| Range Regional Health Services | |
|
750 E 34th St Hibbing MN 55746-3553 | |
| (218) 262-4881 | |
| Not Available |
| Full Name | Range Regional Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 E 34th St, Hibbing, Minnesota |
| Authorized Official Name and Position | Tom Fink (CFO) |
| Authorized Official Contact | 2183626638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Range Regional Health Services 750 E 34th St Hibbing MN 55746-3553 Ph: (218) 262-4881 | Range Regional Health Services 750 E 34th St Hibbing MN 55746-3553 Ph: (218) 262-4881 |
| NPI Number | 1669569265 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 03/07/2018 |
| Medicare PECOS PAC ID | 8022920024 |
|---|---|
| Medicare Enrollment ID | O20031110000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669569265 | NPI | - | NPPES |
| 107936 | Other | MN | UCARE |
| 125912 | Other | MN | UCARE |
| 35A05ME | Other | MN | BLUE CROSS |
| 98-00372 | Other | MN | MEDICA |
| P386 | Other | MN | UCARE |
| 502847723 | Medicaid | MN | |
| 98-00523 | Other | MN | MEDICA |
| NA920 | Other | MN | PREFERREDONE |
| 987G3ME | Other | MN | BLUE CROSS CHIRO |
| CG7247 | Other | MN | RRPTAN |
| 502847721 | Medicaid | MN | |
| 98-00017 | Other | MN | MEDICA |
| 98-00522 | Other | MN | MEDICA |
| 110393 | Other | MN | UCARE |
| 125913 | Other | MN | UCARE |
| 502847722 | Medicaid | MN | |
| 67458 | Other | MN | HEALTH PARTNERS |
| 98-00370 | Other | MN | MEDICA |
| CH5565 | Other | MN | RRPTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 331001 (Minnesota) | Primary |
| Provider Name | Nha P Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578595617 PECOS PAC ID: 3577467596 Enrollment ID: I20031121000373 |
| Provider Name | Nathan D Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571125 PECOS PAC ID: 0648174334 Enrollment ID: I20031124000644 |
| Provider Name | Michael H Wittmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427029859 PECOS PAC ID: 1658275094 Enrollment ID: I20031126000227 |
| Provider Name | Brendon M Cullinan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326045139 PECOS PAC ID: 8426954967 Enrollment ID: I20031208000452 |
| Provider Name | Renae Marie Gielen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568488153 PECOS PAC ID: 9133025737 Enrollment ID: I20031212000033 |
| Provider Name | April M Lind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275518599 PECOS PAC ID: 7810895547 Enrollment ID: I20031219000444 |
| Provider Name | Peter Matthew Eckman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639131345 PECOS PAC ID: 9931008588 Enrollment ID: I20040102000834 |
| Provider Name | Helle Lukk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942388467 PECOS PAC ID: 7113829284 Enrollment ID: I20040122000223 |
| Provider Name | Michael T Semotuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245218056 PECOS PAC ID: 9830091180 Enrollment ID: I20040126000685 |
| Provider Name | Joseph F Lemker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932119260 PECOS PAC ID: 2668375759 Enrollment ID: I20040128000069 |
| Provider Name | Renee C Mcgeary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578525705 PECOS PAC ID: 6901709385 Enrollment ID: I20040202000247 |
| Provider Name | Matthew M Schaar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790765600 PECOS PAC ID: 5698678944 Enrollment ID: I20040202000713 |
| Provider Name | Christopher D Aronson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649269291 PECOS PAC ID: 1850286337 Enrollment ID: I20040216000659 |
| Provider Name | Vladimir Savcenko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471658 PECOS PAC ID: 4183519119 Enrollment ID: I20040218000958 |
| Provider Name | Andrea Jolley-paulet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20040228000179 |
| Provider Name | Kevin M Thornton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245281468 PECOS PAC ID: 0547159972 Enrollment ID: I20040313000311 |
| Provider Name | Mitchell Lynn Cardwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790735546 PECOS PAC ID: 2062302854 Enrollment ID: I20040316001309 |
| Provider Name | Nihar S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245218759 PECOS PAC ID: 4688667645 Enrollment ID: I20040406000322 |
| Provider Name | Suzanne C Moffit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487687406 PECOS PAC ID: 7214926120 Enrollment ID: I20040506001666 |
| Provider Name | James S Montana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922032200 PECOS PAC ID: 5799774378 Enrollment ID: I20040510000179 |
| Provider Name | Colleen R Wallis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922066117 PECOS PAC ID: 0042298168 Enrollment ID: I20040713001279 |
| Provider Name | Wendell R Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568480879 PECOS PAC ID: 0446230460 Enrollment ID: I20040721000957 |
| Provider Name | Kerriann E Mahon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144204819 PECOS PAC ID: 2365412798 Enrollment ID: I20040730001052 |
| Provider Name | Shanti Lakshmi Narasimhan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891714259 PECOS PAC ID: 8729055769 Enrollment ID: I20040910000530 |
| Provider Name | Heidi L Malling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053389742 PECOS PAC ID: 2567439219 Enrollment ID: I20040913001205 |
| Provider Name | Teresa Av St George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639120769 PECOS PAC ID: 4587631973 Enrollment ID: I20040915000087 |
| Provider Name | Thomas J Rossini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194823179 PECOS PAC ID: 8628047701 Enrollment ID: I20040927000149 |
| Provider Name | Joni M Moberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265547921 PECOS PAC ID: 1254300338 Enrollment ID: I20040927000156 |
| Provider Name | Brenda Sommerdorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457301038 PECOS PAC ID: 7416918230 Enrollment ID: I20041025000362 |
| Provider Name | Christine L Dworzynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144258716 PECOS PAC ID: 7416918164 Enrollment ID: I20041026000067 |
| Provider Name | Sonia Lucille Wright |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804343 PECOS PAC ID: 1557323136 Enrollment ID: I20041027000760 |
| Provider Name | Mark E Wilson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134161128 PECOS PAC ID: 2163485178 Enrollment ID: I20041110000943 |
| Provider Name | David Asinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205886819 PECOS PAC ID: 8426953142 Enrollment ID: I20041110000973 |
| Provider Name | Afshan Anjum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316981517 PECOS PAC ID: 1355304189 Enrollment ID: I20041111000624 |
| Provider Name | Kent W Svee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164459905 PECOS PAC ID: 9032174842 Enrollment ID: I20041122000263 |
| Provider Name | Matei Teodorescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437133543 PECOS PAC ID: 6002871548 Enrollment ID: I20041124000287 |
| Provider Name | Thomas R Frerichs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629028329 PECOS PAC ID: 9436114634 Enrollment ID: I20041130000530 |
| Provider Name | Jeffrey R Brace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619905924 PECOS PAC ID: 7618933326 Enrollment ID: I20041204000145 |
| Provider Name | Richard Kubicka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255369989 PECOS PAC ID: 1759348170 Enrollment ID: I20041216000623 |
| Provider Name | Siri C Kabrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669459004 PECOS PAC ID: 3577520972 Enrollment ID: I20041217000085 |
| Provider Name | Chuen Y Tang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356305429 PECOS PAC ID: 2466419668 Enrollment ID: I20041220000067 |
| Provider Name | Christian T Cavalier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316948813 PECOS PAC ID: 8325096787 Enrollment ID: I20050112000416 |
| Provider Name | Jeffrey Copeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912964628 PECOS PAC ID: 0749232916 Enrollment ID: I20050216000088 |
| Provider Name | Rafael S Andrade |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538103155 PECOS PAC ID: 2264484310 Enrollment ID: I20050216000789 |
| Provider Name | Marcie Claire Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700898970 PECOS PAC ID: 6507810553 Enrollment ID: I20050311000627 |
| Provider Name | Aaron Joseph Binstock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891744280 PECOS PAC ID: 4284689985 Enrollment ID: I20050315001076 |
| Provider Name | Cassandra E Carlone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699766055 PECOS PAC ID: 8325094360 Enrollment ID: I20050323000743 |
| Provider Name | Jalal U Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063795 PECOS PAC ID: 3971559626 Enrollment ID: I20050324001062 |
| Provider Name | Hubert Spencer Holmes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497738975 PECOS PAC ID: 8123075173 Enrollment ID: I20050401000730 |
| Provider Name | Raymond a Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972533263 PECOS PAC ID: 4981651809 Enrollment ID: I20050404000355 |
| Provider Name | Daniel Y Parkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770574196 PECOS PAC ID: 0345297784 Enrollment ID: I20050407000174 |
| Provider Name | Tyler Joseph Harvey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225091234 PECOS PAC ID: 1557323870 Enrollment ID: I20050426000388 |
| Provider Name | John T Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174541577 PECOS PAC ID: 9638119696 Enrollment ID: I20050509001033 |
| Provider Name | Jay W Sonder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659377703 PECOS PAC ID: 4981645355 Enrollment ID: I20050516000710 |
| Provider Name | Kimmy S Oberstar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043323678 PECOS PAC ID: 1456393602 Enrollment ID: I20050526000943 |
| Provider Name | Karen a Lushine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265465983 PECOS PAC ID: 0143262063 Enrollment ID: I20050601000404 |
| Provider Name | Fritz Leidig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871533851 PECOS PAC ID: 7113916305 Enrollment ID: I20050602000726 |
| Provider Name | Jonathan K Wood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932143583 PECOS PAC ID: 8022007392 Enrollment ID: I20050603000436 |
| Provider Name | Torrey Bergman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861442493 PECOS PAC ID: 5890762124 Enrollment ID: I20050606001011 |
| Provider Name | Jay D Hildenbrand |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215076591 PECOS PAC ID: 3779526009 Enrollment ID: I20050607000838 |
| Provider Name | Mark Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538188511 PECOS PAC ID: 6305889478 Enrollment ID: I20050609000274 |
| Provider Name | Brian T Sullivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780604835 PECOS PAC ID: 9436193802 Enrollment ID: I20050616000255 |
| Provider Name | Michael D Heaney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245287549 PECOS PAC ID: 7416991880 Enrollment ID: I20050616000269 |
| Provider Name | Robert D Dexter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548237548 PECOS PAC ID: 2860437621 Enrollment ID: I20050622000582 |
| Provider Name | Janene R Glyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518936863 PECOS PAC ID: 3678509445 Enrollment ID: I20050713000174 |
| Provider Name | Paul E Mittelstadt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295725513 PECOS PAC ID: 2264422831 Enrollment ID: I20050715000212 |
| Provider Name | Hojung Yoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447208616 PECOS PAC ID: 5890722987 Enrollment ID: I20050720000600 |
| Provider Name | Jeffrey Alan Balke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285694109 PECOS PAC ID: 8224065974 Enrollment ID: I20050725000468 |
| Provider Name | Shamane Kimara March |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942288162 PECOS PAC ID: 5395774558 Enrollment ID: I20050808000819 |
| Provider Name | Chinsoo L Cho |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588683676 PECOS PAC ID: 6305875345 Enrollment ID: I20050810000051 |
| Provider Name | Cecil E Bassett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669433207 PECOS PAC ID: 9436188497 Enrollment ID: I20050810000199 |
| Provider Name | Ronald T Sih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053382002 PECOS PAC ID: 2961432968 Enrollment ID: I20050819000027 |
| Provider Name | Ikemefuna C Ajaelo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417988445 PECOS PAC ID: 2860423803 Enrollment ID: I20050830000026 |
| Provider Name | Brian R Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952379125 PECOS PAC ID: 8325070642 Enrollment ID: I20050908000108 |
| Provider Name | Fareed a Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235236530 PECOS PAC ID: 8921031535 Enrollment ID: I20050914000881 |
| Provider Name | Mark W Berger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962481747 PECOS PAC ID: 0749194777 Enrollment ID: I20050920000198 |
| Provider Name | Sujit R Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013018258 PECOS PAC ID: 0840224002 Enrollment ID: I20050927000227 |
| Provider Name | Jeffrey S Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497734123 PECOS PAC ID: 1254245954 Enrollment ID: I20051007000143 |
| Provider Name | David C Nagel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023083805 PECOS PAC ID: 5294750311 Enrollment ID: I20051007000626 |
| Provider Name | Curt Behrns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801869227 PECOS PAC ID: 1850318379 Enrollment ID: I20051025000024 |
| Provider Name | Todd a Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750313847 PECOS PAC ID: 4284619230 Enrollment ID: I20051028000428 |
| Provider Name | Julie D Houle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407889702 PECOS PAC ID: 1153349774 Enrollment ID: I20051102000824 |
| Provider Name | Gwen G Washburn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619929544 PECOS PAC ID: 1254350390 Enrollment ID: I20051117000304 |
| Provider Name | Vic Liengswangwong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851360796 PECOS PAC ID: 3870512759 Enrollment ID: I20051121000568 |
| Provider Name | Alicia a Frankwitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720027303 PECOS PAC ID: 9234159450 Enrollment ID: I20051202000518 |
| Provider Name | Thomas F Bugliosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629055124 PECOS PAC ID: 5395750277 Enrollment ID: I20060214000321 |
| Provider Name | Edward B Martin-chaffee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295728848 PECOS PAC ID: 3870508575 Enrollment ID: I20060216000471 |
| Provider Name | John L Bass |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468583 PECOS PAC ID: 5294741732 Enrollment ID: I20060221000751 |
| Provider Name | Kathrine Patricia Frey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114994563 PECOS PAC ID: 8022024652 Enrollment ID: I20060306000581 |
| Provider Name | Ganesh Raveendran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265418420 PECOS PAC ID: 8123035664 Enrollment ID: I20060308000680 |
| Provider Name | Patrick J Schweiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578573275 PECOS PAC ID: 8426066044 Enrollment ID: I20060323000443 |
| Provider Name | Scott D Stenstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891753026 PECOS PAC ID: 0042228082 Enrollment ID: I20060403000049 |
| Provider Name | Kathryn J Clusiau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588676209 PECOS PAC ID: 1557379542 Enrollment ID: I20060403000417 |
| Provider Name | Kozhuvattasseri P Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164505624 PECOS PAC ID: 7719996354 Enrollment ID: I20060411000140 |
| Provider Name | Peter B Wold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861471633 PECOS PAC ID: 0749260404 Enrollment ID: I20060424000306 |
| Provider Name | Dean Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023085339 PECOS PAC ID: 0244240422 Enrollment ID: I20060503000014 |
| Provider Name | Elizabeth M Godin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780798207 PECOS PAC ID: 7214947340 Enrollment ID: I20060503000431 |
| Provider Name | Ruth Jennifer Tiffault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205806288 PECOS PAC ID: 5092726661 Enrollment ID: I20060510000324 |
| Provider Name | Kristin L Fredrickson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912957408 PECOS PAC ID: 7810900065 Enrollment ID: I20060711000268 |
| Provider Name | David P Lambert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154384527 PECOS PAC ID: 9436162120 Enrollment ID: I20060725000249 |
| Provider Name | John E Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255374609 PECOS PAC ID: 7911972534 Enrollment ID: I20060725000378 |
| Provider Name | Gregory M Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427090133 PECOS PAC ID: 2860397510 Enrollment ID: I20060726000019 |
| Provider Name | Gary L Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568479921 PECOS PAC ID: 0042213142 Enrollment ID: I20060810000132 |
| Provider Name | Sanjiv Kumra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801836127 PECOS PAC ID: 9830192996 Enrollment ID: I20060810000550 |
| Provider Name | Randolph J Reister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952385114 PECOS PAC ID: 2163425935 Enrollment ID: I20060816000441 |
| Provider Name | Matthew J Loe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861419293 PECOS PAC ID: 2769486117 Enrollment ID: I20060828000166 |
| Provider Name | Don E Wiese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114908159 PECOS PAC ID: 7810971843 Enrollment ID: I20060830000035 |
| Provider Name | Andrew L Makowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770514861 PECOS PAC ID: 4385648021 Enrollment ID: I20060911000634 |
| Provider Name | Mark a Rasmusson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023116522 PECOS PAC ID: 2466457080 Enrollment ID: I20061003000314 |
| Provider Name | Suzanne S Parrino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730113671 PECOS PAC ID: 1658341870 Enrollment ID: I20061012000098 |
| Provider Name | Lane M Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689779464 PECOS PAC ID: 1355391509 Enrollment ID: I20061023000547 |
| Provider Name | Joshua Rother |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417900358 PECOS PAC ID: 0446258214 Enrollment ID: I20061110000358 |
| Provider Name | Tiffany M Wirz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598777989 PECOS PAC ID: 5890794242 Enrollment ID: I20061212000318 |
| Provider Name | Daniel W Soular |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497836894 PECOS PAC ID: 3779582143 Enrollment ID: I20061212000555 |
| Provider Name | Azhar T Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538187786 PECOS PAC ID: 0143228809 Enrollment ID: I20061227000270 |
| Provider Name | Mary C Macleod |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972695302 PECOS PAC ID: 9739147844 Enrollment ID: I20070226000020 |
| Provider Name | Antoinette Rae Vanstelten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669577516 PECOS PAC ID: 5698878817 Enrollment ID: I20070308000459 |
| Provider Name | Janet a Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659349934 PECOS PAC ID: 3375641889 Enrollment ID: I20070607000106 |
| Provider Name | Paul C Allegra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013030097 PECOS PAC ID: 8224136759 Enrollment ID: I20070607000273 |
| Provider Name | Earle C Munns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457329211 PECOS PAC ID: 2264532894 Enrollment ID: I20070712000186 |
| Provider Name | Kathryn R Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740496090 PECOS PAC ID: 7618078023 Enrollment ID: I20070728000011 |
| Provider Name | Debora L Birgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124145495 PECOS PAC ID: 1557452554 Enrollment ID: I20070806000405 |
| Provider Name | Gregory a Rathmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891990404 PECOS PAC ID: 9739270182 Enrollment ID: I20070814000512 |
| Provider Name | Paul R Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144427055 PECOS PAC ID: 3971695214 Enrollment ID: I20070816000583 |
| Provider Name | Melissa M Milkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427252550 PECOS PAC ID: 6103918750 Enrollment ID: I20070827000861 |
| Provider Name | Kevin G Krause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538123419 PECOS PAC ID: 8820901531 Enrollment ID: I20070828001007 |
| Provider Name | Joseph Dominic Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043292253 PECOS PAC ID: 7517957988 Enrollment ID: I20070830000695 |
| Provider Name | James Wagner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942234851 PECOS PAC ID: 2769575489 Enrollment ID: I20070911000303 |
| Provider Name | Lincoln R Roth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225063936 PECOS PAC ID: 7810889177 Enrollment ID: I20070913000734 |
| Provider Name | Andrew Hartigan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093793234 PECOS PAC ID: 5294649976 Enrollment ID: I20070928000639 |
| Provider Name | Kathryn E Dusenbery |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578668174 PECOS PAC ID: 6002728227 Enrollment ID: I20071009000279 |
| Provider Name | Julia Steinberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851310213 PECOS PAC ID: 5799871992 Enrollment ID: I20071019000075 |
| Provider Name | Wayne a Jorgensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932391083 PECOS PAC ID: 6406944107 Enrollment ID: I20071114000028 |
| Provider Name | Chung K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972609360 PECOS PAC ID: 5193815108 Enrollment ID: I20071214000053 |
| Provider Name | Laura K Prouty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356521165 PECOS PAC ID: 2961583331 Enrollment ID: I20080111000431 |
| Provider Name | Colleen a Kloehn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295715373 PECOS PAC ID: 3476521311 Enrollment ID: I20080123000401 |
| Provider Name | Lori R Schumacher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154316248 PECOS PAC ID: 5597792549 Enrollment ID: I20080128000156 |
| Provider Name | Anne M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659340180 PECOS PAC ID: 9335040633 Enrollment ID: I20080208000464 |
| Provider Name | Thomas P Gustafson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225253693 PECOS PAC ID: 4082797360 Enrollment ID: I20080208000514 |
| Provider Name | Kimberly M Bigelow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184811325 PECOS PAC ID: 1658454806 Enrollment ID: I20080211000533 |
| Provider Name | Rachel L Brist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891896502 PECOS PAC ID: 5496838237 Enrollment ID: I20080216000029 |
| Provider Name | Lisa G Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720288897 PECOS PAC ID: 1456435429 Enrollment ID: I20080228000763 |
| Provider Name | Kimberly J Haycraft-schmotter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306800107 PECOS PAC ID: 7810073855 Enrollment ID: I20080331000428 |
| Provider Name | Lisa M Silvestri Adamich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174604730 PECOS PAC ID: 5597842575 Enrollment ID: I20080402000241 |
| Provider Name | Keith H Wittenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154300929 PECOS PAC ID: 3173437886 Enrollment ID: I20080530000327 |
| Provider Name | Anuradha K Tummala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972582732 PECOS PAC ID: 2567376270 Enrollment ID: I20080530000396 |
| Provider Name | Susan M Truman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356320105 PECOS PAC ID: 6507859840 Enrollment ID: I20080530000403 |
| Provider Name | Alexandra L Muschenheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184603607 PECOS PAC ID: 2668452335 Enrollment ID: I20080531000068 |
| Provider Name | Paul F Mulcahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467431262 PECOS PAC ID: 9234043928 Enrollment ID: I20080531000071 |
| Provider Name | Steven C Hommeyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356329593 PECOS PAC ID: 8325952005 Enrollment ID: I20080602000034 |
| Provider Name | Richard N Aizpuru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558367789 PECOS PAC ID: 1951215979 Enrollment ID: I20080602000074 |
| Provider Name | Todd Michael Arsenault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902890726 PECOS PAC ID: 4688588619 Enrollment ID: I20080602000082 |
| Provider Name | Joseph J Baraga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167073 PECOS PAC ID: 8022922053 Enrollment ID: I20080602000094 |
| Provider Name | Jeffrey M Barkmeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871571083 PECOS PAC ID: 4385558311 Enrollment ID: I20080602000101 |
| Provider Name | John M Caspers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750369989 PECOS PAC ID: 2567376221 Enrollment ID: I20080602000293 |
| Provider Name | Matthew T Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487632725 PECOS PAC ID: 5496669426 Enrollment ID: I20080602000307 |
| Provider Name | Timothy Goertzen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821076068 PECOS PAC ID: 3577477256 Enrollment ID: I20080602000518 |
| Provider Name | Conrad Iber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649225012 PECOS PAC ID: 3274615869 Enrollment ID: I20080611000186 |
| Provider Name | Jorge Leon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013996065 PECOS PAC ID: 2860394210 Enrollment ID: I20080611000310 |
| Provider Name | Anne Weisensee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992784755 PECOS PAC ID: 8729992433 Enrollment ID: I20080620000583 |
| Provider Name | David Drake |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528046612 PECOS PAC ID: 7517871288 Enrollment ID: I20080620000617 |
| Provider Name | Kevin P Henseler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952358129 PECOS PAC ID: 6800977810 Enrollment ID: I20080703000478 |
| Provider Name | John William Colford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164575411 PECOS PAC ID: 1254426141 Enrollment ID: I20080721000076 |
| Provider Name | Andrew Deh-an Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124070883 PECOS PAC ID: 2769581578 Enrollment ID: I20080721000162 |
| Provider Name | Linda R Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841345790 PECOS PAC ID: 3476627555 Enrollment ID: I20080807000362 |
| Provider Name | Mark D Mcmillan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508884826 PECOS PAC ID: 4981785995 Enrollment ID: I20080809000057 |
| Provider Name | Lin Y Chen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205800240 PECOS PAC ID: 6204904774 Enrollment ID: I20081010000221 |
| Provider Name | Wendell Bonner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033140660 PECOS PAC ID: 8729146147 Enrollment ID: I20081028000831 |
| Provider Name | Demetris Yannopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821143629 PECOS PAC ID: 7911065396 Enrollment ID: I20081029000604 |
| Provider Name | Christian Cavanaugh Conner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003068743 PECOS PAC ID: 8325100837 Enrollment ID: I20081217000470 |
| Provider Name | Gary S Francis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679666317 PECOS PAC ID: 4284630427 Enrollment ID: I20090220000226 |
| Provider Name | Amanda J L Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548429350 PECOS PAC ID: 6305902800 Enrollment ID: I20090309000334 |
| Provider Name | Leah Becicka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396790390 PECOS PAC ID: 2466519715 Enrollment ID: I20090401000019 |
| Provider Name | Dawn N Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093955445 PECOS PAC ID: 8729136197 Enrollment ID: I20090423000663 |
| Provider Name | Chad W Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518034560 PECOS PAC ID: 6305910548 Enrollment ID: I20090430000607 |
| Provider Name | Alia Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467511493 PECOS PAC ID: 9739257890 Enrollment ID: I20090513000312 |
| Provider Name | Owen a Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720255433 PECOS PAC ID: 3779633987 Enrollment ID: I20090610000126 |
| Provider Name | Steven G Thiel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427229541 PECOS PAC ID: 1456411735 Enrollment ID: I20090624000713 |
| Provider Name | Brian F Decesare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194871798 PECOS PAC ID: 5395811863 Enrollment ID: I20090625000117 |
| Provider Name | Steven L Manning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245313139 PECOS PAC ID: 9830240969 Enrollment ID: I20090630000419 |
| Provider Name | Teri Lee Larson-johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891761664 PECOS PAC ID: 2668524380 Enrollment ID: I20090710000067 |
| Provider Name | Benjamin J May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710172960 PECOS PAC ID: 0547313918 Enrollment ID: I20090803000113 |
| Provider Name | John Lyng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659577856 PECOS PAC ID: 3173618204 Enrollment ID: I20090820000573 |
| Provider Name | Kristina Balck Sturgell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689866527 PECOS PAC ID: 6305991308 Enrollment ID: I20090826000919 |
| Provider Name | Gina M Pettinari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770713323 PECOS PAC ID: 3274689229 Enrollment ID: I20090916000826 |
| Provider Name | Badrinath R Konety |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912937657 PECOS PAC ID: 7517903362 Enrollment ID: I20091020000517 |
| Provider Name | Justin L Seningen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083878425 PECOS PAC ID: 1052458874 Enrollment ID: I20091028000275 |
| Provider Name | Suma Konety |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821172727 PECOS PAC ID: 2365490281 Enrollment ID: I20091203000088 |
| Provider Name | Robin W Hendricks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245235746 PECOS PAC ID: 0749173862 Enrollment ID: I20100105000780 |
| Provider Name | Patrick G Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861497364 PECOS PAC ID: 3779529854 Enrollment ID: I20100105000797 |
| Provider Name | Dennis Kiesel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154326676 PECOS PAC ID: 0648311100 Enrollment ID: I20100105000802 |
| Provider Name | Sheila K Gemar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245206994 PECOS PAC ID: 4284775339 Enrollment ID: I20100111000808 |
| Provider Name | Thomas John Kogowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952531444 PECOS PAC ID: 6901947852 Enrollment ID: I20100114000147 |
| Provider Name | Paul J Windberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932138005 PECOS PAC ID: 3274420930 Enrollment ID: I20100127000654 |
| Provider Name | Joel a Zamzow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053316554 PECOS PAC ID: 6901799022 Enrollment ID: I20100216000867 |
| Provider Name | Derek a Beyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265492912 PECOS PAC ID: 3476698291 Enrollment ID: I20100304000641 |
| Provider Name | John a Chauss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821220195 PECOS PAC ID: 4082759303 Enrollment ID: I20100319000771 |
| Provider Name | Anne M Flaim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144287210 PECOS PAC ID: 8022144815 Enrollment ID: I20100331000649 |
| Provider Name | Gail a Bernstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821034992 PECOS PAC ID: 0244367902 Enrollment ID: I20100428000968 |
| Provider Name | Stephen Monroe Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326238338 PECOS PAC ID: 4981732567 Enrollment ID: I20100503000771 |
| Provider Name | Warren a Mcguire |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386613818 PECOS PAC ID: 1759276058 Enrollment ID: I20100506000458 |
| Provider Name | Kendall J Strand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518987668 PECOS PAC ID: 3577468222 Enrollment ID: I20100525000619 |
| Provider Name | Bradly R Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184683245 PECOS PAC ID: 9830228659 Enrollment ID: I20100603000391 |
| Provider Name | William C Keig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598724643 PECOS PAC ID: 4981517018 Enrollment ID: I20100603000475 |
| Provider Name | Cheri L Audrain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942269097 PECOS PAC ID: 7719017532 Enrollment ID: I20100604000635 |
| Provider Name | Michael J Dorle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457389884 PECOS PAC ID: 9638150378 Enrollment ID: I20100616000854 |
| Provider Name | Susan M Rudberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326002346 PECOS PAC ID: 8820170293 Enrollment ID: I20100715001017 |
| Provider Name | Kagen a Waage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154648921 PECOS PAC ID: 7810020773 Enrollment ID: I20100729000809 |
| Provider Name | Kimberly Robin Newcombe Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003086505 PECOS PAC ID: 5597898288 Enrollment ID: I20100802000594 |
| Provider Name | Audrey Mie Park Skinner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083647499 PECOS PAC ID: 1052445228 Enrollment ID: I20100810001084 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811127905 PECOS PAC ID: 7416081591 Enrollment ID: I20100811000156 |
| Provider Name | Debra L Overlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942497680 PECOS PAC ID: 3971637513 Enrollment ID: I20100817001615 |
| Provider Name | Shih-an J Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20100830001137 |
| Provider Name | Tara M Ruud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811213127 PECOS PAC ID: 4880719889 Enrollment ID: I20100914001233 |
| Provider Name | Jennifer M Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194917302 PECOS PAC ID: 1355467507 Enrollment ID: I20100925000196 |
| Provider Name | Evelyn L Slomka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437388378 PECOS PAC ID: 3577689629 Enrollment ID: I20100925000280 |
| Provider Name | Frank J Suslavich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235116229 PECOS PAC ID: 0244143261 Enrollment ID: I20101004000074 |
| Provider Name | Quinn H Carmichael |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669450474 PECOS PAC ID: 5890745624 Enrollment ID: I20101004000087 |
| Provider Name | Anne T Goldschmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407833494 PECOS PAC ID: 1759331465 Enrollment ID: I20101004000179 |
| Provider Name | Alan P Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073824751 PECOS PAC ID: 9537060983 Enrollment ID: I20101018000216 |
| Provider Name | Eric William Simons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598762577 PECOS PAC ID: 8820069222 Enrollment ID: I20101020000593 |
| Provider Name | Amy L Tuthill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891007407 PECOS PAC ID: 1456544592 Enrollment ID: I20101020001591 |
| Provider Name | Ramsey G Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710928387 PECOS PAC ID: 6002834553 Enrollment ID: I20101022000029 |
| Provider Name | Coleen E Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073824348 PECOS PAC ID: 0840484515 Enrollment ID: I20101027000766 |
| Provider Name | Elisabeth Ann Revoir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952349169 PECOS PAC ID: 0547154494 Enrollment ID: I20101101001570 |
| Provider Name | Christopher M Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952576266 PECOS PAC ID: 9436343217 Enrollment ID: I20101105000520 |
| Provider Name | Christopher Weight |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962612127 PECOS PAC ID: 7416142666 Enrollment ID: I20101117001207 |
| Provider Name | Paula Lundell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336455476 PECOS PAC ID: 6507046638 Enrollment ID: I20110207000988 |
| Provider Name | Casey Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649593856 PECOS PAC ID: 6901086719 Enrollment ID: I20110211000238 |
| Provider Name | Glen D Palokangas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932416435 PECOS PAC ID: 5799967394 Enrollment ID: I20110318000647 |
| Provider Name | Alexander W Stricker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205023686 PECOS PAC ID: 7214110667 Enrollment ID: I20110323000488 |
| Provider Name | April a Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922319904 PECOS PAC ID: 2163605452 Enrollment ID: I20110323001069 |
| Provider Name | Sabeen Askari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194816918 PECOS PAC ID: 4587847470 Enrollment ID: I20110330000988 |
| Provider Name | Henry K Bong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831213438 PECOS PAC ID: 7517140353 Enrollment ID: I20110331000631 |
| Provider Name | Mohamed Abdihalim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912141243 PECOS PAC ID: 6204010994 Enrollment ID: I20110404000745 |
| Provider Name | Naeem Rana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871528638 PECOS PAC ID: 4789605973 Enrollment ID: I20110427000644 |
| Provider Name | Julie a Sherman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750688867 PECOS PAC ID: 7214112325 Enrollment ID: I20110504000395 |
| Provider Name | Kara L Nachtsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790091700 PECOS PAC ID: 4082890298 Enrollment ID: I20110523000528 |
| Provider Name | Jessica Ann Axmacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912148867 PECOS PAC ID: 6305023839 Enrollment ID: I20110608000812 |
| Provider Name | Angela W Tai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336212810 PECOS PAC ID: 8022161819 Enrollment ID: I20110610000570 |
| Provider Name | Katherine a Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922162155 PECOS PAC ID: 1456529023 Enrollment ID: I20110726000558 |
| Provider Name | Kimberly D Pettinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659664852 PECOS PAC ID: 1759559107 Enrollment ID: I20110729000405 |
| Provider Name | David Aamodt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578876496 PECOS PAC ID: 0244401461 Enrollment ID: I20110920000701 |
| Provider Name | Torfi Thorkell Hoskuldsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518129071 PECOS PAC ID: 7810168671 Enrollment ID: I20110927000796 |
| Provider Name | Peter T Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356668222 PECOS PAC ID: 8123299856 Enrollment ID: I20110928000887 |
| Provider Name | Franklin Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265540405 PECOS PAC ID: 1951454644 Enrollment ID: I20111011000500 |
| Provider Name | Angela C Faulkner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053503680 PECOS PAC ID: 6305019043 Enrollment ID: I20111025000761 |
| Provider Name | Kristina L Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023396736 PECOS PAC ID: 1759555956 Enrollment ID: I20111128000799 |
| Provider Name | Volha Rudnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891838504 PECOS PAC ID: 7012181191 Enrollment ID: I20111130000157 |
| Provider Name | Laraine J Klunder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225333941 PECOS PAC ID: 8123201191 Enrollment ID: I20120209000389 |
| Provider Name | Gidget Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003846668 PECOS PAC ID: 0749448686 Enrollment ID: I20120222001050 |
| Provider Name | Amber M Biondich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083900773 PECOS PAC ID: 9436317930 Enrollment ID: I20120229000404 |
| Provider Name | Daniel P Dewey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740467760 PECOS PAC ID: 2365529617 Enrollment ID: I20120521000563 |
| Provider Name | Regina M Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437419868 PECOS PAC ID: 9133384290 Enrollment ID: I20120622000623 |
| Provider Name | Lucas Ludeman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205080744 PECOS PAC ID: 2668537069 Enrollment ID: I20120625000418 |
| Provider Name | Elizabeth a Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649446493 PECOS PAC ID: 3072683127 Enrollment ID: I20120709000245 |
| Provider Name | Peter a Baggenstos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265694418 PECOS PAC ID: 9739344193 Enrollment ID: I20120710000267 |
| Provider Name | Mathew So |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215126503 PECOS PAC ID: 1254597487 Enrollment ID: I20120716000497 |
| Provider Name | Simon L Lick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922238823 PECOS PAC ID: 5092971176 Enrollment ID: I20120717000514 |
| Provider Name | Casey M Woster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285862045 PECOS PAC ID: 1951567478 Enrollment ID: I20120726000600 |
| Provider Name | Nicole R Marr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831462605 PECOS PAC ID: 7214183094 Enrollment ID: I20120809000898 |
| Provider Name | Benjamin a Gilloon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902919376 PECOS PAC ID: 5597880989 Enrollment ID: I20120810000007 |
| Provider Name | Ranil Gajanayaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841452380 PECOS PAC ID: 1759550817 Enrollment ID: I20120827000121 |
| Provider Name | Tamas Alexy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477782316 PECOS PAC ID: 2466609334 Enrollment ID: I20120828000586 |
| Provider Name | Erich N Bryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740459551 PECOS PAC ID: 5799932489 Enrollment ID: I20120831000495 |
| Provider Name | Samuel P Harms |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447397799 PECOS PAC ID: 8527076918 Enrollment ID: I20120927000390 |
| Provider Name | Janice M Couture-knuti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396093951 PECOS PAC ID: 9931350238 Enrollment ID: I20121114000474 |
| Provider Name | Janean M Mccue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043569148 PECOS PAC ID: 4385895689 Enrollment ID: I20121114000493 |
| Provider Name | Prabhjot S Nijjar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669687711 PECOS PAC ID: 0547338535 Enrollment ID: I20121120000352 |
| Provider Name | Chandra Lynn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558618884 PECOS PAC ID: 8820249741 Enrollment ID: I20121126000641 |
| Provider Name | Sameer Nevile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447556584 PECOS PAC ID: 5991957425 Enrollment ID: I20121210000252 |
| Provider Name | Lisa C Buenger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427161645 PECOS PAC ID: 8820275761 Enrollment ID: I20121217000270 |
| Provider Name | Elizabeth Faye Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205157872 PECOS PAC ID: 3870746142 Enrollment ID: I20130117000279 |
| Provider Name | Jose D Paniaqua |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962584706 PECOS PAC ID: 1052564283 Enrollment ID: I20130119000051 |
| Provider Name | Michael G Kniffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497008809 PECOS PAC ID: 2567615669 Enrollment ID: I20130123000053 |
| Provider Name | Hina Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114234986 PECOS PAC ID: 5890983647 Enrollment ID: I20130125000188 |
| Provider Name | David G Mainguy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376598953 PECOS PAC ID: 7113162314 Enrollment ID: I20130318000010 |
| Provider Name | Julia L Pawlenty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144569781 PECOS PAC ID: 4284879784 Enrollment ID: I20130405000029 |
| Provider Name | Nadiya Beliveau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366694341 PECOS PAC ID: 8022283373 Enrollment ID: I20130418000329 |
| Provider Name | Chad C Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386879617 PECOS PAC ID: 8820236896 Enrollment ID: I20130603000513 |
| Provider Name | Adam B Jeffers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255539748 PECOS PAC ID: 8325293038 Enrollment ID: I20130702000112 |
| Provider Name | Thomas C Bryson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811101116 PECOS PAC ID: 0749436491 Enrollment ID: I20130715000353 |
| Provider Name | Ryan Robert Reinking |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043522295 PECOS PAC ID: 1658512298 Enrollment ID: I20130724000951 |
| Provider Name | Henri Roukoz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144499187 PECOS PAC ID: 9931340353 Enrollment ID: I20130729000216 |
| Provider Name | Kevin P Guenard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457692519 PECOS PAC ID: 0446491799 Enrollment ID: I20130729000649 |
| Provider Name | Jane C Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548609019 PECOS PAC ID: 3173765625 Enrollment ID: I20130812000826 |
| Provider Name | Elsaid M Rabie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336427525 PECOS PAC ID: 4183867039 Enrollment ID: I20130826000588 |
| Provider Name | Mary Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588005441 PECOS PAC ID: 2466695283 Enrollment ID: I20130827000380 |
| Provider Name | Kathryn L Vaudreuil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821439910 PECOS PAC ID: 5799929683 Enrollment ID: I20130916000150 |
| Provider Name | Kasey L Kapella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952669525 PECOS PAC ID: 5799929485 Enrollment ID: I20130919000308 |
| Provider Name | Kevin P Morgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184877904 PECOS PAC ID: 5799953246 Enrollment ID: I20130926000855 |
| Provider Name | Cynthia S Fok |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730341231 PECOS PAC ID: 8426282831 Enrollment ID: I20131017000905 |
| Provider Name | Rebecca L Kuntz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023297017 PECOS PAC ID: 1850548009 Enrollment ID: I20131021001773 |
| Provider Name | Ryan C Cusic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699091686 PECOS PAC ID: 2264667443 Enrollment ID: I20131023001741 |
| Provider Name | Leianne Odilia Knoll Krajewski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922431147 PECOS PAC ID: 6709011687 Enrollment ID: I20131031000029 |
| Provider Name | Lisa N Von Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093147142 PECOS PAC ID: 1759516503 Enrollment ID: I20131101000878 |
| Provider Name | Tomasz P Lis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003122151 PECOS PAC ID: 8325273832 Enrollment ID: I20131108000055 |
| Provider Name | Sara a Ketchum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720426802 PECOS PAC ID: 7517193683 Enrollment ID: I20131119001436 |
| Provider Name | Dara L Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265868970 PECOS PAC ID: 7618103714 Enrollment ID: I20131120000431 |
| Provider Name | Salena R Lundquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972883486 PECOS PAC ID: 3274782271 Enrollment ID: I20131219001116 |
| Provider Name | Chetan N Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346571320 PECOS PAC ID: 4880870633 Enrollment ID: I20140115001232 |
| Provider Name | Donald Conklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285613323 PECOS PAC ID: 9032133657 Enrollment ID: I20140117000296 |
| Provider Name | Kathryn R Kensrud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750713780 PECOS PAC ID: 6406083153 Enrollment ID: I20140213001358 |
| Provider Name | Todd S Kessler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366453011 PECOS PAC ID: 0547413411 Enrollment ID: I20140226000058 |
| Provider Name | Daniel John Ferraro |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629237409 PECOS PAC ID: 4789814005 Enrollment ID: I20140307000026 |
| Provider Name | Nathan Opland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639590102 PECOS PAC ID: 6103056346 Enrollment ID: I20140307001281 |
| Provider Name | Nathalie Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700134293 PECOS PAC ID: 2264663186 Enrollment ID: I20140320000269 |
| Provider Name | Jill a Radman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033535299 PECOS PAC ID: 1254564214 Enrollment ID: I20140429001142 |
| Provider Name | Andrew Bunney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114246113 PECOS PAC ID: 5597998096 Enrollment ID: I20140508000511 |
| Provider Name | Jonathan P Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003079112 PECOS PAC ID: 1153569710 Enrollment ID: I20140520002247 |
| Provider Name | Christopher M Reilly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659600435 PECOS PAC ID: 0941423545 Enrollment ID: I20140602000077 |
| Provider Name | Kathleen M Maurer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518195205 PECOS PAC ID: 2163577396 Enrollment ID: I20140604000861 |
| Provider Name | Kamel a Gharaibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20140617000960 |
| Provider Name | Stephanie H Tkach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851608749 PECOS PAC ID: 3971728163 Enrollment ID: I20140701002312 |
| Provider Name | Alexander a Boucher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194083675 PECOS PAC ID: 9133344195 Enrollment ID: I20140707001277 |
| Provider Name | Matthew B Ambrose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255523320 PECOS PAC ID: 4789800202 Enrollment ID: I20140718001042 |
| Provider Name | Caren Blacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871857458 PECOS PAC ID: 9032355854 Enrollment ID: I20140729002799 |
| Provider Name | Heather a Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467864603 PECOS PAC ID: 7911123781 Enrollment ID: I20140731000813 |
| Provider Name | Jonathan D Lacore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265842132 PECOS PAC ID: 5597982280 Enrollment ID: I20140804000271 |
| Provider Name | Christopher J Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326359456 PECOS PAC ID: 6507002144 Enrollment ID: I20140820001181 |
| Provider Name | Jeff Werner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417152885 PECOS PAC ID: 7113180258 Enrollment ID: I20140821002741 |
| Provider Name | Jennifer E Salminen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528475498 PECOS PAC ID: 8527288315 Enrollment ID: I20140929002320 |
| Provider Name | Assefa M Ayalew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912240235 PECOS PAC ID: 5597985358 Enrollment ID: I20140930001982 |
| Provider Name | Misty D Eliason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467687491 PECOS PAC ID: 5294956306 Enrollment ID: I20141014001929 |
| Provider Name | Jessica M Cici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972737997 PECOS PAC ID: 7719109073 Enrollment ID: I20141121000355 |
| Provider Name | Andrew S Nisbet |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588864755 PECOS PAC ID: 6406971282 Enrollment ID: I20141204000243 |
| Provider Name | Jacob Waxman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972946937 PECOS PAC ID: 8820238322 Enrollment ID: I20141224001241 |
| Provider Name | Elizabeth B Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225296957 PECOS PAC ID: 8729304837 Enrollment ID: I20150309002003 |
| Provider Name | Brooke Noelle Harle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780098871 PECOS PAC ID: 7315264884 Enrollment ID: I20150320001022 |
| Provider Name | Kristin Lieberman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053413708 PECOS PAC ID: 0648267682 Enrollment ID: I20150410001347 |
| Provider Name | Kyle R Shipley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841408200 PECOS PAC ID: 6507995339 Enrollment ID: I20150521002513 |
| Provider Name | Caroline L Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689664534 PECOS PAC ID: 0446277016 Enrollment ID: I20150521002607 |
| Provider Name | John F Brunner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740423870 PECOS PAC ID: 2365680204 Enrollment ID: I20150528002417 |
| Provider Name | Ryan T Whitesell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245465301 PECOS PAC ID: 2466690540 Enrollment ID: I20150602002888 |
| Provider Name | Cesar a Cobarruvias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659492189 PECOS PAC ID: 4981764339 Enrollment ID: I20150605000624 |
| Provider Name | James W Koch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447419668 PECOS PAC ID: 4688823909 Enrollment ID: I20150610001517 |
| Provider Name | Veena R Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932426004 PECOS PAC ID: 0941511141 Enrollment ID: I20150615001242 |
| Provider Name | Ari Yazdan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215352398 PECOS PAC ID: 7810113099 Enrollment ID: I20150618001417 |
| Provider Name | Bridget Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689068421 PECOS PAC ID: 8022329770 Enrollment ID: I20150622001504 |
| Provider Name | Matthew Adam Rischall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750607248 PECOS PAC ID: 5890006415 Enrollment ID: I20150623000895 |
| Provider Name | Eric Carolan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679899389 PECOS PAC ID: 6800037623 Enrollment ID: I20150623002728 |
| Provider Name | Mehdi Dastrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967139 PECOS PAC ID: 4880906734 Enrollment ID: I20150706002597 |
| Provider Name | Kevin Q Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407090632 PECOS PAC ID: 2668793514 Enrollment ID: I20150722005555 |
| Provider Name | Nicole M Granberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841672797 PECOS PAC ID: 9436462157 Enrollment ID: I20150723007581 |
| Provider Name | Bryan M Donald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396064465 PECOS PAC ID: 5698089555 Enrollment ID: I20150805008603 |
| Provider Name | Kathy Busick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093190159 PECOS PAC ID: 1153637350 Enrollment ID: I20150902003052 |
| Provider Name | Jeremy R Van't Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833909 PECOS PAC ID: 0446568448 Enrollment ID: I20150924000839 |
| Provider Name | Thomas J Hewett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447588546 PECOS PAC ID: 6507174059 Enrollment ID: I20151001002609 |
| Provider Name | Jefferson Reynolds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417386483 PECOS PAC ID: 5294966875 Enrollment ID: I20151016002144 |
| Provider Name | Krista L Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578948428 PECOS PAC ID: 6103136726 Enrollment ID: I20151112000178 |
| Provider Name | Paul a Colligan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417321829 PECOS PAC ID: 7315249406 Enrollment ID: I20160106001954 |
| Provider Name | Michelle L Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780971564 PECOS PAC ID: 6103128772 Enrollment ID: I20160113002840 |
| Provider Name | Robert M Laporte |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255315891 PECOS PAC ID: 1759276322 Enrollment ID: I20160114000609 |
| Provider Name | Katherine Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891895256 PECOS PAC ID: 8921098302 Enrollment ID: I20160121001963 |
| Provider Name | Noreen L Cooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417181520 PECOS PAC ID: 2466755582 Enrollment ID: I20160125000984 |
| Provider Name | Jennifer a Schnarr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962717421 PECOS PAC ID: 4082917018 Enrollment ID: I20160125001480 |
| Provider Name | Sara B Bestel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427289602 PECOS PAC ID: 3779887278 Enrollment ID: I20160203001649 |
| Provider Name | Michelle Lee Gustafson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700823952 PECOS PAC ID: 4385948108 Enrollment ID: I20160215001453 |
| Provider Name | Megan T Elgethun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558785311 PECOS PAC ID: 9931324654 Enrollment ID: I20160217002165 |
| Provider Name | Beth K Twite |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427415389 PECOS PAC ID: 4486959335 Enrollment ID: I20160301002342 |
| Provider Name | Andrea Jane Silvola |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942633227 PECOS PAC ID: 6406084565 Enrollment ID: I20160304000716 |
| Provider Name | Tracy Hinz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538153226 PECOS PAC ID: 0345546016 Enrollment ID: I20160307000026 |
| Provider Name | Jeremiah a Dagel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366802290 PECOS PAC ID: 2860790292 Enrollment ID: I20160418001825 |
| Provider Name | Laura E Moench |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104146406 PECOS PAC ID: 0244539146 Enrollment ID: I20160427001706 |
| Provider Name | Brian S Martell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689991432 PECOS PAC ID: 9931419793 Enrollment ID: I20160511002723 |
| Provider Name | Costa Sousou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225032857 PECOS PAC ID: 0244261592 Enrollment ID: I20160513000884 |
| Provider Name | Laura B Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003261470 PECOS PAC ID: 0547559577 Enrollment ID: I20160516000656 |
| Provider Name | Cory Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699092445 PECOS PAC ID: 1355580671 Enrollment ID: I20160517000260 |
| Provider Name | Timothy Meehan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558686030 PECOS PAC ID: 4486811395 Enrollment ID: I20160525002962 |
| Provider Name | Maria K Goertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407296312 PECOS PAC ID: 8426348434 Enrollment ID: I20160603000834 |
| Provider Name | Michael Powell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700027166 PECOS PAC ID: 9234262148 Enrollment ID: I20160603001177 |
| Provider Name | Sarah Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386092955 PECOS PAC ID: 5991096398 Enrollment ID: I20160615000365 |
| Provider Name | Patricia a White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740639517 PECOS PAC ID: 5395038392 Enrollment ID: I20160728001698 |
| Provider Name | Megan J Westen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326275942 PECOS PAC ID: 6608004684 Enrollment ID: I20160729000254 |
| Provider Name | Deepak Somashekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710116918 PECOS PAC ID: 6901118843 Enrollment ID: I20160801001484 |
| Provider Name | Arthur T Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427404987 PECOS PAC ID: 7810281516 Enrollment ID: I20160803000869 |
| Provider Name | Lester Fahrner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295995900 PECOS PAC ID: 7618115981 Enrollment ID: I20160803001810 |
| Provider Name | Matthew a Hallanger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023451689 PECOS PAC ID: 4789998246 Enrollment ID: I20160803002320 |
| Provider Name | Stacie Marie Knutson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720304439 PECOS PAC ID: 8820394299 Enrollment ID: I20160816003028 |
| Provider Name | Stephanie a Koivisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992163554 PECOS PAC ID: 2961797741 Enrollment ID: I20160817002685 |
| Provider Name | Madhuri Vasudev Rao |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295997641 PECOS PAC ID: 0840585329 Enrollment ID: I20160823001478 |
| Provider Name | Jeanne M Antonich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417309873 PECOS PAC ID: 7315232659 Enrollment ID: I20160825000337 |
| Provider Name | Nancy L Middlestead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326498635 PECOS PAC ID: 2163717315 Enrollment ID: I20160826000735 |
| Provider Name | Shannon R Petroske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854075 PECOS PAC ID: 3072808138 Enrollment ID: I20160829001168 |
| Provider Name | Jonathan Phelan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437323128 PECOS PAC ID: 4183866353 Enrollment ID: I20160902001217 |
| Provider Name | Daniel WB Brody |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174753313 PECOS PAC ID: 3678702784 Enrollment ID: I20160916000233 |
| Provider Name | Robin Lee Etter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740736297 PECOS PAC ID: 3870880818 Enrollment ID: I20160920000622 |
| Provider Name | Kalli a Shades |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356790273 PECOS PAC ID: 7416235551 Enrollment ID: I20161025001492 |
| Provider Name | Ali Pitafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023115615 PECOS PAC ID: 8921250044 Enrollment ID: I20161025002435 |
| Provider Name | Shannon Marie Brookhouser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841749777 PECOS PAC ID: 3476832908 Enrollment ID: I20161128000436 |
| Provider Name | Jacquelyn Rae Haigh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518400050 PECOS PAC ID: 7214218981 Enrollment ID: I20170111003448 |
| Provider Name | Beth P Jarrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700978145 PECOS PAC ID: 0244280196 Enrollment ID: I20170120000811 |
| Provider Name | Paul a Farris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154426997 PECOS PAC ID: 2062511983 Enrollment ID: I20170224001092 |
| Provider Name | Brandon P Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598902181 PECOS PAC ID: 2567510472 Enrollment ID: I20170315001344 |
| Provider Name | Jamie Fort |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568589083 PECOS PAC ID: 3375711542 Enrollment ID: I20170327002753 |
| Provider Name | Andrew Sundblad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447411772 PECOS PAC ID: 3375781487 Enrollment ID: I20170329000219 |
| Provider Name | Cory Nordman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679771521 PECOS PAC ID: 2961689427 Enrollment ID: I20170517000985 |
| Provider Name | Ilknur Can |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558514661 PECOS PAC ID: 3274800917 Enrollment ID: I20170530001739 |
| Provider Name | Mary a Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659704450 PECOS PAC ID: 9032487426 Enrollment ID: I20170607001014 |
| Provider Name | Andrew T Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609134436 PECOS PAC ID: 3870898992 Enrollment ID: I20170609000332 |
| Provider Name | Andrew W Shaffer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609039742 PECOS PAC ID: 4486885951 Enrollment ID: I20170612003026 |
| Provider Name | Maxfield Daniel Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023379955 PECOS PAC ID: 2062706963 Enrollment ID: I20170630001475 |
| Provider Name | Adam T Hermes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104133727 PECOS PAC ID: 5395861579 Enrollment ID: I20170706003017 |
| Provider Name | Dustin D Lucarelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003170424 PECOS PAC ID: 4789815440 Enrollment ID: I20170713001766 |
| Provider Name | Jeremy Scott Markowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033438601 PECOS PAC ID: 6901176478 Enrollment ID: I20170717003576 |
| Provider Name | Joseph Robert Skaja |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841557022 PECOS PAC ID: 7012212251 Enrollment ID: I20170717003594 |
| Provider Name | Jennifer C Bunio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376885889 PECOS PAC ID: 1052616489 Enrollment ID: I20170727001902 |
| Provider Name | Christina Lauren Fanola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942461637 PECOS PAC ID: 1254500457 Enrollment ID: I20170810002794 |
| Provider Name | Jonathan C Homans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588919526 PECOS PAC ID: 6709192313 Enrollment ID: I20170814000409 |
| Provider Name | Craig F Tschautscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316301096 PECOS PAC ID: 6507158227 Enrollment ID: I20170814000764 |
| Provider Name | Amanjit Baadh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003061367 PECOS PAC ID: 3870750029 Enrollment ID: I20170905001562 |
| Provider Name | Kristin M Lyerly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295965069 PECOS PAC ID: 2961637277 Enrollment ID: I20171006002741 |
| Provider Name | Paul Steven Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285153007 PECOS PAC ID: 9032485131 Enrollment ID: I20171017002710 |
| Provider Name | Garret Thomas Lechtenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255693453 PECOS PAC ID: 6002054459 Enrollment ID: I20171020001567 |
| Provider Name | Lauren M Simensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366968281 PECOS PAC ID: 0749546919 Enrollment ID: I20171106000678 |
| Provider Name | Arvydas Urbonas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649312208 PECOS PAC ID: 2062594054 Enrollment ID: I20180103002291 |
| Provider Name | Brittany Jo Oberhelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790290153 PECOS PAC ID: 3072872373 Enrollment ID: I20180112000411 |
| Provider Name | Scott Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700930344 PECOS PAC ID: 2062681059 Enrollment ID: I20180207001598 |
| Provider Name | Melissa M. Devries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518478346 PECOS PAC ID: 9234499377 Enrollment ID: I20180209000113 |
| Provider Name | Bertil W Lindquist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033625561 PECOS PAC ID: 5597025619 Enrollment ID: I20180212000798 |
| Provider Name | Joseph P Vidmar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730694548 PECOS PAC ID: 1153681903 Enrollment ID: I20180216000324 |
| Provider Name | Michelle M Overbye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548768534 PECOS PAC ID: 1850653429 Enrollment ID: I20180319001630 |
| Provider Name | Lashonda W Soma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831330851 PECOS PAC ID: 7214155076 Enrollment ID: I20180320002414 |
| Provider Name | Rao Watson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386953479 PECOS PAC ID: 2668784349 Enrollment ID: I20180328002734 |
| Provider Name | Ann E Zaiser |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1043339740 PECOS PAC ID: 5092942748 Enrollment ID: I20180409001985 |
| Provider Name | Amit Bhargava |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679796999 PECOS PAC ID: 6103925334 Enrollment ID: I20180521002316 |
| Provider Name | Ilitch Diaz Gutierrez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629209366 PECOS PAC ID: 7911132105 Enrollment ID: I20180522002742 |
| Provider Name | Daniel Michael Ihnat |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649245366 PECOS PAC ID: 7315991346 Enrollment ID: I20180611002090 |
| Provider Name | Bryan D Hinck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467728881 PECOS PAC ID: 6507168556 Enrollment ID: I20180618000771 |
| Provider Name | Craig Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467667774 PECOS PAC ID: 7618021429 Enrollment ID: I20180621000799 |
| Provider Name | Katherine Ruth Colwell Schnell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124414677 PECOS PAC ID: 8022315340 Enrollment ID: I20180622002717 |
| Provider Name | Zachary Royce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326307760 PECOS PAC ID: 8325340938 Enrollment ID: I20180628003496 |
| Provider Name | Eric Jonathan Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104172782 PECOS PAC ID: 3870716343 Enrollment ID: I20180629000734 |
| Provider Name | Kushal Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518233642 PECOS PAC ID: 6305127390 Enrollment ID: I20180702002014 |
| Provider Name | Allison Rixey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134657471 PECOS PAC ID: 0547537078 Enrollment ID: I20180804000018 |
| Provider Name | Stacey L Helland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104297704 PECOS PAC ID: 1557619665 Enrollment ID: I20180807000821 |
| Provider Name | Joshua Theodore Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992237754 PECOS PAC ID: 1850649674 Enrollment ID: I20180809005149 |
| Provider Name | Calvin Tsogmo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063894293 PECOS PAC ID: 0446550248 Enrollment ID: I20180814001608 |
| Provider Name | Emily M Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043693393 PECOS PAC ID: 4587913959 Enrollment ID: I20180817000934 |
| Provider Name | Jonathan J Germscheid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740621945 PECOS PAC ID: 2860741188 Enrollment ID: I20180821000019 |
| Provider Name | Laurent Grignon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538366752 PECOS PAC ID: 9638301849 Enrollment ID: I20181005000882 |
| Provider Name | Yauhen Alexander Tarbunou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265721757 PECOS PAC ID: 8527310267 Enrollment ID: I20181009000832 |
| Provider Name | Douglas Sheafor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669438610 PECOS PAC ID: 7517970148 Enrollment ID: I20181012000040 |
| Provider Name | Stephanie R Lantry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588142913 PECOS PAC ID: 9931453909 Enrollment ID: I20181109000549 |
| Provider Name | Amanda Leigh Schlesinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992144083 PECOS PAC ID: 5395099212 Enrollment ID: I20181113001202 |
| Provider Name | Caitlin L Meyers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073094850 PECOS PAC ID: 2062756497 Enrollment ID: I20181211003535 |
| Provider Name | Kevin Mcelroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184151110 PECOS PAC ID: 6204106644 Enrollment ID: I20181228000615 |
| Provider Name | Stefanie N Rinehardt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649691361 PECOS PAC ID: 9436373776 Enrollment ID: I20190109000629 |
| Provider Name | Glen Harry Rudolph |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124258223 PECOS PAC ID: 5092964445 Enrollment ID: I20190207000534 |
| Provider Name | Anita Kay Johnson-hoehne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235373788 PECOS PAC ID: 4587903661 Enrollment ID: I20190307001326 |
| Provider Name | Travis R Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134693518 PECOS PAC ID: 8628318383 Enrollment ID: I20190318000868 |
| Provider Name | Matthew J Malecha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851823892 PECOS PAC ID: 0345510194 Enrollment ID: I20190409002935 |
| Provider Name | Brian Traeger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952865875 PECOS PAC ID: 6103167226 Enrollment ID: I20190417002425 |
| Provider Name | Atif Rizwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700087210 PECOS PAC ID: 2567529456 Enrollment ID: I20190423000281 |
| Provider Name | Patricia J Blonigen-heinen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346707049 PECOS PAC ID: 3971845371 Enrollment ID: I20190506001173 |
| Provider Name | Leslie L Teng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679916423 PECOS PAC ID: 7012262579 Enrollment ID: I20190619000396 |
| Provider Name | John M Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821121088 PECOS PAC ID: 6800988700 Enrollment ID: I20190619001148 |
| Provider Name | Prudence M Mpofu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112652 PECOS PAC ID: 6709110182 Enrollment ID: I20190619002236 |
| Provider Name | John a Coburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205273083 PECOS PAC ID: 3476797317 Enrollment ID: I20190620001507 |
| Provider Name | Kendra D Dodd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083076681 PECOS PAC ID: 2567755689 Enrollment ID: I20190620003430 |
| Provider Name | Brendan M O'shea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396972584 PECOS PAC ID: 4385888130 Enrollment ID: I20190621001041 |
| Provider Name | Nissar Vahora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407299423 PECOS PAC ID: 4183864168 Enrollment ID: I20190626001823 |
| Provider Name | Sarah E Mott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831548676 PECOS PAC ID: 5597052423 Enrollment ID: I20190628000323 |
| Provider Name | Jeffrey M Corajod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699137216 PECOS PAC ID: 8628361748 Enrollment ID: I20190701001196 |
| Provider Name | Gary Van Heuvelen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629060256 PECOS PAC ID: 4981591062 Enrollment ID: I20190705000033 |
| Provider Name | Mehmet Gencturk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134508054 PECOS PAC ID: 9335444520 Enrollment ID: I20190711001260 |
| Provider Name | Daniel Glen Kolenda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750849345 PECOS PAC ID: 7810222692 Enrollment ID: I20190716003033 |
| Provider Name | David M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750721593 PECOS PAC ID: 5597075135 Enrollment ID: I20190717001219 |
| Provider Name | Leif E Jensen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205053832 PECOS PAC ID: 3678602992 Enrollment ID: I20190722000668 |
| Provider Name | Nicholas J Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285650952 PECOS PAC ID: 3971780701 Enrollment ID: I20190724001386 |
| Provider Name | Elliott Chinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477932705 PECOS PAC ID: 3870829039 Enrollment ID: I20190725000873 |
| Provider Name | Eric Y Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992167449 PECOS PAC ID: 4082907001 Enrollment ID: I20190725003004 |
| Provider Name | Ahmad R Hatem Al Samaraee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447593173 PECOS PAC ID: 7810292828 Enrollment ID: I20190801000035 |
| Provider Name | Susan G Hoyum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134572092 PECOS PAC ID: 2163763277 Enrollment ID: I20190805002126 |
| Provider Name | Daniel John Montville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952806093 PECOS PAC ID: 9830446756 Enrollment ID: I20190807000464 |
| Provider Name | Markus F Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003871955 PECOS PAC ID: 8123031291 Enrollment ID: I20190820003633 |
| Provider Name | Jessica Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134772072 PECOS PAC ID: 4486982840 Enrollment ID: I20190822002200 |
| Provider Name | Lisa B Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144872383 PECOS PAC ID: 7719215748 Enrollment ID: I20190828002578 |
| Provider Name | Rebecca a Tervo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043864226 PECOS PAC ID: 7618205584 Enrollment ID: I20190830000691 |
| Provider Name | Amanda S Delaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154778942 PECOS PAC ID: 8123311222 Enrollment ID: I20190912003145 |
| Provider Name | Glen Rebman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487181558 PECOS PAC ID: 4385998715 Enrollment ID: I20191107002271 |
| Provider Name | Teresa M Reder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386123495 PECOS PAC ID: 0042562514 Enrollment ID: I20191202000675 |
| Provider Name | Daniel H Laury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846932 PECOS PAC ID: 9537329057 Enrollment ID: I20191211002014 |
| Provider Name | Heidi Phuyal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265898472 PECOS PAC ID: 3072947183 Enrollment ID: I20191226000975 |
| Provider Name | Brian a Conley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831394402 PECOS PAC ID: 6002076825 Enrollment ID: I20191231000965 |
| Provider Name | Robert John Hosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023338282 PECOS PAC ID: 1153624051 Enrollment ID: I20200107002156 |
| Provider Name | Bria H Schurke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720646110 PECOS PAC ID: 7517392178 Enrollment ID: I20200109000719 |
| Provider Name | Whitney Lea Finke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134404908 PECOS PAC ID: 2062659345 Enrollment ID: I20200121002324 |
| Provider Name | Ashley Ashbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083984850 PECOS PAC ID: 7315373719 Enrollment ID: I20200203002329 |
| Provider Name | Yvonne Tora Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376101352 PECOS PAC ID: 8426484437 Enrollment ID: I20200211002886 |
| Provider Name | Henry Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407857055 PECOS PAC ID: 0244416733 Enrollment ID: I20200220000538 |
| Provider Name | Aaron Earl Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134651144 PECOS PAC ID: 7517208168 Enrollment ID: I20200421002983 |
| Provider Name | Jonas Dravland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134164502 PECOS PAC ID: 0042645244 Enrollment ID: I20200423003018 |
| Provider Name | Janelle B Lund |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497973291 PECOS PAC ID: 6305276544 Enrollment ID: I20200430002035 |
| Provider Name | Gwen Cooper Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073699773 PECOS PAC ID: 5395893853 Enrollment ID: I20200504001258 |
| Provider Name | Brent a Schotl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356861876 PECOS PAC ID: 9638440639 Enrollment ID: I20200511000827 |
| Provider Name | Samuel Jang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023515160 PECOS PAC ID: 4183975691 Enrollment ID: I20200521002748 |
| Provider Name | Matthew Thomas Davies |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205279510 PECOS PAC ID: 9931520046 Enrollment ID: I20200527003276 |
| Provider Name | Sarah Markuson Raleigh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255863221 PECOS PAC ID: 2860813805 Enrollment ID: I20200601000099 |
| Provider Name | Joel E Bershok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497891311 PECOS PAC ID: 3476976655 Enrollment ID: I20200707000435 |
| Provider Name | Justin M Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326455239 PECOS PAC ID: 7810114527 Enrollment ID: I20200716000249 |
| Provider Name | Rajat Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346680188 PECOS PAC ID: 3678715026 Enrollment ID: I20200717000486 |
| Provider Name | Luis Felipe Nascimento Kazmirczak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619255890 PECOS PAC ID: 2961826920 Enrollment ID: I20200723000506 |
| Provider Name | Courtney Alyson Green |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053653980 PECOS PAC ID: 3375836570 Enrollment ID: I20200804000396 |
| Provider Name | Karl O Koivisto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962931451 PECOS PAC ID: 5496023459 Enrollment ID: I20200806001118 |
| Provider Name | Matthew a Knealing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396369146 PECOS PAC ID: 9931525615 Enrollment ID: I20200812000612 |
| Provider Name | Joseph Bram Johns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578544367 PECOS PAC ID: 7416131727 Enrollment ID: I20200813001951 |
| Provider Name | Sneha S Shukla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114580008 PECOS PAC ID: 4688909104 Enrollment ID: I20200817001214 |
| Provider Name | Andrea Elliott |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801114392 PECOS PAC ID: 5395011134 Enrollment ID: I20200910000533 |
| Provider Name | Lindsey R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154944064 PECOS PAC ID: 1153740220 Enrollment ID: I20200923002706 |
| Provider Name | Mary H Brixius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427656891 PECOS PAC ID: 2961813563 Enrollment ID: I20201203001949 |
| Provider Name | Michelle Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285250399 PECOS PAC ID: 9638581762 Enrollment ID: I20201215001563 |
| Provider Name | Brendan David Kapella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245828516 PECOS PAC ID: 1254745748 Enrollment ID: I20210125000544 |
| Provider Name | Deanna S Davidson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457317075 PECOS PAC ID: 0042396772 Enrollment ID: I20210125002777 |
| Provider Name | Breanna Hieb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386204345 PECOS PAC ID: 9739594680 Enrollment ID: I20210226001419 |
| Provider Name | Tiffany a Venne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114372349 PECOS PAC ID: 4284040379 Enrollment ID: I20210316001298 |
| Provider Name | Michael J Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023091865 PECOS PAC ID: 0446284525 Enrollment ID: I20210326001889 |
| Provider Name | Gia Xiong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548847361 PECOS PAC ID: 5991112021 Enrollment ID: I20210407001840 |
| Provider Name | Dakota Orvedal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699127605 PECOS PAC ID: 0840588026 Enrollment ID: I20210413000072 |
| Provider Name | Gary S Prebeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508417924 PECOS PAC ID: 7719395508 Enrollment ID: I20210415001382 |
| Provider Name | Dimitriy Yevgenivich Yezhikov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598142424 PECOS PAC ID: 9537210604 Enrollment ID: I20210415002503 |
| Provider Name | Valmiki Rishi Maharaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215355284 PECOS PAC ID: 5991007445 Enrollment ID: I20210420001474 |
| Provider Name | Virginia Annette Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184725806 PECOS PAC ID: 2365545811 Enrollment ID: I20210512002560 |
| Provider Name | Benjamin L Davies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891138160 PECOS PAC ID: 3870843808 Enrollment ID: I20210604001907 |
| Provider Name | Yasoda Meesala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548551039 PECOS PAC ID: 3870711468 Enrollment ID: I20210608001938 |
| Provider Name | Lauren Elisabeth Tomlinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003303488 PECOS PAC ID: 3870993959 Enrollment ID: I20210610002246 |
| Provider Name | Karl John Rupp Lafleur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437649316 PECOS PAC ID: 7618224254 Enrollment ID: I20210616000234 |
| Provider Name | Alan K Okada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881188043 PECOS PAC ID: 3971903592 Enrollment ID: I20210617002496 |
| Provider Name | Phillip Rathousky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558743393 PECOS PAC ID: 7810206091 Enrollment ID: I20210618001175 |
| Provider Name | Hakan Josef Binek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043705460 PECOS PAC ID: 0446503742 Enrollment ID: I20210621002664 |
| Provider Name | Lisha Elisa Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780079640 PECOS PAC ID: 0042611550 Enrollment ID: I20210622001033 |
| Provider Name | Alejandra Gutierrez Bernal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487074597 PECOS PAC ID: 6800297086 Enrollment ID: I20210624003373 |
| Provider Name | Phillip L Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437500261 PECOS PAC ID: 6002101086 Enrollment ID: I20210708001965 |
| Provider Name | Joelle Joy Bellows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558931840 PECOS PAC ID: 4183027402 Enrollment ID: I20210724000026 |
| Provider Name | Kynan C Trail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962452458 PECOS PAC ID: 6305749912 Enrollment ID: I20210729001679 |
| Provider Name | Glen C Gross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467814467 PECOS PAC ID: 4880986884 Enrollment ID: I20210803003763 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720374721 PECOS PAC ID: 4486972742 Enrollment ID: I20210818000244 |
| Provider Name | Thanh Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992237770 PECOS PAC ID: 6002157377 Enrollment ID: I20210819000046 |
| Provider Name | Katie a Bannie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780357210 PECOS PAC ID: 0749685949 Enrollment ID: I20210826001641 |
| Provider Name | Pegah Entezari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639517881 PECOS PAC ID: 7214156702 Enrollment ID: I20210913002899 |
| Provider Name | Kacie Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801419700 PECOS PAC ID: 4789080805 Enrollment ID: I20210914003654 |
| Provider Name | Chetan N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306132139 PECOS PAC ID: 7416277223 Enrollment ID: I20210917001505 |
| Provider Name | Janell Mae Lorton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881204360 PECOS PAC ID: 4880091438 Enrollment ID: I20210923002215 |
| Provider Name | Hillary O Zupan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801565817 PECOS PAC ID: 5991103269 Enrollment ID: I20211018002366 |
| Provider Name | Renata Anna Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386176436 PECOS PAC ID: 1052748969 Enrollment ID: I20211118001964 |
| Provider Name | Marie Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518526532 PECOS PAC ID: 8921498882 Enrollment ID: I20211208000833 |
| Provider Name | Michael a Schirado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104852185 PECOS PAC ID: 4789661026 Enrollment ID: I20211210001482 |
| Provider Name | Sarah Elizabeth Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568129344 PECOS PAC ID: 8123418779 Enrollment ID: I20211214001270 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20211218000127 |
| Provider Name | William Christian Grillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497413710 PECOS PAC ID: 1759772932 Enrollment ID: I20211222002626 |
| Provider Name | Sarah L Carlson-bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730859133 PECOS PAC ID: 2961893813 Enrollment ID: I20220103001526 |
| Provider Name | Benjamin J Devries |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982275897 PECOS PAC ID: 0648662262 Enrollment ID: I20220111002148 |
| Provider Name | Alexander Geoffrey Bianchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912575341 PECOS PAC ID: 2264824234 Enrollment ID: I20220125001381 |
| Provider Name | Elizabeth Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437477981 PECOS PAC ID: 1557500451 Enrollment ID: I20220127000779 |
| Provider Name | Kiley Rae Pronschinske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811658727 PECOS PAC ID: 9739572363 Enrollment ID: I20220203001030 |
| Provider Name | Ivette Orozco-mayares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417608795 PECOS PAC ID: 5698168599 Enrollment ID: I20220216001403 |
| Provider Name | Sanjay Saluja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053374462 PECOS PAC ID: 0840241279 Enrollment ID: I20220217001713 |
| Provider Name | Brian P Flemming |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093000747 PECOS PAC ID: 7214226422 Enrollment ID: I20220222002584 |
| Provider Name | John D Millet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922444355 PECOS PAC ID: 3375845472 Enrollment ID: I20220307002551 |
| Provider Name | Jonas V Sidrys |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124068275 PECOS PAC ID: 1557320959 Enrollment ID: I20220308002517 |
| Provider Name | Nicole Carpentier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457002321 PECOS PAC ID: 9830584846 Enrollment ID: I20220309001966 |
| Provider Name | Joshua D Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689037103 PECOS PAC ID: 2961794979 Enrollment ID: I20220404002233 |
| Provider Name | Steven R Hornreich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760582837 PECOS PAC ID: 8628975505 Enrollment ID: I20220405001737 |
| Provider Name | Ryan B O'malley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174729131 PECOS PAC ID: 3870759707 Enrollment ID: I20220409000409 |
| Provider Name | Everett H Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588004535 PECOS PAC ID: 5395055396 Enrollment ID: I20220418001627 |
| Provider Name | Daniel Njingeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609184506 PECOS PAC ID: 3173762853 Enrollment ID: I20220420001594 |
| Provider Name | Joshua D Leclaire |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093980476 PECOS PAC ID: 4688728744 Enrollment ID: I20220426000022 |
| Provider Name | Paul L Nurmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174962500 PECOS PAC ID: 7719281054 Enrollment ID: I20220502001814 |
| Provider Name | Zako Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720653652 PECOS PAC ID: 7810374279 Enrollment ID: I20220524002908 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20220601003005 |
| Provider Name | Kathan Atul Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801139142 PECOS PAC ID: 1456586023 Enrollment ID: I20220607002152 |
| Provider Name | Robert Talbert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700172905 PECOS PAC ID: 3274762422 Enrollment ID: I20220609002655 |
| Provider Name | Patrick Hackler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205282746 PECOS PAC ID: 0345531091 Enrollment ID: I20220610001459 |
| Provider Name | Sean K Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609052000 PECOS PAC ID: 7416088489 Enrollment ID: I20220610001786 |
| Provider Name | Ashley C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770938607 PECOS PAC ID: 6305242959 Enrollment ID: I20220610002027 |
| Provider Name | Dennis Heaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144453978 PECOS PAC ID: 6901944669 Enrollment ID: I20220613001256 |
| Provider Name | Aparna K Basu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306286356 PECOS PAC ID: 2062734239 Enrollment ID: I20220613001692 |
| Provider Name | Jill M Golobich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710540943 PECOS PAC ID: 0648605238 Enrollment ID: I20220620000968 |
| Provider Name | Mo Valerie Paylen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508490558 PECOS PAC ID: 3577942168 Enrollment ID: I20220628003168 |
| Provider Name | Sarah Thurman |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1346258175 PECOS PAC ID: 6103896030 Enrollment ID: I20220628003737 |
| Provider Name | Daniel Edwin Peck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114344041 PECOS PAC ID: 7517235500 Enrollment ID: I20220629003314 |
| Provider Name | Jennifer Laroy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942654983 PECOS PAC ID: 3870885254 Enrollment ID: I20220630000947 |
| Provider Name | Bilal Alturkmani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649627621 PECOS PAC ID: 2264723105 Enrollment ID: I20220705001248 |
| Provider Name | Brennan M Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265882807 PECOS PAC ID: 9830469980 Enrollment ID: I20220711001885 |
| Provider Name | Jordan Edward Kaczor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740843846 PECOS PAC ID: 7113351081 Enrollment ID: I20220712001281 |
| Provider Name | Edwin E Kwakugah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184033250 PECOS PAC ID: 5597035600 Enrollment ID: I20220719001313 |
| Provider Name | Matthew F. N. Dummer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407416001 PECOS PAC ID: 5092045393 Enrollment ID: I20220720003090 |
| Provider Name | Benjamin D Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619324043 PECOS PAC ID: 2264726397 Enrollment ID: I20220802001611 |
| Provider Name | Thomas Briese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609303130 PECOS PAC ID: 4183993413 Enrollment ID: I20220808001311 |
| Provider Name | Mark Daniel Kovacs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385507 PECOS PAC ID: 3072738285 Enrollment ID: I20220809003262 |
| Provider Name | Sara Suzanne Kemp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790051167 PECOS PAC ID: 7517117757 Enrollment ID: I20220810000868 |
| Provider Name | Chen Chen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053808147 PECOS PAC ID: 2466700463 Enrollment ID: I20220822000733 |
| Provider Name | Michael S Mattia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619536331 PECOS PAC ID: 7113251281 Enrollment ID: I20220830003353 |
| Provider Name | Jeffrey Nathan Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285959213 PECOS PAC ID: 7214174101 Enrollment ID: I20220902000580 |
| Provider Name | Susan May Dodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447992367 PECOS PAC ID: 0547645582 Enrollment ID: I20220912003427 |
| Provider Name | Sathish Kumar Cullath Harikrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861421869 PECOS PAC ID: 1355348087 Enrollment ID: I20221007001024 |
| Provider Name | Gaurav Nigam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437445947 PECOS PAC ID: 4385953215 Enrollment ID: I20221012000384 |
| Provider Name | Bradley Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316107642 PECOS PAC ID: 6305007451 Enrollment ID: I20221018000568 |
| Provider Name | Kailey a Geib |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023739141 PECOS PAC ID: 1456728591 Enrollment ID: I20221103000119 |
| Provider Name | Alison Hockenberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700435609 PECOS PAC ID: 8820466253 Enrollment ID: I20221116001249 |
| Provider Name | Juan Carlos Samayoa Escobar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629411970 PECOS PAC ID: 8123319860 Enrollment ID: I20221123001024 |
| Provider Name | Najeeb Crossley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871988261 PECOS PAC ID: 3476847534 Enrollment ID: I20221128000250 |
| Provider Name | Jeffrey S Brindle |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619906120 PECOS PAC ID: 2567457559 Enrollment ID: I20221220000724 |
| Provider Name | Carly Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194067660 PECOS PAC ID: 7618197005 Enrollment ID: I20221224000133 |
| Provider Name | Kaili M Salo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619687738 PECOS PAC ID: 6305216284 Enrollment ID: I20230111000227 |
| Provider Name | Reginald Anunobi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144506239 PECOS PAC ID: 9537434618 Enrollment ID: I20230117001197 |
| Provider Name | Michael Fu-yen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245250802 PECOS PAC ID: 7113922030 Enrollment ID: I20230117003100 |
| Provider Name | Andria C Twingstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174268643 PECOS PAC ID: 1557732054 Enrollment ID: I20230119003200 |
| Provider Name | Michael Skulski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801871876 PECOS PAC ID: 8921058108 Enrollment ID: I20230217002258 |
| Provider Name | Mary a Gossett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326521337 PECOS PAC ID: 2769852375 Enrollment ID: I20230316002719 |
| Provider Name | Tristan R Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295260552 PECOS PAC ID: 4082986385 Enrollment ID: I20230328000764 |
| Provider Name | Yasemin Koksel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922659028 PECOS PAC ID: 4880925304 Enrollment ID: I20230331001529 |
| Provider Name | Cathy O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003955279 PECOS PAC ID: 6608834387 Enrollment ID: I20230403000311 |
| Provider Name | Jennifer S Real |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598779191 PECOS PAC ID: 6608884267 Enrollment ID: I20230421000306 |
| Provider Name | Allison Mullarney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740656024 PECOS PAC ID: 0840566758 Enrollment ID: I20230425000047 |
| Provider Name | Kyle Aaron Kitzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689162067 PECOS PAC ID: 0244581049 Enrollment ID: I20230504002903 |
| Provider Name | Jennifer Ashley Knight |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023514148 PECOS PAC ID: 5991054199 Enrollment ID: I20230519002525 |
| Provider Name | James P Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710472063 PECOS PAC ID: 4688926090 Enrollment ID: I20230522002890 |
| Provider Name | Maarten L Galantowicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194257899 PECOS PAC ID: 6608146063 Enrollment ID: I20230526001606 |
| Provider Name | Anthony R Rauschenbach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467072835 PECOS PAC ID: 0840612982 Enrollment ID: I20230601001548 |
| Provider Name | Jesse John Koller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548958044 PECOS PAC ID: 2961869532 Enrollment ID: I20230613002295 |
| Provider Name | James Austin Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437687167 PECOS PAC ID: 3476823915 Enrollment ID: I20230708000431 |
| Provider Name | James Arthur Erickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306378344 PECOS PAC ID: 1850660705 Enrollment ID: I20230711003910 |
| Provider Name | Daniel J Growney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659367936 PECOS PAC ID: 1355232166 Enrollment ID: I20230712003790 |
| Provider Name | Amanda Marie Kleppe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336678689 PECOS PAC ID: 7416226477 Enrollment ID: I20230713002262 |
| Provider Name | Benjamin Scott Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053745273 PECOS PAC ID: 9638421050 Enrollment ID: I20230713002678 |
| Provider Name | Matthew Charles Mcvay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336593300 PECOS PAC ID: 3971903352 Enrollment ID: I20230727001817 |
| Provider Name | Adam S Nygard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871021816 PECOS PAC ID: 3173895232 Enrollment ID: I20230801001541 |
| Provider Name | Molly a Wingfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649709411 PECOS PAC ID: 1052683133 Enrollment ID: I20230802000432 |
| Provider Name | Daniel Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467071555 PECOS PAC ID: 9638589013 Enrollment ID: I20230807002372 |
| Provider Name | Scott Mauch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598290272 PECOS PAC ID: 3173893104 Enrollment ID: I20230808002941 |
| Provider Name | Trevor Everett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134654908 PECOS PAC ID: 0446520654 Enrollment ID: I20230809001624 |
| Provider Name | Anand Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629102918 PECOS PAC ID: 9436217858 Enrollment ID: I20230810000565 |
| Provider Name | Francisco Gabriel Lazaro-paulina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841872827 PECOS PAC ID: 6103227418 Enrollment ID: I20230814000090 |
| Provider Name | Holly N Frischmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932890399 PECOS PAC ID: 5496117939 Enrollment ID: I20230815001950 |
| Provider Name | Jack Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104356500 PECOS PAC ID: 2668744426 Enrollment ID: I20230816003429 |
| Provider Name | Blaine Robert Boverhuis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275210338 PECOS PAC ID: 5991167363 Enrollment ID: I20230816003745 |
| Provider Name | Micaela J Lichtenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487336343 PECOS PAC ID: 6901269778 Enrollment ID: I20230825002404 |
| Provider Name | Samuel T Goracke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144905159 PECOS PAC ID: 0143674440 Enrollment ID: I20230920001693 |
| Provider Name | Igor Sister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518149467 PECOS PAC ID: 4981787975 Enrollment ID: I20230921001719 |
| Provider Name | Eberechi C Ekechukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710418074 PECOS PAC ID: 9335489061 Enrollment ID: I20231004001457 |
| Provider Name | Luke D Huber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386207744 PECOS PAC ID: 7214260074 Enrollment ID: I20231010002602 |
| Provider Name | William Brundidge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932633500 PECOS PAC ID: 1951667518 Enrollment ID: I20231020003050 |
| Provider Name | Kerry Ann Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760164008 PECOS PAC ID: 5890141618 Enrollment ID: I20231030002427 |
| Provider Name | Kara Michele Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184307332 PECOS PAC ID: 2163879578 Enrollment ID: I20231107001489 |
| Provider Name | Lindsay Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356123400 PECOS PAC ID: 5496103491 Enrollment ID: I20231201001283 |
| Provider Name | Mickayla Nagel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255018545 PECOS PAC ID: 9335598333 Enrollment ID: I20231215003258 |
| Provider Name | Christopher Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114230323 PECOS PAC ID: 0941444798 Enrollment ID: I20240102000810 |
| Provider Name | John Daniel Rothpletz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740220409 PECOS PAC ID: 3971496142 Enrollment ID: I20240102001184 |
| Provider Name | Jon Butala |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568872216 PECOS PAC ID: 9234589235 Enrollment ID: I20240102003864 |
| Provider Name | Marinda L Rebhahn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972675544 PECOS PAC ID: 5092166975 Enrollment ID: I20240104002164 |
| Provider Name | Kristy Cynthia Collier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700491883 PECOS PAC ID: 6305256991 Enrollment ID: I20240104004304 |
| Provider Name | Maria Andersen Keeler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174765242 PECOS PAC ID: 4385095850 Enrollment ID: I20240109002353 |
| Provider Name | Jocelyn Kehr Sparby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336768738 PECOS PAC ID: 1850742339 Enrollment ID: I20240109002960 |
| Provider Name | Kathryn a Eberley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346888609 PECOS PAC ID: 6800247396 Enrollment ID: I20240109003196 |
| Provider Name | Kimberly Mitlyng |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477981397 PECOS PAC ID: 1951752443 Enrollment ID: I20240109003323 |
| Provider Name | Anthony Arthur Duhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407462849 PECOS PAC ID: 3476904780 Enrollment ID: I20240111001921 |
| Provider Name | Leslie Hong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821396086 PECOS PAC ID: 8325330202 Enrollment ID: I20240111003422 |
| Provider Name | Josette Croud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265108625 PECOS PAC ID: 3577911106 Enrollment ID: I20240114000010 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20240129001598 |
| Provider Name | Lisa J Lippold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306382007 PECOS PAC ID: 8224481536 Enrollment ID: I20240201003914 |
| Provider Name | Patrick Stephen Robinson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215424585 PECOS PAC ID: 0648623934 Enrollment ID: I20240202002254 |
| Provider Name | Abigail Laurel Burris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396267282 PECOS PAC ID: 5395188759 Enrollment ID: I20240213002241 |
| Provider Name | Megan Elyssa Lundberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912770066 PECOS PAC ID: 6406299874 Enrollment ID: I20240213002552 |
| Provider Name | Bradley John Otto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841649084 PECOS PAC ID: 6800189697 Enrollment ID: I20240214000194 |
| Provider Name | Andrew John Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730941683 PECOS PAC ID: 2860836889 Enrollment ID: I20240219000626 |
| Provider Name | Jihad Jbara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821301698 PECOS PAC ID: 7315181195 Enrollment ID: I20240220000209 |
| Provider Name | Larry Douglas Grubb |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013947589 PECOS PAC ID: 2860489945 Enrollment ID: I20240221003076 |
| Provider Name | James C Hooker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992059711 PECOS PAC ID: 2961846563 Enrollment ID: I20240222002307 |
| Provider Name | Jennifer Mcgill-steskal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760245112 PECOS PAC ID: 5193160646 Enrollment ID: I20240223003767 |
| Provider Name | Steven Eldor Breitbarth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962860965 PECOS PAC ID: 3678918059 Enrollment ID: I20240226000230 |
| Provider Name | Raini J Knaeble-weiss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235462151 PECOS PAC ID: 9234574625 Enrollment ID: I20240226000488 |
| Provider Name | Dina Elias Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275938276 PECOS PAC ID: 2769827997 Enrollment ID: I20240228000516 |
| Provider Name | Erin Hoffman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366751026 PECOS PAC ID: 8224473475 Enrollment ID: I20240228001195 |
| Provider Name | Charles a Mateskon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639279763 PECOS PAC ID: 3678463437 Enrollment ID: I20240306000211 |
| Provider Name | Michael J Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144676685 PECOS PAC ID: 2163709692 Enrollment ID: I20240313003182 |
| Provider Name | Jessica E Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386267110 PECOS PAC ID: 7214374339 Enrollment ID: I20240326000534 |
| Provider Name | Amit Aneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487891560 PECOS PAC ID: 7012059843 Enrollment ID: I20240326002486 |
| Provider Name | Carmen Alcala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583560 PECOS PAC ID: 8325343460 Enrollment ID: I20240329002630 |
| Provider Name | Paige Kavanagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174204804 PECOS PAC ID: 4284072158 Enrollment ID: I20240411000285 |
| Provider Name | Alekhya Yechoor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285139287 PECOS PAC ID: 9739436296 Enrollment ID: I20240411001560 |
| Provider Name | Carlos Alberto Cordero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952350530 PECOS PAC ID: 4284525122 Enrollment ID: I20240417001847 |
| Provider Name | David Allen Thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265895494 PECOS PAC ID: 0244522019 Enrollment ID: I20240507000547 |
| Provider Name | Alexis Josephine Swenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568028777 PECOS PAC ID: 9638509714 Enrollment ID: I20240508003833 |
| Provider Name | Alexandra I Mercel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063806321 PECOS PAC ID: 9234437104 Enrollment ID: I20240529000810 |
| Provider Name | Lauren Fullerton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134621600 PECOS PAC ID: 7214479344 Enrollment ID: I20240605000036 |
| Provider Name | James a Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467571711 PECOS PAC ID: 8123191400 Enrollment ID: I20240606001650 |
| Provider Name | Kyle Arthur Grassel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861996456 PECOS PAC ID: 6204182322 Enrollment ID: I20240612000161 |
| Provider Name | Joseph Michael Buchholz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225534787 PECOS PAC ID: 9830631332 Enrollment ID: I20240612002278 |
| Provider Name | Joseph David Giesler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285139345 PECOS PAC ID: 8729334040 Enrollment ID: I20240613002652 |
| Provider Name | Garrett Michael Carpenter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477044394 PECOS PAC ID: 7719233840 Enrollment ID: I20240619001992 |
| Provider Name | Grant Michael Riesberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013401686 PECOS PAC ID: 7810244399 Enrollment ID: I20240701003159 |
| Provider Name | Christopher Stewart Hazzard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487143095 PECOS PAC ID: 9335683283 Enrollment ID: I20240702002262 |
| Provider Name | James Michael Gee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700318433 PECOS PAC ID: 1850664392 Enrollment ID: I20240702003025 |
| Provider Name | Nicholas Shiao Xiao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205229747 PECOS PAC ID: 6507101193 Enrollment ID: I20240703002054 |
| Provider Name | Amanda Rose Meyers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730928813 PECOS PAC ID: 8224572037 Enrollment ID: I20240703003773 |
| Provider Name | David Armin Weiland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841253986 PECOS PAC ID: 1850303793 Enrollment ID: I20240704000414 |
| Provider Name | Caroline Abigayle Banfield Jolstad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245723279 PECOS PAC ID: 9638424229 Enrollment ID: I20240705001107 |
| Provider Name | Kevin Thomas Ehlers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881183952 PECOS PAC ID: 8820348410 Enrollment ID: I20240708000305 |
| Provider Name | Rebecca Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831285253 PECOS PAC ID: 8022197763 Enrollment ID: I20240709003339 |
| Provider Name | Nicole Leigh Karp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700665213 PECOS PAC ID: 9537604970 Enrollment ID: I20240710002970 |
| Provider Name | Robert Jeffrey Freed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891086476 PECOS PAC ID: 2264728492 Enrollment ID: I20240726001792 |
| Provider Name | Collene Elizabeth Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003406885 PECOS PAC ID: 1759829393 Enrollment ID: I20240814003248 |
| Provider Name | Bailey Stottrup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053967604 PECOS PAC ID: 0446799795 Enrollment ID: I20240829004216 |
| Provider Name | Evan Sullivan Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639630684 PECOS PAC ID: 1658605233 Enrollment ID: I20240830001115 |
| Provider Name | Michael Dylan Boerner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336703503 PECOS PAC ID: 3476983529 Enrollment ID: I20241002001340 |
| Provider Name | Zachery Staskywicz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962054171 PECOS PAC ID: 6204166317 Enrollment ID: I20241003001548 |
| Provider Name | Shannon Christine Mcknight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821786930 PECOS PAC ID: 8921531203 Enrollment ID: I20241024002894 |
| Provider Name | Joanne E Lapetina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598723983 PECOS PAC ID: 5294732442 Enrollment ID: I20241206000467 |
| Provider Name | Malack a Nyokwoyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356946636 PECOS PAC ID: 3971039413 Enrollment ID: I20241209000302 |
| Provider Name | Nicole Marie Vlasich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255053997 PECOS PAC ID: 7214464395 Enrollment ID: I20241231003154 |
| Provider Name | Molly Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526142 PECOS PAC ID: 6305374224 Enrollment ID: I20250106003091 |
| Provider Name | Julia Marie Carr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477948537 PECOS PAC ID: 7911435656 Enrollment ID: I20250109001145 |
| Provider Name | Quiniece Hurdle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982995544 PECOS PAC ID: 0244545697 Enrollment ID: I20250211000319 |
| Provider Name | Moshe Beracha Kovachevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861657975 PECOS PAC ID: 7911075593 Enrollment ID: I20250214000993 |
| Provider Name | Matthew Richard Gillott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447559984 PECOS PAC ID: 2567751787 Enrollment ID: I20250304003666 |
| Provider Name | Julian M Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982197067 PECOS PAC ID: 7911303250 Enrollment ID: I20250306001480 |
| Provider Name | Max Miles Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093404238 PECOS PAC ID: 0749701746 Enrollment ID: I20250306002018 |
| Provider Name | Kristin Kelly Porter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922234558 PECOS PAC ID: 9537318704 Enrollment ID: I20250310001971 |
| Provider Name | Max Goder-reiser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336720986 PECOS PAC ID: 6800276270 Enrollment ID: I20250325001856 |
| Provider Name | Julia Julia Kiernan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558895391 PECOS PAC ID: 4486925963 Enrollment ID: I20250410000386 |
| Provider Name | Makenna Pearl Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477354967 PECOS PAC ID: 1658897442 Enrollment ID: I20250424001727 |
| Provider Name | Boyangzi Li |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053808402 PECOS PAC ID: 4880932458 Enrollment ID: I20250507001088 |
| Provider Name | Anjali K Bhateja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285924126 PECOS PAC ID: 8426345901 Enrollment ID: I20250516001561 |
| Provider Name | Carter L Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861975682 PECOS PAC ID: 6406198407 Enrollment ID: I20250527000181 |
| Provider Name | Caro Auger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861135238 PECOS PAC ID: 2860872421 Enrollment ID: I20250603003569 |
| Provider Name | Siobhan Esther Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871988394 PECOS PAC ID: 6800219064 Enrollment ID: I20250606000739 |
| Provider Name | Brent Alan Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366482028 PECOS PAC ID: 3779571492 Enrollment ID: I20250611002972 |
| Provider Name | Zerihun Gebremichael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427553460 PECOS PAC ID: 0244631638 Enrollment ID: I20250625002699 |
| Provider Name | Austin Culver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730578683 PECOS PAC ID: 6204119845 Enrollment ID: I20250625003694 |
| Provider Name | Emaad Khansur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477041945 PECOS PAC ID: 5294169561 Enrollment ID: I20250627000890 |
| Provider Name | Nicholas Robert Maxwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578133765 PECOS PAC ID: 9638576648 Enrollment ID: I20250716000366 |
| Provider Name | Sara Katharine Buerk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891320842 PECOS PAC ID: 9931588761 Enrollment ID: I20250717001620 |
| Provider Name | Nithya Krishnaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710273693 PECOS PAC ID: 0042456113 Enrollment ID: I20250718002121 |
| Provider Name | Selma Durakovic Carlson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235495581 PECOS PAC ID: 3870009475 Enrollment ID: I20250721003587 |
| Provider Name | Yaw Ansah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699234567 PECOS PAC ID: 6204162167 Enrollment ID: I20250723002610 |
| Provider Name | Melvy Sarah Mathew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437312477 PECOS PAC ID: 6103066758 Enrollment ID: I20250730001451 |
| Provider Name | Marshall Warren Meeks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134651185 PECOS PAC ID: 9739450933 Enrollment ID: I20250731000162 |
| Provider Name | Landon Dean Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215295670 PECOS PAC ID: 2365798733 Enrollment ID: I20250807002827 |
| Provider Name | Semah Beheshti Zavareh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477990190 PECOS PAC ID: 9537457338 Enrollment ID: I20250819001428 |
| Provider Name | Victoria Temitope Durojaiye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699394304 PECOS PAC ID: 1355708777 Enrollment ID: I20250825001376 |
| Provider Name | Cecille Nazareno Esguerra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952291353 PECOS PAC ID: 4981105871 Enrollment ID: I20250902001323 |
| Provider Name | Andre St Christopher Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20250922001807 |
| Provider Name | Mohammed Jamal Shweikeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932548880 PECOS PAC ID: 6002107570 Enrollment ID: I20250926002266 |
| Provider Name | Jacqueline Monteiro Pires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346735305 PECOS PAC ID: 4789016536 Enrollment ID: I20251003002907 |
| Provider Name | Katie Jo Christine Saletel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891675062 PECOS PAC ID: 3577060508 Enrollment ID: I20251007002734 |
| Provider Name | Mark Joseph Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134355662 PECOS PAC ID: 8325228919 Enrollment ID: I20251009000878 |
| Provider Name | Pamela Nicole Trotter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518205178 PECOS PAC ID: 0446569677 Enrollment ID: I20251014001330 |
| Provider Name | Paul Nicolas Banks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619504222 PECOS PAC ID: 3274935796 Enrollment ID: I20251110000592 |
| Provider Name | Darrin Lee Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023091857 PECOS PAC ID: 7315922077 Enrollment ID: I20251114000951 |
| Provider Name | Mahmoud Mohamed Elfadil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669907242 PECOS PAC ID: 3678841467 Enrollment ID: I20251120002910 |
| Provider Name | Matthew Jacob Stolzberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265973499 PECOS PAC ID: 4385919133 Enrollment ID: I20251126001739 |
| Provider Name | Kevin Alan Heath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326263781 PECOS PAC ID: 5092985820 Enrollment ID: I20251203003243 |
| Provider Name | Ellen M Rohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073159166 PECOS PAC ID: 9931538550 Enrollment ID: I20260226002485 |
| Provider Name | Dale Kimbrough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255569422 PECOS PAC ID: 0749429009 Enrollment ID: I20260304000507 |
| Provider Name | Reed Andrew Marohn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538925383 PECOS PAC ID: 7618451329 Enrollment ID: I20260320001092 |
| Provider Name | Jack Leroy Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881450740 PECOS PAC ID: 2062996572 Enrollment ID: I20260324000118 |
| Provider Name | Ronnie Kallini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417389339 PECOS PAC ID: 3476853698 Enrollment ID: I20260522001708 |
Aspirus St Lukes Hibbing Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 E 34th St, Hibbing, MN 55746 Phone: 218-362-7100 |
Hibbing Family Chiropractic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W 42nd St, Hibbing, MN 55746 Phone: 218-262-5433 Fax: 218-262-5440 |
Smart Spine Community Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E 25th St, Hibbing, MN 55746 Phone: 218-312-3002 Fax: 218-263-8933 |
Premier Physical Healthcare PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 W Howard St, Hibbing, MN 55746 Phone: 218-262-3315 Fax: 218-263-9648 |
Moyer Medical Clinic Psa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E 37th St, Hibbing, MN 55746 Phone: 218-312-1200 |