS PAC ID: 8921395575 Enrollment ID: I20191104002535 |
| Provider Name | Katherine Berezowski Herrera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114033677 PECOS PAC ID: 4385976778 Enrollment ID: I20191105001003 |
| Provider Name | Kathryn E Dietz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427147396 PECOS PAC ID: 3072560796 Enrollment ID: I20191105001223 |
| Provider Name | Christian Machado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548754864 PECOS PAC ID: 2668720590 Enrollment ID: I20191107000398 |
| Provider Name | Sukruti Vishal Udeshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821582149 PECOS PAC ID: 5991053019 Enrollment ID: I20191107001607 |
| Provider Name | Geoffrey Goidell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467942326 PECOS PAC ID: 1355773573 Enrollment ID: I20191108001960 |
| Provider Name | Grace D Yoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851944169 PECOS PAC ID: 8022440544 Enrollment ID: I20191121000090 |
| Provider Name | Richard Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013106178 PECOS PAC ID: 4082756077 Enrollment ID: I20191125000252 |
| Provider Name | Madhuri Pothireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609318641 PECOS PAC ID: 6204269236 Enrollment ID: I20191205002304 |
| Provider Name | Charbel A Awad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497136469 PECOS PAC ID: 2961708615 Enrollment ID: I20191210001566 |
| Provider Name | Jennifer Leigh Schauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265077796 PECOS PAC ID: 4789017260 Enrollment ID: I20191216000058 |
| Provider Name | Jennifer P King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497961973 PECOS PAC ID: 4981038460 Enrollment ID: I20191223000043 |
| Provider Name | Kaitlyn Stewart |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992287908 PECOS PAC ID: 3274874797 Enrollment ID: I20191227000209 |
| Provider Name | Carl W Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20200109000074 |
| Provider Name | Katherine V Kline |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801449657 PECOS PAC ID: 2163857228 Enrollment ID: I20200117000676 |
| Provider Name | Alexandra Jade Dmuchowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386006567 PECOS PAC ID: 4486089448 Enrollment ID: I20200121002468 |
| Provider Name | Kathleen Terhune Zubatkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972951853 PECOS PAC ID: 7517393242 Enrollment ID: I20200128003077 |
| Provider Name | Mark F Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346669660 PECOS PAC ID: 5597024208 Enrollment ID: I20200206000882 |
| Provider Name | Abraham Apene Mbangowah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710523022 PECOS PAC ID: 6709212996 Enrollment ID: I20200206002151 |
| Provider Name | Elshaday Teferi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689215527 PECOS PAC ID: 9830525054 Enrollment ID: I20200207000249 |
| Provider Name | Alicia R Sanderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578531919 PECOS PAC ID: 0648360289 Enrollment ID: I20200218000045 |
| Provider Name | Daniel Crump |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750374955 PECOS PAC ID: 1153351366 Enrollment ID: I20200302001708 |
| Provider Name | Lindsay Gann Killick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427698760 PECOS PAC ID: 9739516790 Enrollment ID: I20200304000249 |
| Provider Name | Kaitlyn M Felbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330158 PECOS PAC ID: 1557651924 Enrollment ID: I20200317001919 |
| Provider Name | Kristin Adelle Harrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255710554 PECOS PAC ID: 9335451715 Enrollment ID: I20200323000979 |
| Provider Name | Melanie Lieblang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20200325000443 |
| Provider Name | Shinda L Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578197265 PECOS PAC ID: 3678902368 Enrollment ID: I20200401000065 |
| Provider Name | Shahin Sadeghi Alavijeh |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427405026 PECOS PAC ID: 2860821568 Enrollment ID: I20200401000406 |
| Provider Name | Jessica Marie Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811521107 PECOS PAC ID: 5799114435 Enrollment ID: I20200401001959 |
| Provider Name | Abolanle Ahmed-orepitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295397305 PECOS PAC ID: 8820422546 Enrollment ID: I20200403000276 |
| Provider Name | Maria Cecilia Acevedo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518409747 PECOS PAC ID: 5698042083 Enrollment ID: I20200407000062 |
| Provider Name | Lehra Bogino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598303166 PECOS PAC ID: 4183053507 Enrollment ID: I20200407001364 |
| Provider Name | Karina Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982083879 PECOS PAC ID: 0143558536 Enrollment ID: I20200429001698 |
| Provider Name | Daniel Safo Kantanka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891326450 PECOS PAC ID: 5496186447 Enrollment ID: I20200507002351 |
| Provider Name | Soukeye Niang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881159093 PECOS PAC ID: 6406287358 Enrollment ID: I20200511001063 |
| Provider Name | Dipa Joshi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679862692 PECOS PAC ID: 5193975258 Enrollment ID: I20200511001374 |
| Provider Name | Vasif Cuneyt Kalfa |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376567735 PECOS PAC ID: 8325023542 Enrollment ID: I20200518000303 |
| Provider Name | Nancy Nicola Sage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678876 PECOS PAC ID: 0941421960 Enrollment ID: I20200520003130 |
| Provider Name | Jonathan C Dillard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427579770 PECOS PAC ID: 1951722958 Enrollment ID: I20200529001507 |
| Provider Name | Teresa Gomez-bramble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306236914 PECOS PAC ID: 0941556690 Enrollment ID: I20200603002810 |
| Provider Name | Amrita Rampertaap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750915203 PECOS PAC ID: 3870915267 Enrollment ID: I20200611001828 |
| Provider Name | Melanie Herrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629607882 PECOS PAC ID: 1355763228 Enrollment ID: I20200623000890 |
| Provider Name | Michelle Guarnieri |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710534102 PECOS PAC ID: 3274863378 Enrollment ID: I20200630001283 |
| Provider Name | Sarah Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619455912 PECOS PAC ID: 6901159698 Enrollment ID: I20200630001592 |
| Provider Name | Sylvia Casas De Leon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619362993 PECOS PAC ID: 4486988839 Enrollment ID: I20200729002522 |
| Provider Name | Sandeep Sandhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508391921 PECOS PAC ID: 1557786175 Enrollment ID: I20200729004077 |
| Provider Name | Julie Passarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205368156 PECOS PAC ID: 5698040533 Enrollment ID: I20200730000129 |
| Provider Name | William Richter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679816094 PECOS PAC ID: 8325337256 Enrollment ID: I20200730001082 |
| Provider Name | Molly Barb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841848546 PECOS PAC ID: 2961834007 Enrollment ID: I20200731002479 |
| Provider Name | Sana Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922448604 PECOS PAC ID: 2466695580 Enrollment ID: I20200803001453 |
| Provider Name | Olivia Brooke Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558989186 PECOS PAC ID: 5799100996 Enrollment ID: I20200806000822 |
| Provider Name | Dennis Conor Cullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982157764 PECOS PAC ID: 7719273010 Enrollment ID: I20200818002431 |
| Provider Name | Katie Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970251 PECOS PAC ID: 3678999547 Enrollment ID: I20200818002589 |
| Provider Name | Ifeoma Elizabeth Ilodianya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669931069 PECOS PAC ID: 7517383110 Enrollment ID: I20200826000913 |
| Provider Name | Ashraf Sabahat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386654051 PECOS PAC ID: 2860472859 Enrollment ID: I20200903000606 |
| Provider Name | Obinna Mmagu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477965788 PECOS PAC ID: 4880964691 Enrollment ID: I20200908000509 |
| Provider Name | Moshe Chinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316380421 PECOS PAC ID: 0749610046 Enrollment ID: I20200915002499 |
| Provider Name | Michael Mcardle |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588924872 PECOS PAC ID: 3577892918 Enrollment ID: I20200915003750 |
| Provider Name | Kara L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851793616 PECOS PAC ID: 5698057164 Enrollment ID: I20200928001814 |
| Provider Name | Arehzo Jahangiri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104246776 PECOS PAC ID: 4587889753 Enrollment ID: I20201013001285 |
| Provider Name | Natalia Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013534106 PECOS PAC ID: 8123448032 Enrollment ID: I20201014003442 |
| Provider Name | Zeina Al Saadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790394492 PECOS PAC ID: 2163842303 Enrollment ID: I20201030000193 |
| Provider Name | Deborah A Cleveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124468582 PECOS PAC ID: 5597054171 Enrollment ID: I20201117003469 |
| Provider Name | Sriparna Mitra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699978031 PECOS PAC ID: 8022183011 Enrollment ID: I20201123002182 |
| Provider Name | Mindy J F Maggid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891765541 PECOS PAC ID: 7618388695 Enrollment ID: I20201123002717 |
| Provider Name | Taylor Marie Trenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376164533 PECOS PAC ID: 9133530132 Enrollment ID: I20201124000326 |
| Provider Name | Carlyn Penwell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386196418 PECOS PAC ID: 5193006534 Enrollment ID: I20201124000345 |
| Provider Name | Brigitte Klink Burgett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184694838 PECOS PAC ID: 4082025879 Enrollment ID: I20201130002619 |
| Provider Name | Godfried Asare Kenah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205441466 PECOS PAC ID: 9739591280 Enrollment ID: I20201208000233 |
| Provider Name | Sophie Yuth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801325675 PECOS PAC ID: 7810300472 Enrollment ID: I20201229001153 |
| Provider Name | Angela Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750685426 PECOS PAC ID: 0345426052 Enrollment ID: I20201230000069 |
| Provider Name | Rebecca Stanizzi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831603406 PECOS PAC ID: 7810258001 Enrollment ID: I20210106000454 |
| Provider Name | Mackenzie E Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477152866 PECOS PAC ID: 5294148003 Enrollment ID: I20210114002502 |
| Provider Name | Wissam Zaeeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801191408 PECOS PAC ID: 5092966887 Enrollment ID: I20210120000310 |
| Provider Name | Martha Valero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275897852 PECOS PAC ID: 2365856507 Enrollment ID: I20210128002260 |
| Provider Name | Abdul Hasan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598358335 PECOS PAC ID: 7719393248 Enrollment ID: I20210309001020 |
| Provider Name | Adnan Muddassir Siddiqui |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457709354 PECOS PAC ID: 4587071055 Enrollment ID: I20210330000016 |
| Provider Name | Dana L Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386163475 PECOS PAC ID: 6305191362 Enrollment ID: I20210419001654 |
| Provider Name | Rachael Ann Jager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154918738 PECOS PAC ID: 9739597162 Enrollment ID: I20210422003200 |
| Provider Name | Jessica Kandl |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669869962 PECOS PAC ID: 3577853134 Enrollment ID: I20210503001235 |
| Provider Name | Jaspreet Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205342896 PECOS PAC ID: 8224366950 Enrollment ID: I20210503001351 |
| Provider Name | Nicole Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700479235 PECOS PAC ID: 5193124220 Enrollment ID: I20210524000080 |
| Provider Name | Aisha Sesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841876000 PECOS PAC ID: 6305246265 Enrollment ID: I20210615000007 |
| Provider Name | Desiree Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386144616 PECOS PAC ID: 3779983697 Enrollment ID: I20210615001926 |
| Provider Name | Julia Hn Freed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629645361 PECOS PAC ID: 0143621649 Enrollment ID: I20210622000591 |
| Provider Name | Jennifer Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477182400 PECOS PAC ID: 1658772157 Enrollment ID: I20210622000741 |
| Provider Name | Anis Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992146179 PECOS PAC ID: 8224267455 Enrollment ID: I20210622001040 |
| Provider Name | Embarka Chaib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548796501 PECOS PAC ID: 8527336262 Enrollment ID: I20210623001131 |
| Provider Name | Ramsay Elhindi |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1508212093 PECOS PAC ID: 1153612478 Enrollment ID: I20210623003275 |
| Provider Name | Merlyn Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982282901 PECOS PAC ID: 3971904053 Enrollment ID: I20210628000107 |
| Provider Name | Kathryn Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104416452 PECOS PAC ID: 1557776168 Enrollment ID: I20210706002651 |
| Provider Name | Kaileen Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992083570 PECOS PAC ID: 8527230887 Enrollment ID: I20210707001702 |
| Provider Name | Yaser Cheema |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124209663 PECOS PAC ID: 4981787868 Enrollment ID: I20210713002489 |
| Provider Name | Nina Moneymaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144749649 PECOS PAC ID: 6204192511 Enrollment ID: I20210715001945 |
| Provider Name | Brianna Lawless |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982272472 PECOS PAC ID: 0345642005 Enrollment ID: I20210719000141 |
| Provider Name | Azadeh Pajoohesh Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831772409 PECOS PAC ID: 7517369275 Enrollment ID: I20210719000159 |
| Provider Name | Azra Rayaz Jagani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619921525 PECOS PAC ID: 6002218773 Enrollment ID: I20210719000379 |
| Provider Name | Joy Danielle Thibeault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184950156 PECOS PAC ID: 4385046069 Enrollment ID: I20210719001070 |
| Provider Name | Pedram Javanmard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033475413 PECOS PAC ID: 0244549533 Enrollment ID: I20210719002541 |
| Provider Name | Asdollah Livani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104812056 PECOS PAC ID: 9234161860 Enrollment ID: I20210719003409 |
| Provider Name | Claudia Patricia Ramirez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508155219 PECOS PAC ID: 2567779572 Enrollment ID: I20210720000511 |
| Provider Name | Bertha Cecilia Velandia Rubiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295945830 PECOS PAC ID: 2163565417 Enrollment ID: I20210720002465 |
| Provider Name | Allison Hockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952892127 PECOS PAC ID: 7911242060 Enrollment ID: I20210728002111 |
| Provider Name | Jack P Ayoub |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790836690 PECOS PAC ID: 8224122494 Enrollment ID: I20210803000007 |
| Provider Name | Sydney Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790354538 PECOS PAC ID: 5092119669 Enrollment ID: I20210804000132 |
| Provider Name | Maia S Mccuiston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144224999 PECOS PAC ID: 4486614328 Enrollment ID: I20210812001781 |
| Provider Name | Elizabeth Shedlosky Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912366691 PECOS PAC ID: 2769886738 Enrollment ID: I20210812002727 |
| Provider Name | Majd Raouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053816066 PECOS PAC ID: 4385048255 Enrollment ID: I20210814000253 |
| Provider Name | Kyle Feldman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154727782 PECOS PAC ID: 6103140439 Enrollment ID: I20210819002249 |
| Provider Name | David G Gerst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689052524 PECOS PAC ID: 0749573020 Enrollment ID: I20210823001298 |
| Provider Name | Ann Hassett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619595246 PECOS PAC ID: 2264838291 Enrollment ID: I20210831000854 |
| Provider Name | Daniel Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154988921 PECOS PAC ID: 2466858279 Enrollment ID: I20210902000896 |
| Provider Name | Elizabeth Gebremariam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942791249 PECOS PAC ID: 8224374616 Enrollment ID: I20210902001260 |
| Provider Name | Pouran Malekzadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033643424 PECOS PAC ID: 9335545177 Enrollment ID: I20210902002324 |
| Provider Name | Gabriel Stanoiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891261301 PECOS PAC ID: 3173864642 Enrollment ID: I20210909000225 |
| Provider Name | Joshua Martin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992169965 PECOS PAC ID: 8628351392 Enrollment ID: I20210914001754 |
| Provider Name | Aisat Okanlawon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245764372 PECOS PAC ID: 7719257088 Enrollment ID: I20210920002782 |
| Provider Name | Kathleen Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326680596 PECOS PAC ID: 6103256037 Enrollment ID: I20210921000660 |
| Provider Name | Sadia Iman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275200990 PECOS PAC ID: 2466859293 Enrollment ID: I20210922000258 |
| Provider Name | Karolyn Kabir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053458315 PECOS PAC ID: 0042260895 Enrollment ID: I20210922002818 |
| Provider Name | Sohan Nagrani |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1497132518 PECOS PAC ID: 7911227913 Enrollment ID: I20210930000218 |
| Provider Name | Nadira Bharati Ramnarain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558866285 PECOS PAC ID: 9234536467 Enrollment ID: I20210930000929 |
| Provider Name | Stefani Su |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336501881 PECOS PAC ID: 0840520847 Enrollment ID: I20211011000159 |
| Provider Name | Teena Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053367193 PECOS PAC ID: 7416055934 Enrollment ID: I20211014003247 |
| Provider Name | Amita De Souza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912296492 PECOS PAC ID: 5395961791 Enrollment ID: I20211014003282 |
| Provider Name | Sharon Seth |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922329465 PECOS PAC ID: 8022307446 Enrollment ID: I20211119001716 |
| Provider Name | Franco Porto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366107112 PECOS PAC ID: 1658761697 Enrollment ID: I20211206001091 |
| Provider Name | Jody R Ritter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528425204 PECOS PAC ID: 3375965726 Enrollment ID: I20211209000094 |
| Provider Name | Irene Bwete Mugyenzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538734579 PECOS PAC ID: 7911397757 Enrollment ID: I20211209000853 |
| Provider Name | Christina Sasselli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760159982 PECOS PAC ID: 2961892740 Enrollment ID: I20211209003010 |
| Provider Name | Barbara Ann Kindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831852904 PECOS PAC ID: 2466843529 Enrollment ID: I20211228000093 |
| Provider Name | Debora Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154600955 PECOS PAC ID: 2668780289 Enrollment ID: I20211228000489 |
| Provider Name | Rachel L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386284933 PECOS PAC ID: 2062803869 Enrollment ID: I20220105002749 |
| Provider Name | Ian Schapiro |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326654773 PECOS PAC ID: 1052703725 Enrollment ID: I20220110002207 |
| Provider Name | Roberta Ackom |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609368752 PECOS PAC ID: 5496091472 Enrollment ID: I20220124000024 |
| Provider Name | Genesis Millan-serrano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932656980 PECOS PAC ID: 4284026378 Enrollment ID: I20220124000337 |
| Provider Name | Erica N Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730756263 PECOS PAC ID: 8426440470 Enrollment ID: I20220125000379 |
| Provider Name | Dominique Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225502065 PECOS PAC ID: 5193117166 Enrollment ID: I20220125001306 |
| Provider Name | Sejal Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841712643 PECOS PAC ID: 9537551528 Enrollment ID: I20220125002315 |
| Provider Name | Alicia B Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376218321 PECOS PAC ID: 0840682993 Enrollment ID: I20220125003182 |
| Provider Name | Valerie Ann Beacham |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255093274 PECOS PAC ID: 3072906841 Enrollment ID: I20220201000286 |
| Provider Name | Hiba Sayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487158663 PECOS PAC ID: 4587919626 Enrollment ID: I20220209000984 |
| Provider Name | Angel Yauchzee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215602990 PECOS PAC ID: 0143613422 Enrollment ID: I20220209001235 |
| Provider Name | Jessica V Balagtas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023575255 PECOS PAC ID: 4587057625 Enrollment ID: I20220212000105 |
| Provider Name | Joshua Summers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063758431 PECOS PAC ID: 8820481864 Enrollment ID: I20220215001281 |
| Provider Name | Emnet A Habtewold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326677675 PECOS PAC ID: 5092109876 Enrollment ID: I20220221000738 |
| Provider Name | Kelsey L Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881296986 PECOS PAC ID: 9537578448 Enrollment ID: I20220221001931 |
| Provider Name | Caroline Pearson Tussing |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407453228 PECOS PAC ID: 1759793276 Enrollment ID: I20220225000434 |
| Provider Name | Melissa Vann-combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457696494 PECOS PAC ID: 2466846829 Enrollment ID: I20220228002734 |
| Provider Name | Courtney Daniel Curneen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669045944 PECOS PAC ID: 7719375187 Enrollment ID: I20220303000032 |
| Provider Name | Elise R Diamond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467806422 PECOS PAC ID: 2163832965 Enrollment ID: I20220308001123 |
| Provider Name | Shadonna Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639758733 PECOS PAC ID: 4486056025 Enrollment ID: I20220309000834 |
| Provider Name | Carla Karim Reynoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972123602 PECOS PAC ID: 6305231028 Enrollment ID: I20220316001294 |
| Provider Name | Catherine M Creswell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053081224 PECOS PAC ID: 2466847439 Enrollment ID: I20220323001981 |
| Provider Name | An L Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629454699 PECOS PAC ID: 1153671987 Enrollment ID: I20220325002142 |
| Provider Name | Allison Paige Gabbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932869724 PECOS PAC ID: 1658767710 Enrollment ID: I20220330000700 |
| Provider Name | Sabreen Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821452749 PECOS PAC ID: 4789070582 Enrollment ID: I20220404002266 |
| Provider Name | Tyris D Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871169664 PECOS PAC ID: 3274929690 Enrollment ID: I20220411001970 |
| Provider Name | Danielle Norris-jenkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477881936 PECOS PAC ID: 2961546411 Enrollment ID: I20220419001623 |
| Provider Name | Adam Sragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841959764 PECOS PAC ID: 0143617050 Enrollment ID: I20220425000308 |
| Provider Name | Sapan Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447755806 PECOS PAC ID: 8921495672 Enrollment ID: I20220427000991 |
| Provider Name | Nele Jessel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982648135 PECOS PAC ID: 6204158553 Enrollment ID: I20220430000144 |
| Provider Name | Garth Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306428792 PECOS PAC ID: 0749677102 Enrollment ID: I20220503002895 |
| Provider Name | Amanda Faith Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740932748 PECOS PAC ID: 6406233568 Enrollment ID: I20220512000004 |
| Provider Name | Elysha Dinh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508213927 PECOS PAC ID: 5799079026 Enrollment ID: I20220512000296 |
| Provider Name | Karoline Pugh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891254033 PECOS PAC ID: 4385985787 Enrollment ID: I20220601003217 |
| Provider Name | Uchechi A Iweala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417376989 PECOS PAC ID: 0244566446 Enrollment ID: I20220614000512 |
| Provider Name | Surosh Nazeer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197390 PECOS PAC ID: 6901286319 Enrollment ID: I20220701000945 |
| Provider Name | Michael David Lewis |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1740465004 PECOS PAC ID: 9234519695 Enrollment ID: I20220701002716 |
| Provider Name | Dimitrios Themis Avgeropoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598260168 PECOS PAC ID: 0345649646 Enrollment ID: I20220711003170 |
| Provider Name | Gloria Izore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831725993 PECOS PAC ID: 4981098159 Enrollment ID: I20220713000253 |
| Provider Name | Diksha Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912467192 PECOS PAC ID: 1658753496 Enrollment ID: I20220727000062 |
| Provider Name | Gregory John Vitale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194454660 PECOS PAC ID: 2961884226 Enrollment ID: I20220803000147 |
| Provider Name | Mahendra Kumar Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124047568 PECOS PAC ID: 5395702351 Enrollment ID: I20220810001065 |
| Provider Name | Aakash Thakral |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831544816 PECOS PAC ID: 9830483346 Enrollment ID: I20220810002989 |
| Provider Name | Tzvi Grossman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366975963 PECOS PAC ID: 5991058992 Enrollment ID: I20220819002957 |
| Provider Name | Marvin Thindle Uthaman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396107769 PECOS PAC ID: 4385995992 Enrollment ID: I20220823000874 |
| Provider Name | Rachel E Odom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154877843 PECOS PAC ID: 1850775784 Enrollment ID: I20220826000668 |
| Provider Name | Borislav Cicmil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376979567 PECOS PAC ID: 6305220062 Enrollment ID: I20220829003348 |
| Provider Name | Staci Lynn Cohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972236776 PECOS PAC ID: 9931583408 Enrollment ID: I20220901000608 |
| Provider Name | Kaitlyn Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287908 PECOS PAC ID: 3274874797 Enrollment ID: I20220906000320 |
| Provider Name | Michael John Blyth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528463908 PECOS PAC ID: 4688058704 Enrollment ID: I20220908001320 |
| Provider Name | Elliot Mahlof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261635 PECOS PAC ID: 2668857749 Enrollment ID: I20220912000644 |
| Provider Name | Siddique H Toghral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194385195 PECOS PAC ID: 9032446893 Enrollment ID: I20220920001918 |
| Provider Name | Christina Godfrey Baviskar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417510843 PECOS PAC ID: 9234514555 Enrollment ID: I20220922000177 |
| Provider Name | Sarah Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619546785 PECOS PAC ID: 8820464761 Enrollment ID: I20221018003607 |
| Provider Name | Yee Von Gan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659758936 PECOS PAC ID: 3274909064 Enrollment ID: I20221019001909 |
| Provider Name | Donna Bambach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629702568 PECOS PAC ID: 6608242383 Enrollment ID: I20221020002473 |
| Provider Name | Amar Gulati |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992200042 PECOS PAC ID: 7911395256 Enrollment ID: I20221021001831 |
| Provider Name | Dhillon Zaver |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871029025 PECOS PAC ID: 1557760022 Enrollment ID: I20221021002041 |
| Provider Name | Heidi Ruth Hunnicutt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083346191 PECOS PAC ID: 2466828025 Enrollment ID: I20221021002667 |
| Provider Name | Josephine Pangan Bolivar-kerns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013661347 PECOS PAC ID: 8729454251 Enrollment ID: I20221025000030 |
| Provider Name | Ewaul Persaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730468299 PECOS PAC ID: 3476849423 Enrollment ID: I20221025002123 |
| Provider Name | Seba Ramhmdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053874438 PECOS PAC ID: 4082941711 Enrollment ID: I20221026000202 |
| Provider Name | Ausim Chaghtai |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1164817516 PECOS PAC ID: 5395081723 Enrollment ID: I20221026001062 |
| Provider Name | Patricia A Radich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962064949 PECOS PAC ID: 2062889454 Enrollment ID: I20221027000649 |
| Provider Name | Kelly Ann Kleifges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447973714 PECOS PAC ID: 6507233962 Enrollment ID: I20221028000023 |
| Provider Name | Dokyoung Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447812201 PECOS PAC ID: 6204269434 Enrollment ID: I20221028000572 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154560621 PECOS PAC ID: 3072661511 Enrollment ID: I20221028001835 |
| Provider Name | Andrea Barden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720230501 PECOS PAC ID: 4385776590 Enrollment ID: I20221031001379 |
| Provider Name | Leigh Tubaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720094261 PECOS PAC ID: 6305759556 Enrollment ID: I20221102000052 |
| Provider Name | Sadia Hayat Khan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932315769 PECOS PAC ID: 5395765739 Enrollment ID: I20221102002882 |
| Provider Name | Daniel Destefano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497488423 PECOS PAC ID: 6204203979 Enrollment ID: I20221109001743 |
| Provider Name | Diana Shustarovich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124558408 PECOS PAC ID: 2860763711 Enrollment ID: I20221110000006 |
| Provider Name | Puniya Khatiwada |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487946562 PECOS PAC ID: 4284864448 Enrollment ID: I20221114002142 |
| Provider Name | Annie Huey Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265161293 PECOS PAC ID: 0749658250 Enrollment ID: I20221115000030 |
| Provider Name | Parth J Vyasa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295222420 PECOS PAC ID: 6709133028 Enrollment ID: I20221124000100 |
| Provider Name | Kedemah Joseph-fagbuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558604421 PECOS PAC ID: 8325416274 Enrollment ID: I20221125000213 |
| Provider Name | Colin Matthew Mizuo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427410679 PECOS PAC ID: 2668870452 Enrollment ID: I20221129000095 |
| Provider Name | Helen Jaramillo Gutierrez De Elliott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790105476 PECOS PAC ID: 9739487919 Enrollment ID: I20221129002130 |
| Provider Name | Sarah Calvert Lartey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669864591 PECOS PAC ID: 8426426180 Enrollment ID: I20221130002039 |
| Provider Name | Christine Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568816486 PECOS PAC ID: 6608244363 Enrollment ID: I20221130002080 |
| Provider Name | Kamilia Echeveste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386105146 PECOS PAC ID: 8426427956 Enrollment ID: I20221206000651 |
| Provider Name | Lindsey Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344516 PECOS PAC ID: 7719289859 Enrollment ID: I20221206001578 |
| Provider Name | Josephine Anne Torno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689929655 PECOS PAC ID: 8820238942 Enrollment ID: I20221219001277 |
| Provider Name | Niraj Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932145422 PECOS PAC ID: 8628069382 Enrollment ID: I20221224000027 |
| Provider Name | Kanwaljit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649926791 PECOS PAC ID: 8527438209 Enrollment ID: I20221227000095 |
| Provider Name | Anaidra Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476423 PECOS PAC ID: 4587098959 Enrollment ID: I20221227002450 |
| Provider Name | Caitlin Warpinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154068914 PECOS PAC ID: 4688044951 Enrollment ID: I20221230002213 |
| Provider Name | Fynda Fillie-faboe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649846999 PECOS PAC ID: 7113324286 Enrollment ID: I20230103000211 |
| Provider Name | Alba Cogliandolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321016 PECOS PAC ID: 5395115562 Enrollment ID: I20230104001345 |
| Provider Name | Casey Mcginnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063950491 PECOS PAC ID: 9234509217 Enrollment ID: I20230109002022 |
| Provider Name | Lauren Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457760456 PECOS PAC ID: 6800266636 Enrollment ID: I20230111003227 |
| Provider Name | Kristin Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801543756 PECOS PAC ID: 4385015445 Enrollment ID: I20230127001047 |
| Provider Name | Ryan Walley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124031067 PECOS PAC ID: 4789055849 Enrollment ID: I20230127001357 |
| Provider Name | Kirsten Fulop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174270227 PECOS PAC ID: 4587035530 Enrollment ID: I20230130002116 |
| Provider Name | Candice Anglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700510690 PECOS PAC ID: 1850762527 Enrollment ID: I20230203001072 |
| Provider Name | Michael Perini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841238045 PECOS PAC ID: 0345227435 Enrollment ID: I20230204000241 |
| Provider Name | Rachel Allani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588380729 PECOS PAC ID: 4981077963 Enrollment ID: I20230223000126 |
| Provider Name | Qumara Hill-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20230224002501 |
| Provider Name | Katelyn Nell Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801513239 PECOS PAC ID: 7618340068 Enrollment ID: I20230306000647 |
| Provider Name | Kirsten Scharer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558089482 PECOS PAC ID: 0143693432 Enrollment ID: I20230307003296 |
| Provider Name | Yun Ji Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700509312 PECOS PAC ID: 2860866779 Enrollment ID: I20230316000266 |
| Provider Name | Lauren Pepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871251181 PECOS PAC ID: 4183017577 Enrollment ID: I20230317001040 |
| Provider Name | Amanda Leyh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366158453 PECOS PAC ID: 9739553488 Enrollment ID: I20230321000881 |
| Provider Name | Jordan Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093422842 PECOS PAC ID: 4880068501 Enrollment ID: I20230321001309 |
| Provider Name | Bennett Hailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215324561 PECOS PAC ID: 5092003624 Enrollment ID: I20230322003172 |
| Provider Name | Maureen Theresa Banta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871676122 PECOS PAC ID: 0345614889 Enrollment ID: I20230323000722 |
| Provider Name | Molly Magovern Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326745241 PECOS PAC ID: 0042684227 Enrollment ID: I20230330001174 |
| Provider Name | Melveena Johnson-bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922761956 PECOS PAC ID: 1456736404 Enrollment ID: I20230406000409 |
| Provider Name | Felicia James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760969505 PECOS PAC ID: 5597130443 Enrollment ID: I20230407000759 |
| Provider Name | Catherine O Renken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295432987 PECOS PAC ID: 6204201973 Enrollment ID: I20230411002066 |
| Provider Name | Sa Ra Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174221147 PECOS PAC ID: 5991170615 Enrollment ID: I20230412000731 |
| Provider Name | Miriam Howa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669146619 PECOS PAC ID: 7315317781 Enrollment ID: I20230419000679 |
| Provider Name | Morgan Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821797986 PECOS PAC ID: 0345615605 Enrollment ID: I20230419000840 |
| Provider Name | Erika Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093375750 PECOS PAC ID: 1951734524 Enrollment ID: I20230419001313 |
| Provider Name | Teresa Gieszl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740613819 PECOS PAC ID: 1153552526 Enrollment ID: I20230422000379 |
| Provider Name | Lawrence Whitehurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508896374 PECOS PAC ID: 4880654268 Enrollment ID: I20230424001394 |
| Provider Name | Erin Rudiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013540319 PECOS PAC ID: 7012372279 Enrollment ID: I20230424001619 |
| Provider Name | Courtney Price Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740559723 PECOS PAC ID: 2062671282 Enrollment ID: I20230425001312 |
| Provider Name | Arpan Parikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760826218 PECOS PAC ID: 4284910142 Enrollment ID: I20230503000120 |
| Provider Name | Tyesha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497356307 PECOS PAC ID: 9234543000 Enrollment ID: I20230504003187 |
| Provider Name | Dawn Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144451568 PECOS PAC ID: 4981731742 Enrollment ID: I20230511000590 |
| Provider Name | Robin Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578147575 PECOS PAC ID: 8426451469 Enrollment ID: I20230522000834 |
| Provider Name | Maiya Y Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295760908 PECOS PAC ID: 2860431863 Enrollment ID: I20230523000007 |
| Provider Name | Kateri Rosenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184350621 PECOS PAC ID: 5799141446 Enrollment ID: I20230523000045 |
| Provider Name | Whitney Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477150522 PECOS PAC ID: 2466862693 Enrollment ID: I20230523000770 |
| Provider Name | Melissa Kang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235597626 PECOS PAC ID: 2163804725 Enrollment ID: I20230524001221 |
| Provider Name | Mariama Keita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003515974 PECOS PAC ID: 4789040296 Enrollment ID: I20230525000153 |
| Provider Name | Emily Billiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982301347 PECOS PAC ID: 7810353364 Enrollment ID: I20230525001814 |
| Provider Name | Mansura Israel Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215623954 PECOS PAC ID: 1658737143 Enrollment ID: I20230526000061 |
| Provider Name | Maria Caccavo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336859974 PECOS PAC ID: 4486027455 Enrollment ID: I20230530000231 |
| Provider Name | Hilary Lawless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184155509 PECOS PAC ID: 8527472646 Enrollment ID: I20230531000177 |
| Provider Name | Ashley E Wade-vuturo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588195614 PECOS PAC ID: 5991116162 Enrollment ID: I20230606003679 |
| Provider Name | Kendra Lee Blythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124322359 PECOS PAC ID: 5092996017 Enrollment ID: I20230608000829 |
| Provider Name | Sabrin S Kraziem |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093372948 PECOS PAC ID: 1052645025 Enrollment ID: I20230608001383 |
| Provider Name | Isabelle Nyota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417583030 PECOS PAC ID: 7113390055 Enrollment ID: I20230609000732 |
| Provider Name | Devmith Gajadeera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760832372 PECOS PAC ID: 1557657681 Enrollment ID: I20230612000017 |
| Provider Name | Biliki Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801459193 PECOS PAC ID: 7911339858 Enrollment ID: I20230612000095 |
| Provider Name | Lindsey Celia Peller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386094605 PECOS PAC ID: 8224496823 Enrollment ID: I20230614000049 |
| Provider Name | Christina Johannessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932862919 PECOS PAC ID: 6800287558 Enrollment ID: I20230615003808 |
| Provider Name | Andrew Tobon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174503106 PECOS PAC ID: 5991691040 Enrollment ID: I20230622002114 |
| Provider Name | Marcel Krysanthe Edwards-bayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073217956 PECOS PAC ID: 3274992821 Enrollment ID: I20230629003907 |
| Provider Name | Johnna Stoup |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346975067 PECOS PAC ID: 5991164352 Enrollment ID: I20230701000430 |
| Provider Name | Bret Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588125793 PECOS PAC ID: 5294114427 Enrollment ID: I20230707002100 |
| Provider Name | Shweta Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346537461 PECOS PAC ID: 1759503816 Enrollment ID: I20230707002212 |
| Provider Name | Ava Gay Ledgister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932744984 PECOS PAC ID: 5890120885 Enrollment ID: I20230707003396 |
| Provider Name | Sevil Aliyeva |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1285029215 PECOS PAC ID: 1355758814 Enrollment ID: I20230710000842 |
| Provider Name | Alexander Tai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437536125 PECOS PAC ID: 7315306149 Enrollment ID: I20230711002685 |
| Provider Name | Marina Arutyunyan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437444650 PECOS PAC ID: 2860624707 Enrollment ID: I20230714002868 |
| Provider Name | Temitope Adedapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932821022 PECOS PAC ID: 9436519766 Enrollment ID: I20230719000329 |
| Provider Name | Kayla Anne Korenowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013663798 PECOS PAC ID: 9032505995 Enrollment ID: I20230720002264 |
| Provider Name | Stefanie Holtzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730895046 PECOS PAC ID: 8123488079 Enrollment ID: I20230724003075 |
| Provider Name | Jasmine S Majors |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578195897 PECOS PAC ID: 7416318365 Enrollment ID: I20230725003774 |
| Provider Name | Ashlynn Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528674488 PECOS PAC ID: 8426419219 Enrollment ID: I20230726001270 |
| Provider Name | Anand Nilakantan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013107051 PECOS PAC ID: 0941352579 Enrollment ID: I20230801000039 |
| Provider Name | Sunita Pannachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518512383 PECOS PAC ID: 5991189466 Enrollment ID: I20230802001998 |
| Provider Name | Cory Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053935114 PECOS PAC ID: 3870910870 Enrollment ID: I20230804003427 |
| Provider Name | Lawanis M Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003506262 PECOS PAC ID: 6002278561 Enrollment ID: I20230815002584 |
| Provider Name | Danielle Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295425098 PECOS PAC ID: 9335402890 Enrollment ID: I20230818001963 |
| Provider Name | Ndidi Okanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740600311 PECOS PAC ID: 5395969398 Enrollment ID: I20230825001029 |
| Provider Name | Joy Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710518089 PECOS PAC ID: 3678936531 Enrollment ID: I20230825001707 |
| Provider Name | Katharina Blunschi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134758493 PECOS PAC ID: 1456714039 Enrollment ID: I20230830000411 |
| Provider Name | Courtne Coelho Pfitzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326720400 PECOS PAC ID: 7810350402 Enrollment ID: I20230830000784 |
| Provider Name | Simran K Chhabra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841853041 PECOS PAC ID: 8426437815 Enrollment ID: I20230831000507 |
| Provider Name | Candice L Kremer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154811479 PECOS PAC ID: 0446506018 Enrollment ID: I20230831004390 |
| Provider Name | Helen Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245855360 PECOS PAC ID: 4789008988 Enrollment ID: I20230907004486 |
| Provider Name | Lani Fong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184116931 PECOS PAC ID: 1557614625 Enrollment ID: I20230911000862 |
| Provider Name | Mehrdad Bahramian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184313074 PECOS PAC ID: 6103280060 Enrollment ID: I20230911002167 |
| Provider Name | Kavya Nallamothu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811526726 PECOS PAC ID: 4486018306 Enrollment ID: I20230912000299 |
| Provider Name | Jennifer Oh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255070793 PECOS PAC ID: 3779969324 Enrollment ID: I20230920000896 |
| Provider Name | Catherina Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275216970 PECOS PAC ID: 1658725718 Enrollment ID: I20230925000886 |
| Provider Name | Katherine Anne Lawliss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356012223 PECOS PAC ID: 9133573140 Enrollment ID: I20230925003616 |
| Provider Name | Andres R Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619465242 PECOS PAC ID: 7517311285 Enrollment ID: I20230929003478 |
| Provider Name | Christine Higgins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700881109 PECOS PAC ID: 2466592423 Enrollment ID: I20231002001173 |
| Provider Name | Anna Tobon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619081361 PECOS PAC ID: 2365585551 Enrollment ID: I20231024000192 |
| Provider Name | Amardeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871120915 PECOS PAC ID: 3476978099 Enrollment ID: I20231030002968 |
| Provider Name | Sue Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154109486 PECOS PAC ID: 0840647038 Enrollment ID: I20231109001146 |
| Provider Name | Alexa St Laurent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003591736 PECOS PAC ID: 8325495914 Enrollment ID: I20231122000424 |
| Provider Name | Anju Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629362991 PECOS PAC ID: 3274832878 Enrollment ID: I20231124000478 |
| Provider Name | Jacqueline J Platamone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720540305 PECOS PAC ID: 4981931763 Enrollment ID: I20231127000781 |
| Provider Name | Anne Elizabeth Clark |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285314849 PECOS PAC ID: 1557719838 Enrollment ID: I20231127002735 |
| Provider Name | Saeed A Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093704538 PECOS PAC ID: 0648219907 Enrollment ID: I20231128000368 |
| Provider Name | Danielle Mary Lowe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396304846 PECOS PAC ID: 2264880434 Enrollment ID: I20231128003340 |
| Provider Name | Nora Elspeth Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730969221 PECOS PAC ID: 2860840485 Enrollment ID: I20231130000203 |
| Provider Name | Allison Bardowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285122853 PECOS PAC ID: 2567855190 Enrollment ID: I20231201002725 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407136211 PECOS PAC ID: 6305085929 Enrollment ID: I20231203000073 |
| Provider Name | Luis Alberto Rivera Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023891579 PECOS PAC ID: 7012366370 Enrollment ID: I20231212001567 |
| Provider Name | Amy Denise Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093370819 PECOS PAC ID: 6406181361 Enrollment ID: I20231212004012 |
| Provider Name | Caitlyn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437795630 PECOS PAC ID: 5698103166 Enrollment ID: I20231218001898 |
| Provider Name | Gordon Addo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124597661 PECOS PAC ID: 9537408521 Enrollment ID: I20231219002363 |
| Provider Name | Christen Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124344841 PECOS PAC ID: 2062862329 Enrollment ID: I20231228002094 |
| Provider Name | William Lins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922791011 PECOS PAC ID: 4880055359 Enrollment ID: I20240109002502 |
| Provider Name | Linda Croom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447408042 PECOS PAC ID: 3173972171 Enrollment ID: I20240112002528 |
| Provider Name | Shavonne Sweatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073258851 PECOS PAC ID: 7618356544 Enrollment ID: I20240118000924 |
| Provider Name | Brandon Milligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366138281 PECOS PAC ID: 9537525308 Enrollment ID: I20240119002607 |
| Provider Name | Jennifer Riley Mcleland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619220134 PECOS PAC ID: 4183924707 Enrollment ID: I20240207000655 |
| Provider Name | Jesse Parsons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770171019 PECOS PAC ID: 2567876493 Enrollment ID: I20240207000734 |
| Provider Name | Margaret Foley Whiteman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649781899 PECOS PAC ID: 9537425525 Enrollment ID: I20240210000156 |
| Provider Name | Joseph Gebhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275241713 PECOS PAC ID: 8325417561 Enrollment ID: I20240212001125 |
| Provider Name | Nora Habib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235761131 PECOS PAC ID: 9032553623 Enrollment ID: I20240222002013 |
| Provider Name | Rachel Z Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255728648 PECOS PAC ID: 8325379480 Enrollment ID: I20240223000555 |
| Provider Name | Sean M Macdermott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326085432 PECOS PAC ID: 1254585805 Enrollment ID: I20240223003791 |
| Provider Name | Teena M Drake-williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780248294 PECOS PAC ID: 2466875828 Enrollment ID: I20240224000488 |
| Provider Name | Sarah Oyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805817 PECOS PAC ID: 4385077551 Enrollment ID: I20240227001243 |
| Provider Name | Adena Rivka Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376205070 PECOS PAC ID: 8628413663 Enrollment ID: I20240301000661 |
| Provider Name | Huma Shakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790857688 PECOS PAC ID: 1355395922 Enrollment ID: I20240306003928 |
| Provider Name | Cesar Laboy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235828203 PECOS PAC ID: 1759741895 Enrollment ID: I20240313001791 |
| Provider Name | Tammy Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699451187 PECOS PAC ID: 6305292525 Enrollment ID: I20240314001545 |
| Provider Name | Angela Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568812089 PECOS PAC ID: 0143666834 Enrollment ID: I20240317000061 |
| Provider Name | Ingrid Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063964559 PECOS PAC ID: 8729411699 Enrollment ID: I20240318003602 |
| Provider Name | Alexandra Lee Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538935903 PECOS PAC ID: 8325485824 Enrollment ID: I20240320000396 |
| Provider Name | Catherine M Waldner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790562122 PECOS PAC ID: 4284071721 Enrollment ID: I20240320001837 |
| Provider Name | Cherelle C Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639686645 PECOS PAC ID: 8527329986 Enrollment ID: I20240321000152 |
| Provider Name | Katherine Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790127991 PECOS PAC ID: 1052610029 Enrollment ID: I20240322000804 |
| Provider Name | Peter T Wilbanks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902880594 PECOS PAC ID: 0941303754 Enrollment ID: I20240323000232 |
| Provider Name | Kathryn Marie Gower O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548037112 PECOS PAC ID: 2567809783 Enrollment ID: I20240325000516 |
| Provider Name | Renata Murphy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558014829 PECOS PAC ID: 4183061211 Enrollment ID: I20240325001490 |
| Provider Name | Joshua Thompson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982145108 PECOS PAC ID: 4880969336 Enrollment ID: I20240325002733 |
| Provider Name | Lydia Besterfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265929442 PECOS PAC ID: 9234566308 Enrollment ID: I20240403001117 |
| Provider Name | Morgan Marie Weisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086278 PECOS PAC ID: 9133566268 Enrollment ID: I20240403002912 |
| Provider Name | Tanya Noblitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689456998 PECOS PAC ID: 7810335288 Enrollment ID: I20240403004319 |
| Provider Name | Robin Zigler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831396118 PECOS PAC ID: 5991981086 Enrollment ID: I20240410000518 |
| Provider Name | Nora Elizabeth Jansen Shank |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801084124 PECOS PAC ID: 8426497298 Enrollment ID: I20240413000109 |
| Provider Name | Daniel George Gates |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922066596 PECOS PAC ID: 6901117373 Enrollment ID: I20240418002966 |
| Provider Name | Alexa Dornbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538835095 PECOS PAC ID: 2567858384 Enrollment ID: I20240419002000 |
| Provider Name | Agape Divine Gooden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265204648 PECOS PAC ID: 4082053657 Enrollment ID: I20240422002202 |
| Provider Name | Denise Houy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093581480 PECOS PAC ID: 6800233131 Enrollment ID: I20240429001444 |
| Provider Name | Heather Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801492830 PECOS PAC ID: 2062853971 Enrollment ID: I20240509001853 |
| Provider Name | Megan E Athey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649955675 PECOS PAC ID: 4981045820 Enrollment ID: I20240509003054 |
| Provider Name | Mary C Saleeby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508227836 PECOS PAC ID: 5597024240 Enrollment ID: I20240510002251 |
| Provider Name | Erin Cornman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508402876 PECOS PAC ID: 0749615573 Enrollment ID: I20240513002203 |
| Provider Name | Marigold Cato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649044678 PECOS PAC ID: 1850732124 Enrollment ID: I20240517000750 |
| Provider Name | Marjorie Jean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942728134 PECOS PAC ID: 5294176632 Enrollment ID: I20240520003332 |
| Provider Name | Cassidy A Mcbain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316716640 PECOS PAC ID: 8921449372 Enrollment ID: I20240524001455 |
| Provider Name | Shannon M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598479263 PECOS PAC ID: 9133584675 Enrollment ID: I20240529000554 |
| Provider Name | Chantel Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275193344 PECOS PAC ID: 5991190530 Enrollment ID: I20240530000228 |
| Provider Name | Rachel Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760116495 PECOS PAC ID: 6204212897 Enrollment ID: I20240531003877 |
| Provider Name | Katelyn J Cioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417715814 PECOS PAC ID: 3476095563 Enrollment ID: I20240604003475 |
| Provider Name | Pacharaporn Tunsarawut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538912613 PECOS PAC ID: 8527500545 Enrollment ID: I20240606000021 |
| Provider Name | Erin Nicole Levin Haber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962936427 PECOS PAC ID: 9830631670 Enrollment ID: I20240607000699 |
| Provider Name | Melissa S Torres |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750892972 PECOS PAC ID: 3476811340 Enrollment ID: I20240611000774 |
| Provider Name | Monika Suwal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649993791 PECOS PAC ID: 7214301365 Enrollment ID: I20240612004344 |
| Provider Name | Khyati Ishwarbhai Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902655269 PECOS PAC ID: 6800338252 Enrollment ID: I20240612004560 |
| Provider Name | Courtney Pazienza |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649027202 PECOS PAC ID: 1456894641 Enrollment ID: I20240621003474 |
| Provider Name | Maria Layao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164020 PECOS PAC ID: 0244773810 Enrollment ID: I20240624004101 |
| Provider Name | Ellie Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982384319 PECOS PAC ID: 5193268639 Enrollment ID: I20240625001389 |
| Provider Name | Dawn Elyse Elliott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376529792 PECOS PAC ID: 6103225453 Enrollment ID: I20240625001916 |
| Provider Name | Abiodun Akanbi Adeogun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801533708 PECOS PAC ID: 2567906928 Enrollment ID: I20240627000521 |
| Provider Name | Sheeri Kaur Jonnala |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386416832 PECOS PAC ID: 8123562402 Enrollment ID: I20240627001497 |
| Provider Name | Nathan Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194217828 PECOS PAC ID: 3072868389 Enrollment ID: I20240628000936 |
| Provider Name | Islam Kalouda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487305348 PECOS PAC ID: 0345784427 Enrollment ID: I20240701000193 |
| Provider Name | Rosemary Prianka Gomes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255969200 PECOS PAC ID: 9032654603 Enrollment ID: I20240709000493 |
| Provider Name | Brianna Darling |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295587814 PECOS PAC ID: 9032654454 Enrollment ID: I20240710001895 |
| Provider Name | Vida Shojaei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730946179 PECOS PAC ID: 6608311402 Enrollment ID: I20240717000892 |
| Provider Name | Robert Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538745021 PECOS PAC ID: 5395148043 Enrollment ID: I20240719000723 |
| Provider Name | Helen Marie Ballew |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558105874 PECOS PAC ID: 0547706434 Enrollment ID: I20240727000556 |
| Provider Name | Reginald Kapteyn |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1366601536 PECOS PAC ID: 8729152368 Enrollment ID: I20240729001360 |
| Provider Name | Hannah Latta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619554250 PECOS PAC ID: 8527505940 Enrollment ID: I20240802003218 |
| Provider Name | Ebony Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518710227 PECOS PAC ID: 9436696705 Enrollment ID: I20240805000842 |
| Provider Name | Timothy Lee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801424734 PECOS PAC ID: 2961949037 Enrollment ID: I20240807001098 |
| Provider Name | Brendan Tamm |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760945075 PECOS PAC ID: 3476910704 Enrollment ID: I20240808003247 |
| Provider Name | Samantha Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578132262 PECOS PAC ID: 5294196838 Enrollment ID: I20240808004799 |
| Provider Name | Sylvia Luther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528119286 PECOS PAC ID: 0941747828 Enrollment ID: I20240809000568 |
| Provider Name | Haiqin Deng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295308146 PECOS PAC ID: 9335687219 Enrollment ID: I20240812000695 |
| Provider Name | Jennifer Jiayi Liang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811457955 PECOS PAC ID: 5092253849 Enrollment ID: I20240812003894 |
| Provider Name | Dmitriy Stasishin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548723281 PECOS PAC ID: 1951638782 Enrollment ID: I20240814003707 |
| Provider Name | Kim A Pekin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578893392 PECOS PAC ID: 5193263614 Enrollment ID: I20240815001694 |
| Provider Name | Chagai Mendelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497250120 PECOS PAC ID: 0345599460 Enrollment ID: I20240819000456 |
| Provider Name | Gerardo Romero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528719283 PECOS PAC ID: 6103364203 Enrollment ID: I20240821000382 |
| Provider Name | Kiranjyot Kaur Sawhney-duran |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225781347 PECOS PAC ID: 5193263176 Enrollment ID: I20240821003989 |
| Provider Name | Mahsa Amir-kabirian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326571068 PECOS PAC ID: 4082987813 Enrollment ID: I20240828000468 |
| Provider Name | Lauren Baron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073197133 PECOS PAC ID: 7719388073 Enrollment ID: I20240829000034 |
| Provider Name | Anthony Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629638887 PECOS PAC ID: 6103151006 Enrollment ID: I20240830000162 |
| Provider Name | Jason M Guzman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801191168 PECOS PAC ID: 2961843446 Enrollment ID: I20240830002560 |
| Provider Name | Shalin Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982920963 PECOS PAC ID: 1254630403 Enrollment ID: I20240904001750 |
| Provider Name | Jon Shirazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982447173 PECOS PAC ID: 5496295479 Enrollment ID: I20240904004818 |
| Provider Name | Brinda Manchireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447606488 PECOS PAC ID: 6608101688 Enrollment ID: I20240911003316 |
| Provider Name | Felicia Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649030891 PECOS PAC ID: 5496295131 Enrollment ID: I20240916000193 |
| Provider Name | Eliese Richbourg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770358814 PECOS PAC ID: 3173064243 Enrollment ID: I20240917004097 |
| Provider Name | Soojin Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023697166 PECOS PAC ID: 7416355946 Enrollment ID: I20240919000180 |
| Provider Name | Tracy Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346523156 PECOS PAC ID: 8921267915 Enrollment ID: I20240919001373 |
| Provider Name | Micaela Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538944988 PECOS PAC ID: 9032650676 Enrollment ID: I20240924000692 |
| Provider Name | Lucy Sullivan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215773031 PECOS PAC ID: 7315478617 Enrollment ID: I20240926003596 |
| Provider Name | Audrey Novchich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801105473 PECOS PAC ID: 5597959494 Enrollment ID: I20240926003899 |
| Provider Name | Kayleen Fay Rice |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396577102 PECOS PAC ID: 1557892783 Enrollment ID: I20240930000738 |
| Provider Name | Lindsey Michelle Paniszczyn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811721541 PECOS PAC ID: 7810428638 Enrollment ID: I20241004000071 |
| Provider Name | Maria Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083233936 PECOS PAC ID: 3577993922 Enrollment ID: I20241007001819 |
| Provider Name | Adam James Freitag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811473085 PECOS PAC ID: 1759813025 Enrollment ID: I20241011003318 |
| Provider Name | Kallie Duda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184353351 PECOS PAC ID: 1658803838 Enrollment ID: I20241011004111 |
| Provider Name | Shayon Mottahed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598341414 PECOS PAC ID: 4385178649 Enrollment ID: I20241108000879 |
| Provider Name | Amanda Lee Mccleary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780301135 PECOS PAC ID: 6507391240 Enrollment ID: I20241119001089 |
| Provider Name | Valerie A Paquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295402949 PECOS PAC ID: 6901264290 Enrollment ID: I20241120000731 |
| Provider Name | Allison Cheung |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225855703 PECOS PAC ID: 9638604119 Enrollment ID: I20241120002318 |
| Provider Name | Katya M Ramos Marrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013698471 PECOS PAC ID: 3678007457 Enrollment ID: I20241122003234 |
| Provider Name | Abhimanyu Aggarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447605704 PECOS PAC ID: 7618365511 Enrollment ID: I20241212001345 |
| Provider Name | Leilani Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730640855 PECOS PAC ID: 0840671095 Enrollment ID: I20241216000141 |
| Provider Name | Katherine Bissell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679299762 PECOS PAC ID: 7113454745 Enrollment ID: I20241220001918 |
| Provider Name | Danielle Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104463728 PECOS PAC ID: 2961838826 Enrollment ID: I20241225000049 |
| Provider Name | Marie Aubin Cadet-bouzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649841396 PECOS PAC ID: 1456756550 Enrollment ID: I20250106001462 |
| Provider Name | Soojin Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912737081 PECOS PAC ID: 1759819345 Enrollment ID: I20250109003318 |
| Provider Name | Kelley Gilroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417735333 PECOS PAC ID: 0547798076 Enrollment ID: I20250113001157 |
| Provider Name | Megan Chirichella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861208621 PECOS PAC ID: 5597293936 Enrollment ID: I20250113001695 |
| Provider Name | Andrew Wynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912736307 PECOS PAC ID: 0143759290 Enrollment ID: I20250120000011 |
| Provider Name | Joan Marie Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790071371 PECOS PAC ID: 6406248129 Enrollment ID: I20250122002629 |
| Provider Name | Hannah R Potter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184482960 PECOS PAC ID: 6002359486 Enrollment ID: I20250127000561 |
| Provider Name | Rachel Inabinet |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720359896 PECOS PAC ID: 2860761228 Enrollment ID: I20250128004963 |
| Provider Name | Angela Cannavo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972380913 PECOS PAC ID: 1355870718 Enrollment ID: I20250130000126 |
| Provider Name | Pouran P Alizadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831579085 PECOS PAC ID: 6103133715 Enrollment ID: I20250130000666 |
| Provider Name | Annette J Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528717675 PECOS PAC ID: 1153701719 Enrollment ID: I20250130003315 |
| Provider Name | Katya Simon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235641325 PECOS PAC ID: 7911344627 Enrollment ID: I20250205003454 |
| Provider Name | Leslie Lukert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457113995 PECOS PAC ID: 3476088329 Enrollment ID: I20250210000951 |
| Provider Name | Saba Haq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669460085 PECOS PAC ID: 4688684913 Enrollment ID: I20250217000932 |
| Provider Name | Anna Li Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275355943 PECOS PAC ID: 5294255147 Enrollment ID: I20250221001102 |
| Provider Name | Aurea Sanzetenea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508162462 PECOS PAC ID: 3678877396 Enrollment ID: I20250224001137 |
| Provider Name | Alexandria Alberto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164043550 PECOS PAC ID: 4880004845 Enrollment ID: I20250225000465 |
| Provider Name | Myrgine Barosy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528637618 PECOS PAC ID: 5395142624 Enrollment ID: I20250225001201 |
| Provider Name | Pezhman Mobasher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346829538 PECOS PAC ID: 0345760062 Enrollment ID: I20250225003316 |
| Provider Name | William Daniel Mosquera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467823971 PECOS PAC ID: 8820518228 Enrollment ID: I20250227002877 |
| Provider Name | Carlos Alberto Perez Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578232831 PECOS PAC ID: 5193246486 Enrollment ID: I20250303002465 |
| Provider Name | Gurneet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689330706 PECOS PAC ID: 5193246460 Enrollment ID: I20250304001632 |
| Provider Name | Mary Elizabeth Bracken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841498680 PECOS PAC ID: 5193246353 Enrollment ID: I20250306000357 |
| Provider Name | Jerrylene David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548043904 PECOS PAC ID: 3173044997 Enrollment ID: I20250310002698 |
| Provider Name | Amaria Asghar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275304370 PECOS PAC ID: 0042732117 Enrollment ID: I20250318002203 |
| Provider Name | Lindsey Scherer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225734742 PECOS PAC ID: 1254704380 Enrollment ID: I20250403002465 |
| Provider Name | Abdullah Hafid |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1720614928 PECOS PAC ID: 2466806542 Enrollment ID: I20250404000372 |
| Provider Name | Shahida Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285724294 PECOS PAC ID: 8820153760 Enrollment ID: I20250404001987 |
| Provider Name | Julia Bishop Howley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225859861 PECOS PAC ID: 7618494089 Enrollment ID: I20250508002266 |
| Provider Name | Shakeela Toukhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467112656 PECOS PAC ID: 4486048220 Enrollment ID: I20250515001945 |
| Provider Name | Janice Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720475734 PECOS PAC ID: 3476808213 Enrollment ID: I20250527002229 |
| Provider Name | Umer Arif Esbhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447900055 PECOS PAC ID: 0042729949 Enrollment ID: I20250603000333 |
| Provider Name | Sarah W Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447238555 PECOS PAC ID: 0749408755 Enrollment ID: I20250603000985 |
| Provider Name | Tracee Lyn Persiko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457153512 PECOS PAC ID: 9830608322 Enrollment ID: I20250605000611 |
| Provider Name | Shiva Adyaniyazdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386477479 PECOS PAC ID: 2264942069 Enrollment ID: I20250610004037 |
Medstar Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 N Glebe Rd Ste A, Arlington, VA 22201 Phone: 855-910-3278 | |
Health Choices Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3500 14th St N, Arlington, VA 22201 Phone: 703-527-5384 Fax: 703-527-5881 | |
Florence Provider Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Glebe Rd Ste 500, Arlington, VA 22203 Phone: 703-337-1601 | |
Jay S Rana Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Carlin Springs Rd, Suite 511, Arlington, VA 22204 Phone: 703-671-7000 Fax: 703-379-0449 | |
Kaveh Parvaresh, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Carlin Springs Rd Ste 309, Arlington, VA 22204 Phone: 703-671-8444 Fax: 703-671-2476 | |
Madina Haque, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 N George Mason Dr, Suite 410, Arlington, VA 22205 Phone: 703-525-2898 Fax: 703-525-4361 |