| Providence Health & Services Oregon | |
|
4823 Meadows Rd Lake Oswego OR 97035-2529 | |
| (503) 216-1580 | |
| Not Available |
| Full Name | Providence Health & Services Oregon |
|---|---|
| Speciality | General Practice |
| Location | 4823 Meadows Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Donald Wayne Anderson (ASST SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services Oregon Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence Health & Services Oregon 4823 Meadows Rd Lake Oswego OR 97035-2529 Ph: (503) 216-1580 |
| NPI Number | 1023488343 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 10/05/2021 |
| Medicare PECOS PAC ID | 0648183608 |
|---|---|
| Medicare Enrollment ID | O20031106000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023488343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Daniel M Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194750331 PECOS PAC ID: 5799698502 Enrollment ID: I20031107000522 |
| Provider Name | Lydia A Villegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053344499 PECOS PAC ID: 7719891472 Enrollment ID: I20031117000641 |
| Provider Name | Mindy S Loebner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841226438 PECOS PAC ID: 5597679191 Enrollment ID: I20031118000391 |
| Provider Name | Robert L Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538192158 PECOS PAC ID: 9234043852 Enrollment ID: I20031118000491 |
| Provider Name | Deborah A Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255369559 PECOS PAC ID: 6901703362 Enrollment ID: I20031215000832 |
| Provider Name | Anita Y Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912921156 PECOS PAC ID: 7012815541 Enrollment ID: I20031222000640 |
| Provider Name | Steven J Redmond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114968633 PECOS PAC ID: 1456259571 Enrollment ID: I20031229000423 |
| Provider Name | Jenny J Tsai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033124540 PECOS PAC ID: 9234038621 Enrollment ID: I20040105000732 |
| Provider Name | John S Domreis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629168646 PECOS PAC ID: 9133021868 Enrollment ID: I20040123000176 |
| Provider Name | Michael S Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023005410 PECOS PAC ID: 5799678520 Enrollment ID: I20040205000606 |
| Provider Name | Larlene M Dunsmuir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205866969 PECOS PAC ID: 0840185575 Enrollment ID: I20040220000148 |
| Provider Name | Kimberly S Crihfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649224882 PECOS PAC ID: 2668368283 Enrollment ID: I20040223000312 |
| Provider Name | Tracy W Sax |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487647624 PECOS PAC ID: 2567358088 Enrollment ID: I20040223000940 |
| Provider Name | William M Davies |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154327625 PECOS PAC ID: 3577459353 Enrollment ID: I20040227000072 |
| Provider Name | Brett R Baxter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942246947 PECOS PAC ID: 6406744291 Enrollment ID: I20040304000771 |
| Provider Name | Ronald L Spangler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437136025 PECOS PAC ID: 5193613362 Enrollment ID: I20040309000555 |
| Provider Name | Rodney A Krehbiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366435703 PECOS PAC ID: 9436048915 Enrollment ID: I20040312000599 |
| Provider Name | Thomas L Kasten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861467805 PECOS PAC ID: 7517857659 Enrollment ID: I20040319001165 |
| Provider Name | Brian J Kearns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013943661 PECOS PAC ID: 9830080407 Enrollment ID: I20040323000762 |
| Provider Name | Steven D Freer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568497279 PECOS PAC ID: 4486646585 Enrollment ID: I20040331000091 |
| Provider Name | Sharon F Lissman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1205871993 PECOS PAC ID: 4284626995 Enrollment ID: I20040401001205 |
| Provider Name | Vinay Siddappa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174556799 PECOS PAC ID: 4688667934 Enrollment ID: I20040405000549 |
| Provider Name | Angela B Keating |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376570036 PECOS PAC ID: 3870586977 Enrollment ID: I20040405001712 |
| Provider Name | Richard M Fisher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396770186 PECOS PAC ID: 3375536832 Enrollment ID: I20040408000485 |
| Provider Name | Kristine A Kruger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457307977 PECOS PAC ID: 3577557792 Enrollment ID: I20040412000805 |
| Provider Name | Mark Huntington Whiteford |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1710970892 PECOS PAC ID: 4688669716 Enrollment ID: I20040419000372 |
| Provider Name | Patrick S Ohollaren |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891782868 PECOS PAC ID: 6406842822 Enrollment ID: I20040421001763 |
| Provider Name | Cynthia P Bartley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467523951 PECOS PAC ID: 3476540337 Enrollment ID: I20040430000728 |
| Provider Name | Irene Winonah Hendrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134202310 PECOS PAC ID: 9931197720 Enrollment ID: I20040501000421 |
| Provider Name | Shanta L Schriever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427097765 PECOS PAC ID: 7618965476 Enrollment ID: I20040503000457 |
| Provider Name | Sukhraj K Jhooty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417912189 PECOS PAC ID: 4880682319 Enrollment ID: I20040504000639 |
| Provider Name | Sandra E Dancer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942241716 PECOS PAC ID: 7113916529 Enrollment ID: I20040511000431 |
| Provider Name | Michael John Lefor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003808452 PECOS PAC ID: 2062401193 Enrollment ID: I20040512000393 |
| Provider Name | Jessica V Burness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629034152 PECOS PAC ID: 6901896802 Enrollment ID: I20040513000744 |
| Provider Name | Jennifer R Hendrickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346345568 PECOS PAC ID: 4082605217 Enrollment ID: I20040518001181 |
| Provider Name | Paul Kassar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558397893 PECOS PAC ID: 4486635505 Enrollment ID: I20040525001673 |
| Provider Name | Mhairi A Mcfarlane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053464396 PECOS PAC ID: 0446231005 Enrollment ID: I20040528000386 |
| Provider Name | Amy E Schmitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942271986 PECOS PAC ID: 9133101512 Enrollment ID: I20040601001404 |
| Provider Name | Richard H Sohn |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609818939 PECOS PAC ID: 0143202499 Enrollment ID: I20040602000390 |
| Provider Name | Duc Hoai Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275565814 PECOS PAC ID: 6406838556 Enrollment ID: I20040603000203 |
| Provider Name | Xiaoyan Huang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346232857 PECOS PAC ID: 3173505633 Enrollment ID: I20040607001142 |
| Provider Name | Thomas Hyland Schaumberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174516827 PECOS PAC ID: 4688572258 Enrollment ID: I20040608000107 |
| Provider Name | William Minor Lile Bowerfind |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801898663 PECOS PAC ID: 4880677251 Enrollment ID: I20040608001139 |
| Provider Name | Richard B Bell |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1992704878 PECOS PAC ID: 8527041821 Enrollment ID: I20040609000100 |
| Provider Name | Mark A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598781684 PECOS PAC ID: 2062495294 Enrollment ID: I20040609001229 |
| Provider Name | Monique Gedenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740226745 PECOS PAC ID: 4385627538 Enrollment ID: I20040609001337 |
| Provider Name | Kimberly J Wehbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477586097 PECOS PAC ID: 8628051778 Enrollment ID: I20040609001373 |
| Provider Name | Reetinder S Virk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689723231 PECOS PAC ID: 9739082967 Enrollment ID: I20040623000860 |
| Provider Name | Kristin K Loch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730197294 PECOS PAC ID: 1850377102 Enrollment ID: I20040628000111 |
| Provider Name | Aly Rahimtoola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750373056 PECOS PAC ID: 8123005915 Enrollment ID: I20040630000352 |
| Provider Name | Anne M Knudsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821006958 PECOS PAC ID: 2264419639 Enrollment ID: I20040702000727 |
| Provider Name | Ruth A Fischerwright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851322366 PECOS PAC ID: 4284612185 Enrollment ID: I20040708000467 |
| Provider Name | Stephan W Coffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649235300 PECOS PAC ID: 3870571656 Enrollment ID: I20040708001178 |
| Provider Name | Emery C Douville |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306848098 PECOS PAC ID: 3375441876 Enrollment ID: I20040712000608 |
| Provider Name | Scott Marsal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063595254 PECOS PAC ID: 2668442963 Enrollment ID: I20040726001136 |
| Provider Name | Joshua D Reagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124093281 PECOS PAC ID: 6103896337 Enrollment ID: I20040727000620 |
| Provider Name | Darren R Jones |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306844683 PECOS PAC ID: 5294705448 Enrollment ID: I20040727000758 |
| Provider Name | Adam Mizgajski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861428278 PECOS PAC ID: 9638141591 Enrollment ID: I20040811000111 |
| Provider Name | Felicia A Ferguson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972511491 PECOS PAC ID: 1658343413 Enrollment ID: I20040811000899 |
| Provider Name | Laura H Davies |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982670006 PECOS PAC ID: 9032181805 Enrollment ID: I20040811000957 |
| Provider Name | Matthew J Gadbaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558392969 PECOS PAC ID: 8224001599 Enrollment ID: I20040816000337 |
| Provider Name | Michelle D Bonta |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265468615 PECOS PAC ID: 6709851363 Enrollment ID: I20040827000927 |
| Provider Name | Kristina R Rashid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417980335 PECOS PAC ID: 5496722076 Enrollment ID: I20040914000039 |
| Provider Name | Paul T Giger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154357366 PECOS PAC ID: 2567439664 Enrollment ID: I20040916000483 |
| Provider Name | Deborah R Wolfson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285666594 PECOS PAC ID: 9537137153 Enrollment ID: I20040922000132 |
| Provider Name | Kristen E Waits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790838076 PECOS PAC ID: 5991773236 Enrollment ID: I20040923000670 |
| Provider Name | Marion C Hull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295775278 PECOS PAC ID: 8224007927 Enrollment ID: I20040929000750 |
| Provider Name | David B Wilkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609841659 PECOS PAC ID: 5597734046 Enrollment ID: I20040930000803 |
| Provider Name | Nori A Trevarthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881641397 PECOS PAC ID: 4981663291 Enrollment ID: I20041004000391 |
| Provider Name | Kirsten L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003864596 PECOS PAC ID: 8224097571 Enrollment ID: I20041004000652 |
| Provider Name | Sean P Tushla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376576983 PECOS PAC ID: 6608836333 Enrollment ID: I20041015000878 |
| Provider Name | Patrick S Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912014317 PECOS PAC ID: 7517927114 Enrollment ID: I20041019000363 |
| Provider Name | Alfredo J Soto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841308632 PECOS PAC ID: 4688638422 Enrollment ID: I20041112000237 |
| Provider Name | David Arthur Schroeder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578568499 PECOS PAC ID: 2163486739 Enrollment ID: I20041113000064 |
| Provider Name | Maria C Leiva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790766244 PECOS PAC ID: 4284690447 Enrollment ID: I20041208001201 |
| Provider Name | Edmund C Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508894718 PECOS PAC ID: 8527025691 Enrollment ID: I20041210000514 |
| Provider Name | Marietta H Choe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366472623 PECOS PAC ID: 3274590260 Enrollment ID: I20041210000690 |
| Provider Name | Maria L Constante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104856285 PECOS PAC ID: 6608833694 Enrollment ID: I20041210000718 |
| Provider Name | Maryann Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629002639 PECOS PAC ID: 4284691288 Enrollment ID: I20041210000771 |
| Provider Name | Kristin M Kocher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629004155 PECOS PAC ID: 8123085164 Enrollment ID: I20041211000134 |
| Provider Name | Barbara A Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568491926 PECOS PAC ID: 1850358896 Enrollment ID: I20041211000138 |
| Provider Name | Elizabeth R Oneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346278660 PECOS PAC ID: 5698732667 Enrollment ID: I20041213000137 |
| Provider Name | Tamara J Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568493435 PECOS PAC ID: 6709843675 Enrollment ID: I20041213000215 |
| Provider Name | Thomas M Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346265774 PECOS PAC ID: 7214994185 Enrollment ID: I20041213000249 |
| Provider Name | Kevin R Sellars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396778916 PECOS PAC ID: 8921065897 Enrollment ID: I20041213000259 |
| Provider Name | Cynthia E Talbot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700819125 PECOS PAC ID: 2567429442 Enrollment ID: I20041213000345 |
| Provider Name | Charissa Rose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114952355 PECOS PAC ID: 3072570977 Enrollment ID: I20041213000460 |
| Provider Name | Kimya-anhcina Lan Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073596243 PECOS PAC ID: 0749265478 Enrollment ID: I20041215000633 |
| Provider Name | Claudine Y Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376571646 PECOS PAC ID: 9133186463 Enrollment ID: I20041217000443 |
| Provider Name | Mario Seyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942251293 PECOS PAC ID: 0749248623 Enrollment ID: I20041222000877 |
| Provider Name | Scott J Kemeny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639254659 PECOS PAC ID: 0547228447 Enrollment ID: I20041223000078 |
| Provider Name | Kevin Michael Reavis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891749149 PECOS PAC ID: 2466410048 Enrollment ID: I20041229000459 |
| Provider Name | Christina E Fyfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912002775 PECOS PAC ID: 5395796205 Enrollment ID: I20050208001076 |
| Provider Name | Carmen G Kendall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780639575 PECOS PAC ID: 3577515261 Enrollment ID: I20050210000379 |
| Provider Name | Mehdi Mike Mirtorabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679509111 PECOS PAC ID: 7618929233 Enrollment ID: I20050211000356 |
| Provider Name | Alison M Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003919887 PECOS PAC ID: 3577451350 Enrollment ID: I20050225000448 |
| Provider Name | Laura Donaghu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952331795 PECOS PAC ID: 7214981448 Enrollment ID: I20050309001072 |
| Provider Name | Scott A Garvey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093717795 PECOS PAC ID: 6507764081 Enrollment ID: I20050315000159 |
| Provider Name | Brent L Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841239076 PECOS PAC ID: 7719932318 Enrollment ID: I20050316000865 |
| Provider Name | Robert J Litt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467444331 PECOS PAC ID: 1557317849 Enrollment ID: I20050330000285 |
| Provider Name | Susan P Vawter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932169059 PECOS PAC ID: 8820045073 Enrollment ID: I20050331000465 |
| Provider Name | Hans S Moller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831113133 PECOS PAC ID: 4486552387 Enrollment ID: I20050331000769 |
| Provider Name | Brenda J Brischetto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306891742 PECOS PAC ID: 4082652037 Enrollment ID: I20050420000476 |
| Provider Name | Nancy L Ungoco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780683318 PECOS PAC ID: 1759322928 Enrollment ID: I20050518000362 |
| Provider Name | Sarah A Dervan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457381329 PECOS PAC ID: 5597705764 Enrollment ID: I20050603000975 |
| Provider Name | Kirk L Weller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235169566 PECOS PAC ID: 0547206823 Enrollment ID: I20050708000283 |
| Provider Name | Mark L Shatsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932124369 PECOS PAC ID: 9537062161 Enrollment ID: I20050713000152 |
| Provider Name | Bridget C Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906759 PECOS PAC ID: 7719913599 Enrollment ID: I20050713000230 |
| Provider Name | Lisa S Turner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093731093 PECOS PAC ID: 6305872870 Enrollment ID: I20050715000414 |
| Provider Name | Blair D Halperin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447258710 PECOS PAC ID: 5991732786 Enrollment ID: I20050723000039 |
| Provider Name | Daniel S Oseran |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730187097 PECOS PAC ID: 8628005410 Enrollment ID: I20050723000042 |
| Provider Name | Jamie R Zilverberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366435372 PECOS PAC ID: 3375570922 Enrollment ID: I20050726000032 |
| Provider Name | Tanya L Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548276124 PECOS PAC ID: 9830127026 Enrollment ID: I20050729000042 |
| Provider Name | Elizabeth A Picologlou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609936327 PECOS PAC ID: 7315975026 Enrollment ID: I20050802001294 |
| Provider Name | Fawn M Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689636557 PECOS PAC ID: 4486682028 Enrollment ID: I20050803000828 |
| Provider Name | Michael R Parsons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225029945 PECOS PAC ID: 2860421443 Enrollment ID: I20050804000830 |
| Provider Name | Ruben O Halperin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457306763 PECOS PAC ID: 4789576083 Enrollment ID: I20050808001084 |
| Provider Name | Brinton C Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831272012 PECOS PAC ID: 7810946738 Enrollment ID: I20050815000222 |
| Provider Name | Rachel Elizabeth Sanborn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275548794 PECOS PAC ID: 7719917848 Enrollment ID: I20050817000950 |
| Provider Name | Lesley Nicoloff Otto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699729608 PECOS PAC ID: 4587694583 Enrollment ID: I20050819000036 |
| Provider Name | Stephen D Sethi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538108246 PECOS PAC ID: 7911939251 Enrollment ID: I20050907000785 |
| Provider Name | Colleen A Finnegan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104909936 PECOS PAC ID: 0840222014 Enrollment ID: I20050908000622 |
| Provider Name | Lisa R Yanase |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851384937 PECOS PAC ID: 1052343167 Enrollment ID: I20050908000997 |
| Provider Name | Andrew Gerard Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003891524 PECOS PAC ID: 9436194388 Enrollment ID: I20050909000560 |
| Provider Name | Kimberly A Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104841543 PECOS PAC ID: 1951334952 Enrollment ID: I20050912000151 |
| Provider Name | Jonathan Lindgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861615668 PECOS PAC ID: 6406880152 Enrollment ID: I20050921001091 |
| Provider Name | Dale D Hirsch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114919610 PECOS PAC ID: 4981502556 Enrollment ID: I20051021000505 |
| Provider Name | Gary Y Ott |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891787180 PECOS PAC ID: 2961300504 Enrollment ID: I20051021000947 |
| Provider Name | Karen A Rydell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922090232 PECOS PAC ID: 9638195290 Enrollment ID: I20051021000948 |
| Provider Name | Paul Daniel Hansen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104818632 PECOS PAC ID: 2668370230 Enrollment ID: I20051021000952 |
| Provider Name | Brendan D Curti |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861494650 PECOS PAC ID: 5597705251 Enrollment ID: I20051024001015 |
| Provider Name | Roxanne R Griswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205828936 PECOS PAC ID: 3476570888 Enrollment ID: I20051025000824 |
| Provider Name | Amy A Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477582856 PECOS PAC ID: 1850331596 Enrollment ID: I20051027001058 |
| Provider Name | Carolyn A Sites |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790718310 PECOS PAC ID: 6103843297 Enrollment ID: I20051027001077 |
| Provider Name | Jill T Walworth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821017591 PECOS PAC ID: 8325065410 Enrollment ID: I20051027001127 |
| Provider Name | Alan B Rankin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376576272 PECOS PAC ID: 5496772584 Enrollment ID: I20051027001140 |
| Provider Name | Robert G Fojtasek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306888649 PECOS PAC ID: 5395762496 Enrollment ID: I20051027001154 |
| Provider Name | Brian S Liebreich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669456232 PECOS PAC ID: 2668490897 Enrollment ID: I20051107000563 |
| Provider Name | Kirsten E Crowley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396838280 PECOS PAC ID: 8527086644 Enrollment ID: I20051108000238 |
| Provider Name | Amy D Carolan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295762946 PECOS PAC ID: 0749208668 Enrollment ID: I20051109000086 |
| Provider Name | Michael A Wilson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871539973 PECOS PAC ID: 8325948235 Enrollment ID: I20051116000893 |
| Provider Name | Gillian C Rosicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295789428 PECOS PAC ID: 8628097821 Enrollment ID: I20051116001065 |
| Provider Name | Sreedevi Pitta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780631655 PECOS PAC ID: 3678593431 Enrollment ID: I20051123000235 |
| Provider Name | Anthony A Ferroggiaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245254606 PECOS PAC ID: 4688602105 Enrollment ID: I20051205000039 |
| Provider Name | Craig R Walsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922047935 PECOS PAC ID: 5193752061 Enrollment ID: I20051205000060 |
| Provider Name | Todd A Caulfield |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710921085 PECOS PAC ID: 4284661158 Enrollment ID: I20051205000112 |
| Provider Name | Linda R Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689746679 PECOS PAC ID: 9335160985 Enrollment ID: I20051212000481 |
| Provider Name | Elise Newman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659326098 PECOS PAC ID: 8224059233 Enrollment ID: I20051216000691 |
| Provider Name | Geoffrey M Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336185438 PECOS PAC ID: 3870493786 Enrollment ID: I20051219000124 |
| Provider Name | Lori Siegal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376656561 PECOS PAC ID: 2062434095 Enrollment ID: I20051219000839 |
| Provider Name | Jon D Prulhiere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700857174 PECOS PAC ID: 8123040888 Enrollment ID: I20051221000727 |
| Provider Name | Donna L Hammar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427006576 PECOS PAC ID: 4688696396 Enrollment ID: I20051222000097 |
| Provider Name | Cameron J Cover |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609806785 PECOS PAC ID: 2668494121 Enrollment ID: I20051227000398 |
| Provider Name | Brent P Kimberly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164462784 PECOS PAC ID: 0446272785 Enrollment ID: I20051229000527 |
| Provider Name | Gunjeet K Samagh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700830981 PECOS PAC ID: 4183692908 Enrollment ID: I20060109000925 |
| Provider Name | Rima Chamie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316993801 PECOS PAC ID: 4486677929 Enrollment ID: I20060110001005 |
| Provider Name | Richard T Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134151822 PECOS PAC ID: 9638193725 Enrollment ID: I20060117000052 |
| Provider Name | Nancy K Moreland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427088368 PECOS PAC ID: 2365466810 Enrollment ID: I20060123001000 |
| Provider Name | Janice P Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194803718 PECOS PAC ID: 3678594785 Enrollment ID: I20060123001012 |
| Provider Name | Carlos D Sanchez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649355678 PECOS PAC ID: 9234153537 Enrollment ID: I20060125000162 |
| Provider Name | Nina L Bergquam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558301259 PECOS PAC ID: 0345254413 Enrollment ID: I20060127000132 |
| Provider Name | Christopher J Zaugra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871580134 PECOS PAC ID: 0648261263 Enrollment ID: I20060207000811 |
| Provider Name | David G Silvestre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831153196 PECOS PAC ID: 0648286062 Enrollment ID: I20060222000548 |
| Provider Name | Ruth Janan Markee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821171018 PECOS PAC ID: 2567470032 Enrollment ID: I20060324000109 |
| Provider Name | Navin N Nayak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063467181 PECOS PAC ID: 5799795035 Enrollment ID: I20060501000527 |
| Provider Name | Alice C Nayak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013962513 PECOS PAC ID: 5193735439 Enrollment ID: I20060501000562 |
| Provider Name | Wayne Lawrence Strauss |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033164389 PECOS PAC ID: 6305892779 Enrollment ID: I20060526000106 |
| Provider Name | Jason R Wollmuth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164498499 PECOS PAC ID: 1951312255 Enrollment ID: I20060530000217 |
| Provider Name | Tyler Justin Gluckman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790749422 PECOS PAC ID: 2466464862 Enrollment ID: I20060630000075 |
| Provider Name | James G Beckerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487697488 PECOS PAC ID: 4789630385 Enrollment ID: I20060807000363 |
| Provider Name | Cynthia Shaff Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144235656 PECOS PAC ID: 3173520715 Enrollment ID: I20061025000043 |
| Provider Name | Sharon J Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821009606 PECOS PAC ID: 1254338668 Enrollment ID: I20061027000222 |
| Provider Name | Cheri N Oellrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851402481 PECOS PAC ID: 3274530357 Enrollment ID: I20061102000371 |
| Provider Name | Linda I Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396758512 PECOS PAC ID: 9638177439 Enrollment ID: I20061109000432 |
| Provider Name | Lisa Yao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588632202 PECOS PAC ID: 7911961180 Enrollment ID: I20061122000157 |
| Provider Name | Jennifer O'neil Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558372151 PECOS PAC ID: 2365440336 Enrollment ID: I20061130000007 |
| Provider Name | Chandra Shekhar Ojha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942236559 PECOS PAC ID: 7719986512 Enrollment ID: I20061205000192 |
| Provider Name | Noelle S Lefitz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548362205 PECOS PAC ID: 5496755829 Enrollment ID: I20070108000447 |
| Provider Name | Matthew J Breeze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083655609 PECOS PAC ID: 9335140342 Enrollment ID: I20070117000550 |
| Provider Name | Carmela C Pajarillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447323878 PECOS PAC ID: 8820099872 Enrollment ID: I20070118000328 |
| Provider Name | Ellen E Lairson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700994225 PECOS PAC ID: 6507842523 Enrollment ID: I20070118000372 |
| Provider Name | Kevin J Grainger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194889808 PECOS PAC ID: 1456301688 Enrollment ID: I20070119000033 |
| Provider Name | Cornelia C Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164593026 PECOS PAC ID: 0749255347 Enrollment ID: I20070119000068 |
| Provider Name | Jeremy Swindle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053381889 PECOS PAC ID: 8921027285 Enrollment ID: I20070123000040 |
| Provider Name | Vitalie D Lupu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609837913 PECOS PAC ID: 5092716753 Enrollment ID: I20070123000341 |
| Provider Name | Lori F Gluck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225000334 PECOS PAC ID: 3779546874 Enrollment ID: I20070129000611 |
| Provider Name | Steven J Riley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073625703 PECOS PAC ID: 2668474677 Enrollment ID: I20070205000188 |
| Provider Name | Michael A Waddick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467468132 PECOS PAC ID: 6608878095 Enrollment ID: I20070214000179 |
| Provider Name | Hsiao Chi D Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194713313 PECOS PAC ID: 0244232635 Enrollment ID: I20070214000183 |
| Provider Name | Alicia M Ross |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1811053911 PECOS PAC ID: 4789686189 Enrollment ID: I20070214000258 |
| Provider Name | Kimberly J Herder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811975741 PECOS PAC ID: 7012019318 Enrollment ID: I20070216000194 |
| Provider Name | Marc B Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659311686 PECOS PAC ID: 2769584622 Enrollment ID: I20070222000770 |
| Provider Name | Melissa L Federspiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881676641 PECOS PAC ID: 7214937309 Enrollment ID: I20070224000093 |
| Provider Name | Elroy Y Jan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134212814 PECOS PAC ID: 4587766332 Enrollment ID: I20070225000001 |
| Provider Name | Nicole L Bishop-perdue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275641060 PECOS PAC ID: 5496857245 Enrollment ID: I20070225000002 |
| Provider Name | Stephen M Mitchell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164521654 PECOS PAC ID: 1355342353 Enrollment ID: I20070227000452 |
| Provider Name | Elizabeth A Stephens |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871509364 PECOS PAC ID: 4587766027 Enrollment ID: I20070301000253 |
| Provider Name | Shannon E Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558301168 PECOS PAC ID: 0446352827 Enrollment ID: I20070305000236 |
| Provider Name | Kusum B Asudani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104852680 PECOS PAC ID: 8224131461 Enrollment ID: I20070308000595 |
| Provider Name | Kimberly K Rodda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528054384 PECOS PAC ID: 7618070707 Enrollment ID: I20070309000398 |
| Provider Name | Steven P Mcnally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376635532 PECOS PAC ID: 9739282799 Enrollment ID: I20070312000391 |
| Provider Name | Brian J George-mayer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790733962 PECOS PAC ID: 4981709698 Enrollment ID: I20070424000627 |
| Provider Name | Leslie Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114008935 PECOS PAC ID: 2466558200 Enrollment ID: I20070510000496 |
| Provider Name | Wilbert R Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437144078 PECOS PAC ID: 7719084334 Enrollment ID: I20070516000260 |
| Provider Name | Edward H Rothberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356307870 PECOS PAC ID: 0446276455 Enrollment ID: I20070523000291 |
| Provider Name | Mary A Thomason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427019322 PECOS PAC ID: 5496854440 Enrollment ID: I20070615000586 |
| Provider Name | Dennis C Tan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457577983 PECOS PAC ID: 2860591732 Enrollment ID: I20070619000425 |
| Provider Name | Jason Stone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720290489 PECOS PAC ID: 1850361775 Enrollment ID: I20070702000103 |
| Provider Name | Elke P Lowenkopf |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1548323009 PECOS PAC ID: 8921108093 Enrollment ID: I20070703000451 |
| Provider Name | Jennifer E Marfori |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407802143 PECOS PAC ID: 0042310393 Enrollment ID: I20070716000397 |
| Provider Name | Barry M Newman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881668978 PECOS PAC ID: 7911008867 Enrollment ID: I20070723000681 |
| Provider Name | Nathan D Magaret |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932284536 PECOS PAC ID: 7012018567 Enrollment ID: I20070727000164 |
| Provider Name | Todd R Merrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114123700 PECOS PAC ID: 4486755162 Enrollment ID: I20070731000077 |
| Provider Name | Willscott E Naugler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689698342 PECOS PAC ID: 6507868767 Enrollment ID: I20070803000179 |
| Provider Name | Shauna L Ensminger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619960002 PECOS PAC ID: 6800863283 Enrollment ID: I20070806000662 |
| Provider Name | Laura J Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083737266 PECOS PAC ID: 5193817468 Enrollment ID: I20070816000829 |
| Provider Name | Jennifer A Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801822697 PECOS PAC ID: 8325042070 Enrollment ID: I20070817000106 |
| Provider Name | Christopher M Berberian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710185087 PECOS PAC ID: 0244322022 Enrollment ID: I20070824000225 |
| Provider Name | Evagelia Baros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003019340 PECOS PAC ID: 2860584653 Enrollment ID: I20070824000257 |
| Provider Name | Man M Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558384313 PECOS PAC ID: 2668565607 Enrollment ID: I20070906000539 |
| Provider Name | Michelle L Schoepflin Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891996765 PECOS PAC ID: 9335232313 Enrollment ID: I20070907000000 |
| Provider Name | Tzann T Fang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275609349 PECOS PAC ID: 8022101906 Enrollment ID: I20070908000133 |
| Provider Name | Erin R Shawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518099241 PECOS PAC ID: 9436243847 Enrollment ID: I20070917000159 |
| Provider Name | Samantha R Adkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790905164 PECOS PAC ID: 7214021641 Enrollment ID: I20070917000275 |
| Provider Name | Deani K Iversen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730302076 PECOS PAC ID: 4284728643 Enrollment ID: I20070917000564 |
| Provider Name | Rebecca M Cleeton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972710556 PECOS PAC ID: 2961596291 Enrollment ID: I20070918000359 |
| Provider Name | John R Steeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447359914 PECOS PAC ID: 5890880728 Enrollment ID: I20071005000788 |
| Provider Name | Jagdish R Ragade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477542108 PECOS PAC ID: 3072510866 Enrollment ID: I20071009000593 |
| Provider Name | Erin J Allen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346344611 PECOS PAC ID: 2860491933 Enrollment ID: I20071011000580 |
| Provider Name | Lauri J Winther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669691119 PECOS PAC ID: 3577659184 Enrollment ID: I20071012000110 |
| Provider Name | David L Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396765087 PECOS PAC ID: 0345267720 Enrollment ID: I20071015000051 |
| Provider Name | Christine L Stock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316060536 PECOS PAC ID: 1658467949 Enrollment ID: I20071018000042 |
| Provider Name | Maureen A Sprague |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578654059 PECOS PAC ID: 6709972698 Enrollment ID: I20071024000147 |
| Provider Name | Ashkan N Babaie |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770780215 PECOS PAC ID: 9830186287 Enrollment ID: I20071026000120 |
| Provider Name | David K Moon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609872753 PECOS PAC ID: 4981607710 Enrollment ID: I20071113000522 |
| Provider Name | Joseph M Obadiah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699818120 PECOS PAC ID: 8729178439 Enrollment ID: I20071219000185 |
| Provider Name | Sonel P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528089026 PECOS PAC ID: 0143295261 Enrollment ID: I20071220000256 |
| Provider Name | Yale Y Liang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982664637 PECOS PAC ID: 1052353828 Enrollment ID: I20080108000881 |
| Provider Name | Yolanda C Domond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225161243 PECOS PAC ID: 7315027802 Enrollment ID: I20080109000774 |
| Provider Name | Ann G Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871678565 PECOS PAC ID: 5092896225 Enrollment ID: I20080114000762 |
| Provider Name | Dalika G Crawford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508972597 PECOS PAC ID: 2860573961 Enrollment ID: I20080115000392 |
| Provider Name | Emily Hitchcock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710915202 PECOS PAC ID: 2961583463 Enrollment ID: I20080122000455 |
| Provider Name | Claudia S Leonard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477588143 PECOS PAC ID: 2365523883 Enrollment ID: I20080122000569 |
| Provider Name | Alexander D Schafir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629093059 PECOS PAC ID: 6709967227 Enrollment ID: I20080122000580 |
| Provider Name | Jennifer L Lycette |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801847355 PECOS PAC ID: 1557372752 Enrollment ID: I20080128000475 |
| Provider Name | Stanley L Cohan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972788644 PECOS PAC ID: 8820170731 Enrollment ID: I20080131000276 |
| Provider Name | Anthony David Marrone |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518919851 PECOS PAC ID: 8921071424 Enrollment ID: I20080201000033 |
| Provider Name | Amy L Gerhard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326233065 PECOS PAC ID: 4688756224 Enrollment ID: I20080204000767 |
| Provider Name | Stacy K Lewis |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124021753 PECOS PAC ID: 6901848597 Enrollment ID: I20080214000107 |
| Provider Name | Casey E Ferguson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447375233 PECOS PAC ID: 1759373319 Enrollment ID: I20080219000510 |
| Provider Name | Brendan Cargill Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669472775 PECOS PAC ID: 3678656444 Enrollment ID: I20080303000367 |
| Provider Name | Darren B Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699847731 PECOS PAC ID: 0143305904 Enrollment ID: I20080304000785 |
| Provider Name | Saramati J Krishna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548445497 PECOS PAC ID: 7911082284 Enrollment ID: I20080311000353 |
| Provider Name | Xiang-hong Song |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043327109 PECOS PAC ID: 3375628571 Enrollment ID: I20080312000416 |
| Provider Name | Nagendra R Tirumali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669565230 PECOS PAC ID: 2062598998 Enrollment ID: I20080318000566 |
| Provider Name | Tracy Woodson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922112051 PECOS PAC ID: 8921184714 Enrollment ID: I20080319000268 |
| Provider Name | Harriet R Stosur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386739753 PECOS PAC ID: 5092891226 Enrollment ID: I20080327000478 |
| Provider Name | Kyle E Smoot |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124170063 PECOS PAC ID: 1153397146 Enrollment ID: I20080410000568 |
| Provider Name | Leila H Mesch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215041124 PECOS PAC ID: 1951489335 Enrollment ID: I20080425000156 |
| Provider Name | Alan R Burningham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578669487 PECOS PAC ID: 7911940838 Enrollment ID: I20080507000244 |
| Provider Name | Matthew C Mcclelland |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346394954 PECOS PAC ID: 0749359040 Enrollment ID: I20080513000143 |
| Provider Name | Brian A Kendall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104017052 PECOS PAC ID: 9931278009 Enrollment ID: I20080515000020 |
| Provider Name | Cynthia M Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952573438 PECOS PAC ID: 8426129842 Enrollment ID: I20080612000417 |
| Provider Name | Paula Gerber-gore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518156504 PECOS PAC ID: 0143392464 Enrollment ID: I20080702000197 |
| Provider Name | John T Thiesing |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225104599 PECOS PAC ID: 7517039654 Enrollment ID: I20080707000026 |
| Provider Name | Janet C Ruzich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508869140 PECOS PAC ID: 5890700280 Enrollment ID: I20080709000204 |
| Provider Name | Robert F Quintos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750324653 PECOS PAC ID: 5890737886 Enrollment ID: I20080710000300 |
| Provider Name | Devn Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164683843 PECOS PAC ID: 0244303931 Enrollment ID: I20080714000208 |
| Provider Name | Rachel Plotinsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003965948 PECOS PAC ID: 1153494810 Enrollment ID: I20080715000130 |
| Provider Name | Christie J Moore |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891727608 PECOS PAC ID: 1254404932 Enrollment ID: I20080715000202 |
| Provider Name | Lauren A Cooper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497833578 PECOS PAC ID: 2163437021 Enrollment ID: I20080722000774 |
| Provider Name | Adam A Blomberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942491899 PECOS PAC ID: 7517030539 Enrollment ID: I20080723000597 |
| Provider Name | David L Corman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770794901 PECOS PAC ID: 7315010345 Enrollment ID: I20080723000693 |
| Provider Name | Olga Bendinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871613802 PECOS PAC ID: 6901982016 Enrollment ID: I20080723000848 |
| Provider Name | Rachel S Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659570190 PECOS PAC ID: 6709959695 Enrollment ID: I20080725000393 |
| Provider Name | Sarah Rahkola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700044583 PECOS PAC ID: 4284708058 Enrollment ID: I20080729000276 |
| Provider Name | Laura L Kuipers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902097850 PECOS PAC ID: 1052485737 Enrollment ID: I20080729000400 |
| Provider Name | Alma Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285897009 PECOS PAC ID: 6103990742 Enrollment ID: I20080731000133 |
| Provider Name | Mary Katherine Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619927944 PECOS PAC ID: 9537148697 Enrollment ID: I20080731000339 |
| Provider Name | Richard C Manthey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639120314 PECOS PAC ID: 4880768217 Enrollment ID: I20080804000319 |
| Provider Name | Sarah J Lipton |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023229812 PECOS PAC ID: 5698840072 Enrollment ID: I20080819000958 |
| Provider Name | Gregory M Eilers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134323843 PECOS PAC ID: 1355416660 Enrollment ID: I20080821000344 |
| Provider Name | Alison K Conlin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1841460193 PECOS PAC ID: 4385719541 Enrollment ID: I20080822000145 |
| Provider Name | Lori L Lingle Elling |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194858944 PECOS PAC ID: 7315013059 Enrollment ID: I20080904000248 |
| Provider Name | Jeffrey Penikas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063447043 PECOS PAC ID: 2365459062 Enrollment ID: I20080904000383 |
| Provider Name | Shawn M Morgan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477538064 PECOS PAC ID: 8224025325 Enrollment ID: I20080908000330 |
| Provider Name | Joanne T Eddington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417950015 PECOS PAC ID: 5991710311 Enrollment ID: I20080910000138 |
| Provider Name | Kari Mazur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871797340 PECOS PAC ID: 7416023692 Enrollment ID: I20080912000135 |
| Provider Name | Chunfeng Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972773786 PECOS PAC ID: 3577639756 Enrollment ID: I20080912000155 |
| Provider Name | Aileen H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255360657 PECOS PAC ID: 5395812283 Enrollment ID: I20080918000209 |
| Provider Name | Amy Margarete Dechet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508031832 PECOS PAC ID: 3678640588 Enrollment ID: I20080918000377 |
| Provider Name | Patrick J Gaston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811103682 PECOS PAC ID: 0345317103 Enrollment ID: I20080919000103 |
| Provider Name | Lesley L Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487819959 PECOS PAC ID: 0840367603 Enrollment ID: I20080919000140 |
| Provider Name | Jean D Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346450319 PECOS PAC ID: 0648379362 Enrollment ID: I20080922000287 |
| Provider Name | David K Solondz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689896599 PECOS PAC ID: 7315015070 Enrollment ID: I20081008000007 |
| Provider Name | Wendy Y Laborie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861599664 PECOS PAC ID: 1355325846 Enrollment ID: I20081017000390 |
| Provider Name | Gregory Robert Flick |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417991969 PECOS PAC ID: 3870525264 Enrollment ID: I20081113000712 |
| Provider Name | Jeffrey P Pavelka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447218318 PECOS PAC ID: 8628086378 Enrollment ID: I20081124000225 |
| Provider Name | Gregory T Jorgensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417119843 PECOS PAC ID: 5890856264 Enrollment ID: I20081203000510 |
| Provider Name | Anna G Spann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316139447 PECOS PAC ID: 6305907361 Enrollment ID: I20081209000469 |
| Provider Name | Crispin H Davies |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982610481 PECOS PAC ID: 9032270095 Enrollment ID: I20081209000471 |
| Provider Name | Robin Y Grattan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205951530 PECOS PAC ID: 0042371973 Enrollment ID: I20081210000244 |
| Provider Name | Andrew J Mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710187489 PECOS PAC ID: 8426110370 Enrollment ID: I20081231000144 |
| Provider Name | Andrea B Roast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891878070 PECOS PAC ID: 9032272828 Enrollment ID: I20090105000430 |
| Provider Name | Mark R Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922181106 PECOS PAC ID: 0446313084 Enrollment ID: I20090108000485 |
| Provider Name | Meera Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083797260 PECOS PAC ID: 0941363311 Enrollment ID: I20090112000165 |
| Provider Name | Mari Kai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942383120 PECOS PAC ID: 2365505740 Enrollment ID: I20090112000217 |
| Provider Name | Kathleen M Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821242330 PECOS PAC ID: 8022173731 Enrollment ID: I20090212000458 |
| Provider Name | Michelle C Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457337859 PECOS PAC ID: 7911997895 Enrollment ID: I20090219000479 |
| Provider Name | Mark S Puscas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982717583 PECOS PAC ID: 9931265360 Enrollment ID: I20090310000049 |
| Provider Name | Theodore J Lowenkopf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629059407 PECOS PAC ID: 8921165606 Enrollment ID: I20090324000675 |
| Provider Name | Diana Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386893444 PECOS PAC ID: 9335296912 Enrollment ID: I20090416000777 |
| Provider Name | Hanny A Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881770501 PECOS PAC ID: 7315998077 Enrollment ID: I20090420000606 |
| Provider Name | Justin S Jin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710054218 PECOS PAC ID: 2567510308 Enrollment ID: I20090504000673 |
| Provider Name | Lisa M Enger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295983617 PECOS PAC ID: 9436207909 Enrollment ID: I20090512000048 |
| Provider Name | Joel B Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932174927 PECOS PAC ID: 4688723349 Enrollment ID: I20090529000069 |
| Provider Name | Deborah J Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073588471 PECOS PAC ID: 5092701474 Enrollment ID: I20090601000024 |
| Provider Name | Vincent Torres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942334123 PECOS PAC ID: 8820188592 Enrollment ID: I20090603000532 |
| Provider Name | Kori L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043479389 PECOS PAC ID: 6709936180 Enrollment ID: I20090604000614 |
| Provider Name | Christine D Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194822965 PECOS PAC ID: 2567512593 Enrollment ID: I20090611000722 |
| Provider Name | Luis E Scheker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740293158 PECOS PAC ID: 7113927237 Enrollment ID: I20090612000416 |
| Provider Name | Virginia C Leslie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336119288 PECOS PAC ID: 4789657487 Enrollment ID: I20090706000458 |
| Provider Name | Wai L Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881623254 PECOS PAC ID: 4385797257 Enrollment ID: I20090727000057 |
| Provider Name | Heh Shin R Kwak |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174715924 PECOS PAC ID: 2466513320 Enrollment ID: I20090728000637 |
| Provider Name | Amit A Barve |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760667059 PECOS PAC ID: 2567510787 Enrollment ID: I20090729000503 |
| Provider Name | Alexi P Zemsky |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598944928 PECOS PAC ID: 3173677192 Enrollment ID: I20090810000651 |
| Provider Name | Sheryll L Rosario |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811192131 PECOS PAC ID: 9537213517 Enrollment ID: I20090812000764 |
| Provider Name | Vaishali Y Hotanalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902991672 PECOS PAC ID: 3870647654 Enrollment ID: I20090812000889 |
| Provider Name | Mark A Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710122106 PECOS PAC ID: 0648324194 Enrollment ID: I20090818000338 |
| Provider Name | Colby E Harrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366604589 PECOS PAC ID: 9436203684 Enrollment ID: I20090821000530 |
| Provider Name | Rosario P Bonafede |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730125667 PECOS PAC ID: 7214081462 Enrollment ID: I20090821000570 |
| Provider Name | Katja F Daoud |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316977309 PECOS PAC ID: 5294889457 Enrollment ID: I20090821000597 |
| Provider Name | Daniel B Mccabe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922275031 PECOS PAC ID: 3072667112 Enrollment ID: I20090824000649 |
| Provider Name | Allen K Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174662167 PECOS PAC ID: 5496800526 Enrollment ID: I20090826000116 |
| Provider Name | Ethan Korngold |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568452738 PECOS PAC ID: 0345248464 Enrollment ID: I20090826000937 |
| Provider Name | Jacob Abraham |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1548223381 PECOS PAC ID: 6204863541 Enrollment ID: I20090826000942 |
| Provider Name | Jay B Ham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760659627 PECOS PAC ID: 7113072943 Enrollment ID: I20090831000689 |
| Provider Name | Staci J Eskesen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689629628 PECOS PAC ID: 4385656552 Enrollment ID: I20090904000539 |
| Provider Name | Tom Chau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629259916 PECOS PAC ID: 1850477019 Enrollment ID: I20090909000673 |
| Provider Name | Stanley J Cyran |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083653653 PECOS PAC ID: 6709932627 Enrollment ID: I20090918000009 |
| Provider Name | Robert Dong Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780620096 PECOS PAC ID: 5597783738 Enrollment ID: I20090924000569 |
| Provider Name | Quinn R Emerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861669723 PECOS PAC ID: 2264588755 Enrollment ID: I20090924000701 |
| Provider Name | Fareha A Nawaz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770702839 PECOS PAC ID: 8628114717 Enrollment ID: I20091002000313 |
| Provider Name | Paula Wagenbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497828875 PECOS PAC ID: 8729124524 Enrollment ID: I20091008000362 |
| Provider Name | Mark D Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841496023 PECOS PAC ID: 0840336541 Enrollment ID: I20091012000031 |
| Provider Name | Laurence Colman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225106032 PECOS PAC ID: 4183760663 Enrollment ID: I20091014000427 |
| Provider Name | Sophana Karnchanasorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710165303 PECOS PAC ID: 6800933276 Enrollment ID: I20091019000102 |
| Provider Name | Rhonda C Tierney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447250360 PECOS PAC ID: 9032256086 Enrollment ID: I20091022000680 |
| Provider Name | Laura L Loertscher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164528865 PECOS PAC ID: 0446256655 Enrollment ID: I20091027000503 |
| Provider Name | Dong L Ji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033273784 PECOS PAC ID: 2365431475 Enrollment ID: I20091029000763 |
| Provider Name | Lesley N Bobek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922202787 PECOS PAC ID: 0244377802 Enrollment ID: I20091030000277 |
| Provider Name | Tula Top |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1346432721 PECOS PAC ID: 0840337473 Enrollment ID: I20091104000689 |
| Provider Name | Barbara Js Esselink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548451479 PECOS PAC ID: 0446398762 Enrollment ID: I20091106000286 |
| Provider Name | Elizabeth Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942432794 PECOS PAC ID: 8325186653 Enrollment ID: I20091106000397 |
| Provider Name | Ellen Priscilla S Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174744395 PECOS PAC ID: 9436299823 Enrollment ID: I20091215000686 |
| Provider Name | Heather E Prouty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538371620 PECOS PAC ID: 2668539784 Enrollment ID: I20091228000094 |
| Provider Name | Thomas J Croy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770579237 PECOS PAC ID: 4183765878 Enrollment ID: I20091231000432 |
| Provider Name | Kevin J Jamison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003811373 PECOS PAC ID: 2365479151 Enrollment ID: I20100107000639 |
| Provider Name | Andrew G Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295979805 PECOS PAC ID: 0547301533 Enrollment ID: I20100113000480 |
| Provider Name | Alison Y Ma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609083237 PECOS PAC ID: 5698828226 Enrollment ID: I20100121000733 |
| Provider Name | Cheryl C Pierson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063520609 PECOS PAC ID: 7315091618 Enrollment ID: I20100201000751 |
| Provider Name | Emily Lynn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548322209 PECOS PAC ID: 4385713320 Enrollment ID: I20100217000880 |
| Provider Name | Aaron B Schoenkerman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487748836 PECOS PAC ID: 8224017447 Enrollment ID: I20100218000442 |
| Provider Name | Namrata J Ragade |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518996198 PECOS PAC ID: 1759478498 Enrollment ID: I20100304000963 |
| Provider Name | Hyun S Suh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952450561 PECOS PAC ID: 1153403035 Enrollment ID: I20100309000754 |
| Provider Name | Darren L Gillette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326068891 PECOS PAC ID: 2365473238 Enrollment ID: I20100315000111 |
| Provider Name | Laurie Chern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457385114 PECOS PAC ID: 6204961311 Enrollment ID: I20100315000643 |
| Provider Name | Carol M Suzuki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427068410 PECOS PAC ID: 9830224872 Enrollment ID: I20100317000357 |
| Provider Name | Samson J Spilk Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619169109 PECOS PAC ID: 4183750532 Enrollment ID: I20100325000151 |
| Provider Name | Kendra J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760637920 PECOS PAC ID: 8729114046 Enrollment ID: I20100325000885 |
| Provider Name | Lisa A Thum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396761482 PECOS PAC ID: 4880721257 Enrollment ID: I20100416000626 |
| Provider Name | Elizabeth A Reindl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730112517 PECOS PAC ID: 8123155595 Enrollment ID: I20100416000654 |
| Provider Name | Victorya V Khary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588690820 PECOS PAC ID: 8527195890 Enrollment ID: I20100416000729 |
| Provider Name | Linh D Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518997584 PECOS PAC ID: 9537296751 Enrollment ID: I20100420000871 |
| Provider Name | Richard Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558387555 PECOS PAC ID: 4789711904 Enrollment ID: I20100420000903 |
| Provider Name | Kristin Stevens |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689690737 PECOS PAC ID: 5890822027 Enrollment ID: I20100420001009 |
| Provider Name | Dianne C Eardley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740210434 PECOS PAC ID: 1951438191 Enrollment ID: I20100420001044 |
| Provider Name | Gregory P Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922036219 PECOS PAC ID: 4981731981 Enrollment ID: I20100422001174 |
| Provider Name | Caroline Reay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447283205 PECOS PAC ID: 6507993250 Enrollment ID: I20100428000854 |
| Provider Name | Douglas R Niehus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144250085 PECOS PAC ID: 1658408323 Enrollment ID: I20100429000059 |
| Provider Name | Richard L Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174552491 PECOS PAC ID: 6901933670 Enrollment ID: I20100429000088 |
| Provider Name | Marianne C Parshley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760415376 PECOS PAC ID: 1052448727 Enrollment ID: I20100429000120 |
| Provider Name | Linda M Hungerford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902832363 PECOS PAC ID: 0042347726 Enrollment ID: I20100429000149 |
| Provider Name | Lisa M Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578594511 PECOS PAC ID: 6305973082 Enrollment ID: I20100429000172 |
| Provider Name | Janet E Patin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689605776 PECOS PAC ID: 9537058797 Enrollment ID: I20100504000455 |
| Provider Name | Christopher S Ritchie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487673190 PECOS PAC ID: 3274661525 Enrollment ID: I20100507000380 |
| Provider Name | Megan J Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265666549 PECOS PAC ID: 6901934181 Enrollment ID: I20100507000793 |
| Provider Name | Charmika T Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902133176 PECOS PAC ID: 5799813762 Enrollment ID: I20100512000617 |
| Provider Name | Dominique Greco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558469510 PECOS PAC ID: 6709914724 Enrollment ID: I20100512001057 |
| Provider Name | Lee A Salsburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720077696 PECOS PAC ID: 3577554450 Enrollment ID: I20100517000748 |
| Provider Name | Sheeten B Doshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154307478 PECOS PAC ID: 4284679416 Enrollment ID: I20100520000180 |
| Provider Name | Jessica K Aaker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780778795 PECOS PAC ID: 3971633769 Enrollment ID: I20100604000315 |
| Provider Name | Shirley A Malcolm |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1316951510 PECOS PAC ID: 2062542665 Enrollment ID: I20100608000681 |
| Provider Name | Ranjana S Nathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588690127 PECOS PAC ID: 1759411275 Enrollment ID: I20100610000158 |
| Provider Name | Susan D Payne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508891805 PECOS PAC ID: 0143351973 Enrollment ID: I20100623000413 |
| Provider Name | Samuel J Fellin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265463996 PECOS PAC ID: 1153452925 Enrollment ID: I20100623000809 |
| Provider Name | Matthew H Taylor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134239197 PECOS PAC ID: 9234260548 Enrollment ID: I20100630000849 |
| Provider Name | Heather M Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780781740 PECOS PAC ID: 0042217366 Enrollment ID: I20100702000199 |
| Provider Name | David C Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043401029 PECOS PAC ID: 3274665062 Enrollment ID: I20100714000285 |
| Provider Name | Jeff A Campbell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073704052 PECOS PAC ID: 8426180217 Enrollment ID: I20100714000318 |
| Provider Name | Michael E Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194752857 PECOS PAC ID: 3779615562 Enrollment ID: I20100714000345 |
| Provider Name | Poombavai O Nagappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043246689 PECOS PAC ID: 2668504903 Enrollment ID: I20100721000906 |
| Provider Name | Steven Scott Andersen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184606295 PECOS PAC ID: 9335204031 Enrollment ID: I20100812000058 |
| Provider Name | Sunita M Deshmukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730133679 PECOS PAC ID: 0446384838 Enrollment ID: I20100820000713 |
| Provider Name | Darlene Joyce Dodson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013974559 PECOS PAC ID: 4082738760 Enrollment ID: I20100901000920 |
| Provider Name | Liberato Mukul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932129491 PECOS PAC ID: 7416923339 Enrollment ID: I20100903000165 |
| Provider Name | James M Martinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144232554 PECOS PAC ID: 5294859740 Enrollment ID: I20100903000959 |
| Provider Name | Eli K Klovee-smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619153582 PECOS PAC ID: 6204951619 Enrollment ID: I20100908000973 |
| Provider Name | Promporn Wichienkuer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598978272 PECOS PAC ID: 2961527346 Enrollment ID: I20100909000548 |
| Provider Name | Kelly S Perlewitz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508086067 PECOS PAC ID: 1951426683 Enrollment ID: I20100917000314 |
| Provider Name | Anika Denali-luengo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871774281 PECOS PAC ID: 6103941851 Enrollment ID: I20100917000531 |
| Provider Name | Julia B Toub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104095421 PECOS PAC ID: 8123144524 Enrollment ID: I20100922001147 |
| Provider Name | Eric I Friedman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932267333 PECOS PAC ID: 4284750399 Enrollment ID: I20100927000673 |
| Provider Name | Bryce S Milligan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285893941 PECOS PAC ID: 6406972330 Enrollment ID: I20100928000916 |
| Provider Name | Elise D Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972764777 PECOS PAC ID: 9931225794 Enrollment ID: I20100929000774 |
| Provider Name | Chirag R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720020951 PECOS PAC ID: 9436175205 Enrollment ID: I20101005001338 |
| Provider Name | Heather L Whetstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770788176 PECOS PAC ID: 3173715091 Enrollment ID: I20101011001147 |
| Provider Name | Annette Schweiger Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356405690 PECOS PAC ID: 1456544915 Enrollment ID: I20101018000551 |
| Provider Name | Julia L Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013183151 PECOS PAC ID: 7618160185 Enrollment ID: I20101018000582 |
| Provider Name | Jill M Gelow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285741843 PECOS PAC ID: 2860685278 Enrollment ID: I20101018001291 |
| Provider Name | John O Evered |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982680997 PECOS PAC ID: 0941364079 Enrollment ID: I20101020000709 |
| Provider Name | Andrea Orfanakis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861549669 PECOS PAC ID: 0840484523 Enrollment ID: I20101027000886 |
| Provider Name | Anne M Houff |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013116565 PECOS PAC ID: 2062606304 Enrollment ID: I20101101000984 |
| Provider Name | James H Imatani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891707766 PECOS PAC ID: 5799979944 Enrollment ID: I20101101001266 |
| Provider Name | Anh Q Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679894877 PECOS PAC ID: 3678767845 Enrollment ID: I20101101001590 |
| Provider Name | William C Chapin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083653679 PECOS PAC ID: 6406040682 Enrollment ID: I20101102000090 |
| Provider Name | Evelyn S Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275618878 PECOS PAC ID: 6901090711 Enrollment ID: I20101104001335 |
| Provider Name | Nicole S Trajano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906114 PECOS PAC ID: 3779777594 Enrollment ID: I20101104001534 |
| Provider Name | Yuriko Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669786661 PECOS PAC ID: 9830384502 Enrollment ID: I20101109000208 |
| Provider Name | James Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871663245 PECOS PAC ID: 8426243320 Enrollment ID: I20101117000103 |
| Provider Name | Allison A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811200066 PECOS PAC ID: 8426244369 Enrollment ID: I20101118000301 |
| Provider Name | Roxanne M Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295040905 PECOS PAC ID: 6800082223 Enrollment ID: I20101124001070 |
| Provider Name | Heena Satish Doshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508809781 PECOS PAC ID: 8527254853 Enrollment ID: I20101129000032 |
| Provider Name | Kurt Duffens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013003045 PECOS PAC ID: 4880880186 Enrollment ID: I20101129001005 |
| Provider Name | Nathaniel S Brigham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851362578 PECOS PAC ID: 5991991143 Enrollment ID: I20101130000525 |
| Provider Name | Philippa Holly Alexandra Newell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508028739 PECOS PAC ID: 4284821208 Enrollment ID: I20101202001240 |
| Provider Name | Colleen M Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154642700 PECOS PAC ID: 3173710746 Enrollment ID: I20101208000549 |
| Provider Name | Ellen L Andrae |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427248202 PECOS PAC ID: 0345437539 Enrollment ID: I20101214000989 |
| Provider Name | Kenneth A Ensroth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770599185 PECOS PAC ID: 8426246778 Enrollment ID: I20101230000604 |
| Provider Name | Martha S Roellig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316914807 PECOS PAC ID: 9638366792 Enrollment ID: I20110106000777 |
| Provider Name | Clyde Finch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598884033 PECOS PAC ID: 4284732488 Enrollment ID: I20110107000752 |
| Provider Name | Shirley A. Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437131984 PECOS PAC ID: 9032308416 Enrollment ID: I20110117000229 |
| Provider Name | Robert Willis Morse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174555312 PECOS PAC ID: 0941192892 Enrollment ID: I20110118000320 |
| Provider Name | John F Zurasky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255337572 PECOS PAC ID: 9234109802 Enrollment ID: I20110118000751 |
| Provider Name | Susanne K Bobenrieth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871577742 PECOS PAC ID: 2365438744 Enrollment ID: I20110121001016 |
| Provider Name | Rodney J Reid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417110149 PECOS PAC ID: 9335320563 Enrollment ID: I20110222000548 |
| Provider Name | Brian T Little |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912987009 PECOS PAC ID: 9436142437 Enrollment ID: I20110321000779 |
| Provider Name | Tanya M Scheibe Mirek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578868022 PECOS PAC ID: 0749463255 Enrollment ID: I20110321001014 |
| Provider Name | Diane K Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881863488 PECOS PAC ID: 3274660493 Enrollment ID: I20110325000419 |
| Provider Name | Thomas Wimmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083725097 PECOS PAC ID: 7517964497 Enrollment ID: I20110429000115 |
| Provider Name | Fareeha Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134325541 PECOS PAC ID: 2567531403 Enrollment ID: I20110429000209 |
| Provider Name | Charlotte C Ott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073538450 PECOS PAC ID: 7315941531 Enrollment ID: I20110510000359 |
| Provider Name | Jun Ma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417266354 PECOS PAC ID: 0749466019 Enrollment ID: I20110520000652 |
| Provider Name | James S Chong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821245788 PECOS PAC ID: 8527246131 Enrollment ID: I20110630000503 |
| Provider Name | Alex Jenkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306877535 PECOS PAC ID: 0143318642 Enrollment ID: I20110701000065 |
| Provider Name | Lianne Liang-jung Lin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497910210 PECOS PAC ID: 1355519950 Enrollment ID: I20110727000000 |
| Provider Name | Michael J Goldstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265693287 PECOS PAC ID: 4082882683 Enrollment ID: I20110727000004 |
| Provider Name | Gregory M Stroup |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053532564 PECOS PAC ID: 1254509854 Enrollment ID: I20110727000014 |
| Provider Name | Jeremy R Krueger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750543195 PECOS PAC ID: 3870761489 Enrollment ID: I20110727000049 |
| Provider Name | Nikhil Batra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205091576 PECOS PAC ID: 6305015199 Enrollment ID: I20110811000871 |
| Provider Name | Holly Milne Hofkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043402712 PECOS PAC ID: 8628115763 Enrollment ID: I20110812000442 |
| Provider Name | Rachel E Emery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770748584 PECOS PAC ID: 7517136070 Enrollment ID: I20110818000139 |
| Provider Name | Tricia T James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205097235 PECOS PAC ID: 1557530029 Enrollment ID: I20110818000206 |
| Provider Name | Charles Thayer White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740485432 PECOS PAC ID: 9739359258 Enrollment ID: I20110818000836 |
| Provider Name | Richard B Cook |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184869448 PECOS PAC ID: 5496925794 Enrollment ID: I20110824000244 |
| Provider Name | Aneet J Deo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013107556 PECOS PAC ID: 2466622592 Enrollment ID: I20110829000694 |
| Provider Name | Jared A Shipley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194933770 PECOS PAC ID: 4284820275 Enrollment ID: I20110906000167 |
| Provider Name | Mubeen A Jafri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245433184 PECOS PAC ID: 8022289511 Enrollment ID: I20110913000563 |
| Provider Name | Lian R Shaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154379576 PECOS PAC ID: 6002807724 Enrollment ID: I20110921000884 |
| Provider Name | Renata Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689817199 PECOS PAC ID: 3375714074 Enrollment ID: I20110928000565 |
| Provider Name | Benjamin L Calvert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316195704 PECOS PAC ID: 9931370624 Enrollment ID: I20110929000659 |
| Provider Name | Swati S Kakodkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578632469 PECOS PAC ID: 6709972490 Enrollment ID: I20110930000213 |
| Provider Name | Patrick K Lew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598961070 PECOS PAC ID: 6305018987 Enrollment ID: I20111003000564 |
| Provider Name | Melissa N Moffitt |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1346307709 PECOS PAC ID: 0547432171 Enrollment ID: I20111004000379 |
| Provider Name | Karen E Minzer Conzetti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508010372 PECOS PAC ID: 8820260359 Enrollment ID: I20111005000768 |
| Provider Name | Eileen K Mccarty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285879676 PECOS PAC ID: 2264604669 Enrollment ID: I20111006000762 |
| Provider Name | Shane O Rogosin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447451794 PECOS PAC ID: 8820260268 Enrollment ID: I20111007000429 |
| Provider Name | David J Tovey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932276961 PECOS PAC ID: 7113952623 Enrollment ID: I20111010000331 |
| Provider Name | Kathleen Sher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215173836 PECOS PAC ID: 6002088259 Enrollment ID: I20111011000776 |
| Provider Name | Ami D Kapadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366565509 PECOS PAC ID: 2961579909 Enrollment ID: I20111012000561 |
| Provider Name | Amy S Frankel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427293208 PECOS PAC ID: 2163694068 Enrollment ID: I20111019000639 |
| Provider Name | Stephanie B Mentch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730476250 PECOS PAC ID: 4284806084 Enrollment ID: I20111019000863 |
| Provider Name | Shaik I Basha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578712378 PECOS PAC ID: 0244403723 Enrollment ID: I20111027000862 |
| Provider Name | Bertha A Kao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912916271 PECOS PAC ID: 9335133768 Enrollment ID: I20111110000497 |
| Provider Name | Peter J Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124207436 PECOS PAC ID: 5092989103 Enrollment ID: I20111129000244 |
| Provider Name | Stephen Barri Heitner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508079419 PECOS PAC ID: 6709925829 Enrollment ID: I20111130000463 |
| Provider Name | Julianne F Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639450315 PECOS PAC ID: 1850566597 Enrollment ID: I20111208000459 |
| Provider Name | Olivia Kamayangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437312766 PECOS PAC ID: 7618155714 Enrollment ID: I20111212000589 |
| Provider Name | Karla A Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457597072 PECOS PAC ID: 2264608611 Enrollment ID: I20120105000838 |
| Provider Name | Crystal S Query |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750546461 PECOS PAC ID: 1153597463 Enrollment ID: I20120106000603 |
| Provider Name | Roberta C Bentson Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679626964 PECOS PAC ID: 4183890437 Enrollment ID: I20120109000206 |
| Provider Name | Christine M Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215158639 PECOS PAC ID: 3274677018 Enrollment ID: I20120116000095 |
| Provider Name | Jonathan L Vinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003836487 PECOS PAC ID: 9638113533 Enrollment ID: I20120124000982 |
| Provider Name | Edward J Chaplain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275559940 PECOS PAC ID: 7113955782 Enrollment ID: I20120124000985 |
| Provider Name | Ronald J Dworkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154327997 PECOS PAC ID: 7810038411 Enrollment ID: I20120220001017 |
| Provider Name | Maxine E Bauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497749345 PECOS PAC ID: 6709968829 Enrollment ID: I20120319000421 |
| Provider Name | Nancy M Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659365260 PECOS PAC ID: 7618059734 Enrollment ID: I20120319000442 |
| Provider Name | Briana J Mejia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063678720 PECOS PAC ID: 0648317958 Enrollment ID: I20120319000551 |
| Provider Name | Fortune L Lallande |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962508499 PECOS PAC ID: 4284895715 Enrollment ID: I20120410000712 |
| Provider Name | Rebecca B Rawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548573579 PECOS PAC ID: 7517120058 Enrollment ID: I20120521000649 |
| Provider Name | Brian Anthony Wheeler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962645028 PECOS PAC ID: 0547423907 Enrollment ID: I20120522000924 |
| Provider Name | Amit C Kansara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104093665 PECOS PAC ID: 4486817541 Enrollment ID: I20120530000096 |
| Provider Name | Hyrum F Durtschi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841336633 PECOS PAC ID: 0648433706 Enrollment ID: I20120530000119 |
| Provider Name | Emily J Puukka Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174759849 PECOS PAC ID: 6901069061 Enrollment ID: I20120530000134 |
| Provider Name | Tollie M Bohl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417245358 PECOS PAC ID: 7315102084 Enrollment ID: I20120702000191 |
| Provider Name | Sarah J Ridley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689683484 PECOS PAC ID: 0749285336 Enrollment ID: I20120702000437 |
| Provider Name | Jason Charles Wells |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497791610 PECOS PAC ID: 9436218823 Enrollment ID: I20120710000357 |
| Provider Name | Joanna O Leary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417101999 PECOS PAC ID: 6608032735 Enrollment ID: I20120718000329 |
| Provider Name | Terry Joan Wrobel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831377175 PECOS PAC ID: 0547247629 Enrollment ID: I20120725000756 |
| Provider Name | Jean Y Rim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518097963 PECOS PAC ID: 8123284437 Enrollment ID: I20120731000425 |
| Provider Name | Gabriel A Hyder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992947329 PECOS PAC ID: 4183880404 Enrollment ID: I20120731000478 |
| Provider Name | Nicole Hainley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609172006 PECOS PAC ID: 7911153077 Enrollment ID: I20120807000079 |
| Provider Name | Janelle D Yutzie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720200025 PECOS PAC ID: 1850468901 Enrollment ID: I20120809000345 |
| Provider Name | Barbra Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679695050 PECOS PAC ID: 4486754645 Enrollment ID: I20120816000981 |
| Provider Name | Denise M Janetos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467497073 PECOS PAC ID: 9335121672 Enrollment ID: I20120820001208 |
| Provider Name | Lohith V Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043442007 PECOS PAC ID: 0840447967 Enrollment ID: I20120824000427 |
| Provider Name | Nicholas B Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063646255 PECOS PAC ID: 8224285192 Enrollment ID: I20120828000659 |
| Provider Name | Kevin J Woolf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265580054 PECOS PAC ID: 6709971112 Enrollment ID: I20120829000476 |
| Provider Name | Archit C Bhatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750574547 PECOS PAC ID: 0648394155 Enrollment ID: I20120904000561 |
| Provider Name | Ashley E Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609000942 PECOS PAC ID: 8820245483 Enrollment ID: I20120904000585 |
| Provider Name | Sekou C Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538138276 PECOS PAC ID: 3476700956 Enrollment ID: I20120906000419 |
| Provider Name | David Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811194525 PECOS PAC ID: 2062660590 Enrollment ID: I20120907000173 |
| Provider Name | Chandra M Oleksiewicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811107832 PECOS PAC ID: 9335205111 Enrollment ID: I20120921000758 |
| Provider Name | Michael A Ohara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699900712 PECOS PAC ID: 9739337437 Enrollment ID: I20120921000785 |
| Provider Name | Christine L Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508070046 PECOS PAC ID: 9335212133 Enrollment ID: I20120921000793 |
| Provider Name | Jesus A Moreno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710113386 PECOS PAC ID: 7719135417 Enrollment ID: I20120921000797 |
| Provider Name | Katherine H Ching |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245551290 PECOS PAC ID: 8325296932 Enrollment ID: I20120924000152 |
| Provider Name | Scott C Brancato |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184849762 PECOS PAC ID: 9931358629 Enrollment ID: I20121015000084 |
| Provider Name | Sarah R Oller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982619565 PECOS PAC ID: 0941451769 Enrollment ID: I20121103000001 |
| Provider Name | Dorian Ramirez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609074020 PECOS PAC ID: 0244317915 Enrollment ID: I20121113000644 |
| Provider Name | Sheri B Prom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386996999 PECOS PAC ID: 0143471383 Enrollment ID: I20121115000334 |
| Provider Name | Natalya Balanetskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437405891 PECOS PAC ID: 4082865266 Enrollment ID: I20121116000153 |
| Provider Name | Jennifer M Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194048264 PECOS PAC ID: 0446401517 Enrollment ID: I20121119000567 |
| Provider Name | Olivia J Ullrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265688600 PECOS PAC ID: 2860543691 Enrollment ID: I20121120000201 |
| Provider Name | Megan M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710111448 PECOS PAC ID: 3678725173 Enrollment ID: I20121207000423 |
| Provider Name | Rom S Leidner |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801908702 PECOS PAC ID: 1052339066 Enrollment ID: I20121210000122 |
| Provider Name | Ghazaleh Jafari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821258468 PECOS PAC ID: 2961655204 Enrollment ID: I20130116000509 |
| Provider Name | Vanessa Vanderpool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154555498 PECOS PAC ID: 3173777406 Enrollment ID: I20130213000494 |
| Provider Name | Jeffrey A Youker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669791570 PECOS PAC ID: 6002061165 Enrollment ID: I20130222000033 |
| Provider Name | Chad Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336431154 PECOS PAC ID: 4183895105 Enrollment ID: I20130410000124 |
| Provider Name | Erica C Delgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922138627 PECOS PAC ID: 1153499736 Enrollment ID: I20130419000315 |
| Provider Name | Jayne E Elken |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104176023 PECOS PAC ID: 7315183159 Enrollment ID: I20130423000233 |
| Provider Name | Brian T Pavic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972822195 PECOS PAC ID: 1254577869 Enrollment ID: I20130425000569 |
| Provider Name | Laura D Milner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144560582 PECOS PAC ID: 9234376500 Enrollment ID: I20130503000228 |
| Provider Name | Daniela Letz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184785727 PECOS PAC ID: 1355588526 Enrollment ID: I20130507000192 |
| Provider Name | Rachael Lien Yeoman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437439528 PECOS PAC ID: 8729226956 Enrollment ID: I20130530000309 |
| Provider Name | Jamie L Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841434990 PECOS PAC ID: 6709021561 Enrollment ID: I20130603000709 |
| Provider Name | Kashif I K Sherwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952514341 PECOS PAC ID: 1658471727 Enrollment ID: I20130611000668 |
| Provider Name | Hina A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912136011 PECOS PAC ID: 7911155627 Enrollment ID: I20130703000349 |
| Provider Name | Lori M Tam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306036108 PECOS PAC ID: 4981844420 Enrollment ID: I20130708000029 |
| Provider Name | Aaron J Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750607594 PECOS PAC ID: 9638319361 Enrollment ID: I20130709000753 |
| Provider Name | Andrew D Rontal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063657328 PECOS PAC ID: 7911150065 Enrollment ID: I20130710000362 |
| Provider Name | Theodore Allen Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154646610 PECOS PAC ID: 0143466433 Enrollment ID: I20130712000332 |
| Provider Name | Heather S Abe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265745947 PECOS PAC ID: 1052552163 Enrollment ID: I20130731000694 |
| Provider Name | Andre D Grisham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629042122 PECOS PAC ID: 1355325184 Enrollment ID: I20130801000794 |
| Provider Name | Joshua D Remick |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1861697682 PECOS PAC ID: 2264698695 Enrollment ID: I20130802000124 |
| Provider Name | Melissa A Hemphill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801115100 PECOS PAC ID: 4183862303 Enrollment ID: I20130805000283 |
| Provider Name | John C Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205158128 PECOS PAC ID: 4284762543 Enrollment ID: I20130805000530 |
| Provider Name | Alejandro Perez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851577506 PECOS PAC ID: 8527111053 Enrollment ID: I20130805000991 |
| Provider Name | Regan M Duffy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487876827 PECOS PAC ID: 4082869656 Enrollment ID: I20130806000605 |
| Provider Name | Rhonda A Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083935787 PECOS PAC ID: 5294977922 Enrollment ID: I20130809000086 |
| Provider Name | Cynthia A Gingalewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043300502 PECOS PAC ID: 0042245292 Enrollment ID: I20130816000384 |
| Provider Name | Rui Li |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689871535 PECOS PAC ID: 3072756170 Enrollment ID: I20130821000058 |
| Provider Name | Cristian Nicu Ghetie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104000496 PECOS PAC ID: 4284775727 Enrollment ID: I20130906000259 |
| Provider Name | Jill K Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790004497 PECOS PAC ID: 6204076920 Enrollment ID: I20130906000355 |
| Provider Name | Greta K Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619204583 PECOS PAC ID: 6608918255 Enrollment ID: I20130909000232 |
| Provider Name | John M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245672286 PECOS PAC ID: 2163666306 Enrollment ID: I20130910000411 |
| Provider Name | Volodymyr Y Dovhyy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003049818 PECOS PAC ID: 8426297268 Enrollment ID: I20130912000385 |
| Provider Name | Danylle O Kappler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881984995 PECOS PAC ID: 4183868128 Enrollment ID: I20130913000241 |
| Provider Name | Breanne D Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376779041 PECOS PAC ID: 8729232004 Enrollment ID: I20130920000430 |
| Provider Name | Nicole L Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609208891 PECOS PAC ID: 9436393949 Enrollment ID: I20130924000549 |
| Provider Name | Jessica N James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326471616 PECOS PAC ID: 0143464503 Enrollment ID: I20130925000332 |
| Provider Name | Andreana M Gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134428378 PECOS PAC ID: 3870737240 Enrollment ID: I20130925000488 |
| Provider Name | Kindra Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154619260 PECOS PAC ID: 7719121193 Enrollment ID: I20130925000585 |
| Provider Name | Evan Alex Hiles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356773949 PECOS PAC ID: 0648414938 Enrollment ID: I20130927000073 |
| Provider Name | Cynthia M Easley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295074938 PECOS PAC ID: 4385878677 Enrollment ID: I20130927000198 |
| Provider Name | Jeremy P Bauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609888742 PECOS PAC ID: 3870727712 Enrollment ID: I20131009000945 |
| Provider Name | Thomas C Rittman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235392473 PECOS PAC ID: 9537315437 Enrollment ID: I20131022001749 |
| Provider Name | Elizabeth S Ballner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114193430 PECOS PAC ID: 9335310523 Enrollment ID: I20131023001357 |
| Provider Name | Jordan I Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649596875 PECOS PAC ID: 4688829401 Enrollment ID: I20131023002024 |
| Provider Name | Erika M Barber |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881861748 PECOS PAC ID: 9335374529 Enrollment ID: I20131023002110 |
| Provider Name | Lisa J Sabally |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992093819 PECOS PAC ID: 6305091992 Enrollment ID: I20131028000351 |
| Provider Name | Ingrid A Cherrytree |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538327838 PECOS PAC ID: 8022267996 Enrollment ID: I20131029000413 |
| Provider Name | Salona Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003002379 PECOS PAC ID: 5496842486 Enrollment ID: I20131101000541 |
| Provider Name | Ellen M Raney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407946577 PECOS PAC ID: 2466687082 Enrollment ID: I20131106001149 |
| Provider Name | Kathy K Bak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861412884 PECOS PAC ID: 9335177476 Enrollment ID: I20131114000034 |
| Provider Name | Jeri Turgesen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447688916 PECOS PAC ID: 4587890157 Enrollment ID: I20131204001229 |
| Provider Name | Robin K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124370200 PECOS PAC ID: 4486805504 Enrollment ID: I20131211001522 |
| Provider Name | Martha P Geisheker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194800961 PECOS PAC ID: 9931271038 Enrollment ID: I20131211002091 |
| Provider Name | Alice S Weston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902190820 PECOS PAC ID: 7012158330 Enrollment ID: I20131218001844 |
| Provider Name | Carol L Opheikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053732677 PECOS PAC ID: 3274762331 Enrollment ID: I20140212001465 |
| Provider Name | Maryann W Ogden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811131261 PECOS PAC ID: 9436300845 Enrollment ID: I20140311001902 |
| Provider Name | Matthew M Evans |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164647061 PECOS PAC ID: 7113191776 Enrollment ID: I20140312001360 |
| Provider Name | Daniel H Norfleet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871889741 PECOS PAC ID: 8224278932 Enrollment ID: I20140321001238 |
| Provider Name | Shai D Rosenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386904837 PECOS PAC ID: 9931340213 Enrollment ID: I20140326001093 |
| Provider Name | Kimberly S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578870069 PECOS PAC ID: 3476781055 Enrollment ID: I20140417002086 |
| Provider Name | Joanna K Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275849994 PECOS PAC ID: 5193957488 Enrollment ID: I20140421001801 |
| Provider Name | Yen P Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770874430 PECOS PAC ID: 8022241751 Enrollment ID: I20140505001820 |
| Provider Name | Katherine C Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558613414 PECOS PAC ID: 5193958726 Enrollment ID: I20140505002292 |
| Provider Name | Caitlin M Rice |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497184824 PECOS PAC ID: 7012140551 Enrollment ID: I20140507001300 |
| Provider Name | Amber L Watters |
|---|---|
| Provider Type | Practitioner - Orofacial Pain |
| Provider Identifiers | NPI Number: 1477786499 PECOS PAC ID: 8022280676 Enrollment ID: I20140514001294 |
| Provider Name | Robbie Bahl |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1942469762 PECOS PAC ID: 8628215365 Enrollment ID: I20140515001627 |
| Provider Name | Viki Moravec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831237064 PECOS PAC ID: 9830312073 Enrollment ID: I20140515002077 |
| Provider Name | Derek William Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518283589 PECOS PAC ID: 1153576962 Enrollment ID: I20140519001422 |
| Provider Name | Brian D Becker Broncheau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821226713 PECOS PAC ID: 2062687429 Enrollment ID: I20140606001957 |
| Provider Name | Ho-yann Jong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699096610 PECOS PAC ID: 9638340730 Enrollment ID: I20140611001576 |
| Provider Name | Allen Cheng |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1043537707 PECOS PAC ID: 7719101336 Enrollment ID: I20140620000927 |
| Provider Name | Tobias Pusch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811189632 PECOS PAC ID: 6901984806 Enrollment ID: I20140707001422 |
| Provider Name | Sorin Cadar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376854158 PECOS PAC ID: 7911122981 Enrollment ID: I20140707001507 |
| Provider Name | Bethany M Mcclenathan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073759841 PECOS PAC ID: 7618109364 Enrollment ID: I20140708001705 |
| Provider Name | Prakash Ambady |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962784298 PECOS PAC ID: 0941425771 Enrollment ID: I20140710000902 |
| Provider Name | Tian Yu Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285970343 PECOS PAC ID: 4284859935 Enrollment ID: I20140714000547 |
| Provider Name | Jay A Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215162318 PECOS PAC ID: 9032395173 Enrollment ID: I20140719000042 |
| Provider Name | Qian Leng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154637015 PECOS PAC ID: 1658524723 Enrollment ID: I20140724000599 |
| Provider Name | Daniel Alexander Ananyev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255678439 PECOS PAC ID: 1052537255 Enrollment ID: I20140724000913 |
| Provider Name | Sandra A Antonovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184773319 PECOS PAC ID: 9032335922 Enrollment ID: I20140730000710 |
| Provider Name | Michael D Goodwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568756591 PECOS PAC ID: 5698915312 Enrollment ID: I20140731000593 |
| Provider Name | Laura L Gaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033401906 PECOS PAC ID: 3678790185 Enrollment ID: I20140806002737 |
| Provider Name | Armasabille Ermita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629365382 PECOS PAC ID: 1254575145 Enrollment ID: I20140818000399 |
| Provider Name | William T Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407146822 PECOS PAC ID: 3577717859 Enrollment ID: I20140825001445 |
| Provider Name | Lilith M Judd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508032327 PECOS PAC ID: 8921263419 Enrollment ID: I20140826000192 |
| Provider Name | Amanda J Pickert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922232255 PECOS PAC ID: 4486779709 Enrollment ID: I20140911000023 |
| Provider Name | Anne-marie B Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720085475 PECOS PAC ID: 2567465495 Enrollment ID: I20140918001424 |
| Provider Name | Crystal L Griffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902229958 PECOS PAC ID: 6103045158 Enrollment ID: I20140924000767 |
| Provider Name | Joshua A Raj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356635395 PECOS PAC ID: 6103066832 Enrollment ID: I20141001000657 |
| Provider Name | Joana Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538583471 PECOS PAC ID: 8527288109 Enrollment ID: I20141002000549 |
| Provider Name | Hien M Bowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164706313 PECOS PAC ID: 6406087584 Enrollment ID: I20141008002399 |
| Provider Name | Jesse M Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467710095 PECOS PAC ID: 2769622497 Enrollment ID: I20141009002238 |
| Provider Name | Megan L Mudrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528250131 PECOS PAC ID: 1658459383 Enrollment ID: I20141016002424 |
| Provider Name | Shiliang Chang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710140215 PECOS PAC ID: 3577735034 Enrollment ID: I20141021003146 |
| Provider Name | Renee Carisio Farber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700855517 PECOS PAC ID: 2264525666 Enrollment ID: I20141105001124 |
| Provider Name | Julie M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801202528 PECOS PAC ID: 0749402642 Enrollment ID: I20141110000202 |
| Provider Name | Ian L Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154586105 PECOS PAC ID: 3476728411 Enrollment ID: I20141118002371 |
| Provider Name | Heidi U Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306810858 PECOS PAC ID: 9638317662 Enrollment ID: I20141120001406 |
| Provider Name | Nathaniel K Mccoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689973182 PECOS PAC ID: 6204068380 Enrollment ID: I20141217000709 |
| Provider Name | Patricia Millan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285854844 PECOS PAC ID: 7315092574 Enrollment ID: I20150102001645 |
| Provider Name | Elizabeth Uno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962796508 PECOS PAC ID: 0143454744 Enrollment ID: I20150105000916 |
| Provider Name | Barbara Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003223264 PECOS PAC ID: 7315261864 Enrollment ID: I20150112000328 |
| Provider Name | Jennifer H Lincoln |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528275815 PECOS PAC ID: 3173794369 Enrollment ID: I20150119000000 |
| Provider Name | Ramandeep Sidhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295912814 PECOS PAC ID: 7315074465 Enrollment ID: I20150120002027 |
| Provider Name | Edward Bieniek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083682744 PECOS PAC ID: 8022202647 Enrollment ID: I20150123000096 |
| Provider Name | Jacqueline Sammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235539594 PECOS PAC ID: 1052636628 Enrollment ID: I20150203001035 |
| Provider Name | Jennifer A Felker-norling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437286986 PECOS PAC ID: 3577888007 Enrollment ID: I20150204001399 |
| Provider Name | Mary Jepson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871927301 PECOS PAC ID: 7810126679 Enrollment ID: I20150204002240 |
| Provider Name | Trevor Moerkerke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437449287 PECOS PAC ID: 5193955490 Enrollment ID: I20150225001992 |
| Provider Name | Pia Klamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467708800 PECOS PAC ID: 6901053800 Enrollment ID: I20150226001647 |
| Provider Name | Eric D Falquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841681491 PECOS PAC ID: 1951629120 Enrollment ID: I20150420001123 |
| Provider Name | Brant Ullery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588826804 PECOS PAC ID: 4981922903 Enrollment ID: I20150422002206 |
| Provider Name | Cheri L Belling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023359213 PECOS PAC ID: 5890935761 Enrollment ID: I20150504001273 |
| Provider Name | John C. Conroy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962792713 PECOS PAC ID: 1557515830 Enrollment ID: I20150521000733 |
| Provider Name | Rachel J Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740516434 PECOS PAC ID: 8224263140 Enrollment ID: I20150521002590 |
| Provider Name | Julia M Curren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336403468 PECOS PAC ID: 8426201179 Enrollment ID: I20150528000010 |
| Provider Name | Jamie L Gorretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962898809 PECOS PAC ID: 9436460649 Enrollment ID: I20150615001432 |
| Provider Name | Ashish A Patel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1043415870 PECOS PAC ID: 4880905702 Enrollment ID: I20150618002993 |
| Provider Name | Ben Lawrence Pederson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073856142 PECOS PAC ID: 8022259613 Enrollment ID: I20150623002865 |
| Provider Name | Stephen Michael Salerno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851381743 PECOS PAC ID: 4688861529 Enrollment ID: I20150707003239 |
| Provider Name | Farzaneh Khezri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740578582 PECOS PAC ID: 9436461969 Enrollment ID: I20150710002504 |
| Provider Name | David B Page |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922241140 PECOS PAC ID: 0648583807 Enrollment ID: I20150716001603 |
| Provider Name | Kristen P. Massimino |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1720208556 PECOS PAC ID: 3375788276 Enrollment ID: I20150727001389 |
| Provider Name | Jennifer Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023214533 PECOS PAC ID: 9931343019 Enrollment ID: I20150728004368 |
| Provider Name | Phillip Letourneau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891021960 PECOS PAC ID: 1658409040 Enrollment ID: I20150728006118 |
| Provider Name | David Finigan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043444078 PECOS PAC ID: 2668636994 Enrollment ID: I20150803003054 |
| Provider Name | Aaron B Lyles |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679866271 PECOS PAC ID: 7517271521 Enrollment ID: I20150805006376 |
| Provider Name | Alireza Shabani Ardali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083862403 PECOS PAC ID: 4789730508 Enrollment ID: I20150811006094 |
| Provider Name | Augustine Okechukwu Okeke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043572696 PECOS PAC ID: 2567697998 Enrollment ID: I20150818004707 |
| Provider Name | Jamie L Randles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619103389 PECOS PAC ID: 1850549528 Enrollment ID: I20150819007378 |
| Provider Name | Palaniappan Chidambaram |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1770651200 PECOS PAC ID: 8729024146 Enrollment ID: I20150821013220 |
| Provider Name | Gina L Westhoff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1598927261 PECOS PAC ID: 8820240567 Enrollment ID: I20150825004570 |
| Provider Name | Caroline B Mcculley |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558709089 PECOS PAC ID: 7810122249 Enrollment ID: I20150829000120 |
| Provider Name | Lela T Gonzales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720348568 PECOS PAC ID: 7012158439 Enrollment ID: I20150831000750 |
| Provider Name | Charles A Saltalamacchia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336431881 PECOS PAC ID: 4688811219 Enrollment ID: I20150831003143 |
| Provider Name | Elise J Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790054831 PECOS PAC ID: 9032379193 Enrollment ID: I20150903002483 |
| Provider Name | Jose M Negron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548351877 PECOS PAC ID: 7719985209 Enrollment ID: I20150904000870 |
| Provider Name | Terena D Gimmillaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235574955 PECOS PAC ID: 5395970214 Enrollment ID: I20150908001807 |
| Provider Name | Heather E Merry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538278700 PECOS PAC ID: 5395915284 Enrollment ID: I20150909003390 |
| Provider Name | Chelsea Anne Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912257015 PECOS PAC ID: 4789991530 Enrollment ID: I20150911000619 |
| Provider Name | Allison C Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598028854 PECOS PAC ID: 4082921770 Enrollment ID: I20150911002504 |
| Provider Name | Thuy-tien V Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841551041 PECOS PAC ID: 3173764453 Enrollment ID: I20150917001546 |
| Provider Name | Polly C Molden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023430238 PECOS PAC ID: 2365759693 Enrollment ID: I20150917002775 |
| Provider Name | Mischa Ronick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780977371 PECOS PAC ID: 6204144132 Enrollment ID: I20150925002584 |
| Provider Name | Evan J Fertig |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275515918 PECOS PAC ID: 1557390218 Enrollment ID: I20150928001969 |
| Provider Name | Biggya L Sapkota |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006135 PECOS PAC ID: 0244405272 Enrollment ID: I20151007003377 |
| Provider Name | Jaclyn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255614624 PECOS PAC ID: 7810121258 Enrollment ID: I20151008002971 |
| Provider Name | Rebecca L Jorgensen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932579760 PECOS PAC ID: 3870802689 Enrollment ID: I20151019000917 |
| Provider Name | Frances A Derook |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922098060 PECOS PAC ID: 2668453929 Enrollment ID: I20151023001133 |
| Provider Name | Monica H Demasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871525303 PECOS PAC ID: 2668477977 Enrollment ID: I20151026000965 |
| Provider Name | Siddharth K Joshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467710632 PECOS PAC ID: 9335458736 Enrollment ID: I20151026002849 |
| Provider Name | Jamie N Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760904 PECOS PAC ID: 0042520355 Enrollment ID: I20151116002408 |
| Provider Name | Marcie K Drury Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609822139 PECOS PAC ID: 1850468679 Enrollment ID: I20151117002500 |
| Provider Name | Alea Rae Garces |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629440656 PECOS PAC ID: 4688974900 Enrollment ID: I20151118001278 |
| Provider Name | Herbert A Krob |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780615625 PECOS PAC ID: 0941303804 Enrollment ID: I20151119000427 |
| Provider Name | Rachel A Kvamme |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003080284 PECOS PAC ID: 3779883285 Enrollment ID: I20151204000682 |
| Provider Name | Elisa A Rudd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821413444 PECOS PAC ID: 2466753777 Enrollment ID: I20151210000949 |
| Provider Name | Erandi Liyanaarachchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518227651 PECOS PAC ID: 8820399736 Enrollment ID: I20151218001105 |
| Provider Name | Mini Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316238603 PECOS PAC ID: 8729231881 Enrollment ID: I20151221000023 |
| Provider Name | Shushaun B Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891101671 PECOS PAC ID: 6608096433 Enrollment ID: I20151229001532 |
| Provider Name | Denise M Viss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477927606 PECOS PAC ID: 8729380290 Enrollment ID: I20151230002036 |
| Provider Name | Alexander M Morss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225096167 PECOS PAC ID: 0648240226 Enrollment ID: I20160118000506 |
| Provider Name | Rayoung Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588002976 PECOS PAC ID: 8921249178 Enrollment ID: I20160129000428 |
| Provider Name | Laura Andreas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952766792 PECOS PAC ID: 7214231935 Enrollment ID: I20160201001221 |
| Provider Name | Ellen Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508235326 PECOS PAC ID: 2163726787 Enrollment ID: I20160202001547 |
| Provider Name | Laurel B Tor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649636648 PECOS PAC ID: 7911201363 Enrollment ID: I20160205001166 |
| Provider Name | Brandy Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285091892 PECOS PAC ID: 5991002990 Enrollment ID: I20160317001967 |
| Provider Name | Molly F Weeber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396009254 PECOS PAC ID: 0547567612 Enrollment ID: I20160405001206 |
| Provider Name | Sarita K Sapkota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255611760 PECOS PAC ID: 0244554707 Enrollment ID: I20160415001992 |
| Provider Name | Anthony D Gaston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588979553 PECOS PAC ID: 9436378882 Enrollment ID: I20160419001372 |
| Provider Name | Kelly Erin Myers Sugahara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740586601 PECOS PAC ID: 4082887351 Enrollment ID: I20160421000651 |
| Provider Name | Graham A Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114358033 PECOS PAC ID: 1850520503 Enrollment ID: I20160426002128 |
| Provider Name | Gita D Gelfer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023455805 PECOS PAC ID: 8123253531 Enrollment ID: I20160517000469 |
| Provider Name | Heather A Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962649848 PECOS PAC ID: 2365732831 Enrollment ID: I20160613001255 |
| Provider Name | Annalisa C Hawthorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922445394 PECOS PAC ID: 3476784356 Enrollment ID: I20160701001773 |
| Provider Name | Aaron W Spaugy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356608335 PECOS PAC ID: 4385881424 Enrollment ID: I20160705000450 |
| Provider Name | Anna M Meyers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184986325 PECOS PAC ID: 3779875133 Enrollment ID: I20160706001286 |
| Provider Name | Melissa A Wollan Francis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124280367 PECOS PAC ID: 0042452997 Enrollment ID: I20160706002728 |
| Provider Name | Kristi L Keats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336541846 PECOS PAC ID: 8325260177 Enrollment ID: I20160706002764 |
| Provider Name | Miranda S Boeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649574443 PECOS PAC ID: 0244522258 Enrollment ID: I20160712002752 |
| Provider Name | Diane Halvarson West |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336583103 PECOS PAC ID: 4688808181 Enrollment ID: I20160721000689 |
| Provider Name | Jason John Heino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457799017 PECOS PAC ID: 3971738790 Enrollment ID: I20160725001856 |
| Provider Name | Justin E Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649355462 PECOS PAC ID: 9638156144 Enrollment ID: I20160727001683 |
| Provider Name | Thomas P Huber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740205830 PECOS PAC ID: 5496885881 Enrollment ID: I20160801002764 |
| Provider Name | Mary E Kuebrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477902617 PECOS PAC ID: 5890089635 Enrollment ID: I20160802002300 |
| Provider Name | Katie M Riskey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962615658 PECOS PAC ID: 3476847138 Enrollment ID: I20160803002821 |
| Provider Name | Bryan Madden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164715991 PECOS PAC ID: 7214169986 Enrollment ID: I20160809002300 |
| Provider Name | Tira E Nesset |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245617158 PECOS PAC ID: 4981998994 Enrollment ID: I20160812001268 |
| Provider Name | William W Cuff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679913735 PECOS PAC ID: 4880914472 Enrollment ID: I20160812002168 |
| Provider Name | Clarice C Calopiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316051410 PECOS PAC ID: 6800828518 Enrollment ID: I20160815000666 |
| Provider Name | Lan-anh Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356414536 PECOS PAC ID: 8426020926 Enrollment ID: I20160815001032 |
| Provider Name | Matthew C Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679817704 PECOS PAC ID: 6204070352 Enrollment ID: I20160815001989 |
| Provider Name | Karina M Squire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154772911 PECOS PAC ID: 2769776632 Enrollment ID: I20160816001213 |
| Provider Name | Sarah M Hopkins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871892653 PECOS PAC ID: 5698994887 Enrollment ID: I20160819000923 |
| Provider Name | Rachel M Etringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124456470 PECOS PAC ID: 7113154576 Enrollment ID: I20160822002369 |
| Provider Name | Lara A Weyl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629333414 PECOS PAC ID: 6204121726 Enrollment ID: I20160823002499 |
| Provider Name | Dale E Milam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427428804 PECOS PAC ID: 8628363082 Enrollment ID: I20160824000790 |
| Provider Name | Julia C Swanson-birchill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023140597 PECOS PAC ID: 7810134897 Enrollment ID: I20160831001034 |
| Provider Name | Rachel M Rackow |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285862565 PECOS PAC ID: 0547499238 Enrollment ID: I20160901000763 |
| Provider Name | Sarah W Milam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699145078 PECOS PAC ID: 1850687682 Enrollment ID: I20160902002013 |
| Provider Name | Benjamin M Ware |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922411404 PECOS PAC ID: 8022233196 Enrollment ID: I20160906002699 |
| Provider Name | Daniel F O'neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588007926 PECOS PAC ID: 4183944598 Enrollment ID: I20160913000785 |
| Provider Name | Nicholas Ponzetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669925582 PECOS PAC ID: 7517253826 Enrollment ID: I20160913002416 |
| Provider Name | Heather M Kong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891013603 PECOS PAC ID: 4183939887 Enrollment ID: I20160920002681 |
| Provider Name | Paula J Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114165503 PECOS PAC ID: 9931496742 Enrollment ID: I20160922000425 |
| Provider Name | Juliette Eve Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700144615 PECOS PAC ID: 6901125939 Enrollment ID: I20160923002191 |
| Provider Name | Megan Locher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003133620 PECOS PAC ID: 0446547012 Enrollment ID: I20160926000583 |
| Provider Name | Jennifer L Yeast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285996926 PECOS PAC ID: 2062733900 Enrollment ID: I20160926002411 |
| Provider Name | Rhett J Butler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275979171 PECOS PAC ID: 7719112630 Enrollment ID: I20160927002379 |
| Provider Name | Daniel Fremont Goodwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407972821 PECOS PAC ID: 4587769294 Enrollment ID: I20160928002127 |
| Provider Name | Shannon R Ehleringer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568606770 PECOS PAC ID: 9830368125 Enrollment ID: I20161004002075 |
| Provider Name | Deborah K Fulkerson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770791527 PECOS PAC ID: 4981992153 Enrollment ID: I20161004002689 |
| Provider Name | Sarah R Sellevaag |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811345598 PECOS PAC ID: 0547558421 Enrollment ID: I20161007001718 |
| Provider Name | Jeannie Y Chun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639128499 PECOS PAC ID: 5092986885 Enrollment ID: I20161012002141 |
| Provider Name | Alexandra Gabrielle Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427497031 PECOS PAC ID: 1658693304 Enrollment ID: I20161020001329 |
| Provider Name | Suzanne K Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467587618 PECOS PAC ID: 7012295363 Enrollment ID: I20161020002394 |
| Provider Name | James Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659439214 PECOS PAC ID: 7517151764 Enrollment ID: I20161025001214 |
| Provider Name | Mary Beth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285832360 PECOS PAC ID: 6305023375 Enrollment ID: I20161026002118 |
| Provider Name | Celina C Sears |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790989598 PECOS PAC ID: 7214215144 Enrollment ID: I20161028000126 |
| Provider Name | Krister P Freese |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104053388 PECOS PAC ID: 9537488804 Enrollment ID: I20161104000830 |
| Provider Name | Tanya Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750285 PECOS PAC ID: 7911286372 Enrollment ID: I20161108001579 |
| Provider Name | Elisabeth Anacius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003109828 PECOS PAC ID: 7810155090 Enrollment ID: I20161109001708 |
| Provider Name | Whitney A Serafini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770033474 PECOS PAC ID: 2567741754 Enrollment ID: I20161110001448 |
| Provider Name | Lee M Anthony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336551555 PECOS PAC ID: 2769609551 Enrollment ID: I20161115001103 |
| Provider Name | Pawani Sachar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689955536 PECOS PAC ID: 9234421413 Enrollment ID: I20161121000373 |
| Provider Name | Amy Dodson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588844112 PECOS PAC ID: 6103105762 Enrollment ID: I20161122002104 |
| Provider Name | Matthew R Riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164486759 PECOS PAC ID: 7810277266 Enrollment ID: I20161201000963 |
| Provider Name | Angela Elaine S Lennon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245430933 PECOS PAC ID: 2860516218 Enrollment ID: I20161201001142 |
| Provider Name | Michelle C Welborn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821257718 PECOS PAC ID: 4082838321 Enrollment ID: I20161205001058 |
| Provider Name | Laura A Mcguire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841386703 PECOS PAC ID: 1153412515 Enrollment ID: I20161230001308 |
| Provider Name | Shaun M Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487810271 PECOS PAC ID: 0941581003 Enrollment ID: I20170103001476 |
| Provider Name | Jane H Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700928728 PECOS PAC ID: 4284929688 Enrollment ID: I20170109002634 |
| Provider Name | Erika Helen Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967986 PECOS PAC ID: 4789824970 Enrollment ID: I20170124002465 |
| Provider Name | Enrique Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528337201 PECOS PAC ID: 2769764786 Enrollment ID: I20170126000644 |
| Provider Name | Christine Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619125689 PECOS PAC ID: 4789577503 Enrollment ID: I20170202000570 |
| Provider Name | Marcia Woodburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417343229 PECOS PAC ID: 2062795180 Enrollment ID: I20170214002851 |
| Provider Name | Jaime Biava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538545082 PECOS PAC ID: 3971887753 Enrollment ID: I20170222000934 |
| Provider Name | Kelli R Harrington-bollenbaugh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992107544 PECOS PAC ID: 6608150289 Enrollment ID: I20170227001040 |
| Provider Name | Asher Pema Ngodrub Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699915355 PECOS PAC ID: 0244372837 Enrollment ID: I20170313001701 |
| Provider Name | David Charles Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952851685 PECOS PAC ID: 2466737069 Enrollment ID: I20170322001458 |
| Provider Name | Gina C Easley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427357680 PECOS PAC ID: 2466738810 Enrollment ID: I20170419000973 |
| Provider Name | Amy T Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588105191 PECOS PAC ID: 8426334731 Enrollment ID: I20170420000980 |
| Provider Name | Barbara J Torres |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871599217 PECOS PAC ID: 7214911148 Enrollment ID: I20170425000925 |
| Provider Name | Meghan Elizabeth Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194171579 PECOS PAC ID: 2466739420 Enrollment ID: I20170501002104 |
| Provider Name | Lindsey R Mckinley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265845754 PECOS PAC ID: 8022233279 Enrollment ID: I20170502002710 |
| Provider Name | Sasha M Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760849780 PECOS PAC ID: 5092092619 Enrollment ID: I20170509002767 |
| Provider Name | Robert K Hudon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700299294 PECOS PAC ID: 2365667516 Enrollment ID: I20170522002093 |
| Provider Name | Brian Bao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952729519 PECOS PAC ID: 2668698457 Enrollment ID: I20170602001448 |
| Provider Name | Victoria Reichman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659785590 PECOS PAC ID: 8224306188 Enrollment ID: I20170616001962 |
| Provider Name | Daniel E Westerdahl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396061834 PECOS PAC ID: 9830319961 Enrollment ID: I20170621000925 |
| Provider Name | Vincent Joseph Santo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841424108 PECOS PAC ID: 8729223425 Enrollment ID: I20170621002043 |
| Provider Name | Karen H Nagao |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396032488 PECOS PAC ID: 6901174697 Enrollment ID: I20170621002736 |
| Provider Name | Ravikiran Ellandula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356623177 PECOS PAC ID: 7517183304 Enrollment ID: I20170621003015 |
| Provider Name | Stephanie A Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851845440 PECOS PAC ID: 9537437082 Enrollment ID: I20170626000324 |
| Provider Name | Kathleen D Dronkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154602902 PECOS PAC ID: 4789952250 Enrollment ID: I20170626001002 |
| Provider Name | Son T Do |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285668822 PECOS PAC ID: 2668371337 Enrollment ID: I20170626001871 |
| Provider Name | William D Ruegg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780900969 PECOS PAC ID: 7911140017 Enrollment ID: I20170628003061 |
| Provider Name | Nandish P Dayal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235665522 PECOS PAC ID: 2567731862 Enrollment ID: I20170629001700 |
| Provider Name | Sohil R Makwana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487949582 PECOS PAC ID: 8820304389 Enrollment ID: I20170707002856 |
| Provider Name | Daniel M Fischer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275875189 PECOS PAC ID: 4688978307 Enrollment ID: I20170711003301 |
| Provider Name | Ryan P Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831300672 PECOS PAC ID: 4284903980 Enrollment ID: I20170712002564 |
| Provider Name | Carl B Anderson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1871619080 PECOS PAC ID: 3173686110 Enrollment ID: I20170713002016 |
| Provider Name | Jodi R Moon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679891501 PECOS PAC ID: 3971873589 Enrollment ID: I20170713003674 |
| Provider Name | Zachary G Pena |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538592399 PECOS PAC ID: 2264652593 Enrollment ID: I20170714001374 |
| Provider Name | Christopher Schraner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578959466 PECOS PAC ID: 0446520027 Enrollment ID: I20170714002820 |
| Provider Name | Brandon M Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043447873 PECOS PAC ID: 8426210675 Enrollment ID: I20170718001370 |
| Provider Name | Jaleh M Rahimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235542622 PECOS PAC ID: 6406175462 Enrollment ID: I20170719003698 |
| Provider Name | Robin N Jackson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700083185 PECOS PAC ID: 6901176924 Enrollment ID: I20170725002077 |
| Provider Name | Suzanne L Mckenzie |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063967628 PECOS PAC ID: 4082984901 Enrollment ID: I20170725002157 |
| Provider Name | Christina A Heiberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336676691 PECOS PAC ID: 4385914274 Enrollment ID: I20170726000968 |
| Provider Name | Melissa L Weismiller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639290521 PECOS PAC ID: 5193095917 Enrollment ID: I20170726002926 |
| Provider Name | Stephanie M Griffith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497167613 PECOS PAC ID: 8325265317 Enrollment ID: I20170726004011 |
| Provider Name | Divya U Soman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750547535 PECOS PAC ID: 7315115128 Enrollment ID: I20170801003811 |
| Provider Name | Bryan D Thieme |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639333511 PECOS PAC ID: 2769753227 Enrollment ID: I20170802002620 |
| Provider Name | Sareena D Oncea |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609207406 PECOS PAC ID: 6608179353 Enrollment ID: I20170804001990 |
| Provider Name | Daniel Nmi Davila Bradley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245587823 PECOS PAC ID: 7416174602 Enrollment ID: I20170804002976 |
| Provider Name | Jeffrey J Buenjemia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982896932 PECOS PAC ID: 2961590245 Enrollment ID: I20170808003995 |
| Provider Name | Herbert H Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235124520 PECOS PAC ID: 9931135324 Enrollment ID: I20170811002431 |
| Provider Name | Christina E Fratangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154680817 PECOS PAC ID: 5890943609 Enrollment ID: I20170815001385 |
| Provider Name | Nicoleta C Voian |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1417191081 PECOS PAC ID: 3779742184 Enrollment ID: I20170815002581 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20170816004306 |
| Provider Name | Christopher J Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720498512 PECOS PAC ID: 5698995306 Enrollment ID: I20170821002908 |
| Provider Name | Glen C Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477958569 PECOS PAC ID: 4284959289 Enrollment ID: I20170824001018 |
| Provider Name | Ivan I Biley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073993069 PECOS PAC ID: 7618280611 Enrollment ID: I20170828003403 |
| Provider Name | Alison L Christy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639436074 PECOS PAC ID: 8921243791 Enrollment ID: I20170830003060 |
| Provider Name | Lena K Hillenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042502 PECOS PAC ID: 9335117795 Enrollment ID: I20170905000113 |
| Provider Name | Siobhan J Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407811433 PECOS PAC ID: 7113938473 Enrollment ID: I20170906003517 |
| Provider Name | Austen Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689094583 PECOS PAC ID: 6901024595 Enrollment ID: I20170915001184 |
| Provider Name | Daniel J Bouton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386934388 PECOS PAC ID: 0143469270 Enrollment ID: I20170925001705 |
| Provider Name | Tyler S Mittelstaedt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053678284 PECOS PAC ID: 4486809076 Enrollment ID: I20170926004089 |
| Provider Name | Edward Y Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659783546 PECOS PAC ID: 0446525174 Enrollment ID: I20171006000029 |
| Provider Name | Jamie M Libera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710424122 PECOS PAC ID: 7911272505 Enrollment ID: I20171006003103 |
| Provider Name | Reza Kafi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891737201 PECOS PAC ID: 6204851793 Enrollment ID: I20171017000591 |
| Provider Name | Katrin Beene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518476282 PECOS PAC ID: 9537435623 Enrollment ID: I20171017002050 |
| Provider Name | Kathryn O Fuchs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962796946 PECOS PAC ID: 2567768625 Enrollment ID: I20171023002432 |
| Provider Name | Susan K Glinka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326588708 PECOS PAC ID: 2264708007 Enrollment ID: I20171024001615 |
| Provider Name | Nancy A Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710241559 PECOS PAC ID: 5799927802 Enrollment ID: I20171108003004 |
| Provider Name | Beverly D Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740479831 PECOS PAC ID: 2860758364 Enrollment ID: I20171116002117 |
| Provider Name | Kelley Crusius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801145867 PECOS PAC ID: 6002173366 Enrollment ID: I20171122001349 |
| Provider Name | Mohamed Refaat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053607457 PECOS PAC ID: 1557591625 Enrollment ID: I20171129000688 |
| Provider Name | Sarah Grace Fitch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699959429 PECOS PAC ID: 9739446758 Enrollment ID: I20171129003558 |
| Provider Name | Kathleen Loretta Strooband |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902319908 PECOS PAC ID: 7810254851 Enrollment ID: I20171130000753 |
| Provider Name | Callie Sockler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548716764 PECOS PAC ID: 1153689484 Enrollment ID: I20171214002261 |
| Provider Name | Nathan Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104251263 PECOS PAC ID: 5597023192 Enrollment ID: I20180102001725 |
| Provider Name | Nina R Frank |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215215736 PECOS PAC ID: 5092031294 Enrollment ID: I20180105001326 |
| Provider Name | Soohyun Karen Yoon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104026285 PECOS PAC ID: 6002000247 Enrollment ID: I20180110002703 |
| Provider Name | Jessica L Newgard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164895173 PECOS PAC ID: 4789943119 Enrollment ID: I20180110003315 |
| Provider Name | Aravind Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255742466 PECOS PAC ID: 3375809080 Enrollment ID: I20180118001601 |
| Provider Name | Kristine J Dukart-harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477914067 PECOS PAC ID: 2769774744 Enrollment ID: I20180119001572 |
| Provider Name | Christiann Michelle Collins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205029345 PECOS PAC ID: 3274628466 Enrollment ID: I20180122002385 |
| Provider Name | Gabriel Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801162789 PECOS PAC ID: 4284875410 Enrollment ID: I20180123000372 |
| Provider Name | Anna L Hemphill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942591813 PECOS PAC ID: 0840426367 Enrollment ID: I20180124001474 |
| Provider Name | Laura Michelle Donart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336653518 PECOS PAC ID: 6507126133 Enrollment ID: I20180130002786 |
| Provider Name | Christine Seunga Chun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376050989 PECOS PAC ID: 6204196793 Enrollment ID: I20180131003114 |
| Provider Name | Oliver Loriega Arquero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962713776 PECOS PAC ID: 3173763141 Enrollment ID: I20180213001046 |
| Provider Name | Jennifer Shannon Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285095398 PECOS PAC ID: 9133411671 Enrollment ID: I20180214001079 |
| Provider Name | Tessa B Collins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821009556 PECOS PAC ID: 7113972860 Enrollment ID: I20180222002150 |
| Provider Name | Torin Patrick Fitton |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1821148644 PECOS PAC ID: 8022008465 Enrollment ID: I20180306001034 |
| Provider Name | Benjamin J Hartwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578008397 PECOS PAC ID: 2860754009 Enrollment ID: I20180327002925 |
| Provider Name | Michael Long Trieu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538280508 PECOS PAC ID: 3072730597 Enrollment ID: I20180404001358 |
| Provider Name | Clarke Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962906958 PECOS PAC ID: 8820351422 Enrollment ID: I20180412002152 |
| Provider Name | Stephen Teng-yip Yau |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154616035 PECOS PAC ID: 6800193012 Enrollment ID: I20180418000975 |
| Provider Name | Nicole Marie Rudy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023510161 PECOS PAC ID: 8628333630 Enrollment ID: I20180522002117 |
| Provider Name | Nicholas Thompson Olney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447519830 PECOS PAC ID: 4183936735 Enrollment ID: I20180529003063 |
| Provider Name | Hoda A Ilias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114315603 PECOS PAC ID: 1850656513 Enrollment ID: I20180530000402 |
| Provider Name | Benjamin Pedroja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821477910 PECOS PAC ID: 5496069833 Enrollment ID: I20180531001899 |
| Provider Name | Jessica Ellen Rice |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457778656 PECOS PAC ID: 2062639818 Enrollment ID: I20180619001833 |
| Provider Name | Elena Styles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912394743 PECOS PAC ID: 2062773369 Enrollment ID: I20180625000721 |
| Provider Name | Duy Quang Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134115512 PECOS PAC ID: 3678587425 Enrollment ID: I20180625000788 |
| Provider Name | Caitlin D Duran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679063531 PECOS PAC ID: 5193071496 Enrollment ID: I20180628001563 |
| Provider Name | John Noel Dussel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902192396 PECOS PAC ID: 5496049504 Enrollment ID: I20180628002241 |
| Provider Name | Jacob P Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942689930 PECOS PAC ID: 9032421763 Enrollment ID: I20180705001919 |
| Provider Name | Michele Lynn Babicky |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1871742478 PECOS PAC ID: 6406103175 Enrollment ID: I20180726001003 |
| Provider Name | Cassandra Michelle Niemi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861781767 PECOS PAC ID: 3476708470 Enrollment ID: I20180807003952 |
| Provider Name | Joseph R Smith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003983818 PECOS PAC ID: 0143255489 Enrollment ID: I20180809000639 |
| Provider Name | Randolph K Cribbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770675563 PECOS PAC ID: 3274614169 Enrollment ID: I20180809005374 |
| Provider Name | Allison Claire Nauta |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922255322 PECOS PAC ID: 0840437992 Enrollment ID: I20180815003608 |
| Provider Name | Stacy Michelle Butler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659799385 PECOS PAC ID: 7113223074 Enrollment ID: I20180827003281 |
| Provider Name | Margaret J Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659699528 PECOS PAC ID: 0648584193 Enrollment ID: I20180828000858 |
| Provider Name | Mark Wilkison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912394016 PECOS PAC ID: 6800104241 Enrollment ID: I20180829002754 |
| Provider Name | Tyler Cole Duffield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962842203 PECOS PAC ID: 9537419098 Enrollment ID: I20180904000692 |
| Provider Name | Phebe L Matsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760822290 PECOS PAC ID: 3274848932 Enrollment ID: I20180904001571 |
| Provider Name | Brittany N Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851731673 PECOS PAC ID: 6406163690 Enrollment ID: I20180906003468 |
| Provider Name | Andreas M Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609036136 PECOS PAC ID: 0143441683 Enrollment ID: I20180910002378 |
| Provider Name | Kyle David Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689068033 PECOS PAC ID: 1951600022 Enrollment ID: I20180911001586 |
| Provider Name | Roma Moza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063779569 PECOS PAC ID: 5991090938 Enrollment ID: I20180914001032 |
| Provider Name | Jahnavi Chandrashekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427442664 PECOS PAC ID: 0345557831 Enrollment ID: I20180914002644 |
| Provider Name | Eric T Burgh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144679895 PECOS PAC ID: 9931491412 Enrollment ID: I20180918003230 |
| Provider Name | Sandra Iloka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114311222 PECOS PAC ID: 3971812108 Enrollment ID: I20180920001959 |
| Provider Name | Nicholas L Stucky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912265190 PECOS PAC ID: 6204072671 Enrollment ID: I20180921002075 |
| Provider Name | Jennifer Rose Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538656434 PECOS PAC ID: 5799036273 Enrollment ID: I20180921002091 |
| Provider Name | Amelia H Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144649179 PECOS PAC ID: 4082831763 Enrollment ID: I20181008003105 |
| Provider Name | Randolph Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487176657 PECOS PAC ID: 7517220668 Enrollment ID: I20181010000855 |
| Provider Name | Jaecelle Guadiz Galeniece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013321389 PECOS PAC ID: 2860763273 Enrollment ID: I20181021000011 |
| Provider Name | Laura E Holton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487090270 PECOS PAC ID: 5890920714 Enrollment ID: I20181022002396 |
| Provider Name | Lan Ban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134500358 PECOS PAC ID: 6608189816 Enrollment ID: I20181025001927 |
| Provider Name | Pavel Mitaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760862494 PECOS PAC ID: 1557673597 Enrollment ID: I20181025003118 |
| Provider Name | Lindsay Megan Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336405042 PECOS PAC ID: 7618111204 Enrollment ID: I20181026000541 |
| Provider Name | Jennifer M Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174002976 PECOS PAC ID: 8628321346 Enrollment ID: I20181026001448 |
| Provider Name | Shana M Mcclung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992084438 PECOS PAC ID: 8123371796 Enrollment ID: I20181029001580 |
| Provider Name | Kathryn R Rompala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730563214 PECOS PAC ID: 0648571992 Enrollment ID: I20181029001842 |
| Provider Name | Lisa K Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093128571 PECOS PAC ID: 9537384623 Enrollment ID: I20181105003497 |
| Provider Name | Joseph Daniel Gottfried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801829262 PECOS PAC ID: 4486799483 Enrollment ID: I20181112001819 |
| Provider Name | Jason Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154702538 PECOS PAC ID: 6204140080 Enrollment ID: I20181126003535 |
| Provider Name | Molly Christine Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154809903 PECOS PAC ID: 1658625918 Enrollment ID: I20181126003706 |
| Provider Name | Ted Hideki Yamamoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689012015 PECOS PAC ID: 2466737960 Enrollment ID: I20181130000136 |
| Provider Name | Alexander H Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891121802 PECOS PAC ID: 7012251564 Enrollment ID: I20181210003105 |
| Provider Name | Anna L Hiebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008096 PECOS PAC ID: 0648515882 Enrollment ID: I20181217002517 |
| Provider Name | Robert V Eller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770556201 PECOS PAC ID: 2264407345 Enrollment ID: I20190102000149 |
| Provider Name | Muhammad U Farooq |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598945156 PECOS PAC ID: 8729132857 Enrollment ID: I20190108000896 |
| Provider Name | Heather L Jorgensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548787708 PECOS PAC ID: 7517203797 Enrollment ID: I20190109000130 |
| Provider Name | Ayodeji A Oduola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942530266 PECOS PAC ID: 6305009077 Enrollment ID: I20190110000750 |
| Provider Name | Patrick James Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437624038 PECOS PAC ID: 6901142090 Enrollment ID: I20190110001210 |
| Provider Name | Alefiyah Rajabali |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386925899 PECOS PAC ID: 7517127467 Enrollment ID: I20190118001699 |
| Provider Name | Jesse Dean Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851566822 PECOS PAC ID: 6204007040 Enrollment ID: I20190122002682 |
| Provider Name | Eleanor B Debakker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831669191 PECOS PAC ID: 7416294426 Enrollment ID: I20190129003655 |
| Provider Name | Katherine Michelle Elstun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114963717 PECOS PAC ID: 5395747943 Enrollment ID: I20190201001374 |
| Provider Name | Michael J Dienberg |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003200122 PECOS PAC ID: 6002122801 Enrollment ID: I20190214002236 |
| Provider Name | Katie B Mcculloch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013454842 PECOS PAC ID: 1052698925 Enrollment ID: I20190225000930 |
| Provider Name | Wendi Kay Drummond |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417160797 PECOS PAC ID: 9739272428 Enrollment ID: I20190225001675 |
| Provider Name | Lauren Alise Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851899884 PECOS PAC ID: 2769721026 Enrollment ID: I20190304001660 |
| Provider Name | Gritz Pierre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215319140 PECOS PAC ID: 2961718259 Enrollment ID: I20190311000280 |
| Provider Name | Tarra Lynne Castillo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235459041 PECOS PAC ID: 1355680216 Enrollment ID: I20190312000448 |
| Provider Name | Maysee Dawn Salleva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326336777 PECOS PAC ID: 0345478665 Enrollment ID: I20190313002708 |
| Provider Name | Amy Chu Tsai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588831713 PECOS PAC ID: 2264604735 Enrollment ID: I20190319000062 |
| Provider Name | Kelsey Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397114 PECOS PAC ID: 5092074310 Enrollment ID: I20190321000438 |
| Provider Name | Mary Anne Joseph Nidiry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518041045 PECOS PAC ID: 2264533249 Enrollment ID: I20190329002038 |
| Provider Name | Jonathan Ryan Fordyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447736608 PECOS PAC ID: 8628326626 Enrollment ID: I20190401000923 |
| Provider Name | Andrea L Purtzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702428 PECOS PAC ID: 6204116866 Enrollment ID: I20190401002237 |
| Provider Name | Erin R Molstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487134193 PECOS PAC ID: 2264773225 Enrollment ID: I20190401002458 |
| Provider Name | Jenna Hannah Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518419704 PECOS PAC ID: 1456631290 Enrollment ID: I20190402000913 |
| Provider Name | Robert M Bernstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619951548 PECOS PAC ID: 0648286609 Enrollment ID: I20190405000171 |
| Provider Name | Kyla J Laraway |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598202152 PECOS PAC ID: 7012258239 Enrollment ID: I20190416001074 |
| Provider Name | Virginia Sohn Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043324270 PECOS PAC ID: 7315847449 Enrollment ID: I20190416001521 |
| Provider Name | Jesse Akaki Hodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518435585 PECOS PAC ID: 7911248174 Enrollment ID: I20190416002457 |
| Provider Name | Lauren Michelle Mcintyre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326526203 PECOS PAC ID: 3072854728 Enrollment ID: I20190417000447 |
| Provider Name | Bruce Geryk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275794802 PECOS PAC ID: 5092933846 Enrollment ID: I20190422001901 |
| Provider Name | Arnold Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811320179 PECOS PAC ID: 0749505998 Enrollment ID: I20190522000408 |
| Provider Name | Husameddin Rawhi El-bakri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851660955 PECOS PAC ID: 0547421224 Enrollment ID: I20190529003174 |
| Provider Name | Catherine Y.h. Wagoner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487627550 PECOS PAC ID: 6002080470 Enrollment ID: I20190603002210 |
| Provider Name | Barbara Deborah Mandell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568925980 PECOS PAC ID: 0446583660 Enrollment ID: I20190603002469 |
| Provider Name | Devon Charles Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912361833 PECOS PAC ID: 9830455443 Enrollment ID: I20190606002821 |
| Provider Name | Isaac Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801243530 PECOS PAC ID: 9335431824 Enrollment ID: I20190607000492 |
| Provider Name | Imran Mohamedy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841226255 PECOS PAC ID: 5395709562 Enrollment ID: I20190607001826 |
| Provider Name | Susan Lien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558924753 PECOS PAC ID: 7810220712 Enrollment ID: I20190607002101 |
| Provider Name | Matthew Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154776359 PECOS PAC ID: 4082961941 Enrollment ID: I20190610001060 |
| Provider Name | Michael H Bourne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881030443 PECOS PAC ID: 1951549948 Enrollment ID: I20190619003354 |
| Provider Name | Hidekazu Hosono |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821234170 PECOS PAC ID: 1759552557 Enrollment ID: I20190620002971 |
| Provider Name | Annie W Chiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376924670 PECOS PAC ID: 4880980192 Enrollment ID: I20190621001380 |
| Provider Name | Sarah J Wolff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649682576 PECOS PAC ID: 9234410309 Enrollment ID: I20190621002295 |
| Provider Name | Matthew A Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851731681 PECOS PAC ID: 7719280684 Enrollment ID: I20190624000917 |
| Provider Name | Benjamin D Houser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174956049 PECOS PAC ID: 4284927088 Enrollment ID: I20190624000959 |
| Provider Name | Jenna Elizabeth Kay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760771380 PECOS PAC ID: 0446478531 Enrollment ID: I20190624001090 |
| Provider Name | Aika Shepard Gumboc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073599528 PECOS PAC ID: 1456685544 Enrollment ID: I20190624001663 |
| Provider Name | Edyth R Lee Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760836696 PECOS PAC ID: 8820388119 Enrollment ID: I20190624003279 |
| Provider Name | Lily Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932501186 PECOS PAC ID: 6608100664 Enrollment ID: I20190625001432 |
| Provider Name | Sarah Rachel Garey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952798159 PECOS PAC ID: 1153664461 Enrollment ID: I20190625001473 |
| Provider Name | Derrick Evan Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497104715 PECOS PAC ID: 4880966696 Enrollment ID: I20190625002160 |
| Provider Name | Rhezarie Mae A Agtarap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023576659 PECOS PAC ID: 8729312681 Enrollment ID: I20190626001557 |
| Provider Name | Eric P Tubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316107477 PECOS PAC ID: 9931396546 Enrollment ID: I20190627003563 |
| Provider Name | Traci Ackron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336588789 PECOS PAC ID: 3375836455 Enrollment ID: I20190701001967 |
| Provider Name | Elizabeth S Hutchinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205269800 PECOS PAC ID: 3678865474 Enrollment ID: I20190711001665 |
| Provider Name | Lisa A Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679892756 PECOS PAC ID: 7214202324 Enrollment ID: I20190712002545 |
| Provider Name | Katherine A Mayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821584889 PECOS PAC ID: 4789919622 Enrollment ID: I20190715001059 |
| Provider Name | Ian D Ledford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427425818 PECOS PAC ID: 5890089064 Enrollment ID: I20190716001415 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20190716002659 |
| Provider Name | Hayden T Oldham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817045 PECOS PAC ID: 3870801129 Enrollment ID: I20190716003030 |
| Provider Name | Joshua J Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851633077 PECOS PAC ID: 0143556654 Enrollment ID: I20190722001983 |
| Provider Name | Robert Carl Isler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225246523 PECOS PAC ID: 0840526893 Enrollment ID: I20190729002241 |
| Provider Name | Sanjog Bastola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922459064 PECOS PAC ID: 4981996253 Enrollment ID: I20190731004037 |
| Provider Name | Michael Z Saladik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710327473 PECOS PAC ID: 3072806892 Enrollment ID: I20190802000949 |
| Provider Name | Evelyn Mary Brosnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497098941 PECOS PAC ID: 2668771825 Enrollment ID: I20190802001354 |
| Provider Name | Katrine Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588194179 PECOS PAC ID: 9830426543 Enrollment ID: I20190802002245 |
| Provider Name | Ewen J Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841647559 PECOS PAC ID: 3779877378 Enrollment ID: I20190805000782 |
| Provider Name | Shahana Falah Baig-lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982066858 PECOS PAC ID: 9436446143 Enrollment ID: I20190805001394 |
| Provider Name | Lydia A Raney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114374006 PECOS PAC ID: 4688955701 Enrollment ID: I20190807003971 |
| Provider Name | Christa J Cerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801298484 PECOS PAC ID: 0244558047 Enrollment ID: I20190809000312 |
| Provider Name | Benjamin A Babb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417301151 PECOS PAC ID: 2567755945 Enrollment ID: I20190814001568 |
| Provider Name | Samuel Grovenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548624166 PECOS PAC ID: 7416243688 Enrollment ID: I20190814003129 |
| Provider Name | Shejuti Guha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952751505 PECOS PAC ID: 8628321973 Enrollment ID: I20190820004275 |
| Provider Name | Sriram Ravi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831456979 PECOS PAC ID: 4183869555 Enrollment ID: I20190820004298 |
| Provider Name | Jaclyn Renee Derosso |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184186447 PECOS PAC ID: 2668700964 Enrollment ID: I20190823003504 |
| Provider Name | Wendy W Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184016099 PECOS PAC ID: 5597085399 Enrollment ID: I20190827000686 |
| Provider Name | Mary E Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639730666 PECOS PAC ID: 3274861117 Enrollment ID: I20190829003663 |
| Provider Name | Dana Lynn Moussalli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073172615 PECOS PAC ID: 2163751793 Enrollment ID: I20190908000010 |
| Provider Name | Rachel L Zubko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578737342 PECOS PAC ID: 7012189889 Enrollment ID: I20190909003266 |
| Provider Name | Sonam Ravindra Kiwalkar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609215987 PECOS PAC ID: 0042592552 Enrollment ID: I20190910001414 |
| Provider Name | Barry D Pederson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215208855 PECOS PAC ID: 1254574247 Enrollment ID: I20190910002974 |
| Provider Name | Elise Larson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043673619 PECOS PAC ID: 5193011419 Enrollment ID: I20190911001910 |
| Provider Name | Jocelyn C Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083018204 PECOS PAC ID: 3678821741 Enrollment ID: I20190911003491 |
| Provider Name | Pratik D Bhattacharya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528212768 PECOS PAC ID: 1355529116 Enrollment ID: I20190917002443 |
| Provider Name | Nicole R Benthin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407400500 PECOS PAC ID: 0941530869 Enrollment ID: I20190919001028 |
| Provider Name | Tracy Bazan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487073789 PECOS PAC ID: 0547489841 Enrollment ID: I20190919001910 |
| Provider Name | Alina K Satterfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467881441 PECOS PAC ID: 2567743685 Enrollment ID: I20190919002520 |
| Provider Name | Viva Wheaton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528532884 PECOS PAC ID: 5496083305 Enrollment ID: I20190923002909 |
| Provider Name | Amelie M Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285067132 PECOS PAC ID: 3476847849 Enrollment ID: I20190924002255 |
| Provider Name | Elizabeth Leah Blackford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265910590 PECOS PAC ID: 8022348507 Enrollment ID: I20190925003756 |
| Provider Name | Rajpreet Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316391956 PECOS PAC ID: 8022305473 Enrollment ID: I20191001001964 |
| Provider Name | Jennifer G Rodgers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962812891 PECOS PAC ID: 6709007495 Enrollment ID: I20191021002305 |
| Provider Name | Zheru Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578718755 PECOS PAC ID: 1254488422 Enrollment ID: I20191021002885 |
| Provider Name | Ryan M Argyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942614292 PECOS PAC ID: 0042439846 Enrollment ID: I20191028003227 |
| Provider Name | Jesse Elyse Chase |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780097410 PECOS PAC ID: 5193057644 Enrollment ID: I20191101001156 |
| Provider Name | Esther S Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447807532 PECOS PAC ID: 1052643541 Enrollment ID: I20191103000016 |
| Provider Name | Mandeep K Kingra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750693602 PECOS PAC ID: 0648462473 Enrollment ID: I20191104001159 |
| Provider Name | Dominique Dantes Laron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164789079 PECOS PAC ID: 9335432798 Enrollment ID: I20191104001766 |
| Provider Name | Kelsey Susan Alama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598137424 PECOS PAC ID: 5991083693 Enrollment ID: I20191113001081 |
| Provider Name | Yeong Paul Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104161777 PECOS PAC ID: 0345495792 Enrollment ID: I20191114002836 |
| Provider Name | Melinda C Burns-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710351341 PECOS PAC ID: 1456658327 Enrollment ID: I20191115000293 |
| Provider Name | Jade Bergez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174038277 PECOS PAC ID: 4183056963 Enrollment ID: I20191115002270 |
| Provider Name | Raquel A Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477102689 PECOS PAC ID: 2567894397 Enrollment ID: I20191118001015 |
| Provider Name | Burkley Snow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336468404 PECOS PAC ID: 7517251465 Enrollment ID: I20191118002230 |
| Provider Name | Gaelen Glen Watt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124412366 PECOS PAC ID: 9537592936 Enrollment ID: I20191125001605 |
| Provider Name | Brent D Fisk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124418561 PECOS PAC ID: 3779916887 Enrollment ID: I20191204000372 |
| Provider Name | Jennifer M Brinkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053968578 PECOS PAC ID: 3274966270 Enrollment ID: I20191205000998 |
| Provider Name | Frances K Lawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851334387 PECOS PAC ID: 3274520796 Enrollment ID: I20191209001506 |
| Provider Name | Pooja Jasmine Saini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073971693 PECOS PAC ID: 0244502763 Enrollment ID: I20191210002477 |
| Provider Name | Mardin Sabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427537844 PECOS PAC ID: 7012260300 Enrollment ID: I20191223001761 |
| Provider Name | Jessica A Nicoud |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295378545 PECOS PAC ID: 9032541081 Enrollment ID: I20191228000364 |
| Provider Name | Kaile Hannah Zaretsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831650100 PECOS PAC ID: 7911331798 Enrollment ID: I20200103000206 |
| Provider Name | Julianne Marie Rolfes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669929758 PECOS PAC ID: 2567742703 Enrollment ID: I20200108002017 |
| Provider Name | Sasha E Stanton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730348632 PECOS PAC ID: 9133342587 Enrollment ID: I20200110001564 |
| Provider Name | Logan Havel Buckley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699256990 PECOS PAC ID: 9133479033 Enrollment ID: I20200116002113 |
| Provider Name | William K Korbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043664121 PECOS PAC ID: 9537452065 Enrollment ID: I20200122000481 |
| Provider Name | Rachel Marie Marsh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255807145 PECOS PAC ID: 7315372166 Enrollment ID: I20200124000718 |
| Provider Name | Richard Jordan Delavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174161319 PECOS PAC ID: 3072948785 Enrollment ID: I20200127000179 |
| Provider Name | Caroline M Olney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174898795 PECOS PAC ID: 1951525039 Enrollment ID: I20200129001025 |
| Provider Name | Kerani A Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851748370 PECOS PAC ID: 5799066809 Enrollment ID: I20200129001836 |
| Provider Name | Leslie Gildersleeve Bettencourt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437799061 PECOS PAC ID: 9638505134 Enrollment ID: I20200131000892 |
| Provider Name | Neha Balmoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962848366 PECOS PAC ID: 7517267842 Enrollment ID: I20200212001117 |
| Provider Name | Brett D Kaylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528407459 PECOS PAC ID: 7113160227 Enrollment ID: I20200311002782 |
| Provider Name | Moses S Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558325902 PECOS PAC ID: 8820989635 Enrollment ID: I20200317002804 |
| Provider Name | Jean Hannon Mullins-padgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207666 PECOS PAC ID: 2062840325 Enrollment ID: I20200319001951 |
| Provider Name | Peggy E Kelley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689777476 PECOS PAC ID: 9335130905 Enrollment ID: I20200324002329 |
| Provider Name | Kendall M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073659298 PECOS PAC ID: 9234129107 Enrollment ID: I20200401002721 |
| Provider Name | Lyliane A Chefor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619349966 PECOS PAC ID: 2264738699 Enrollment ID: I20200407001772 |
| Provider Name | Katherine P Rathbun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518442391 PECOS PAC ID: 4587900055 Enrollment ID: I20200427002716 |
| Provider Name | Kevin J Koomalsingh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528256427 PECOS PAC ID: 5193016145 Enrollment ID: I20200428002416 |
| Provider Name | Erica N Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881166627 PECOS PAC ID: 2961833132 Enrollment ID: I20200504002304 |
| Provider Name | Gabrielle A Hendel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861885717 PECOS PAC ID: 4688005580 Enrollment ID: I20200508002230 |
| Provider Name | Conor Mcwade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992231765 PECOS PAC ID: 0749519817 Enrollment ID: I20200512003174 |
| Provider Name | Nicole C Tabbal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992350854 PECOS PAC ID: 0749611499 Enrollment ID: I20200512003620 |
| Provider Name | Inga Giske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20200518000683 |
| Provider Name | Josie Banks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578185559 PECOS PAC ID: 6608207048 Enrollment ID: I20200519000840 |
| Provider Name | Brian S Hough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831252782 PECOS PAC ID: 1951371418 Enrollment ID: I20200519002273 |
| Provider Name | Sarah Anne Sorensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285943498 PECOS PAC ID: 9436570512 Enrollment ID: I20200527001949 |
| Provider Name | Vidang Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154663987 PECOS PAC ID: 3072830322 Enrollment ID: I20200610002234 |
| Provider Name | Jenifer N Lentz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851785513 PECOS PAC ID: 7315290038 Enrollment ID: I20200610003300 |
| Provider Name | Michael Layoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992123475 PECOS PAC ID: 7012280712 Enrollment ID: I20200611000805 |
| Provider Name | Gabrielle Simone Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124480413 PECOS PAC ID: 4284056698 Enrollment ID: I20200611002501 |
| Provider Name | Tyler Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790217909 PECOS PAC ID: 5698047546 Enrollment ID: I20200612000330 |
| Provider Name | Thomas Raines-morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205369873 PECOS PAC ID: 8022382605 Enrollment ID: I20200612000713 |
| Provider Name | Jeffrey Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457743296 PECOS PAC ID: 5698044709 Enrollment ID: I20200612001326 |
| Provider Name | Kishan Sunilbhai Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962889634 PECOS PAC ID: 3375878036 Enrollment ID: I20200612002356 |
| Provider Name | Heidi J Hansen |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1063655967 PECOS PAC ID: 0244402162 Enrollment ID: I20200612002440 |
| Provider Name | Jason Shawn Nathanael Bensch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164765111 PECOS PAC ID: 0648411165 Enrollment ID: I20200615000811 |
| Provider Name | Sayali Kulkarni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821647140 PECOS PAC ID: 0143642314 Enrollment ID: I20200616001571 |
| Provider Name | Mary Elizabeth Swift-taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366837684 PECOS PAC ID: 3476975665 Enrollment ID: I20200616002937 |
| Provider Name | Rahul Lauhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245591189 PECOS PAC ID: 1850713991 Enrollment ID: I20200618002963 |
| Provider Name | Hasnain Hasham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336568369 PECOS PAC ID: 5193022093 Enrollment ID: I20200619002310 |
| Provider Name | Jacob J Sheff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871860676 PECOS PAC ID: 1456683168 Enrollment ID: I20200629003604 |
| Provider Name | Jenna N Otter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295116671 PECOS PAC ID: 2668765181 Enrollment ID: I20200701000599 |
| Provider Name | Nadia Reinhart-mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750813507 PECOS PAC ID: 5597037929 Enrollment ID: I20200707001266 |
| Provider Name | Robin Caitlin Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700240165 PECOS PAC ID: 7911320874 Enrollment ID: I20200710000363 |
| Provider Name | Susan Blasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164877023 PECOS PAC ID: 6406146760 Enrollment ID: I20200716003629 |
| Provider Name | Hannah Wolfer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649702903 PECOS PAC ID: 7517231442 Enrollment ID: I20200716003926 |
| Provider Name | Jennifer H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629505235 PECOS PAC ID: 6103194931 Enrollment ID: I20200717000087 |
| Provider Name | Yilun Koethe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982022778 PECOS PAC ID: 8123361417 Enrollment ID: I20200720000600 |
| Provider Name | Natalie Alexandra Galvan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760038111 PECOS PAC ID: 8224452230 Enrollment ID: I20200723001936 |
| Provider Name | Dustin Cheney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669825550 PECOS PAC ID: 5799040622 Enrollment ID: I20200727003467 |
| Provider Name | Stephen Werner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184010027 PECOS PAC ID: 6103126339 Enrollment ID: I20200728001399 |
| Provider Name | Roxanne Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578099859 PECOS PAC ID: 5496024598 Enrollment ID: I20200728001822 |
| Provider Name | Jennifer S Muong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013301076 PECOS PAC ID: 0749548311 Enrollment ID: I20200728003869 |
| Provider Name | Zachary P Muscato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124480264 PECOS PAC ID: 0042504706 Enrollment ID: I20200730000856 |
| Provider Name | Kristina Brittany Moon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124361241 PECOS PAC ID: 9234367459 Enrollment ID: I20200730001962 |
| Provider Name | Ari R Tallen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306286133 PECOS PAC ID: 6002100674 Enrollment ID: I20200731001756 |
| Provider Name | Katie Elizabeth Yonker |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366785313 PECOS PAC ID: 8729229216 Enrollment ID: I20200805000473 |
| Provider Name | Lisa Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720412901 PECOS PAC ID: 6800169996 Enrollment ID: I20200805001948 |
| Provider Name | Esther Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538551445 PECOS PAC ID: 9032482302 Enrollment ID: I20200806003378 |
| Provider Name | Steven T Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740613314 PECOS PAC ID: 1456629286 Enrollment ID: I20200817003575 |
| Provider Name | Kara R Johansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124220389 PECOS PAC ID: 6608065842 Enrollment ID: I20200819003285 |
| Provider Name | Sarthak Sahu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942720883 PECOS PAC ID: 0749606838 Enrollment ID: I20200819004097 |
| Provider Name | Luke C Clifford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750825931 PECOS PAC ID: 3476890526 Enrollment ID: I20200825003426 |
| Provider Name | Jessica L Lea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902104078 PECOS PAC ID: 0840617247 Enrollment ID: I20200831002650 |
| Provider Name | Logan W Guckien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649708710 PECOS PAC ID: 0143591008 Enrollment ID: I20200831002854 |
| Provider Name | Jean-huei Yau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346603792 PECOS PAC ID: 0345536611 Enrollment ID: I20200901002743 |
| Provider Name | Vihangi Hindagolla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346621232 PECOS PAC ID: 8325329436 Enrollment ID: I20200909000311 |
| Provider Name | Jon Michael Gerry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225353824 PECOS PAC ID: 5395052252 Enrollment ID: I20200909002048 |
| Provider Name | Edward M Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487180667 PECOS PAC ID: 7012286115 Enrollment ID: I20200909002616 |
| Provider Name | Michael J Silvas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568999183 PECOS PAC ID: 0648548479 Enrollment ID: I20200909003336 |
| Provider Name | Joanne Debrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942646518 PECOS PAC ID: 2163651464 Enrollment ID: I20200914001555 |
| Provider Name | Kayla Kealoha Guillory |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972041515 PECOS PAC ID: 0749608941 Enrollment ID: I20200921002496 |
| Provider Name | Shidrokh Taeidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780110205 PECOS PAC ID: 5698046662 Enrollment ID: I20200925000953 |
| Provider Name | Rebecca Ann Madore |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336389246 PECOS PAC ID: 6204255151 Enrollment ID: I20200928000925 |
| Provider Name | Lindsay S Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083227805 PECOS PAC ID: 7618396334 Enrollment ID: I20200930001135 |
| Provider Name | Christopher J Darus |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1912026600 PECOS PAC ID: 6406947050 Enrollment ID: I20200930002563 |
| Provider Name | Annelise Michelle Manns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316562424 PECOS PAC ID: 5395164743 Enrollment ID: I20201005000085 |
| Provider Name | Sarah Catherine Danford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922463587 PECOS PAC ID: 7214236298 Enrollment ID: I20201009002350 |
| Provider Name | David Michael Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679885479 PECOS PAC ID: 0244650802 Enrollment ID: I20201020002168 |
| Provider Name | Maria Ann Moritz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871049940 PECOS PAC ID: 7214347350 Enrollment ID: I20201102001117 |
| Provider Name | Eric Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588262687 PECOS PAC ID: 3779994033 Enrollment ID: I20201118001418 |
| Provider Name | Abhinav Nafday |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013397256 PECOS PAC ID: 0547574006 Enrollment ID: I20201203000728 |
| Provider Name | Julia Aretha Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316091952 PECOS PAC ID: 2860803368 Enrollment ID: I20201203002462 |
| Provider Name | Katy L Bochat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003200908 PECOS PAC ID: 2062781859 Enrollment ID: I20201204000218 |
| Provider Name | Irina Gelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437413317 PECOS PAC ID: 5698186138 Enrollment ID: I20201204001156 |
| Provider Name | Kaitlyn M Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619513769 PECOS PAC ID: 0143658328 Enrollment ID: I20201204001284 |
| Provider Name | Henry A Lauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346645975 PECOS PAC ID: 7012329378 Enrollment ID: I20201210002746 |
| Provider Name | Emily C Stevens |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588269880 PECOS PAC ID: 0446662704 Enrollment ID: I20201210002916 |
| Provider Name | Leah Burke Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487251773 PECOS PAC ID: 6305258476 Enrollment ID: I20201214002308 |
| Provider Name | Alicia Nicole Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558791186 PECOS PAC ID: 8921410895 Enrollment ID: I20201217001077 |
| Provider Name | Francis G Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982846473 PECOS PAC ID: 2961623624 Enrollment ID: I20201222002941 |
| Provider Name | Kristina Lynn Downes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821415274 PECOS PAC ID: 2466865084 Enrollment ID: I20201228001890 |
| Provider Name | Lindsey Ann Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740886100 PECOS PAC ID: 6507279759 Enrollment ID: I20210106002462 |
| Provider Name | Travis B Vandinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326646118 PECOS PAC ID: 8628481439 Enrollment ID: I20210114002139 |
| Provider Name | Angela M Vitek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841797990 PECOS PAC ID: 9436414919 Enrollment ID: I20210126002477 |
| Provider Name | Risa Rothmann Siegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619267887 PECOS PAC ID: 6204052004 Enrollment ID: I20210209001816 |
| Provider Name | Sarah Dunaway |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396332508 PECOS PAC ID: 1951716463 Enrollment ID: I20210216000815 |
| Provider Name | Ryan E Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063734796 PECOS PAC ID: 0345655890 Enrollment ID: I20210216002031 |
| Provider Name | David Matthew Buchan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376184143 PECOS PAC ID: 0749511384 Enrollment ID: I20210222001761 |
| Provider Name | Jennifer M Beckley Hays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154897874 PECOS PAC ID: 7012323298 Enrollment ID: I20210312001787 |
| Provider Name | Ashlea Anne Stanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508100561 PECOS PAC ID: 1052728508 Enrollment ID: I20210329001661 |
| Provider Name | Jessica J Bonilla |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710593967 PECOS PAC ID: 1456768936 Enrollment ID: I20210330000155 |
| Provider Name | Caitlin Connor Ansel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588251532 PECOS PAC ID: 2961810841 Enrollment ID: I20210413002411 |
| Provider Name | Adeline Plesiu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104168608 PECOS PAC ID: 3678707544 Enrollment ID: I20210503001492 |
| Provider Name | Thomas David Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275171316 PECOS PAC ID: 3971912726 Enrollment ID: I20210506001364 |
| Provider Name | Cameron Miles Long |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013344506 PECOS PAC ID: 6305131970 Enrollment ID: I20210513001247 |
| Provider Name | Carolyn R Meisner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861074965 PECOS PAC ID: 3274942784 Enrollment ID: I20210513002613 |
| Provider Name | Claire Christina Ford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366948622 PECOS PAC ID: 3779834361 Enrollment ID: I20210524000399 |
| Provider Name | Christopher Edward Komisarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134660640 PECOS PAC ID: 8820321011 Enrollment ID: I20210527001219 |
| Provider Name | Kristian E Flores |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104120195 PECOS PAC ID: 9335417179 Enrollment ID: I20210527001776 |
| Provider Name | Annika A Ginsberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235406018 PECOS PAC ID: 1850559014 Enrollment ID: I20210527001782 |
| Provider Name | Clayton Scott Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881275006 PECOS PAC ID: 5193124832 Enrollment ID: I20210528001172 |
| Provider Name | Uma Pisharody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063602555 PECOS PAC ID: 9537210034 Enrollment ID: I20210528002278 |
| Provider Name | Riann Kathleen Thayer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164091898 PECOS PAC ID: 5193126662 Enrollment ID: I20210622003255 |
| Provider Name | Sarah M Iregui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770673444 PECOS PAC ID: 1456252535 Enrollment ID: I20210623001215 |
| Provider Name | Joshua Genstler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669963716 PECOS PAC ID: 5294081949 Enrollment ID: I20210623001518 |
| Provider Name | Kathryn Mcgonigle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417042854 PECOS PAC ID: 1850332081 Enrollment ID: I20210624000000 |
| Provider Name | Daina Gakima Ngugi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356788376 PECOS PAC ID: 5799927661 Enrollment ID: I20210624003800 |
| Provider Name | Evthokia Hobbs |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326433475 PECOS PAC ID: 7012224132 Enrollment ID: I20210706002862 |
| Provider Name | Alexandra Reinbold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831696319 PECOS PAC ID: 0143579276 Enrollment ID: I20210707003203 |
| Provider Name | Christopher Story |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679077648 PECOS PAC ID: 6204186885 Enrollment ID: I20210707003261 |
| Provider Name | Brieanna R Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843351 PECOS PAC ID: 0244586998 Enrollment ID: I20210709002700 |
| Provider Name | Boris M Rozenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861982530 PECOS PAC ID: 7911254495 Enrollment ID: I20210712002782 |
| Provider Name | Andre E Heiber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730667080 PECOS PAC ID: 1254734460 Enrollment ID: I20210726003356 |
| Provider Name | Rachael Marie Carreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144753914 PECOS PAC ID: 8921353244 Enrollment ID: I20210727002790 |
| Provider Name | James Howard Kurtz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992046825 PECOS PAC ID: 9537469663 Enrollment ID: I20210727003768 |
| Provider Name | Matthew W Haley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154813889 PECOS PAC ID: 0244583680 Enrollment ID: I20210728002344 |
| Provider Name | Julia E Fehniger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245679984 PECOS PAC ID: 1153623921 Enrollment ID: I20210729001377 |
| Provider Name | Zheng Z Topp |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023212784 PECOS PAC ID: 9638357122 Enrollment ID: I20210729002483 |
| Provider Name | Sebastian J Reeve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588153787 PECOS PAC ID: 5698022853 Enrollment ID: I20210730001488 |
| Provider Name | Aaron B Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215423298 PECOS PAC ID: 7416201348 Enrollment ID: I20210802001204 |
| Provider Name | Sylvia M Peterson-perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336522747 PECOS PAC ID: 7315295375 Enrollment ID: I20210802003142 |
| Provider Name | Jin H Cai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174973358 PECOS PAC ID: 0446543359 Enrollment ID: I20210802003162 |
| Provider Name | Emily M Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598149650 PECOS PAC ID: 1153725932 Enrollment ID: I20210802003355 |
| Provider Name | Taylor Krieg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326400573 PECOS PAC ID: 6800149485 Enrollment ID: I20210803003402 |
| Provider Name | Raphael C Sun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831410349 PECOS PAC ID: 0042524225 Enrollment ID: I20210805001535 |
| Provider Name | Chloe Ann Shmays |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699377267 PECOS PAC ID: 2365846763 Enrollment ID: I20210806002099 |
| Provider Name | Jennifer C Moshman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194212092 PECOS PAC ID: 7810249927 Enrollment ID: I20210809001843 |
| Provider Name | Isabella Giroux Pribyl Givens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427608470 PECOS PAC ID: 3375947690 Enrollment ID: I20210810000141 |
| Provider Name | Heidi N Reich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326575937 PECOS PAC ID: 9830467661 Enrollment ID: I20210810004167 |
| Provider Name | Elisabeth C Hootman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851822399 PECOS PAC ID: 8527338383 Enrollment ID: I20210811004277 |
| Provider Name | Jonathan Lowy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619926300 PECOS PAC ID: 6406957794 Enrollment ID: I20210812000399 |
| Provider Name | Reny Emmaline Ferrari |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073093043 PECOS PAC ID: 3375947336 Enrollment ID: I20210812002336 |
| Provider Name | Melissa Louise Desouza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902224694 PECOS PAC ID: 1850519687 Enrollment ID: I20210813002476 |
| Provider Name | Suartcha Prueksaritanond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306129663 PECOS PAC ID: 4284852146 Enrollment ID: I20210813003087 |
| Provider Name | Alexander Boscanin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245618859 PECOS PAC ID: 2466730650 Enrollment ID: I20210816002561 |
| Provider Name | Stuart Malcolm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124472055 PECOS PAC ID: 5890025852 Enrollment ID: I20210821000372 |
| Provider Name | Jillian M Catral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730679499 PECOS PAC ID: 9739435496 Enrollment ID: I20210825001388 |
| Provider Name | Ian M Lentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467806893 PECOS PAC ID: 3577800192 Enrollment ID: I20210825004286 |
| Provider Name | Cristina E Zadroga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740438365 PECOS PAC ID: 2668614017 Enrollment ID: I20210826001375 |
| Provider Name | Shraddha K Oza |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689184160 PECOS PAC ID: 7810392925 Enrollment ID: I20210826002542 |
| Provider Name | Thomas J Phillips |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548624232 PECOS PAC ID: 5496041923 Enrollment ID: I20210827002262 |
| Provider Name | Sarah Walcott Sapp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811263080 PECOS PAC ID: 2668617325 Enrollment ID: I20210908002017 |
| Provider Name | Mackenzie E Michalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235686411 PECOS PAC ID: 7517247737 Enrollment ID: I20210908002943 |
| Provider Name | Patricia R Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144892290 PECOS PAC ID: 8527464098 Enrollment ID: I20210908002984 |
| Provider Name | Suzanne Funkhouser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124451521 PECOS PAC ID: 3476825381 Enrollment ID: I20210908003570 |
| Provider Name | Ashlee Beth Mitchell Von Buttlar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982105862 PECOS PAC ID: 2264838614 Enrollment ID: I20210909002360 |
| Provider Name | Colin Dupree Gause |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801152509 PECOS PAC ID: 2163794306 Enrollment ID: I20210909003568 |
| Provider Name | Meghan Rose Hansen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699449876 PECOS PAC ID: 1850798471 Enrollment ID: I20210924001222 |
| Provider Name | Lauren Catherine Justice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376097055 PECOS PAC ID: 3577960996 Enrollment ID: I20210927002747 |
| Provider Name | Jerry G Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114152758 PECOS PAC ID: 8527235530 Enrollment ID: I20210927003295 |
| Provider Name | Anna K Hoenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740851336 PECOS PAC ID: 8921406166 Enrollment ID: I20211001002025 |
| Provider Name | Jane G Hobart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619121670 PECOS PAC ID: 4688072689 Enrollment ID: I20211005003301 |
| Provider Name | David W Stanley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215235965 PECOS PAC ID: 2961745278 Enrollment ID: I20211013001965 |
| Provider Name | Quy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871885194 PECOS PAC ID: 5698902567 Enrollment ID: I20211019002618 |
| Provider Name | Gregory Glenn Kautz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518458926 PECOS PAC ID: 4284022310 Enrollment ID: I20211022000868 |
| Provider Name | Dipal Dilipbhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780981563 PECOS PAC ID: 8022338268 Enrollment ID: I20211102001970 |
| Provider Name | Amanda Michele Hinojosa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285283358 PECOS PAC ID: 8224427661 Enrollment ID: I20211105001077 |
| Provider Name | Ramey I Volk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790312353 PECOS PAC ID: 8224427539 Enrollment ID: I20211108001131 |
| Provider Name | Talya L Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558788976 PECOS PAC ID: 7315362787 Enrollment ID: I20211108001151 |
| Provider Name | Richard N Cam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316438468 PECOS PAC ID: 3577819234 Enrollment ID: I20211108001940 |
| Provider Name | Laura S Braunstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326202458 PECOS PAC ID: 4284864984 Enrollment ID: I20211108002105 |
| Provider Name | Stephanie M Barayuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295225951 PECOS PAC ID: 2668728312 Enrollment ID: I20211111000029 |
| Provider Name | Amrou Ali Idris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932528213 PECOS PAC ID: 9335448463 Enrollment ID: I20211129002422 |
| Provider Name | Elizabeth A Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689024432 PECOS PAC ID: 9234529520 Enrollment ID: I20211130002134 |
| Provider Name | Vincent R Quintos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770928228 PECOS PAC ID: 3971740952 Enrollment ID: I20211201001854 |
| Provider Name | Shruti Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720391493 PECOS PAC ID: 1951531904 Enrollment ID: I20211202002453 |
| Provider Name | Susannah J Wright |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528472487 PECOS PAC ID: 0244620334 Enrollment ID: I20211203001474 |
| Provider Name | Katerina Erokhina |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437404571 PECOS PAC ID: 8729334784 Enrollment ID: I20211213001824 |
| Provider Name | Megan Rose Leon Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013434083 PECOS PAC ID: 7810388337 Enrollment ID: I20211216002604 |
| Provider Name | Ura Stokke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457020752 PECOS PAC ID: 7012308307 Enrollment ID: I20211221001638 |
| Provider Name | Phoebe Hiu-nam Luc |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487311171 PECOS PAC ID: 1355732603 Enrollment ID: I20211222001014 |
| Provider Name | Natasha C Edwin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1063767317 PECOS PAC ID: 1153678800 Enrollment ID: I20220105000852 |
| Provider Name | John A Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295224392 PECOS PAC ID: 5294082459 Enrollment ID: I20220105002556 |
| Provider Name | Joshua A Morris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093327140 PECOS PAC ID: 1254750441 Enrollment ID: I20220106000956 |
| Provider Name | Lindsay B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841872967 PECOS PAC ID: 3678964392 Enrollment ID: I20220106001200 |
| Provider Name | Jaaron T Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093184483 PECOS PAC ID: 4486045119 Enrollment ID: I20220106001732 |
| Provider Name | Lily A Iteld |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487936753 PECOS PAC ID: 1850782590 Enrollment ID: I20220106002129 |
| Provider Name | Navjit Dharampal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821607201 PECOS PAC ID: 0648698498 Enrollment ID: I20220106002630 |
| Provider Name | Zinnat Begum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821415720 PECOS PAC ID: 7012135767 Enrollment ID: I20220110000247 |
| Provider Name | Melissa Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952773764 PECOS PAC ID: 3870985013 Enrollment ID: I20220119002382 |
| Provider Name | Emily Christine Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669992541 PECOS PAC ID: 1850783655 Enrollment ID: I20220127001260 |
| Provider Name | Marlyn Kato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316518095 PECOS PAC ID: 2769874551 Enrollment ID: I20220128001746 |
| Provider Name | Katherine Canada Trumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194155804 PECOS PAC ID: 4688897853 Enrollment ID: I20220128002223 |
| Provider Name | Shelby L Mulrennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775178 PECOS PAC ID: 5395138879 Enrollment ID: I20220204000960 |
| Provider Name | Jennifer K Coffey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316544687 PECOS PAC ID: 6709279151 Enrollment ID: I20220207001146 |
| Provider Name | Diane Michelle Brace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598427296 PECOS PAC ID: 5496148850 Enrollment ID: I20220207001694 |
| Provider Name | Eli Arusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629336995 PECOS PAC ID: 3476869124 Enrollment ID: I20220214000714 |
| Provider Name | Jane E Parker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588045173 PECOS PAC ID: 0345633343 Enrollment ID: I20220216000849 |
| Provider Name | Jeremy Pottash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497142046 PECOS PAC ID: 9931443470 Enrollment ID: I20220217001488 |
| Provider Name | Hao Kee Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649791385 PECOS PAC ID: 3779993522 Enrollment ID: I20220217001604 |
| Provider Name | Udip Dahal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164733911 PECOS PAC ID: 9335389246 Enrollment ID: I20220217002707 |
| Provider Name | Elizabeth D Clements |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063822435 PECOS PAC ID: 3476810524 Enrollment ID: I20220218001760 |
| Provider Name | Joanna M Bove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467017046 PECOS PAC ID: 7618202003 Enrollment ID: I20220222002325 |
| Provider Name | Jessica L Semaan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205353364 PECOS PAC ID: 4385903830 Enrollment ID: I20220225000549 |
| Provider Name | Ashley N Lanehurst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083235105 PECOS PAC ID: 7416375985 Enrollment ID: I20220303002203 |
| Provider Name | Lauren W Fisher |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215253778 PECOS PAC ID: 2567688583 Enrollment ID: I20220304000555 |
| Provider Name | Jeremiah Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184921157 PECOS PAC ID: 8123316718 Enrollment ID: I20220304000763 |
| Provider Name | Gefei A Zhu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518329804 PECOS PAC ID: 1153749700 Enrollment ID: I20220304001176 |
| Provider Name | Sarah Leffler Wagoner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700319688 PECOS PAC ID: 9335533546 Enrollment ID: I20220304001347 |
| Provider Name | Kristina S Kezar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669452348 PECOS PAC ID: 9436174828 Enrollment ID: I20220308001069 |
| Provider Name | Nora M Lersch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639253115 PECOS PAC ID: 6204858970 Enrollment ID: I20220310001438 |
| Provider Name | Kelcie L Gerry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295480887 PECOS PAC ID: 5698160588 Enrollment ID: I20220310002230 |
| Provider Name | Erik R Vanderlip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306044524 PECOS PAC ID: 3173719663 Enrollment ID: I20220321001168 |
| Provider Name | Melanie Janel Boney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528609161 PECOS PAC ID: 0840685095 Enrollment ID: I20220324002277 |
| Provider Name | Patrick W Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164879649 PECOS PAC ID: 7113218058 Enrollment ID: I20220404002101 |
| Provider Name | Kelsey J Peck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003482787 PECOS PAC ID: 0648678995 Enrollment ID: I20220407001230 |
| Provider Name | Lauren Rae Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346999737 PECOS PAC ID: 9638565229 Enrollment ID: I20220407001297 |
| Provider Name | Tamara L Divino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386300739 PECOS PAC ID: 8224424742 Enrollment ID: I20220411001303 |
| Provider Name | Matthew C Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811382922 PECOS PAC ID: 5698068195 Enrollment ID: I20220411001580 |
| Provider Name | Melissa M Lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659735751 PECOS PAC ID: 5991091225 Enrollment ID: I20220427002246 |
| Provider Name | Malin Suzan Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437824224 PECOS PAC ID: 5597152207 Enrollment ID: I20220427003160 |
| Provider Name | John Lyle Tron Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316389273 PECOS PAC ID: 2567705650 Enrollment ID: I20220428001450 |
| Provider Name | Teresa A Davigo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932421393 PECOS PAC ID: 2264829878 Enrollment ID: I20220429001349 |
| Provider Name | Marley Carla King |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275172066 PECOS PAC ID: 7214324698 Enrollment ID: I20220504000666 |
| Provider Name | Rosmili Villavicencio-dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659840650 PECOS PAC ID: 1850788167 Enrollment ID: I20220504002430 |
| Provider Name | Elizabeth A Beswick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356550362 PECOS PAC ID: 5890878011 Enrollment ID: I20220509001483 |
| Provider Name | Megan Marie Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497401491 PECOS PAC ID: 5092192146 Enrollment ID: I20220511002499 |
| Provider Name | Juan C Iregui |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336191618 PECOS PAC ID: 1254318009 Enrollment ID: I20220517002204 |
| Provider Name | Erica Marie Capretta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427432145 PECOS PAC ID: 9032454095 Enrollment ID: I20220517002432 |
| Provider Name | Christopher M Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003470238 PECOS PAC ID: 4587998109 Enrollment ID: I20220520001755 |
| Provider Name | Chang Min Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962066100 PECOS PAC ID: 0446584924 Enrollment ID: I20220621003051 |
| Provider Name | Jooim Yang |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619619772 PECOS PAC ID: 0446639389 Enrollment ID: I20220622003372 |
| Provider Name | Marissa Ann Montejano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821739368 PECOS PAC ID: 2567841265 Enrollment ID: I20220627003408 |
| Provider Name | Caleb P Prentice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700231347 PECOS PAC ID: 2668738642 Enrollment ID: I20220628003005 |
| Provider Name | Alexandra Julienne Wiggins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376004077 PECOS PAC ID: 6507109493 Enrollment ID: I20220628003472 |
| Provider Name | Jenny Tran Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841724028 PECOS PAC ID: 4880928688 Enrollment ID: I20220706003101 |
| Provider Name | Samyon Y Itzhakov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528622768 PECOS PAC ID: 6204160799 Enrollment ID: I20220708002459 |
| Provider Name | Anthony Cao Hung Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346696317 PECOS PAC ID: 3274884879 Enrollment ID: I20220719000558 |
| Provider Name | Maggie J Haworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437896149 PECOS PAC ID: 8123409281 Enrollment ID: I20220720002528 |
| Provider Name | Kelsey S Tanaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649727348 PECOS PAC ID: 4789972175 Enrollment ID: I20220726000665 |
| Provider Name | Elizabeth S Severson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073048450 PECOS PAC ID: 9537494034 Enrollment ID: I20220726001565 |
| Provider Name | Drew M Houston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285175604 PECOS PAC ID: 0042614174 Enrollment ID: I20220726002762 |
| Provider Name | Neda Dee Jooya |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1588059638 PECOS PAC ID: 9234472390 Enrollment ID: I20220726003199 |
| Provider Name | Anjali Jaba Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891228573 PECOS PAC ID: 3779850201 Enrollment ID: I20220727000778 |
| Provider Name | Amber N Ruiz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144754292 PECOS PAC ID: 0648542597 Enrollment ID: I20220728002944 |
| Provider Name | Natalie C Yin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215340450 PECOS PAC ID: 4284987884 Enrollment ID: I20220804000715 |
| Provider Name | Garrett David Lui |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962991133 PECOS PAC ID: 8527394253 Enrollment ID: I20220808003138 |
| Provider Name | Andrew Balster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356803159 PECOS PAC ID: 9032448204 Enrollment ID: I20220808003366 |
| Provider Name | Sean Carosso Brachvogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184288011 PECOS PAC ID: 6507190097 Enrollment ID: I20220812001048 |
| Provider Name | Douglas J Ammerman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740622604 PECOS PAC ID: 1153688825 Enrollment ID: I20220812002876 |
| Provider Name | Lisa Lynn Perreault |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437637832 PECOS PAC ID: 9830572171 Enrollment ID: I20220818001843 |
| Provider Name | Raagav Mohanakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750841193 PECOS PAC ID: 8022347236 Enrollment ID: I20220823002256 |
| Provider Name | Sarah Shu Ya Xie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427612332 PECOS PAC ID: 1951635515 Enrollment ID: I20220824001913 |
| Provider Name | Molly Ann Fauske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013495704 PECOS PAC ID: 8123402146 Enrollment ID: I20220825000382 |
| Provider Name | Sylvia Shaykis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659759421 PECOS PAC ID: 1850775826 Enrollment ID: I20220825002129 |
| Provider Name | Darius Graeff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180539 PECOS PAC ID: 6901140177 Enrollment ID: I20220829001635 |
| Provider Name | Hannah Kadavy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922662857 PECOS PAC ID: 3375877996 Enrollment ID: I20220829002190 |
| Provider Name | Stephanie M Day |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184202145 PECOS PAC ID: 6406245539 Enrollment ID: I20220829002610 |
| Provider Name | Lauren E Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528509445 PECOS PAC ID: 6103150628 Enrollment ID: I20220829002835 |
| Provider Name | Logan L Vincent |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164764288 PECOS PAC ID: 4688991946 Enrollment ID: I20220829003393 |
| Provider Name | Faith Dieleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942860994 PECOS PAC ID: 1658778568 Enrollment ID: I20220830003880 |
| Provider Name | Amanda C Kerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265670129 PECOS PAC ID: 9032258926 Enrollment ID: I20220831000229 |
| Provider Name | Candice K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104117654 PECOS PAC ID: 4082914908 Enrollment ID: I20220902002170 |
| Provider Name | Michael John Paisley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700260288 PECOS PAC ID: 6800270208 Enrollment ID: I20220902002381 |
| Provider Name | Hyung Jun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992970206 PECOS PAC ID: 6103967294 Enrollment ID: I20220902002784 |
| Provider Name | Lauren Michelle Melnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811623416 PECOS PAC ID: 3173907581 Enrollment ID: I20220902002903 |
| Provider Name | Daniel L Junck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851300974 PECOS PAC ID: 0648228981 Enrollment ID: I20220903000371 |
| Provider Name | Kimberly Alyse Britsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578120630 PECOS PAC ID: 7113325390 Enrollment ID: I20220907001491 |
| Provider Name | Matthew Szvetecz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326086950 PECOS PAC ID: 8224941281 Enrollment ID: I20220914001471 |
| Provider Name | Nevin Masri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487382966 PECOS PAC ID: 6709261373 Enrollment ID: I20220917000360 |
| Provider Name | Gina Christina Meredith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376796995 PECOS PAC ID: 7517342702 Enrollment ID: I20220925000032 |
| Provider Name | Sydney Reynolds Neumann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588392849 PECOS PAC ID: 5991180184 Enrollment ID: I20220926000320 |
| Provider Name | Timothy Duh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528625878 PECOS PAC ID: 4486988987 Enrollment ID: I20220927001833 |
| Provider Name | Elizabeth Margaret Mccaskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174084925 PECOS PAC ID: 8022346337 Enrollment ID: I20220927002268 |
| Provider Name | Katherine E Henson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215657895 PECOS PAC ID: 6204212327 Enrollment ID: I20220927002594 |
| Provider Name | Shannon Marie Howard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144639691 PECOS PAC ID: 1850783275 Enrollment ID: I20220927003201 |
| Provider Name | Tyler J Reimann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629503966 PECOS PAC ID: 8921333444 Enrollment ID: I20220929002634 |
| Provider Name | Kelly M Harrington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619409786 PECOS PAC ID: 4082985742 Enrollment ID: I20220929002744 |
| Provider Name | Sheetal K Mehndiratta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619321437 PECOS PAC ID: 9830447242 Enrollment ID: I20220929003167 |
| Provider Name | Amy B Waters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861997280 PECOS PAC ID: 6901282813 Enrollment ID: I20220929003222 |
| Provider Name | Andrew Touati |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730671645 PECOS PAC ID: 5991181802 Enrollment ID: I20220929003289 |
| Provider Name | Paulina Janelle Fransway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841751690 PECOS PAC ID: 7517293939 Enrollment ID: I20220929003329 |
| Provider Name | Vineet K Mehndiratta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649634940 PECOS PAC ID: 2062760192 Enrollment ID: I20220929003416 |
| Provider Name | David J Chen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679867832 PECOS PAC ID: 9931475605 Enrollment ID: I20220929003932 |
| Provider Name | Andrew A Joyce |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194136036 PECOS PAC ID: 8426353343 Enrollment ID: I20221003003176 |
| Provider Name | Mary Clare Bohnett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710482013 PECOS PAC ID: 2769896562 Enrollment ID: I20221006002855 |
| Provider Name | Alisa R Awtry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801213137 PECOS PAC ID: 4587966148 Enrollment ID: I20221006003413 |
| Provider Name | Lisa M Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578291118 PECOS PAC ID: 6204212715 Enrollment ID: I20221007000035 |
| Provider Name | Jessamyn Ann Bothwell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033845300 PECOS PAC ID: 5193101509 Enrollment ID: I20221007000523 |
| Provider Name | Katherine E Cobb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851955785 PECOS PAC ID: 2769716273 Enrollment ID: I20221007000599 |
| Provider Name | Andrew J Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245885169 PECOS PAC ID: 5597189027 Enrollment ID: I20221007000914 |
| Provider Name | Chenyong Xiang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114655636 PECOS PAC ID: 9436535861 Enrollment ID: I20221007001228 |
| Provider Name | Abby K Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982195384 PECOS PAC ID: 2264782085 Enrollment ID: I20221010000610 |
| Provider Name | Gillian Seton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760635817 PECOS PAC ID: 1658511860 Enrollment ID: I20221011001787 |
| Provider Name | Kristen Sarah Thurman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841725223 PECOS PAC ID: 5092181305 Enrollment ID: I20221011002236 |
| Provider Name | Ashley D Molina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427410703 PECOS PAC ID: 8729402094 Enrollment ID: I20221011002778 |
| Provider Name | Kelley Nicole Newton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508305723 PECOS PAC ID: 9335473891 Enrollment ID: I20221012000505 |
| Provider Name | India Lea Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841927258 PECOS PAC ID: 5193191443 Enrollment ID: I20221012001080 |
| Provider Name | Nicole N Ransbottom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255065330 PECOS PAC ID: 7517333792 Enrollment ID: I20221012002587 |
| Provider Name | Peter M Dejong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750887493 PECOS PAC ID: 0446507834 Enrollment ID: I20221012002781 |
| Provider Name | Catharine Aune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437573086 PECOS PAC ID: 6002039997 Enrollment ID: I20221013000180 |
| Provider Name | Kaylene A Matsuzaki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942812060 PECOS PAC ID: 5395111553 Enrollment ID: I20221013001839 |
| Provider Name | Elena D Deweese |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508531823 PECOS PAC ID: 3971900333 Enrollment ID: I20221017003274 |
| Provider Name | Shanik Joseph Fernando |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538514179 PECOS PAC ID: 0941580179 Enrollment ID: I20221018001363 |
| Provider Name | Maureen C Andersen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851982904 PECOS PAC ID: 8123494978 Enrollment ID: I20221019000498 |
| Provider Name | Rachel E Gilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609384866 PECOS PAC ID: 8426318551 Enrollment ID: I20221019001872 |
| Provider Name | Christopher John Renner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023765468 PECOS PAC ID: 0143696898 Enrollment ID: I20221020001195 |
| Provider Name | Colin M Bosma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851060446 PECOS PAC ID: 4183090533 Enrollment ID: I20221026001700 |
| Provider Name | Lucie M Russ |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992360200 PECOS PAC ID: 1951777333 Enrollment ID: I20221026003144 |
| Provider Name | Josiah A Cobb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821579053 PECOS PAC ID: 9638546070 Enrollment ID: I20221027002699 |
| Provider Name | Jessica J Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104553395 PECOS PAC ID: 8628445079 Enrollment ID: I20221027003166 |
| Provider Name | Jesse Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871944538 PECOS PAC ID: 9739462060 Enrollment ID: I20221103001893 |
| Provider Name | Hanna Pedego |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801535794 PECOS PAC ID: 3779950605 Enrollment ID: I20221107002421 |
| Provider Name | Jessica K Paxton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720596398 PECOS PAC ID: 9830566645 Enrollment ID: I20221108002712 |
| Provider Name | Mary E Stoddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811435373 PECOS PAC ID: 3173895364 Enrollment ID: I20221114000443 |
| Provider Name | Sally J Gildehaus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407381882 PECOS PAC ID: 5597133991 Enrollment ID: I20221116000221 |
| Provider Name | James E Rafferty |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821160466 PECOS PAC ID: 2466548995 Enrollment ID: I20221118001244 |
| Provider Name | Meghan R Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306371786 PECOS PAC ID: 2860860939 Enrollment ID: I20221121001856 |
| Provider Name | Nicole M Crotty |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972075687 PECOS PAC ID: 9032587126 Enrollment ID: I20221121002885 |
| Provider Name | Luka Vlahovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306109772 PECOS PAC ID: 5991007197 Enrollment ID: I20221122000628 |
| Provider Name | Jennifer Marie Kurotobi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578047858 PECOS PAC ID: 9830567957 Enrollment ID: I20221122002108 |
| Provider Name | Stephanie N Entrikin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962128140 PECOS PAC ID: 3274901954 Enrollment ID: I20221130002831 |
| Provider Name | Ahmad Fouad Bayomy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942575147 PECOS PAC ID: 5991029571 Enrollment ID: I20221202002843 |
| Provider Name | Yue Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710695929 PECOS PAC ID: 4688043136 Enrollment ID: I20221206001254 |
| Provider Name | Anthony A Bouldin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164503413 PECOS PAC ID: 7214997931 Enrollment ID: I20221206001717 |
| Provider Name | Shanti Akayla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437875556 PECOS PAC ID: 3476922949 Enrollment ID: I20221206002225 |
| Provider Name | Asad Sattar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578925863 PECOS PAC ID: 2466784582 Enrollment ID: I20221207002273 |
| Provider Name | Mary Ebueku-smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639514805 PECOS PAC ID: 8426329897 Enrollment ID: I20221219002373 |
| Provider Name | Rachel M Lanasa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265875165 PECOS PAC ID: 7416248497 Enrollment ID: I20221222002106 |
| Provider Name | Izela Michel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639890841 PECOS PAC ID: 8022488345 Enrollment ID: I20230103001371 |
| Provider Name | Leanna M King |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912489006 PECOS PAC ID: 4486024528 Enrollment ID: I20230105001637 |
| Provider Name | Shi-wei S Hwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457798217 PECOS PAC ID: 0244533271 Enrollment ID: I20230111001533 |
| Provider Name | Anthony T Soriano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306099551 PECOS PAC ID: 2567500952 Enrollment ID: I20230125003320 |
| Provider Name | Claire Anna Marquez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497233811 PECOS PAC ID: 1557732609 Enrollment ID: I20230127000602 |
| Provider Name | Augustine Bernard Cantwell Doblado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619644002 PECOS PAC ID: 7416328448 Enrollment ID: I20230130001070 |
| Provider Name | Hayley A Hirt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154935252 PECOS PAC ID: 6709258718 Enrollment ID: I20230220001763 |
| Provider Name | Elise C Yun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821715657 PECOS PAC ID: 2567835952 Enrollment ID: I20230306002179 |
| Provider Name | Fusun Soraya Devose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011508 PECOS PAC ID: 3779806849 Enrollment ID: I20230308002324 |
| Provider Name | Nathaniel R Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336310945 PECOS PAC ID: 3870897176 Enrollment ID: I20230310001087 |
| Provider Name | Gabor C Mezei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841520731 PECOS PAC ID: 8325179914 Enrollment ID: I20230310002614 |
| Provider Name | Carolyn Plaunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366918310 PECOS PAC ID: 1658745773 Enrollment ID: I20230313000983 |
| Provider Name | Manvi V Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346694403 PECOS PAC ID: 7517250525 Enrollment ID: I20230313002876 |
| Provider Name | Christine P Corl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538385802 PECOS PAC ID: 3274907043 Enrollment ID: I20230316002892 |
| Provider Name | Tracy Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912137860 PECOS PAC ID: 7719025998 Enrollment ID: I20230317001126 |
| Provider Name | Amanda M Kallunki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194250571 PECOS PAC ID: 3870967672 Enrollment ID: I20230317001505 |
| Provider Name | Douglas R Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477520005 PECOS PAC ID: 7911066907 Enrollment ID: I20230320001097 |
| Provider Name | Kristina S Kezar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669452348 PECOS PAC ID: 9436174828 Enrollment ID: I20230327001260 |
| Provider Name | Pimsani Wesley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861104226 PECOS PAC ID: 4981079134 Enrollment ID: I20230331001755 |
| Provider Name | Morgan M Mousley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275037368 PECOS PAC ID: 9436514759 Enrollment ID: I20230420000852 |
| Provider Name | Dipesh K C Ghimire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295106169 PECOS PAC ID: 4880941848 Enrollment ID: I20230420000965 |
| Provider Name | Lauren Park Martin Pitre |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376238840 PECOS PAC ID: 3870958119 Enrollment ID: I20230420002020 |
| Provider Name | Chelsey N Chen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184337065 PECOS PAC ID: 8224493473 Enrollment ID: I20230424000967 |
| Provider Name | Juliana Ionescu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306551361 PECOS PAC ID: 5799140885 Enrollment ID: I20230425000188 |
| Provider Name | Dipak B K C |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013146422 PECOS PAC ID: 3577617406 Enrollment ID: I20230425000989 |
| Provider Name | Antonya Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061279 PECOS PAC ID: 6002168432 Enrollment ID: I20230502001779 |
| Provider Name | Amanda L Nambiar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821672395 PECOS PAC ID: 3971968488 Enrollment ID: I20230504001901 |
| Provider Name | Courtney L Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336727007 PECOS PAC ID: 3870997315 Enrollment ID: I20230508001316 |
| Provider Name | Joseph A. Espero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427744390 PECOS PAC ID: 3375909500 Enrollment ID: I20230515000683 |
| Provider Name | Gregory W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821572876 PECOS PAC ID: 0648519595 Enrollment ID: I20230523002699 |
| Provider Name | Brian Keith Sparks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780940403 PECOS PAC ID: 6305193434 Enrollment ID: I20230524003043 |
| Provider Name | Randall L Fink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417351842 PECOS PAC ID: 9436467917 Enrollment ID: I20230526001805 |
| Provider Name | Olesea Bonanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386128056 PECOS PAC ID: 5496096083 Enrollment ID: I20230531000597 |
| Provider Name | Catherine Micaela Elzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902186836 PECOS PAC ID: 8123485588 Enrollment ID: I20230531001646 |
| Provider Name | Stephen A Avera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174986293 PECOS PAC ID: 4789913971 Enrollment ID: I20230607000249 |
| Provider Name | Kandice D Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861687170 PECOS PAC ID: 1951585991 Enrollment ID: I20230607000971 |
| Provider Name | Candice M Dolbier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629333893 PECOS PAC ID: 8325271661 Enrollment ID: I20230614004018 |
| Provider Name | Sandra Louise Drager |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205802097 PECOS PAC ID: 9436325354 Enrollment ID: I20230616001707 |
| Provider Name | Bethany L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053955047 PECOS PAC ID: 0840629341 Enrollment ID: I20230616002922 |
| Provider Name | Cody John Paiva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821613837 PECOS PAC ID: 1052733698 Enrollment ID: I20230619000412 |
| Provider Name | Emily Grace Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982304630 PECOS PAC ID: 6103284138 Enrollment ID: I20230622002403 |
| Provider Name | Laura Elizabeth Bennetts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760006118 PECOS PAC ID: 3870915614 Enrollment ID: I20230626003019 |
| Provider Name | Lucas Mcduffie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710269261 PECOS PAC ID: 6709024920 Enrollment ID: I20230706001558 |
| Provider Name | Charlie Dean Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083890586 PECOS PAC ID: 4688740368 Enrollment ID: I20230708000285 |
| Provider Name | Laura Phyllis Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912296799 PECOS PAC ID: 0446534101 Enrollment ID: I20230710003170 |
| Provider Name | Nathaniel Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477174076 PECOS PAC ID: 7012339765 Enrollment ID: I20230714002269 |
| Provider Name | Nicholas Gates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770104713 PECOS PAC ID: 4486076510 Enrollment ID: I20230804001364 |
| Provider Name | Samarth Shivakumar Mathapathi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639668767 PECOS PAC ID: 6103246533 Enrollment ID: I20230804002011 |
| Provider Name | Edward J Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323777 PECOS PAC ID: 5395034615 Enrollment ID: I20230808002045 |
| Provider Name | Evan Hunter Alldredge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194276931 PECOS PAC ID: 8224375415 Enrollment ID: I20230809001246 |
| Provider Name | Elizabeth Anne Ribbeck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639203540 PECOS PAC ID: 7810089364 Enrollment ID: I20230811003183 |
| Provider Name | Steven Sha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588127427 PECOS PAC ID: 2466886130 Enrollment ID: I20230811003201 |
| Provider Name | James Lewis Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003443391 PECOS PAC ID: 8729440441 Enrollment ID: I20230811003376 |
| Provider Name | John D Oholleran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912007220 PECOS PAC ID: 9133285224 Enrollment ID: I20230811003404 |
| Provider Name | Kyungjeen Paik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881196525 PECOS PAC ID: 4385067685 Enrollment ID: I20230814001487 |
| Provider Name | Amy Rochelle Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609020056 PECOS PAC ID: 6305208976 Enrollment ID: I20230814002457 |
| Provider Name | Leah M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124718184 PECOS PAC ID: 0143682724 Enrollment ID: I20230814002780 |
| Provider Name | Megan Elizabeth Block |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265056618 PECOS PAC ID: 2961824701 Enrollment ID: I20230814002931 |
| Provider Name | Terra Elise D'antonio Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467144568 PECOS PAC ID: 1052773645 Enrollment ID: I20230814003325 |
| Provider Name | Brooke Janelle Autrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710504162 PECOS PAC ID: 4082076518 Enrollment ID: I20230816001615 |
| Provider Name | Anthony M Paluso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669097671 PECOS PAC ID: 0840613246 Enrollment ID: I20230816001699 |
| Provider Name | Kimberlie Anne Dame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366134843 PECOS PAC ID: 9931562873 Enrollment ID: I20230825000809 |
| Provider Name | Maryam M Saudagaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083248504 PECOS PAC ID: 8729466776 Enrollment ID: I20230825001975 |
| Provider Name | Chinmay Paranjape |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932633799 PECOS PAC ID: 9830476407 Enrollment ID: I20230830001264 |
| Provider Name | Raj Nagappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992334999 PECOS PAC ID: 3274957816 Enrollment ID: I20230831004440 |
| Provider Name | Jan Hua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922635150 PECOS PAC ID: 5698198851 Enrollment ID: I20230901001693 |
| Provider Name | Thatcher Houldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578184511 PECOS PAC ID: 7416379540 Enrollment ID: I20230901002321 |
| Provider Name | Carolyn Jean Mistele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952072050 PECOS PAC ID: 9335502608 Enrollment ID: I20230905001094 |
| Provider Name | Jakob L Feeney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720609324 PECOS PAC ID: 7416379557 Enrollment ID: I20230905003550 |
| Provider Name | Shayna Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740933597 PECOS PAC ID: 2466816681 Enrollment ID: I20230906003376 |
| Provider Name | Nicholas Rigley Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699255869 PECOS PAC ID: 3274863238 Enrollment ID: I20230907001696 |
| Provider Name | Kylene M Olin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275317802 PECOS PAC ID: 0941664692 Enrollment ID: I20230913002303 |
| Provider Name | Melinda G Honeycutt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578929352 PECOS PAC ID: 5597129270 Enrollment ID: I20230913003654 |
| Provider Name | Samuel B Luty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811496409 PECOS PAC ID: 8628490406 Enrollment ID: I20230913004205 |
| Provider Name | Megan R Chalupsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215436159 PECOS PAC ID: 3779987888 Enrollment ID: I20230915002275 |
| Provider Name | Bao Tran Ngoc Nhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326668385 PECOS PAC ID: 1759703770 Enrollment ID: I20230918001037 |
| Provider Name | Alison D Treister |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518350172 PECOS PAC ID: 7012332737 Enrollment ID: I20230918001311 |
| Provider Name | Mich Andrew Gehrig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780211680 PECOS PAC ID: 2860818242 Enrollment ID: I20230918002123 |
| Provider Name | Zoe C Moss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205377181 PECOS PAC ID: 8224363460 Enrollment ID: I20230918002244 |
| Provider Name | Rubama Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629698675 PECOS PAC ID: 4082036892 Enrollment ID: I20230918002579 |
| Provider Name | Rebecca Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669198446 PECOS PAC ID: 0749644185 Enrollment ID: I20230918003416 |
| Provider Name | Benjamin R Yu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568993590 PECOS PAC ID: 0446521785 Enrollment ID: I20230919002343 |
| Provider Name | Rachel Alina Boneski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598261372 PECOS PAC ID: 2163844192 Enrollment ID: I20230926001620 |
| Provider Name | Miranda V Keepers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285010181 PECOS PAC ID: 6204280167 Enrollment ID: I20230926002316 |
| Provider Name | Kathryne E Doria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790374536 PECOS PAC ID: 4587070420 Enrollment ID: I20230928002915 |
| Provider Name | Rebecca Ann Anthony |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467945006 PECOS PAC ID: 7012262835 Enrollment ID: I20231008000026 |
| Provider Name | Holly H Omar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104912120 PECOS PAC ID: 4082649934 Enrollment ID: I20231016000855 |
| Provider Name | Taylor Charlotte Wolfgang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639660558 PECOS PAC ID: 5597012690 Enrollment ID: I20231101001127 |
| Provider Name | Ilana Pena-sanders |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083336887 PECOS PAC ID: 2264889757 Enrollment ID: I20231105000032 |
| Provider Name | Jillian Baumberger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932523701 PECOS PAC ID: 7618324104 Enrollment ID: I20231105000061 |
| Provider Name | Michaela Dawn Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841077211 PECOS PAC ID: 8729435045 Enrollment ID: I20231108002036 |
| Provider Name | Casseopia Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841078326 PECOS PAC ID: 3870940117 Enrollment ID: I20231108002767 |
| Provider Name | Jeffrey M Stolsig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679193635 PECOS PAC ID: 4284056144 Enrollment ID: I20231110000838 |
| Provider Name | Iris R Malit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578996518 PECOS PAC ID: 5597051557 Enrollment ID: I20231110001714 |
| Provider Name | Matthew H Brookes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114366424 PECOS PAC ID: 2567711351 Enrollment ID: I20231115002666 |
| Provider Name | Rebecca M Maher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609390764 PECOS PAC ID: 1658728357 Enrollment ID: I20231116001961 |
| Provider Name | Lindsay Kate Kuo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003305970 PECOS PAC ID: 0648627372 Enrollment ID: I20231116003052 |
| Provider Name | Elisabeth Ann Owen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154895530 PECOS PAC ID: 5799132478 Enrollment ID: I20231117001218 |
| Provider Name | Dominique Francesca Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942998612 PECOS PAC ID: 2365899051 Enrollment ID: I20231117001868 |
| Provider Name | Christopher Blaine Mikulic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548759418 PECOS PAC ID: 4880042910 Enrollment ID: I20231129002115 |
| Provider Name | Dylan Cordero Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821763053 PECOS PAC ID: 8729436647 Enrollment ID: I20231201002262 |
| Provider Name | Melody Rose Lough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710766795 PECOS PAC ID: 1557710753 Enrollment ID: I20231213002798 |
| Provider Name | Stephanie V Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194269910 PECOS PAC ID: 1658720636 Enrollment ID: I20231215002553 |
| Provider Name | Sarah Fihn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215566922 PECOS PAC ID: 1759709223 Enrollment ID: I20231220002220 |
| Provider Name | James T Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700373305 PECOS PAC ID: 8527319656 Enrollment ID: I20231220002283 |
| Provider Name | Kimberly A. Ceccarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609655521 PECOS PAC ID: 6800246471 Enrollment ID: I20231221003142 |
| Provider Name | Mandie L Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568879625 PECOS PAC ID: 7012367220 Enrollment ID: I20240102000243 |
| Provider Name | Amanda C Bossert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447608393 PECOS PAC ID: 7012367121 Enrollment ID: I20240102000599 |
| Provider Name | Diana L Gantt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871959833 PECOS PAC ID: 0749630762 Enrollment ID: I20240103000601 |
| Provider Name | Arissara Miyoshi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053633651 PECOS PAC ID: 4981054939 Enrollment ID: I20240103001631 |
| Provider Name | Garnett Lynn Dittfurth Wong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811023310 PECOS PAC ID: 5597115543 Enrollment ID: I20240103001889 |
| Provider Name | Julie Lorene Mannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639495989 PECOS PAC ID: 6406207448 Enrollment ID: I20240104000360 |
| Provider Name | Benjamin D Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881124899 PECOS PAC ID: 8224489299 Enrollment ID: I20240104001125 |
| Provider Name | Charlene Michelle Negus Shemley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669705018 PECOS PAC ID: 1557712536 Enrollment ID: I20240104001669 |
| Provider Name | Shelbe V Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134313034 PECOS PAC ID: 4587015094 Enrollment ID: I20240109003919 |
| Provider Name | Tia S Nadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134737521 PECOS PAC ID: 8022469378 Enrollment ID: I20240110005109 |
| Provider Name | Justine Blaud |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770012403 PECOS PAC ID: 0749659498 Enrollment ID: I20240111004610 |
| Provider Name | Alyssa Nicole Crea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972881258 PECOS PAC ID: 9436500543 Enrollment ID: I20240112001093 |
| Provider Name | Jennifer Marie Bezanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568950046 PECOS PAC ID: 1355792490 Enrollment ID: I20240112002128 |
| Provider Name | Shawn M Croskey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265559728 PECOS PAC ID: 8426400540 Enrollment ID: I20240113000800 |
| Provider Name | Madelyn E Trapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568157535 PECOS PAC ID: 7315399482 Enrollment ID: I20240115001125 |
| Provider Name | Kalindi Hendrix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134542004 PECOS PAC ID: 9537511605 Enrollment ID: I20240115001324 |
| Provider Name | Taylor M Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043665987 PECOS PAC ID: 5890032353 Enrollment ID: I20240115001468 |
| Provider Name | Patricia A Beck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508021130 PECOS PAC ID: 0941652028 Enrollment ID: I20240115001494 |
| Provider Name | Kelly A Shields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083075790 PECOS PAC ID: 1759733736 Enrollment ID: I20240115001783 |
| Provider Name | Hugo Akabane |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982010583 PECOS PAC ID: 0941624050 Enrollment ID: I20240116003002 |
| Provider Name | Kimberly Wirth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730831140 PECOS PAC ID: 7911359831 Enrollment ID: I20240116004432 |
| Provider Name | A Harriet Beeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427027259 PECOS PAC ID: 1153773015 Enrollment ID: I20240117001007 |
| Provider Name | Stephanie Thompson-mccollough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649675190 PECOS PAC ID: 6709238033 Enrollment ID: I20240122004561 |
| Provider Name | Cherylynn A Moser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205390739 PECOS PAC ID: 2163874413 Enrollment ID: I20240123000595 |
| Provider Name | Jennifer L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598182289 PECOS PAC ID: 1850515339 Enrollment ID: I20240124000093 |
| Provider Name | Gina Guillaume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649705682 PECOS PAC ID: 2961831060 Enrollment ID: I20240124001618 |
| Provider Name | Kyle J Grelle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639500549 PECOS PAC ID: 2466805643 Enrollment ID: I20240124003943 |
| Provider Name | Kathryn L Dawson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477997724 PECOS PAC ID: 7517192420 Enrollment ID: I20240125002326 |
| Provider Name | Stephen Zeimantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922001478 PECOS PAC ID: 7719075399 Enrollment ID: I20240201003747 |
| Provider Name | Ketki Patankar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467958777 PECOS PAC ID: 4385087568 Enrollment ID: I20240205001630 |
| Provider Name | Kristin M Skoch-ogard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558662593 PECOS PAC ID: 8921441809 Enrollment ID: I20240207002942 |
| Provider Name | Anagha Phadkule |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457903403 PECOS PAC ID: 5294179651 Enrollment ID: I20240214001161 |
| Provider Name | Melanie D Roedel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023339488 PECOS PAC ID: 3072957901 Enrollment ID: I20240220001144 |
| Provider Name | Stuart D Chin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710754734 PECOS PAC ID: 2264876937 Enrollment ID: I20240221001996 |
| Provider Name | Danielle L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790131472 PECOS PAC ID: 4789979907 Enrollment ID: I20240222004343 |
| Provider Name | Tehniyah N Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720724388 PECOS PAC ID: 3678918190 Enrollment ID: I20240223003017 |
Kristina E Harp M.d P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17704 Jean Way, Suite 105, Lake Oswego, OR 97035 Phone: 503-675-6776 Fax: 503-675-2572 | |
Kimberly J. Schleef D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Carman Dr, Lake Oswego, OR 97035 Phone: 503-635-6555 Fax: 503-635-6557 | |
Dr Pepel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15880 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-232-3302 Fax: 503-200-2895 | |
Deni R Buss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035 Phone: 503-449-6939 Fax: 503-598-3980 | |
Lake Oswego Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 Mercantile Dr, Suite 104, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
Kleiman Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 N State St Ste 136, Lake Oswego, OR 97034 Phone: 310-951-3450 |