| Rih Multi-specialty Clinic | |
|
593 Eddy St Providence RI 02903-4923 | |
| (401) 444-6905 | |
| (401) 444-5462 |
| Full Name | Rih Multi-specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 593 Eddy St, Providence, Rhode Island |
| Authorized Official Name and Position | Peter K Markell (EVP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rih Multi-specialty Clinic 15 La Salle Sq Providence RI 02903-1814 Ph: (401) 444-6779 | Rih Multi-specialty Clinic 593 Eddy St Providence RI 02903-4923 Ph: (401) 444-6905 |
| NPI Number | 1154537520 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 03/17/2026 |
| Certification Date | 03/17/2026 |
| Medicare PECOS PAC ID | 8921900044 |
|---|---|
| Medicare Enrollment ID | O20141017000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154537520 | NPI | - | NPPES |
| 1154537520 | Medicaid | RI | |
| 0861N | Other | RI | NHPRI VENDOR NO |
| Provider Name | Christine M Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326087677 PECOS PAC ID: 9739092016 Enrollment ID: I20031112000176 |
| Provider Name | David R Cloutier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801835939 PECOS PAC ID: 1557274842 Enrollment ID: I20031112000220 |
| Provider Name | Laura Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548274038 PECOS PAC ID: 4981598034 Enrollment ID: I20040210001060 |
| Provider Name | Susan D Weinman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215969944 PECOS PAC ID: 7517953235 Enrollment ID: I20040420001501 |
| Provider Name | James R Klinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639123854 PECOS PAC ID: 2163406760 Enrollment ID: I20040614000145 |
| Provider Name | Fadlallah Habr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619924651 PECOS PAC ID: 9335123967 Enrollment ID: I20040614000392 |
| Provider Name | Lynn a Bowlby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588611123 PECOS PAC ID: 4981688538 Enrollment ID: I20040614000559 |
| Provider Name | John M Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230968 PECOS PAC ID: 3173507746 Enrollment ID: I20040614000707 |
| Provider Name | Geetha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235183450 PECOS PAC ID: 1456335934 Enrollment ID: I20040614000876 |
| Provider Name | Kittichai Promrat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356398390 PECOS PAC ID: 3779567169 Enrollment ID: I20040615000008 |
| Provider Name | Thomas D Denucci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033291570 PECOS PAC ID: 7113901547 Enrollment ID: I20040615000258 |
| Provider Name | Harlan G Rich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912947045 PECOS PAC ID: 3971587288 Enrollment ID: I20040615000889 |
| Provider Name | Maria L Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487632634 PECOS PAC ID: 3375520513 Enrollment ID: I20040706000622 |
| Provider Name | Niharika D Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558394833 PECOS PAC ID: 3274511001 Enrollment ID: I20040709000008 |
| Provider Name | Allen M Dennison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356342323 PECOS PAC ID: 2062488836 Enrollment ID: I20040903000126 |
| Provider Name | Andrea Goldfarb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609853290 PECOS PAC ID: 3072582493 Enrollment ID: I20041001000004 |
| Provider Name | Michael P Vezeridis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437131430 PECOS PAC ID: 0446210322 Enrollment ID: I20041014000931 |
| Provider Name | David Tobin Harrington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558368092 PECOS PAC ID: 9133189996 Enrollment ID: I20041015000327 |
| Provider Name | Elizabeth Altenhein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689670044 PECOS PAC ID: 0042270811 Enrollment ID: I20041015000405 |
| Provider Name | Jeffrey M Burock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023096278 PECOS PAC ID: 4486616588 Enrollment ID: I20041101000761 |
| Provider Name | Sandra Jamieson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528065430 PECOS PAC ID: 6406826783 Enrollment ID: I20050126000606 |
| Provider Name | Adetokunbo a Oyelese |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770560435 PECOS PAC ID: 0345291555 Enrollment ID: I20050204000551 |
| Provider Name | Gladys H Telang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063466621 PECOS PAC ID: 1557312352 Enrollment ID: I20050209000721 |
| Provider Name | Ghada R Bourjeily |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881613057 PECOS PAC ID: 3577517671 Enrollment ID: I20050311000142 |
| Provider Name | Amer B Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679560684 PECOS PAC ID: 8527006378 Enrollment ID: I20050421000691 |
| Provider Name | Leslie Robinson-bostom |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154368454 PECOS PAC ID: 8022051796 Enrollment ID: I20050606000058 |
| Provider Name | Renee Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912109109 PECOS PAC ID: 8921021973 Enrollment ID: I20060105000480 |
| Provider Name | Richard a Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457328221 PECOS PAC ID: 7810926466 Enrollment ID: I20060128000072 |
| Provider Name | Maria a Guglielmo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063504512 PECOS PAC ID: 1658348750 Enrollment ID: I20060209000355 |
| Provider Name | Ivan Wolfson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841358587 PECOS PAC ID: 4587679394 Enrollment ID: I20060215000705 |
| Provider Name | Edward Donnelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982630927 PECOS PAC ID: 2264448315 Enrollment ID: I20060227000273 |
| Provider Name | Diana O Treaba |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750328902 PECOS PAC ID: 9032125752 Enrollment ID: I20060303000398 |
| Provider Name | Eric Swanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508068701 PECOS PAC ID: 9830106814 Enrollment ID: I20060316000022 |
| Provider Name | Martina M Schulz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134106750 PECOS PAC ID: 0446291298 Enrollment ID: I20060331000467 |
| Provider Name | David E Mandelbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669408696 PECOS PAC ID: 1850300484 Enrollment ID: I20060411000038 |
| Provider Name | Andrew S Blum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376579318 PECOS PAC ID: 7416985338 Enrollment ID: I20060502000538 |
| Provider Name | Chuang K Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184661837 PECOS PAC ID: 9739199860 Enrollment ID: I20060503000384 |
| Provider Name | Colleen Kelly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518995992 PECOS PAC ID: 0143224469 Enrollment ID: I20060829000255 |
| Provider Name | Jody a Underwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528003712 PECOS PAC ID: 5496759292 Enrollment ID: I20060911000186 |
| Provider Name | Douglas Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316981988 PECOS PAC ID: 1759386097 Enrollment ID: I20060920000388 |
| Provider Name | Tahir Tellioglu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871535534 PECOS PAC ID: 5799780037 Enrollment ID: I20060920000427 |
| Provider Name | Michelle L. Mellion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780624262 PECOS PAC ID: 5092710145 Enrollment ID: I20060922000346 |
| Provider Name | Mahesh Jayaraman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295755072 PECOS PAC ID: 7012913825 Enrollment ID: I20061018000084 |
| Provider Name | Lauren Marvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740216381 PECOS PAC ID: 6406856558 Enrollment ID: I20070113000167 |
| Provider Name | Jonathan D Kurtis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144263195 PECOS PAC ID: 9931203197 Enrollment ID: I20070327000623 |
| Provider Name | Thomas R Walek |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821034943 PECOS PAC ID: 9830293984 Enrollment ID: I20070329000051 |
| Provider Name | Luzviminda Conte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700874690 PECOS PAC ID: 7214033190 Enrollment ID: I20070509000717 |
| Provider Name | Mirela Stancu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164435772 PECOS PAC ID: 1951408012 Enrollment ID: I20070524000244 |
| Provider Name | Howard E Schulman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992898233 PECOS PAC ID: 0143328351 Enrollment ID: I20070612000701 |
| Provider Name | Cristina Toba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215151329 PECOS PAC ID: 9830299130 Enrollment ID: I20070716000745 |
| Provider Name | Courtney Clark Bilodeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013109891 PECOS PAC ID: 0547358046 Enrollment ID: I20071116000488 |
| Provider Name | Dariusz R Stachurski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316092166 PECOS PAC ID: 3870679392 Enrollment ID: I20080325000193 |
| Provider Name | Suzanne De La Monte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962449157 PECOS PAC ID: 0446336895 Enrollment ID: I20080325000551 |
| Provider Name | Donna Iddings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396742649 PECOS PAC ID: 4981782513 Enrollment ID: I20080423000351 |
| Provider Name | Evgeny Yakirevich |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528285467 PECOS PAC ID: 1254419799 Enrollment ID: I20080423000533 |
| Provider Name | Cathleen a Whelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992706600 PECOS PAC ID: 4789762923 Enrollment ID: I20080429000187 |
| Provider Name | Zsolt T Orban |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275534281 PECOS PAC ID: 0941388185 Enrollment ID: I20080429000211 |
| Provider Name | John E Donahue |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609813914 PECOS PAC ID: 0345311858 Enrollment ID: I20080611000141 |
| Provider Name | George P Bayliss |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982892824 PECOS PAC ID: 9436221439 Enrollment ID: I20080709000083 |
| Provider Name | Christopher M Matkovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699933382 PECOS PAC ID: 0042385536 Enrollment ID: I20080819000005 |
| Provider Name | Patricia N Soscia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093798910 PECOS PAC ID: 2668410895 Enrollment ID: I20081107000023 |
| Provider Name | Paul D Levinson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649254566 PECOS PAC ID: 6901963347 Enrollment ID: I20090330000270 |
| Provider Name | Scott T Schmidt |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1609986751 PECOS PAC ID: 1759489644 Enrollment ID: I20090512000018 |
| Provider Name | Julie Roth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063673713 PECOS PAC ID: 5991856007 Enrollment ID: I20090701000433 |
| Provider Name | Nicholas S Potter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457471344 PECOS PAC ID: 5890868186 Enrollment ID: I20090723000101 |
| Provider Name | David a Marcoux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730140864 PECOS PAC ID: 2668367491 Enrollment ID: I20090826000075 |
| Provider Name | Valerie a Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912005901 PECOS PAC ID: 3678574910 Enrollment ID: I20100219000334 |
| Provider Name | Syed a Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770511446 PECOS PAC ID: 9133251762 Enrollment ID: I20100719000077 |
| Provider Name | Daniela Boerescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386628154 PECOS PAC ID: 6608909130 Enrollment ID: I20100804000025 |
| Provider Name | George Sachs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992731913 PECOS PAC ID: 8729112776 Enrollment ID: I20100813000048 |
| Provider Name | Janet Lee Wilterdink |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144263971 PECOS PAC ID: 7618001660 Enrollment ID: I20100813000071 |
| Provider Name | Gary D Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841226867 PECOS PAC ID: 6507990074 Enrollment ID: I20100819000368 |
| Provider Name | Heinrich R Elinzano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063477032 PECOS PAC ID: 5294731592 Enrollment ID: I20100830000421 |
| Provider Name | Michael F Blundin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982821484 PECOS PAC ID: 6103940804 Enrollment ID: I20100902000114 |
| Provider Name | Linda C Wendell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215154430 PECOS PAC ID: 0749306843 Enrollment ID: I20100927000512 |
| Provider Name | Li Juan Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649217803 PECOS PAC ID: 3870772296 Enrollment ID: I20110131000908 |
| Provider Name | Latha R Pisharodi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225082720 PECOS PAC ID: 2466633763 Enrollment ID: I20110218000925 |
| Provider Name | Megan Pinkston Camp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447560487 PECOS PAC ID: 7113100389 Enrollment ID: I20110325000010 |
| Provider Name | Corey E Ventetuolo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538318241 PECOS PAC ID: 1456484955 Enrollment ID: I20110711000411 |
| Provider Name | Andrew T Levinson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467593806 PECOS PAC ID: 0749371821 Enrollment ID: I20110718000004 |
| Provider Name | Rebecca E Soinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043472749 PECOS PAC ID: 0345418893 Enrollment ID: I20110727000634 |
| Provider Name | Ross J Taliano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720065287 PECOS PAC ID: 3678742848 Enrollment ID: I20110803000788 |
| Provider Name | Michael a Reuter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124356365 PECOS PAC ID: 5193994382 Enrollment ID: I20110803000951 |
| Provider Name | Jonathan Francis Cahill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578780821 PECOS PAC ID: 6507035102 Enrollment ID: I20110817000223 |
| Provider Name | Thomas N Carruthers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720206568 PECOS PAC ID: 9335319748 Enrollment ID: I20110823000100 |
| Provider Name | Harikrashna B Bhatt |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285765792 PECOS PAC ID: 9638349822 Enrollment ID: I20110825000414 |
| Provider Name | Vicky O Cheng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295987543 PECOS PAC ID: 3678743671 Enrollment ID: I20110831000046 |
| Provider Name | Gino a Paolucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538452735 PECOS PAC ID: 2365614039 Enrollment ID: I20111003000341 |
| Provider Name | Richard Haas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376531269 PECOS PAC ID: 5799951810 Enrollment ID: I20111220000503 |
| Provider Name | Murray B Resnick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144274838 PECOS PAC ID: 5193753010 Enrollment ID: I20120206000754 |
| Provider Name | Ali Amin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952544264 PECOS PAC ID: 9638337900 Enrollment ID: I20120220000004 |
| Provider Name | Douglas C Anthony |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558308270 PECOS PAC ID: 2365480530 Enrollment ID: I20120328000608 |
| Provider Name | John M Conte |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952307803 PECOS PAC ID: 6608935515 Enrollment ID: I20120430000278 |
| Provider Name | Daniel Morin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215265582 PECOS PAC ID: 0446208151 Enrollment ID: I20120621000508 |
| Provider Name | Sherry Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639436819 PECOS PAC ID: 6305024209 Enrollment ID: I20120918000759 |
| Provider Name | Yihong Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649439142 PECOS PAC ID: 5799836128 Enrollment ID: I20121003000861 |
| Provider Name | Reena a Bhatt |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578781316 PECOS PAC ID: 4880844794 Enrollment ID: I20121030000043 |
| Provider Name | Karen L Furie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750362562 PECOS PAC ID: 5395728018 Enrollment ID: I20121206000511 |
| Provider Name | Jennifer K Trayner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508029455 PECOS PAC ID: 8628221769 Enrollment ID: I20130123000394 |
| Provider Name | Stephanie L Slone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174896211 PECOS PAC ID: 5698928760 Enrollment ID: I20130124000026 |
| Provider Name | Weibiao Cao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528249075 PECOS PAC ID: 5698929438 Enrollment ID: I20130204000208 |
| Provider Name | Kaitlin Taginski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144590308 PECOS PAC ID: 8729233879 Enrollment ID: I20130221000473 |
| Provider Name | Sarah Rose M Lamport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205145240 PECOS PAC ID: 3678769619 Enrollment ID: I20130423000073 |
| Provider Name | Nancy L Harritos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083720502 PECOS PAC ID: 2264572478 Enrollment ID: I20130614000453 |
| Provider Name | Shamlal Mangray |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831143387 PECOS PAC ID: 3274772199 Enrollment ID: I20130625000246 |
| Provider Name | Brian PA Resnick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851630230 PECOS PAC ID: 4587804752 Enrollment ID: I20130711000422 |
| Provider Name | Sandhya M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164583779 PECOS PAC ID: 5799888756 Enrollment ID: I20130807001012 |
| Provider Name | Joseph D Sweeney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871547398 PECOS PAC ID: 5597999367 Enrollment ID: I20131010000005 |
| Provider Name | James F Appleton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710280037 PECOS PAC ID: 6204060692 Enrollment ID: I20131018001191 |
| Provider Name | Raymond B Cord |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841402880 PECOS PAC ID: 1456366509 Enrollment ID: I20140205000014 |
| Provider Name | Dino a Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881771574 PECOS PAC ID: 4981645306 Enrollment ID: I20140228000204 |
| Provider Name | Maria Luisa Garcia Moliner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144298894 PECOS PAC ID: 5193706687 Enrollment ID: I20140409000987 |
| Provider Name | Lindsey Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316377914 PECOS PAC ID: 9739303595 Enrollment ID: I20140617001923 |
| Provider Name | Mindy Sobota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245303320 PECOS PAC ID: 5193828507 Enrollment ID: I20140715002108 |
| Provider Name | Shaolei Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750519021 PECOS PAC ID: 4183841752 Enrollment ID: I20140806001088 |
| Provider Name | Ali Saad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689818809 PECOS PAC ID: 8921225038 Enrollment ID: I20140814000078 |
| Provider Name | Sarah Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699069682 PECOS PAC ID: 4880811629 Enrollment ID: I20140819000493 |
| Provider Name | Mariana Canepa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073853248 PECOS PAC ID: 8022236801 Enrollment ID: I20140820002757 |
| Provider Name | Dawn Peloquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083033187 PECOS PAC ID: 0840418489 Enrollment ID: I20140825000086 |
| Provider Name | Jesse L Hart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942409461 PECOS PAC ID: 1850510033 Enrollment ID: I20140922000023 |
| Provider Name | Christina Scully |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881989879 PECOS PAC ID: 8123248085 Enrollment ID: I20140929000726 |
| Provider Name | Stephanie J Czech |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104237874 PECOS PAC ID: 2567682016 Enrollment ID: I20141003001190 |
| Provider Name | Iracena S Lopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801205521 PECOS PAC ID: 2769603588 Enrollment ID: I20141021000366 |
| Provider Name | Melissa a Simon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316265259 PECOS PAC ID: 0345488995 Enrollment ID: I20141024000248 |
| Provider Name | Alexios Carayannopoulos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861592156 PECOS PAC ID: 8921190869 Enrollment ID: I20141114000057 |
| Provider Name | Mary Whittenhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205231081 PECOS PAC ID: 4880917152 Enrollment ID: I20141218001083 |
| Provider Name | Ernestine G Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154731743 PECOS PAC ID: 9830412790 Enrollment ID: I20141229001306 |
| Provider Name | James M Taft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174571194 PECOS PAC ID: 9638128952 Enrollment ID: I20150212000551 |
| Provider Name | Keith Austin Scarfo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003012014 PECOS PAC ID: 7618146309 Enrollment ID: I20150216001971 |
| Provider Name | Karl U Breuing |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720044472 PECOS PAC ID: 4688674484 Enrollment ID: I20150305000499 |
| Provider Name | David Caldarella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891799482 PECOS PAC ID: 2466599790 Enrollment ID: I20150319000156 |
| Provider Name | Megan Gernt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558778050 PECOS PAC ID: 1850618166 Enrollment ID: I20150326000139 |
| Provider Name | Emily Beth Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649662511 PECOS PAC ID: 3971823626 Enrollment ID: I20150520000188 |
| Provider Name | Ryan Mctaggart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164640389 PECOS PAC ID: 6800022989 Enrollment ID: I20150605001990 |
| Provider Name | Shadi Yaghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407088826 PECOS PAC ID: 9032420872 Enrollment ID: I20150619000548 |
| Provider Name | Bradford C Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003896986 PECOS PAC ID: 2163602202 Enrollment ID: I20150710000353 |
| Provider Name | Renee M Hickey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447570296 PECOS PAC ID: 7012136849 Enrollment ID: I20150722005235 |
| Provider Name | Kara Anne Stavros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821315300 PECOS PAC ID: 8628381258 Enrollment ID: I20150724011408 |
| Provider Name | Lynne a Bisbano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245234517 PECOS PAC ID: 6305944877 Enrollment ID: I20150729008817 |
| Provider Name | Christopher Dimarco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922391150 PECOS PAC ID: 4688981848 Enrollment ID: I20150921001563 |
| Provider Name | Dimitrios Farmakiotis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255625919 PECOS PAC ID: 9931328028 Enrollment ID: I20150925001210 |
| Provider Name | Ricardo Correa Marquez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053623538 PECOS PAC ID: 4688983760 Enrollment ID: I20151013001105 |
| Provider Name | Nimesh R Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982936522 PECOS PAC ID: 3870802507 Enrollment ID: I20151021000222 |
| Provider Name | Kirsten J Langdon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629454285 PECOS PAC ID: 4183933823 Enrollment ID: I20151021000912 |
| Provider Name | Jared Minkel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104253566 PECOS PAC ID: 4486885746 Enrollment ID: I20151027001915 |
| Provider Name | Veronica Seippel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043696685 PECOS PAC ID: 4789994328 Enrollment ID: I20151110002258 |
| Provider Name | Laureen Berkowitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104110030 PECOS PAC ID: 1951572700 Enrollment ID: I20151117000169 |
| Provider Name | Nicole K Breting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023488145 PECOS PAC ID: 1456652015 Enrollment ID: I20151228000053 |
| Provider Name | Christopher P Elco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770756819 PECOS PAC ID: 8628291242 Enrollment ID: I20160107000119 |
| Provider Name | Cristina Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922301159 PECOS PAC ID: 6305141607 Enrollment ID: I20160224002173 |
| Provider Name | David J Mysels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982755088 PECOS PAC ID: 3577688829 Enrollment ID: I20160311000540 |
| Provider Name | Charles D Hackett |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1558539957 PECOS PAC ID: 3779710090 Enrollment ID: I20160606001865 |
| Provider Name | Laura a Massa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861749327 PECOS PAC ID: 6204088040 Enrollment ID: I20160707002082 |
| Provider Name | Reyna L Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669744041 PECOS PAC ID: 3870888266 Enrollment ID: I20160824001944 |
| Provider Name | Michael D Mcquiggan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437413986 PECOS PAC ID: 9133423080 Enrollment ID: I20160901000621 |
| Provider Name | Kristin J Macdougall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093000325 PECOS PAC ID: 4486940335 Enrollment ID: I20160901001800 |
| Provider Name | Sarah B Schmidhofer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053759381 PECOS PAC ID: 0941439681 Enrollment ID: I20160909001772 |
| Provider Name | Swee Lim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780847376 PECOS PAC ID: 3870735806 Enrollment ID: I20160914000169 |
| Provider Name | Margarita Laporte Bomfim Bockorny |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801103650 PECOS PAC ID: 6002035631 Enrollment ID: I20160923000041 |
| Provider Name | Darryk J Modracek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780898932 PECOS PAC ID: 0244510758 Enrollment ID: I20161129000874 |
| Provider Name | Elizabeth a Worden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912109125 PECOS PAC ID: 9931489440 Enrollment ID: I20161129000998 |
| Provider Name | Dawn M Jenison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194907790 PECOS PAC ID: 8325328289 Enrollment ID: I20161212000184 |
| Provider Name | Ricky Grisson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093910606 PECOS PAC ID: 7911288253 Enrollment ID: I20161229000548 |
| Provider Name | Ariane M Myrtle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083863773 PECOS PAC ID: 6103960596 Enrollment ID: I20170104000835 |
| Provider Name | Su Gym Kim |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1235418369 PECOS PAC ID: 5395969943 Enrollment ID: I20170117001481 |
| Provider Name | Arieana a Farmakiotis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801330816 PECOS PAC ID: 4789967506 Enrollment ID: I20170201001956 |
| Provider Name | Erica L Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679775878 PECOS PAC ID: 3173808029 Enrollment ID: I20170316001322 |
| Provider Name | Tonslyn a Toure |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003081944 PECOS PAC ID: 5799954830 Enrollment ID: I20170407000088 |
| Provider Name | Stephen L Chabot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609847078 PECOS PAC ID: 7315984424 Enrollment ID: I20170504000028 |
| Provider Name | Anupriya Gogne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609135342 PECOS PAC ID: 4688951908 Enrollment ID: I20170515000869 |
| Provider Name | Seth a Clark |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1801208798 PECOS PAC ID: 3870710213 Enrollment ID: I20170626001451 |
| Provider Name | Andrew E Foderaro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700179942 PECOS PAC ID: 4486872793 Enrollment ID: I20170717000246 |
| Provider Name | Sean D Fine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114210267 PECOS PAC ID: 4082832399 Enrollment ID: I20170717002047 |
| Provider Name | Lindsey R Maroney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134674864 PECOS PAC ID: 5496025504 Enrollment ID: I20170724000524 |
| Provider Name | Rahul Vanjani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134487135 PECOS PAC ID: 1456622836 Enrollment ID: I20170802003847 |
| Provider Name | Michael Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942653688 PECOS PAC ID: 5890066187 Enrollment ID: I20170804000947 |
| Provider Name | Shannon Whittemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013443878 PECOS PAC ID: 9436420452 Enrollment ID: I20170809000299 |
| Provider Name | Meghan C Geary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073925988 PECOS PAC ID: 1254558521 Enrollment ID: I20170809001005 |
| Provider Name | Ali Mahta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437387990 PECOS PAC ID: 8325368152 Enrollment ID: I20170816000084 |
| Provider Name | Tina Burton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356631642 PECOS PAC ID: 8426280595 Enrollment ID: I20170816001531 |
| Provider Name | Christopher J Mullin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336383157 PECOS PAC ID: 6901053404 Enrollment ID: I20170816003419 |
| Provider Name | Lori a Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662833 PECOS PAC ID: 6608029293 Enrollment ID: I20170817000647 |
| Provider Name | Steven Christopher Schaub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346500220 PECOS PAC ID: 9234356262 Enrollment ID: I20170825000339 |
| Provider Name | Jessica Elizabeth Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184984478 PECOS PAC ID: 3375858152 Enrollment ID: I20170828000616 |
| Provider Name | Katherine Alyce Quinn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922541440 PECOS PAC ID: 6709159015 Enrollment ID: I20170908001409 |
| Provider Name | Rebecca Elizabeth Brierley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376072595 PECOS PAC ID: 0143593335 Enrollment ID: I20170911001203 |
| Provider Name | Sonja Dianne Julia Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568741049 PECOS PAC ID: 3173740859 Enrollment ID: I20170915003080 |
| Provider Name | Mary C Maher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689191553 PECOS PAC ID: 2264707207 Enrollment ID: I20171002001870 |
| Provider Name | Raquel M. Carneiro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508812942 PECOS PAC ID: 6002828464 Enrollment ID: I20171109001848 |
| Provider Name | Martha C Trimbur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003179060 PECOS PAC ID: 6103183561 Enrollment ID: I20171121000033 |
| Provider Name | Joseph Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891243861 PECOS PAC ID: 5294092979 Enrollment ID: I20171205002650 |
| Provider Name | Pamela a Kusiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982130548 PECOS PAC ID: 7012276983 Enrollment ID: I20180123000134 |
| Provider Name | Sara Maleki |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023306974 PECOS PAC ID: 5698060895 Enrollment ID: I20180213000165 |
| Provider Name | Akwi W Asombang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679778765 PECOS PAC ID: 8022186014 Enrollment ID: I20180215001182 |
| Provider Name | Michaela Ann Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090849 PECOS PAC ID: 3375852569 Enrollment ID: I20180306002639 |
| Provider Name | Rose Moriarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194223164 PECOS PAC ID: 8325309248 Enrollment ID: I20180309000681 |
| Provider Name | Anais Lucia Grilli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306333000 PECOS PAC ID: 1951665504 Enrollment ID: I20180507000936 |
| Provider Name | James D. Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740778547 PECOS PAC ID: 5597020024 Enrollment ID: I20180604000221 |
| Provider Name | Stacey Ann Lazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255838447 PECOS PAC ID: 6800142084 Enrollment ID: I20180629001895 |
| Provider Name | Shyam Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982969416 PECOS PAC ID: 5991091183 Enrollment ID: I20180713000872 |
| Provider Name | Jonathan Drake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891132924 PECOS PAC ID: 6103173687 Enrollment ID: I20180716003146 |
| Provider Name | Kurt Maxwell Futral |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518455583 PECOS PAC ID: 4688921703 Enrollment ID: I20180720001087 |
| Provider Name | Seth Aaron Margolis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952819484 PECOS PAC ID: 9638426224 Enrollment ID: I20180730000375 |
| Provider Name | Habibe Kurt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649547704 PECOS PAC ID: 7911146857 Enrollment ID: I20180809004717 |
| Provider Name | Suzanne S Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710272620 PECOS PAC ID: 8224387675 Enrollment ID: I20180820000734 |
| Provider Name | Daniel C. Sacchetti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842567 PECOS PAC ID: 0648497032 Enrollment ID: I20181008002623 |
| Provider Name | Jeffrey a Bailey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871799676 PECOS PAC ID: 3971649534 Enrollment ID: I20181126001612 |
| Provider Name | Andrew Ginn Bong Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659310738 PECOS PAC ID: 7012953730 Enrollment ID: I20181126001761 |
| Provider Name | Carla Angela Salvadore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366920217 PECOS PAC ID: 0244578946 Enrollment ID: I20190205000315 |
| Provider Name | Emily Daniell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134657505 PECOS PAC ID: 5294075024 Enrollment ID: I20190314000490 |
| Provider Name | Caitlin S Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629458047 PECOS PAC ID: 1153626809 Enrollment ID: I20190424002716 |
| Provider Name | Alexander Tobias Jorrin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811461403 PECOS PAC ID: 8022350842 Enrollment ID: I20190426001921 |
| Provider Name | Hanns Christoph Stretz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851654925 PECOS PAC ID: 0042513319 Enrollment ID: I20190515002254 |
| Provider Name | Allison Malo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306308754 PECOS PAC ID: 6305189879 Enrollment ID: I20190524000610 |
| Provider Name | Melissa Cardona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699339721 PECOS PAC ID: 2961745443 Enrollment ID: I20190524001539 |
| Provider Name | Emily Abbood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891255113 PECOS PAC ID: 8022341205 Enrollment ID: I20190603000768 |
| Provider Name | Justin Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316351091 PECOS PAC ID: 6305145202 Enrollment ID: I20190614000882 |
| Provider Name | Aryandokht Fotros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447665831 PECOS PAC ID: 3274866728 Enrollment ID: I20190614001938 |
| Provider Name | Nicole Constance Demir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730532391 PECOS PAC ID: 0547543480 Enrollment ID: I20190625001888 |
| Provider Name | Hannah Murdock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285194290 PECOS PAC ID: 9234464058 Enrollment ID: I20190716000645 |
| Provider Name | Amanda J. Fernandes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649602863 PECOS PAC ID: 1759517980 Enrollment ID: I20190719000507 |
| Provider Name | Caroline a Wunsch |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1629427265 PECOS PAC ID: 6204120314 Enrollment ID: I20190719001855 |
| Provider Name | Jasmin Lebastchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740628874 PECOS PAC ID: 1759675101 Enrollment ID: I20190719001859 |
| Provider Name | Folasade Olofinlade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932505252 PECOS PAC ID: 1456655711 Enrollment ID: I20190725001656 |
| Provider Name | Tharani Rajeswaran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861806440 PECOS PAC ID: 5092085704 Enrollment ID: I20190731001051 |
| Provider Name | Katelyn C Dannheim Drew |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558781260 PECOS PAC ID: 9537496245 Enrollment ID: I20190802001979 |
| Provider Name | Abbie Paley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710478854 PECOS PAC ID: 0042547804 Enrollment ID: I20190816000830 |
| Provider Name | Shannon Simmons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619210630 PECOS PAC ID: 3678705738 Enrollment ID: I20190823001293 |
| Provider Name | Sara Washburn Fuller Geffert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083971097 PECOS PAC ID: 3971822065 Enrollment ID: I20190930000666 |
| Provider Name | Richard O Wein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912978073 PECOS PAC ID: 6901701499 Enrollment ID: I20191107001041 |
| Provider Name | Rachel Katherine Darling |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487183133 PECOS PAC ID: 4688943160 Enrollment ID: I20200511001169 |
| Provider Name | Erin Kimberly Little |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770978835 PECOS PAC ID: 0941512446 Enrollment ID: I20200604001121 |
| Provider Name | Laert Rusha |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013301381 PECOS PAC ID: 1052610078 Enrollment ID: I20200605001506 |
| Provider Name | Russell Bratman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205216389 PECOS PAC ID: 7517273105 Enrollment ID: I20200715000832 |
| Provider Name | Sasmit Sarangi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881002202 PECOS PAC ID: 4587970090 Enrollment ID: I20200803002199 |
| Provider Name | Aruna Tokas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578970281 PECOS PAC ID: 6002189958 Enrollment ID: I20200806002207 |
| Provider Name | Radmehr Torabi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730472820 PECOS PAC ID: 7810115128 Enrollment ID: I20201014000378 |
| Provider Name | Thomas A. Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528522927 PECOS PAC ID: 3971914763 Enrollment ID: I20201130002725 |
| Provider Name | Emily Jorie Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053970756 PECOS PAC ID: 7618389461 Enrollment ID: I20201218001971 |
| Provider Name | Ashley Lynn Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902317449 PECOS PAC ID: 9638581424 Enrollment ID: I20201221000911 |
| Provider Name | Saima T Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548655509 PECOS PAC ID: 0840594933 Enrollment ID: I20201231001400 |
| Provider Name | Carlos Wambier |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679054043 PECOS PAC ID: 9335552728 Enrollment ID: I20210103000006 |
| Provider Name | Jason Richards |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568808293 PECOS PAC ID: 1850517319 Enrollment ID: I20210112002609 |
| Provider Name | Dylan Gene Godyn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407471105 PECOS PAC ID: 3375957996 Enrollment ID: I20210122000134 |
| Provider Name | Mary Reedy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023647534 PECOS PAC ID: 0244645406 Enrollment ID: I20210220000050 |
| Provider Name | Neishay Ayub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538571518 PECOS PAC ID: 6002033529 Enrollment ID: I20210316002657 |
| Provider Name | Allison Rose Taskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730785189 PECOS PAC ID: 7012324205 Enrollment ID: I20210406002024 |
| Provider Name | Joel M Kaufman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356310346 PECOS PAC ID: 3870887433 Enrollment ID: I20210408002593 |
| Provider Name | Saud Alhusaini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699253591 PECOS PAC ID: 8224376587 Enrollment ID: I20210602000654 |
| Provider Name | Prathana Prakash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942683719 PECOS PAC ID: 3173801495 Enrollment ID: I20210621003049 |
| Provider Name | Vincent Labarbera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609223684 PECOS PAC ID: 9931494135 Enrollment ID: I20210625002003 |
| Provider Name | Jay C Emlen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033615125 PECOS PAC ID: 9931444858 Enrollment ID: I20210628000481 |
| Provider Name | Elizabeth M Perelstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851741771 PECOS PAC ID: 1153737804 Enrollment ID: I20210714002920 |
| Provider Name | Nicholas Cookson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104318427 PECOS PAC ID: 3173927605 Enrollment ID: I20210805002784 |
| Provider Name | Ross Barker |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679836266 PECOS PAC ID: 0749557403 Enrollment ID: I20210811000724 |
| Provider Name | Krisztina Moldovan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841564010 PECOS PAC ID: 1658599634 Enrollment ID: I20210823000217 |
| Provider Name | Cecilia Fix |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1679991806 PECOS PAC ID: 5092088773 Enrollment ID: I20210825000545 |
| Provider Name | Andrea Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174034557 PECOS PAC ID: 0941568570 Enrollment ID: I20210902001986 |
| Provider Name | Matthew J. White |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831585710 PECOS PAC ID: 6002234291 Enrollment ID: I20210915003772 |
| Provider Name | Victoria Elena Marques |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316527468 PECOS PAC ID: 8224436480 Enrollment ID: I20211001002886 |
| Provider Name | Morgan a Meisenheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558031625 PECOS PAC ID: 0840698171 Enrollment ID: I20211018000870 |
| Provider Name | Edelva Rozan Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881013183 PECOS PAC ID: 6204106461 Enrollment ID: I20211105000385 |
| Provider Name | Hope Jeannine Crawley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346919396 PECOS PAC ID: 7911396114 Enrollment ID: I20211109002375 |
| Provider Name | Eric Goldstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366829210 PECOS PAC ID: 1557674868 Enrollment ID: I20211119001653 |
| Provider Name | Robert Carcone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730719949 PECOS PAC ID: 7517370927 Enrollment ID: I20211123003076 |
| Provider Name | Kathryn Basques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982954160 PECOS PAC ID: 0345558557 Enrollment ID: I20211208000368 |
| Provider Name | Michael Punsoni |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215298187 PECOS PAC ID: 6204053747 Enrollment ID: I20220120002102 |
| Provider Name | Mayra Ivette Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427714096 PECOS PAC ID: 6901298058 Enrollment ID: I20220121001192 |
| Provider Name | Lauren Macchio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235707514 PECOS PAC ID: 1153713086 Enrollment ID: I20220126001171 |
| Provider Name | Dragos Luca |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417026832 PECOS PAC ID: 8224131404 Enrollment ID: I20220208001422 |
| Provider Name | Stefanie Dias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457019721 PECOS PAC ID: 9931593605 Enrollment ID: I20220222002026 |
| Provider Name | Christopher Thomas Lavigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316604119 PECOS PAC ID: 9335534668 Enrollment ID: I20220323000162 |
| Provider Name | Ann Ding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376034363 PECOS PAC ID: 9032464367 Enrollment ID: I20220512000022 |
| Provider Name | Julio Blasco Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659933778 PECOS PAC ID: 6002147857 Enrollment ID: I20220517001960 |
| Provider Name | Taylor Marie Tirrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316613474 PECOS PAC ID: 9830578244 Enrollment ID: I20220615000855 |
| Provider Name | Lewena Maher |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083136428 PECOS PAC ID: 9032598925 Enrollment ID: I20220623001625 |
| Provider Name | Thanujaa Subramaniam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942651062 PECOS PAC ID: 0042503542 Enrollment ID: I20220706002377 |
| Provider Name | Weiwei Shi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336501295 PECOS PAC ID: 1850686973 Enrollment ID: I20220720000392 |
| Provider Name | Erica Spano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811646177 PECOS PAC ID: 2860873742 Enrollment ID: I20220725000115 |
| Provider Name | May Min |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063807717 PECOS PAC ID: 1759685266 Enrollment ID: I20220726001315 |
| Provider Name | Machel Charles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356072607 PECOS PAC ID: 5496137952 Enrollment ID: I20220729002076 |
| Provider Name | Daryl Selen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699122010 PECOS PAC ID: 5698060929 Enrollment ID: I20220802002456 |
| Provider Name | Navneet Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881089670 PECOS PAC ID: 5991102089 Enrollment ID: I20220803003270 |
| Provider Name | Dylan Hershkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922538644 PECOS PAC ID: 3577836600 Enrollment ID: I20220804001594 |
| Provider Name | Caitlin Sarmanian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578926176 PECOS PAC ID: 7416235858 Enrollment ID: I20220804001766 |
| Provider Name | Liang Cheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528025301 PECOS PAC ID: 4486826724 Enrollment ID: I20220827000049 |
| Provider Name | Maya Cohen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780035972 PECOS PAC ID: 4486038239 Enrollment ID: I20220829002424 |
| Provider Name | Li Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477915478 PECOS PAC ID: 8921391848 Enrollment ID: I20220907002218 |
| Provider Name | Elena T Puscasiu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801048749 PECOS PAC ID: 9032390919 Enrollment ID: I20221013001100 |
| Provider Name | Liz Edmund |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588032486 PECOS PAC ID: 7517277817 Enrollment ID: I20221018000915 |
| Provider Name | Michela Muggeo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295211043 PECOS PAC ID: 5092063529 Enrollment ID: I20221108002431 |
| Provider Name | Justin Berk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245625300 PECOS PAC ID: 3678891827 Enrollment ID: I20221228002468 |
| Provider Name | Kristen Marie Czekanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376140707 PECOS PAC ID: 6608247481 Enrollment ID: I20230116000413 |
| Provider Name | Jason Pelletier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518003474 PECOS PAC ID: 8820193501 Enrollment ID: I20230124002680 |
| Provider Name | Amy Kite |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225399645 PECOS PAC ID: 5395984751 Enrollment ID: I20230206002073 |
| Provider Name | Sandra C. Landry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104925734 PECOS PAC ID: 6800852773 Enrollment ID: I20230216002471 |
| Provider Name | Nicholas Walter Martirossian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588377980 PECOS PAC ID: 7911370895 Enrollment ID: I20230223000729 |
| Provider Name | Kelsey Coletta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689256638 PECOS PAC ID: 1850766817 Enrollment ID: I20230405002576 |
| Provider Name | Chandni Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568089860 PECOS PAC ID: 8729444880 Enrollment ID: I20230515002847 |
| Provider Name | Farhan Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437671369 PECOS PAC ID: 4981970027 Enrollment ID: I20230516003343 |
| Provider Name | Victoria Matrullo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841957727 PECOS PAC ID: 9133513435 Enrollment ID: I20230523001894 |
| Provider Name | Giulio Ciprian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588273577 PECOS PAC ID: 5597182154 Enrollment ID: I20230531001304 |
| Provider Name | Kristen Leigh Klimm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164113791 PECOS PAC ID: 6103284245 Enrollment ID: I20230621002342 |
| Provider Name | Khaled Jamal Mohd Alkhateeb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295265478 PECOS PAC ID: 1254799281 Enrollment ID: I20230622002120 |
| Provider Name | Torrey Birch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275793432 PECOS PAC ID: 5193983559 Enrollment ID: I20230630003077 |
| Provider Name | Blaise Baxter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487681342 PECOS PAC ID: 6507763232 Enrollment ID: I20230713000882 |
| Provider Name | Vinit Joseph Gilvaz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174048029 PECOS PAC ID: 7911271630 Enrollment ID: I20230713003216 |
| Provider Name | Margaret Salinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871099788 PECOS PAC ID: 0840680773 Enrollment ID: I20230726001759 |
| Provider Name | Bryce Perler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538698253 PECOS PAC ID: 1052680519 Enrollment ID: I20230726002883 |
| Provider Name | Alejandra Diaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083124143 PECOS PAC ID: 8426315706 Enrollment ID: I20230731000297 |
| Provider Name | Leslie Kimpler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568759553 PECOS PAC ID: 7719261478 Enrollment ID: I20230809003705 |
| Provider Name | Ahmet Hakki Kapici |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831684190 PECOS PAC ID: 6507228079 Enrollment ID: I20230815003277 |
| Provider Name | Dylan Wolman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265828081 PECOS PAC ID: 7012348600 Enrollment ID: I20230821003354 |
| Provider Name | Harry Joseph Rosenberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346747938 PECOS PAC ID: 7618330119 Enrollment ID: I20230831001338 |
| Provider Name | Tiffaney a Cayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487341160 PECOS PAC ID: 4688037005 Enrollment ID: I20230831002697 |
| Provider Name | Patrick Reagan Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906397 PECOS PAC ID: 0547614349 Enrollment ID: I20230927003984 |
| Provider Name | Elizabeth Mcnulty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477238426 PECOS PAC ID: 2062867914 Enrollment ID: I20231012000543 |
| Provider Name | Bret Caulfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003512476 PECOS PAC ID: 6608221460 Enrollment ID: I20231013001698 |
| Provider Name | Marisa Bergfield Michiels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225604861 PECOS PAC ID: 1254786023 Enrollment ID: I20231013002193 |
| Provider Name | Prachi Bhuptani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922705698 PECOS PAC ID: 6103271721 Enrollment ID: I20231017000780 |
| Provider Name | Johan Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245867019 PECOS PAC ID: 7911353446 Enrollment ID: I20231019002137 |
| Provider Name | Gina Fallon Satterfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134826746 PECOS PAC ID: 0547617011 Enrollment ID: I20231106003353 |
| Provider Name | Rachel Lavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477208007 PECOS PAC ID: 2466800065 Enrollment ID: I20231120002899 |
| Provider Name | Samuel Spencer Gilfeather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765454 PECOS PAC ID: 7012365422 Enrollment ID: I20231126000053 |
| Provider Name | Cherilyn Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831744713 PECOS PAC ID: 5597195685 Enrollment ID: I20231130003460 |
| Provider Name | Leah Elizabeth Langlais |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649941428 PECOS PAC ID: 3072961945 Enrollment ID: I20231204000649 |
| Provider Name | William S Elias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669907218 PECOS PAC ID: 8729456199 Enrollment ID: I20231206002317 |
| Provider Name | Melissa Carbone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720353071 PECOS PAC ID: 9133572316 Enrollment ID: I20240124003781 |
| Provider Name | Andrea Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598403073 PECOS PAC ID: 6901287010 Enrollment ID: I20240205003120 |
| Provider Name | Juliette Ariel Holtzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174051742 PECOS PAC ID: 6608213111 Enrollment ID: I20240320000709 |
| Provider Name | Cathy Bour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528417888 PECOS PAC ID: 8224475074 Enrollment ID: I20240328001646 |
| Provider Name | James Edward Gordon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912918731 PECOS PAC ID: 8820255573 Enrollment ID: I20240404003988 |
| Provider Name | Justine Currier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902590193 PECOS PAC ID: 4284071242 Enrollment ID: I20240422003152 |
| Provider Name | Sohaib Ansari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437675287 PECOS PAC ID: 4486928553 Enrollment ID: I20240513000739 |
| Provider Name | Matthew Ballenberger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497296685 PECOS PAC ID: 6507298882 Enrollment ID: I20240530000419 |
| Provider Name | Paige Mclean Diaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235669474 PECOS PAC ID: 0840563052 Enrollment ID: I20240611000226 |
| Provider Name | Vesna Buntak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942721709 PECOS PAC ID: 7517352131 Enrollment ID: I20240611000649 |
| Provider Name | Scott Gerald Warren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043704703 PECOS PAC ID: 5092123604 Enrollment ID: I20240611002575 |
| Provider Name | Rebecca Burns |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740748268 PECOS PAC ID: 3072849454 Enrollment ID: I20240621003447 |
| Provider Name | Eugenie Atallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003392689 PECOS PAC ID: 6406243682 Enrollment ID: I20240701003145 |
| Provider Name | Ankita Aggarwal |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1407479611 PECOS PAC ID: 2860875630 Enrollment ID: I20240709003735 |
| Provider Name | Banreet S Dhindsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285154666 PECOS PAC ID: 3870856065 Enrollment ID: I20240715003128 |
| Provider Name | Victoria Sanborn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477179505 PECOS PAC ID: 7618413170 Enrollment ID: I20240722000979 |
| Provider Name | Ana-lucia Garcia Guarniz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336638378 PECOS PAC ID: 4486906211 Enrollment ID: I20240805003330 |
| Provider Name | Mikhail Gorbounov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114410875 PECOS PAC ID: 4486909942 Enrollment ID: I20240806003372 |
| Provider Name | Emily Lauren Weisbach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548827660 PECOS PAC ID: 4284967951 Enrollment ID: I20240808002796 |
| Provider Name | Chelsea Cotugno |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134732365 PECOS PAC ID: 6901218411 Enrollment ID: I20240819001003 |
| Provider Name | Hannah Jayne Irvine Russell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679035810 PECOS PAC ID: 2567795503 Enrollment ID: I20240828001351 |
| Provider Name | Yoely Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174036735 PECOS PAC ID: 8527327477 Enrollment ID: I20240828002116 |
| Provider Name | Brian Mcmillen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104147115 PECOS PAC ID: 3971724832 Enrollment ID: I20240923001921 |
| Provider Name | Emily Claire Gathright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548758444 PECOS PAC ID: 4183165467 Enrollment ID: I20240926002516 |
| Provider Name | Babar Khokhar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356525604 PECOS PAC ID: 0345404158 Enrollment ID: I20241018000550 |
| Provider Name | Michael Cremins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083611073 PECOS PAC ID: 4587851647 Enrollment ID: I20241022003737 |
| Provider Name | Jennifer M Dailey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891351524 PECOS PAC ID: 3072846005 Enrollment ID: I20241031003859 |
| Provider Name | Sean P. Toomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962100362 PECOS PAC ID: 2163955808 Enrollment ID: I20241101002115 |
| Provider Name | Ashley Ducharme |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437733078 PECOS PAC ID: 3870028459 Enrollment ID: I20241119002804 |
| Provider Name | Taylor Irene Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063150100 PECOS PAC ID: 8729461835 Enrollment ID: I20241224001413 |
| Provider Name | Adam Julian Occaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932808326 PECOS PAC ID: 0143758789 Enrollment ID: I20250110001448 |
| Provider Name | Joshua C Frias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568793388 PECOS PAC ID: 9638204985 Enrollment ID: I20250117000057 |
| Provider Name | Burak Bahar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922449941 PECOS PAC ID: 4183925985 Enrollment ID: I20250117003046 |
| Provider Name | Christina H Danna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912271313 PECOS PAC ID: 4284864000 Enrollment ID: I20250205001790 |
| Provider Name | Emily Ruth Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265008304 PECOS PAC ID: 7719377688 Enrollment ID: I20250205001882 |
| Provider Name | Taylor Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326737487 PECOS PAC ID: 5991235913 Enrollment ID: I20250206000709 |
| Provider Name | Alyssa Marie Estel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528616752 PECOS PAC ID: 7315467644 Enrollment ID: I20250218000300 |
| Provider Name | Kristen Marie Laverriere |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952092561 PECOS PAC ID: 8820518897 Enrollment ID: I20250220001762 |
| Provider Name | Roderick Spears |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336177096 PECOS PAC ID: 5294702478 Enrollment ID: I20250225000178 |
| Provider Name | Erin Elizabeth Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326854530 PECOS PAC ID: 8729508189 Enrollment ID: I20250228001060 |
| Provider Name | Kelli-anne Dion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235889940 PECOS PAC ID: 3678093044 Enrollment ID: I20250228001479 |
| Provider Name | Meghan Beth Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699511477 PECOS PAC ID: 3577084870 Enrollment ID: I20250303002829 |
| Provider Name | Libbi Wissekerke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497217400 PECOS PAC ID: 1153711403 Enrollment ID: I20250320003298 |
| Provider Name | William Oldham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518126945 PECOS PAC ID: 4486830221 Enrollment ID: I20250416002336 |
| Provider Name | Hamna Riaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366854176 PECOS PAC ID: 2466978218 Enrollment ID: I20250424002924 |
| Provider Name | Valentina Akyol |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619319522 PECOS PAC ID: 2264959055 Enrollment ID: I20250506000595 |
| Provider Name | Esra Sari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962028688 PECOS PAC ID: 6204252539 Enrollment ID: I20250509000034 |
| Provider Name | Emily Grace Covert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568278604 PECOS PAC ID: 1355869470 Enrollment ID: I20250513001381 |
| Provider Name | Martin S Taylor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114338100 PECOS PAC ID: 9638486814 Enrollment ID: I20250602000576 |
| Provider Name | Elias Shaaya |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053840827 PECOS PAC ID: 7113296591 Enrollment ID: I20250604003705 |
| Provider Name | Fazilet Yilmaz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356964936 PECOS PAC ID: 4880015015 Enrollment ID: I20250606002012 |
| Provider Name | Antoun Kamel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578295903 PECOS PAC ID: 4789065434 Enrollment ID: I20250617001804 |
| Provider Name | Rute Lameiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619425295 PECOS PAC ID: 9931488871 Enrollment ID: I20250618001852 |
| Provider Name | Cyrus R Gilbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588293690 PECOS PAC ID: 7214367408 Enrollment ID: I20250714003013 |
| Provider Name | Emery Marcus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700234952 PECOS PAC ID: 3971891086 Enrollment ID: I20250717002766 |
| Provider Name | Truc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891580023 PECOS PAC ID: 2961918453 Enrollment ID: I20250722001671 |
| Provider Name | Chandana Lanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023684651 PECOS PAC ID: 7618476896 Enrollment ID: I20250815000455 |
| Provider Name | Alexandra Goodwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417374653 PECOS PAC ID: 6002199742 Enrollment ID: I20250828001764 |
| Provider Name | Mark Cort |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588293674 PECOS PAC ID: 3375044233 Enrollment ID: I20250902000320 |
| Provider Name | Jay L Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154828713 PECOS PAC ID: 6406235506 Enrollment ID: I20250924000095 |
| Provider Name | Stephanie Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629765409 PECOS PAC ID: 1658729033 Enrollment ID: I20251002001679 |
| Provider Name | Kolleen M Deandrade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851596704 PECOS PAC ID: 5395714455 Enrollment ID: I20251003000583 |
| Provider Name | Sanjana Kapoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689121139 PECOS PAC ID: 5395126452 Enrollment ID: I20251008001084 |
| Provider Name | Joseph Early |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376751040 PECOS PAC ID: 9638070618 Enrollment ID: I20251118004248 |
| Provider Name | Alexandra Paull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578019568 PECOS PAC ID: 6204213564 Enrollment ID: I20251208003417 |
| Provider Name | Megan Wroblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902600257 PECOS PAC ID: 8527552918 Enrollment ID: I20251212001855 |
| Provider Name | Rachel Putman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790912053 PECOS PAC ID: 0648423806 Enrollment ID: I20251219001118 |
| Provider Name | Vanessa Duah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033909494 PECOS PAC ID: 3779062351 Enrollment ID: I20260204003858 |
| Provider Name | Nicole Mattson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447037197 PECOS PAC ID: 8325497068 Enrollment ID: I20260306002657 |
| Provider Name | Benson Wekesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225462815 PECOS PAC ID: 5193000701 Enrollment ID: I20260319001361 |
| Provider Name | Monica Rose Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851180392 PECOS PAC ID: 5991273096 Enrollment ID: I20260507000436 |
| Provider Name | Autumn Froias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891134235 PECOS PAC ID: 0345519104 Enrollment ID: I20260507000917 |
| Provider Name | Tachira Tavarez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952741613 PECOS PAC ID: 7113225327 Enrollment ID: I20260522001423 |
| Provider Name | Kenneth Dalton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417443946 PECOS PAC ID: 0941685705 Enrollment ID: I20260615002154 |
| Provider Name | Christina Marie Thibault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063869402 PECOS PAC ID: 1759853328 Enrollment ID: I20260615002470 |
Kevin E. Baill MD & Associates, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Blackstone Blvd, Providence, RI 02906 Phone: 917-447-2138 |
Theodore C. Palumbo, MD, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Staniford St, Providence, RI 02905 Phone: 401-421-8800 Fax: 401-273-6510 |
Concentra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Branch Ave, Providence, RI 02904 Phone: 401-722-8880 Fax: 401-723-9320 |
Barrington Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Wickenden St, Providence, RI 02903 Phone: 401-433-7550 Fax: 401-490-0905 |
Hallworth House Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Benefit St, Providence, RI 02904 Phone: 401-274-4505 |
Manzolillo Chiropractic Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Broadway, Providence, RI 02903 Phone: 401-273-0046 Fax: 401-273-4100 |