| Regional Health Medical Clinic | |
|
1100 Highway 71 S Ste 101 Hot Springs SD 57747-8801 | |
| (605) 745-8050 | |
| (605) 745-8051 |
| Full Name | Regional Health Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Highway 71 S Ste 101, Hot Springs, South Dakota |
| Authorized Official Name and Position | Mark C Schmidt (PRESIDENT CUSTER LD-DWD HOSPITAL) |
| Authorized Official Contact | 6057176020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Health Medical Clinic Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 755-8050 | Regional Health Medical Clinic 1100 Highway 71 S Ste 101 Hot Springs SD 57747-8801 Ph: (605) 745-8050 |
| NPI Number | 1588185268 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 5991616427 |
|---|---|
| Medicare Enrollment ID | O20031111000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588185268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Michael E Hogue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598706517 PECOS PAC ID: 3678477940 Enrollment ID: I20031120000123 |
| Provider Name | Richard L Keim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316987209 PECOS PAC ID: 3274437264 Enrollment ID: I20031121000242 |
| Provider Name | Sarah Lee Schryvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548207673 PECOS PAC ID: 2961302948 Enrollment ID: I20040113000704 |
| Provider Name | Lewis N Ferrier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902852031 PECOS PAC ID: 8921991241 Enrollment ID: I20040309000410 |
| Provider Name | Lee B Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659315117 PECOS PAC ID: 2860380300 Enrollment ID: I20040309000479 |
| Provider Name | Curtis J Liedtke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770556599 PECOS PAC ID: 4688563521 Enrollment ID: I20040310001576 |
| Provider Name | Sara J Gottlob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881668408 PECOS PAC ID: 3274424742 Enrollment ID: I20040323001480 |
| Provider Name | J D Geigle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215029202 PECOS PAC ID: 4082510326 Enrollment ID: I20040415000447 |
| Provider Name | Christopher E Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164641320 PECOS PAC ID: 7113912197 Enrollment ID: I20040419000800 |
| Provider Name | Christopher Karl Fromm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205884566 PECOS PAC ID: 7719975531 Enrollment ID: I20040503000162 |
| Provider Name | Jacqueline R Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073667556 PECOS PAC ID: 2961491816 Enrollment ID: I20040507000138 |
| Provider Name | Jill C Muth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619940426 PECOS PAC ID: 3375534720 Enrollment ID: I20040524000418 |
| Provider Name | Ayodele O Ogunremi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205884137 PECOS PAC ID: 1153311311 Enrollment ID: I20040611000027 |
| Provider Name | Jason L Knudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265405864 PECOS PAC ID: 8729050034 Enrollment ID: I20040809000120 |
| Provider Name | Vincent E Furrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053365445 PECOS PAC ID: 8426038639 Enrollment ID: I20040902001402 |
| Provider Name | Heather A Brewer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134160591 PECOS PAC ID: 8325014012 Enrollment ID: I20040903000400 |
| Provider Name | Stephen C Parys |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720010952 PECOS PAC ID: 8527021567 Enrollment ID: I20041110000417 |
| Provider Name | Carolyn K Stansberry |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871566745 PECOS PAC ID: 5799735387 Enrollment ID: I20050202000686 |
| Provider Name | Gary Bruning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578539318 PECOS PAC ID: 2860477817 Enrollment ID: I20050203000617 |
| Provider Name | Constance A Stock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255387031 PECOS PAC ID: 6406807130 Enrollment ID: I20050209001008 |
| Provider Name | Gail S Wild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629016480 PECOS PAC ID: 5395797054 Enrollment ID: I20050210000890 |
| Provider Name | Gretchen L Landers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588718050 PECOS PAC ID: 9133171804 Enrollment ID: I20050210000954 |
| Provider Name | Thomas B Matheson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558365106 PECOS PAC ID: 8921035213 Enrollment ID: I20050719000338 |
| Provider Name | Steven T Vosler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245271543 PECOS PAC ID: 3173556750 Enrollment ID: I20050914000604 |
| Provider Name | Rebecca L Knudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487627097 PECOS PAC ID: 6103850557 Enrollment ID: I20050924000074 |
| Provider Name | Karen K Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114968674 PECOS PAC ID: 8022043884 Enrollment ID: I20050929000894 |
| Provider Name | Robert L Houser |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578518726 PECOS PAC ID: 0840211371 Enrollment ID: I20051213000361 |
| Provider Name | Jeffrey R Heier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760437222 PECOS PAC ID: 0941221295 Enrollment ID: I20051214000365 |
| Provider Name | Kasey J Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346246493 PECOS PAC ID: 3779565593 Enrollment ID: I20060113000097 |
| Provider Name | Thomas J Groeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942203419 PECOS PAC ID: 4880624014 Enrollment ID: I20060202000759 |
| Provider Name | David A Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316062482 PECOS PAC ID: 3375580186 Enrollment ID: I20060220000603 |
| Provider Name | Charles Alan Lewis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861429201 PECOS PAC ID: 7315977543 Enrollment ID: I20060406000729 |
| Provider Name | James J Holloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346243813 PECOS PAC ID: 7911916614 Enrollment ID: I20060407000069 |
| Provider Name | June M Reiling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730182205 PECOS PAC ID: 7214946912 Enrollment ID: I20060407000134 |
| Provider Name | Elizabeth J Sayler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093718769 PECOS PAC ID: 6103835806 Enrollment ID: I20060407000154 |
| 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 | Samuel J Durr |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790731826 PECOS PAC ID: 2567355878 Enrollment ID: I20060407000597 |
| 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 | Deborah A Kullerd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528031499 PECOS PAC ID: 4082524905 Enrollment ID: I20060420000724 |
| Provider Name | Stephan J Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326012295 PECOS PAC ID: 0143233627 Enrollment ID: I20060731000167 |
| 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 | Elizabeth K Groeger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407894470 PECOS PAC ID: 9133122419 Enrollment ID: I20060808000068 |
| Provider Name | Terry Michael Graber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063465995 PECOS PAC ID: 9436189669 Enrollment ID: I20060815000116 |
| Provider Name | Joy M Falkenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295789873 PECOS PAC ID: 9032112925 Enrollment ID: I20060815000145 |
| 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 | Denise L Byrd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104919067 PECOS PAC ID: 5092819326 Enrollment ID: I20070327000274 |
| Provider Name | Kimberley Hepper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366589772 PECOS PAC ID: 3577667799 Enrollment ID: I20070328000369 |
| Provider Name | Helen Nichols |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568553410 PECOS PAC ID: 4183728132 Enrollment ID: I20070330000209 |
| 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 | Terry L Altstiel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336112358 PECOS PAC ID: 3173433091 Enrollment ID: I20070724000557 |
| Provider Name | Jay D Bogard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720051741 PECOS PAC ID: 1658265863 Enrollment ID: I20070724000588 |
| Provider Name | Richard M Little |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609849579 PECOS PAC ID: 2264342187 Enrollment ID: I20070724000632 |
| Provider Name | William J Miner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962600387 PECOS PAC ID: 3577656842 Enrollment ID: I20070831000170 |
| Provider Name | Nathan W Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497794515 PECOS PAC ID: 2062409097 Enrollment ID: I20071015000116 |
| Provider Name | Heidi L Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275715948 PECOS PAC ID: 9739279209 Enrollment ID: I20071220000392 |
| Provider Name | Jason R Peldo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538273305 PECOS PAC ID: 3678526829 Enrollment ID: I20080107000012 |
| Provider Name | Mark J Ptacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083611958 PECOS PAC ID: 5395654545 Enrollment ID: I20080319000544 |
| Provider Name | Lisa B Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831161413 PECOS PAC ID: 1355377763 Enrollment ID: I20080821000016 |
| Provider Name | Brook M Eide |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609093608 PECOS PAC ID: 3274609250 Enrollment ID: I20080828000283 |
| Provider Name | Ladonna R Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124069075 PECOS PAC ID: 7911065198 Enrollment ID: I20081016000099 |
| Provider Name | Kerry H Greear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497781967 PECOS PAC ID: 3375604697 Enrollment ID: I20081205000028 |
| Provider Name | Sandra D Clooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689762866 PECOS PAC ID: 9032160304 Enrollment ID: I20081205000102 |
| 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 | Heather L Preuss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013028422 PECOS PAC ID: 5395897987 Enrollment ID: I20090713000204 |
| Provider Name | John M Palmer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063510691 PECOS PAC ID: 5799839569 Enrollment ID: I20090812000753 |
| Provider Name | Alexey Merunko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467699926 PECOS PAC ID: 7012062540 Enrollment ID: I20090903000734 |
| Provider Name | Christian Gaissmaier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255445607 PECOS PAC ID: 6103820360 Enrollment ID: I20091001000437 |
| Provider Name | Angela R Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235173659 PECOS PAC ID: 2961543301 Enrollment ID: I20100107000738 |
| Provider Name | James A Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922197888 PECOS PAC ID: 0143364265 Enrollment ID: I20100212000405 |
| Provider Name | Cathy G Sowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609107788 PECOS PAC ID: 9032245113 Enrollment ID: I20100327000643 |
| 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 | 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 | Jesse P Kurtenbach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699092148 PECOS PAC ID: 1850423930 Enrollment ID: I20100726000399 |
| Provider Name | Gary L Childers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073606679 PECOS PAC ID: 9537283478 Enrollment ID: I20100830001153 |
| 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 | Dawn Jo Zastoupil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003133562 PECOS PAC ID: 1254456791 Enrollment ID: I20100921000456 |
| Provider Name | Lori J Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518271394 PECOS PAC ID: 8628260312 Enrollment ID: I20101013000904 |
| Provider Name | Stephen D Dick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649369588 PECOS PAC ID: 0143317958 Enrollment ID: I20101104000195 |
| Provider Name | Patrick M Tibbles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861582124 PECOS PAC ID: 6709072341 Enrollment ID: I20101122001364 |
| Provider Name | Garry K Dunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639151285 PECOS PAC ID: 9537063979 Enrollment ID: I20101210000800 |
| Provider Name | Janell L Simpkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619989605 PECOS PAC ID: 6204025661 Enrollment ID: I20110115000102 |
| Provider Name | John T Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376632091 PECOS PAC ID: 5193904167 Enrollment ID: I20110122000067 |
| Provider Name | Robert C Finley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891845145 PECOS PAC ID: 1951383850 Enrollment ID: I20110125000315 |
| Provider Name | Dustin L Smoot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760578975 PECOS PAC ID: 1254484470 Enrollment ID: I20110721000162 |
| Provider Name | Christopher C Gasbarre |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972790160 PECOS PAC ID: 5698861177 Enrollment ID: I20110721000478 |
| Provider Name | Lacey L Waddell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033497425 PECOS PAC ID: 0143491134 Enrollment ID: I20110923000195 |
| Provider Name | Kipp A Gould |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609071562 PECOS PAC ID: 1850563032 Enrollment ID: I20111012000363 |
| Provider Name | Krista Birkelo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649435165 PECOS PAC ID: 2163695842 Enrollment ID: I20111025000002 |
| Provider Name | William Fitzgerald Kendall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619166535 PECOS PAC ID: 1052484250 Enrollment ID: I20111213000174 |
| Provider Name | David R Hardin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053378273 PECOS PAC ID: 3476550765 Enrollment ID: I20120216000212 |
| Provider Name | Sophie M Two Hawk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306862917 PECOS PAC ID: 0244125482 Enrollment ID: I20120308000226 |
| 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 | Charles G Boyajian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316922438 PECOS PAC ID: 1153222112 Enrollment ID: I20120806000595 |
| Provider Name | Mark S Monasky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467537217 PECOS PAC ID: 3476536772 Enrollment ID: I20120813000611 |
| Provider Name | Katherine A Degen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588992051 PECOS PAC ID: 8628224201 Enrollment ID: I20120814000658 |
| Provider Name | Donald F Neilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326278136 PECOS PAC ID: 7113177767 Enrollment ID: I20121017000510 |
| Provider Name | Gregory Allen English |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588831648 PECOS PAC ID: 6305982554 Enrollment ID: I20121228000109 |
| Provider Name | Connie Tschetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760729313 PECOS PAC ID: 1557507605 Enrollment ID: I20130417000122 |
| Provider Name | Angela M Kent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861735730 PECOS PAC ID: 3173761426 Enrollment ID: I20130529000368 |
| 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 | Heith Waddell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932413267 PECOS PAC ID: 7517109507 Enrollment ID: I20130802000826 |
| Provider Name | Clay A Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043531023 PECOS PAC ID: 4183873219 Enrollment ID: I20130829000302 |
| Provider Name | Rajesh Pradhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912115841 PECOS PAC ID: 8729133871 Enrollment ID: I20130923000790 |
| Provider Name | Rebecca R Dorsett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154628261 PECOS PAC ID: 3072522952 Enrollment ID: I20131023001973 |
| Provider Name | Matthew Christian Werpy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962720250 PECOS PAC ID: 5799910238 Enrollment ID: I20131108001054 |
| Provider Name | Sabieli Kabeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063505592 PECOS PAC ID: 7618876392 Enrollment ID: I20140306000971 |
| Provider Name | Shawn D Bartel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912077249 PECOS PAC ID: 2466554068 Enrollment ID: I20140707002078 |
| Provider Name | Rebecca J Reausaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992117048 PECOS PAC ID: 4688890916 Enrollment ID: I20140723000773 |
| Provider Name | Kirsten L Busse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346228657 PECOS PAC ID: 3577592013 Enrollment ID: I20140806002411 |
| Provider Name | Meghan C Obryan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417022393 PECOS PAC ID: 4082730908 Enrollment ID: I20140808001481 |
| Provider Name | Angela K Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407843683 PECOS PAC ID: 5597738153 Enrollment ID: I20140811000706 |
| Provider Name | Kimberly M Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003103664 PECOS PAC ID: 0941429096 Enrollment ID: I20140922002930 |
| Provider Name | Avery L. Sides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629360342 PECOS PAC ID: 4688894017 Enrollment ID: I20141006001990 |
| Provider Name | Andrew R Gough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003127903 PECOS PAC ID: 2466605878 Enrollment ID: I20141106002257 |
| Provider Name | Loren M Jones |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619181062 PECOS PAC ID: 2961681416 Enrollment ID: I20150319000573 |
| Provider Name | Jessica L Donner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215137179 PECOS PAC ID: 5890966618 Enrollment ID: I20150330001037 |
| Provider Name | Tara M Ulmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629399464 PECOS PAC ID: 5496069171 Enrollment ID: I20150810000748 |
| Provider Name | Amber V Staedtler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497139323 PECOS PAC ID: 9830404508 Enrollment ID: I20150811004063 |
| Provider Name | Joshua S Sole |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013228402 PECOS PAC ID: 8820268014 Enrollment ID: I20150813012225 |
| Provider Name | Deborah A Weems |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477521995 PECOS PAC ID: 7517989155 Enrollment ID: I20150817002799 |
| Provider Name | Brooke D Renard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538191085 PECOS PAC ID: 2961476627 Enrollment ID: I20150826001672 |
| Provider Name | Tracy S Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205198744 PECOS PAC ID: 7012146319 Enrollment ID: I20150828001972 |
| Provider Name | Bhaskar Purushottam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982804969 PECOS PAC ID: 8921239971 Enrollment ID: I20150910001970 |
| Provider Name | Garrett R Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831327915 PECOS PAC ID: 0749407096 Enrollment ID: I20150919000135 |
| 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 | Daniel T Berens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316201304 PECOS PAC ID: 8729396718 Enrollment ID: I20150924000776 |
| Provider Name | Margaret A Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023158961 PECOS PAC ID: 6103007505 Enrollment ID: I20150928001018 |
| Provider Name | William P Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215974126 PECOS PAC ID: 1557525086 Enrollment ID: I20151016000559 |
| Provider Name | Leah A Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281447 PECOS PAC ID: 3971812744 Enrollment ID: I20151016001696 |
| Provider Name | Nicholas S Tedesco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528290459 PECOS PAC ID: 3971812637 Enrollment ID: I20151020000534 |
| Provider Name | Jennifer A Sobolik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265809651 PECOS PAC ID: 5193034759 Enrollment ID: I20151021001804 |
| Provider Name | Erin M Engel Fauske |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952692881 PECOS PAC ID: 6406033737 Enrollment ID: I20151110002156 |
| Provider Name | David Strang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851366025 PECOS PAC ID: 1254373848 Enrollment ID: I20151117001250 |
| Provider Name | Dan Marian Danila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700096914 PECOS PAC ID: 9335276138 Enrollment ID: I20151217000936 |
| Provider Name | Howard Edward Bowers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538484167 PECOS PAC ID: 3173751856 Enrollment ID: I20151217001393 |
| Provider Name | Sarah Fryberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366548935 PECOS PAC ID: 7517993140 Enrollment ID: I20151222001370 |
| Provider Name | Fadi Domit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922263938 PECOS PAC ID: 1355513979 Enrollment ID: I20160204000015 |
| Provider Name | Mark E Mueller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083607295 PECOS PAC ID: 4688653207 Enrollment ID: I20160217002011 |
| Provider Name | John A Sundin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083725782 PECOS PAC ID: 1456450931 Enrollment ID: I20160217002344 |
| Provider Name | Gregory Brien Fehr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306812250 PECOS PAC ID: 7719967181 Enrollment ID: I20160224001764 |
| Provider Name | Andrew Sweeny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154687929 PECOS PAC ID: 1153625108 Enrollment ID: I20160301001463 |
| Provider Name | Vincent E Boswell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609865021 PECOS PAC ID: 6103824974 Enrollment ID: I20160419001264 |
| Provider Name | Deborah Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417919960 PECOS PAC ID: 9830106939 Enrollment ID: I20160502002045 |
| Provider Name | Ray B Jensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962716761 PECOS PAC ID: 6305005182 Enrollment ID: I20160506001217 |
| 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 | Saravanan Ramalingam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114163706 PECOS PAC ID: 6406155670 Enrollment ID: I20160628001837 |
| 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 | Erica M Trebesch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104280296 PECOS PAC ID: 2668764416 Enrollment ID: I20160714001378 |
| Provider Name | Michelle L Krohn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255698767 PECOS PAC ID: 9436399458 Enrollment ID: I20160721000437 |
| Provider Name | Rene Johnykutty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881859106 PECOS PAC ID: 5890965875 Enrollment ID: I20160811002246 |
| Provider Name | Nathaniel Silas Chappelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194160077 PECOS PAC ID: 6507160322 Enrollment ID: I20160825000907 |
| Provider Name | Heath Eggleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376988147 PECOS PAC ID: 5193030708 Enrollment ID: I20160831001631 |
| Provider Name | Andrew D Vanosdol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710203401 PECOS PAC ID: 7315196532 Enrollment ID: I20161017002918 |
| Provider Name | Brandyn Tarap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619316585 PECOS PAC ID: 2264720598 Enrollment ID: I20161019001100 |
| Provider Name | Donald E Sizemore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962411439 PECOS PAC ID: 9234137357 Enrollment ID: I20161025001587 |
| Provider Name | Jeanette Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487007332 PECOS PAC ID: 1254619810 Enrollment ID: I20161102000641 |
| Provider Name | James F Jeffery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628381 PECOS PAC ID: 5597044586 Enrollment ID: I20161115001598 |
| Provider Name | Scott D Burry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134196298 PECOS PAC ID: 7517861396 Enrollment ID: I20170118001534 |
| Provider Name | Andrea Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239513 PECOS PAC ID: 6901180595 Enrollment ID: I20170227001391 |
| Provider Name | Jay Jahanmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407837347 PECOS PAC ID: 2163417619 Enrollment ID: I20170308001711 |
| Provider Name | Jennifer G Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457885477 PECOS PAC ID: 9234409871 Enrollment ID: I20170714001117 |
| Provider Name | John Michael Lowery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215945928 PECOS PAC ID: 7315217809 Enrollment ID: I20170821003132 |
| Provider Name | Daniel W Hampton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225226863 PECOS PAC ID: 4587745864 Enrollment ID: I20170905002439 |
| 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 | Lisa Jun Castaneda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639596190 PECOS PAC ID: 0446575195 Enrollment ID: I20170907003759 |
| Provider Name | Natalie Tymkowych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942509252 PECOS PAC ID: 0941420772 Enrollment ID: I20170912002126 |
| 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 | Drew Moss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003234097 PECOS PAC ID: 6901194133 Enrollment ID: I20171003004709 |
| Provider Name | Nadia L Tymkowych |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831437235 PECOS PAC ID: 7719118728 Enrollment ID: I20171003007767 |
| Provider Name | Vangie A Texidor Cabanillas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952611022 PECOS PAC ID: 8224348271 Enrollment ID: I20171030002916 |
| Provider Name | Alisha Hemraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306286992 PECOS PAC ID: 8921364290 Enrollment ID: I20171102002798 |
| Provider Name | Katy J Caffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033638291 PECOS PAC ID: 8022375526 Enrollment ID: I20171207001728 |
| Provider Name | Sarah A Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083125082 PECOS PAC ID: 0244598795 Enrollment ID: I20171211002564 |
| 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 | Joseph Borrelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225055734 PECOS PAC ID: 9234230608 Enrollment ID: I20171226000772 |
| Provider Name | William Hoskinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316352784 PECOS PAC ID: 1658678693 Enrollment ID: I20180123001695 |
| Provider Name | Rachelle F Cockrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083128748 PECOS PAC ID: 2264791169 Enrollment ID: I20180123001883 |
| Provider Name | Gary Trewick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336482850 PECOS PAC ID: 6608179858 Enrollment ID: I20180124003053 |
| Provider Name | Sarah D Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780193441 PECOS PAC ID: 5092075739 Enrollment ID: I20180129000941 |
| Provider Name | Kelly Phommahaxay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770997173 PECOS PAC ID: 0547564056 Enrollment ID: I20180208003042 |
| Provider Name | Myra R Rude |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639686520 PECOS PAC ID: 1850652678 Enrollment ID: I20180219001126 |
| Provider Name | Matthew Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154847481 PECOS PAC ID: 3577825942 Enrollment ID: I20180618001895 |
| Provider Name | Sarah Rodolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902393192 PECOS PAC ID: 8820343601 Enrollment ID: I20180619002214 |
| Provider Name | Guy Arnold Domm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104243427 PECOS PAC ID: 9931320975 Enrollment ID: I20180619002754 |
| Provider Name | Christopher J Wenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972985224 PECOS PAC ID: 5799074878 Enrollment ID: I20180725002814 |
| Provider Name | Eric W Porritt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386874436 PECOS PAC ID: 5991929465 Enrollment ID: I20180803002196 |
| Provider Name | David Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104910306 PECOS PAC ID: 3971501891 Enrollment ID: I20180807000713 |
| Provider Name | Veronica Bustillo-aruca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821318429 PECOS PAC ID: 6406099571 Enrollment ID: I20180808001839 |
| Provider Name | Keena Marie Byrd-moro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205050 PECOS PAC ID: 6204192990 Enrollment ID: I20180815002104 |
| Provider Name | Monaleze Saini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053793307 PECOS PAC ID: 0042509127 Enrollment ID: I20180816001403 |
| Provider Name | Guy Vin Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154718955 PECOS PAC ID: 7810202660 Enrollment ID: I20180821003995 |
| Provider Name | Elizabeth Ann Sutton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427460385 PECOS PAC ID: 0648573188 Enrollment ID: I20180920002787 |
| Provider Name | Deepak M Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508161811 PECOS PAC ID: 1850525320 Enrollment ID: I20180921001728 |
| Provider Name | Duncan L Mckellar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699750323 PECOS PAC ID: 0648352674 Enrollment ID: I20181005001561 |
| Provider Name | Wesley R Badger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215373741 PECOS PAC ID: 0648593558 Enrollment ID: I20181126002002 |
| Provider Name | Daniel Barth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427105105 PECOS PAC ID: 8325146194 Enrollment ID: I20181219001413 |
| Provider Name | Stephanie G Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281214 PECOS PAC ID: 8022353010 Enrollment ID: I20181219001966 |
| Provider Name | Kelsey R Nylander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124345103 PECOS PAC ID: 7012184476 Enrollment ID: I20190109003303 |
| Provider Name | Margaret Dacar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487121661 PECOS PAC ID: 6406192582 Enrollment ID: I20190110001007 |
| Provider Name | Joy A Mueller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760833560 PECOS PAC ID: 4486947256 Enrollment ID: I20190111002121 |
| Provider Name | Anna M Lukens-black |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811365315 PECOS PAC ID: 5193075315 Enrollment ID: I20190213001045 |
| 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 | Deanna L Lassegard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639558653 PECOS PAC ID: 4688963218 Enrollment ID: I20190430000682 |
| Provider Name | Jennifer J Karp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437610656 PECOS PAC ID: 7012241375 Enrollment ID: I20190620002622 |
| Provider Name | Syed Imran Shafqat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750345617 PECOS PAC ID: 1658313929 Enrollment ID: I20190716002482 |
| Provider Name | Joseph Legrand Humpherys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881818441 PECOS PAC ID: 8729185244 Enrollment ID: I20190716003235 |
| 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 J Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487114310 PECOS PAC ID: 1658614177 Enrollment ID: I20190815003448 |
| Provider Name | Scott M Sorenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194950428 PECOS PAC ID: 0941515605 Enrollment ID: I20190823001184 |
| Provider Name | Janesa J Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376195222 PECOS PAC ID: 7618206673 Enrollment ID: I20190917001858 |
| Provider Name | Loree M Siegfried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114153772 PECOS PAC ID: 3678803160 Enrollment ID: I20190926000164 |
| Provider Name | Melissa M Bardsley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033371372 PECOS PAC ID: 4789670696 Enrollment ID: I20191106002725 |
| Provider Name | Nicholas M Czosnyka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093071441 PECOS PAC ID: 9234367228 Enrollment ID: I20191113001254 |
| Provider Name | Zia A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457396921 PECOS PAC ID: 2062453400 Enrollment ID: I20191126000297 |
| Provider Name | Larissa F Beltman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912566050 PECOS PAC ID: 1951734854 Enrollment ID: I20191206002077 |
| Provider Name | Josephine V Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255782751 PECOS PAC ID: 6406141787 Enrollment ID: I20191209001693 |
| Provider Name | Egbert Grinage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487093969 PECOS PAC ID: 8123245123 Enrollment ID: I20191210001191 |
| Provider Name | Vanessa Kudlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752258 PECOS PAC ID: 2567896574 Enrollment ID: I20191230000470 |
| Provider Name | Chelsey K Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548804990 PECOS PAC ID: 9537593413 Enrollment ID: I20191231001396 |
| Provider Name | Anthony R Doyon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982032934 PECOS PAC ID: 2264725696 Enrollment ID: I20200103001154 |
| Provider Name | Jessica L Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457887663 PECOS PAC ID: 5991063950 Enrollment ID: I20200114003442 |
| Provider Name | Jaron J Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760829857 PECOS PAC ID: 3870883952 Enrollment ID: I20200123002096 |
| Provider Name | Alexander A Divin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437445855 PECOS PAC ID: 7012136153 Enrollment ID: I20200217004247 |
| Provider Name | Jennifer L Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417981713 PECOS PAC ID: 8224131271 Enrollment ID: I20200227000935 |
| Provider Name | Lorena Kay Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881947695 PECOS PAC ID: 0941435226 Enrollment ID: I20200228002002 |
| Provider Name | Christine A Duerksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902468424 PECOS PAC ID: 3274961727 Enrollment ID: I20200316000897 |
| Provider Name | Bobbi R Thuen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669812665 PECOS PAC ID: 4284956202 Enrollment ID: I20200401000213 |
| Provider Name | Lindsey R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942834015 PECOS PAC ID: 1456780162 Enrollment ID: I20200401000697 |
| Provider Name | Shawn Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609927342 PECOS PAC ID: 4284809864 Enrollment ID: I20200406002345 |
| Provider Name | Linda R Sturtevant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184673345 PECOS PAC ID: 1456349836 Enrollment ID: I20200408004170 |
| Provider Name | Brett M Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619187523 PECOS PAC ID: 2668644253 Enrollment ID: I20200501002665 |
| Provider Name | Michael Paul Frost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033641501 PECOS PAC ID: 0547597734 Enrollment ID: I20200716003870 |
| Provider Name | Chad Storch |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1437206471 PECOS PAC ID: 6305262817 Enrollment ID: I20200814000546 |
| Provider Name | Rorak E Hooten |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619315850 PECOS PAC ID: 2163718529 Enrollment ID: I20200826002996 |
| Provider Name | Kent D Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972034759 PECOS PAC ID: 7810273117 Enrollment ID: I20200827002313 |
| Provider Name | Angela M Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487005930 PECOS PAC ID: 3072800952 Enrollment ID: I20200908002285 |
| Provider Name | Daryl Goh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538681929 PECOS PAC ID: 5991136368 Enrollment ID: I20200908002389 |
| Provider Name | Travis J. 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 | Joshua D Told |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699295444 PECOS PAC ID: 0749553667 Enrollment ID: I20200925002077 |
| Provider Name | Louise B Halbleib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780118448 PECOS PAC ID: 4284906272 Enrollment ID: I20201023001595 |
| 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 | Abbie A Styes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528671005 PECOS PAC ID: 2062823362 Enrollment ID: I20201117002186 |
| Provider Name | Mason T Wellskopf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962004523 PECOS PAC ID: 4284046996 Enrollment ID: I20201221002266 |
| Provider Name | Mckenzie M Grim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174130207 PECOS PAC ID: 2668885468 Enrollment ID: I20210118000428 |
| 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 | Brandon J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043607369 PECOS PAC ID: 4486965795 Enrollment ID: I20210302001225 |
| Provider Name | John K Tronnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356795108 PECOS PAC ID: 1759662166 Enrollment ID: I20210524001438 |
| Provider Name | Scott L Franssen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770586224 PECOS PAC ID: 9436162864 Enrollment ID: I20210524002585 |
| 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 | Katie R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700465192 PECOS PAC ID: 2062812977 Enrollment ID: I20210615001841 |
| Provider Name | Darbi L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932774031 PECOS PAC ID: 3971905019 Enrollment ID: I20210712001930 |
| 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 | Michael A Van Winkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003195454 PECOS PAC ID: 7810201332 Enrollment ID: I20210806002802 |
| Provider Name | Christopher S Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982010609 PECOS PAC ID: 4688998404 Enrollment ID: I20210809001893 |
| Provider Name | Christopher Eugene Milnes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629429873 PECOS PAC ID: 2769756188 Enrollment ID: I20210831001585 |
| Provider Name | Timothy J Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235113176 PECOS PAC ID: 6507830296 Enrollment ID: I20210831001856 |
| Provider Name | Scott Haarburger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811490766 PECOS PAC ID: 1951708718 Enrollment ID: I20210921001573 |
| Provider Name | Thomas A Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760986731 PECOS PAC ID: 9638576275 Enrollment ID: I20210923002020 |
| Provider Name | Abbie J Metzler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1114452471 PECOS PAC ID: 4981973476 Enrollment ID: I20210923002700 |
| Provider Name | Rachel Lynn Michael |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023471026 PECOS PAC ID: 6103115209 Enrollment ID: I20210924000364 |
| Provider Name | Sarah J Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124581384 PECOS PAC ID: 6709111214 Enrollment ID: I20210924001404 |
| Provider Name | Robert M Bathurst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821001447 PECOS PAC ID: 4385542422 Enrollment ID: I20210928002368 |
| Provider Name | Jamie N Lascelles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649678079 PECOS PAC ID: 6608266911 Enrollment ID: I20211130002994 |
| Provider Name | Joel A Kirst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619639150 PECOS PAC ID: 0345630455 Enrollment ID: I20211203002331 |
| Provider Name | Jed L Christensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700379963 PECOS PAC ID: 6406106103 Enrollment ID: I20211222002024 |
| Provider Name | Timothy Leupp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760760474 PECOS PAC ID: 3072749068 Enrollment ID: I20220113002665 |
| Provider Name | Jacobb H Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376209122 PECOS PAC ID: 5193117596 Enrollment ID: I20220114001621 |
| Provider Name | Becky S Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245687102 PECOS PAC ID: 7810281375 Enrollment ID: I20220221001727 |
| Provider Name | Mary E Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952484933 PECOS PAC ID: 4284611211 Enrollment ID: I20220226000206 |
| Provider Name | Erin C Niehaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821742610 PECOS PAC ID: 2769878800 Enrollment ID: I20220329002996 |
| Provider Name | Abigail S Marek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396491148 PECOS PAC ID: 1850787052 Enrollment ID: I20220414001261 |
| Provider Name | Ann Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437152048 PECOS PAC ID: 9335276633 Enrollment ID: I20220516001545 |
| Provider Name | Alexander L Brech |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902465784 PECOS PAC ID: 8820322084 Enrollment ID: I20220725000556 |
| Provider Name | Shane Svoboda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083930275 PECOS PAC ID: 7618104696 Enrollment ID: I20220726002662 |
| Provider Name | Lance H Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659300986 PECOS PAC ID: 0749306892 Enrollment ID: I20220823002724 |
| Provider Name | Julia Suzanne Warden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316504350 PECOS PAC ID: 6901136464 Enrollment ID: I20220913000758 |
| Provider Name | Jose Luis Henao |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275067613 PECOS PAC ID: 4789094418 Enrollment ID: I20220913000857 |
| Provider Name | Devin J Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659834505 PECOS PAC ID: 7810221355 Enrollment ID: I20220914000346 |
| 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 | Fabian Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659722494 PECOS PAC ID: 1759628472 Enrollment ID: I20221012003917 |
| Provider Name | Megan C Ruffcorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992268684 PECOS PAC ID: 1557696051 Enrollment ID: I20221013000874 |
| Provider Name | Lauren L Buyan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083148175 PECOS PAC ID: 1456689298 Enrollment ID: I20221014000985 |
| Provider Name | Kayla B Hatten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255052247 PECOS PAC ID: 9133597818 Enrollment ID: I20221130002625 |
| Provider Name | Paul F Ploegman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871517466 PECOS PAC ID: 1658630504 Enrollment ID: I20221212001448 |
| Provider Name | Jessica M Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669670659 PECOS PAC ID: 6406019306 Enrollment ID: I20221215001772 |
| Provider Name | Elizabeth M Fullerton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396469110 PECOS PAC ID: 0244601367 Enrollment ID: I20230126002936 |
| Provider Name | Shawna J Smoot |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174255814 PECOS PAC ID: 9638540768 Enrollment ID: I20230126003274 |
| Provider Name | Emily Anne Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396037289 PECOS PAC ID: 5496976854 Enrollment ID: I20230209003069 |
| Provider Name | Brittany Azure Bearstail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144604158 PECOS PAC ID: 8022357094 Enrollment ID: I20230224002564 |
| Provider Name | Glen A Pollock |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538318191 PECOS PAC ID: 6103071394 Enrollment ID: I20230316000877 |
| Provider Name | Sylvia M Fallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285087023 PECOS PAC ID: 6800156555 Enrollment ID: I20230330002297 |
| Provider Name | Anne S Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649481391 PECOS PAC ID: 7911170782 Enrollment ID: I20230419000842 |
| Provider Name | John Saratial Misdary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669559233 PECOS PAC ID: 1456403914 Enrollment ID: I20230515001521 |
| Provider Name | Brahmananda K Koduri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659608214 PECOS PAC ID: 0547584427 Enrollment ID: I20230706002015 |
| Provider Name | Kristina D Jurgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376240739 PECOS PAC ID: 7012377187 Enrollment ID: I20230720002756 |
| Provider Name | Alexander C Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447887849 PECOS PAC ID: 7719382647 Enrollment ID: I20230724003527 |
| Provider Name | Barret J Halgas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881076933 PECOS PAC ID: 3072903467 Enrollment ID: I20230725001975 |
| Provider Name | Graham D Baluh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881072148 PECOS PAC ID: 3779950852 Enrollment ID: I20230908003263 |
| Provider Name | Colin M Zdenek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568802908 PECOS PAC ID: 4284904350 Enrollment ID: I20231010003281 |
| Provider Name | Emily L Urbaniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063031235 PECOS PAC ID: 9133543713 Enrollment ID: I20231016003495 |
| Provider Name | Ariana D Jacquot |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063104503 PECOS PAC ID: 3173979143 Enrollment ID: I20231026003598 |
| Provider Name | Levi A Hamilton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225527252 PECOS PAC ID: 4284081605 Enrollment ID: I20231107001873 |
| Provider Name | Quaneicey Baxter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699332411 PECOS PAC ID: 3870825755 Enrollment ID: I20231108001476 |
| 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 | Jamie L Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629756804 PECOS PAC ID: 6800246166 Enrollment ID: I20231228002022 |
| Provider Name | Mary E Logue |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336671445 PECOS PAC ID: 7618249061 Enrollment ID: I20240104001929 |
Fall River Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 Highway 71 South, Hot Springs, SD 57747 Phone: 605-745-3159 Fax: 605-745-3957 | |
Monument Health Hot Springs Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Highway 71 S Ste 101, Hot Springs, SD 57747 Phone: 605-745-8050 Fax: 605-745-8051 | |
Springs Hometown Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 S Chicago St, Hot Springs, SD 57747 Phone: 605-745-4128 | |
Nms Rehab Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 Phone: 605-745-5017 Fax: 605-745-5017 | |
Family Health Clinic Of The Southern Hills, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N River St, Hot Springs, SD 57747 Phone: 605-745-5188 | |
Cascade Integrative Medicine Of South Dakota, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Highway 18 Byp, Hot Springs, SD 57747 Phone: 605-745-5102 Fax: 605-745-6707 |