| Monument Health Rapid City Hospital, Inc | |
|
353 Fairmont Blvd Rapid City SD 57701-7375 | |
| (605) 755-2300 | |
| (605) 755-2310 |
| Full Name | Monument Health Rapid City Hospital, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 353 Fairmont Blvd, Rapid City, South Dakota |
| Authorized Official Name and Position | John Pierce (PRESIDENT MONUMENT HEALTH) |
| Authorized Official Contact | 6057558162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monument Health Rapid City Hospital, Inc Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 755-5700 | Monument Health Rapid City Hospital, Inc 353 Fairmont Blvd Rapid City SD 57701-7375 Ph: (605) 755-2300 |
| NPI Number | 1275553463 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 6002729506 |
|---|---|
| Medicare Enrollment ID | O20070625000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275553463 | NPI | - | NPPES |
| 0030104 | Other | SD | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10558 (South Dakota) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | 10558 (South Dakota) | Primary |
| Provider Name | Kyle L Bohling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497862692 PECOS PAC ID: 7719891761 Enrollment ID: I20031114000315 |
| Provider Name | Michael E Hogue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598706517 PECOS PAC ID: 3678477940 Enrollment ID: I20031120000123 |
| Provider Name | Katrina L Kraus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942395389 PECOS PAC ID: 2860387487 Enrollment ID: I20040220000804 |
| Provider Name | Gerald J. Hepnar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699875195 PECOS PAC ID: 3274421433 Enrollment ID: I20040313000245 |
| Provider Name | Michele M Delzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508910985 PECOS PAC ID: 0941190524 Enrollment ID: I20040317001116 |
| Provider Name | Matthew N Witte |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548228141 PECOS PAC ID: 8022903996 Enrollment ID: I20040318000928 |
| Provider Name | Jorge D Sanchez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295701506 PECOS PAC ID: 4486545639 Enrollment ID: I20040324001377 |
| Provider Name | Susan L Kilpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649207119 PECOS PAC ID: 1052309390 Enrollment ID: I20040504001591 |
| Provider Name | Daniel Y Rawson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295770568 PECOS PAC ID: 7416946058 Enrollment ID: I20040510000641 |
| Provider Name | Marc N Aldrich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932209442 PECOS PAC ID: 6800885005 Enrollment ID: I20040512000105 |
| Provider Name | Robert E Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679534036 PECOS PAC ID: 5799671897 Enrollment ID: I20040522000145 |
| Provider Name | Ayodele O Ogunremi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205884137 PECOS PAC ID: 1153311311 Enrollment ID: I20040611000027 |
| Provider Name | Louis C Raymond |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760437016 PECOS PAC ID: 5496640732 Enrollment ID: I20040611000037 |
| Provider Name | Kelly A Stacy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265521009 PECOS PAC ID: 4587564760 Enrollment ID: I20040709001018 |
| Provider Name | Mazen N Nemeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528084167 PECOS PAC ID: 5597743815 Enrollment ID: I20040712001331 |
| Provider Name | Kenneth C Diamond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679543755 PECOS PAC ID: 7517852866 Enrollment ID: I20040719000227 |
| Provider Name | David H Kovaleski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902872674 PECOS PAC ID: 5496726325 Enrollment ID: I20040804000773 |
| Provider Name | Kara L Mcmachen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376523126 PECOS PAC ID: 5193781326 Enrollment ID: I20041208000953 |
| Provider Name | Carol L Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609816701 PECOS PAC ID: 2961469648 Enrollment ID: I20041216000434 |
| Provider Name | Manuel D Arbo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114993128 PECOS PAC ID: 8820047871 Enrollment ID: I20050117000235 |
| Provider Name | Constance A Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255387031 PECOS PAC ID: 6406807130 Enrollment ID: I20050209001008 |
| Provider Name | Shari A Fechner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255301305 PECOS PAC ID: 3779530019 Enrollment ID: I20050407001074 |
| Provider Name | Diane E Schabauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437199569 PECOS PAC ID: 1456248384 Enrollment ID: I20050524001370 |
| Provider Name | Joan L Nold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497708481 PECOS PAC ID: 4688617988 Enrollment ID: I20050607001420 |
| Provider Name | Mark R Lundgren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700996857 PECOS PAC ID: 5193610111 Enrollment ID: I20050613001006 |
| Provider Name | Steven C Stocks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417046285 PECOS PAC ID: 1658266903 Enrollment ID: I20050713001205 |
| Provider Name | Fredric Birch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851349906 PECOS PAC ID: 7113812454 Enrollment ID: I20050714000339 |
| Provider Name | Jon M Wingert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891724407 PECOS PAC ID: 0941236574 Enrollment ID: I20050714000397 |
| Provider Name | James D Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326137175 PECOS PAC ID: 8820983174 Enrollment ID: I20050714000534 |
| Provider Name | Eric A Kelts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861541005 PECOS PAC ID: 1456310473 Enrollment ID: I20050901000967 |
| Provider Name | James M Keegan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023118619 PECOS PAC ID: 2466484548 Enrollment ID: I20050909000371 |
| Provider Name | Stephen Paul Manlove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619021672 PECOS PAC ID: 9436175676 Enrollment ID: I20051018000651 |
| Provider Name | Jenny Boland Hanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952419418 PECOS PAC ID: 8022033471 Enrollment ID: I20051108001067 |
| Provider Name | John E Looby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508966011 PECOS PAC ID: 0941229272 Enrollment ID: I20051116000508 |
| Provider Name | Robert L Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578518726 PECOS PAC ID: 0840211371 Enrollment ID: I20051213000361 |
| Provider Name | Cathy S Hennies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396749768 PECOS PAC ID: 0648291955 Enrollment ID: I20051214000841 |
| Provider Name | Gordon D Merchen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336259498 PECOS PAC ID: 2365457520 Enrollment ID: I20060214000166 |
| Provider Name | Karen S Tjaden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598768251 PECOS PAC ID: 3870502586 Enrollment ID: I20060407000198 |
| Provider Name | Drew A Purdy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659327781 PECOS PAC ID: 8325931355 Enrollment ID: I20060407000573 |
| Provider Name | Jose E Teixeira |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770523789 PECOS PAC ID: 5496648420 Enrollment ID: I20060407000583 |
| Provider Name | Roger E Deraad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750338604 PECOS PAC ID: 9436168184 Enrollment ID: I20060407000600 |
| Provider Name | James S Walder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134169238 PECOS PAC ID: 4284520131 Enrollment ID: I20060407000607 |
| Provider Name | Alexander M Schabauer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922054048 PECOS PAC ID: 9133012164 Enrollment ID: I20060407000615 |
| Provider Name | Michael P D'urso |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699720631 PECOS PAC ID: 0840183158 Enrollment ID: I20060407000622 |
| Provider Name | Evelyn M Provell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851347975 PECOS PAC ID: 5597774257 Enrollment ID: I20060407000624 |
| Provider Name | Elizabeth A Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942257894 PECOS PAC ID: 8123921145 Enrollment ID: I20060407000626 |
| Provider Name | Ruth E Thatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275597734 PECOS PAC ID: 2961411178 Enrollment ID: I20060417000746 |
| Provider Name | Joseph L Tuma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326081225 PECOS PAC ID: 6507852571 Enrollment ID: I20060807000458 |
| Provider Name | Thomas G Reid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811935299 PECOS PAC ID: 1052314333 Enrollment ID: I20060808000061 |
| Provider Name | Rachel C Edelen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164479630 PECOS PAC ID: 3173526712 Enrollment ID: I20060821000182 |
| Provider Name | Rylan J Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699794693 PECOS PAC ID: 4981607520 Enrollment ID: I20060821000193 |
| Provider Name | K John Heilman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659344430 PECOS PAC ID: 7810990280 Enrollment ID: I20060914000001 |
| Provider Name | Chad B Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568488021 PECOS PAC ID: 5799780987 Enrollment ID: I20060921000367 |
| Provider Name | Blake A Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104995901 PECOS PAC ID: 1759381346 Enrollment ID: I20070104000345 |
| Provider Name | Michael T Nesbit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689785982 PECOS PAC ID: 1153323860 Enrollment ID: I20070209000167 |
| Provider Name | Suzanne K Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922023613 PECOS PAC ID: 2668436221 Enrollment ID: I20070322000057 |
| Provider Name | Denise L Byrd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104919067 PECOS PAC ID: 5092819326 Enrollment ID: I20070327000274 |
| Provider Name | Donna F Riley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952460198 PECOS PAC ID: 5597860742 Enrollment ID: I20070417000086 |
| Provider Name | Jason L Ellingson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366535973 PECOS PAC ID: 0941220321 Enrollment ID: I20070518000287 |
| Provider Name | Masaru Chiba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053389130 PECOS PAC ID: 9032164025 Enrollment ID: I20070620000333 |
| Provider Name | Mark Garry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235193418 PECOS PAC ID: 4183724347 Enrollment ID: I20070717000553 |
| Provider Name | William J Miner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962600387 PECOS PAC ID: 3577656842 Enrollment ID: I20070831000170 |
| Provider Name | David S Fromm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497964696 PECOS PAC ID: 9436245560 Enrollment ID: I20071019000363 |
| Provider Name | Laura W Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316915697 PECOS PAC ID: 9638143761 Enrollment ID: I20080326000261 |
| Provider Name | Kristen M Corkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487801445 PECOS PAC ID: 6709952369 Enrollment ID: I20080904000514 |
| Provider Name | Nancy L Behr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275626590 PECOS PAC ID: 2668548983 Enrollment ID: I20080910000059 |
| Provider Name | Karen A Mauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932253416 PECOS PAC ID: 3072674399 Enrollment ID: I20081205000062 |
| Provider Name | Timothy Matthew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912017070 PECOS PAC ID: 6406917244 Enrollment ID: I20081211000400 |
| Provider Name | Douglas D Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043216484 PECOS PAC ID: 6204899065 Enrollment ID: I20081223000597 |
| Provider Name | Kristin N Kingsbury |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356517189 PECOS PAC ID: 1456421288 Enrollment ID: I20090205000265 |
| Provider Name | Katherine E Mcgraw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144203514 PECOS PAC ID: 5890748693 Enrollment ID: I20090311000590 |
| Provider Name | David B Eaton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871548578 PECOS PAC ID: 8527075878 Enrollment ID: I20090812000688 |
| Provider Name | John M Palmer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063510691 PECOS PAC ID: 5799839569 Enrollment ID: I20090812000753 |
| Provider Name | David C Evans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780639484 PECOS PAC ID: 0345257697 Enrollment ID: I20090820000311 |
| Provider Name | Jonette L Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962631200 PECOS PAC ID: 4587719018 Enrollment ID: I20090903000715 |
| Provider Name | Alexey Merunko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467699926 PECOS PAC ID: 7012062540 Enrollment ID: I20090903000734 |
| Provider Name | Jennifer L Thimgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255563722 PECOS PAC ID: 0446306104 Enrollment ID: I20090922000094 |
| Provider Name | Christian Gaissmaier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255445607 PECOS PAC ID: 6103820360 Enrollment ID: I20091001000437 |
| Provider Name | Dawn P Utzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659604361 PECOS PAC ID: 4688713753 Enrollment ID: I20091202000599 |
| Provider Name | Angela R Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235173659 PECOS PAC ID: 2961543301 Enrollment ID: I20100107000738 |
| Provider Name | David H Godbe |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942248760 PECOS PAC ID: 9436063435 Enrollment ID: I20100303001131 |
| Provider Name | Jannine A Purcell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184660086 PECOS PAC ID: 1658416409 Enrollment ID: I20100303001146 |
| Provider Name | Robert C Burgess |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013961978 PECOS PAC ID: 5890702146 Enrollment ID: I20100317000547 |
| Provider Name | Marisa C Medina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285686832 PECOS PAC ID: 2062304769 Enrollment ID: I20100320000109 |
| Provider Name | Michael J Statz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174550628 PECOS PAC ID: 9234146580 Enrollment ID: I20100322000104 |
| Provider Name | Michael P Mcguire |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831138098 PECOS PAC ID: 4789691031 Enrollment ID: I20100326000286 |
| Provider Name | Cynthia A Weaver |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932172533 PECOS PAC ID: 4880589019 Enrollment ID: I20100326000661 |
| Provider Name | Jeffrey L Bendt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891747374 PECOS PAC ID: 4385659838 Enrollment ID: I20100330000401 |
| Provider Name | Sonalika G Khachikian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699934067 PECOS PAC ID: 7416086251 Enrollment ID: I20100603000622 |
| Provider Name | David P Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396063178 PECOS PAC ID: 4789714288 Enrollment ID: I20100609001012 |
| Provider Name | Barry J Degen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699868919 PECOS PAC ID: 5698805190 Enrollment ID: I20100609001013 |
| Provider Name | Richard M Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306869631 PECOS PAC ID: 1052441359 Enrollment ID: I20100614000230 |
| Provider Name | Steven Gerard Frost |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871572396 PECOS PAC ID: 0749282796 Enrollment ID: I20100621000382 |
| Provider Name | Gary L Christiansen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750491270 PECOS PAC ID: 1759413693 Enrollment ID: I20100713000337 |
| Provider Name | Priscilla Faith Bade |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841283686 PECOS PAC ID: 4082751276 Enrollment ID: I20100820000606 |
| Provider Name | Karen Bryant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083707301 PECOS PAC ID: 4385768134 Enrollment ID: I20100831000263 |
| Provider Name | Matthew E Simmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942272778 PECOS PAC ID: 3971587916 Enrollment ID: I20100901000275 |
| Provider Name | Brian E Tschida |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851440135 PECOS PAC ID: 8628982584 Enrollment ID: I20100908000291 |
| Provider Name | Richard J Brue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568628063 PECOS PAC ID: 6103941877 Enrollment ID: I20100917000816 |
| Provider Name | Candace R Fetzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831146596 PECOS PAC ID: 0345131587 Enrollment ID: I20100918000195 |
| Provider Name | Saba Naureen Awan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841484888 PECOS PAC ID: 7416073697 Enrollment ID: I20100924000625 |
| Provider Name | Kara K Stapert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891009973 PECOS PAC ID: 3678699725 Enrollment ID: I20100925000267 |
| Provider Name | Harry W Hamlyn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801997739 PECOS PAC ID: 4880886837 Enrollment ID: I20101008000158 |
| Provider Name | Craig G Mills |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164571386 PECOS PAC ID: 6406838309 Enrollment ID: I20101008000735 |
| Provider Name | Nicole E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639485923 PECOS PAC ID: 3779776117 Enrollment ID: I20101019000219 |
| Provider Name | Cynthia S Schuttler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386737880 PECOS PAC ID: 8820281264 Enrollment ID: I20101019000257 |
| Provider Name | Helen L Frederickson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144251786 PECOS PAC ID: 3678503448 Enrollment ID: I20101023000038 |
| Provider Name | Steven K Hata |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003966334 PECOS PAC ID: 8527252188 Enrollment ID: I20101028000413 |
| Provider Name | Mary A Fredrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033449053 PECOS PAC ID: 8820121338 Enrollment ID: I20101029000336 |
| Provider Name | Jennifer F Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063729853 PECOS PAC ID: 4587859848 Enrollment ID: I20101111001199 |
| Provider Name | Braj N Singh |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1295049757 PECOS PAC ID: 2668668427 Enrollment ID: I20101119000374 |
| Provider Name | Mark T Schroeder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952492506 PECOS PAC ID: 1355537085 Enrollment ID: I20101120000127 |
| Provider Name | Mona Elsayed |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1205928785 PECOS PAC ID: 8729274154 Enrollment ID: I20101128000000 |
| Provider Name | Chantel J Holz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295042075 PECOS PAC ID: 1951598820 Enrollment ID: I20101206000404 |
| Provider Name | Robert C Finley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891845145 PECOS PAC ID: 1951383850 Enrollment ID: I20110125000315 |
| Provider Name | Heidi Strouth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699722629 PECOS PAC ID: 3375539596 Enrollment ID: I20110613000301 |
| Provider Name | Srinivas K. Gangineni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881865392 PECOS PAC ID: 6305986068 Enrollment ID: I20110720000800 |
| Provider Name | Michael William Huot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841495520 PECOS PAC ID: 0547438350 Enrollment ID: I20110722000007 |
| Provider Name | Augustine U Obi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093719528 PECOS PAC ID: 4880606672 Enrollment ID: I20110817000339 |
| Provider Name | Olga Merunko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821386723 PECOS PAC ID: 2466622204 Enrollment ID: I20110902000283 |
| Provider Name | Benson S Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376508457 PECOS PAC ID: 4981898251 Enrollment ID: I20110913000469 |
| Provider Name | Robert E Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962552323 PECOS PAC ID: 7517138761 Enrollment ID: I20110919000633 |
| Provider Name | Brian D Lindaman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912121229 PECOS PAC ID: 4183718315 Enrollment ID: I20110926000911 |
| Provider Name | Terence R Lichtor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114976289 PECOS PAC ID: 4880786920 Enrollment ID: I20111104000362 |
| Provider Name | Jennifer L Kruger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396953774 PECOS PAC ID: 3577688878 Enrollment ID: I20111202000500 |
| Provider Name | Jeegar A Jailwala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821053471 PECOS PAC ID: 8123087103 Enrollment ID: I20120308000550 |
| Provider Name | John Christopher Fernau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649560541 PECOS PAC ID: 3173708468 Enrollment ID: I20120412000371 |
| Provider Name | Javier Enrique Bogarin Geymayr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336201953 PECOS PAC ID: 8628244522 Enrollment ID: I20120521000150 |
| Provider Name | Douglas Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063591857 PECOS PAC ID: 0244217024 Enrollment ID: I20120523000684 |
| Provider Name | Lindsay R Erenberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386917201 PECOS PAC ID: 4385808419 Enrollment ID: I20120620000823 |
| Provider Name | Charles G Boyajian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316922438 PECOS PAC ID: 1153222112 Enrollment ID: I20120806000595 |
| Provider Name | Prashant Jagdish Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487818050 PECOS PAC ID: 5395932537 Enrollment ID: I20120806000702 |
| Provider Name | Mark S Monasky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467537217 PECOS PAC ID: 3476536772 Enrollment ID: I20120813000611 |
| Provider Name | Charlie Dorn Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003874892 PECOS PAC ID: 5395648117 Enrollment ID: I20120815000318 |
| Provider Name | Bobbie M Schneller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679758858 PECOS PAC ID: 8729124698 Enrollment ID: I20121008000281 |
| Provider Name | Kimberly J Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225385479 PECOS PAC ID: 9931359221 Enrollment ID: I20121023000058 |
| Provider Name | Marci J Neilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164652939 PECOS PAC ID: 6800046707 Enrollment ID: I20121031000441 |
| Provider Name | Mark Harlow |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1144209818 PECOS PAC ID: 3476446576 Enrollment ID: I20121102000126 |
| Provider Name | Deloris M Haibeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588914766 PECOS PAC ID: 2466603006 Enrollment ID: I20121108000255 |
| Provider Name | Kenneth C Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689609828 PECOS PAC ID: 7517014046 Enrollment ID: I20121120000545 |
| Provider Name | Gregory Allen English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588831648 PECOS PAC ID: 6305982554 Enrollment ID: I20121228000109 |
| Provider Name | Holli Joy Watkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851645931 PECOS PAC ID: 2567616733 Enrollment ID: I20130218000229 |
| Provider Name | Connie Tschetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760729313 PECOS PAC ID: 1557507605 Enrollment ID: I20130417000122 |
| Provider Name | J Thomas Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558687004 PECOS PAC ID: 1355471426 Enrollment ID: I20130523000654 |
| Provider Name | Andrew K Brevik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376513903 PECOS PAC ID: 7911035738 Enrollment ID: I20130531000095 |
| Provider Name | Daniel Aboyawoh Njingeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609184506 PECOS PAC ID: 3173762853 Enrollment ID: I20130611000326 |
| Provider Name | Brahim Elouardighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598741191 PECOS PAC ID: 3678503869 Enrollment ID: I20130611000799 |
| Provider Name | Christopher J Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437463916 PECOS PAC ID: 7618116989 Enrollment ID: I20130617000620 |
| Provider Name | Sonja Labrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295789451 PECOS PAC ID: 3476556689 Enrollment ID: I20130618000864 |
| Provider Name | Peter C Glassbrenner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811335391 PECOS PAC ID: 4385885078 Enrollment ID: I20130723000254 |
| Provider Name | Michael J Huxford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609881002 PECOS PAC ID: 4981845690 Enrollment ID: I20130723000451 |
| Provider Name | Thomas S Lemire |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821025552 PECOS PAC ID: 3577525591 Enrollment ID: I20130819000360 |
| Provider Name | Rajesh Pradhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912115841 PECOS PAC ID: 8729133871 Enrollment ID: I20130923000790 |
| Provider Name | Sonya E Coolahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194165068 PECOS PAC ID: 3971737214 Enrollment ID: I20130930000063 |
| Provider Name | Brenda A Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538509641 PECOS PAC ID: 6204060304 Enrollment ID: I20131003000161 |
| Provider Name | Ali Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982929758 PECOS PAC ID: 6305070046 Enrollment ID: I20131011000132 |
| Provider Name | Cherise A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528361581 PECOS PAC ID: 6507046182 Enrollment ID: I20131014000610 |
| Provider Name | Matthew Christian Werpy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962720250 PECOS PAC ID: 5799910238 Enrollment ID: I20131108001054 |
| Provider Name | Melissa R Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679557391 PECOS PAC ID: 5193700599 Enrollment ID: I20131113000175 |
| Provider Name | Sheereene G Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356661953 PECOS PAC ID: 9234368903 Enrollment ID: I20140130000159 |
| Provider Name | Sanjiv M Kaul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588659247 PECOS PAC ID: 0345383139 Enrollment ID: I20140224001683 |
| Provider Name | Sabieli Kabeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063505592 PECOS PAC ID: 7618876392 Enrollment ID: I20140306000971 |
| Provider Name | Stephen L Tamang |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1255642526 PECOS PAC ID: 6002069341 Enrollment ID: I20140306001045 |
| Provider Name | Jessica P Tvedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659797058 PECOS PAC ID: 6507089695 Enrollment ID: I20140516002051 |
| Provider Name | Jillian J Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669899092 PECOS PAC ID: 3173746138 Enrollment ID: I20140519002298 |
| Provider Name | Linda D Hodges |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528074671 PECOS PAC ID: 0547386740 Enrollment ID: I20140520002702 |
| Provider Name | Siri Knutsen Larson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659696672 PECOS PAC ID: 2860616265 Enrollment ID: I20140604001614 |
| Provider Name | William Conrad Dir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376517268 PECOS PAC ID: 7315912136 Enrollment ID: I20140617000584 |
| Provider Name | Lalith Uragoda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366443483 PECOS PAC ID: 3375539729 Enrollment ID: I20140716002170 |
| Provider Name | Jennifer Hasvold |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366761215 PECOS PAC ID: 6002035581 Enrollment ID: I20140915002709 |
| Provider Name | Kimberly M Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003103664 PECOS PAC ID: 0941429096 Enrollment ID: I20140922002930 |
| Provider Name | Thane T Gale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982996963 PECOS PAC ID: 5799914925 Enrollment ID: I20140930001320 |
| Provider Name | Daniel J Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093809568 PECOS PAC ID: 9133013204 Enrollment ID: I20141226000503 |
| Provider Name | Angi Kiewel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508269432 PECOS PAC ID: 1557687498 Enrollment ID: I20150311001880 |
| Provider Name | Oscar M Busso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508887449 PECOS PAC ID: 5092777664 Enrollment ID: I20150327001594 |
| Provider Name | Coby L Somsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629363429 PECOS PAC ID: 3173793072 Enrollment ID: I20150402000057 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372075 PECOS PAC ID: 2769666395 Enrollment ID: I20150410000153 |
| Provider Name | Kirsten A Butz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114242443 PECOS PAC ID: 0547497208 Enrollment ID: I20150428002477 |
| Provider Name | Natasha Telesford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639593395 PECOS PAC ID: 1355562927 Enrollment ID: I20150511002539 |
| Provider Name | Rochelle M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801288923 PECOS PAC ID: 6608196647 Enrollment ID: I20150514002752 |
| Provider Name | James J Pfeiffer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245200088 PECOS PAC ID: 0244388395 Enrollment ID: I20150521000893 |
| Provider Name | John G Butz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396069076 PECOS PAC ID: 4284861436 Enrollment ID: I20150602001741 |
| Provider Name | Elan Chanel Burton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932338217 PECOS PAC ID: 1759515711 Enrollment ID: I20150610001009 |
| Provider Name | Edward Omron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134123755 PECOS PAC ID: 1153360813 Enrollment ID: I20150611002713 |
| Provider Name | Anne W Brucker-busso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780608794 PECOS PAC ID: 6103888789 Enrollment ID: I20150618000796 |
| Provider Name | Osmund Ugochukwu Agbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275728529 PECOS PAC ID: 6800974627 Enrollment ID: I20150624000009 |
| Provider Name | Megan M Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790171411 PECOS PAC ID: 9931410396 Enrollment ID: I20150625002215 |
| Provider Name | Lynn S Cook |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508891219 PECOS PAC ID: 3971405804 Enrollment ID: I20150701001003 |
| Provider Name | Joanne K Gunderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144613803 PECOS PAC ID: 5395058390 Enrollment ID: I20150720003319 |
| Provider Name | Jason D Bryce |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487037891 PECOS PAC ID: 9739493339 Enrollment ID: I20150727001476 |
| Provider Name | Adel M El Abbassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437346301 PECOS PAC ID: 1759423338 Enrollment ID: I20150729008614 |
| Provider Name | Jennifer E Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427305721 PECOS PAC ID: 9931413390 Enrollment ID: I20150730011002 |
| Provider Name | Sanjay R Pallegar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780623629 PECOS PAC ID: 3678510856 Enrollment ID: I20150730013692 |
| Provider Name | Nathan A Bockholt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295901460 PECOS PAC ID: 1759527492 Enrollment ID: I20150731014992 |
| Provider Name | Troy Howard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164788667 PECOS PAC ID: 6608003876 Enrollment ID: I20150804004900 |
| Provider Name | Tanner W Schilder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396132296 PECOS PAC ID: 9234443946 Enrollment ID: I20150807014339 |
| Provider Name | Amber V Staedtler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497139323 PECOS PAC ID: 9830404508 Enrollment ID: I20150811004063 |
| Provider Name | Tracy S Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205198744 PECOS PAC ID: 7012146319 Enrollment ID: I20150828001972 |
| Provider Name | Aaron Thomas Jagelski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548261357 PECOS PAC ID: 8527045764 Enrollment ID: I20150901003104 |
| Provider Name | Pamela Kim Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962481044 PECOS PAC ID: 6608897632 Enrollment ID: I20150904000680 |
| Provider Name | Bhaskar Purushottam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982804969 PECOS PAC ID: 8921239971 Enrollment ID: I20150910001970 |
| Provider Name | Daniel D Fuxa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336582717 PECOS PAC ID: 6709029747 Enrollment ID: I20150922001706 |
| Provider Name | Derrick J Kuntz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871857862 PECOS PAC ID: 3678881307 Enrollment ID: I20150930000983 |
| Provider Name | Laura M Schirber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669848925 PECOS PAC ID: 0941518690 Enrollment ID: I20150930001762 |
| Provider Name | Natalie Christina Owens Sloan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497970479 PECOS PAC ID: 6002901360 Enrollment ID: I20151002002506 |
| Provider Name | Rodney W Cuny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144270026 PECOS PAC ID: 3971558982 Enrollment ID: I20151007001768 |
| Provider Name | Kristi A Jay |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730447913 PECOS PAC ID: 1557526787 Enrollment ID: I20151019000825 |
| Provider Name | Sarvesh S Thakur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295761328 PECOS PAC ID: 3779473244 Enrollment ID: I20151020002750 |
| Provider Name | Mudit Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033407481 PECOS PAC ID: 3476774704 Enrollment ID: I20151023000823 |
| Provider Name | Richard A Guest |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811064728 PECOS PAC ID: 4385828987 Enrollment ID: I20151109001181 |
| Provider Name | Shannon White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396791869 PECOS PAC ID: 0840332938 Enrollment ID: I20151116000923 |
| Provider Name | Kelley M Struble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912167867 PECOS PAC ID: 9032380035 Enrollment ID: I20151118002517 |
| Provider Name | Sindhu Bhat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144476672 PECOS PAC ID: 5294906962 Enrollment ID: I20151201001942 |
| Provider Name | Robert F Nuss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013295682 PECOS PAC ID: 2567692395 Enrollment ID: I20151202001577 |
| Provider Name | Christopher H Rajkumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275813651 PECOS PAC ID: 8426220609 Enrollment ID: I20151208000346 |
| Provider Name | Timothy E Hopkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437131513 PECOS PAC ID: 3971587031 Enrollment ID: I20151209002274 |
| Provider Name | Jehad Haggiagi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437420072 PECOS PAC ID: 1658502091 Enrollment ID: I20151210001938 |
| Provider Name | Dan M Danila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700096914 PECOS PAC ID: 9335276138 Enrollment ID: I20151217000936 |
| Provider Name | Steven Sung-ho Suh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699875385 PECOS PAC ID: 1658261359 Enrollment ID: I20160105001214 |
| Provider Name | Pal Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174848931 PECOS PAC ID: 3173752888 Enrollment ID: I20160119000511 |
| Provider Name | Andrea Kristine Baier |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1740278027 PECOS PAC ID: 3779585971 Enrollment ID: I20160120001804 |
| Provider Name | Sudhir B Movva |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073843074 PECOS PAC ID: 4587812128 Enrollment ID: I20160122002158 |
| Provider Name | Patricia G Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629354634 PECOS PAC ID: 3173826922 Enrollment ID: I20160128000710 |
| Provider Name | Fadi Domit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263938 PECOS PAC ID: 1355513979 Enrollment ID: I20160204000015 |
| Provider Name | Steven Branch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922096551 PECOS PAC ID: 5092773226 Enrollment ID: I20160217001401 |
| Provider Name | John A Sundin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083725782 PECOS PAC ID: 1456450931 Enrollment ID: I20160217002344 |
| Provider Name | Syed Amer Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689098311 PECOS PAC ID: 5395064224 Enrollment ID: I20160218002599 |
| Provider Name | Nana F Atuahene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629325774 PECOS PAC ID: 2466670609 Enrollment ID: I20160219001973 |
| Provider Name | Adam J Opbroek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629024120 PECOS PAC ID: 4385616960 Enrollment ID: I20160301002329 |
| Provider Name | Cynthia A Stocks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306211040 PECOS PAC ID: 3678879368 Enrollment ID: I20160307000775 |
| Provider Name | Kelsey S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356709851 PECOS PAC ID: 4587960059 Enrollment ID: I20160309001056 |
| Provider Name | Fisseha Y Ghidey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013145887 PECOS PAC ID: 8224286786 Enrollment ID: I20160314001753 |
| Provider Name | Melissa A Traub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972961324 PECOS PAC ID: 6800193061 Enrollment ID: I20160401002053 |
| Provider Name | Igor Melnychuk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023104536 PECOS PAC ID: 7315832060 Enrollment ID: I20160404000647 |
| Provider Name | Richard Amerling |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437130317 PECOS PAC ID: 1658345111 Enrollment ID: I20160415000629 |
| Provider Name | Zachary G Hague |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093176232 PECOS PAC ID: 0446558670 Enrollment ID: I20160420002515 |
| Provider Name | Zahir A Rashid |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407956865 PECOS PAC ID: 6709942030 Enrollment ID: I20160421002255 |
| Provider Name | Biagio V Vultaggio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396836706 PECOS PAC ID: 2264526185 Enrollment ID: I20160425002591 |
| Provider Name | Deena D Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487012027 PECOS PAC ID: 7618276254 Enrollment ID: I20160503000446 |
| Provider Name | Jaime Nicacio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245314608 PECOS PAC ID: 0648357954 Enrollment ID: I20160509001663 |
| Provider Name | Oscar V Bailon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164649018 PECOS PAC ID: 6901086743 Enrollment ID: I20160518002732 |
| Provider Name | Daniel Brennan Vine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841219375 PECOS PAC ID: 3072414598 Enrollment ID: I20160606002341 |
| Provider Name | Lyndsy L Kinghorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730533548 PECOS PAC ID: 5193015600 Enrollment ID: I20160610001645 |
| Provider Name | Hossein Ghofrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447576236 PECOS PAC ID: 6103134655 Enrollment ID: I20160622001343 |
| Provider Name | Ramtin Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225244221 PECOS PAC ID: 8325193527 Enrollment ID: I20160706002774 |
| Provider Name | Colin Adrian Meghoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871660597 PECOS PAC ID: 7416249610 Enrollment ID: I20160708000880 |
| Provider Name | Giovanni Salerno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942242698 PECOS PAC ID: 8325947237 Enrollment ID: I20160719002331 |
| Provider Name | Michelle L Krohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255698767 PECOS PAC ID: 9436399458 Enrollment ID: I20160721000437 |
| Provider Name | Matthew Wideroff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134448129 PECOS PAC ID: 8820238934 Enrollment ID: I20160801002731 |
| Provider Name | Ryan Brennan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619111853 PECOS PAC ID: 3476787888 Enrollment ID: I20160803001251 |
| Provider Name | James A Kuzman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275760860 PECOS PAC ID: 2365673225 Enrollment ID: I20160804002605 |
| Provider Name | Shakeel Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356773113 PECOS PAC ID: 5294029443 Enrollment ID: I20160810001821 |
| Provider Name | Rene Johnykutty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881859106 PECOS PAC ID: 5890965875 Enrollment ID: I20160811002246 |
| Provider Name | Steven Benn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346265394 PECOS PAC ID: 7618984576 Enrollment ID: I20160830002959 |
| Provider Name | Caiti C Kean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992158554 PECOS PAC ID: 4587950555 Enrollment ID: I20160831001784 |
| Provider Name | David W Tesar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205913746 PECOS PAC ID: 9133127566 Enrollment ID: I20160831002350 |
| Provider Name | Maria A Incer Obando |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194777078 PECOS PAC ID: 6204866619 Enrollment ID: I20160907000330 |
| Provider Name | Natalie J Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376996538 PECOS PAC ID: 4385932102 Enrollment ID: I20161011002708 |
| Provider Name | Blake D Alexander |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033132170 PECOS PAC ID: 5698789808 Enrollment ID: I20161011003186 |
| Provider Name | Aldo T Gamarra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952549156 PECOS PAC ID: 7315263522 Enrollment ID: I20161012002367 |
| Provider Name | Donald E Sizemore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962411439 PECOS PAC ID: 9234137357 Enrollment ID: I20161025001587 |
| Provider Name | Joshua M Matthews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841428307 PECOS PAC ID: 0042460487 Enrollment ID: I20161026001930 |
| Provider Name | Amanda L Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042622 PECOS PAC ID: 7810275559 Enrollment ID: I20161031001342 |
| Provider Name | Heather B Offenstein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679696033 PECOS PAC ID: 4385798156 Enrollment ID: I20161101001611 |
| Provider Name | Doreen Aryee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275966285 PECOS PAC ID: 0941588529 Enrollment ID: I20161102001260 |
| Provider Name | Thomas Ambrose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679524805 PECOS PAC ID: 9537051271 Enrollment ID: I20161108001963 |
| Provider Name | Roxana Samimi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518278472 PECOS PAC ID: 3971776493 Enrollment ID: I20161111000593 |
| Provider Name | Leon William Sweer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477502755 PECOS PAC ID: 5991761876 Enrollment ID: I20161111001874 |
| Provider Name | Becky L Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568912996 PECOS PAC ID: 5395025837 Enrollment ID: I20161129002006 |
| Provider Name | Robert Edward Lieberson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598863326 PECOS PAC ID: 6002992963 Enrollment ID: I20161214000711 |
| Provider Name | Jae H Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841426400 PECOS PAC ID: 4880813161 Enrollment ID: I20161216000364 |
| Provider Name | Alicia Grace Floyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033408505 PECOS PAC ID: 2567680713 Enrollment ID: I20170104001357 |
| Provider Name | Sarah Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349863 PECOS PAC ID: 1557642675 Enrollment ID: I20170104001597 |
| Provider Name | Kristin Ann Flowers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356647051 PECOS PAC ID: 1052534864 Enrollment ID: I20170121000368 |
| Provider Name | Guhapriya Palaniswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740314053 PECOS PAC ID: 0547316168 Enrollment ID: I20170131002198 |
| Provider Name | Eric Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841500683 PECOS PAC ID: 7416187125 Enrollment ID: I20170131002515 |
| Provider Name | Jennifer L Morlang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316494495 PECOS PAC ID: 2668755935 Enrollment ID: I20170210001780 |
| Provider Name | Angela M Ratzsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689028763 PECOS PAC ID: 3577846567 Enrollment ID: I20170217001252 |
| Provider Name | Guillermo Noguera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861720377 PECOS PAC ID: 2567617723 Enrollment ID: I20170220002469 |
| Provider Name | Justine L Ashokar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790222008 PECOS PAC ID: 0042594236 Enrollment ID: I20170307002757 |
| Provider Name | Jay Jahanmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407837347 PECOS PAC ID: 2163417619 Enrollment ID: I20170308001711 |
| Provider Name | Vanessa Pribil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912442336 PECOS PAC ID: 8123303179 Enrollment ID: I20170314001455 |
| Provider Name | Mary E Kurniawan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992242762 PECOS PAC ID: 8123303088 Enrollment ID: I20170316001463 |
| Provider Name | Amber Mcmillin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619373347 PECOS PAC ID: 4284910431 Enrollment ID: I20170424002075 |
| Provider Name | Jonathan Tthomas Morgan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225262306 PECOS PAC ID: 0042362469 Enrollment ID: I20170502001256 |
| Provider Name | Peter M Moy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1427020403 PECOS PAC ID: 2264412998 Enrollment ID: I20170510001407 |
| Provider Name | Janelle Denise Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073667135 PECOS PAC ID: 0749460483 Enrollment ID: I20170518002573 |
| Provider Name | Vidya Krishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336286020 PECOS PAC ID: 4789579152 Enrollment ID: I20170531001495 |
| Provider Name | Benjie Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982912465 PECOS PAC ID: 2567626674 Enrollment ID: I20170601001005 |
| Provider Name | Roman Reznik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841432655 PECOS PAC ID: 6507017217 Enrollment ID: I20170609001319 |
| Provider Name | Chandra Duggirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255592408 PECOS PAC ID: 9931263720 Enrollment ID: I20170713001446 |
| Provider Name | Jasmin Valentin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124351697 PECOS PAC ID: 2163608431 Enrollment ID: I20170713002062 |
| Provider Name | Jennifer G Franke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457885477 PECOS PAC ID: 9234409871 Enrollment ID: I20170714001117 |
| Provider Name | Thomas D Fulbright |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659381531 PECOS PAC ID: 1254331465 Enrollment ID: I20170717002735 |
| Provider Name | Christina P Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750679908 PECOS PAC ID: 0042463184 Enrollment ID: I20170717003306 |
| Provider Name | Admatha Winfred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003105552 PECOS PAC ID: 8325358575 Enrollment ID: I20170725003455 |
| Provider Name | Matthew H Blake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730396904 PECOS PAC ID: 4082861471 Enrollment ID: I20170803003743 |
| Provider Name | Kyle Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881009496 PECOS PAC ID: 6204125230 Enrollment ID: I20170824001332 |
| Provider Name | Justin N Steinert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982965216 PECOS PAC ID: 8224273602 Enrollment ID: I20170824003036 |
| Provider Name | Peter E Ostler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427463033 PECOS PAC ID: 3072802164 Enrollment ID: I20170828004353 |
| Provider Name | Adam J Pruett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609050756 PECOS PAC ID: 7315079563 Enrollment ID: I20170905001047 |
| Provider Name | Matthew J Anderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285922567 PECOS PAC ID: 3678708971 Enrollment ID: I20170905001903 |
| Provider Name | Ranju B Wadhwa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659327419 PECOS PAC ID: 5193804078 Enrollment ID: I20170905003424 |
| Provider Name | Christopher K Oros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669654802 PECOS PAC ID: 2264568682 Enrollment ID: I20170907002463 |
| Provider Name | Kevin Michael Simonelic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750708244 PECOS PAC ID: 9436473154 Enrollment ID: I20170907002952 |
| Provider Name | Naji Lafta Alhasnawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255750105 PECOS PAC ID: 2769755818 Enrollment ID: I20170912001248 |
| Provider Name | Natalie Tymkowych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942509252 PECOS PAC ID: 0941420772 Enrollment ID: I20170912002126 |
| Provider Name | Holly A Hedge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043451412 PECOS PAC ID: 5799833778 Enrollment ID: I20170920001193 |
| Provider Name | Sethuraman Muthiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164407383 PECOS PAC ID: 3678527421 Enrollment ID: I20170921002511 |
| Provider Name | Irony Sade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639478290 PECOS PAC ID: 5991079493 Enrollment ID: I20170921003742 |
| Provider Name | Hunter R Moyer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992989487 PECOS PAC ID: 0446433676 Enrollment ID: I20170922002099 |
| Provider Name | Martha L D'ambrosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659370427 PECOS PAC ID: 8224220348 Enrollment ID: I20170927004533 |
| Provider Name | Nadia L Tymkowych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831437235 PECOS PAC ID: 7719118728 Enrollment ID: I20171003007767 |
| Provider Name | Christina Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164898201 PECOS PAC ID: 1254648868 Enrollment ID: I20171018003516 |
| Provider Name | Alisha Hemraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306286992 PECOS PAC ID: 8921364290 Enrollment ID: I20171102002798 |
| Provider Name | Ayaz Ul Haque Malik |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760597942 PECOS PAC ID: 9436329612 Enrollment ID: I20171120003813 |
| Provider Name | Natasha Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023537263 PECOS PAC ID: 6002173291 Enrollment ID: I20171123000001 |
| Provider Name | Prachi P Vishwasrao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568752889 PECOS PAC ID: 4385919570 Enrollment ID: I20171127002770 |
| Provider Name | Grace R Kennedy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568478071 PECOS PAC ID: 0840227716 Enrollment ID: I20171211001649 |
| Provider Name | Mindy Doom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306357678 PECOS PAC ID: 0941568323 Enrollment ID: I20171212001261 |
| Provider Name | Jamie L Roder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265943948 PECOS PAC ID: 5698033967 Enrollment ID: I20171213002937 |
| Provider Name | Rebecca G Bierle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033546163 PECOS PAC ID: 2264662022 Enrollment ID: I20171218001112 |
| Provider Name | Dharmesh R Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992918023 PECOS PAC ID: 0840328167 Enrollment ID: I20180112001668 |
| Provider Name | Audrey J Bickerdyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578936381 PECOS PAC ID: 5294037073 Enrollment ID: I20180118002854 |
| Provider Name | Katie L Michelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871015727 PECOS PAC ID: 7517226400 Enrollment ID: I20180123001342 |
| Provider Name | William Hoskinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316352784 PECOS PAC ID: 1658678693 Enrollment ID: I20180123001695 |
| Provider Name | Marichris Zahnle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447242441 PECOS PAC ID: 4789676768 Enrollment ID: I20180123003083 |
| Provider Name | Gregory A Brandenberg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487629762 PECOS PAC ID: 0143269456 Enrollment ID: I20180124002030 |
| Provider Name | James Starr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942567060 PECOS PAC ID: 0547529323 Enrollment ID: I20180124002517 |
| Provider Name | Richard B Barber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992952857 PECOS PAC ID: 2062606064 Enrollment ID: I20180124002699 |
| Provider Name | Elisabeth M Dady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093221731 PECOS PAC ID: 6406115294 Enrollment ID: I20180124002822 |
| Provider Name | Unyime Okposong Nseyo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497778310 PECOS PAC ID: 3577520006 Enrollment ID: I20180126002090 |
| Provider Name | Sarah D Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193441 PECOS PAC ID: 5092075739 Enrollment ID: I20180129000941 |
| Provider Name | Priscilla Kim Codiga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629009402 PECOS PAC ID: 7315926979 Enrollment ID: I20180202002140 |
| Provider Name | Ronald M Guy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881651057 PECOS PAC ID: 2163517665 Enrollment ID: I20180202002355 |
| Provider Name | Thomas A Molloy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023000395 PECOS PAC ID: 3678471240 Enrollment ID: I20180207000635 |
| Provider Name | Sean Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720374648 PECOS PAC ID: 5395915649 Enrollment ID: I20180212002266 |
| Provider Name | Joel Marcus Post |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407014442 PECOS PAC ID: 1951535806 Enrollment ID: I20180321001418 |
| Provider Name | Amy J Kastner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952811184 PECOS PAC ID: 2365704863 Enrollment ID: I20180321001666 |
| Provider Name | Ulises P Militano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376545079 PECOS PAC ID: 1254395080 Enrollment ID: I20180322002744 |
| Provider Name | Roger G Stuart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942336276 PECOS PAC ID: 0941480883 Enrollment ID: I20180420001632 |
| Provider Name | Spencer Land |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407820491 PECOS PAC ID: 1456388370 Enrollment ID: I20180424000682 |
| Provider Name | Jessica D Lomheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376803163 PECOS PAC ID: 6901061324 Enrollment ID: I20180502001891 |
| Provider Name | Alexandria Nowaczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548674559 PECOS PAC ID: 0345469094 Enrollment ID: I20180509002434 |
| Provider Name | Kathryn Wermers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326567538 PECOS PAC ID: 0345505426 Enrollment ID: I20180518001149 |
| Provider Name | Jon C Axton |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265596969 PECOS PAC ID: 9032214226 Enrollment ID: I20180524002028 |
| Provider Name | Melanie L Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285124503 PECOS PAC ID: 0244595726 Enrollment ID: I20180604002849 |
| Provider Name | Morgan M Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063895092 PECOS PAC ID: 7315202801 Enrollment ID: I20180604002933 |
| Provider Name | Yogesh Shrestha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750582656 PECOS PAC ID: 3577656263 Enrollment ID: I20180611002628 |
| Provider Name | Amilyn Taplin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295027472 PECOS PAC ID: 0648539130 Enrollment ID: I20180612002072 |
| Provider Name | Dheeraj Dhotre |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508046368 PECOS PAC ID: 9739313834 Enrollment ID: I20180613001945 |
| Provider Name | Matthew Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154847481 PECOS PAC ID: 3577825942 Enrollment ID: I20180618001895 |
| Provider Name | Robert N Reddix |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265494611 PECOS PAC ID: 7012902091 Enrollment ID: I20180619003365 |
| Provider Name | Brittani L Neely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386135143 PECOS PAC ID: 9032464631 Enrollment ID: I20180622001650 |
| Provider Name | Tyson K Lange |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306334693 PECOS PAC ID: 7113273012 Enrollment ID: I20180707000117 |
| Provider Name | Dolly Boughaba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376582221 PECOS PAC ID: 3779776869 Enrollment ID: I20180712000815 |
| Provider Name | Aron B Merchen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639584915 PECOS PAC ID: 8527289495 Enrollment ID: I20180712001014 |
| Provider Name | Cristina Marie Sanders |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487901146 PECOS PAC ID: 4486954005 Enrollment ID: I20180717003391 |
| Provider Name | Erika R Lahood-burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619466109 PECOS PAC ID: 3072860121 Enrollment ID: I20180719002413 |
| Provider Name | Michael Altamura |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881674646 PECOS PAC ID: 9739248691 Enrollment ID: I20180727002131 |
| Provider Name | Christopher D Zill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518018167 PECOS PAC ID: 0042231896 Enrollment ID: I20180806003344 |
| Provider Name | Jamie P Slettedahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164943098 PECOS PAC ID: 9032290002 Enrollment ID: I20180814004299 |
| Provider Name | Dennis B Langston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942567250 PECOS PAC ID: 4688974827 Enrollment ID: I20180816001390 |
| Provider Name | Guy Vin Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154718955 PECOS PAC ID: 7810202660 Enrollment ID: I20180821003995 |
| Provider Name | Dennis Joseph Thum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245619543 PECOS PAC ID: 4486904877 Enrollment ID: I20180905003112 |
| Provider Name | Deepak M Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508161811 PECOS PAC ID: 1850525320 Enrollment ID: I20180921001728 |
| Provider Name | Jacob Matthew Weasel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346686458 PECOS PAC ID: 0840439733 Enrollment ID: I20180927002373 |
| Provider Name | Barry Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558744110 PECOS PAC ID: 0244547115 Enrollment ID: I20181101002493 |
| Provider Name | Anthony I Ozoemena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770007163 PECOS PAC ID: 1153697636 Enrollment ID: I20181105003338 |
| Provider Name | Lara Hammond |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235167149 PECOS PAC ID: 8426051319 Enrollment ID: I20181109001597 |
| Provider Name | Matthew Deichert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609373760 PECOS PAC ID: 5890040539 Enrollment ID: I20181113000794 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20181128000524 |
| Provider Name | Crista D Few |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871975128 PECOS PAC ID: 8527357607 Enrollment ID: I20181217000170 |
| Provider Name | Kimberly S Balay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881917078 PECOS PAC ID: 3779753454 Enrollment ID: I20181218002643 |
| Provider Name | Sarah A Siebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760968085 PECOS PAC ID: 8325391063 Enrollment ID: I20181218004181 |
| Provider Name | Daniel Barth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427105105 PECOS PAC ID: 8325146194 Enrollment ID: I20181219001413 |
| Provider Name | Kaitlin J Travnicek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659812600 PECOS PAC ID: 6305122078 Enrollment ID: I20181221001383 |
| Provider Name | Justin T Davis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487817946 PECOS PAC ID: 7810138567 Enrollment ID: I20181221002263 |
| Provider Name | Stacie A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962978528 PECOS PAC ID: 4587909304 Enrollment ID: I20181226002058 |
| Provider Name | Milton F Nathan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114909744 PECOS PAC ID: 1557261740 Enrollment ID: I20190114001581 |
| Provider Name | Susan Howard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649247107 PECOS PAC ID: 3173598349 Enrollment ID: I20190116004046 |
| Provider Name | Kirk Dominic Cianciolo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780933127 PECOS PAC ID: 4284870908 Enrollment ID: I20190124003465 |
| Provider Name | Jignesh Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477501351 PECOS PAC ID: 5890707624 Enrollment ID: I20190203000014 |
| Provider Name | Steven A Maser |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144228248 PECOS PAC ID: 0345366365 Enrollment ID: I20190204001800 |
| Provider Name | Debra L Paxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619135621 PECOS PAC ID: 4486706801 Enrollment ID: I20190220002292 |
| Provider Name | Melissa M Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730149311 PECOS PAC ID: 1557609393 Enrollment ID: I20190220002397 |
| Provider Name | Patrick P Staedtler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033606207 PECOS PAC ID: 6305185109 Enrollment ID: I20190221002230 |
| Provider Name | Vaughan Bowen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376520049 PECOS PAC ID: 4981617313 Enrollment ID: I20190221002867 |
| Provider Name | Michael Robin Ellen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043287980 PECOS PAC ID: 4789685645 Enrollment ID: I20190226002382 |
| Provider Name | Niral Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083845945 PECOS PAC ID: 4587815329 Enrollment ID: I20190226003145 |
| Provider Name | Daniel P Lochmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881709368 PECOS PAC ID: 8820909542 Enrollment ID: I20190307002063 |
| Provider Name | Bradley W Anderson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053403105 PECOS PAC ID: 5092772376 Enrollment ID: I20190327002135 |
| Provider Name | Janet A Kehm |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952749392 PECOS PAC ID: 3678717055 Enrollment ID: I20190411002699 |
| Provider Name | Robert W Nelson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083931877 PECOS PAC ID: 5890928162 Enrollment ID: I20190412002191 |
| Provider Name | Lili W Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376053678 PECOS PAC ID: 1850634577 Enrollment ID: I20190521002958 |
| Provider Name | Stephen R Neabore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629336821 PECOS PAC ID: 6204136062 Enrollment ID: I20190523001798 |
| Provider Name | Arthur I Luka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588897086 PECOS PAC ID: 3779709605 Enrollment ID: I20190603002417 |
| Provider Name | Kristin K Bierle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740740703 PECOS PAC ID: 2264765486 Enrollment ID: I20190603002470 |
| Provider Name | Venkatram Nethala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427158716 PECOS PAC ID: 7810903838 Enrollment ID: I20190619001069 |
| Provider Name | Elizabeth A Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679049910 PECOS PAC ID: 7012241250 Enrollment ID: I20190621002835 |
| Provider Name | Joseph L Humpherys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881818441 PECOS PAC ID: 8729185244 Enrollment ID: I20190716003235 |
| Provider Name | Ethan P Levine |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144238577 PECOS PAC ID: 9537267273 Enrollment ID: I20190801001480 |
| Provider Name | Anurag Bajaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093955148 PECOS PAC ID: 5890966493 Enrollment ID: I20190815001499 |
| Provider Name | Tyler Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487114310 PECOS PAC ID: 1658614177 Enrollment ID: I20190815003448 |
| Provider Name | Nicholas T Hollenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154981694 PECOS PAC ID: 3173851920 Enrollment ID: I20190819001256 |
| Provider Name | James A Washburn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902870009 PECOS PAC ID: 5698765139 Enrollment ID: I20190829003950 |
| Provider Name | Than T Aye |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104053792 PECOS PAC ID: 6709191109 Enrollment ID: I20190906002752 |
| Provider Name | Abdel-ghani Azzouqa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720428170 PECOS PAC ID: 7911298773 Enrollment ID: I20190910001389 |
| Provider Name | Kyle J Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386966133 PECOS PAC ID: 5294028056 Enrollment ID: I20190910002443 |
| Provider Name | Brady J Hofer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528422565 PECOS PAC ID: 6507165214 Enrollment ID: I20190923000978 |
| Provider Name | Brian D Shelmadine |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801281092 PECOS PAC ID: 8628309630 Enrollment ID: I20191004002704 |
| Provider Name | John G Hatanelas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225379795 PECOS PAC ID: 8022311554 Enrollment ID: I20191004003063 |
| Provider Name | Saverio J Barbera |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003975632 PECOS PAC ID: 0143126466 Enrollment ID: I20191029003409 |
| Provider Name | Katherine J Moeller |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710247119 PECOS PAC ID: 2466768510 Enrollment ID: I20191030000950 |
| Provider Name | Nancy A Rusch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235458977 PECOS PAC ID: 7315070521 Enrollment ID: I20191105002126 |
| Provider Name | Jennifer K Strasburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588014104 PECOS PAC ID: 5799070843 Enrollment ID: I20191108001620 |
| Provider Name | Shayla Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962043075 PECOS PAC ID: 6002248945 Enrollment ID: I20191115000458 |
| Provider Name | Rachal Pierce |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407372576 PECOS PAC ID: 0446682025 Enrollment ID: I20191120001426 |
| Provider Name | Zia Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20191126000297 |
| Provider Name | Thomas Bei-lin Tan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275528382 PECOS PAC ID: 7012012677 Enrollment ID: I20191126001902 |
| Provider Name | Kelly S Brandsted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639710106 PECOS PAC ID: 4688007115 Enrollment ID: I20191213001287 |
| Provider Name | Angelika Ostrowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902088545 PECOS PAC ID: 4981778842 Enrollment ID: I20191217002931 |
| Provider Name | Suprasad M Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467490631 PECOS PAC ID: 6901809433 Enrollment ID: I20191230001978 |
| Provider Name | Chelsey K Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548804990 PECOS PAC ID: 9537593413 Enrollment ID: I20191231001396 |
| Provider Name | Kendra Carville Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752183 PECOS PAC ID: 1850725755 Enrollment ID: I20191231002103 |
| Provider Name | Samantha C Speed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245874502 PECOS PAC ID: 8022442847 Enrollment ID: I20200102000813 |
| Provider Name | Anthony R Doyon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982032934 PECOS PAC ID: 2264725696 Enrollment ID: I20200103001154 |
| Provider Name | Trista M Borgwardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932744554 PECOS PAC ID: 3375978968 Enrollment ID: I20200108000923 |
| Provider Name | Sarah M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912540154 PECOS PAC ID: 7719312164 Enrollment ID: I20200114000960 |
| Provider Name | Jessica L Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457887663 PECOS PAC ID: 5991063950 Enrollment ID: I20200114003442 |
| Provider Name | Sonny J Carlson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699250415 PECOS PAC ID: 8123372877 Enrollment ID: I20200115000664 |
| Provider Name | Elizabeth R Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922643642 PECOS PAC ID: 1052745643 Enrollment ID: I20200120000140 |
| Provider Name | Bich-thy N Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174715932 PECOS PAC ID: 7214114354 Enrollment ID: I20200210002593 |
| Provider Name | Emily B Baertsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225669211 PECOS PAC ID: 4486081940 Enrollment ID: I20200221000969 |
| Provider Name | Nicole M Weyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730711144 PECOS PAC ID: 6406283647 Enrollment ID: I20200227001190 |
| Provider Name | Jessica S Kellerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073028593 PECOS PAC ID: 1850728676 Enrollment ID: I20200302000785 |
| Provider Name | Teresa O Ohlmacher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730713074 PECOS PAC ID: 0042648149 Enrollment ID: I20200324002745 |
| Provider Name | Michael Hansen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053548495 PECOS PAC ID: 8628210390 Enrollment ID: I20200403002536 |
| Provider Name | Shawn E Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609927342 PECOS PAC ID: 4284809864 Enrollment ID: I20200406002345 |
| Provider Name | Lien Diep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528358181 PECOS PAC ID: 2961631130 Enrollment ID: I20200408003987 |
| Provider Name | Jerry Noel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235334038 PECOS PAC ID: 3678858701 Enrollment ID: I20200427001174 |
| Provider Name | Muhammad Asim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184970659 PECOS PAC ID: 5991017006 Enrollment ID: I20200428000637 |
| Provider Name | Jared A Sutton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104119403 PECOS PAC ID: 0244522589 Enrollment ID: I20200429001723 |
| Provider Name | Casey Nicole Watkins |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124317995 PECOS PAC ID: 3577788983 Enrollment ID: I20200429002436 |
| Provider Name | Jennifer M Levy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871009696 PECOS PAC ID: 1951666874 Enrollment ID: I20200504002472 |
| Provider Name | Charan Mungara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649423872 PECOS PAC ID: 9537339411 Enrollment ID: I20200710002999 |
| Provider Name | Joseph Michael Carda |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962884197 PECOS PAC ID: 4486077252 Enrollment ID: I20200713001226 |
| Provider Name | Kyle Paul Schmidt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295174142 PECOS PAC ID: 5799901930 Enrollment ID: I20200727003127 |
| Provider Name | Isaac J Aanenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821535972 PECOS PAC ID: 9335424605 Enrollment ID: I20200813000585 |
| Provider Name | Chad Storch |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1437206471 PECOS PAC ID: 6305262817 Enrollment ID: I20200814000546 |
| Provider Name | Brian L Erenberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912351636 PECOS PAC ID: 9436448594 Enrollment ID: I20200817003691 |
| Provider Name | Hollan A Harper |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982074308 PECOS PAC ID: 8426341264 Enrollment ID: I20200818001789 |
| Provider Name | Rorak E Hooten |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619315850 PECOS PAC ID: 2163718529 Enrollment ID: I20200826002996 |
| Provider Name | Ashley L Vermeulen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073123071 PECOS PAC ID: 9739506783 Enrollment ID: I20200904001336 |
| Provider Name | Daryl Goh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538681929 PECOS PAC ID: 5991136368 Enrollment ID: I20200908002389 |
| Provider Name | Travis Ptacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477819944 PECOS PAC ID: 5092087486 Enrollment ID: I20200915002674 |
| Provider Name | Stephen E Wasemiller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790196533 PECOS PAC ID: 1850719923 Enrollment ID: I20200922002225 |
| Provider Name | Maryam Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490671 PECOS PAC ID: 2567880644 Enrollment ID: I20200922002755 |
| Provider Name | Joshua Told |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699295444 PECOS PAC ID: 0749553667 Enrollment ID: I20200925002077 |
| Provider Name | Eammon P Grosek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855732 PECOS PAC ID: 6901169390 Enrollment ID: I20200930001439 |
| Provider Name | David G Maxfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417377227 PECOS PAC ID: 4789910282 Enrollment ID: I20200930002632 |
| Provider Name | John B Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902971732 PECOS PAC ID: 5092750844 Enrollment ID: I20201013000688 |
| Provider Name | Emuejevoke Joseph Okoh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013970482 PECOS PAC ID: 2567645484 Enrollment ID: I20201015002925 |
| Provider Name | Alicia Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376011965 PECOS PAC ID: 6709126907 Enrollment ID: I20201023000801 |
| Provider Name | Bailee T Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407462344 PECOS PAC ID: 1759791676 Enrollment ID: I20201104002676 |
| Provider Name | Cynthia Ann Gates |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841727773 PECOS PAC ID: 6204246986 Enrollment ID: I20201109001470 |
| Provider Name | Maren K Gaul |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1699061085 PECOS PAC ID: 2264730506 Enrollment ID: I20201112001170 |
| Provider Name | Miranda C Tracy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356737894 PECOS PAC ID: 0143500421 Enrollment ID: I20201221002579 |
| Provider Name | Derek S Buck |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790951432 PECOS PAC ID: 9638147382 Enrollment ID: I20210211002630 |
| Provider Name | Wesley M Leong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063862035 PECOS PAC ID: 4789979238 Enrollment ID: I20210226000572 |
| Provider Name | Carrie L Bossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932570082 PECOS PAC ID: 4284049156 Enrollment ID: I20210226002502 |
| Provider Name | Brandon J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043607369 PECOS PAC ID: 4486965795 Enrollment ID: I20210302001225 |
| Provider Name | Heidi L Hague |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629344569 PECOS PAC ID: 4385800127 Enrollment ID: I20210412001358 |
| Provider Name | Jeffrey P Wilson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003287079 PECOS PAC ID: 4981999893 Enrollment ID: I20210505002990 |
| Provider Name | Braden J Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295278356 PECOS PAC ID: 9234406547 Enrollment ID: I20210506003041 |
| Provider Name | Esperanza S Argenziano |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891995445 PECOS PAC ID: 6305088212 Enrollment ID: I20210601002511 |
| Provider Name | Sarah Stark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841694940 PECOS PAC ID: 5698090785 Enrollment ID: I20210607003030 |
| Provider Name | Alisa Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619017043 PECOS PAC ID: 8426133141 Enrollment ID: I20210628003447 |
| Provider Name | Jaclyn Michelle Spencer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336716869 PECOS PAC ID: 4981005675 Enrollment ID: I20210701002916 |
| Provider Name | Luis A Hernandez Mejia |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1750766317 PECOS PAC ID: 9638478431 Enrollment ID: I20210726002450 |
| Provider Name | Conrad C Nievera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346292018 PECOS PAC ID: 8325123318 Enrollment ID: I20210726003089 |
| Provider Name | Briton E Jordan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932776549 PECOS PAC ID: 4981008695 Enrollment ID: I20210803001288 |
| Provider Name | Christopher S Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982010609 PECOS PAC ID: 4688998404 Enrollment ID: I20210809001893 |
| Provider Name | Joseph P Schowalter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811213473 PECOS PAC ID: 7012218373 Enrollment ID: I20210825003798 |
| Provider Name | Brittany M Kramer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326614041 PECOS PAC ID: 8022414069 Enrollment ID: I20210831001107 |
| Provider Name | Heather A Spain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811315864 PECOS PAC ID: 2163756008 Enrollment ID: I20210831001361 |
| Provider Name | Timothy J Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235113176 PECOS PAC ID: 6507830296 Enrollment ID: I20210831001856 |
| Provider Name | Cliff R Janikowski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003298373 PECOS PAC ID: 1153637673 Enrollment ID: I20210831003188 |
| Provider Name | Jessica L Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477226330 PECOS PAC ID: 4981000742 Enrollment ID: I20210902002770 |
| Provider Name | Katherine Marie Croft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942611975 PECOS PAC ID: 8527336239 Enrollment ID: I20210920001437 |
| Provider Name | Scott J. Haarburger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811490766 PECOS PAC ID: 1951708718 Enrollment ID: I20210921001573 |
| Provider Name | Abbie J Metzler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1114452471 PECOS PAC ID: 4981973476 Enrollment ID: I20210923002700 |
| Provider Name | Kirstin A Hockhausen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114451689 PECOS PAC ID: 0446524359 Enrollment ID: I20210923003731 |
| Provider Name | Melanie N White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326602301 PECOS PAC ID: 4789081118 Enrollment ID: I20210927003086 |
| Provider Name | Thomas M Brockhoft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497258230 PECOS PAC ID: 1759639511 Enrollment ID: I20210928000943 |
| Provider Name | Jared Wallen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144596974 PECOS PAC ID: 6608141536 Enrollment ID: I20210929001464 |
| Provider Name | Jennifer R Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114417664 PECOS PAC ID: 3577810415 Enrollment ID: I20211005002770 |
| Provider Name | Phillip A Werman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467885707 PECOS PAC ID: 6709020092 Enrollment ID: I20211018002535 |
| Provider Name | Joel A Kirst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619639150 PECOS PAC ID: 0345630455 Enrollment ID: I20211203002331 |
| Provider Name | Cassandra E Brandsted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217115 PECOS PAC ID: 5799175824 Enrollment ID: I20211206000065 |
| Provider Name | Melissa C Spiering |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780923987 PECOS PAC ID: 5799920179 Enrollment ID: I20220104001245 |
| Provider Name | Timothy C Leupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760760474 PECOS PAC ID: 3072749068 Enrollment ID: I20220113002665 |
| Provider Name | Brian Steiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467890699 PECOS PAC ID: 1951693910 Enrollment ID: I20220217001213 |
| Provider Name | Robert D Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003250689 PECOS PAC ID: 4981845807 Enrollment ID: I20220401001286 |
| Provider Name | Mikayla R Crocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942952817 PECOS PAC ID: 3173919941 Enrollment ID: I20220404000630 |
| Provider Name | David Albert Valentine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093192486 PECOS PAC ID: 9335474683 Enrollment ID: I20220519001559 |
| Provider Name | Mohammad I Akhtar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942294897 PECOS PAC ID: 0446158562 Enrollment ID: I20220601002033 |
| Provider Name | Diane Lao Culbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760123673 PECOS PAC ID: 9234518796 Enrollment ID: I20220614001684 |
| Provider Name | James M Crane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992865257 PECOS PAC ID: 9133133176 Enrollment ID: I20220621002349 |
| Provider Name | Raquel M Ramirez Rovira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215567417 PECOS PAC ID: 5496176851 Enrollment ID: I20220621002453 |
| Provider Name | Jaimi Pochant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376037721 PECOS PAC ID: 7719238567 Enrollment ID: I20220621003038 |
| Provider Name | Michael S Firstenberg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912961749 PECOS PAC ID: 3870517733 Enrollment ID: I20220629002235 |
| Provider Name | Bayan A Al-share |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235582065 PECOS PAC ID: 9032591128 Enrollment ID: I20220805002340 |
| Provider Name | Ali H Zakaria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144604661 PECOS PAC ID: 1153611942 Enrollment ID: I20220811001528 |
| Provider Name | Kyle M Lemley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700040599 PECOS PAC ID: 2163692575 Enrollment ID: I20220817001816 |
| Provider Name | Caitlyn R Selland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508599507 PECOS PAC ID: 2163805318 Enrollment ID: I20220819002875 |
| Provider Name | Vishal Jani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134350069 PECOS PAC ID: 7214220367 Enrollment ID: I20220829002178 |
| Provider Name | Kelly C Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083060396 PECOS PAC ID: 8123402898 Enrollment ID: I20220829003737 |
| Provider Name | Kristin A Wempe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346760923 PECOS PAC ID: 3274805593 Enrollment ID: I20220912000804 |
| Provider Name | Alice M Police |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235160979 PECOS PAC ID: 4981595634 Enrollment ID: I20220913000316 |
| Provider Name | Kayla K Sayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003563669 PECOS PAC ID: 4486031101 Enrollment ID: I20220913000833 |
| Provider Name | Jose Luis Henao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275067613 PECOS PAC ID: 4789094418 Enrollment ID: I20220913000857 |
| Provider Name | Layne E Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861125999 PECOS PAC ID: 8729463500 Enrollment ID: I20220914002344 |
| Provider Name | Benjamin C Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053044891 PECOS PAC ID: 4880070861 Enrollment ID: I20220928001290 |
| Provider Name | Nicholas P Hopson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821433509 PECOS PAC ID: 3476890831 Enrollment ID: I20221012002040 |
| Provider Name | Brennan A Tesdahl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326564055 PECOS PAC ID: 4981070174 Enrollment ID: I20221012003008 |
| Provider Name | Natalya S Tesdahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972163285 PECOS PAC ID: 0446582159 Enrollment ID: I20221021000782 |
| Provider Name | Julieta M Munoz Mejia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972957090 PECOS PAC ID: 5698035558 Enrollment ID: I20221110002582 |
| Provider Name | Lina Daugela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245419134 PECOS PAC ID: 5395883409 Enrollment ID: I20221110002723 |
| Provider Name | Claudia P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427691864 PECOS PAC ID: 2567896277 Enrollment ID: I20221111000505 |
| Provider Name | Nicolette M Engesser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407581168 PECOS PAC ID: 8022486166 Enrollment ID: I20221122001337 |
| Provider Name | Jennifer J Werman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083967400 PECOS PAC ID: 4385889187 Enrollment ID: I20221122001719 |
| Provider Name | Michael A Munz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093712572 PECOS PAC ID: 1850283581 Enrollment ID: I20221122002821 |
| Provider Name | Kenneth Lipow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427083674 PECOS PAC ID: 3678537446 Enrollment ID: I20221202000808 |
| Provider Name | Eric Francis Krohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619363181 PECOS PAC ID: 1658622386 Enrollment ID: I20221202002099 |
| Provider Name | Ashley M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437872553 PECOS PAC ID: 4688043896 Enrollment ID: I20221210000011 |
| Provider Name | Leslie A Van Dyne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063808335 PECOS PAC ID: 5294044541 Enrollment ID: I20221214001451 |
| Provider Name | John Walter Ingle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508905548 PECOS PAC ID: 8426236654 Enrollment ID: I20221215001514 |
| Provider Name | Jessica M Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669670659 PECOS PAC ID: 6406019306 Enrollment ID: I20221215001772 |
| Provider Name | Lauren A Tuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417665456 PECOS PAC ID: 4183093057 Enrollment ID: I20221215002032 |
| Provider Name | Amber L Nupen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750896692 PECOS PAC ID: 3971972613 Enrollment ID: I20221220000266 |
| Provider Name | Kaleh J Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952028276 PECOS PAC ID: 9335519685 Enrollment ID: I20221230001108 |
| Provider Name | Princess Nicole Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659692440 PECOS PAC ID: 3274782909 Enrollment ID: I20230103002447 |
| Provider Name | Edward Fazendin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487092391 PECOS PAC ID: 5890113237 Enrollment ID: I20230127002636 |
| Provider Name | Kristy Louise Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699495515 PECOS PAC ID: 4981076114 Enrollment ID: I20230215002609 |
| Provider Name | Mark A Nielsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790873164 PECOS PAC ID: 7517988900 Enrollment ID: I20230227001125 |
| Provider Name | Mark Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003993163 PECOS PAC ID: 5597756759 Enrollment ID: I20230227002279 |
| Provider Name | Takamasa Higashimori |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578705935 PECOS PAC ID: 9931342136 Enrollment ID: I20230313001373 |
| Provider Name | Carrie J Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114636693 PECOS PAC ID: 2062886963 Enrollment ID: I20230315003099 |
| Provider Name | Donald C Barr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215348313 PECOS PAC ID: 6800175332 Enrollment ID: I20230316002941 |
| Provider Name | Georg Van Den Sigtenhorst |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396745790 PECOS PAC ID: 6709949209 Enrollment ID: I20230317000962 |
| Provider Name | Stephen Fannin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023129038 PECOS PAC ID: 7416853684 Enrollment ID: I20230317001676 |
| Provider Name | Merrill H Hill |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477745479 PECOS PAC ID: 0547354755 Enrollment ID: I20230405000271 |
| Provider Name | Omar Hussein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639433907 PECOS PAC ID: 8224334990 Enrollment ID: I20230414001819 |
| Provider Name | Wilfredo Crespo-velez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952408585 PECOS PAC ID: 2961681424 Enrollment ID: I20230427002644 |
| Provider Name | Ashlea D Semmens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023548633 PECOS PAC ID: 5890063556 Enrollment ID: I20230608001370 |
| Provider Name | Ryan Martin Gianatasio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144489550 PECOS PAC ID: 7315187895 Enrollment ID: I20230620003249 |
| Provider Name | Gary Allen Mellick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780641506 PECOS PAC ID: 1951389550 Enrollment ID: I20230706003020 |
| Provider Name | Jennifer S Kang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144376815 PECOS PAC ID: 8426111485 Enrollment ID: I20230720003020 |
| Provider Name | Codi A Schrempp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366135758 PECOS PAC ID: 3375903453 Enrollment ID: I20230720003300 |
| Provider Name | Nicholas C Schwedhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982388666 PECOS PAC ID: 3971963059 Enrollment ID: I20230720003502 |
| Provider Name | Ghassan Al-shbool |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215450937 PECOS PAC ID: 3476978867 Enrollment ID: I20230728002586 |
| Provider Name | Navjot Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477186880 PECOS PAC ID: 7911326319 Enrollment ID: I20230728002911 |
| Provider Name | Sandeep P Sohal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801381744 PECOS PAC ID: 4688911175 Enrollment ID: I20230802001523 |
| Provider Name | Lisa M Krebs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437841319 PECOS PAC ID: 2163884016 Enrollment ID: I20230809004033 |
| Provider Name | Tracey K Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073760955 PECOS PAC ID: 9739373887 Enrollment ID: I20230908002667 |
| Provider Name | Graham D Baluh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881072148 PECOS PAC ID: 3779950852 Enrollment ID: I20230908003263 |
| Provider Name | Kendra M Dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841978327 PECOS PAC ID: 1254795263 Enrollment ID: I20230908003414 |
| Provider Name | Kyle David Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710510821 PECOS PAC ID: 9133558711 Enrollment ID: I20230911002886 |
| Provider Name | Logan A Bowen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598441669 PECOS PAC ID: 1658735402 Enrollment ID: I20230912001982 |
| Provider Name | Alexandra M Brauner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851974992 PECOS PAC ID: 1153785910 Enrollment ID: I20230912002297 |
| Provider Name | Amid Bitar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245761246 PECOS PAC ID: 4688932262 Enrollment ID: I20230927001154 |
| Provider Name | Breanna L Connett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154785426 PECOS PAC ID: 5496109886 Enrollment ID: I20231004001612 |
| Provider Name | Ethan Hughes Pauley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528694486 PECOS PAC ID: 0143642413 Enrollment ID: I20231004003214 |
| Provider Name | Olga A Schuth |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427403294 PECOS PAC ID: 7113211608 Enrollment ID: I20231004003908 |
| Provider Name | Marcus J Tjeerdsma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427541861 PECOS PAC ID: 4486903929 Enrollment ID: I20231013002277 |
| Provider Name | John P Lovell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982094231 PECOS PAC ID: 2264824325 Enrollment ID: I20231017001772 |
| Provider Name | Lucinda J Weaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538694872 PECOS PAC ID: 4183991052 Enrollment ID: I20231025003983 |
| Provider Name | Levi A Hamilton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225527252 PECOS PAC ID: 4284081605 Enrollment ID: I20231107001873 |
| Provider Name | Lee J Mccraney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619534021 PECOS PAC ID: 2466883194 Enrollment ID: I20231107002738 |
| Provider Name | Tamra L Lemley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326276320 PECOS PAC ID: 3870744899 Enrollment ID: I20231107002798 |
| Provider Name | Teresa R Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720317886 PECOS PAC ID: 4486919776 Enrollment ID: I20231107004048 |
| Provider Name | Quaneicey Baxter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699332411 PECOS PAC ID: 3870825755 Enrollment ID: I20231108001476 |
| Provider Name | Pial Mahmud Hope |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760903868 PECOS PAC ID: 9133489735 Enrollment ID: I20231108001578 |
| Provider Name | Abigail M Lambert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639855901 PECOS PAC ID: 7315394624 Enrollment ID: I20231108001734 |
| Provider Name | Trent Michael Sever |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154193274 PECOS PAC ID: 2264889393 Enrollment ID: I20231113000667 |
| Provider Name | Tricia M Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962991943 PECOS PAC ID: 3173870136 Enrollment ID: I20231113003253 |
| Provider Name | Alyssa Dara Pensirikul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912133539 PECOS PAC ID: 4981844032 Enrollment ID: I20231116001635 |
| Provider Name | Demetrio Aguila |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376503391 PECOS PAC ID: 0547366403 Enrollment ID: I20231116003330 |
| Provider Name | Ken Masui Fujimura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629426630 PECOS PAC ID: 6608299227 Enrollment ID: I20231127002150 |
| Provider Name | Shanna M Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477331023 PECOS PAC ID: 6204284102 Enrollment ID: I20231204001719 |
| Provider Name | Megan R Hullinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730962374 PECOS PAC ID: 6406205129 Enrollment ID: I20231206004093 |
| Provider Name | Samantha H Dadah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124806484 PECOS PAC ID: 8123477718 Enrollment ID: I20231207002678 |
| Provider Name | Joseph Y Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417968256 PECOS PAC ID: 9234134909 Enrollment ID: I20231228000388 |
| Provider Name | Muhammad A Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720391279 PECOS PAC ID: 4385957208 Enrollment ID: I20231228002525 |
| Provider Name | Atul Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316049257 PECOS PAC ID: 3072790831 Enrollment ID: I20231228002901 |
| Provider Name | Ryan W Griffith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790027712 PECOS PAC ID: 9931321551 Enrollment ID: I20240104001103 |
| Provider Name | Sherwin B Oommen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679922967 PECOS PAC ID: 7911358049 Enrollment ID: I20240112001677 |
| Provider Name | Melissa S Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326721168 PECOS PAC ID: 8426400581 Enrollment ID: I20240115001056 |
| Provider Name | Evan G Black |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346260247 PECOS PAC ID: 6103724554 Enrollment ID: I20240206004916 |
| Provider Name | Issam A Turk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871973420 PECOS PAC ID: 0244523769 Enrollment ID: I20240207003379 |
| Provider Name | Alicia M Palmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316209919 PECOS PAC ID: 0749593838 Enrollment ID: I20240207003506 |
| Provider Name | Santosh Dhungana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821300526 PECOS PAC ID: 3476799024 Enrollment ID: I20240208003760 |
| Provider Name | Matthew C Kasprenski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558676429 PECOS PAC ID: 0446483408 Enrollment ID: I20240208003948 |
| Provider Name | Salvador H Vazquez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528278819 PECOS PAC ID: 1850485756 Enrollment ID: I20240208004088 |
| Provider Name | Steven R Bialkin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497757769 PECOS PAC ID: 3971600743 Enrollment ID: I20240227002465 |
| Provider Name | Alexandria Hertz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609268291 PECOS PAC ID: 7618272592 Enrollment ID: I20240227002554 |
| Provider Name | Megan L French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295503183 PECOS PAC ID: 0840635413 Enrollment ID: I20240305003123 |
| Provider Name | Ajay Labroo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831199371 PECOS PAC ID: 7416924279 Enrollment ID: I20240319001921 |
| Provider Name | Denise M Baragar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467225458 PECOS PAC ID: 8426495524 Enrollment ID: I20240326000005 |
| Provider Name | Andrew D Michaels |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588618250 PECOS PAC ID: 9234132317 Enrollment ID: I20240326001305 |
| Provider Name | Iwona Podzielinski |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1144302720 PECOS PAC ID: 1052418878 Enrollment ID: I20240326002042 |
| Provider Name | Norianne Pimentel-piatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841646981 PECOS PAC ID: 6901149061 Enrollment ID: I20240415002221 |
| Provider Name | Melissa L Cirillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952564015 PECOS PAC ID: 0648311308 Enrollment ID: I20240415003624 |
| Provider Name | Margot R Nagan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528367281 PECOS PAC ID: 1254563265 Enrollment ID: I20240415003742 |
| Provider Name | Alejandra Maria Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588897664 PECOS PAC ID: 6305223991 Enrollment ID: I20240416001020 |
| Provider Name | Jennifer Zurosky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245556745 PECOS PAC ID: 8921397936 Enrollment ID: I20240423002009 |
| Provider Name | Ignatius P Oyula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619938958 PECOS PAC ID: 2860425600 Enrollment ID: I20240501000783 |
| Provider Name | Meghann M Warnke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295596179 PECOS PAC ID: 2062852403 Enrollment ID: I20240501003723 |
| Provider Name | Scott T Goodrich |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083748966 PECOS PAC ID: 6002082302 Enrollment ID: I20240517002130 |
| Provider Name | Greg Sarin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902919038 PECOS PAC ID: 9638176159 Enrollment ID: I20240517003632 |
| Provider Name | Nicole R Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528818481 PECOS PAC ID: 6103368055 Enrollment ID: I20240606001438 |
| Provider Name | Gunjal Garg |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1851520704 PECOS PAC ID: 1153477377 Enrollment ID: I20240607001452 |
| Provider Name | Catherine M Mitchel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336554948 PECOS PAC ID: 6204125370 Enrollment ID: I20240613001832 |
| Provider Name | Kari J Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770341190 PECOS PAC ID: 9830632231 Enrollment ID: I20240613002032 |
| Provider Name | Mark Kovach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336128222 PECOS PAC ID: 1850293366 Enrollment ID: I20240618000983 |
| Provider Name | Rakesh R Ponnapureddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528485414 PECOS PAC ID: 8022311414 Enrollment ID: I20240627003820 |
| Provider Name | Amy E Aldren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952169013 PECOS PAC ID: 3072058601 Enrollment ID: I20240708003528 |
| Provider Name | Thea M Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912688045 PECOS PAC ID: 0840735486 Enrollment ID: I20240708003663 |
| Provider Name | Andrea S Calderon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225598550 PECOS PAC ID: 2860828019 Enrollment ID: I20240731001828 |
| Provider Name | Denis Krutko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457903064 PECOS PAC ID: 7214324342 Enrollment ID: I20240731004863 |
| Provider Name | Kenneth K Milligan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518313428 PECOS PAC ID: 0446544159 Enrollment ID: I20240801000765 |
| Provider Name | Shelley C Springer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326037151 PECOS PAC ID: 7012903347 Enrollment ID: I20240801003802 |
| Provider Name | Nadene C Fair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043482151 PECOS PAC ID: 3678643418 Enrollment ID: I20240805001822 |
| Provider Name | Moinuddin Syed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750733887 PECOS PAC ID: 4284927138 Enrollment ID: I20240805003923 |
| Provider Name | Judith K Wolf |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790878726 PECOS PAC ID: 4284829532 Enrollment ID: I20240815004162 |
| Provider Name | Henry H Kalir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164508362 PECOS PAC ID: 1254300635 Enrollment ID: I20240816001592 |
| Provider Name | James R Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20240816002229 |
| Provider Name | Kaycie L Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093555724 PECOS PAC ID: 2961941554 Enrollment ID: I20240827003422 |
| Provider Name | Caitlin M Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720616378 PECOS PAC ID: 4587103197 Enrollment ID: I20240827004020 |
| Provider Name | Jorge A Aguilar Espinal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609220722 PECOS PAC ID: 5496015356 Enrollment ID: I20240909003708 |
| Provider Name | Jonah E Attebery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598076366 PECOS PAC ID: 0749423655 Enrollment ID: I20240910000627 |
| Provider Name | Julie Ann Hoffmann Janisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316900921 PECOS PAC ID: 3779520267 Enrollment ID: I20240923002950 |
| Provider Name | Amanda L Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480425 PECOS PAC ID: 7012235583 Enrollment ID: I20240923003589 |
| Provider Name | Timothy Gilligan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891216594 PECOS PAC ID: 7315397452 Enrollment ID: I20240923003792 |
| Provider Name | Joseph Andrew Manfredi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053362269 PECOS PAC ID: 5890705248 Enrollment ID: I20240923003924 |
| Provider Name | Conny H Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902365745 PECOS PAC ID: 2860856598 Enrollment ID: I20241003003179 |
| Provider Name | Benjamin C Reinhart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174184188 PECOS PAC ID: 3678804549 Enrollment ID: I20241004002782 |
| Provider Name | William P Greene |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962961268 PECOS PAC ID: 9335478080 Enrollment ID: I20241004003096 |
| Provider Name | Jessica A Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730423179 PECOS PAC ID: 7618122169 Enrollment ID: I20241007002218 |
| Provider Name | David R Woodard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851897987 PECOS PAC ID: 7416488085 Enrollment ID: I20241007002757 |
| Provider Name | Haley M Lupher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225875438 PECOS PAC ID: 1658802244 Enrollment ID: I20241007003471 |
| Provider Name | Nicholas Robert Goodhope |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902465685 PECOS PAC ID: 5597091397 Enrollment ID: I20241009000054 |
| Provider Name | Andrew Walsh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730123548 PECOS PAC ID: 3072707066 Enrollment ID: I20241016000680 |
| Provider Name | Kelsey M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245069087 PECOS PAC ID: 1153853841 Enrollment ID: I20241018003547 |
| Provider Name | Hannah M Schiermeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700614088 PECOS PAC ID: 9234661935 Enrollment ID: I20241018003638 |
| Provider Name | Jaime R Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952149361 PECOS PAC ID: 2860924560 Enrollment ID: I20241018003670 |
| Provider Name | Christina M Calamari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891524633 PECOS PAC ID: 6204368905 Enrollment ID: I20241018003773 |
| Provider Name | Stephen Y Takasaki |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1487117248 PECOS PAC ID: 4486989993 Enrollment ID: I20241022003345 |
| Provider Name | Mikelle C Eliason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568200772 PECOS PAC ID: 8527590090 Enrollment ID: I20241022003461 |
| Provider Name | Catherine P Fernandez Aristy |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1376170241 PECOS PAC ID: 4587025689 Enrollment ID: I20241022003786 |
| Provider Name | Ralph Saintfort |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184617995 PECOS PAC ID: 6002843810 Enrollment ID: I20241023001127 |
| Provider Name | Carolyn S Wildhaber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336647205 PECOS PAC ID: 4587197959 Enrollment ID: I20241024001909 |
| Provider Name | Hannah J Selan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891525135 PECOS PAC ID: 4284167339 Enrollment ID: I20241028001848 |
| Provider Name | Liam M Duffy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902369820 PECOS PAC ID: 6002145877 Enrollment ID: I20241028002306 |
| Provider Name | Emily K Duffy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013479674 PECOS PAC ID: 8224438122 Enrollment ID: I20241028002635 |
| Provider Name | Wendy M Peterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104956945 PECOS PAC ID: 5890726798 Enrollment ID: I20241031001437 |
| Provider Name | Alexis A Clay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821558396 PECOS PAC ID: 7517293921 Enrollment ID: I20241031001597 |
| Provider Name | Alyssa L Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063088805 PECOS PAC ID: 1951704147 Enrollment ID: I20241031001802 |
| Provider Name | Atousa Mahmoudzadeh Tabrizian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221449 PECOS PAC ID: 2860689197 Enrollment ID: I20241112001853 |
| Provider Name | Timmy A Ferrell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467563460 PECOS PAC ID: 2567632821 Enrollment ID: I20241112002702 |
| Provider Name | Sue Ming |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346314507 PECOS PAC ID: 2062600992 Enrollment ID: I20241112003473 |
| Provider Name | Roger S Racz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063697928 PECOS PAC ID: 3678624186 Enrollment ID: I20241112003798 |
| Provider Name | Justin M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245688928 PECOS PAC ID: 3274820717 Enrollment ID: I20241114001370 |
| Provider Name | Kyle John Siefers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720617814 PECOS PAC ID: 8426415191 Enrollment ID: I20241114002236 |
| Provider Name | Tiyonnoh Monje Cash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114053550 PECOS PAC ID: 6608091723 Enrollment ID: I20241115001042 |
| Provider Name | Matthew G. Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174936900 PECOS PAC ID: 9436552601 Enrollment ID: I20241121002776 |
| Provider Name | Kristen D Mion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871327718 PECOS PAC ID: 7911432315 Enrollment ID: I20241121003736 |
| Provider Name | Shahid N Ahmad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205182284 PECOS PAC ID: 5991019705 Enrollment ID: I20241122003618 |
| Provider Name | Rouzbeh Fateh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215270533 PECOS PAC ID: 8527323575 Enrollment ID: I20241122004126 |
| Provider Name | Jyes A Querubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154688604 PECOS PAC ID: 6901179662 Enrollment ID: I20241125002582 |
| Provider Name | Kenneth R Prince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598991184 PECOS PAC ID: 5991096034 Enrollment ID: I20241125003235 |
| Provider Name | George Nune |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699099358 PECOS PAC ID: 1052536869 Enrollment ID: I20241126000681 |
| Provider Name | Stephen Parker Fulton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548209257 PECOS PAC ID: 5698773943 Enrollment ID: I20241126001312 |
| Provider Name | Bradley Allen Boone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730151457 PECOS PAC ID: 9537061726 Enrollment ID: I20241206001517 |
| Provider Name | William S Stuart |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053398032 PECOS PAC ID: 0648172064 Enrollment ID: I20241206002930 |
| Provider Name | Judy A Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235784117 PECOS PAC ID: 2466875117 Enrollment ID: I20241211004610 |
| Provider Name | Kyle K Zakkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083104525 PECOS PAC ID: 7517400351 Enrollment ID: I20241212001063 |
| Provider Name | Ryan D Black |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619024544 PECOS PAC ID: 2567472939 Enrollment ID: I20241212001543 |
| Provider Name | Ali Kimyaghalam |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922455146 PECOS PAC ID: 4587033998 Enrollment ID: I20241217003984 |
| Provider Name | Janice Young Joo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639532187 PECOS PAC ID: 9537452685 Enrollment ID: I20250102001818 |
| Provider Name | Nuri Ozden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841279627 PECOS PAC ID: 5890746366 Enrollment ID: I20250102002086 |
| Provider Name | Michael P Siegenthaler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093863532 PECOS PAC ID: 7012918782 Enrollment ID: I20250103001651 |
| Provider Name | Iaswarya Ganapathiraju |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275027963 PECOS PAC ID: 3375890858 Enrollment ID: I20250103001811 |
| Provider Name | Danielle R Akason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992200232 PECOS PAC ID: 9133507015 Enrollment ID: I20250113002289 |
| Provider Name | Felix Litvak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629495791 PECOS PAC ID: 9830455773 Enrollment ID: I20250121003701 |
| Provider Name | Christine M Rattin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396844700 PECOS PAC ID: 0840261178 Enrollment ID: I20250122003632 |
| Provider Name | Eric J Putz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740272533 PECOS PAC ID: 1951481597 Enrollment ID: I20250122003685 |
| Provider Name | Lionel D Vazquez-figueroa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902259294 PECOS PAC ID: 0446783575 Enrollment ID: I20250122003697 |
| Provider Name | Daniel J Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992191142 PECOS PAC ID: 4082923594 Enrollment ID: I20250124003311 |
| Provider Name | Daryl E Warder |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942278106 PECOS PAC ID: 3476568072 Enrollment ID: I20250128004753 |
| Provider Name | Beverly Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013122522 PECOS PAC ID: 9537255005 Enrollment ID: I20250206002244 |
| Provider Name | Ashok Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891795993 PECOS PAC ID: 4688574700 Enrollment ID: I20250206003387 |
| Provider Name | Gwen M Abdulhafid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487046983 PECOS PAC ID: 8325369572 Enrollment ID: I20250208000133 |
| Provider Name | Johney W Tsai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780400721 PECOS PAC ID: 9537699897 Enrollment ID: I20250217000640 |
| Provider Name | Don T Wynn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750582458 PECOS PAC ID: 3274633847 Enrollment ID: I20250217000768 |
| Provider Name | Ami A Garrigan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987333 PECOS PAC ID: 5991052508 Enrollment ID: I20250224003604 |
| Provider Name | Andrew T Coletti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255381109 PECOS PAC ID: 5294705836 Enrollment ID: I20250225001594 |
| Provider Name | Francisco P Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114375359 PECOS PAC ID: 9931480068 Enrollment ID: I20250312004048 |
| Provider Name | Maksim Y Khayznikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659704963 PECOS PAC ID: 0648565754 Enrollment ID: I20250318001966 |
| Provider Name | Burton L Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497712368 PECOS PAC ID: 7517908981 Enrollment ID: I20250321002660 |
| Provider Name | Franklyn Rocha Cabrero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912433947 PECOS PAC ID: 1759753957 Enrollment ID: I20250331003156 |
| Provider Name | Justin D Jeffries |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619339157 PECOS PAC ID: 1456645720 Enrollment ID: I20250403003761 |
| Provider Name | Shelbie S Unrein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528884830 PECOS PAC ID: 1759807670 Enrollment ID: I20250423003829 |
| Provider Name | Mary F Ortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700616844 PECOS PAC ID: 9830615632 Enrollment ID: I20250424002098 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20250424003588 |
| Provider Name | Richard White |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700840980 PECOS PAC ID: 2264453240 Enrollment ID: I20250425001077 |
| Provider Name | Omid Hajiseyedjavadi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720032808 PECOS PAC ID: 6507878378 Enrollment ID: I20250429004033 |
| Provider Name | Noel D Molnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891593885 PECOS PAC ID: 7719405489 Enrollment ID: I20250516000240 |
| Provider Name | Amanda R Sturgill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114410958 PECOS PAC ID: 8325403447 Enrollment ID: I20250516000682 |
| Provider Name | Samantha L Duffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326841008 PECOS PAC ID: 4688192057 Enrollment ID: I20250519003603 |
| Provider Name | David T Hayes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043260656 PECOS PAC ID: 8527120732 Enrollment ID: I20250520001835 |
| Provider Name | Andrew Md Medendorp |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841346871 PECOS PAC ID: 4284896739 Enrollment ID: I20250522000288 |
| Provider Name | Nagib Toubia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861601288 PECOS PAC ID: 3375698392 Enrollment ID: I20250529000356 |
Monument Health Rapid City Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2526 Elderberry Blvd, Rapid City, SD 57703 Phone: 605-755-2273 Fax: 605-755-2680 | |
James M. Keegan Md Professional Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 5th St, Suite 1b, Rapid City, SD 57701 Phone: 605-342-8329 | |
Kirby Health Care, P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Centre St Ste 102, Rapid City, SD 57703 Phone: 605-484-9775 Fax: 605-343-3007 | |
Rapid City Medical Center Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Minnesota St, Suite 210, Rapid City, SD 57701 Phone: 605-342-3280 | |
Rapid City Regional Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Monroe St, Rapid City, SD 57701 Phone: 605-719-4060 Fax: 605-755-7884 | |
Swanson Chiropractic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E Saint Patrick St, 101, Rapid City, SD 57701 Phone: 605-721-6510 Fax: 605-721-6515 | |
Black Hills Hospitalist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Minnesota St, Suite 261, Rapid City, SD 57701 Phone: 605-718-7450 Fax: 605-718-7465 |