| Proliance Surgeons Inc P S | |
|
5350 Tallman Ave Nw Ste 500 Seattle WA 98107-5902 | |
| (206) 784-8833 | |
| (206) 784-0676 |
| Full Name | Proliance Surgeons Inc P S |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 5350 Tallman Ave Nw Ste 500, Seattle, Washington |
| Authorized Official Name and Position | Cori M. Pleasant (MGR PROVIDER RELATIONS/ENROLLMENT) |
| Authorized Official Contact | 2068382585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proliance Surgeons Inc P S 2409 N 45th St Seattle WA 98103-6907 Ph: (206) 633-8100 | Proliance Surgeons Inc P S 5350 Tallman Ave Nw Ste 500 Seattle WA 98107-5902 Ph: (206) 784-8833 |
| NPI Number | 1023170313 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/12/2024 |
| Medicare PECOS PAC ID | 8527972900 |
|---|---|
| Medicare Enrollment ID | O20031119000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023170313 | NPI | - | NPPES |
| 1045421 | Medicaid | WA | |
| 49718 | Other | WA | WA LABOR & INDUSTRIES |
| Provider Name | Alan Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609863240 PECOS PAC ID: 3577468883 Enrollment ID: I20031201000330 |
| Provider Name | Ben Hugh Harmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467439398 PECOS PAC ID: 4688578180 Enrollment ID: I20031201000829 |
| Provider Name | Lloyd Stambaugh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568440089 PECOS PAC ID: 9234034463 Enrollment ID: I20031202000070 |
| Provider Name | Philip R Yearian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255307807 PECOS PAC ID: 5092611327 Enrollment ID: I20031210000197 |
| Provider Name | Robert E Marsh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710906243 PECOS PAC ID: 6002714128 Enrollment ID: I20031229000412 |
| Provider Name | Kathleen E Lemieux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740712553 PECOS PAC ID: 2466351366 Enrollment ID: I20040108000519 |
| Provider Name | Carol J Cornejo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316916927 PECOS PAC ID: 5698675981 Enrollment ID: I20040112000368 |
| Provider Name | Jennifer L Heydt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437151081 PECOS PAC ID: 3678475571 Enrollment ID: I20040122000169 |
| Provider Name | John J Jiganti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609842673 PECOS PAC ID: 9739072638 Enrollment ID: I20040204000934 |
| Provider Name | Kimberly K Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396791539 PECOS PAC ID: 5597650945 Enrollment ID: I20040216001070 |
| Provider Name | Timothy D Locknane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639224074 PECOS PAC ID: 3678464112 Enrollment ID: I20040323001312 |
| Provider Name | Richard L Angelo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427029214 PECOS PAC ID: 8628969177 Enrollment ID: I20040323001358 |
| Provider Name | Craig T Arntz |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1942271994 PECOS PAC ID: 8426040759 Enrollment ID: I20040330000754 |
| Provider Name | Traci S Granston |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1023089075 PECOS PAC ID: 6608868948 Enrollment ID: I20040330000827 |
| Provider Name | Marco N Wen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942245733 PECOS PAC ID: 7315939063 Enrollment ID: I20040401000807 |
| Provider Name | Curtis W Rodin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659330876 PECOS PAC ID: 2961495775 Enrollment ID: I20040407000367 |
| Provider Name | Dana L Feaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851380604 PECOS PAC ID: 7618960337 Enrollment ID: I20040407000504 |
| Provider Name | James D Bruckner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154392942 PECOS PAC ID: 8527051077 Enrollment ID: I20040408000429 |
| Provider Name | Brian D Cameron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194771998 PECOS PAC ID: 3072506534 Enrollment ID: I20040408000504 |
| Provider Name | Timothy E Messmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477552701 PECOS PAC ID: 5092600221 Enrollment ID: I20040417000076 |
| Provider Name | Ashit C Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477512614 PECOS PAC ID: 0143216127 Enrollment ID: I20040423001054 |
| Provider Name | Peter R Mandt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730158148 PECOS PAC ID: 8123016052 Enrollment ID: I20040430001343 |
| Provider Name | Nicole C Marble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548476658 PECOS PAC ID: 5698763423 Enrollment ID: I20040503000278 |
| Provider Name | David Q Santos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386674802 PECOS PAC ID: 4981692308 Enrollment ID: I20040504001428 |
| Provider Name | Patrick H Mcclean |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487664926 PECOS PAC ID: 9032107073 Enrollment ID: I20040506000280 |
| Provider Name | David M Mourning |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033150420 PECOS PAC ID: 1850380395 Enrollment ID: I20040510000735 |
| Provider Name | Peter Fredric Maurice |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518974781 PECOS PAC ID: 1254320401 Enrollment ID: I20040511001531 |
| Provider Name | Lawrence J Fowler |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1598734873 PECOS PAC ID: 8426962523 Enrollment ID: I20040513001350 |
| Provider Name | Jason Hoyt Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134189855 PECOS PAC ID: 5294725743 Enrollment ID: I20040517000060 |
| Provider Name | Juan Alejandro Millan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275511172 PECOS PAC ID: 7517957087 Enrollment ID: I20040517000186 |
| Provider Name | William Lemley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801822721 PECOS PAC ID: 2264422625 Enrollment ID: I20040517000855 |
| Provider Name | Kristin M Rosen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598945578 PECOS PAC ID: 9032109491 Enrollment ID: I20040517000889 |
| Provider Name | John Mcgowan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962480897 PECOS PAC ID: 2769377456 Enrollment ID: I20040518000511 |
| Provider Name | Luba M Foltz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174631683 PECOS PAC ID: 0648261750 Enrollment ID: I20040519000119 |
| Provider Name | Carolyn Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689685406 PECOS PAC ID: 8325039217 Enrollment ID: I20040519001607 |
| Provider Name | Lorelei A Mock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275593014 PECOS PAC ID: 9931190857 Enrollment ID: I20040520000135 |
| Provider Name | Michael K Gannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790704856 PECOS PAC ID: 4082605472 Enrollment ID: I20040524000689 |
| Provider Name | Betty J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093792285 PECOS PAC ID: 8426039637 Enrollment ID: I20040525000858 |
| Provider Name | Corina D Peterson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164695201 PECOS PAC ID: 0840271706 Enrollment ID: I20040526001116 |
| Provider Name | Daniel M Hanesworth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619946910 PECOS PAC ID: 5890777288 Enrollment ID: I20040601000756 |
| Provider Name | Tracy E Springman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114965001 PECOS PAC ID: 6204727076 Enrollment ID: I20040602000147 |
| Provider Name | Spencer A Coray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013911619 PECOS PAC ID: 0244122265 Enrollment ID: I20040609000187 |
| Provider Name | Eric S Malone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073522439 PECOS PAC ID: 1951384866 Enrollment ID: I20040611000058 |
| Provider Name | Steve H Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457408064 PECOS PAC ID: 5698660850 Enrollment ID: I20040611001151 |
| Provider Name | Philip Neil Lowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265406193 PECOS PAC ID: 9032005491 Enrollment ID: I20040616001174 |
| Provider Name | Diane E Engelbrecht |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275507105 PECOS PAC ID: 0345136792 Enrollment ID: I20040616001462 |
| Provider Name | Charles D Birnbach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144255936 PECOS PAC ID: 3173504859 Enrollment ID: I20040623000011 |
| Provider Name | Michelle T Wyemura Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508826397 PECOS PAC ID: 3476538380 Enrollment ID: I20040623000785 |
| Provider Name | Jennifer L Melville |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710066477 PECOS PAC ID: 6507843737 Enrollment ID: I20040706000580 |
| Provider Name | Jayashree Srinivasan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407812134 PECOS PAC ID: 8123012630 Enrollment ID: I20040715001371 |
| Provider Name | Thomas D Lenart |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568514032 PECOS PAC ID: 3870572126 Enrollment ID: I20040719001364 |
| Provider Name | Jean H Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740292234 PECOS PAC ID: 0749269975 Enrollment ID: I20040720000294 |
| Provider Name | Jonathan J Hutter |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538216296 PECOS PAC ID: 3072583210 Enrollment ID: I20040727000711 |
| Provider Name | Christopher J Wahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295810026 PECOS PAC ID: 1658342647 Enrollment ID: I20040803001509 |
| Provider Name | Mark S Bromberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033196092 PECOS PAC ID: 4082686324 Enrollment ID: I20040809000369 |
| Provider Name | John Scott Price |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083673834 PECOS PAC ID: 2466424387 Enrollment ID: I20040811000574 |
| Provider Name | Frederick S Huang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972572469 PECOS PAC ID: 4284607193 Enrollment ID: I20040818000910 |
| Provider Name | Eugene P Toomey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891754198 PECOS PAC ID: 0840265559 Enrollment ID: I20040826001332 |
| Provider Name | Brett R Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114926466 PECOS PAC ID: 5991770513 Enrollment ID: I20040827000681 |
| Provider Name | Todd W Havener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659340289 PECOS PAC ID: 8729054093 Enrollment ID: I20040908000688 |
| Provider Name | John T Steedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013951805 PECOS PAC ID: 5799677621 Enrollment ID: I20040916000306 |
| Provider Name | Jimmy Yi Cui |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720057342 PECOS PAC ID: 5294703617 Enrollment ID: I20040922001028 |
| Provider Name | Douglas M Hassan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1407822919 PECOS PAC ID: 9638130008 Enrollment ID: I20041020000510 |
| Provider Name | Peter E Krumins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003882515 PECOS PAC ID: 5496649154 Enrollment ID: I20041020000569 |
| Provider Name | Todd M Guyette |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669579132 PECOS PAC ID: 9335102821 Enrollment ID: I20041105000440 |
| Provider Name | Daniel E Nelson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1205878469 PECOS PAC ID: 8921093493 Enrollment ID: I20041108000302 |
| Provider Name | Steven Han |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013033190 PECOS PAC ID: 0345205241 Enrollment ID: I20041119000528 |
| Provider Name | Elias E Khalfayan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851360382 PECOS PAC ID: 3870487929 Enrollment ID: I20041122000238 |
| Provider Name | Gregory J Norling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245299478 PECOS PAC ID: 7315851706 Enrollment ID: I20041207000460 |
| Provider Name | Robin Fuchs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871562595 PECOS PAC ID: 8628034071 Enrollment ID: I20041207000796 |
| Provider Name | Craig M Mcallister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891754792 PECOS PAC ID: 4284690678 Enrollment ID: I20041207001086 |
| Provider Name | Geoffrey L Tyson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679610778 PECOS PAC ID: 1456318732 Enrollment ID: I20041217000844 |
| Provider Name | Jessica A Pare |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992875314 PECOS PAC ID: 4789642083 Enrollment ID: I20050104000424 |
| Provider Name | Philip R Downer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700855343 PECOS PAC ID: 0446209605 Enrollment ID: I20050114000614 |
| Provider Name | Patricia A Krueger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699774943 PECOS PAC ID: 5698725943 Enrollment ID: I20050125000749 |
| Provider Name | Elena M Hannon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437126067 PECOS PAC ID: 4082665062 Enrollment ID: I20050208000069 |
| Provider Name | Mary M Chollman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487752648 PECOS PAC ID: 8022062835 Enrollment ID: I20050304000150 |
| Provider Name | Greta Tan Go |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578540480 PECOS PAC ID: 7719884493 Enrollment ID: I20050324000947 |
| Provider Name | Julie M Iverson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508945205 PECOS PAC ID: 5092753780 Enrollment ID: I20050422000395 |
| Provider Name | Alan B Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447254032 PECOS PAC ID: 2365418399 Enrollment ID: I20050513000779 |
| Provider Name | Herbert W Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720038078 PECOS PAC ID: 9739124314 Enrollment ID: I20050623000726 |
| Provider Name | Merritt K Auld |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306817358 PECOS PAC ID: 1456397595 Enrollment ID: I20050705000355 |
| Provider Name | William B Bede |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720057094 PECOS PAC ID: 7719923093 Enrollment ID: I20050708000290 |
| Provider Name | Clayton B Brandes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396716346 PECOS PAC ID: 0840226627 Enrollment ID: I20050713000194 |
| Provider Name | Thomas H Castle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881665677 PECOS PAC ID: 0345137394 Enrollment ID: I20050713000232 |
| Provider Name | Jeffrey L Stickney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639139348 PECOS PAC ID: 8921034711 Enrollment ID: I20050713000288 |
| Provider Name | Thomas D Chi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487625430 PECOS PAC ID: 2163458951 Enrollment ID: I20050713000316 |
| Provider Name | Gregory A Komenda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972562528 PECOS PAC ID: 5092763029 Enrollment ID: I20050713000322 |
| Provider Name | Michael J Sailer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932169729 PECOS PAC ID: 5597791384 Enrollment ID: I20050713000332 |
| Provider Name | Steven D Sun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386604007 PECOS PAC ID: 3577599372 Enrollment ID: I20050713000364 |
| Provider Name | Joel A Shapiro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215997895 PECOS PAC ID: 7113953936 Enrollment ID: I20050713000561 |
| Provider Name | Steven S Ratcliffe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932168705 PECOS PAC ID: 2163458993 Enrollment ID: I20050713000612 |
| Provider Name | Charles A Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851350680 PECOS PAC ID: 0345277372 Enrollment ID: I20050721000560 |
| Provider Name | William J Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770544488 PECOS PAC ID: 8426085465 Enrollment ID: I20050721000576 |
| Provider Name | Jeffrey S Roh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346284486 PECOS PAC ID: 0042249526 Enrollment ID: I20050804000892 |
| Provider Name | Alexis Falicov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407825292 PECOS PAC ID: 0143259234 Enrollment ID: I20050809000738 |
| Provider Name | Andrew J Haputa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700855491 PECOS PAC ID: 7911936026 Enrollment ID: I20050809000884 |
| Provider Name | Gavin H Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427019868 PECOS PAC ID: 8325000169 Enrollment ID: I20050830001016 |
| Provider Name | Wayne M Weil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003877465 PECOS PAC ID: 1355374265 Enrollment ID: I20050912001147 |
| Provider Name | Michael K Mcadam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154380186 PECOS PAC ID: 8729054994 Enrollment ID: I20050912001197 |
| Provider Name | Anthony B Van Bergeyk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316987803 PECOS PAC ID: 0840223673 Enrollment ID: I20050913000743 |
| Provider Name | Robin L Madsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972550556 PECOS PAC ID: 0446283758 Enrollment ID: I20050916000608 |
| Provider Name | John H Bargren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750392049 PECOS PAC ID: 9931096732 Enrollment ID: I20051011000056 |
| Provider Name | Roger M Blauvelt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932187341 PECOS PAC ID: 5092731026 Enrollment ID: I20051019000847 |
| Provider Name | James W Pritchett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265421382 PECOS PAC ID: 5698792091 Enrollment ID: I20051025000781 |
| Provider Name | Patrick J Vaughan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215903711 PECOS PAC ID: 2264459726 Enrollment ID: I20051027000497 |
| Provider Name | Richard E Gray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851352710 PECOS PAC ID: 7618861378 Enrollment ID: I20051107000866 |
| Provider Name | Kate S Osborne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679644827 PECOS PAC ID: 5395763262 Enrollment ID: I20051109000480 |
| Provider Name | Helen H Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386603538 PECOS PAC ID: 5799705489 Enrollment ID: I20051123000526 |
| Provider Name | Autumn Mantel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740297829 PECOS PAC ID: 8224058870 Enrollment ID: I20051129000282 |
| Provider Name | Eric David Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376599191 PECOS PAC ID: 1951299023 Enrollment ID: I20051213000439 |
| Provider Name | Andrew B Kopstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124050117 PECOS PAC ID: 8224050836 Enrollment ID: I20051223000186 |
| Provider Name | Anna G Daniel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861464950 PECOS PAC ID: 3870516305 Enrollment ID: I20060110000888 |
| Provider Name | Susan M Harvey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265404255 PECOS PAC ID: 9133142664 Enrollment ID: I20060110000905 |
| Provider Name | Judith M Kimelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447222435 PECOS PAC ID: 7012930548 Enrollment ID: I20060110000932 |
| Provider Name | Margaret L Hutchison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942272034 PECOS PAC ID: 8729001250 Enrollment ID: I20060110000945 |
| Provider Name | Diana K Koala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811969801 PECOS PAC ID: 5991728438 Enrollment ID: I20060110000954 |
| Provider Name | Michelle J Sinnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356301618 PECOS PAC ID: 2163446667 Enrollment ID: I20060124000377 |
| Provider Name | Jack Fields |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326016379 PECOS PAC ID: 2567478951 Enrollment ID: I20060222000331 |
| Provider Name | Lisa M Mulligan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093891103 PECOS PAC ID: 3577572288 Enrollment ID: I20060407000223 |
| Provider Name | Paul E Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376552968 PECOS PAC ID: 2264471101 Enrollment ID: I20060426000755 |
| Provider Name | Kathleen N Hunter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336158922 PECOS PAC ID: 8325058951 Enrollment ID: I20060427000091 |
| Provider Name | Steven M Dawson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538169768 PECOS PAC ID: 9032121074 Enrollment ID: I20060612000268 |
| Provider Name | Michael J Wolfe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346289865 PECOS PAC ID: 5991605156 Enrollment ID: I20060626000110 |
| Provider Name | Kathryn E Garr |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1457320152 PECOS PAC ID: 8628081742 Enrollment ID: I20060713000053 |
| Provider Name | Christopher N Petty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710930896 PECOS PAC ID: 4587677935 Enrollment ID: I20060801000311 |
| Provider Name | Thomas A Knipe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477501963 PECOS PAC ID: 3577567635 Enrollment ID: I20060831000462 |
| Provider Name | Justin Siegal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639184518 PECOS PAC ID: 0143224196 Enrollment ID: I20060905000295 |
| Provider Name | Samson Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043294655 PECOS PAC ID: 1052357704 Enrollment ID: I20060908000472 |
| Provider Name | Kelly B Germann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427095496 PECOS PAC ID: 3476559832 Enrollment ID: I20061010000007 |
| Provider Name | Michael J Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790726768 PECOS PAC ID: 1850398561 Enrollment ID: I20061023000020 |
| Provider Name | Mukti V Godbole |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306942156 PECOS PAC ID: 1052318862 Enrollment ID: I20061108000309 |
| Provider Name | Wendy L Heusch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912958562 PECOS PAC ID: 3870536147 Enrollment ID: I20061117000471 |
| Provider Name | Jennifer L Kay |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740262948 PECOS PAC ID: 8921006149 Enrollment ID: I20061127000202 |
| Provider Name | Eric G Puttler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538138268 PECOS PAC ID: 4587663190 Enrollment ID: I20061208000331 |
| Provider Name | Darcy S Foral |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144265091 PECOS PAC ID: 5597764100 Enrollment ID: I20061208000418 |
| Provider Name | Jeremy A Idjadi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578659264 PECOS PAC ID: 8527068709 Enrollment ID: I20070111000683 |
| Provider Name | Eva Young |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578660049 PECOS PAC ID: 7719917103 Enrollment ID: I20070112000051 |
| Provider Name | David A Saperstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508946625 PECOS PAC ID: 8921009945 Enrollment ID: I20070118000040 |
| Provider Name | Benjamin B Betteridge |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225007388 PECOS PAC ID: 6305881475 Enrollment ID: I20070119000361 |
| Provider Name | Calvin H Knapp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841258019 PECOS PAC ID: 5597767764 Enrollment ID: I20070201000356 |
| Provider Name | John Burgoyne |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467410613 PECOS PAC ID: 0446147136 Enrollment ID: I20070219000281 |
| Provider Name | Sandra L Cawrse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568443901 PECOS PAC ID: 5799887881 Enrollment ID: I20070220000415 |
| Provider Name | Angela J Crivello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154474849 PECOS PAC ID: 3870695919 Enrollment ID: I20070221000017 |
| Provider Name | Wren V Mccallister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821037722 PECOS PAC ID: 5597762120 Enrollment ID: I20070222000071 |
| Provider Name | Paul F Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770525990 PECOS PAC ID: 9436251006 Enrollment ID: I20070228000382 |
| Provider Name | Cholwoo A Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134293277 PECOS PAC ID: 5890898464 Enrollment ID: I20070320000381 |
| Provider Name | Neal H Shonnard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932135795 PECOS PAC ID: 1153213095 Enrollment ID: I20070501000336 |
| Provider Name | Frederic L Johnstone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447286521 PECOS PAC ID: 7416053814 Enrollment ID: I20070501000592 |
| Provider Name | Ruben Krishnananthan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891807863 PECOS PAC ID: 0749387272 Enrollment ID: I20070517000694 |
| Provider Name | Clyde W Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962579375 PECOS PAC ID: 9032217435 Enrollment ID: I20070608000178 |
| Provider Name | Rex Z Nilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386744324 PECOS PAC ID: 4082712286 Enrollment ID: I20070612000650 |
| Provider Name | Greg E. Davis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679689145 PECOS PAC ID: 1254431943 Enrollment ID: I20070710000931 |
| Provider Name | Kurt A Anderson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1548251085 PECOS PAC ID: 7012916117 Enrollment ID: I20070802000084 |
| Provider Name | Sandra J Weyrauch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841253317 PECOS PAC ID: 4789775396 Enrollment ID: I20070811000057 |
| Provider Name | Lori O Caldwell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1013125574 PECOS PAC ID: 6709979057 Enrollment ID: I20070904000163 |
| Provider Name | Thomas F Gumprecht |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821081407 PECOS PAC ID: 8820181688 Enrollment ID: I20070910000801 |
| Provider Name | Marianne Clare Greenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558440453 PECOS PAC ID: 8325132954 Enrollment ID: I20070913000414 |
| Provider Name | Darren L Wardle |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760566426 PECOS PAC ID: 2860383064 Enrollment ID: I20070924000441 |
| Provider Name | Anne Elizabeth Freitas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407935224 PECOS PAC ID: 8022103415 Enrollment ID: I20071001000122 |
| Provider Name | Kenneth C Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033263256 PECOS PAC ID: 6103912902 Enrollment ID: I20071009000845 |
| Provider Name | Lauren E Pray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558494179 PECOS PAC ID: 7113013046 Enrollment ID: I20071023000533 |
| Provider Name | Julian S Arroyo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114921707 PECOS PAC ID: 0345137501 Enrollment ID: I20071025000475 |
| Provider Name | Michael A Santoro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437247475 PECOS PAC ID: 4284697145 Enrollment ID: I20071031000002 |
| Provider Name | Ronald V Gregush |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275625584 PECOS PAC ID: 1759388127 Enrollment ID: I20071112000343 |
| Provider Name | Steven Teeny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336143916 PECOS PAC ID: 6709773963 Enrollment ID: I20071113000303 |
| Provider Name | Anthony Lo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649352527 PECOS PAC ID: 5193769628 Enrollment ID: I20071114000170 |
| Provider Name | John T Parker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144314337 PECOS PAC ID: 6002905221 Enrollment ID: I20071211000088 |
| Provider Name | Shawn E Rogers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104923119 PECOS PAC ID: 6709975923 Enrollment ID: I20071211000110 |
| Provider Name | Duncan A Riddell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801993829 PECOS PAC ID: 7214026434 Enrollment ID: I20071211000143 |
| Provider Name | Bill K Huang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356361588 PECOS PAC ID: 0042212631 Enrollment ID: I20071211000256 |
| Provider Name | John M Blair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700985611 PECOS PAC ID: 8022107200 Enrollment ID: I20071211000615 |
| Provider Name | Andrew S Barloon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457350670 PECOS PAC ID: 6204721103 Enrollment ID: I20071219000770 |
| Provider Name | Cathy J Delizo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033260583 PECOS PAC ID: 1951483197 Enrollment ID: I20080128000425 |
| Provider Name | William L Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841293511 PECOS PAC ID: 0547167322 Enrollment ID: I20080214000342 |
| Provider Name | David C Green |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356351886 PECOS PAC ID: 3375531338 Enrollment ID: I20080214000497 |
| Provider Name | Alan D. Barronian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972506657 PECOS PAC ID: 5092612887 Enrollment ID: I20080226000731 |
| Provider Name | Roger S Zundel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689629651 PECOS PAC ID: 9133204795 Enrollment ID: I20080307000114 |
| Provider Name | Daniel R Seely |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265488571 PECOS PAC ID: 8022193580 Enrollment ID: I20080307000191 |
| Provider Name | Deborah A Mazza |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013119379 PECOS PAC ID: 0840375747 Enrollment ID: I20080317000110 |
| Provider Name | Erin T Rajca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407026966 PECOS PAC ID: 3577640390 Enrollment ID: I20080403000348 |
| Provider Name | Jonathan B Shafer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861690257 PECOS PAC ID: 6002993607 Enrollment ID: I20080407000572 |
| Provider Name | Matthew J Robon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528162740 PECOS PAC ID: 2163509795 Enrollment ID: I20080408000115 |
| Provider Name | Harry L Teicher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821086174 PECOS PAC ID: 7113004292 Enrollment ID: I20080414000700 |
| Provider Name | Alice L Kuntz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942257084 PECOS PAC ID: 4688744030 Enrollment ID: I20080528000512 |
| Provider Name | Steven L Summerfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043271927 PECOS PAC ID: 9638241029 Enrollment ID: I20080630000294 |
| Provider Name | Brian J Mitchell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942491196 PECOS PAC ID: 6305919093 Enrollment ID: I20080714000217 |
| Provider Name | Dawn Hastreiter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245339357 PECOS PAC ID: 0143311993 Enrollment ID: I20080716000740 |
| Provider Name | Terry L Hergesheimer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518141282 PECOS PAC ID: 5294800777 Enrollment ID: I20080818000653 |
| Provider Name | Suzanne E Jennings |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740304336 PECOS PAC ID: 4284709767 Enrollment ID: I20080818000661 |
| Provider Name | Randall S Fong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235172677 PECOS PAC ID: 0547265845 Enrollment ID: I20080825000627 |
| Provider Name | Meghan M Mckeever |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922017532 PECOS PAC ID: 2365518321 Enrollment ID: I20080828000082 |
| Provider Name | Shirla L Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396905253 PECOS PAC ID: 5597831172 Enrollment ID: I20080904000737 |
| Provider Name | Erik J Novak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174648703 PECOS PAC ID: 1052487568 Enrollment ID: I20080908000239 |
| Provider Name | Christopher R Howe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467562421 PECOS PAC ID: 9739255134 Enrollment ID: I20080909000514 |
| Provider Name | Niket Shrivastava |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1780705947 PECOS PAC ID: 9537236757 Enrollment ID: I20080930000172 |
| Provider Name | Camille M Clinton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356509475 PECOS PAC ID: 6103994967 Enrollment ID: I20081007000012 |
| Provider Name | Todd E. Jackman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427259191 PECOS PAC ID: 0143262022 Enrollment ID: I20081007000583 |
| Provider Name | Kelly A Hofferber |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588601181 PECOS PAC ID: 6204904576 Enrollment ID: I20081014000489 |
| Provider Name | Justin Esterberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558494427 PECOS PAC ID: 7810982436 Enrollment ID: I20081017000066 |
| Provider Name | Denise M Clark |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528198389 PECOS PAC ID: 2264590884 Enrollment ID: I20081024000546 |
| Provider Name | Marcus B Flexer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780832170 PECOS PAC ID: 4880752468 Enrollment ID: I20081027000295 |
| Provider Name | Carl J Basamania |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295822930 PECOS PAC ID: 3577656479 Enrollment ID: I20081112000466 |
| Provider Name | Kimberly K Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104075621 PECOS PAC ID: 3870653942 Enrollment ID: I20081119000264 |
| Provider Name | Cindy E Bullock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598770927 PECOS PAC ID: 3971567603 Enrollment ID: I20081231000224 |
| Provider Name | Jamie R Antoine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114022969 PECOS PAC ID: 1557425170 Enrollment ID: I20090127000304 |
| Provider Name | Tracy L Gramer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144340688 PECOS PAC ID: 1759438542 Enrollment ID: I20090414000276 |
| Provider Name | Eric Glen Hoover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790746998 PECOS PAC ID: 0840393047 Enrollment ID: I20090424000462 |
| Provider Name | Kimberly K Caruso |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598805160 PECOS PAC ID: 1951453323 Enrollment ID: I20090715000591 |
| Provider Name | Tony Huu Huynh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669590782 PECOS PAC ID: 0143312389 Enrollment ID: I20090717000398 |
| Provider Name | Tyler G Kimbrough |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720121361 PECOS PAC ID: 3274686845 Enrollment ID: I20090729000380 |
| Provider Name | Dawei Lu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366598963 PECOS PAC ID: 6305910316 Enrollment ID: I20090818000000 |
| Provider Name | Archie Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053567008 PECOS PAC ID: 7214081611 Enrollment ID: I20090819000849 |
| Provider Name | Michael B Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568474062 PECOS PAC ID: 2466516034 Enrollment ID: I20090819000922 |
| Provider Name | John P Howlett |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1962512947 PECOS PAC ID: 2062566334 Enrollment ID: I20090820000695 |
| Provider Name | Wendy Jo Lorentz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346355328 PECOS PAC ID: 2163577693 Enrollment ID: I20090903000688 |
| Provider Name | Namou Kim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336125798 PECOS PAC ID: 3870512825 Enrollment ID: I20090904000126 |
| Provider Name | Samuel S Koo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467626374 PECOS PAC ID: 2769545615 Enrollment ID: I20091014000346 |
| Provider Name | Kerri F Arenholz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780607424 PECOS PAC ID: 0749285484 Enrollment ID: I20091030000024 |
| Provider Name | Gregory R Lamberton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003094889 PECOS PAC ID: 6901944396 Enrollment ID: I20091104000483 |
| Provider Name | Emily K Windham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427382944 PECOS PAC ID: 9335287002 Enrollment ID: I20091118000089 |
| Provider Name | Elizabeth K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811132210 PECOS PAC ID: 9032258488 Enrollment ID: I20091125000201 |
| Provider Name | Todd Robert Klesert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386706174 PECOS PAC ID: 2062427958 Enrollment ID: I20100111000486 |
| Provider Name | Lawrence E Holland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144299314 PECOS PAC ID: 8022150812 Enrollment ID: I20100115000789 |
| Provider Name | Richard M Kirby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699744094 PECOS PAC ID: 2668514464 Enrollment ID: I20100115000903 |
| Provider Name | Scott E Hormel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548239106 PECOS PAC ID: 1355483918 Enrollment ID: I20100119000814 |
| Provider Name | James P Crutcher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881663292 PECOS PAC ID: 3274675855 Enrollment ID: I20100120000201 |
| Provider Name | Jeffrey L Garr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023087780 PECOS PAC ID: 9335281914 Enrollment ID: I20100120000230 |
| Provider Name | Ralph T Haller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164491429 PECOS PAC ID: 8022150606 Enrollment ID: I20100120000267 |
| Provider Name | Howard B Barker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114998168 PECOS PAC ID: 2567504145 Enrollment ID: I20100120000284 |
| Provider Name | Michael M Kennelly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215996459 PECOS PAC ID: 4981746575 Enrollment ID: I20100120000329 |
| Provider Name | Sean D Toomey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003876343 PECOS PAC ID: 7012059611 Enrollment ID: I20100120000408 |
| Provider Name | Jeff R Mason |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174592588 PECOS PAC ID: 3173665775 Enrollment ID: I20100120000437 |
| Provider Name | Martin G Mankey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811966229 PECOS PAC ID: 3173667854 Enrollment ID: I20100218000467 |
| Provider Name | Douglas D Backous |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669589974 PECOS PAC ID: 6305981523 Enrollment ID: I20100226000512 |
| Provider Name | Susan R Cero |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548214984 PECOS PAC ID: 7416044524 Enrollment ID: I20100510000209 |
| Provider Name | Mark D Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649211764 PECOS PAC ID: 4284762360 Enrollment ID: I20100511000503 |
| Provider Name | Martin S Tullus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801840244 PECOS PAC ID: 6507996105 Enrollment ID: I20100608000691 |
| Provider Name | Robert G Veith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538129267 PECOS PAC ID: 0941291579 Enrollment ID: I20100608000754 |
| Provider Name | Benjamin Daniel Chilczuk |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1831160886 PECOS PAC ID: 2365572492 Enrollment ID: I20100615000925 |
| Provider Name | Frederick B Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568497402 PECOS PAC ID: 1254393721 Enrollment ID: I20100630000836 |
| Provider Name | Sean D Ghidella |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1538135322 PECOS PAC ID: 5294866315 Enrollment ID: I20100706000215 |
| Provider Name | William P Barrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528001682 PECOS PAC ID: 9133251150 Enrollment ID: I20100709000419 |
| Provider Name | Terri A Parsons |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750495339 PECOS PAC ID: 2365334935 Enrollment ID: I20100712000320 |
| Provider Name | Daniel Susanto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144364605 PECOS PAC ID: 6507999299 Enrollment ID: I20100802000582 |
| Provider Name | Steven K Taylor |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417061177 PECOS PAC ID: 4183516750 Enrollment ID: I20100811000964 |
| Provider Name | David Kuechle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508865429 PECOS PAC ID: 1052208568 Enrollment ID: I20100819001197 |
| Provider Name | Thomas Paul Seib |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043324601 PECOS PAC ID: 1355233925 Enrollment ID: I20100825001114 |
| Provider Name | Gary L Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295706752 PECOS PAC ID: 2163546664 Enrollment ID: I20100907000451 |
| Provider Name | James R Gross |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023082203 PECOS PAC ID: 5092839415 Enrollment ID: I20100907000830 |
| Provider Name | Gary K Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437129186 PECOS PAC ID: 2365336401 Enrollment ID: I20100908000252 |
| Provider Name | Kevin C Harris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164496808 PECOS PAC ID: 2961526348 Enrollment ID: I20100908000372 |
| Provider Name | Adel G El-ghazzawy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922076520 PECOS PAC ID: 7719002153 Enrollment ID: I20100909000112 |
| Provider Name | Randall P Bennett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619907953 PECOS PAC ID: 9931191962 Enrollment ID: I20100909000630 |
| Provider Name | Robert W Nash |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649279456 PECOS PAC ID: 6507981636 Enrollment ID: I20100914000142 |
| Provider Name | Damon Sacco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700862539 PECOS PAC ID: 1355242694 Enrollment ID: I20100916000994 |
| Provider Name | Karen L Bohmke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003802679 PECOS PAC ID: 2961528484 Enrollment ID: I20100922000063 |
| Provider Name | Jennifer L Droz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467461178 PECOS PAC ID: 1759465305 Enrollment ID: I20100922001201 |
| Provider Name | Tracy A Johannsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528054103 PECOS PAC ID: 0244356590 Enrollment ID: I20100924000100 |
| Provider Name | Scott D Ruhlman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962510784 PECOS PAC ID: 3375682552 Enrollment ID: I20100925000292 |
| Provider Name | Nicholas R Seibert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508082033 PECOS PAC ID: 3971658618 Enrollment ID: I20100925000298 |
| Provider Name | Jason C King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497857098 PECOS PAC ID: 5193841245 Enrollment ID: I20100925000309 |
| Provider Name | John D Pryor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003082017 PECOS PAC ID: 9032265350 Enrollment ID: I20100928001518 |
| Provider Name | Kurt E Harmon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780653089 PECOS PAC ID: 1951594779 Enrollment ID: I20101025000516 |
| Provider Name | Christopher J Van Hofwegen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376751669 PECOS PAC ID: 1658423249 Enrollment ID: I20101108000606 |
| Provider Name | Douglas R King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184643611 PECOS PAC ID: 2163410002 Enrollment ID: I20101110000039 |
| Provider Name | Addison T Stone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538269006 PECOS PAC ID: 9335292382 Enrollment ID: I20101111000195 |
| Provider Name | Charles Keith Fujisaki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043285893 PECOS PAC ID: 7113994534 Enrollment ID: I20101118001309 |
| Provider Name | James Heath Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447246731 PECOS PAC ID: 7911193651 Enrollment ID: I20101120000237 |
| Provider Name | Kelsey R Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023326071 PECOS PAC ID: 4082800032 Enrollment ID: I20101202000287 |
| Provider Name | Amy S Anstead |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982852448 PECOS PAC ID: 9133272297 Enrollment ID: I20101202000351 |
| Provider Name | Hsiao-siu Chang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487616975 PECOS PAC ID: 6103716667 Enrollment ID: I20101202000508 |
| Provider Name | Kathleen M Nielsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245548338 PECOS PAC ID: 9032306824 Enrollment ID: I20101206000815 |
| Provider Name | Joanne M Gormley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831297258 PECOS PAC ID: 7810184991 Enrollment ID: I20101215000758 |
| Provider Name | Kenneth M Oates |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962401208 PECOS PAC ID: 4486786761 Enrollment ID: I20110103000789 |
| Provider Name | Stacia A Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295734499 PECOS PAC ID: 8022140300 Enrollment ID: I20110112000836 |
| Provider Name | Oliver R Biggers |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437265907 PECOS PAC ID: 2264612290 Enrollment ID: I20110209000239 |
| Provider Name | Hoi Yee Leung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356642466 PECOS PAC ID: 8820279003 Enrollment ID: I20110221000928 |
| Provider Name | Kiley E Steinriede |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871620963 PECOS PAC ID: 2769666585 Enrollment ID: I20110401000771 |
| Provider Name | Douglas D. Nowak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083871305 PECOS PAC ID: 5193919744 Enrollment ID: I20110726000529 |
| Provider Name | Melissa Roach Denison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306130505 PECOS PAC ID: 5597933002 Enrollment ID: I20110727000192 |
| Provider Name | Matthew V Jenkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821263807 PECOS PAC ID: 7911176854 Enrollment ID: I20110809000810 |
| Provider Name | Brian D. Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629283148 PECOS PAC ID: 7416140801 Enrollment ID: I20110829000019 |
| Provider Name | Aric A. Christal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770699159 PECOS PAC ID: 2163550443 Enrollment ID: I20110913000282 |
| Provider Name | Lisa J Devlieg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588605042 PECOS PAC ID: 7416129580 Enrollment ID: I20111013000678 |
| Provider Name | Stewart M Kerr |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932157732 PECOS PAC ID: 8921271560 Enrollment ID: I20111027000244 |
| Provider Name | Thomas J. Jurich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659340172 PECOS PAC ID: 4082880117 Enrollment ID: I20111220000566 |
| Provider Name | Steven D. Macfarlane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578532982 PECOS PAC ID: 5698941722 Enrollment ID: I20111220000602 |
| Provider Name | Kimberly A Alquist |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598955379 PECOS PAC ID: 8022001387 Enrollment ID: I20120104000904 |
| Provider Name | Sean M Amann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467462861 PECOS PAC ID: 1557559606 Enrollment ID: I20120106000740 |
| Provider Name | Neil E Roberts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972549129 PECOS PAC ID: 1951568187 Enrollment ID: I20120131000408 |
| Provider Name | Mitra Ehsan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053332098 PECOS PAC ID: 1557253184 Enrollment ID: I20120213000778 |
| Provider Name | Stephanie R Yakobina |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346368289 PECOS PAC ID: 0143488270 Enrollment ID: I20120221000765 |
| Provider Name | Sheila C Yakobina |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154443711 PECOS PAC ID: 9931367067 Enrollment ID: I20120221000795 |
| Provider Name | Rodd A Kiliany |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558439257 PECOS PAC ID: 1557363504 Enrollment ID: I20120308000644 |
| Provider Name | Rodney G Yen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063428779 PECOS PAC ID: 6204945223 Enrollment ID: I20120323000603 |
| Provider Name | Erik L. Nielsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376525774 PECOS PAC ID: 3678734779 Enrollment ID: I20120417000686 |
| Provider Name | Steven J Anderson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982752069 PECOS PAC ID: 9638330434 Enrollment ID: I20120420000471 |
| Provider Name | Charles V Edmond |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851327324 PECOS PAC ID: 1254593916 Enrollment ID: I20120426000157 |
| Provider Name | Natalie P Higgins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740393461 PECOS PAC ID: 6204831951 Enrollment ID: I20120502000574 |
| Provider Name | Vivian M Yu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427192988 PECOS PAC ID: 0547312746 Enrollment ID: I20120508000600 |
| Provider Name | Jolene Schneider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376783126 PECOS PAC ID: 4688830631 Enrollment ID: I20120719000524 |
| Provider Name | Jennifer Renae Mcevoy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508056482 PECOS PAC ID: 2668658758 Enrollment ID: I20120803000654 |
| Provider Name | Jonah B Hulst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912154022 PECOS PAC ID: 1658540406 Enrollment ID: I20120814000443 |
| Provider Name | Karen Livne Bar-joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164686077 PECOS PAC ID: 2961659354 Enrollment ID: I20120820000598 |
| Provider Name | Emily Tasha Lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790058774 PECOS PAC ID: 4880842368 Enrollment ID: I20120907000670 |
| Provider Name | Julie Ann Ellenberger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215283502 PECOS PAC ID: 4789641309 Enrollment ID: I20120912000003 |
| Provider Name | Tyler J Nathe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710166467 PECOS PAC ID: 7911169354 Enrollment ID: I20120926000827 |
| Provider Name | Mark A. Reed |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578618450 PECOS PAC ID: 9830348341 Enrollment ID: I20120926000837 |
| Provider Name | Trevor W Petrie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568718310 PECOS PAC ID: 5799935607 Enrollment ID: I20121030000048 |
| Provider Name | Jason J Wilcox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437260007 PECOS PAC ID: 7517004930 Enrollment ID: I20130117000236 |
| Provider Name | Alysse M Moury |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851675284 PECOS PAC ID: 2769621960 Enrollment ID: I20130619000487 |
| Provider Name | Sara K Jurek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598842619 PECOS PAC ID: 2264602523 Enrollment ID: I20130620000337 |
| Provider Name | Brendan Mccullough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497954317 PECOS PAC ID: 4183864606 Enrollment ID: I20130705000351 |
| Provider Name | Ty Clayton Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649419417 PECOS PAC ID: 1355581778 Enrollment ID: I20130709000196 |
| Provider Name | Trac M Duong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659566560 PECOS PAC ID: 8123290954 Enrollment ID: I20130808000968 |
| Provider Name | Christopher R Boone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770783607 PECOS PAC ID: 8224285358 Enrollment ID: I20130821000909 |
| Provider Name | Grant R Lohse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205033784 PECOS PAC ID: 5698918340 Enrollment ID: I20130827000830 |
| Provider Name | John D Beck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578727525 PECOS PAC ID: 9739227000 Enrollment ID: I20130911000443 |
| Provider Name | Silas T Marshall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225217011 PECOS PAC ID: 7113180837 Enrollment ID: I20130913000462 |
| Provider Name | Brett E De Yager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104266436 PECOS PAC ID: 0345484226 Enrollment ID: I20130913000800 |
| Provider Name | Eric G Powell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053623983 PECOS PAC ID: 2062656465 Enrollment ID: I20130925000770 |
| Provider Name | Robin Y Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801098405 PECOS PAC ID: 7012186695 Enrollment ID: I20131105000426 |
| Provider Name | Andrew L. Merritt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720278344 PECOS PAC ID: 7719113257 Enrollment ID: I20131112000245 |
| Provider Name | Shivani Patel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548518442 PECOS PAC ID: 6507014743 Enrollment ID: I20131120001890 |
| Provider Name | Leah J Alvis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922030097 PECOS PAC ID: 6305008491 Enrollment ID: I20131126000851 |
| Provider Name | Alexandra L Degroot |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437426970 PECOS PAC ID: 7810154762 Enrollment ID: I20131212000049 |
| Provider Name | Christine M Hintz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386729242 PECOS PAC ID: 6800023136 Enrollment ID: I20131212001130 |
| Provider Name | Bradley J Gray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124232020 PECOS PAC ID: 9032348479 Enrollment ID: I20140206000908 |
| Provider Name | Jessica M. Sankey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467742569 PECOS PAC ID: 5193900132 Enrollment ID: I20140320000989 |
| Provider Name | Grant Parker Tibbetts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356326656 PECOS PAC ID: 5193871630 Enrollment ID: I20140623000353 |
| Provider Name | Sarah S Chandler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144649310 PECOS PAC ID: 4789800301 Enrollment ID: I20140716002609 |
| Provider Name | William Gregory Young |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124295423 PECOS PAC ID: 7315184827 Enrollment ID: I20140723002679 |
| Provider Name | Todd Dwyer Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174727010 PECOS PAC ID: 8325275860 Enrollment ID: I20140805001771 |
| Provider Name | Carol J. Nicholson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235251745 PECOS PAC ID: 2567680341 Enrollment ID: I20140820002796 |
| Provider Name | Anh Q Truong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467680108 PECOS PAC ID: 1456570316 Enrollment ID: I20140909000631 |
| Provider Name | William B Payne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639332539 PECOS PAC ID: 4688893498 Enrollment ID: I20140909002729 |
| Provider Name | Jonathan S. Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548431158 PECOS PAC ID: 2567606049 Enrollment ID: I20140911000131 |
| Provider Name | Laura M Browne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417366147 PECOS PAC ID: 3173743218 Enrollment ID: I20141013001211 |
| Provider Name | Megan N Swanson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477726446 PECOS PAC ID: 3870815426 Enrollment ID: I20141210000022 |
| Provider Name | Susanna L Lin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437343241 PECOS PAC ID: 6204159544 Enrollment ID: I20141217002943 |
| Provider Name | Shelley D Miksis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396731980 PECOS PAC ID: 5294058442 Enrollment ID: I20141219001827 |
| Provider Name | Rachel A Pelto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760719108 PECOS PAC ID: 6002139250 Enrollment ID: I20141219001863 |
| Provider Name | Clare E Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285973073 PECOS PAC ID: 6608199641 Enrollment ID: I20141227000002 |
| Provider Name | Erin E Lazar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699178426 PECOS PAC ID: 3274856737 Enrollment ID: I20150108001598 |
| Provider Name | Alexander P Tornow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093859571 PECOS PAC ID: 4587841937 Enrollment ID: I20150305002253 |
| Provider Name | Sondra E Kapnadak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750586905 PECOS PAC ID: 6800065020 Enrollment ID: I20150410000015 |
| Provider Name | Diane L Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861614463 PECOS PAC ID: 4880912120 Enrollment ID: I20150416000629 |
| Provider Name | Carol A Chappelle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730440926 PECOS PAC ID: 8921328782 Enrollment ID: I20150518002055 |
| Provider Name | Kellie Ann Hislop |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922425123 PECOS PAC ID: 7012131071 Enrollment ID: I20150526000873 |
| Provider Name | Rachael Marie Edwards |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073837035 PECOS PAC ID: 2365763174 Enrollment ID: I20150605000064 |
| Provider Name | Timothy Alton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730404286 PECOS PAC ID: 1557687811 Enrollment ID: I20150618001710 |
| Provider Name | Ana Torvie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508155284 PECOS PAC ID: 9931426574 Enrollment ID: I20150721001978 |
| Provider Name | Megan L Charboneau |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922114701 PECOS PAC ID: 7618027707 Enrollment ID: I20150807015434 |
| Provider Name | Gina Sue Yuasa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629450903 PECOS PAC ID: 1951616093 Enrollment ID: I20150818005199 |
| Provider Name | Laura J Matsen Ko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508026113 PECOS PAC ID: 9739334368 Enrollment ID: I20150825003641 |
| Provider Name | Jonathan C Kopelovich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023218617 PECOS PAC ID: 6103066295 Enrollment ID: I20150903003010 |
| Provider Name | Jia-wei K Ko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437392479 PECOS PAC ID: 7517112097 Enrollment ID: I20150918002169 |
| Provider Name | Caitlin Marie Quinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790161586 PECOS PAC ID: 5496063364 Enrollment ID: I20150928000785 |
| Provider Name | Elizabeth A Jenson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356762793 PECOS PAC ID: 0446568877 Enrollment ID: I20151002002494 |
| Provider Name | Allison R Alberton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598194342 PECOS PAC ID: 7618285891 Enrollment ID: I20151008000793 |
| Provider Name | Anjali S Kumar |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215189535 PECOS PAC ID: 6901946177 Enrollment ID: I20151030002195 |
| Provider Name | Erica Marie Leyritz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992131767 PECOS PAC ID: 4385863851 Enrollment ID: I20151125001777 |
| Provider Name | Morgan A Kriz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891109344 PECOS PAC ID: 9133424211 Enrollment ID: I20160226002116 |
| Provider Name | Cameron Woodward Schick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841426970 PECOS PAC ID: 1850539636 Enrollment ID: I20160316001226 |
| Provider Name | Jinous Ferdosian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366816340 PECOS PAC ID: 9830496959 Enrollment ID: I20160404002129 |
| Provider Name | Amy Lentz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164546842 PECOS PAC ID: 8729386461 Enrollment ID: I20160414000294 |
| Provider Name | Sung W Cho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588822951 PECOS PAC ID: 1456599547 Enrollment ID: I20160504002562 |
| Provider Name | Justin Paul Olsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770781437 PECOS PAC ID: 7911298195 Enrollment ID: I20160617001181 |
| Provider Name | Brett Mollard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669796223 PECOS PAC ID: 1850605478 Enrollment ID: I20160624002075 |
| Provider Name | Seth P Swank |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588959415 PECOS PAC ID: 2668789249 Enrollment ID: I20160629001291 |
| Provider Name | Anna Ellermeier |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538487434 PECOS PAC ID: 1153548995 Enrollment ID: I20160711001895 |
| Provider Name | Marianne S Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699079640 PECOS PAC ID: 4183945579 Enrollment ID: I20160802002546 |
| Provider Name | Ryan J Street |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437443348 PECOS PAC ID: 4385933795 Enrollment ID: I20160831001343 |
| Provider Name | Yarrow Mcconnell |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053764522 PECOS PAC ID: 6204122468 Enrollment ID: I20160914001656 |
| Provider Name | Mallorie K Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073864997 PECOS PAC ID: 5799935771 Enrollment ID: I20161004001371 |
| Provider Name | Hartley M Sirkis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659541449 PECOS PAC ID: 5890869200 Enrollment ID: I20161101001796 |
| Provider Name | Shiri K Krasner-rosenstein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982152419 PECOS PAC ID: 5496034159 Enrollment ID: I20161121001128 |
| Provider Name | Nicholas J Murad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841732054 PECOS PAC ID: 3274812870 Enrollment ID: I20161123001296 |
| Provider Name | Michael Romano Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902348915 PECOS PAC ID: 0749569200 Enrollment ID: I20161128001664 |
| Provider Name | Ross Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760772800 PECOS PAC ID: 9436457041 Enrollment ID: I20161129001370 |
| Provider Name | Kathrine R Manolopoulos |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477901205 PECOS PAC ID: 1153602552 Enrollment ID: I20161222001554 |
| Provider Name | Herbie Yung |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851666929 PECOS PAC ID: 2668760299 Enrollment ID: I20170523001839 |
| Provider Name | Christopher R. England |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104073170 PECOS PAC ID: 7517194020 Enrollment ID: I20170609001960 |
| Provider Name | Garland Mcquinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164714408 PECOS PAC ID: 0547406621 Enrollment ID: I20170629002522 |
| Provider Name | Peter Christian Thurlow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861711152 PECOS PAC ID: 0042509440 Enrollment ID: I20170801000724 |
| Provider Name | Benjamin Chia |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1639465024 PECOS PAC ID: 6406155589 Enrollment ID: I20170817002131 |
| Provider Name | Andrew James Chrisman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356607980 PECOS PAC ID: 8921239401 Enrollment ID: I20170821000479 |
| Provider Name | Yicheng Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124314653 PECOS PAC ID: 9436460763 Enrollment ID: I20170828001243 |
| Provider Name | Tiffany Ann Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740523455 PECOS PAC ID: 0941526594 Enrollment ID: I20170828003300 |
| Provider Name | Carrie Lynn K Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508018938 PECOS PAC ID: 1951621093 Enrollment ID: I20170829002792 |
| Provider Name | Cindy Wei Mi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952692410 PECOS PAC ID: 3173842267 Enrollment ID: I20170901001936 |
| Provider Name | Brian Snitily |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871859942 PECOS PAC ID: 9436441912 Enrollment ID: I20170905000655 |
| Provider Name | Dayne T. Mickelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982903142 PECOS PAC ID: 6709100506 Enrollment ID: I20170927004799 |
| Provider Name | Trevor P. Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427376607 PECOS PAC ID: 6901058890 Enrollment ID: I20171003006100 |
| Provider Name | Kyle Mark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003334871 PECOS PAC ID: 5799050068 Enrollment ID: I20171012001970 |
| Provider Name | Camille Lauren Connelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194024448 PECOS PAC ID: 9931341781 Enrollment ID: I20171013002502 |
| Provider Name | Siddharth K. Bhola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770897589 PECOS PAC ID: 9638444896 Enrollment ID: I20171013002746 |
| Provider Name | Lisa J. Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356860902 PECOS PAC ID: 8123394301 Enrollment ID: I20171017001318 |
| Provider Name | Taylor J. Knight |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780103424 PECOS PAC ID: 1557637659 Enrollment ID: I20171017002431 |
| Provider Name | Kelsey M. Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235491135 PECOS PAC ID: 2668629494 Enrollment ID: I20171024003441 |
| Provider Name | Hillary R. Perry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447775218 PECOS PAC ID: 4981970563 Enrollment ID: I20171026001016 |
| Provider Name | Nathaniel Charles Hamm Wingert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669797403 PECOS PAC ID: 7911201371 Enrollment ID: I20171026001454 |
| Provider Name | Joelle E. Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073801379 PECOS PAC ID: 5991937575 Enrollment ID: I20171220000852 |
| Provider Name | Ariana N Kenney |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871017673 PECOS PAC ID: 2860750619 Enrollment ID: I20171227002206 |
| Provider Name | Stephanie Caroline Ouellet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023550373 PECOS PAC ID: 8224399225 Enrollment ID: I20180308001877 |
| Provider Name | Midori Higashi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215322532 PECOS PAC ID: 3173830031 Enrollment ID: I20180515002839 |
| Provider Name | Edward K Jung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568808970 PECOS PAC ID: 3476785510 Enrollment ID: I20180516001607 |
| Provider Name | Wojciech John Kapalczynski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497013486 PECOS PAC ID: 4385935287 Enrollment ID: I20180531001743 |
| Provider Name | Spencer Truman Lake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316203607 PECOS PAC ID: 5395994172 Enrollment ID: I20180613001458 |
| Provider Name | Sean Paul Haloman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831488550 PECOS PAC ID: 1759607708 Enrollment ID: I20180615001279 |
| Provider Name | Zachary Ashwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396189445 PECOS PAC ID: 3678890456 Enrollment ID: I20180625003288 |
| Provider Name | Jennifer Rose Briant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932656287 PECOS PAC ID: 6800142134 Enrollment ID: I20180628002918 |
| Provider Name | Adrienne Maria Laury |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124260351 PECOS PAC ID: 1153698097 Enrollment ID: I20180731003591 |
| Provider Name | Sandra L Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477601565 PECOS PAC ID: 2062491194 Enrollment ID: I20180801001771 |
| Provider Name | Andre D Shaffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275899635 PECOS PAC ID: 8820381171 Enrollment ID: I20180924000450 |
| Provider Name | Samuel Grant Osborne |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992298814 PECOS PAC ID: 8123371986 Enrollment ID: I20181024000650 |
| Provider Name | Isabella Eva Lwiza |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194265603 PECOS PAC ID: 8921351784 Enrollment ID: I20181024000766 |
| Provider Name | Grant H Garcia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285991091 PECOS PAC ID: 1658663083 Enrollment ID: I20181024002536 |
| Provider Name | Sahar Etebar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780168880 PECOS PAC ID: 9537413091 Enrollment ID: I20181120000091 |
| Provider Name | Tracy Lynn Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780997411 PECOS PAC ID: 8325386964 Enrollment ID: I20190206003005 |
| Provider Name | Regina Marie Curfman-caruso |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750853669 PECOS PAC ID: 6608115795 Enrollment ID: I20190307002095 |
| Provider Name | Chad Victor Ruffin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861629636 PECOS PAC ID: 6406095199 Enrollment ID: I20190323000123 |
| Provider Name | Chase Dukes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518205822 PECOS PAC ID: 7618289562 Enrollment ID: I20190327001464 |
| Provider Name | Lisa A Walker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306222021 PECOS PAC ID: 9234479205 Enrollment ID: I20190329000796 |
| Provider Name | Joseph Ferry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710434493 PECOS PAC ID: 2062753197 Enrollment ID: I20190417002687 |
| Provider Name | Elizabeth A Ripley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184038721 PECOS PAC ID: 5799902474 Enrollment ID: I20190426000331 |
| Provider Name | Jason W Dahl |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144462367 PECOS PAC ID: 4486968674 Enrollment ID: I20190502002328 |
| Provider Name | Christopher S Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982047031 PECOS PAC ID: 1557588050 Enrollment ID: I20190516002004 |
| Provider Name | Craig R Villari |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447493416 PECOS PAC ID: 1557585072 Enrollment ID: I20190516002478 |
| Provider Name | David S Lessman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558527143 PECOS PAC ID: 2668650664 Enrollment ID: I20190612002845 |
| Provider Name | Eileen Lorenz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437315298 PECOS PAC ID: 4385887231 Enrollment ID: I20190618002167 |
| Provider Name | Cody Franklyn Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508424920 PECOS PAC ID: 8527392794 Enrollment ID: I20190620003224 |
| Provider Name | Erik Arthur Magnusson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447679816 PECOS PAC ID: 0042535833 Enrollment ID: I20190708002591 |
| Provider Name | Frederick Kash |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023070737 PECOS PAC ID: 4385680800 Enrollment ID: I20190716002851 |
| Provider Name | Matthew R Bartindale |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033539721 PECOS PAC ID: 1153623624 Enrollment ID: I20190808000698 |
| Provider Name | Chad M Bailey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003179300 PECOS PAC ID: 0042575219 Enrollment ID: I20190808002172 |
| Provider Name | Brian Fumio Mayeda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346682804 PECOS PAC ID: 9830447655 Enrollment ID: I20190918002301 |
| Provider Name | Albert Max D'heurle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255775219 PECOS PAC ID: 2163665928 Enrollment ID: I20190927002901 |
| Provider Name | Skylar P. Tateishi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407231707 PECOS PAC ID: 0749510915 Enrollment ID: I20191001003187 |
| Provider Name | Adam P. Sangeorzan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174865224 PECOS PAC ID: 9537486634 Enrollment ID: I20191007002549 |
| Provider Name | Yeasel Chae |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003343120 PECOS PAC ID: 2466702014 Enrollment ID: I20191015003007 |
| Provider Name | Brigitta Mast Drolet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457738999 PECOS PAC ID: 6406167535 Enrollment ID: I20191017002105 |
| Provider Name | Eric Q Pang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780927533 PECOS PAC ID: 1052642261 Enrollment ID: I20191018000860 |
| Provider Name | Nicole Victoria Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598151870 PECOS PAC ID: 0143652495 Enrollment ID: I20191107001922 |
| Provider Name | Lauren Y Kawaguchi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376193805 PECOS PAC ID: 2860824794 Enrollment ID: I20191114003472 |
| Provider Name | Ryan J. Nathe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376988477 PECOS PAC ID: 6204189921 Enrollment ID: I20191119001273 |
| Provider Name | Sara Marie Sommers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659933893 PECOS PAC ID: 1759716400 Enrollment ID: I20200127001769 |
| Provider Name | Abigail J Friend |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649637653 PECOS PAC ID: 2163700717 Enrollment ID: I20200205003010 |
| Provider Name | Gabriela M. Vargas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194991570 PECOS PAC ID: 6709034432 Enrollment ID: I20200206002494 |
| Provider Name | Christine Anne Vande Vrede |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669826814 PECOS PAC ID: 3870920770 Enrollment ID: I20200304002402 |
| Provider Name | Tsu-en Tan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023350683 PECOS PAC ID: 6709002009 Enrollment ID: I20200320000908 |
| Provider Name | Peggy A Halwachs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295859049 PECOS PAC ID: 7719316660 Enrollment ID: I20200330000160 |
| Provider Name | Bryce Merritt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487073979 PECOS PAC ID: 3173858032 Enrollment ID: I20200512000940 |
| Provider Name | Daniel Thomas Van Roekel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437577723 PECOS PAC ID: 1557656220 Enrollment ID: I20200512001203 |
| Provider Name | Sandhya Ann Jacob |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619395100 PECOS PAC ID: 9032409099 Enrollment ID: I20200512001422 |
| Provider Name | Thiran Udawatta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073925087 PECOS PAC ID: 0143522599 Enrollment ID: I20200515000731 |
| Provider Name | Samuel E. Galle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073803276 PECOS PAC ID: 4688982804 Enrollment ID: I20200603001569 |
| Provider Name | Nicholas Ryan Galloway |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225458839 PECOS PAC ID: 9032339270 Enrollment ID: I20200615001747 |
| Provider Name | Yasmin Akbari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881005833 PECOS PAC ID: 5799107595 Enrollment ID: I20200624002581 |
| Provider Name | Paul R Haeder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912291113 PECOS PAC ID: 0840448833 Enrollment ID: I20200720002097 |
| Provider Name | Jeffrey M. Singh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316327992 PECOS PAC ID: 7416269857 Enrollment ID: I20200727000394 |
| Provider Name | Trenton M Morton |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1306263322 PECOS PAC ID: 7416264577 Enrollment ID: I20200727001570 |
| Provider Name | Eric A. Eisen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104203793 PECOS PAC ID: 3072812833 Enrollment ID: I20200727001618 |
| Provider Name | Christoph Michael Prummer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740660638 PECOS PAC ID: 8921319674 Enrollment ID: I20200728002714 |
| Provider Name | David Alan Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770901696 PECOS PAC ID: 5597087452 Enrollment ID: I20200806000979 |
| Provider Name | John T. Heffernan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972915627 PECOS PAC ID: 2769716109 Enrollment ID: I20200820001247 |
| Provider Name | Jie Jiao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659734937 PECOS PAC ID: 8729379649 Enrollment ID: I20200820003181 |
| Provider Name | Anna L. Walton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114389129 PECOS PAC ID: 6800186974 Enrollment ID: I20200820003396 |
| Provider Name | Peters T Otlans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740600840 PECOS PAC ID: 1951529569 Enrollment ID: I20200821000630 |
| Provider Name | Mary K Thayer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134549272 PECOS PAC ID: 3678898269 Enrollment ID: I20200821002072 |
| Provider Name | Alexander H. Arzeno |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891115085 PECOS PAC ID: 8022346634 Enrollment ID: I20200824001684 |
| Provider Name | Keith R. Cummings |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992117865 PECOS PAC ID: 0749561991 Enrollment ID: I20200923001516 |
| Provider Name | Henry Yu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447644901 PECOS PAC ID: 0143521070 Enrollment ID: I20200928001465 |
| Provider Name | Karlie M Harrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578939294 PECOS PAC ID: 6406101609 Enrollment ID: I20201006000544 |
| Provider Name | Nelson Thai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861090292 PECOS PAC ID: 2466862511 Enrollment ID: I20201102001085 |
| Provider Name | Kevin M Traupmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013494756 PECOS PAC ID: 7911256706 Enrollment ID: I20201102002439 |
| Provider Name | Nicole Meridian Pihl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386244267 PECOS PAC ID: 6901216696 Enrollment ID: I20201109002021 |
| Provider Name | Matthew Wittaya Scott Christensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033713946 PECOS PAC ID: 0941611768 Enrollment ID: I20201201000521 |
| Provider Name | Brad Michael Watkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922052828 PECOS PAC ID: 7911900816 Enrollment ID: I20201221001944 |
| Provider Name | Julia A. Wood |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154841575 PECOS PAC ID: 1456623768 Enrollment ID: I20201221002703 |
| Provider Name | Natalie Ann Kim-orden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356705230 PECOS PAC ID: 0840587804 Enrollment ID: I20210111001992 |
| Provider Name | Rebecca A. Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568059640 PECOS PAC ID: 9638582422 Enrollment ID: I20210118000115 |
| Provider Name | Tiffanie A. Chu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770188377 PECOS PAC ID: 6608282678 Enrollment ID: I20210317001825 |
| Provider Name | Anthony Trinh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114404332 PECOS PAC ID: 6204167828 Enrollment ID: I20210614002287 |
| Provider Name | Thomas L Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255827622 PECOS PAC ID: 4183025828 Enrollment ID: I20210701001045 |
| Provider Name | Alex Tampio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912351289 PECOS PAC ID: 6002210572 Enrollment ID: I20210805000301 |
| Provider Name | Anthony M. Yi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053706002 PECOS PAC ID: 0547571143 Enrollment ID: I20210812000467 |
| Provider Name | Nicholas J Vaudreuil |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114332327 PECOS PAC ID: 9234462789 Enrollment ID: I20210812003737 |
| Provider Name | Nathan L Bowers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659752483 PECOS PAC ID: 6709199284 Enrollment ID: I20210824000014 |
| Provider Name | Robert C. Vercio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477972651 PECOS PAC ID: 3072847599 Enrollment ID: I20210825002238 |
| Provider Name | Christine Foshee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609431782 PECOS PAC ID: 5597098467 Enrollment ID: I20210825003975 |
| Provider Name | Nicholas J Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407235724 PECOS PAC ID: 4688985823 Enrollment ID: I20210826001620 |
| Provider Name | Prashoban Bremjit |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699162289 PECOS PAC ID: 8123321288 Enrollment ID: I20211006002844 |
| Provider Name | Kathryn B Chapman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699443960 PECOS PAC ID: 7517365125 Enrollment ID: I20211013000182 |
| Provider Name | Moriah Devorah Patashnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366044521 PECOS PAC ID: 1759770209 Enrollment ID: I20211123000129 |
| Provider Name | Ana-irina Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619599040 PECOS PAC ID: 2769872639 Enrollment ID: I20211208001621 |
| Provider Name | Derek A Burdeny |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235208638 PECOS PAC ID: 2264454289 Enrollment ID: I20220217000318 |
| Provider Name | Jana M Crain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376597716 PECOS PAC ID: 0446152946 Enrollment ID: I20220217001117 |
| Provider Name | Russell C Fritz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679550032 PECOS PAC ID: 1456259662 Enrollment ID: I20220217001492 |
| Provider Name | Jay A Kaiser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275519001 PECOS PAC ID: 1355249566 Enrollment ID: I20220217001747 |
| Provider Name | Betsy Holland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659357481 PECOS PAC ID: 8729986930 Enrollment ID: I20220221001822 |
| Provider Name | Kelly R. Lindauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417041153 PECOS PAC ID: 7911943378 Enrollment ID: I20220222000793 |
| Provider Name | Jean Pierre Phancao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215054416 PECOS PAC ID: 9830298744 Enrollment ID: I20220222001434 |
| Provider Name | Janaki Ramanathan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275611873 PECOS PAC ID: 9931178837 Enrollment ID: I20220222001628 |
| Provider Name | Jonathan Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386198109 PECOS PAC ID: 9739466459 Enrollment ID: I20220420001748 |
| Provider Name | Allison Kathryn Nunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093464695 PECOS PAC ID: 1658768650 Enrollment ID: I20220421000743 |
| Provider Name | Taylor Reilley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891463626 PECOS PAC ID: 3476940149 Enrollment ID: I20220427001472 |
| Provider Name | Stephanie A Deye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194250555 PECOS PAC ID: 2668744632 Enrollment ID: I20220525001537 |
| Provider Name | Ari Jacob Holtzman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427580760 PECOS PAC ID: 4789063751 Enrollment ID: I20220622000533 |
| Provider Name | Justin Millard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255569968 PECOS PAC ID: 0547408064 Enrollment ID: I20220630002703 |
| Provider Name | Sheldon L Thieszen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982651717 PECOS PAC ID: 4587562608 Enrollment ID: I20220706001288 |
| Provider Name | Jonathan Jewkes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710148937 PECOS PAC ID: 9133353873 Enrollment ID: I20220706001436 |
| Provider Name | Zachary T. Laidley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639668833 PECOS PAC ID: 8123451531 Enrollment ID: I20220721003475 |
| Provider Name | James M Roberts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487266508 PECOS PAC ID: 7618397282 Enrollment ID: I20220723000089 |
| Provider Name | William Clinkscales |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003349598 PECOS PAC ID: 8729460290 Enrollment ID: I20220729002292 |
| Provider Name | Jessica R Scott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962087965 PECOS PAC ID: 8729460720 Enrollment ID: I20220808003313 |
| Provider Name | Lauren Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780939124 PECOS PAC ID: 6608029426 Enrollment ID: I20220908000452 |
| Provider Name | Sravya P Vajapey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750737490 PECOS PAC ID: 6800175613 Enrollment ID: I20220909002186 |
| Provider Name | Jacob D. Gorbaty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356705669 PECOS PAC ID: 7416348875 Enrollment ID: I20220912000536 |
| Provider Name | Neel A. Gupta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013367374 PECOS PAC ID: 3971906157 Enrollment ID: I20220915002368 |
| Provider Name | Shelby Lynn Holst |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225766298 PECOS PAC ID: 6901281633 Enrollment ID: I20220916001715 |
| Provider Name | Daniel Chun-suk Oh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215462361 PECOS PAC ID: 9739457862 Enrollment ID: I20220926001215 |
| Provider Name | Henry Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386062875 PECOS PAC ID: 3274861539 Enrollment ID: I20220927000697 |
| Provider Name | Annie M. Brunson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114655040 PECOS PAC ID: 6305222381 Enrollment ID: I20220928001454 |
| Provider Name | Kody Kenneth Barrett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588059521 PECOS PAC ID: 8022418060 Enrollment ID: I20220929001649 |
| Provider Name | Andrew M. Fukuda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518694900 PECOS PAC ID: 7810373628 Enrollment ID: I20221003000569 |
| Provider Name | Mark D Kohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912360272 PECOS PAC ID: 8426340035 Enrollment ID: I20221103000579 |
| Provider Name | Daniel T Duryea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235878653 PECOS PAC ID: 6204203953 Enrollment ID: I20221109001272 |
| Provider Name | Katherine Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720663362 PECOS PAC ID: 0749668531 Enrollment ID: I20221130002495 |
| Provider Name | Michelle Lutz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174234074 PECOS PAC ID: 0143691667 Enrollment ID: I20230120000922 |
| Provider Name | Jane Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811604366 PECOS PAC ID: 4981077112 Enrollment ID: I20230308002120 |
| Provider Name | Monica Massoud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851098420 PECOS PAC ID: 8022474949 Enrollment ID: I20230519000589 |
| Provider Name | Jose Miguel Lopez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982068243 PECOS PAC ID: 2466854948 Enrollment ID: I20230602001043 |
| Provider Name | Amber M Cumings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528553450 PECOS PAC ID: 5395074819 Enrollment ID: I20230627002489 |
| Provider Name | Justin Leblanc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437441102 PECOS PAC ID: 4385957315 Enrollment ID: I20230628001418 |
| Provider Name | Daniel Junho Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336646066 PECOS PAC ID: 1153670849 Enrollment ID: I20230811001596 |
| Provider Name | Robert F Hundt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114376555 PECOS PAC ID: 4880970201 Enrollment ID: I20230814001539 |
| Provider Name | Jacqlynn Zier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972294874 PECOS PAC ID: 5193187631 Enrollment ID: I20230815002040 |
| Provider Name | Dominic Lee Van Nielen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184990590 PECOS PAC ID: 5799083903 Enrollment ID: I20230830002126 |
| Provider Name | William M Hannay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093240582 PECOS PAC ID: 0749559920 Enrollment ID: I20230901001135 |
| Provider Name | Miles Jeremiah Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427731397 PECOS PAC ID: 3779947916 Enrollment ID: I20230907000117 |
| Provider Name | Eric S Secrist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760914840 PECOS PAC ID: 3274914452 Enrollment ID: I20231003003761 |
| Provider Name | Jeffrey B Weinreb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891227377 PECOS PAC ID: 2567845696 Enrollment ID: I20231010000240 |
| Provider Name | Wesley A Hardgrove |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932692928 PECOS PAC ID: 0648529990 Enrollment ID: I20231016001578 |
| Provider Name | Jonathan David Hart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528232295 PECOS PAC ID: 4789757949 Enrollment ID: I20231017001609 |
| Provider Name | Taylre R Secrist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871276790 PECOS PAC ID: 8729433370 Enrollment ID: I20231017001814 |
| Provider Name | Samuel Moulton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043744527 PECOS PAC ID: 9032482427 Enrollment ID: I20231018000712 |
| Provider Name | Bailey Nicole Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053194134 PECOS PAC ID: 5597112003 Enrollment ID: I20231106000870 |
| Provider Name | Tia C Mcdonald |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316580137 PECOS PAC ID: 3476963992 Enrollment ID: I20231107003339 |
| Provider Name | Randi Lynne Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164106548 PECOS PAC ID: 1153778964 Enrollment ID: I20231115001632 |
| Provider Name | Marin Alisa Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861734212 PECOS PAC ID: 7012263031 Enrollment ID: I20240226001382 |
| Provider Name | Junyang Tu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326814971 PECOS PAC ID: 5496192973 Enrollment ID: I20240319004025 |
| Provider Name | Deanna Marie Perchiano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992227771 PECOS PAC ID: 1658644034 Enrollment ID: I20240422003015 |
| Provider Name | Daniel G. Nota |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144910431 PECOS PAC ID: 8729446364 Enrollment ID: I20240424001742 |
| Provider Name | Kayla R Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275140527 PECOS PAC ID: 7315356755 Enrollment ID: I20240424002186 |
| Provider Name | Jess A Campagna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790831386 PECOS PAC ID: 5092831214 Enrollment ID: I20240506000336 |
| Provider Name | Keith W. Harper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194836528 PECOS PAC ID: 8123002987 Enrollment ID: I20240604002028 |
| Provider Name | Jonathan Staser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043339310 PECOS PAC ID: 2365543493 Enrollment ID: I20240628003025 |
| Provider Name | Ravijeet Singh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992544738 PECOS PAC ID: 9537603683 Enrollment ID: I20240628003310 |
| Provider Name | Colleen M. Mccabe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235786039 PECOS PAC ID: 0042754939 Enrollment ID: I20240702003681 |
| Provider Name | John Y. Jamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447755764 PECOS PAC ID: 7416371208 Enrollment ID: I20240801004027 |
| Provider Name | Christopher P Lenkeit |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427611300 PECOS PAC ID: 1658607775 Enrollment ID: I20240815002675 |
| Provider Name | Jessica Grace Mendiola |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457196222 PECOS PAC ID: 4284172297 Enrollment ID: I20240821001295 |
| Provider Name | Robert Byron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235857517 PECOS PAC ID: 9830575729 Enrollment ID: I20240826001882 |
| Provider Name | Alexander C Higgins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538665443 PECOS PAC ID: 9931456647 Enrollment ID: I20240903003972 |
| Provider Name | Rachel L. Wheeler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922592625 PECOS PAC ID: 3274880331 Enrollment ID: I20240911001654 |
| Provider Name | Zakkary J. Walterscheid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447756200 PECOS PAC ID: 6406103464 Enrollment ID: I20240913000894 |
| Provider Name | Craig B. Luplow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659803336 PECOS PAC ID: 1850822404 Enrollment ID: I20241007001957 |
| Provider Name | Jacobo Francisco Mosquera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811723240 PECOS PAC ID: 3274064761 Enrollment ID: I20241008003944 |
| Provider Name | Brian P. Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508095423 PECOS PAC ID: 2163648973 Enrollment ID: I20241115002014 |
| Provider Name | Danielle P Tirpack |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578385100 PECOS PAC ID: 1850828542 Enrollment ID: I20241219000138 |
| Provider Name | Meaghan E. Victory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538996921 PECOS PAC ID: 9638607567 Enrollment ID: I20250106003322 |
| Provider Name | Rinkle Jitendra Parmar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760295455 PECOS PAC ID: 8527588524 Enrollment ID: I20250220002748 |
| Provider Name | Rebecca A. Leblanc |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255086484 PECOS PAC ID: 1557881356 Enrollment ID: I20250224002940 |
| Provider Name | Sejin Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679149132 PECOS PAC ID: 9537562343 Enrollment ID: I20250225002105 |
Vera Whole Health Wa Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105 Phone: 206-575-8880 Fax: 206-223-2334 | |
Neighborcare Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9245 Rainier Ave S, Seattle, WA 98118 Phone: 206-548-7600 Fax: 206-548-7601 | |
Every Body Moves, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5238 57th Ave S, Seattle, WA 98118 Phone: 206-618-5632 | |
Virginia Mason Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Neighborcare Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 Sw Kenyon St, Seattle, WA 98126 Phone: 206-923-2809 Fax: 206-923-2818 | |
Pacmed Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 12th Ave S, Seattle, WA 98124 Phone: 206-621-4316 | |
One Sky Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6327 22nd Ave Ne, Seattle, WA 98115 Phone: 206-363-5555 Fax: 206-363-5533 |