| Promedica Multi Specialty Physicians | |
|
100 Madison Ave Msc-s38805 Toledo OH 43604-1531 | |
| (567) 585-1964 | |
| (419) 824-7359 |
| Full Name | Promedica Multi Specialty Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Madison Ave, Toledo, Ohio |
| Authorized Official Name and Position | Lorraine Mccune (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5675851964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promedica Multi Specialty Physicians 100 Madison Ave Msc-s38805 Toledo OH 43604-1531 Ph: (567) 585-1964 | Promedica Multi Specialty Physicians 100 Madison Ave Msc-s38805 Toledo OH 43604-1531 Ph: (567) 585-1964 |
| NPI Number | 1306105150 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 12/16/2025 |
| Certification Date | 12/16/2025 |
| Medicare PECOS PAC ID | 7113182809 |
|---|---|
| Medicare Enrollment ID | O20120702000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306105150 | NPI | - | NPPES |
| 0065185 | Medicaid | OH |
| Provider Name | Mary Patricia Pellioni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033146030 PECOS PAC ID: 2365347226 Enrollment ID: I20031203000739 |
| Provider Name | Jihad Tahsin Abbas |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245234129 PECOS PAC ID: 7810894425 Enrollment ID: I20031212000612 |
| Provider Name | Mohammad Farooq Afridi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902809312 PECOS PAC ID: 1052210184 Enrollment ID: I20040107000649 |
| Provider Name | Jeffrey Muler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285631739 PECOS PAC ID: 4789585886 Enrollment ID: I20040120000588 |
| Provider Name | Ronald J Wainz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447256839 PECOS PAC ID: 2860389905 Enrollment ID: I20040303000014 |
| Provider Name | Jean Naida Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699750364 PECOS PAC ID: 6406841147 Enrollment ID: I20040420000848 |
| Provider Name | Vicki Ramsey-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467405043 PECOS PAC ID: 0446231658 Enrollment ID: I20040525000847 |
| Provider Name | Jay R Jindal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629063599 PECOS PAC ID: 2466433495 Enrollment ID: I20040526000813 |
| Provider Name | Amer Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710970652 PECOS PAC ID: 5698759215 Enrollment ID: I20040614000306 |
| Provider Name | Samer Obri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700879657 PECOS PAC ID: 0042294688 Enrollment ID: I20040614000501 |
| Provider Name | Lalaine E Mattison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366440224 PECOS PAC ID: 0648251736 Enrollment ID: I20040910000103 |
| Provider Name | Lisa G Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487658308 PECOS PAC ID: 6204884802 Enrollment ID: I20050111000232 |
| Provider Name | Mahdi Doumet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801880471 PECOS PAC ID: 1557319266 Enrollment ID: I20050120000601 |
| Provider Name | Melchor Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750374104 PECOS PAC ID: 4486604329 Enrollment ID: I20050127000800 |
| Provider Name | Bouchra Salamah Doumet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164407532 PECOS PAC ID: 9739132267 Enrollment ID: I20050224000759 |
| Provider Name | Shannon Leigh Sander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316935091 PECOS PAC ID: 4880632298 Enrollment ID: I20050418000463 |
| Provider Name | Laura Elizabeth Leroux |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629070479 PECOS PAC ID: 2567407901 Enrollment ID: I20050627000005 |
| Provider Name | Michael a Nagel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912999350 PECOS PAC ID: 3779529151 Enrollment ID: I20050707000566 |
| Provider Name | Syed Anwar H Naqvi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407849672 PECOS PAC ID: 9133018245 Enrollment ID: I20050721000532 |
| Provider Name | Michael W Saad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700870664 PECOS PAC ID: 3173554565 Enrollment ID: I20050825000469 |
| Provider Name | Khaled Ahmad Yassine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578547360 PECOS PAC ID: 0042235541 Enrollment ID: I20051013000651 |
| Provider Name | Boyd M Koffman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609862762 PECOS PAC ID: 9830116466 Enrollment ID: I20051101001245 |
| Provider Name | Noor Pirzada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205822368 PECOS PAC ID: 5193742724 Enrollment ID: I20051101001250 |
| Provider Name | Imran I Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922094960 PECOS PAC ID: 7911924543 Enrollment ID: I20051101001254 |
| Provider Name | Lawrence William Elmer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043206196 PECOS PAC ID: 5294753869 Enrollment ID: I20051102001208 |
| Provider Name | David E Szymanski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912904921 PECOS PAC ID: 4688697410 Enrollment ID: I20060109000025 |
| Provider Name | Syed Zaheer Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215935846 PECOS PAC ID: 9931122629 Enrollment ID: I20060109000637 |
| Provider Name | Joel Aaron Kammeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230950 PECOS PAC ID: 6406860477 Enrollment ID: I20060130000008 |
| Provider Name | Aparna Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174570337 PECOS PAC ID: 9931112331 Enrollment ID: I20060802000274 |
| Provider Name | Sunita Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710993787 PECOS PAC ID: 9638153844 Enrollment ID: I20060830000000 |
| Provider Name | Steven J Rubin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972509719 PECOS PAC ID: 4385688290 Enrollment ID: I20061213000325 |
| Provider Name | Todd E Russell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043219496 PECOS PAC ID: 5799776928 Enrollment ID: I20070111000273 |
| Provider Name | Mary E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124177514 PECOS PAC ID: 9436150083 Enrollment ID: I20070124000513 |
| Provider Name | David Charles Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851424535 PECOS PAC ID: 7416051719 Enrollment ID: I20070327000009 |
| Provider Name | Tara a Geha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760516611 PECOS PAC ID: 7214034560 Enrollment ID: I20070521000456 |
| Provider Name | Roger T Kucway |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417049818 PECOS PAC ID: 9436155306 Enrollment ID: I20070730000004 |
| Provider Name | Venugopala R Bommana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275749558 PECOS PAC ID: 6002900990 Enrollment ID: I20070924000045 |
| Provider Name | Bhaskar Gundabolu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346458767 PECOS PAC ID: 8921195496 Enrollment ID: I20071031000003 |
| Provider Name | Natalie Walkup |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063607497 PECOS PAC ID: 1254420250 Enrollment ID: I20071129000001 |
| Provider Name | Kimberly a Bruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609053602 PECOS PAC ID: 9032292479 Enrollment ID: I20080220000382 |
| Provider Name | Melinda M Hendricks - Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619974565 PECOS PAC ID: 6800970674 Enrollment ID: I20080304000048 |
| Provider Name | Ryan Jin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568671113 PECOS PAC ID: 6002989282 Enrollment ID: I20080722000011 |
| Provider Name | Gregory W Walker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134307978 PECOS PAC ID: 5799859203 Enrollment ID: I20080801000065 |
| Provider Name | Michael J Disher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205828985 PECOS PAC ID: 0749344026 Enrollment ID: I20090202000023 |
| Provider Name | Lauren J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598900516 PECOS PAC ID: 2062561921 Enrollment ID: I20090522000497 |
| Provider Name | Ellen L Baxter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649496464 PECOS PAC ID: 6002960911 Enrollment ID: I20090812000078 |
| Provider Name | Jeffrey a Forquer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003073438 PECOS PAC ID: 6709939366 Enrollment ID: I20090824000706 |
| Provider Name | Jessica N Putnam |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558594408 PECOS PAC ID: 2466508783 Enrollment ID: I20090928000559 |
| Provider Name | Hongyan Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891766341 PECOS PAC ID: 9234163205 Enrollment ID: I20091012000082 |
| Provider Name | Albert Q Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245353267 PECOS PAC ID: 0143366765 Enrollment ID: I20091012000285 |
| Provider Name | Sandeep S Kukreja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366616765 PECOS PAC ID: 2365589496 Enrollment ID: I20091022000398 |
| Provider Name | Brian K Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811978810 PECOS PAC ID: 8527041854 Enrollment ID: I20091022000457 |
| Provider Name | Karol Ann Zsarnay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154654879 PECOS PAC ID: 8325185291 Enrollment ID: I20091026000385 |
| Provider Name | Rachel M Van Niel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962634527 PECOS PAC ID: 1153469986 Enrollment ID: I20091116000029 |
| Provider Name | Selena C Nicholas-bublick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730344862 PECOS PAC ID: 3375682909 Enrollment ID: I20091120000166 |
| Provider Name | Mahmood Darr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780681197 PECOS PAC ID: 5991847097 Enrollment ID: I20100128000238 |
| Provider Name | Wendy G Nelson-brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386640191 PECOS PAC ID: 0749323608 Enrollment ID: I20100201000812 |
| Provider Name | Bhavani Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689670531 PECOS PAC ID: 6406981596 Enrollment ID: I20100315000501 |
| Provider Name | Marla D Carlisle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316260839 PECOS PAC ID: 4789713991 Enrollment ID: I20100526000968 |
| Provider Name | Dee Ann Bialecki-haase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144222886 PECOS PAC ID: 3577693431 Enrollment ID: I20100621000022 |
| Provider Name | Ahmed Janjua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912162728 PECOS PAC ID: 8123159126 Enrollment ID: I20100707000435 |
| Provider Name | Tiffany Anne Lisk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740445105 PECOS PAC ID: 7012040124 Enrollment ID: I20100726000915 |
| Provider Name | Vivekanand Veluchamy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750576898 PECOS PAC ID: 4880727338 Enrollment ID: I20100804000269 |
| Provider Name | Mark G Loomus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821198599 PECOS PAC ID: 4082748033 Enrollment ID: I20100813000062 |
| Provider Name | Guillermo Manuel Guardia Gonzales |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902866387 PECOS PAC ID: 8729097332 Enrollment ID: I20101015000867 |
| Provider Name | James J Case |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043417652 PECOS PAC ID: 4284827338 Enrollment ID: I20101021000108 |
| Provider Name | Kara Hertzfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174742472 PECOS PAC ID: 5698968592 Enrollment ID: I20101025000118 |
| Provider Name | Eric P Kielhorn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669631230 PECOS PAC ID: 2466621032 Enrollment ID: I20110816000742 |
| Provider Name | Kadra Ganim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497999510 PECOS PAC ID: 0446423230 Enrollment ID: I20111021000270 |
| Provider Name | Divya Pradeep Ramaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932350030 PECOS PAC ID: 2264605310 Enrollment ID: I20111104000485 |
| Provider Name | Andrew J Seiwert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487646634 PECOS PAC ID: 8426049644 Enrollment ID: I20120106000737 |
| Provider Name | Ahmad Abdelwahed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194981365 PECOS PAC ID: 9638333404 Enrollment ID: I20120606000524 |
| Provider Name | Mohammad Taleb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891928990 PECOS PAC ID: 6204091713 Enrollment ID: I20120709000399 |
| Provider Name | Syed Zaidi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619177748 PECOS PAC ID: 5698848273 Enrollment ID: I20120712000683 |
| Provider Name | Bonnie J Brahaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396005559 PECOS PAC ID: 3678739455 Enrollment ID: I20120723000882 |
| Provider Name | Mouhammad Aghiad Jumaa |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1124287164 PECOS PAC ID: 9234280041 Enrollment ID: I20120726000553 |
| Provider Name | Kanchan Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568692655 PECOS PAC ID: 3678729357 Enrollment ID: I20120813000221 |
| Provider Name | Clarivel Tull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932455177 PECOS PAC ID: 9335397009 Enrollment ID: I20120921000455 |
| Provider Name | Shari R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477809408 PECOS PAC ID: 4587817853 Enrollment ID: I20130117000197 |
| Provider Name | Abul Faiz Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275768715 PECOS PAC ID: 0345395208 Enrollment ID: I20130128000566 |
| Provider Name | Maida a Sehgal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255560082 PECOS PAC ID: 3173777836 Enrollment ID: I20130204000532 |
| Provider Name | Laurie a Boudreaux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639307085 PECOS PAC ID: 6204980626 Enrollment ID: I20130308000312 |
| Provider Name | Razi U Syed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255594420 PECOS PAC ID: 4284800392 Enrollment ID: I20130615000085 |
| Provider Name | Drew Oostra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013231562 PECOS PAC ID: 6002055936 Enrollment ID: I20130625000367 |
| Provider Name | Emile Klada |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316243355 PECOS PAC ID: 6204077829 Enrollment ID: I20130724000690 |
| Provider Name | Ramzyeh a Kaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20130802000823 |
| Provider Name | Steven R Zook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770800070 PECOS PAC ID: 0648412296 Enrollment ID: I20130809000486 |
| Provider Name | Vaughn a Hoblet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205277464 PECOS PAC ID: 1456593730 Enrollment ID: I20130815000879 |
| Provider Name | Stephanie Cole |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861444085 PECOS PAC ID: 4880837954 Enrollment ID: I20130821000861 |
| Provider Name | Amanda R Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174870877 PECOS PAC ID: 3870729163 Enrollment ID: I20131114001296 |
| Provider Name | Anthony C Hamilton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295065373 PECOS PAC ID: 9739332024 Enrollment ID: I20131205001224 |
| Provider Name | Stanford C Rapp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427038165 PECOS PAC ID: 1153397773 Enrollment ID: I20140529000510 |
| Provider Name | Chang Xia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114187549 PECOS PAC ID: 9133369689 Enrollment ID: I20140606001046 |
| Provider Name | Kalpana Naraharisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477719623 PECOS PAC ID: 1254556624 Enrollment ID: I20140627001814 |
| Provider Name | Mehmood Rashid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275833980 PECOS PAC ID: 1951520170 Enrollment ID: I20140919000654 |
| Provider Name | Naeem M Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588982383 PECOS PAC ID: 3173766227 Enrollment ID: I20141105001531 |
| Provider Name | Amjad Shidyak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902061054 PECOS PAC ID: 7618153867 Enrollment ID: I20141112002354 |
| Provider Name | Julie M Shawver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780087205 PECOS PAC ID: 4789906926 Enrollment ID: I20141125001890 |
| Provider Name | Shannon Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235544263 PECOS PAC ID: 6002138674 Enrollment ID: I20141210000656 |
| Provider Name | Kathryn Lynn Cray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629387592 PECOS PAC ID: 4880818509 Enrollment ID: I20141218002329 |
| Provider Name | Shubhita Bhatnagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467771329 PECOS PAC ID: 4284820879 Enrollment ID: I20141231001601 |
| Provider Name | Stacie L Kregel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851789895 PECOS PAC ID: 3072838606 Enrollment ID: I20150202001948 |
| Provider Name | John Fish |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982819579 PECOS PAC ID: 5890896229 Enrollment ID: I20150603001781 |
| Provider Name | Murad Saleh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346373966 PECOS PAC ID: 6608972849 Enrollment ID: I20150702001935 |
| Provider Name | Jennifer a Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356723217 PECOS PAC ID: 6709199516 Enrollment ID: I20150723006867 |
| Provider Name | Abdulmalek M Sadah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942410667 PECOS PAC ID: 4587824719 Enrollment ID: I20150728005847 |
| Provider Name | Jill a Kunisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366824757 PECOS PAC ID: 6002120995 Enrollment ID: I20150805009576 |
| Provider Name | Sara Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289028 PECOS PAC ID: 5193030799 Enrollment ID: I20150811005135 |
| Provider Name | Chompunut Asava Aree |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104113059 PECOS PAC ID: 4981910254 Enrollment ID: I20150901001633 |
| Provider Name | Cathy Rubel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568845782 PECOS PAC ID: 2466768528 Enrollment ID: I20150903001659 |
| Provider Name | Joshua M Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669854790 PECOS PAC ID: 8820306863 Enrollment ID: I20150924002310 |
| Provider Name | Megan E Stephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407234412 PECOS PAC ID: 9739497603 Enrollment ID: I20150928000887 |
| Provider Name | Janet D Caygill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538530233 PECOS PAC ID: 3577864867 Enrollment ID: I20151210000392 |
| Provider Name | John W Werning |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255358032 PECOS PAC ID: 5597899542 Enrollment ID: I20160111001816 |
| Provider Name | Tonisha Monique Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053778332 PECOS PAC ID: 8224334826 Enrollment ID: I20160308001735 |
| Provider Name | Adam W Peckinpaugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932560083 PECOS PAC ID: 7113224254 Enrollment ID: I20160404002412 |
| Provider Name | Sara Barnett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578879565 PECOS PAC ID: 1951691054 Enrollment ID: I20160601002824 |
| Provider Name | Evan Abalos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194163089 PECOS PAC ID: 3971893025 Enrollment ID: I20160602001291 |
| Provider Name | Tejaswini Jagadish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720423627 PECOS PAC ID: 7911290200 Enrollment ID: I20160725001077 |
| Provider Name | Martha G Shipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366894677 PECOS PAC ID: 4789978826 Enrollment ID: I20160811001839 |
| Provider Name | Sophia Afridi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679861975 PECOS PAC ID: 1658666169 Enrollment ID: I20160823002170 |
| Provider Name | Ajaz Sheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932401221 PECOS PAC ID: 0941596217 Enrollment ID: I20160913001008 |
| Provider Name | Adam C Walter |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1114152543 PECOS PAC ID: 1850688730 Enrollment ID: I20160920002252 |
| Provider Name | Shanna M Elston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659683308 PECOS PAC ID: 9234424425 Enrollment ID: I20161025003125 |
| Provider Name | Hani Badi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619317054 PECOS PAC ID: 7719273671 Enrollment ID: I20161214002145 |
| Provider Name | Sneha Latha Kommoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518198308 PECOS PAC ID: 7214218619 Enrollment ID: I20161222001644 |
| Provider Name | Francis Chikadibia Nwanyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871932970 PECOS PAC ID: 5991086258 Enrollment ID: I20161227001898 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20170214002196 |
| Provider Name | Leslie Houk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205285905 PECOS PAC ID: 9537442413 Enrollment ID: I20170220002665 |
| Provider Name | Courtney Payne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255870556 PECOS PAC ID: 4587948518 Enrollment ID: I20170310001532 |
| Provider Name | Regis C Whiteside |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992141741 PECOS PAC ID: 4981908209 Enrollment ID: I20170317001946 |
| Provider Name | Tamer Said Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770998320 PECOS PAC ID: 2163729476 Enrollment ID: I20170512001996 |
| Provider Name | Ghattas Alkhoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347000 PECOS PAC ID: 1254635253 Enrollment ID: I20170517002170 |
| Provider Name | Abhijit B Saste |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639361850 PECOS PAC ID: 4486849197 Enrollment ID: I20170607003239 |
| Provider Name | Tabitha Bosinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891939799 PECOS PAC ID: 6204104409 Enrollment ID: I20170612002329 |
| Provider Name | Ali Mehmood Raufi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801088687 PECOS PAC ID: 1153519079 Enrollment ID: I20170811003097 |
| Provider Name | Feng Jiang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457640807 PECOS PAC ID: 7719137231 Enrollment ID: I20170815004215 |
| Provider Name | Kathryn E Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962720862 PECOS PAC ID: 9234376179 Enrollment ID: I20170817002910 |
| Provider Name | Peter Frank Koltz |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316260797 PECOS PAC ID: 7012207061 Enrollment ID: I20170825002738 |
| Provider Name | Kimberly Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699129148 PECOS PAC ID: 8325337314 Enrollment ID: I20170905002643 |
| Provider Name | Susan Namo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659502227 PECOS PAC ID: 9931425592 Enrollment ID: I20170907001695 |
| Provider Name | Dustin Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598029860 PECOS PAC ID: 7416263561 Enrollment ID: I20171004003110 |
| Provider Name | Lauren M Cassavar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952815037 PECOS PAC ID: 2062770472 Enrollment ID: I20171212002669 |
| Provider Name | Adam P Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932610607 PECOS PAC ID: 8022377944 Enrollment ID: I20180122001323 |
| Provider Name | Naeem Mahfooz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619296712 PECOS PAC ID: 3870853484 Enrollment ID: I20180130001694 |
| Provider Name | Rachel Ragle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932607959 PECOS PAC ID: 5496015430 Enrollment ID: I20180212002061 |
| Provider Name | Bilal Alawy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184004541 PECOS PAC ID: 0840551578 Enrollment ID: I20180221000203 |
| Provider Name | Janette Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467962837 PECOS PAC ID: 8921369679 Enrollment ID: I20180221001267 |
| Provider Name | Sarah B Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932616224 PECOS PAC ID: 0840552923 Enrollment ID: I20180330000104 |
| Provider Name | Tayler Pilmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164921243 PECOS PAC ID: 8123382298 Enrollment ID: I20180426001569 |
| Provider Name | Vieh Kung |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1790121895 PECOS PAC ID: 7618271354 Enrollment ID: I20180626003444 |
| Provider Name | Ahmed G. Elsayed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528221827 PECOS PAC ID: 2163697632 Enrollment ID: I20180712003500 |
| Provider Name | Mohamed F Osman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689998551 PECOS PAC ID: 8820392509 Enrollment ID: I20180820003680 |
| Provider Name | Aleia K Crim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861789315 PECOS PAC ID: 8224281035 Enrollment ID: I20180821002268 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20180821002425 |
| Provider Name | Ehden Amira Iachini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669968863 PECOS PAC ID: 7214287614 Enrollment ID: I20180905003465 |
| Provider Name | Michelle Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982198917 PECOS PAC ID: 9739439936 Enrollment ID: I20180910002201 |
| Provider Name | Rachel Denae York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194203539 PECOS PAC ID: 7618228859 Enrollment ID: I20180926003165 |
| Provider Name | Tamara Lynn Junge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285115147 PECOS PAC ID: 9032461918 Enrollment ID: I20181003002045 |
| Provider Name | Hani M Saad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457331969 PECOS PAC ID: 0244264596 Enrollment ID: I20181008000856 |
| Provider Name | Lisa L Bainter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003301516 PECOS PAC ID: 5597017640 Enrollment ID: I20181017003642 |
| Provider Name | Richard E Burgess |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1649340530 PECOS PAC ID: 8325131964 Enrollment ID: I20181102001687 |
| Provider Name | Alison Ellithorpe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063908937 PECOS PAC ID: 2769736560 Enrollment ID: I20181114001478 |
| Provider Name | Annemarie Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881106896 PECOS PAC ID: 5890030969 Enrollment ID: I20181218000801 |
| Provider Name | Rachel Ann Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043442064 PECOS PAC ID: 3971840059 Enrollment ID: I20190128002021 |
| Provider Name | Quynh-nhu T Vu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770922643 PECOS PAC ID: 1153564901 Enrollment ID: I20190221001368 |
| Provider Name | Kathryn L Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720314768 PECOS PAC ID: 2163738246 Enrollment ID: I20190221003169 |
| Provider Name | Amanda Nuckols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360086 PECOS PAC ID: 4486994894 Enrollment ID: I20190321002405 |
| Provider Name | Monica M Hajjar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578029831 PECOS PAC ID: 3870835861 Enrollment ID: I20190423000630 |
| Provider Name | Nasser Elsouri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609885151 PECOS PAC ID: 5395704704 Enrollment ID: I20190517001622 |
| Provider Name | Jagruti Nimit Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083060263 PECOS PAC ID: 9638402704 Enrollment ID: I20190604002083 |
| Provider Name | Heather L Hemelgarn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972069086 PECOS PAC ID: 8325371065 Enrollment ID: I20190611003005 |
| Provider Name | Lindsey Reames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326509795 PECOS PAC ID: 9931432523 Enrollment ID: I20190613002188 |
| Provider Name | Ali Sahlieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710362603 PECOS PAC ID: 2264734409 Enrollment ID: I20190619002168 |
| Provider Name | Kara Lynn Guinta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104487594 PECOS PAC ID: 3072841824 Enrollment ID: I20190819001310 |
| Provider Name | Hibah Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659725877 PECOS PAC ID: 6305139684 Enrollment ID: I20190823003529 |
| Provider Name | Erin a Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881246353 PECOS PAC ID: 5395072482 Enrollment ID: I20190827001695 |
| Provider Name | Lauren Nicole Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063066942 PECOS PAC ID: 5597094219 Enrollment ID: I20190905002561 |
| Provider Name | Karen Elizabeth Hutchinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164536520 PECOS PAC ID: 6406907823 Enrollment ID: I20190927003058 |
| Provider Name | Matthew P Olzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528613601 PECOS PAC ID: 7416289335 Enrollment ID: I20191025002665 |
| Provider Name | Pooja Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215578877 PECOS PAC ID: 7012349038 Enrollment ID: I20191113001742 |
| Provider Name | Kyle D Krotzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356997373 PECOS PAC ID: 2466885710 Enrollment ID: I20191127002049 |
| Provider Name | Geoffrey Walter Rulong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225349236 PECOS PAC ID: 9234409525 Enrollment ID: I20191202002717 |
| Provider Name | Kassidy B Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457901092 PECOS PAC ID: 9436582350 Enrollment ID: I20191209000186 |
| Provider Name | Cynthia Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780221002 PECOS PAC ID: 6800221342 Enrollment ID: I20200110001733 |
| Provider Name | Brett Gregory Aplin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215164959 PECOS PAC ID: 4981900461 Enrollment ID: I20200121001580 |
| Provider Name | Katherine L Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871137067 PECOS PAC ID: 8628404134 Enrollment ID: I20200131001450 |
| Provider Name | Mary Ellen Haines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790792315 PECOS PAC ID: 9739515065 Enrollment ID: I20200205002225 |
| Provider Name | Elysia James |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518120534 PECOS PAC ID: 0840444618 Enrollment ID: I20200227002731 |
| Provider Name | Melissa Kay Lagrange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403304 PECOS PAC ID: 8729417027 Enrollment ID: I20200408001804 |
| Provider Name | Jomana T Al-hinti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881784361 PECOS PAC ID: 0547210106 Enrollment ID: I20200421000892 |
| Provider Name | David M Macari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992116123 PECOS PAC ID: 6901106848 Enrollment ID: I20200511000338 |
| Provider Name | Assumpta Ngozi Nnaji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104450691 PECOS PAC ID: 3476752528 Enrollment ID: I20200518002986 |
| Provider Name | Chad Hicks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760992663 PECOS PAC ID: 2163784349 Enrollment ID: I20200630002896 |
| Provider Name | Stephanie a Gwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225651029 PECOS PAC ID: 0648693556 Enrollment ID: I20200710002451 |
| Provider Name | Nichole M Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679991970 PECOS PAC ID: 1456576453 Enrollment ID: I20200826001483 |
| Provider Name | Kori M Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528678190 PECOS PAC ID: 8628496445 Enrollment ID: I20200910002612 |
| Provider Name | Andrea Tabbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063048049 PECOS PAC ID: 1052739661 Enrollment ID: I20200915000273 |
| Provider Name | Bernadine J Zirker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881200798 PECOS PAC ID: 0345669925 Enrollment ID: I20200930003639 |
| Provider Name | Ehad Afreen |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1487037586 PECOS PAC ID: 4981907656 Enrollment ID: I20201008002574 |
| Provider Name | Monica L Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982203162 PECOS PAC ID: 1658781570 Enrollment ID: I20201105002586 |
| Provider Name | Jennifer Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134721483 PECOS PAC ID: 2769894203 Enrollment ID: I20201207002797 |
| Provider Name | Tina Vilchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457953093 PECOS PAC ID: 2365856135 Enrollment ID: I20210208000737 |
| Provider Name | Mohamed Omballi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184867996 PECOS PAC ID: 3577791433 Enrollment ID: I20210223002617 |
| Provider Name | Lindsay Elizabeth Canas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184213365 PECOS PAC ID: 4880001353 Enrollment ID: I20210329002594 |
| Provider Name | Gabrielle Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967614 PECOS PAC ID: 5698183010 Enrollment ID: I20210422002253 |
| Provider Name | Emily M Sedlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881289254 PECOS PAC ID: 5193134252 Enrollment ID: I20210503001334 |
| Provider Name | Prashant Vempati |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487017935 PECOS PAC ID: 7315291655 Enrollment ID: I20210510000596 |
| Provider Name | Qunfang Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013395425 PECOS PAC ID: 8022320639 Enrollment ID: I20210602002547 |
| Provider Name | Amy Voyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629643671 PECOS PAC ID: 0648673384 Enrollment ID: I20210719003277 |
| Provider Name | Alicia R Prestegaard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386737419 PECOS PAC ID: 9537354196 Enrollment ID: I20210720003808 |
| Provider Name | Saad S Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255836698 PECOS PAC ID: 6507113529 Enrollment ID: I20210721003482 |
| Provider Name | Kate M Gates |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225452956 PECOS PAC ID: 2466751904 Enrollment ID: I20210727004158 |
| Provider Name | Bashar Saour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164872958 PECOS PAC ID: 4486932795 Enrollment ID: I20210802000522 |
| Provider Name | Charity a Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649841347 PECOS PAC ID: 6305240524 Enrollment ID: I20210811000276 |
| Provider Name | Ryan M Slusky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982199188 PECOS PAC ID: 1850620402 Enrollment ID: I20210818003522 |
| Provider Name | Evan M Thomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447618350 PECOS PAC ID: 9638449234 Enrollment ID: I20210820001223 |
| Provider Name | Laura Felker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326717596 PECOS PAC ID: 1951709492 Enrollment ID: I20211013002036 |
| Provider Name | Jewel Lia Dawn Bocian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467024778 PECOS PAC ID: 2163820630 Enrollment ID: I20211013003415 |
| Provider Name | Jennifer Amsdell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396278586 PECOS PAC ID: 9638448608 Enrollment ID: I20211029000315 |
| Provider Name | Megan Michelle Hewson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154949444 PECOS PAC ID: 7416345814 Enrollment ID: I20211103001498 |
| Provider Name | Abed Ramadan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801467907 PECOS PAC ID: 7315336831 Enrollment ID: I20211122002089 |
| Provider Name | Kelsey Cutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205506318 PECOS PAC ID: 7012307408 Enrollment ID: I20211129000611 |
| Provider Name | Kathleen G Essel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831532019 PECOS PAC ID: 1850711508 Enrollment ID: I20220210002318 |
| Provider Name | Rani Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205104247 PECOS PAC ID: 3375763568 Enrollment ID: I20220211001703 |
| Provider Name | Trisha Dwyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346733052 PECOS PAC ID: 2062763469 Enrollment ID: I20220222000965 |
| Provider Name | Andre Noumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710369210 PECOS PAC ID: 2365751369 Enrollment ID: I20220405001638 |
| Provider Name | Najib-abraham Orabi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508217068 PECOS PAC ID: 8628361201 Enrollment ID: I20220411002585 |
| Provider Name | Angela Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528715018 PECOS PAC ID: 6204222409 Enrollment ID: I20220414001313 |
| Provider Name | Cynthia D Cartwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396487385 PECOS PAC ID: 4880071133 Enrollment ID: I20220506002015 |
| Provider Name | Abbi Riechman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508471319 PECOS PAC ID: 2062899289 Enrollment ID: I20220509002547 |
| Provider Name | Ravi P Pothireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578755476 PECOS PAC ID: 7416046826 Enrollment ID: I20220608000891 |
| Provider Name | Ahmad Murad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730561804 PECOS PAC ID: 6103127220 Enrollment ID: I20220629003604 |
| Provider Name | Rahaf Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740843226 PECOS PAC ID: 2567796956 Enrollment ID: I20220727003153 |
| Provider Name | Abbey E Dunn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649536939 PECOS PAC ID: 3173831799 Enrollment ID: I20220729001582 |
| Provider Name | Anjalika Gandhi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730574542 PECOS PAC ID: 1254733132 Enrollment ID: I20220927001504 |
| Provider Name | Mahammad Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407412083 PECOS PAC ID: 7012246911 Enrollment ID: I20221003002404 |
| Provider Name | Sabeena I Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992191852 PECOS PAC ID: 5890097836 Enrollment ID: I20221004000884 |
| Provider Name | Morgan R Iwema |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982218616 PECOS PAC ID: 5496160970 Enrollment ID: I20221012000947 |
| Provider Name | Mohamad R Issa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437511680 PECOS PAC ID: 4880093442 Enrollment ID: I20221012002555 |
| Provider Name | Jeromy Balduf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003561309 PECOS PAC ID: 3173999398 Enrollment ID: I20221013000318 |
| Provider Name | Avijit Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811550452 PECOS PAC ID: 1759624190 Enrollment ID: I20221101002136 |
| Provider Name | Shelby a Petcoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316675572 PECOS PAC ID: 6103294228 Enrollment ID: I20221122000511 |
| Provider Name | Heather N. Emch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134507940 PECOS PAC ID: 3274849559 Enrollment ID: I20230125003180 |
| Provider Name | Courtney N Puri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174233241 PECOS PAC ID: 7012388275 Enrollment ID: I20230125003303 |
| Provider Name | Vinisha N Amin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467862037 PECOS PAC ID: 3678879905 Enrollment ID: I20230128000295 |
| Provider Name | Kristoffer Bradley Sugg |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1104029693 PECOS PAC ID: 7810138591 Enrollment ID: I20230203002466 |
| Provider Name | Madison Julian Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245952670 PECOS PAC ID: 8123491909 Enrollment ID: I20230224002276 |
| Provider Name | Mellisa Ann Boyle |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619594181 PECOS PAC ID: 4183097942 Enrollment ID: I20230227002618 |
| Provider Name | Benjamin David Wilkinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174257695 PECOS PAC ID: 0749653319 Enrollment ID: I20230301001520 |
| Provider Name | Cameron Charles Sheehan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265936777 PECOS PAC ID: 0941660203 Enrollment ID: I20230718002488 |
| Provider Name | Monica Ramos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831483429 PECOS PAC ID: 2062647621 Enrollment ID: I20230731001144 |
| Provider Name | Cora Nicole Dolan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326737214 PECOS PAC ID: 2264893502 Enrollment ID: I20230802001891 |
| Provider Name | Kristopher Carbone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205220423 PECOS PAC ID: 6103248380 Enrollment ID: I20230824003404 |
| Provider Name | Sudipa Biswas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316438146 PECOS PAC ID: 7719366699 Enrollment ID: I20230829003944 |
| Provider Name | Taylor Dimmerling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235754953 PECOS PAC ID: 0941663488 Enrollment ID: I20230830003451 |
| Provider Name | Nabeel a Khan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265647150 PECOS PAC ID: 2466519483 Enrollment ID: I20230906002128 |
| Provider Name | Stephanie Lynne Veselka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457030439 PECOS PAC ID: 2264886878 Enrollment ID: I20231002001208 |
| Provider Name | Melissa Lynn Castilleja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679256895 PECOS PAC ID: 2062867328 Enrollment ID: I20231006001936 |
| Provider Name | Neetan K Dhillon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861011371 PECOS PAC ID: 1052736170 Enrollment ID: I20231109003425 |
| Provider Name | Edith T Wuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005060 PECOS PAC ID: 8820445737 Enrollment ID: I20231115001359 |
| Provider Name | Ahmad a Alratroot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144673260 PECOS PAC ID: 2961820964 Enrollment ID: I20231117002768 |
| Provider Name | Andrew J Rosko |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801157060 PECOS PAC ID: 0042525941 Enrollment ID: I20231127001121 |
| Provider Name | Itiya S Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043090210 PECOS PAC ID: 2668829318 Enrollment ID: I20231129002826 |
| Provider Name | Mohan Dutt |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1912320425 PECOS PAC ID: 7719243633 Enrollment ID: I20240110004633 |
| Provider Name | Olivia Marie Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174307896 PECOS PAC ID: 8527419779 Enrollment ID: I20240111003838 |
| Provider Name | Stephanie R Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952176844 PECOS PAC ID: 1850743360 Enrollment ID: I20240120000302 |
| Provider Name | Xiao Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750382586 PECOS PAC ID: 7810993995 Enrollment ID: I20240312003179 |
| Provider Name | Heather Brunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922697168 PECOS PAC ID: 2062812951 Enrollment ID: I20240313001170 |
| Provider Name | Hisham S Alhajala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578055232 PECOS PAC ID: 1658628276 Enrollment ID: I20240328001246 |
| Provider Name | Chasity Ann Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871361014 PECOS PAC ID: 5890132427 Enrollment ID: I20240329001362 |
| Provider Name | Shelby L Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871220707 PECOS PAC ID: 4981043486 Enrollment ID: I20240417000751 |
| Provider Name | Doug W Rumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164274429 PECOS PAC ID: 9537500046 Enrollment ID: I20240515002735 |
| Provider Name | Tiera S Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801654124 PECOS PAC ID: 9335581206 Enrollment ID: I20240523000592 |
| Provider Name | Sumayya Naz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699327346 PECOS PAC ID: 8022442037 Enrollment ID: I20240601000292 |
| Provider Name | Megan R Waite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467200097 PECOS PAC ID: 7113460528 Enrollment ID: I20240613002467 |
| Provider Name | Bryanna Mari Jay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245818764 PECOS PAC ID: 5193129831 Enrollment ID: I20240627002284 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376954693 PECOS PAC ID: 7113216326 Enrollment ID: I20240717003771 |
| Provider Name | Hannah Renee Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497595599 PECOS PAC ID: 3971040668 Enrollment ID: I20240730003642 |
| Provider Name | Margaret Ann Eble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053155994 PECOS PAC ID: 6406393081 Enrollment ID: I20240731003012 |
| Provider Name | Emily Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982449823 PECOS PAC ID: 9335687938 Enrollment ID: I20240814001739 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134797434 PECOS PAC ID: 6406250968 Enrollment ID: I20240820004605 |
| Provider Name | Clayton T Buback |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598228231 PECOS PAC ID: 1052730397 Enrollment ID: I20240828001813 |
| Provider Name | Patrick D Sullivan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376049346 PECOS PAC ID: 8527317973 Enrollment ID: I20240904002453 |
| Provider Name | Natalie Rae Marienthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003653734 PECOS PAC ID: 0840724290 Enrollment ID: I20241107004248 |
| Provider Name | Nadia Ghallab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003234394 PECOS PAC ID: 2860767712 Enrollment ID: I20241115001393 |
| Provider Name | Victoria Elizabeth Bilius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770316168 PECOS PAC ID: 9537693395 Enrollment ID: I20241115001753 |
| Provider Name | Kyle Jakubowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942080585 PECOS PAC ID: 4082147244 Enrollment ID: I20241120001546 |
| Provider Name | Erika M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497209811 PECOS PAC ID: 1759663065 Enrollment ID: I20241121002254 |
| Provider Name | Hetal V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952978108 PECOS PAC ID: 1759782790 Enrollment ID: I20241202003562 |
| Provider Name | Tearra Breeze Obafolahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003140575 PECOS PAC ID: 2466988100 Enrollment ID: I20241205000744 |
| Provider Name | Amin Sanei Moghaddam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467808014 PECOS PAC ID: 8628363462 Enrollment ID: I20241212000794 |
| Provider Name | Andie M Schmutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942024898 PECOS PAC ID: 8123554573 Enrollment ID: I20241212001551 |
| Provider Name | Taeler Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366272445 PECOS PAC ID: 8426584384 Enrollment ID: I20241216002232 |
| Provider Name | Brittany Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295417483 PECOS PAC ID: 4385172543 Enrollment ID: I20250115002941 |
| Provider Name | Adam Mierzwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811525272 PECOS PAC ID: 3173946464 Enrollment ID: I20250121000423 |
| Provider Name | Amulya Reddy Dega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194301796 PECOS PAC ID: 9638578073 Enrollment ID: I20250224002207 |
| Provider Name | Thamer Sartawi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639540669 PECOS PAC ID: 3375814296 Enrollment ID: I20250317002386 |
| Provider Name | Judy Yue Zheng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114587458 PECOS PAC ID: 7719401280 Enrollment ID: I20250404003010 |
| Provider Name | Christopher M Schneller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932420122 PECOS PAC ID: 9638303696 Enrollment ID: I20250411000352 |
| Provider Name | Hannah Christine Weldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972300291 PECOS PAC ID: 3476078858 Enrollment ID: I20250417002479 |
| Provider Name | Kevin Eliot Juro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548366172 PECOS PAC ID: 7012936677 Enrollment ID: I20250610001634 |
| Provider Name | Joshua Albert Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043007669 PECOS PAC ID: 7416464391 Enrollment ID: I20250725003039 |
| Provider Name | Nicole Sarieh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255115267 PECOS PAC ID: 6709394901 Enrollment ID: I20250731000631 |
| Provider Name | Alyssa Marie Linn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801613682 PECOS PAC ID: 5496262032 Enrollment ID: I20250801000707 |
| Provider Name | Nicole Renee Lasich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124853619 PECOS PAC ID: 3779087432 Enrollment ID: I20250917001028 |
| Provider Name | Katherine R Fong |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902790256 PECOS PAC ID: 1355845629 Enrollment ID: I20250918004047 |
| Provider Name | Dustin T Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629966247 PECOS PAC ID: 5698279727 Enrollment ID: I20250919003630 |
| Provider Name | Danielle Mae Kays |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194464057 PECOS PAC ID: 0749784809 Enrollment ID: I20250919004274 |
| Provider Name | Nayef Mazloum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104471796 PECOS PAC ID: 3870090228 Enrollment ID: I20251010000159 |
| Provider Name | Serene Ozeir |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1104409671 PECOS PAC ID: 8022410471 Enrollment ID: I20251024002665 |
| Provider Name | Alexus T Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326939463 PECOS PAC ID: 3274022678 Enrollment ID: I20251027003465 |
| Provider Name | Stephanie Nichole Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700552833 PECOS PAC ID: 0941799209 Enrollment ID: I20251028002931 |
| Provider Name | Jessica Katschke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962254409 PECOS PAC ID: 3476043449 Enrollment ID: I20260115004045 |
| Provider Name | Vijay Krishna Manne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265850440 PECOS PAC ID: 6901025642 Enrollment ID: I20260130002685 |
| Provider Name | Shoshana W Ambani |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316175433 PECOS PAC ID: 9133436868 Enrollment ID: I20260205001471 |
| Provider Name | Sheresa Rae Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114001237 PECOS PAC ID: 4385748201 Enrollment ID: I20260211002057 |
| Provider Name | Mariam H Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366024051 PECOS PAC ID: 8224578034 Enrollment ID: I20260211002384 |
| Provider Name | Khaled N Gharaibeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871143768 PECOS PAC ID: 0547693913 Enrollment ID: I20260227001797 |
| Provider Name | Muhammad a Abdelhameed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346104668 PECOS PAC ID: 5890277974 Enrollment ID: I20260306002625 |
| Provider Name | Sitara Koneru Achanti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609336171 PECOS PAC ID: 4789915257 Enrollment ID: I20260618003916 |
Zepf Community Mental Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Nebraska Ave, Toledo, OH 43607 Phone: 419-255-4050 Fax: 419-720-7895 |
Harbor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6629 W Central Ave, Toledo, OH 43617 Phone: 419-475-4449 |
East Toledo Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 |
Randall Mccormick Toledo Internal Medicine Spec Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Cherry St, Ste 207, Toledo, OH 43608 Phone: 419-251-7672 Fax: 419-251-6785 |
Sportscare Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 N Reynolds Rd Ste 140, Toledo, OH 43615 Phone: 419-578-7590 Fax: 419-537-5605 |
Healing Hearts Counseling and Consultation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 |