| 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 | Brendon M Cullinan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326045139 PECOS PAC ID: 8426954967 Enrollment ID: I20031208000452 |
| Provider Name | Renae M 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 | Christopher D Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649269291 PECOS PAC ID: 1850286337 Enrollment ID: I20040216000659 |
| Provider Name | Andrea Beth Jolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20040228000179 |
| Provider Name | Mitchell L Cardwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790735546 PECOS PAC ID: 2062302854 Enrollment ID: I20040316001309 |
| Provider Name | Leo L Hise |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225018302 PECOS PAC ID: 2567459068 Enrollment ID: I20040427001377 |
| Provider Name | James S Montana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922032200 PECOS PAC ID: 5799774378 Enrollment ID: I20040510000179 |
| 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 | 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 S Sommerdorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457301038 PECOS PAC ID: 7416918230 Enrollment ID: I20041025000362 |
| Provider Name | Anwar Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477661825 PECOS PAC ID: 6709848344 Enrollment ID: I20041027000445 |
| Provider Name | Sandra L Hanson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619967775 PECOS PAC ID: 8123011871 Enrollment ID: I20041115000406 |
| 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 | Mario J Potvin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003869637 PECOS PAC ID: 4688587355 Enrollment ID: I20041124000392 |
| Provider Name | Christopher Previn Peck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912959313 PECOS PAC ID: 2668438482 Enrollment ID: I20041203000376 |
| Provider Name | Richard Kubicka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255369989 PECOS PAC ID: 1759348170 Enrollment ID: I20041216000623 |
| 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 | Peter M Arndt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306885686 PECOS PAC ID: 1153371604 Enrollment ID: I20050124000397 |
| Provider Name | Jeffrey A Copeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912964628 PECOS PAC ID: 0749232916 Enrollment ID: I20050216000088 |
| Provider Name | Cassandra E Carlone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699766055 PECOS PAC ID: 8325094360 Enrollment ID: I20050323000743 |
| Provider Name | Wayne Owen Adkisson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902826449 PECOS PAC ID: 6002862851 Enrollment ID: I20050324001022 |
| 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 | Kathryn E Farniok |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114978335 PECOS PAC ID: 1355320557 Enrollment ID: I20050503000666 |
| 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 | Jay D Hildenbrand |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215076591 PECOS PAC ID: 3779526009 Enrollment ID: I20050607000838 |
| 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 J 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 | Sujit R Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013018258 PECOS PAC ID: 0840224002 Enrollment ID: I20050927000227 |
| Provider Name | David C Nagel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023083805 PECOS PAC ID: 5294750311 Enrollment ID: I20051007000626 |
| 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 | 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 | Kozhuvattasseri P Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164505624 PECOS PAC ID: 7719996354 Enrollment ID: I20060411000140 |
| Provider Name | Dean S 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 | John E Simon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255374609 PECOS PAC ID: 7911972534 Enrollment ID: I20060725000378 |
| Provider Name | Randolph J Reister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952385114 PECOS PAC ID: 2163425935 Enrollment ID: I20060816000441 |
| Provider Name | Andrew L Makowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770514861 PECOS PAC ID: 4385648021 Enrollment ID: I20060911000634 |
| 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 | 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 | 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 | Stephen M Marchuk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295765451 PECOS PAC ID: 5092814996 Enrollment ID: I20070618000360 |
| Provider Name | Earle C Munns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457329211 PECOS PAC ID: 2264532894 Enrollment ID: I20070712000186 |
| 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 Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043292253 PECOS PAC ID: 7517957988 Enrollment ID: I20070830000695 |
| 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 | 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 | 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 | 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 | 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-williams |
|---|---|
| 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 | Conrad Iber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649225012 PECOS PAC ID: 3274615869 Enrollment ID: I20080611000186 |
| Provider Name | Erin Elizabeth Eyberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669648218 PECOS PAC ID: 4880768571 Enrollment ID: I20080729000481 |
| Provider Name | Linda R Varghese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841345790 PECOS PAC ID: 3476627555 Enrollment ID: I20080807000362 |
| Provider Name | Lin Y Chen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205800240 PECOS PAC ID: 6204904774 Enrollment ID: I20081010000221 |
| Provider Name | Anthony P Bastianelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609044403 PECOS PAC ID: 0547328817 Enrollment ID: I20081015000678 |
| 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 | 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 | 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 - Internal Medicine |
| 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 | Patrick G Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861497364 PECOS PAC ID: 3779529854 Enrollment ID: I20100105000797 |
| Provider Name | Sheila K Gemar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245206994 PECOS PAC ID: 4284775339 Enrollment ID: I20100111000808 |
| 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 | Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821052838 PECOS PAC ID: 8527103837 Enrollment ID: I20100310000757 |
| 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 | Mark A Versich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437117538 PECOS PAC ID: 4284716010 Enrollment ID: I20100325001079 |
| Provider Name | Anne M Flaim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144287210 PECOS PAC ID: 8022144815 Enrollment ID: I20100331000649 |
| Provider Name | Back K Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497706436 PECOS PAC ID: 1355478561 Enrollment ID: I20100420000727 |
| 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 | Bradly R Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184683245 PECOS PAC ID: 9830228659 Enrollment ID: I20100603000391 |
| Provider Name | William 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 | Audrey Mie Park Skinner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083647499 PECOS PAC ID: 1052445228 Enrollment ID: I20100810001084 |
| 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 Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20100830001137 |
| 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 | Christopher Weight |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962612127 PECOS PAC ID: 7416142666 Enrollment ID: I20101117001207 |
| Provider Name | Meera Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104920776 PECOS PAC ID: 1557388568 Enrollment ID: I20101117001236 |
| Provider Name | Michael Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841524378 PECOS PAC ID: 1355537473 Enrollment ID: I20101130001438 |
| 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 | 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 | 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 | Naeem Rana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871528638 PECOS PAC ID: 4789605973 Enrollment ID: I20110427000644 |
| Provider Name | Gail D Martin-bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700919982 PECOS PAC ID: 1254516792 Enrollment ID: I20110427000758 |
| Provider Name | Anastas C Provatas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497740054 PECOS PAC ID: 6103988563 Enrollment ID: I20110428000627 |
| 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 | Andrew W Mckibben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427057447 PECOS PAC ID: 8921993312 Enrollment ID: I20110725000794 |
| Provider Name | Kimberly D Pettinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659664852 PECOS PAC ID: 1759559107 Enrollment ID: I20110729000405 |
| 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 | 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 | Deborah L Elliott Pearson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881616639 PECOS PAC ID: 6800959248 Enrollment ID: I20111229000216 |
| 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 | 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 | Peter A Baggenstos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265694418 PECOS PAC ID: 9739344193 Enrollment ID: I20120710000267 |
| Provider Name | Casey M Woster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285862045 PECOS PAC ID: 1951567478 Enrollment ID: I20120726000600 |
| 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 | 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 | Lisa C Buenger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427161645 PECOS PAC ID: 8820275761 Enrollment ID: I20121217000270 |
| 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 | 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 | Ryan Novak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235398751 PECOS PAC ID: 2961642426 Enrollment ID: I20130703000330 |
| 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 | Elsaid Rabie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336427525 PECOS PAC ID: 4183867039 Enrollment ID: I20130826000588 |
| Provider Name | Kasey L Kapella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952669525 PECOS PAC ID: 5799929485 Enrollment ID: I20130919000308 |
| Provider Name | Joel Dennis Tuckett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487096434 PECOS PAC ID: 4486898004 Enrollment ID: I20130923000372 |
| 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 | 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 E Conklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285613323 PECOS PAC ID: 9032133657 Enrollment ID: I20140117000296 |
| Provider Name | Todd S Kessler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366453011 PECOS PAC ID: 0547413411 Enrollment ID: I20140226000058 |
| 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 | Kathleen M Maurer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518195205 PECOS PAC ID: 2163577396 Enrollment ID: I20140604000861 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20140617000960 |
| 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 | Heather A Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467864603 PECOS PAC ID: 7911123781 Enrollment ID: I20140731000813 |
| Provider Name | Christopher Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326359456 PECOS PAC ID: 6507002144 Enrollment ID: I20140820001181 |
| Provider Name | Jennifer E Salminen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528475498 PECOS PAC ID: 8527288315 Enrollment ID: I20140929002320 |
| Provider Name | Misty D Eliason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467687491 PECOS PAC ID: 5294956306 Enrollment ID: I20141014001929 |
| Provider Name | Brooke Noelle Harle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780098871 PECOS PAC ID: 7315264884 Enrollment ID: I20150320001022 |
| Provider Name | Lesley C. Snelling |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578749768 PECOS PAC ID: 7416027982 Enrollment ID: I20150528001833 |
| 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 | 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 | Mehdi Dastrange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967139 PECOS PAC ID: 4880906734 Enrollment ID: I20150706002597 |
| Provider Name | Paul Chacko |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932253200 PECOS PAC ID: 1759382930 Enrollment ID: I20150715000883 |
| Provider Name | Nicole M Granberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841672797 PECOS PAC ID: 9436462157 Enrollment ID: I20150723007581 |
| Provider Name | Maria C Cesari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841672565 PECOS PAC ID: 5890008411 Enrollment ID: I20150724011104 |
| 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 | 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 | Robert M Laporte |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255315891 PECOS PAC ID: 1759276322 Enrollment ID: I20160114000609 |
| 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 | Laura E Moench |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104146406 PECOS PAC ID: 0244539146 Enrollment ID: I20160427001706 |
| Provider Name | Richard F Hwang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457448219 PECOS PAC ID: 9638142680 Enrollment ID: I20160511002791 |
| Provider Name | Costa Hanna 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 | Maria K Goertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407296312 PECOS PAC ID: 8426348434 Enrollment ID: I20160603000834 |
| 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 | Jonathan Hunt Dell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861814592 PECOS PAC ID: 9335458819 Enrollment ID: I20160829000510 |
| Provider Name | Shannon R Petroske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854075 PECOS PAC ID: 3072808138 Enrollment ID: I20160829001168 |
| 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 L Etter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740736297 PECOS PAC ID: 3870880818 Enrollment ID: I20160920000622 |
| Provider Name | Ali A Pitafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023115615 PECOS PAC ID: 8921250044 Enrollment ID: I20161025002435 |
| 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 Jarrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700978145 PECOS PAC ID: 0244280196 Enrollment ID: I20170120000811 |
| 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 | Ilknur Can |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558514661 PECOS PAC ID: 3274800917 Enrollment ID: I20170530001739 |
| 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 | Dustin D Lucarelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003170424 PECOS PAC ID: 4789815440 Enrollment ID: I20170713001766 |
| Provider Name | Jason K Klipsic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386055812 PECOS PAC ID: 2365437316 Enrollment ID: I20170717001697 |
| 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 | Faizan A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194022541 PECOS PAC ID: 5890017222 Enrollment ID: I20170725004136 |
| Provider Name | Christina L Fanola |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942461637 PECOS PAC ID: 1254500457 Enrollment ID: I20170810002794 |
| Provider Name | Craig F Tschautscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316301096 PECOS PAC ID: 6507158227 Enrollment ID: I20170814000764 |
| 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 | Valerie Porcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942722723 PECOS PAC ID: 2769758390 Enrollment ID: I20171025002568 |
| Provider Name | Angela R Woelpern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669603288 PECOS PAC ID: 8921374331 Enrollment ID: I20171030000916 |
| 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 | 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 | Rao Watson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386953479 PECOS PAC ID: 2668784349 Enrollment ID: I20180328002734 |
| Provider Name | Ryan D Luellwitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316388903 PECOS PAC ID: 7012289721 Enrollment ID: I20180329001038 |
| 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 | David F Frow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124005947 PECOS PAC ID: 3678572112 Enrollment ID: I20180604002347 |
| Provider Name | Bryan D Hinck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467728881 PECOS PAC ID: 6507168556 Enrollment ID: I20180618000771 |
| Provider Name | John B Ester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063527547 PECOS PAC ID: 2668444613 Enrollment ID: I20180620002921 |
| Provider Name | Marilyn Rae Geninatti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649204819 PECOS PAC ID: 5991723710 Enrollment ID: I20180719003177 |
| Provider Name | Stacey L Helland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104297704 PECOS PAC ID: 1557619665 Enrollment ID: I20180807000821 |
| 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 | Mark F Hoffmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144223272 PECOS PAC ID: 2365449113 Enrollment ID: I20180910001280 |
| Provider Name | Dannielle C Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538649223 PECOS PAC ID: 8224381736 Enrollment ID: I20181031001094 |
| Provider Name | Eric R Fischer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346724192 PECOS PAC ID: 6608129879 Enrollment ID: I20181106000588 |
| Provider Name | Stephanie R Lantry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588142913 PECOS PAC ID: 9931453909 Enrollment ID: I20181109000549 |
| Provider Name | Ann Starr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356707269 PECOS PAC ID: 3274831615 Enrollment ID: I20181203000985 |
| 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 K Johnson-hoehne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235373788 PECOS PAC ID: 4587903661 Enrollment ID: I20190307001326 |
| Provider Name | Atif Rizwan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700087210 PECOS PAC ID: 2567529456 Enrollment ID: I20190423000281 |
| Provider Name | David Chmielecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083097976 PECOS PAC ID: 3375876626 Enrollment ID: I20190531001569 |
| Provider Name | Prudence M Mpofu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112652 PECOS PAC ID: 6709110182 Enrollment ID: I20190619002236 |
| Provider Name | Kendra D Dodd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083076681 PECOS PAC ID: 2567755689 Enrollment ID: I20190620003430 |
| 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 | 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 | Susan G Hoyum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134572092 PECOS PAC ID: 2163763277 Enrollment ID: I20190805002126 |
| Provider Name | Daniel 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 | Judy L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427463678 PECOS PAC ID: 7618199522 Enrollment ID: I20190830000765 |
| Provider Name | Glen H Rebman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487181558 PECOS PAC ID: 4385998715 Enrollment ID: I20191107002271 |
| Provider Name | Joseph G Waller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376778258 PECOS PAC ID: 7113172057 Enrollment ID: I20191119000909 |
| Provider Name | Joseph M Clere |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700318581 PECOS PAC ID: 8921378134 Enrollment ID: I20191126000368 |
| 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 | Henry J 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 - Internal Medicine |
| Provider Identifiers | NPI Number: 1356861876 PECOS PAC ID: 9638440639 Enrollment ID: I20200511000827 |
| 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 | 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 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 | Joseph Bram Johns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578544367 PECOS PAC ID: 7416131727 Enrollment ID: I20200813001951 |
| 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 | Sean Peterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619362001 PECOS PAC ID: 6305142928 Enrollment ID: I20201015000417 |
| Provider Name | Howard J Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033108139 PECOS PAC ID: 5698712115 Enrollment ID: I20210108000434 |
| 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 | Stanley Hahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619977758 PECOS PAC ID: 0648210898 Enrollment ID: I20210125002030 |
| Provider Name | Deanna S Davidson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457317075 PECOS PAC ID: 0042396772 Enrollment ID: I20210125002777 |
| Provider Name | Michael J Briggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023091865 PECOS PAC ID: 0446284525 Enrollment ID: I20210326001889 |
| 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 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 | Lauren E 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 | Alejandra Gutierrez Bernal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487074597 PECOS PAC ID: 6800297086 Enrollment ID: I20210624003373 |
| Provider Name | Kynan C Trail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962452458 PECOS PAC ID: 6305749912 Enrollment ID: I20210729001679 |
| Provider Name | Rena Zimmerman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851350318 PECOS PAC ID: 9537058417 Enrollment ID: I20210803002849 |
| 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 | 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 | Sarah Elizabeth Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568129344 PECOS PAC ID: 8123418779 Enrollment ID: I20211214001270 |
| Provider Name | Jonas V Sidrys |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124068275 PECOS PAC ID: 1557320959 Enrollment ID: I20220308002517 |
| Provider Name | Joshua 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 | Daniel Aboyawoh 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 | 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 | 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 | Jordan E 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 | January Aisha Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174757462 PECOS PAC ID: 0345487690 Enrollment ID: I20220830004200 |
| 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 | 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 | 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 | Mitchell T Meagher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932621307 PECOS PAC ID: 2668842014 Enrollment ID: I20230307000141 |
| Provider Name | Anthony 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 | Daniel John Growney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659367936 PECOS PAC ID: 1355232166 Enrollment ID: I20230712003790 |
| Provider Name | Daniel Zh Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467071555 PECOS PAC ID: 9638589013 Enrollment ID: I20230807002372 |
| 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 | Kerry Ann Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760164008 PECOS PAC ID: 5890141618 Enrollment ID: I20231030002427 |
| Provider Name | Larry 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 | 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 | Jena Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386607612 PECOS PAC ID: 0345136305 Enrollment ID: I20240227003423 |
| Provider Name | Charles Mateskon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639279763 PECOS PAC ID: 3678463437 Enrollment ID: I20240306000211 |
Hibbing Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare 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: 302 E Howard St Ste 219, Hibbing, MN 55746 Phone: 218-262-5433 | |
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 |