| Riverside Gastroenterology Specialists | |
|
101 Philip Roth St Suite 5-a Newport News VA 23606-1393 | |
| (757) 599-6333 | |
| (757) 591-7261 |
| Full Name | Riverside Gastroenterology Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Philip Roth St, Newport News, Virginia |
| Authorized Official Name and Position | James Lesnick (VICE PRESIDENT) |
| Authorized Official Contact | 7575944006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Gastroenterology Specialists 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Gastroenterology Specialists 101 Philip Roth St Suite 5-a Newport News VA 23606-1393 Ph: (757) 599-6333 |
| NPI Number | 1194929026 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 10/15/2014 |
| Medicare PECOS PAC ID | 5092608448 |
|---|---|
| Medicare Enrollment ID | O20040207000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194929026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | John D Long |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386619393 PECOS PAC ID: 0143124230 Enrollment ID: I20031120000799 |
| Provider Name | Gregg A Shivers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578502142 PECOS PAC ID: 6800792375 Enrollment ID: I20031208000654 |
| Provider Name | Steven Hopson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437155165 PECOS PAC ID: 0547166217 Enrollment ID: I20031211001005 |
| Provider Name | Ilene F Stephan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235253246 PECOS PAC ID: 8729988043 Enrollment ID: I20040112000520 |
| Provider Name | Frances Anagnost-holladay Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003894270 PECOS PAC ID: 9537061387 Enrollment ID: I20040122001078 |
| Provider Name | John Mincks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356305361 PECOS PAC ID: 9234023086 Enrollment ID: I20040211001201 |
| Provider Name | Mary E Cullom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275503864 PECOS PAC ID: 7517855844 Enrollment ID: I20040309000184 |
| Provider Name | John Thomas Janousek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871533992 PECOS PAC ID: 4789574823 Enrollment ID: I20040319001171 |
| Provider Name | William H Mcallister |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508843053 PECOS PAC ID: 1355233792 Enrollment ID: I20040329001209 |
| Provider Name | Scott F Reed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528028719 PECOS PAC ID: 0840282513 Enrollment ID: I20040401000908 |
| Provider Name | Robert Ralph Harding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285609115 PECOS PAC ID: 1951397041 Enrollment ID: I20040423000272 |
| Provider Name | Cheryl L Lawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548287188 PECOS PAC ID: 2961496781 Enrollment ID: I20040427001406 |
| Provider Name | Cheryl L Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215902069 PECOS PAC ID: 1951398999 Enrollment ID: I20040429001385 |
| Provider Name | Chittaranjan B Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871568071 PECOS PAC ID: 6406847334 Enrollment ID: I20040520000202 |
| Provider Name | Karl J Geddes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053372052 PECOS PAC ID: 6901897768 Enrollment ID: I20040520000482 |
| Provider Name | James Cornelius Spiller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750356960 PECOS PAC ID: 4688665441 Enrollment ID: I20040520000523 |
| Provider Name | Mark E Souther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104888692 PECOS PAC ID: 1850382656 Enrollment ID: I20040520000793 |
| Provider Name | Kimberly Ann Ratcliffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396706313 PECOS PAC ID: 7113918848 Enrollment ID: I20040521000199 |
| Provider Name | Denise Yvette Duhon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780646273 PECOS PAC ID: 5799766713 Enrollment ID: I20040526000764 |
| Provider Name | Stella Ekaette Bassey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821070475 PECOS PAC ID: 8123000387 Enrollment ID: I20040602001226 |
| Provider Name | Sarbjot S Dulai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013992593 PECOS PAC ID: 2769464619 Enrollment ID: I20040603001120 |
| Provider Name | Margaret Adeniji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730168600 PECOS PAC ID: 7012995830 Enrollment ID: I20040708001480 |
| Provider Name | Waring Trible |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043206238 PECOS PAC ID: 6608854914 Enrollment ID: I20040713000355 |
| Provider Name | Krystyna M Caratachea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811951585 PECOS PAC ID: 3577542471 Enrollment ID: I20040715000151 |
| Provider Name | Susan V Boyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417997073 PECOS PAC ID: 4789663691 Enrollment ID: I20040715000207 |
| Provider Name | Christopher M Kramer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528137148 PECOS PAC ID: 3971583329 Enrollment ID: I20040726000017 |
| Provider Name | Margaret E Renkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457338923 PECOS PAC ID: 4486624475 Enrollment ID: I20040728000183 |
| Provider Name | Lonniel Jason Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548309495 PECOS PAC ID: 1355311747 Enrollment ID: I20040731000361 |
| Provider Name | Klaus D Hagspiel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750430070 PECOS PAC ID: 8820060700 Enrollment ID: I20040811000270 |
| Provider Name | Mark A Titus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942204219 PECOS PAC ID: 9032184304 Enrollment ID: I20040831000167 |
| Provider Name | Henry J Reason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427017516 PECOS PAC ID: 8426024381 Enrollment ID: I20040902000852 |
| Provider Name | Alexander A Schult |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871573568 PECOS PAC ID: 7113993585 Enrollment ID: I20040908000417 |
| Provider Name | Lajuana M Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306829817 PECOS PAC ID: 3870552045 Enrollment ID: I20041005000480 |
| Provider Name | Steven P Greer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194788455 PECOS PAC ID: 8527027606 Enrollment ID: I20041005000610 |
| Provider Name | Peter A Sim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588855514 PECOS PAC ID: 2769441526 Enrollment ID: I20041007000164 |
| Provider Name | Laura E Mcaleer-leavey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063476513 PECOS PAC ID: 5193785343 Enrollment ID: I20041013000308 |
| Provider Name | Kanwarpreet S Saini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114935772 PECOS PAC ID: 3971565367 Enrollment ID: I20041028000412 |
| Provider Name | William P Irvin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1588628580 PECOS PAC ID: 4385608777 Enrollment ID: I20041116000309 |
| Provider Name | Dwight C Herbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114991015 PECOS PAC ID: 8921062985 Enrollment ID: I20041118000718 |
| Provider Name | David F Jones |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194712414 PECOS PAC ID: 0840256335 Enrollment ID: I20041207000193 |
| Provider Name | Lloyd J Kellam |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851386114 PECOS PAC ID: 2163489006 Enrollment ID: I20041213000782 |
| Provider Name | James L Mcdaniel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255326492 PECOS PAC ID: 4789641481 Enrollment ID: I20041214001020 |
| Provider Name | Alan H Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336118413 PECOS PAC ID: 6305804121 Enrollment ID: I20041228000052 |
| Provider Name | Mark G Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346225695 PECOS PAC ID: 0749238012 Enrollment ID: I20050104000707 |
| Provider Name | Shahwali Arezo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215975370 PECOS PAC ID: 6204884711 Enrollment ID: I20050113000204 |
| Provider Name | Lalani D Mccann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528038627 PECOS PAC ID: 3577514595 Enrollment ID: I20050208000322 |
| Provider Name | Saundra E Winstead |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477524825 PECOS PAC ID: 6901858398 Enrollment ID: I20050214000714 |
| Provider Name | Martha Mooney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902872203 PECOS PAC ID: 2466405188 Enrollment ID: I20050222000981 |
| Provider Name | Vickie Lynn Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639159353 PECOS PAC ID: 9638122773 Enrollment ID: I20050301000274 |
| Provider Name | Elsie C Mangano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649216615 PECOS PAC ID: 3971557976 Enrollment ID: I20050311000182 |
| Provider Name | Faisal A Almeflehi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497741268 PECOS PAC ID: 3678528635 Enrollment ID: I20050314000340 |
| Provider Name | Katherine C Haggerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700947769 PECOS PAC ID: 7911954425 Enrollment ID: I20050406001174 |
| Provider Name | Richard R Edwards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447246160 PECOS PAC ID: 7416994314 Enrollment ID: I20050412001261 |
| Provider Name | Allison P Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629111059 PECOS PAC ID: 7618916982 Enrollment ID: I20050426001149 |
| Provider Name | Candace L Ross Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649257106 PECOS PAC ID: 8729027636 Enrollment ID: I20050429000708 |
| Provider Name | Glynis M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013994573 PECOS PAC ID: 4486693306 Enrollment ID: I20050429000744 |
| Provider Name | Charles M Vaughan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144216987 PECOS PAC ID: 9133169410 Enrollment ID: I20050505000758 |
| Provider Name | Vladimir Alexander Karpov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962482018 PECOS PAC ID: 5698710119 Enrollment ID: I20050624000869 |
| Provider Name | Maya C Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285690388 PECOS PAC ID: 7416992763 Enrollment ID: I20050627001003 |
| Provider Name | Barbaro J Perez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528081569 PECOS PAC ID: 3375579626 Enrollment ID: I20050708000877 |
| Provider Name | Ray Edward Burger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255386439 PECOS PAC ID: 9537195045 Enrollment ID: I20050714001038 |
| Provider Name | Patrice L Pennyfeather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275597767 PECOS PAC ID: 0244266633 Enrollment ID: I20050718000350 |
| Provider Name | Tammy Hedspeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649265992 PECOS PAC ID: 8123929585 Enrollment ID: I20050726000345 |
| Provider Name | Eric J Chou |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982690772 PECOS PAC ID: 4789664665 Enrollment ID: I20050804001192 |
| Provider Name | Scott Burgess |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609854835 PECOS PAC ID: 4688633068 Enrollment ID: I20050805000279 |
| Provider Name | Emmeth Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467433607 PECOS PAC ID: 6406883586 Enrollment ID: I20050805000573 |
| Provider Name | Harry L Kraus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194711481 PECOS PAC ID: 3375573488 Enrollment ID: I20050818000413 |
| Provider Name | Andrew W Lewis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003893694 PECOS PAC ID: 0244264893 Enrollment ID: I20050922000695 |
| Provider Name | Kendall C Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346227790 PECOS PAC ID: 9234164666 Enrollment ID: I20051004000786 |
| Provider Name | Johanna D Larrazabal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588632574 PECOS PAC ID: 0749206472 Enrollment ID: I20051021000162 |
| Provider Name | Biral S Amin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972565315 PECOS PAC ID: 2961437041 Enrollment ID: I20051021000911 |
| Provider Name | David L Justis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053338699 PECOS PAC ID: 1052338993 Enrollment ID: I20051029000099 |
| Provider Name | Patrick T Norton |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467521096 PECOS PAC ID: 2961421896 Enrollment ID: I20051121000187 |
| Provider Name | Shawn A Flanagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558386086 PECOS PAC ID: 9032138821 Enrollment ID: I20051122000559 |
| Provider Name | Constance Cooke Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699792150 PECOS PAC ID: 7416977285 Enrollment ID: I20051123000320 |
| Provider Name | James W Mccorry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306990031 PECOS PAC ID: 2163443367 Enrollment ID: I20051215000619 |
| Provider Name | Linwood Paul Bosher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881689719 PECOS PAC ID: 0648292516 Enrollment ID: I20051221000024 |
| Provider Name | Edward Kuhnley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366443434 PECOS PAC ID: 2668494972 Enrollment ID: I20051230000227 |
| Provider Name | Charles R Kersh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629032628 PECOS PAC ID: 9537182217 Enrollment ID: I20060109000602 |
| Provider Name | Joseph D Layser |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477517845 PECOS PAC ID: 2466475165 Enrollment ID: I20060109000749 |
| Provider Name | Joseph J Piotrowski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992769459 PECOS PAC ID: 4981627155 Enrollment ID: I20060113000453 |
| Provider Name | Lori K Gillespie |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548225337 PECOS PAC ID: 7012921042 Enrollment ID: I20060130000516 |
| Provider Name | Daniel M Muench |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669442299 PECOS PAC ID: 8325053986 Enrollment ID: I20060217000619 |
| Provider Name | Peter Thomas Galantich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457321515 PECOS PAC ID: 5991711491 Enrollment ID: I20060221000465 |
| Provider Name | Joseph F Rowe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679555627 PECOS PAC ID: 0042220089 Enrollment ID: I20060504000501 |
| Provider Name | Grace A Hutcheson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083652796 PECOS PAC ID: 1254342835 Enrollment ID: I20060510000422 |
| Provider Name | Gary Fredericksen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629035225 PECOS PAC ID: 0840202487 Enrollment ID: I20060622000116 |
| Provider Name | Michael J Francis |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1790745339 PECOS PAC ID: 1456354406 Enrollment ID: I20060814000293 |
| Provider Name | Gary A Tanner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851364772 PECOS PAC ID: 9335143213 Enrollment ID: I20060907000278 |
| Provider Name | Lisa Marie Knust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336179134 PECOS PAC ID: 6608870589 Enrollment ID: I20060907000279 |
| Provider Name | Emily Chaikin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912930181 PECOS PAC ID: 1951305861 Enrollment ID: I20060907000490 |
| Provider Name | Matthew D Reed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790753564 PECOS PAC ID: 3870560345 Enrollment ID: I20060920000439 |
| Provider Name | Paul L Evans |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1417985433 PECOS PAC ID: 7012912645 Enrollment ID: I20061003000395 |
| Provider Name | Diane A Maddela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588693287 PECOS PAC ID: 9335145010 Enrollment ID: I20061020000240 |
| Provider Name | Joseph K King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457303778 PECOS PAC ID: 8022015643 Enrollment ID: I20061024000475 |
| Provider Name | Norma Lee Jones-ives |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609814466 PECOS PAC ID: 6305843681 Enrollment ID: I20061030000293 |
| Provider Name | Joanne Elizabeth Lapetina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598723983 PECOS PAC ID: 5294732442 Enrollment ID: I20061031000365 |
| Provider Name | Kamel Ben Othmane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316966328 PECOS PAC ID: 3072511427 Enrollment ID: I20061117000391 |
| Provider Name | Ryan G Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568430841 PECOS PAC ID: 7810902228 Enrollment ID: I20061120000159 |
| Provider Name | Sudershan Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184656837 PECOS PAC ID: 2062410939 Enrollment ID: I20061201000452 |
| Provider Name | Abla A Awadh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548282676 PECOS PAC ID: 5395743272 Enrollment ID: I20061201000501 |
| Provider Name | Muhammad Asif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043242654 PECOS PAC ID: 9234138132 Enrollment ID: I20061204000011 |
| Provider Name | William Robert Stallings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366473860 PECOS PAC ID: 8022017854 Enrollment ID: I20061205000442 |
| Provider Name | Denise Z Harrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073579470 PECOS PAC ID: 3577548767 Enrollment ID: I20061206000016 |
| Provider Name | Javier Amadeo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396784690 PECOS PAC ID: 1153215686 Enrollment ID: I20061214000526 |
| Provider Name | Meenal D Dwyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740387521 PECOS PAC ID: 5092716993 Enrollment ID: I20070119000214 |
| Provider Name | Peter Zullo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043393580 PECOS PAC ID: 6507867868 Enrollment ID: I20070130000041 |
| Provider Name | Robert D Cross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053493569 PECOS PAC ID: 1759382039 Enrollment ID: I20070130000145 |
| Provider Name | William R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497720320 PECOS PAC ID: 6800898677 Enrollment ID: I20070207000262 |
| Provider Name | John N Livingstone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841219888 PECOS PAC ID: 4880624832 Enrollment ID: I20070305000242 |
| Provider Name | George Albert Maclaren |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750464434 PECOS PAC ID: 0042312431 Enrollment ID: I20070305000278 |
| Provider Name | Hugh H Hemsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144264474 PECOS PAC ID: 2961403621 Enrollment ID: I20070319000232 |
| Provider Name | Shafqat H Ashai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386613735 PECOS PAC ID: 9133022833 Enrollment ID: I20070320000179 |
| Provider Name | Frederick A Patterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871516880 PECOS PAC ID: 4183727639 Enrollment ID: I20070321000419 |
| Provider Name | Jeff Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841217445 PECOS PAC ID: 4385748839 Enrollment ID: I20070322000572 |
| Provider Name | Mark E Chisam |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053381251 PECOS PAC ID: 4486758455 Enrollment ID: I20070330000472 |
| Provider Name | Mark P Moniz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528067014 PECOS PAC ID: 1658476759 Enrollment ID: I20070418000452 |
| Provider Name | Pierre Thomas Martin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225010143 PECOS PAC ID: 5395636054 Enrollment ID: I20070430000472 |
| Provider Name | Vincent D Mertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942319231 PECOS PAC ID: 5890891345 Enrollment ID: I20070501000114 |
| Provider Name | Shawke A Soueidan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093787376 PECOS PAC ID: 8820194947 Enrollment ID: I20070507000628 |
| Provider Name | Kermit A Lloyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851325328 PECOS PAC ID: 5890891659 Enrollment ID: I20070511000072 |
| Provider Name | Daniel J Valaik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619926987 PECOS PAC ID: 1153312830 Enrollment ID: I20070525000225 |
| Provider Name | Romney Christian Andersen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629173653 PECOS PAC ID: 6002913043 Enrollment ID: I20070525000253 |
| Provider Name | Patrick N. Harding |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467424556 PECOS PAC ID: 7517065048 Enrollment ID: I20070607000252 |
| Provider Name | Christopher A Haas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114942661 PECOS PAC ID: 9234155714 Enrollment ID: I20070620000406 |
| Provider Name | Gary S Kavit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467559245 PECOS PAC ID: 7416056031 Enrollment ID: I20070622000320 |
| Provider Name | Janice G Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730154501 PECOS PAC ID: 6204935828 Enrollment ID: I20070622000347 |
| Provider Name | Gregory Nmi Bass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265457618 PECOS PAC ID: 8921107541 Enrollment ID: I20070622000353 |
| Provider Name | James A Fish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316964885 PECOS PAC ID: 5092815191 Enrollment ID: I20070702000445 |
| Provider Name | James R Dudley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932126489 PECOS PAC ID: 9234192493 Enrollment ID: I20070706000163 |
| Provider Name | Henry Melton Prillaman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740268853 PECOS PAC ID: 4385744101 Enrollment ID: I20070710000225 |
| Provider Name | Hernani A Valerio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093932444 PECOS PAC ID: 2264532993 Enrollment ID: I20070711000261 |
| Provider Name | Anthony P Lombardo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801008420 PECOS PAC ID: 0648371120 Enrollment ID: I20070727000494 |
| Provider Name | Shonna Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679776728 PECOS PAC ID: 7012008659 Enrollment ID: I20070810000316 |
| Provider Name | Jamieson M Bourque |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487866331 PECOS PAC ID: 3173614559 Enrollment ID: I20070814000841 |
| Provider Name | Brian J Billings |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336125194 PECOS PAC ID: 9335142223 Enrollment ID: I20070815000407 |
| Provider Name | Paul A Sutherland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578574505 PECOS PAC ID: 4284606237 Enrollment ID: I20070824000466 |
| Provider Name | Jennifer Real |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598779191 PECOS PAC ID: 6608884267 Enrollment ID: I20070827000409 |
| Provider Name | Thomas L Cleary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275739070 PECOS PAC ID: 7911099627 Enrollment ID: I20070827000445 |
| Provider Name | Frederick M Gessner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255335519 PECOS PAC ID: 2365535705 Enrollment ID: I20070830000675 |
| Provider Name | John W Boyd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477558229 PECOS PAC ID: 6709979149 Enrollment ID: I20070830000690 |
| Provider Name | Edward Senu-oke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316990864 PECOS PAC ID: 1951317080 Enrollment ID: I20070911000421 |
| Provider Name | Imran Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689889511 PECOS PAC ID: 1355434911 Enrollment ID: I20070912000677 |
| Provider Name | Anthony J Caterine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952459638 PECOS PAC ID: 7810081130 Enrollment ID: I20070918000308 |
| Provider Name | Todd W Geisert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154354231 PECOS PAC ID: 1951496165 Enrollment ID: I20071003000385 |
| Provider Name | Joel V Mabalot |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881782233 PECOS PAC ID: 7911093729 Enrollment ID: I20071009000855 |
| Provider Name | Emad S Mohamed Khalil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255536728 PECOS PAC ID: 4688760010 Enrollment ID: I20071017000423 |
| Provider Name | Clay Singleton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851581771 PECOS PAC ID: 6901992825 Enrollment ID: I20071023000376 |
| Provider Name | Jennifer K Gadams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598742009 PECOS PAC ID: 8628165735 Enrollment ID: I20071106000145 |
| Provider Name | Sarah E West |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1629149083 PECOS PAC ID: 4981792983 Enrollment ID: I20071108000242 |
| Provider Name | Dana Jean Keys Frezzell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215934906 PECOS PAC ID: 0143209569 Enrollment ID: I20071113000796 |
| Provider Name | Kenneth W Putland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063486967 PECOS PAC ID: 1951491687 Enrollment ID: I20071219000285 |
| Provider Name | Steven G Spellman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316911290 PECOS PAC ID: 8426138652 Enrollment ID: I20071231000177 |
| Provider Name | Carrie Moss |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1760446066 PECOS PAC ID: 9335229566 Enrollment ID: I20071231000178 |
| Provider Name | Sterling N Ransone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003873662 PECOS PAC ID: 8224118468 Enrollment ID: I20071231000212 |
| Provider Name | Karen A Ransone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952368599 PECOS PAC ID: 3577643717 Enrollment ID: I20071231000227 |
| Provider Name | Mark Woodward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699752113 PECOS PAC ID: 9133209398 Enrollment ID: I20071231000398 |
| Provider Name | Robert J Orlino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649245846 PECOS PAC ID: 3476633595 Enrollment ID: I20080102000298 |
| Provider Name | Brian L Moylan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659332302 PECOS PAC ID: 0446330575 Enrollment ID: I20080102000408 |
| Provider Name | Mark A Ross |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659335644 PECOS PAC ID: 0941380083 Enrollment ID: I20080102000467 |
| Provider Name | Charles K Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821089905 PECOS PAC ID: 3375623416 Enrollment ID: I20080102000484 |
| Provider Name | Robert G Elgin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235116807 PECOS PAC ID: 1557441441 Enrollment ID: I20080104000246 |
| Provider Name | Denise Chamblee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437136009 PECOS PAC ID: 2860572757 Enrollment ID: I20080104000284 |
| Provider Name | Barry L Gross |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235193210 PECOS PAC ID: 6103906003 Enrollment ID: I20080104000301 |
| Provider Name | Brian M Keel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720065394 PECOS PAC ID: 8527148444 Enrollment ID: I20080104000459 |
| Provider Name | Carla Sappenfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346227923 PECOS PAC ID: 1951481720 Enrollment ID: I20080107000755 |
| Provider Name | Lisa A Casanova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154385706 PECOS PAC ID: 9335229954 Enrollment ID: I20080108000508 |
| Provider Name | Jeffrey L Henke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649237231 PECOS PAC ID: 3274613898 Enrollment ID: I20080108000542 |
| Provider Name | Robert S Winfield |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881658318 PECOS PAC ID: 2769562313 Enrollment ID: I20080108000758 |
| Provider Name | Stanley D Yeatts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194792564 PECOS PAC ID: 1658451190 Enrollment ID: I20080109000434 |
| Provider Name | Teresa Mcconaughy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285625368 PECOS PAC ID: 7618058058 Enrollment ID: I20080111000285 |
| Provider Name | Paul Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790776763 PECOS PAC ID: 9133200579 Enrollment ID: I20080111000314 |
| Provider Name | Sharon Petitjean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731301 PECOS PAC ID: 2264513100 Enrollment ID: I20080116000538 |
| Provider Name | Steven E Kitay |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760452809 PECOS PAC ID: 9638252273 Enrollment ID: I20080206000084 |
| Provider Name | Natalie A Barron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366433443 PECOS PAC ID: 5496839110 Enrollment ID: I20080219000849 |
| Provider Name | Debra Boyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184615262 PECOS PAC ID: 9234213778 Enrollment ID: I20080222000290 |
| Provider Name | Robert D Cullom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467439042 PECOS PAC ID: 9234214420 Enrollment ID: I20080312000366 |
| Provider Name | Curtis D Givens |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407957343 PECOS PAC ID: 1759381502 Enrollment ID: I20080312000375 |
| Provider Name | Eric A Weiner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982601993 PECOS PAC ID: 8921008772 Enrollment ID: I20080312000378 |
| Provider Name | John D Grizzard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629172861 PECOS PAC ID: 0648356519 Enrollment ID: I20080318000880 |
| Provider Name | Dennis M Oneill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639160716 PECOS PAC ID: 6709962681 Enrollment ID: I20080319000040 |
| Provider Name | Donald N Tschan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962463240 PECOS PAC ID: 0446336762 Enrollment ID: I20080327000383 |
| Provider Name | Scott W Hines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194799486 PECOS PAC ID: 8628155512 Enrollment ID: I20080402000424 |
| Provider Name | Michael P Hagan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861467003 PECOS PAC ID: 3971680356 Enrollment ID: I20080409000548 |
| Provider Name | Leana S Long |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104893528 PECOS PAC ID: 2365415080 Enrollment ID: I20080414000108 |
| Provider Name | Beth Scharlop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508891565 PECOS PAC ID: 3173600244 Enrollment ID: I20080414000633 |
| Provider Name | Camelia Pana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851397343 PECOS PAC ID: 9537054283 Enrollment ID: I20080501000431 |
| Provider Name | Robert E Stambaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780651919 PECOS PAC ID: 0840379582 Enrollment ID: I20080506000458 |
| Provider Name | Elizabeth Reinoehl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023093697 PECOS PAC ID: 6800805714 Enrollment ID: I20080509000252 |
| Provider Name | Lisa C Jenkins Haynie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811975162 PECOS PAC ID: 1658440243 Enrollment ID: I20080522000245 |
| Provider Name | Thaddeus G Sutton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558321349 PECOS PAC ID: 9638248040 Enrollment ID: I20080527000076 |
| Provider Name | Richard D Bagnall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003803149 PECOS PAC ID: 1557430964 Enrollment ID: I20080527000152 |
| Provider Name | Brian K Cubbage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013904168 PECOS PAC ID: 3274602693 Enrollment ID: I20080527000164 |
| Provider Name | Teresa K Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245207257 PECOS PAC ID: 5395815260 Enrollment ID: I20080604000154 |
| Provider Name | William L Newcomb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871519116 PECOS PAC ID: 2668478728 Enrollment ID: I20080612000404 |
| Provider Name | Joseph O Converse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669485330 PECOS PAC ID: 8224014451 Enrollment ID: I20080616000761 |
| Provider Name | Huy Anthony Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235316936 PECOS PAC ID: 0547331688 Enrollment ID: I20080618000272 |
| Provider Name | Vasudev G Ananthram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972570349 PECOS PAC ID: 7315952322 Enrollment ID: I20080625000281 |
| Provider Name | John Wilton Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750387288 PECOS PAC ID: 2163594227 Enrollment ID: I20080707000237 |
| Provider Name | Vishwas Jitendrabahai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174793335 PECOS PAC ID: 0143392803 Enrollment ID: I20080712000108 |
| Provider Name | Melisha Bissram |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942417183 PECOS PAC ID: 9133292642 Enrollment ID: I20080722000767 |
| Provider Name | Nicole J Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124289442 PECOS PAC ID: 3375616253 Enrollment ID: I20080725000276 |
| Provider Name | Dana D Covington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245491356 PECOS PAC ID: 9133294838 Enrollment ID: I20080814000464 |
| Provider Name | Jeanne Quarles Brooks |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306804844 PECOS PAC ID: 1254357858 Enrollment ID: I20080819000887 |
| Provider Name | Dean E Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417123324 PECOS PAC ID: 2567537764 Enrollment ID: I20080822000538 |
| Provider Name | Siddharth Khanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225238611 PECOS PAC ID: 8628144433 Enrollment ID: I20080902000374 |
| Provider Name | David H Alpert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972529840 PECOS PAC ID: 7113093865 Enrollment ID: I20080904000365 |
| Provider Name | Rebecca Vander Stouwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619149911 PECOS PAC ID: 5395811566 Enrollment ID: I20080912000069 |
| Provider Name | Brooke B Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346455235 PECOS PAC ID: 8123194313 Enrollment ID: I20080912000241 |
| Provider Name | Nadia C Shockley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952367195 PECOS PAC ID: 6507932704 Enrollment ID: I20080912000310 |
| Provider Name | Michael M Abatzis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346254646 PECOS PAC ID: 2769481449 Enrollment ID: I20080915000535 |
| Provider Name | Shawna J Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174594261 PECOS PAC ID: 4183791478 Enrollment ID: I20080929000613 |
| Provider Name | David J Connito |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861449704 PECOS PAC ID: 1850469917 Enrollment ID: I20081003000030 |
| Provider Name | John Gretes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043248453 PECOS PAC ID: 5991722084 Enrollment ID: I20081003000045 |
| Provider Name | Robert Joseph Pusateri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780631622 PECOS PAC ID: 9234207044 Enrollment ID: I20081007000450 |
| Provider Name | David Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437138559 PECOS PAC ID: 5597843029 Enrollment ID: I20081028000515 |
| Provider Name | Thomas A Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629081716 PECOS PAC ID: 1052397734 Enrollment ID: I20081103000754 |
| Provider Name | Das B Narayan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124229422 PECOS PAC ID: 9234299348 Enrollment ID: I20081119000644 |
| Provider Name | Joseph T Adinaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598842791 PECOS PAC ID: 8325108905 Enrollment ID: I20081201000197 |
| Provider Name | Theresa G Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831300888 PECOS PAC ID: 3971665852 Enrollment ID: I20081231000404 |
| Provider Name | Amit R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023223856 PECOS PAC ID: 6103985353 Enrollment ID: I20090106000662 |
| Provider Name | Vincent J Stravino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639204779 PECOS PAC ID: 6901980093 Enrollment ID: I20090106000792 |
| Provider Name | Thomas Wesley Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619985926 PECOS PAC ID: 0042294704 Enrollment ID: I20090122000238 |
| Provider Name | Diane M Semizian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548461957 PECOS PAC ID: 2264596832 Enrollment ID: I20090126000601 |
| Provider Name | Paul J Micale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316933195 PECOS PAC ID: 8224011739 Enrollment ID: I20090129000631 |
| Provider Name | Alaa Eldin M Mahmoud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699736876 PECOS PAC ID: 2567527435 Enrollment ID: I20090210000711 |
| Provider Name | Rafic H Zaitoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588651228 PECOS PAC ID: 2860556560 Enrollment ID: I20090217000150 |
| Provider Name | Edward Chu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487640272 PECOS PAC ID: 6305829813 Enrollment ID: I20090217000168 |
| Provider Name | William O Harris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952397630 PECOS PAC ID: 5496738908 Enrollment ID: I20090217000203 |
| Provider Name | Amy E Balka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750344891 PECOS PAC ID: 3870659998 Enrollment ID: I20090225000469 |
| Provider Name | Carl Gibson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003888264 PECOS PAC ID: 7416013289 Enrollment ID: I20090303000131 |
| Provider Name | Charles G Lockhart |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972559052 PECOS PAC ID: 1658428057 Enrollment ID: I20090421000568 |
| Provider Name | Brian D Peak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831338763 PECOS PAC ID: 1951459742 Enrollment ID: I20090505000358 |
| Provider Name | Darlene S Ewton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730154956 PECOS PAC ID: 3375692486 Enrollment ID: I20090520000392 |
| Provider Name | Michael Dee Mcmullin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609877562 PECOS PAC ID: 0446257075 Enrollment ID: I20090617000273 |
| Provider Name | Hoskote Nagraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548217854 PECOS PAC ID: 6507932910 Enrollment ID: I20090617000423 |
| Provider Name | Nehemiah Thrash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639332729 PECOS PAC ID: 1153472444 Enrollment ID: I20090626000190 |
| Provider Name | Wilford I Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255594719 PECOS PAC ID: 9638237100 Enrollment ID: I20090706000301 |
| Provider Name | Troy Dean Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124229513 PECOS PAC ID: 3274684030 Enrollment ID: I20090708000159 |
| Provider Name | Elena C Garrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114138500 PECOS PAC ID: 7416008271 Enrollment ID: I20090708000198 |
| Provider Name | Sohini Majumdar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780886838 PECOS PAC ID: 3577615038 Enrollment ID: I20090714000297 |
| Provider Name | Donna Lynn Lamarque-ambrose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891824041 PECOS PAC ID: 0547312001 Enrollment ID: I20090714000333 |
| Provider Name | Keyur B Shah |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1396886362 PECOS PAC ID: 5991857336 Enrollment ID: I20090716000416 |
| Provider Name | Pamela Mary Loveland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548324619 PECOS PAC ID: 4082767959 Enrollment ID: I20090727000092 |
| Provider Name | Yared Terefe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811104425 PECOS PAC ID: 3072680594 Enrollment ID: I20090727000631 |
| Provider Name | Jawwad J Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457553570 PECOS PAC ID: 6709939036 Enrollment ID: I20090803000740 |
| Provider Name | Francisco X Valls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629044193 PECOS PAC ID: 6901829928 Enrollment ID: I20090803000741 |
| Provider Name | Frank L Nuar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154356350 PECOS PAC ID: 5193879807 Enrollment ID: I20090814000329 |
| Provider Name | Mary V Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093842221 PECOS PAC ID: 9830244987 Enrollment ID: I20090826000278 |
| Provider Name | Melvin Dennis Schursky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033325709 PECOS PAC ID: 3678628039 Enrollment ID: I20090908000673 |
| Provider Name | James E Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013994409 PECOS PAC ID: 4981740230 Enrollment ID: I20090930000383 |
| Provider Name | Adel A Boulos-mikhaiel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487803086 PECOS PAC ID: 0042371320 Enrollment ID: I20091006000346 |
| Provider Name | Emily Eleanor Schley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154589299 PECOS PAC ID: 6406993534 Enrollment ID: I20091022000345 |
| Provider Name | Mitra Sahebazamani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780814392 PECOS PAC ID: 3476691353 Enrollment ID: I20091113000182 |
| Provider Name | Kyaw T Zaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467655076 PECOS PAC ID: 0345389680 Enrollment ID: I20091130000530 |
| Provider Name | Maxwell O Senu-oke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245449990 PECOS PAC ID: 7810036837 Enrollment ID: I20091204000472 |
| Provider Name | Rahel T Amare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982618211 PECOS PAC ID: 8325134653 Enrollment ID: I20091210000137 |
| Provider Name | Elise M French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780910216 PECOS PAC ID: 8224178868 Enrollment ID: I20091212000042 |
| Provider Name | Warren P Weixler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376514042 PECOS PAC ID: 6709943178 Enrollment ID: I20091214000118 |
| Provider Name | Tammy O Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720314883 PECOS PAC ID: 5294875282 Enrollment ID: I20091223000323 |
| Provider Name | Christopher J Mueller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912992256 PECOS PAC ID: 4880735018 Enrollment ID: I20100109000008 |
| Provider Name | Mark Scialabba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851343222 PECOS PAC ID: 8628089034 Enrollment ID: I20100201000363 |
| Provider Name | Robert M Paschall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164417499 PECOS PAC ID: 9133200603 Enrollment ID: I20100217000643 |
| Provider Name | Donna B Allen-peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386843548 PECOS PAC ID: 9537203245 Enrollment ID: I20100218000759 |
| Provider Name | Charles R Goldstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871520379 PECOS PAC ID: 0547305484 Enrollment ID: I20100303000963 |
| Provider Name | Latanya Denise Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972541050 PECOS PAC ID: 6608901301 Enrollment ID: I20100319000720 |
| Provider Name | Todd A Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528141066 PECOS PAC ID: 7315072899 Enrollment ID: I20100323000467 |
| Provider Name | Angela Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508188608 PECOS PAC ID: 8426187782 Enrollment ID: I20100525000244 |
| Provider Name | David Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427041656 PECOS PAC ID: 5991837262 Enrollment ID: I20100722000143 |
| Provider Name | Heather Y Wentworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770516619 PECOS PAC ID: 4981507282 Enrollment ID: I20100723000769 |
| Provider Name | Martin A Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053343160 PECOS PAC ID: 3476456872 Enrollment ID: I20100728000523 |
| Provider Name | Aida Atiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578768735 PECOS PAC ID: 3577696483 Enrollment ID: I20100729000116 |
| Provider Name | Timothy M Powell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316168990 PECOS PAC ID: 7416080023 Enrollment ID: I20100803000986 |
| Provider Name | Daniel D Munn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063474898 PECOS PAC ID: 7012040322 Enrollment ID: I20100805001053 |
| Provider Name | Jeremy P Siegrist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952509390 PECOS PAC ID: 6507999703 Enrollment ID: I20100809000050 |
| Provider Name | Jackson B. Salvant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174593164 PECOS PAC ID: 7315071388 Enrollment ID: I20100812000250 |
| Provider Name | Alex Zawoloka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750544144 PECOS PAC ID: 0143354159 Enrollment ID: I20100812000765 |
| Provider Name | Eduardo Jose Menjivar Flores |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306032313 PECOS PAC ID: 7416081989 Enrollment ID: I20100819000357 |
| Provider Name | Kristina Cohen Hathorn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992903579 PECOS PAC ID: 0648394247 Enrollment ID: I20100903000340 |
| Provider Name | Iryna Aberkorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780846071 PECOS PAC ID: 7810011426 Enrollment ID: I20100903000469 |
| Provider Name | Seong Joo Jeong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538240072 PECOS PAC ID: 6507981313 Enrollment ID: I20100916001296 |
| Provider Name | Victor Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821251943 PECOS PAC ID: 3577688381 Enrollment ID: I20100916001315 |
| Provider Name | Khalid Rashid Rana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740260496 PECOS PAC ID: 6305871864 Enrollment ID: I20100922000437 |
| Provider Name | Paul Guarino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437204302 PECOS PAC ID: 8527155290 Enrollment ID: I20100927001460 |
| Provider Name | Janet Hudgins Dehoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215932025 PECOS PAC ID: 8729270145 Enrollment ID: I20101004001179 |
| Provider Name | Jeffrey E Harris |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225098213 PECOS PAC ID: 5294804464 Enrollment ID: I20101018000708 |
| Provider Name | Daniel M Kluger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245200062 PECOS PAC ID: 7012086283 Enrollment ID: I20101018000876 |
| Provider Name | Daniel C Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568401610 PECOS PAC ID: 2769554567 Enrollment ID: I20101025000566 |
| Provider Name | Jeffrey A Kaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457664245 PECOS PAC ID: 2264627728 Enrollment ID: I20101109001498 |
| Provider Name | Vikram K Aleti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861589897 PECOS PAC ID: 4284759150 Enrollment ID: I20101122001371 |
| Provider Name | Sharon Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982671228 PECOS PAC ID: 1052213618 Enrollment ID: I20101129000285 |
| Provider Name | Nabeel A Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205968732 PECOS PAC ID: 1759579972 Enrollment ID: I20110103000483 |
| Provider Name | Amy James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831425578 PECOS PAC ID: 2163611377 Enrollment ID: I20110104000529 |
| Provider Name | Ashish Behl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477761534 PECOS PAC ID: 2668569047 Enrollment ID: I20110112000766 |
| Provider Name | Alan Simeone |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760563613 PECOS PAC ID: 9032182019 Enrollment ID: I20110128000820 |
| Provider Name | Lauren Pate Lehmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447213210 PECOS PAC ID: 4880874742 Enrollment ID: I20110209000698 |
| Provider Name | Paul D Osborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063480465 PECOS PAC ID: 6103006960 Enrollment ID: I20110210000802 |
| Provider Name | Jason T Garrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902875081 PECOS PAC ID: 1759561517 Enrollment ID: I20110210000904 |
| Provider Name | Barbara E Simpson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790993244 PECOS PAC ID: 6901087956 Enrollment ID: I20110223000732 |
| Provider Name | Tushar Umakant Gajjar |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1205860533 PECOS PAC ID: 3072795350 Enrollment ID: I20110308000410 |
| Provider Name | Virginia W Gale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225147895 PECOS PAC ID: 6204019839 Enrollment ID: I20110321000011 |
| Provider Name | Bradley Touchet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962421636 PECOS PAC ID: 6002881281 Enrollment ID: I20110404000590 |
| Provider Name | Stuart Shippey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447236906 PECOS PAC ID: 1658376876 Enrollment ID: I20110405001129 |
| Provider Name | Charlie Micah Faulk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336225689 PECOS PAC ID: 4082898994 Enrollment ID: I20110418000222 |
| Provider Name | David T Carpenter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598736100 PECOS PAC ID: 1052596103 Enrollment ID: I20110505000000 |
| Provider Name | Nurudeen S Lawani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689837700 PECOS PAC ID: 0042340002 Enrollment ID: I20110524000461 |
| Provider Name | Victorious White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497065833 PECOS PAC ID: 3173700283 Enrollment ID: I20110526000521 |
| Provider Name | Steven J Hospodar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861615775 PECOS PAC ID: 5496804684 Enrollment ID: I20110526000828 |
| Provider Name | Samuel C Umesegha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891826202 PECOS PAC ID: 6204928666 Enrollment ID: I20110527000584 |
| Provider Name | Robert C Cajes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073776027 PECOS PAC ID: 2264619212 Enrollment ID: I20110531000756 |
| Provider Name | Jennifer Bell Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508157272 PECOS PAC ID: 4486831336 Enrollment ID: I20110602000325 |
| Provider Name | Kanhaiyalal Trivedi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538120233 PECOS PAC ID: 9032215728 Enrollment ID: I20110616000034 |
| Provider Name | Dean B Kostov |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154528776 PECOS PAC ID: 7214115419 Enrollment ID: I20110616000547 |
| Provider Name | Hugh Alexander Watkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699899625 PECOS PAC ID: 7416125737 Enrollment ID: I20110712000492 |
| Provider Name | Amanda Victoria Chance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063672988 PECOS PAC ID: 0446428114 Enrollment ID: I20110725000099 |
| Provider Name | Hem L Bhardwaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417164633 PECOS PAC ID: 4789853094 Enrollment ID: I20110802000832 |
| Provider Name | Vanitha S Sivakumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649433699 PECOS PAC ID: 9335318294 Enrollment ID: I20110810000076 |
| Provider Name | Frances H Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942593892 PECOS PAC ID: 5991974644 Enrollment ID: I20110815000110 |
| Provider Name | Tyler C Wind |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669561171 PECOS PAC ID: 3971774472 Enrollment ID: I20110913000657 |
| Provider Name | Mwiza Gausi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750688651 PECOS PAC ID: 9133390420 Enrollment ID: I20110916000374 |
| Provider Name | William A Hackworth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467669721 PECOS PAC ID: 3375714306 Enrollment ID: I20110922000306 |
| Provider Name | Hamilton Lewis Bice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801056668 PECOS PAC ID: 2466624192 Enrollment ID: I20110930000403 |
| Provider Name | Sheba H Mohsin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225290679 PECOS PAC ID: 4385817030 Enrollment ID: I20111025000913 |
| Provider Name | Narayan Bhetwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841418506 PECOS PAC ID: 9032205042 Enrollment ID: I20111206000522 |
| Provider Name | Amy L Vocu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073898623 PECOS PAC ID: 6103091897 Enrollment ID: I20111207000755 |
| Provider Name | Larry F Weisner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841252459 PECOS PAC ID: 8921197617 Enrollment ID: I20111214000119 |
| Provider Name | Wolfgang Leesch |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1255453320 PECOS PAC ID: 7911174016 Enrollment ID: I20120112000365 |
| Provider Name | David B Maxwell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245290907 PECOS PAC ID: 9335316033 Enrollment ID: I20120120000570 |
| Provider Name | Lauren F Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700153913 PECOS PAC ID: 3173790516 Enrollment ID: I20120125000555 |
| Provider Name | Jennifer H Salch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184634909 PECOS PAC ID: 4880690817 Enrollment ID: I20120130000001 |
| Provider Name | Aaron D Bleznak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619984242 PECOS PAC ID: 6103892815 Enrollment ID: I20120217000005 |
| Provider Name | Rhonda T Sproles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386656486 PECOS PAC ID: 5193983260 Enrollment ID: I20120221000214 |
| Provider Name | Eric B Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114917218 PECOS PAC ID: 3072773522 Enrollment ID: I20120321000361 |
| Provider Name | Jeanette M Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154694065 PECOS PAC ID: 8729249149 Enrollment ID: I20120411000881 |
| Provider Name | Jonathan Evan Marcus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619002888 PECOS PAC ID: 2769573849 Enrollment ID: I20120418000521 |
| Provider Name | Ashutosh Subhash Naniwadekar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033313614 PECOS PAC ID: 6002079001 Enrollment ID: I20120531000003 |
| Provider Name | Megan Mcgavern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013095892 PECOS PAC ID: 0547423543 Enrollment ID: I20120531000009 |
| Provider Name | Jennifer P Reason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376706713 PECOS PAC ID: 7618130626 Enrollment ID: I20120531000047 |
| Provider Name | Hardik Vora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972746881 PECOS PAC ID: 5496919250 Enrollment ID: I20120607000641 |
| Provider Name | Lara P Bonner Millar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336354745 PECOS PAC ID: 0244494789 Enrollment ID: I20120612000566 |
| Provider Name | Krystal E Ainsley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588890545 PECOS PAC ID: 4082878319 Enrollment ID: I20120615000517 |
| Provider Name | Courtney Zydron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346483567 PECOS PAC ID: 1850558602 Enrollment ID: I20120625000681 |
| Provider Name | Un C Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003076696 PECOS PAC ID: 3870758808 Enrollment ID: I20120626000147 |
| Provider Name | Jayne Hee Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740444751 PECOS PAC ID: 5698842094 Enrollment ID: I20120626000403 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20120706000603 |
| Provider Name | Ernest F Zichal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952613838 PECOS PAC ID: 0648436188 Enrollment ID: I20120726000765 |
| Provider Name | Leila K Mufdi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285846568 PECOS PAC ID: 8325114085 Enrollment ID: I20120804000142 |
| Provider Name | Zachary M Gertz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457414849 PECOS PAC ID: 6406912534 Enrollment ID: I20120807000654 |
| Provider Name | Jun Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780805077 PECOS PAC ID: 1456508654 Enrollment ID: I20120822000815 |
| Provider Name | Alexander O Ogedegbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407015126 PECOS PAC ID: 8224285390 Enrollment ID: I20120823000929 |
| Provider Name | Darine A Moukalled |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982867065 PECOS PAC ID: 9931356003 Enrollment ID: I20120823000957 |
| Provider Name | Monilla M Dent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851554968 PECOS PAC ID: 6002063104 Enrollment ID: I20120824000249 |
| Provider Name | Tania E Jacobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598020166 PECOS PAC ID: 4587811625 Enrollment ID: I20120824000689 |
| Provider Name | John Emery Alex |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609950799 PECOS PAC ID: 1052562600 Enrollment ID: I20121108000327 |
| Provider Name | Melissa C Smallfield |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1043394240 PECOS PAC ID: 8426239344 Enrollment ID: I20121113000782 |
| Provider Name | Megan Johnson Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558611533 PECOS PAC ID: 9739331513 Enrollment ID: I20121129000495 |
| Provider Name | Margaret O Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20130122000388 |
| Provider Name | Faullin Marshall Paletsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548383086 PECOS PAC ID: 9133160740 Enrollment ID: I20130221000313 |
| Provider Name | Meghan L Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457696155 PECOS PAC ID: 5597910489 Enrollment ID: I20130226000293 |
| Provider Name | Christianne M Clifford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124256615 PECOS PAC ID: 6709031032 Enrollment ID: I20130312000384 |
| Provider Name | Robert G Strange |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275623175 PECOS PAC ID: 8729223516 Enrollment ID: I20130327000308 |
| Provider Name | Lisa Marie Dodd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548580939 PECOS PAC ID: 3476798281 Enrollment ID: I20130327000511 |
| Provider Name | Matthew R Herron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275783722 PECOS PAC ID: 0446305437 Enrollment ID: I20130328000155 |
| Provider Name | Ingrid E Fincher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265774012 PECOS PAC ID: 7416193784 Enrollment ID: I20130412000038 |
| Provider Name | Jullette Saussy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730210725 PECOS PAC ID: 4587789953 Enrollment ID: I20130424001089 |
| Provider Name | Allison G Cale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063753812 PECOS PAC ID: 9234376765 Enrollment ID: I20130430000673 |
| Provider Name | Joel M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407838246 PECOS PAC ID: 3971494691 Enrollment ID: I20130626000276 |
| Provider Name | Kim W Liebold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912151028 PECOS PAC ID: 4486893286 Enrollment ID: I20130626000944 |
| Provider Name | Shweta Nagendra Joshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427093152 PECOS PAC ID: 9335143585 Enrollment ID: I20130710000534 |
| Provider Name | Jack W Lambert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518128453 PECOS PAC ID: 6406097377 Enrollment ID: I20130719000239 |
| Provider Name | Loretta A Dicamillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285079640 PECOS PAC ID: 2365684172 Enrollment ID: I20130807000516 |
| Provider Name | Michael B Reynolds |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588954838 PECOS PAC ID: 5294977534 Enrollment ID: I20130815000509 |
| Provider Name | Babar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336377613 PECOS PAC ID: 5799928529 Enrollment ID: I20130827000541 |
| Provider Name | Laura A Gilman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861785313 PECOS PAC ID: 3274773932 Enrollment ID: I20130916000711 |
| Provider Name | Sissay S Befikadu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649582982 PECOS PAC ID: 7113161563 Enrollment ID: I20130925000122 |
| Provider Name | Derek Mark Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114365129 PECOS PAC ID: 2961636105 Enrollment ID: I20131002000116 |
| Provider Name | Timothy M Amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518309285 PECOS PAC ID: 6204060270 Enrollment ID: I20131004000452 |
| Provider Name | Rebecca L. Lofgren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447411780 PECOS PAC ID: 6608000468 Enrollment ID: I20131009001941 |
| Provider Name | Kathleen M Meehan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568573426 PECOS PAC ID: 7113067646 Enrollment ID: I20131011000962 |
| Provider Name | Maria Scarry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831522325 PECOS PAC ID: 8325272099 Enrollment ID: I20131011001004 |
| Provider Name | Jacob M Lantry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649412990 PECOS PAC ID: 1658506928 Enrollment ID: I20131023001284 |
| Provider Name | Abimbola Olowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295990588 PECOS PAC ID: 7517034614 Enrollment ID: I20131216000015 |
| Provider Name | Malena Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902117039 PECOS PAC ID: 8729215751 Enrollment ID: I20131218000660 |
| Provider Name | Anthony V Caggiano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790797421 PECOS PAC ID: 7911993852 Enrollment ID: I20140117001583 |
| Provider Name | Sabrina N Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801023510 PECOS PAC ID: 0840426383 Enrollment ID: I20140122001516 |
| Provider Name | Thomas A Piscitelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063444289 PECOS PAC ID: 8325003361 Enrollment ID: I20140219001713 |
| Provider Name | Marianne T Dait |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962418947 PECOS PAC ID: 5092700971 Enrollment ID: I20140228001053 |
| Provider Name | Nadine Tracy Ann Thompson-carlton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376839415 PECOS PAC ID: 7214168160 Enrollment ID: I20140318001944 |
| Provider Name | Rebecca Ann T Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400918 PECOS PAC ID: 1759512593 Enrollment ID: I20140320001245 |
| Provider Name | Catherine Rees Lintzenich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427019793 PECOS PAC ID: 9537162698 Enrollment ID: I20140328001887 |
| Provider Name | George R Mckay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942476114 PECOS PAC ID: 6901969047 Enrollment ID: I20140401000437 |
| Provider Name | Jamshid Alaeddini |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083625040 PECOS PAC ID: 0749286284 Enrollment ID: I20140416001677 |
| Provider Name | John A Waite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134544695 PECOS PAC ID: 4183857535 Enrollment ID: I20140509000382 |
| Provider Name | Brittany Janik Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417373861 PECOS PAC ID: 2264665561 Enrollment ID: I20140509002138 |
| Provider Name | Michelle R Frickanisce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952745275 PECOS PAC ID: 1254554017 Enrollment ID: I20140523000036 |
| Provider Name | Jude D Kotsko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134330723 PECOS PAC ID: 7719019173 Enrollment ID: I20140528002081 |
| Provider Name | Carolyn Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861812554 PECOS PAC ID: 2961626874 Enrollment ID: I20140616002257 |
| Provider Name | Alan Eric Bakst |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275580185 PECOS PAC ID: 9537168968 Enrollment ID: I20140618001022 |
| Provider Name | Virginia Lee Herbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720047558 PECOS PAC ID: 6002800984 Enrollment ID: I20140702002334 |
| Provider Name | Sami Abdul Jawad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487930905 PECOS PAC ID: 9830314863 Enrollment ID: I20140708001707 |
| Provider Name | Robert P Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538167259 PECOS PAC ID: 7012998776 Enrollment ID: I20140709001520 |
| Provider Name | Robyn Ann Vargo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215029798 PECOS PAC ID: 4183610173 Enrollment ID: I20140724000558 |
| Provider Name | Nathaniel S Minnick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558687459 PECOS PAC ID: 7719104256 Enrollment ID: I20140807000691 |
| Provider Name | Jeff Travis Sensenig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003020785 PECOS PAC ID: 6002982204 Enrollment ID: I20140812000858 |
| Provider Name | Elizabeth Lunsford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922326222 PECOS PAC ID: 0042438525 Enrollment ID: I20140825001908 |
| Provider Name | Anthony W Farah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659692960 PECOS PAC ID: 9830321389 Enrollment ID: I20140829000114 |
| Provider Name | Sharita N Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598055642 PECOS PAC ID: 4385862440 Enrollment ID: I20140902002013 |
| Provider Name | Timothy Patrick Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174817886 PECOS PAC ID: 7113146572 Enrollment ID: I20140917000297 |
| Provider Name | Lisa Stenabaugh Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154737153 PECOS PAC ID: 5193944577 Enrollment ID: I20140917000935 |
| Provider Name | Rebekah Sensenig |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578644985 PECOS PAC ID: 1456597806 Enrollment ID: I20140917002424 |
| Provider Name | Sharon Nicola Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326479031 PECOS PAC ID: 9335368505 Enrollment ID: I20140920000277 |
| Provider Name | Brenda J Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285925826 PECOS PAC ID: 7618136391 Enrollment ID: I20140922001767 |
| Provider Name | Ghias Ahmad Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497722839 PECOS PAC ID: 0042230021 Enrollment ID: I20141001000662 |
| Provider Name | Kim D Maigi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336556794 PECOS PAC ID: 8628298213 Enrollment ID: I20141002000868 |
| Provider Name | Linh-an Tuong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952699233 PECOS PAC ID: 2668692120 Enrollment ID: I20141003001675 |
| Provider Name | Jack Zuckerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508093428 PECOS PAC ID: 3476773938 Enrollment ID: I20141003001724 |
| Provider Name | Roshanak R Markley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851552087 PECOS PAC ID: 1951521467 Enrollment ID: I20141006000885 |
| Provider Name | Mustafa Saidi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760795611 PECOS PAC ID: 9032235379 Enrollment ID: I20141013000122 |
| Provider Name | Jessica Doggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437567005 PECOS PAC ID: 2466672506 Enrollment ID: I20141013001115 |
| Provider Name | Richard A Schmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487653291 PECOS PAC ID: 9830232594 Enrollment ID: I20141015001171 |
| Provider Name | Monica Boole Layne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467868877 PECOS PAC ID: 0648491449 Enrollment ID: I20141020002496 |
| Provider Name | Scott R Kling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477715456 PECOS PAC ID: 7012138332 Enrollment ID: I20141029001735 |
| Provider Name | Leana Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003246695 PECOS PAC ID: 2961634688 Enrollment ID: I20141107000158 |
| Provider Name | Donnamarie Lillian Mandara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679982177 PECOS PAC ID: 2365664315 Enrollment ID: I20141107000573 |
| Provider Name | April Pearson Towler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851547855 PECOS PAC ID: 0941359186 Enrollment ID: I20141107000862 |
| Provider Name | Christine Dileo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386761302 PECOS PAC ID: 3779675780 Enrollment ID: I20141110001332 |
| Provider Name | Obiora Jude Ofole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902043490 PECOS PAC ID: 3375716038 Enrollment ID: I20141124002438 |
| Provider Name | Elizabeth B Brusaschetti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346539848 PECOS PAC ID: 5496077430 Enrollment ID: I20141203000222 |
| Provider Name | Matthew Stephen Berniard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104106236 PECOS PAC ID: 0941522874 Enrollment ID: I20141204000980 |
| Provider Name | Sean M Kuczma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538457221 PECOS PAC ID: 1153643887 Enrollment ID: I20141208000133 |
| Provider Name | Nelson Enor Airewele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
| Provider Name | Bertha O Lawani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649511213 PECOS PAC ID: 8921321118 Enrollment ID: I20141218002497 |
| Provider Name | Amna H Feroze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487617213 PECOS PAC ID: 7416131016 Enrollment ID: I20141222002389 |
| Provider Name | Maria Andrea R Alano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821273988 PECOS PAC ID: 7012099518 Enrollment ID: I20150105001762 |
| Provider Name | Nebretta Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720316854 PECOS PAC ID: 0446574206 Enrollment ID: I20150127000638 |
| Provider Name | Rajiv A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063434314 PECOS PAC ID: 9931154978 Enrollment ID: I20150205001908 |
| Provider Name | Vikas Pathak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740474121 PECOS PAC ID: 8628262631 Enrollment ID: I20150207000037 |
| Provider Name | Bhavik B Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508177254 PECOS PAC ID: 9436390408 Enrollment ID: I20150303001718 |
| Provider Name | Kevin J Knoop |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326060310 PECOS PAC ID: 7911007125 Enrollment ID: I20150303001862 |
| Provider Name | Carol J Breneman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649494766 PECOS PAC ID: 1153471164 Enrollment ID: I20150324001302 |
| Provider Name | James Blakeley Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689861635 PECOS PAC ID: 4789756552 Enrollment ID: I20150330000581 |
| Provider Name | Mesheal Renee Gurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134512759 PECOS PAC ID: 4880912476 Enrollment ID: I20150413000651 |
| Provider Name | Joseph Romagnuolo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336257294 PECOS PAC ID: 8022089283 Enrollment ID: I20150414000751 |
| Provider Name | Rebecca Denise Bahadar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689067159 PECOS PAC ID: 8325367741 Enrollment ID: I20150507000395 |
| Provider Name | Mary Cristen Hendricks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861710683 PECOS PAC ID: 7517118169 Enrollment ID: I20150603002391 |
| Provider Name | Dejene Getachew Kassaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912260134 PECOS PAC ID: 2567783947 Enrollment ID: I20150610002450 |
| Provider Name | Kenneth R Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568858108 PECOS PAC ID: 1052622891 Enrollment ID: I20150619000498 |
| Provider Name | Ostap Dovirak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912141417 PECOS PAC ID: 8628295292 Enrollment ID: I20150629000020 |
| Provider Name | Bradley Brian Hendricks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053639872 PECOS PAC ID: 6002855749 Enrollment ID: I20150630000425 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20150630001258 |
| Provider Name | Jennifer Engelhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770920530 PECOS PAC ID: 1355654534 Enrollment ID: I20150716002086 |
| Provider Name | Montecia Boyd Burno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356738736 PECOS PAC ID: 6002129160 Enrollment ID: I20150717001844 |
| Provider Name | Beverly Anne Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699109272 PECOS PAC ID: 9739492562 Enrollment ID: I20150722004375 |
| Provider Name | Beth A Klug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316208747 PECOS PAC ID: 9335364272 Enrollment ID: I20150731015374 |
| Provider Name | John James Mcguigan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073571832 PECOS PAC ID: 0941361026 Enrollment ID: I20150731015658 |
| Provider Name | John Julius Mcgill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982847703 PECOS PAC ID: 0648584888 Enrollment ID: I20150803000326 |
| Provider Name | Jaime S Argila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790041614 PECOS PAC ID: 1557683190 Enrollment ID: I20150806012571 |
| Provider Name | Meho Jasarevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194090498 PECOS PAC ID: 6305089822 Enrollment ID: I20150807014518 |
| Provider Name | Jerry A Mcquain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770677254 PECOS PAC ID: 4688894272 Enrollment ID: I20150810002442 |
| Provider Name | Jonathan Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568726990 PECOS PAC ID: 9436464153 Enrollment ID: I20150810002550 |
| Provider Name | Mary S Baker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932360450 PECOS PAC ID: 2567644990 Enrollment ID: I20150812007367 |
| Provider Name | Dawn R Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831570340 PECOS PAC ID: 8022323344 Enrollment ID: I20150817000576 |
| Provider Name | Anjeza Cipi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811250525 PECOS PAC ID: 4880900695 Enrollment ID: I20150824002516 |
| Provider Name | Jamey Ann Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801072368 PECOS PAC ID: 9931397502 Enrollment ID: I20150828001967 |
| Provider Name | Claude Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427311091 PECOS PAC ID: 4082852710 Enrollment ID: I20150904000378 |
| Provider Name | Ambar Matta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730474115 PECOS PAC ID: 6305168782 Enrollment ID: I20150909000527 |
| Provider Name | Samantha Renee Bowman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952795726 PECOS PAC ID: 7618284126 Enrollment ID: I20150916001380 |
| Provider Name | Sarah C Halvorsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700260825 PECOS PAC ID: 4688981830 Enrollment ID: I20150921001113 |
| Provider Name | Jamie Leigh King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124381140 PECOS PAC ID: 1456668664 Enrollment ID: I20150921003280 |
| Provider Name | Alina Marie Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770849622 PECOS PAC ID: 7012224140 Enrollment ID: I20150922001136 |
| Provider Name | Desiree Marie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861874596 PECOS PAC ID: 5496063497 Enrollment ID: I20150924001034 |
| Provider Name | Ryan D Lamond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114906765 PECOS PAC ID: 0244354827 Enrollment ID: I20151020002560 |
| Provider Name | Margaret Elaine Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780051409 PECOS PAC ID: 4183933419 Enrollment ID: I20151027001653 |
| Provider Name | Kimberly Michelle Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669726659 PECOS PAC ID: 6901043033 Enrollment ID: I20151103000881 |
| Provider Name | Xuesheng Feng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881880987 PECOS PAC ID: 9739275496 Enrollment ID: I20151105000771 |
| Provider Name | Armin Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720044910 PECOS PAC ID: 3678873791 Enrollment ID: I20151121000300 |
| Provider Name | Jessica Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245670355 PECOS PAC ID: 6800020363 Enrollment ID: I20151130001784 |
| Provider Name | John F Sloboda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780669432 PECOS PAC ID: 3779536438 Enrollment ID: I20151204001855 |
| Provider Name | Emlyne St Helen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785980 PECOS PAC ID: 4587964051 Enrollment ID: I20151206000004 |
| Provider Name | Pankajavalli Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1811169352 PECOS PAC ID: 7719145523 Enrollment ID: I20151215000130 |
| Provider Name | Cory R Trankle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992066583 PECOS PAC ID: 6103067491 Enrollment ID: I20151221001628 |
| Provider Name | Leila Rezai Gharai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346471752 PECOS PAC ID: 9537393707 Enrollment ID: I20151222002160 |
| Provider Name | William E Norris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801988811 PECOS PAC ID: 7618037177 Enrollment ID: I20160128000137 |
| Provider Name | Dennis Steven Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679996136 PECOS PAC ID: 8628371317 Enrollment ID: I20160130000236 |
| Provider Name | Jeffrey Levy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720040306 PECOS PAC ID: 9739496696 Enrollment ID: I20160211001790 |
| Provider Name | Paul R Kowalski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952341067 PECOS PAC ID: 0345220653 Enrollment ID: I20160308001010 |
| Provider Name | Karen Fields-sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750747168 PECOS PAC ID: 5294032173 Enrollment ID: I20160321000076 |
| Provider Name | Kristin Brooke Dehoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457719106 PECOS PAC ID: 1355648296 Enrollment ID: I20160321002016 |
| Provider Name | Rozales Antonio Swanson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932174349 PECOS PAC ID: 0244423283 Enrollment ID: I20160322002782 |
| Provider Name | Megan Elizabeth Robins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174980676 PECOS PAC ID: 8527366004 Enrollment ID: I20160418000243 |
| Provider Name | James Caldwell Larue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467581454 PECOS PAC ID: 3779635917 Enrollment ID: I20160420001292 |
| Provider Name | Robert Phillips |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033182290 PECOS PAC ID: 8921007212 Enrollment ID: I20160504001854 |
| Provider Name | Enid M Tatum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558720672 PECOS PAC ID: 5890084099 Enrollment ID: I20160511001020 |
| Provider Name | John A Shaner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659634269 PECOS PAC ID: 1557594298 Enrollment ID: I20160517000258 |
| Provider Name | T'eria Danielle Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164885349 PECOS PAC ID: 8022308022 Enrollment ID: I20160603000355 |
| Provider Name | Jeffery Chad Johnson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255488144 PECOS PAC ID: 7911207998 Enrollment ID: I20160622000183 |
| Provider Name | Ayoola Olukunmi Oladejo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427462605 PECOS PAC ID: 6103117973 Enrollment ID: I20160627000020 |
| Provider Name | Adrian C Garofoli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467866558 PECOS PAC ID: 7416249909 Enrollment ID: I20160630002377 |
| Provider Name | Joseph D Bradshaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174963995 PECOS PAC ID: 8022233980 Enrollment ID: I20160729000619 |
| Provider Name | John Russell Barley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1386908358 PECOS PAC ID: 3779708540 Enrollment ID: I20160801000604 |
| Provider Name | Karen Jeanette Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801146402 PECOS PAC ID: 3274772355 Enrollment ID: I20160803002834 |
| Provider Name | Paragkumar Amin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801055868 PECOS PAC ID: 8123297033 Enrollment ID: I20160816001994 |
| Provider Name | Margaret Joan Tomko |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336591155 PECOS PAC ID: 1254626153 Enrollment ID: I20160816002731 |
| Provider Name | Ramchandur Bakhtiani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952563454 PECOS PAC ID: 8628296381 Enrollment ID: I20160819001339 |
| Provider Name | Rosanna P Couture |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053654772 PECOS PAC ID: 1456594688 Enrollment ID: I20160819001589 |
| Provider Name | Kassem Khreis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306236633 PECOS PAC ID: 3476848045 Enrollment ID: I20160822000665 |
| Provider Name | Kristin A Liebrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881031839 PECOS PAC ID: 7214162791 Enrollment ID: I20160822001510 |
| Provider Name | Angel M Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093164188 PECOS PAC ID: 3577858190 Enrollment ID: I20160822002009 |
| Provider Name | Jim Wong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851613194 PECOS PAC ID: 3173751286 Enrollment ID: I20160826002495 |
| Provider Name | Cara Alexandria Watts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477842342 PECOS PAC ID: 3971813585 Enrollment ID: I20160830002710 |
| Provider Name | Steven E Mack |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407112550 PECOS PAC ID: 2163657917 Enrollment ID: I20160908002348 |
| Provider Name | Cara Marie Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215203955 PECOS PAC ID: 3779714274 Enrollment ID: I20160912000713 |
| Provider Name | Adam Sagarwala |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932426616 PECOS PAC ID: 2860788247 Enrollment ID: I20160912000800 |
| Provider Name | Jonathan Ty Butler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770873879 PECOS PAC ID: 3173844115 Enrollment ID: I20160913000728 |
| Provider Name | Nagesh Gollahalli Shivaramaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962715425 PECOS PAC ID: 3971731670 Enrollment ID: I20160914000324 |
| Provider Name | Andrea Jacqueline Alejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043645872 PECOS PAC ID: 0749577708 Enrollment ID: I20160920001185 |
| Provider Name | Franklin Dana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508855909 PECOS PAC ID: 1052399524 Enrollment ID: I20160921000814 |
| Provider Name | Arthur Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053323980 PECOS PAC ID: 0345346250 Enrollment ID: I20160929000706 |
| Provider Name | Abdul Basit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780951970 PECOS PAC ID: 9537457551 Enrollment ID: I20161006002095 |
| Provider Name | Jose Sosa Popoteur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285981332 PECOS PAC ID: 1254635444 Enrollment ID: I20161011000355 |
| Provider Name | Kirsten B Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740736073 PECOS PAC ID: 1759669708 Enrollment ID: I20161026002893 |
| Provider Name | Neel M Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659730281 PECOS PAC ID: 4183902927 Enrollment ID: I20161028000882 |
| Provider Name | Rocco J Basciano |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952484651 PECOS PAC ID: 1658569066 Enrollment ID: I20161102002801 |
| Provider Name | Natalie Marie Bradshaw-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962870733 PECOS PAC ID: 6709164130 Enrollment ID: I20161104001770 |
| Provider Name | Kevin Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285071233 PECOS PAC ID: 9931349891 Enrollment ID: I20161109000300 |
| Provider Name | Patricia K Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427208552 PECOS PAC ID: 7810128212 Enrollment ID: I20161109002447 |
| Provider Name | Hameed Jafri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548589526 PECOS PAC ID: 4981836715 Enrollment ID: I20161115002376 |
| Provider Name | Annette Stephanie Hempel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295282705 PECOS PAC ID: 2769761675 Enrollment ID: I20161117000635 |
| Provider Name | Lyzette Velazquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356442941 PECOS PAC ID: 9931270535 Enrollment ID: I20161117001390 |
| Provider Name | Juliane Davis-lowther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255881470 PECOS PAC ID: 7416237516 Enrollment ID: I20161207001112 |
| Provider Name | Trisha M Arno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275897787 PECOS PAC ID: 6709166564 Enrollment ID: I20161213002014 |
| Provider Name | Marissa N Blair |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225580137 PECOS PAC ID: 1850671611 Enrollment ID: I20161213002174 |
| Provider Name | Robert Marc Jaffee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508851783 PECOS PAC ID: 0547277279 Enrollment ID: I20161215001320 |
| Provider Name | Lisa Coleman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457433450 PECOS PAC ID: 8729200274 Enrollment ID: I20161229001548 |
| Provider Name | Cameron M Thurman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548453319 PECOS PAC ID: 1456632470 Enrollment ID: I20170106000949 |
| Provider Name | Michelle Shipp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245537026 PECOS PAC ID: 5991942344 Enrollment ID: I20170117000004 |
| Provider Name | Brian Christopher Lenczewski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427206465 PECOS PAC ID: 4688728173 Enrollment ID: I20170124001729 |
| Provider Name | Mishell Carmela Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811325764 PECOS PAC ID: 1658509534 Enrollment ID: I20170131000804 |
| Provider Name | Danielle Kelley Bibeault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740726199 PECOS PAC ID: 6305129214 Enrollment ID: I20170220000063 |
| Provider Name | Timothy J Campbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225092067 PECOS PAC ID: 8123055142 Enrollment ID: I20170227000455 |
| Provider Name | Alneader Kenner Woodard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790236073 PECOS PAC ID: 1850675497 Enrollment ID: I20170228000657 |
| Provider Name | Robert James Edmonds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386087435 PECOS PAC ID: 1951602754 Enrollment ID: I20170301002283 |
| Provider Name | Rosalind Grace-ann Green-rhoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295279792 PECOS PAC ID: 8426332735 Enrollment ID: I20170306001894 |
| Provider Name | Kimberly S Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871735068 PECOS PAC ID: 8820141427 Enrollment ID: I20170308002619 |
| Provider Name | Shamusideen O Ogbulu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144478736 PECOS PAC ID: 4688741812 Enrollment ID: I20170315002527 |
| Provider Name | Jefferson E C Moulds |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265420582 PECOS PAC ID: 0143306167 Enrollment ID: I20170321001909 |
| Provider Name | Todd H Sterling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982699849 PECOS PAC ID: 7012137060 Enrollment ID: I20170323002159 |
| Provider Name | Carie J Hooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891238259 PECOS PAC ID: 9638454127 Enrollment ID: I20170324000275 |
| Provider Name | Julie Louise Lear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992246854 PECOS PAC ID: 0244516557 Enrollment ID: I20170420000996 |
| Provider Name | Ruth A Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528507738 PECOS PAC ID: 8628354859 Enrollment ID: I20170424001267 |
| Provider Name | Ashan Manohar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295725836 PECOS PAC ID: 8426192329 Enrollment ID: I20170501000122 |
| Provider Name | Jennifer L Eng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710425145 PECOS PAC ID: 7012294929 Enrollment ID: I20170502001857 |
| Provider Name | Traci Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376597393 PECOS PAC ID: 6406033091 Enrollment ID: I20170503000811 |
| Provider Name | Adina Manuela Logan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881667178 PECOS PAC ID: 4082684683 Enrollment ID: I20170503002579 |
| Provider Name | Heather Anaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992239289 PECOS PAC ID: 2264709161 Enrollment ID: I20170524002912 |
| Provider Name | Francis Cuozzo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023227493 PECOS PAC ID: 1850538281 Enrollment ID: I20170606000666 |
| Provider Name | Olubusola Gomes |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1518191493 PECOS PAC ID: 1254658065 Enrollment ID: I20170612002109 |
| Provider Name | Vincent Nardone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720490683 PECOS PAC ID: 0143449090 Enrollment ID: I20170621003118 |
| Provider Name | Jaysingh Ramprasad Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538424973 PECOS PAC ID: 2961706031 Enrollment ID: I20170627000584 |
| Provider Name | Tiffany Danielle Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407381478 PECOS PAC ID: 6305115841 Enrollment ID: I20170627001157 |
| Provider Name | David M Romano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952613630 PECOS PAC ID: 0749559375 Enrollment ID: I20170712003845 |
| Provider Name | Erik Todd Grossgold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235201427 PECOS PAC ID: 7214168327 Enrollment ID: I20170724003953 |
| Provider Name | Kevin Mahoney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033558127 PECOS PAC ID: 3577889120 Enrollment ID: I20170728000444 |
| Provider Name | Sara Beth Matherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750811469 PECOS PAC ID: 2961773619 Enrollment ID: I20170731000813 |
| Provider Name | Ajay Singh Rathore |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023372679 PECOS PAC ID: 3577834993 Enrollment ID: I20170803001663 |
| Provider Name | Ashlea Ann Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760910095 PECOS PAC ID: 6204107485 Enrollment ID: I20170807000948 |
| Provider Name | Tia Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740715549 PECOS PAC ID: 7719258938 Enrollment ID: I20170807002756 |
| Provider Name | Molly B Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245776038 PECOS PAC ID: 9931470036 Enrollment ID: I20170808003044 |
| Provider Name | Chong T Joyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396285334 PECOS PAC ID: 5890066757 Enrollment ID: I20170810002644 |
| Provider Name | Robert M Baldwin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558624841 PECOS PAC ID: 4981843125 Enrollment ID: I20170811002735 |
| Provider Name | Olanrewaju Agbe-davies |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639431059 PECOS PAC ID: 6204148653 Enrollment ID: I20170814000120 |
| Provider Name | Takisha R Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821417874 PECOS PAC ID: 8820399223 Enrollment ID: I20170828000767 |
| Provider Name | Shokhan Shukr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821402587 PECOS PAC ID: 6507085925 Enrollment ID: I20170828003057 |
| Provider Name | Jocelyn Paige Edens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841712270 PECOS PAC ID: 4284907825 Enrollment ID: I20170905000168 |
| Provider Name | Narayana Swamy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831446020 PECOS PAC ID: 0749577047 Enrollment ID: I20170905002034 |
| Provider Name | Kristi Lynn Halliwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649715426 PECOS PAC ID: 4981905718 Enrollment ID: I20170905002945 |
| Provider Name | Robert Scott Fell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396908067 PECOS PAC ID: 6507005519 Enrollment ID: I20170906001238 |
| Provider Name | Yonis Geberemariam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558624619 PECOS PAC ID: 7618281270 Enrollment ID: I20170907000665 |
| Provider Name | Abdallah Selah Abdelrazeq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649686429 PECOS PAC ID: 9335442870 Enrollment ID: I20170908000395 |
| Provider Name | Ivan A Alger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366861619 PECOS PAC ID: 5496073165 Enrollment ID: I20170911000031 |
| Provider Name | Megan Ann Vocu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730618380 PECOS PAC ID: 3375816325 Enrollment ID: I20170913002093 |
| Provider Name | Alex A Mensah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346656907 PECOS PAC ID: 9436473196 Enrollment ID: I20170918002730 |
| Provider Name | Elizabeth Kelly Mott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275956443 PECOS PAC ID: 4981836566 Enrollment ID: I20170920000080 |
| Provider Name | Vipul Shelat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699736173 PECOS PAC ID: 2062554363 Enrollment ID: I20170921000165 |
| Provider Name | Kylie Conroy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841604626 PECOS PAC ID: 3870867914 Enrollment ID: I20170927004650 |
| Provider Name | Kelly Armbruster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336664689 PECOS PAC ID: 8921373051 Enrollment ID: I20170928004294 |
| Provider Name | Jody Ann Chance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306362025 PECOS PAC ID: 9133494016 Enrollment ID: I20171003004482 |
| Provider Name | Carla Rae Rothmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649793506 PECOS PAC ID: 9931474558 Enrollment ID: I20171009000909 |
| Provider Name | Patrick D Cronyn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215257431 PECOS PAC ID: 8729226287 Enrollment ID: I20171017003261 |
| Provider Name | Pedro Rafael Villanueva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609986942 PECOS PAC ID: 3173541158 Enrollment ID: I20171020002241 |
| Provider Name | Robert Gregory Ingram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881743896 PECOS PAC ID: 2163697111 Enrollment ID: I20171030001401 |
| Provider Name | Adrianna Kyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407195548 PECOS PAC ID: 4486925021 Enrollment ID: I20171101003052 |
| Provider Name | Heidi Marie Roschinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376062695 PECOS PAC ID: 4082970165 Enrollment ID: I20171106001211 |
| Provider Name | Christina Lyn Cox Lebreton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700149853 PECOS PAC ID: 0244532901 Enrollment ID: I20171107000716 |
| Provider Name | Adam S Bloom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922348655 PECOS PAC ID: 6103197454 Enrollment ID: I20171109000802 |
| Provider Name | Patrick Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427571439 PECOS PAC ID: 4385900810 Enrollment ID: I20171115003408 |
| Provider Name | Mary A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518945732 PECOS PAC ID: 0143320861 Enrollment ID: I20171116002543 |
| Provider Name | Amy Ann Americo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437168507 PECOS PAC ID: 2466446752 Enrollment ID: I20171120003830 |
| Provider Name | Hemantkumar Raval |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225478670 PECOS PAC ID: 7113231754 Enrollment ID: I20171129003576 |
| Provider Name | Erin Marie Imeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275818270 PECOS PAC ID: 5698933893 Enrollment ID: I20171204002078 |
| Provider Name | Tracie B Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477787026 PECOS PAC ID: 3870747132 Enrollment ID: I20171211000246 |
| Provider Name | Ryan G Mcqueen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942591086 PECOS PAC ID: 2163723172 Enrollment ID: I20171211000970 |
| Provider Name | Deborah S Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093818346 PECOS PAC ID: 7517907447 Enrollment ID: I20171215001423 |
| Provider Name | Robert W Baird |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942259163 PECOS PAC ID: 8426021221 Enrollment ID: I20171220000228 |
| Provider Name | Stephanie Danielle Oetting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386169126 PECOS PAC ID: 6406114446 Enrollment ID: I20171220000634 |
| Provider Name | Matthew Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366700122 PECOS PAC ID: 4486888559 Enrollment ID: I20171220002241 |
| Provider Name | Diana Margaret Whiteman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366490419 PECOS PAC ID: 6002719200 Enrollment ID: I20180116002204 |
| Provider Name | Ashley Noel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568986180 PECOS PAC ID: 0941569040 Enrollment ID: I20180118000546 |
| Provider Name | Scott Edward Sparks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881914265 PECOS PAC ID: 1254571847 Enrollment ID: I20180118002233 |
| Provider Name | Jeffrey Sadowsky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275517336 PECOS PAC ID: 9638100035 Enrollment ID: I20180118002794 |
| Provider Name | Kevin M Mckelvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417217118 PECOS PAC ID: 4082930268 Enrollment ID: I20180119002449 |
| Provider Name | Andrew R Freedman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598766743 PECOS PAC ID: 7911990460 Enrollment ID: I20180122003214 |
| Provider Name | Taaliba Al-alim Sahib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174979587 PECOS PAC ID: 4082973706 Enrollment ID: I20180125000890 |
| Provider Name | Fortune Egbulefu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497002471 PECOS PAC ID: 1254556277 Enrollment ID: I20180125001187 |
| Provider Name | Timothy Chester Gajewski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962517581 PECOS PAC ID: 7810880713 Enrollment ID: I20180125002000 |
| Provider Name | Susan C Herndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114432812 PECOS PAC ID: 7416217112 Enrollment ID: I20180126001785 |
| Provider Name | Rashi Harjai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770977480 PECOS PAC ID: 8325369770 Enrollment ID: I20180221002482 |
| Provider Name | Prabu P Selvam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891115903 PECOS PAC ID: 9133346570 Enrollment ID: I20180320001918 |
| Provider Name | Yan Guo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184816696 PECOS PAC ID: 8022265628 Enrollment ID: I20180402000459 |
| Provider Name | Rosetta Maria Fratiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801171889 PECOS PAC ID: 4284925900 Enrollment ID: I20180416001692 |
| Provider Name | David Zamara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437296969 PECOS PAC ID: 9436243268 Enrollment ID: I20180419000197 |
| Provider Name | Chito Umenyi Nwana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083872063 PECOS PAC ID: 5597819730 Enrollment ID: I20180424002410 |
| Provider Name | Frantz R Atwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285629162 PECOS PAC ID: 3870583149 Enrollment ID: I20180507001030 |
| Provider Name | Fayemi Sylvanus Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255590998 PECOS PAC ID: 1658665807 Enrollment ID: I20180525001793 |
| Provider Name | Baochan Nguyen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629212683 PECOS PAC ID: 8729222351 Enrollment ID: I20180529000075 |
| Provider Name | Allen O Mitchell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740393370 PECOS PAC ID: 4587692108 Enrollment ID: I20180606003382 |
| Provider Name | Jeffrey M Schulman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033148614 PECOS PAC ID: 4981708989 Enrollment ID: I20180620002450 |
| Provider Name | Thomas Dicarlo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447489109 PECOS PAC ID: 8325273618 Enrollment ID: I20180625001285 |
| Provider Name | Muhammad Rizwan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033184254 PECOS PAC ID: 8527022508 Enrollment ID: I20180712001579 |
| Provider Name | Paul Byron Mclendon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669735668 PECOS PAC ID: 1153567904 Enrollment ID: I20180720000058 |
| Provider Name | Huy Dinh Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558571521 PECOS PAC ID: 2961759964 Enrollment ID: I20180723001558 |
| Provider Name | Joseph A Attallah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700266129 PECOS PAC ID: 7719271311 Enrollment ID: I20180727001707 |
| Provider Name | Timothy S Forsythe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598178675 PECOS PAC ID: 5698052579 Enrollment ID: I20180802000888 |
| Provider Name | Alan H Brader |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912935057 PECOS PAC ID: 7618921289 Enrollment ID: I20180803000590 |
| Provider Name | Mohamed Abdelnaby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346626991 PECOS PAC ID: 4789932500 Enrollment ID: I20180809005066 |
| Provider Name | Tonya M Vermette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306339981 PECOS PAC ID: 1951659622 Enrollment ID: I20180813002017 |
| Provider Name | Prakash Mohan Kafle |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073746897 PECOS PAC ID: 2163663279 Enrollment ID: I20180814000174 |
| Provider Name | Melik Tiba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255683181 PECOS PAC ID: 6507132990 Enrollment ID: I20180823001164 |
| Provider Name | Carlos Torres-medina |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972980761 PECOS PAC ID: 9133403439 Enrollment ID: I20180827003206 |
| Provider Name | Monika Pokharel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124251541 PECOS PAC ID: 8921256892 Enrollment ID: I20180828000559 |
| Provider Name | Amanda G Polsinelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205255015 PECOS PAC ID: 0749406452 Enrollment ID: I20180831000263 |
| Provider Name | Ali Samin Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871988626 PECOS PAC ID: 2668772674 Enrollment ID: I20180910000038 |
| Provider Name | Dawn Marie Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023379112 PECOS PAC ID: 6709136658 Enrollment ID: I20180913002928 |
| Provider Name | Alan D Chap |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144481490 PECOS PAC ID: 1759518368 Enrollment ID: I20180914001954 |
| Provider Name | William Gregory Hundley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194700484 PECOS PAC ID: 6901931542 Enrollment ID: I20180915000079 |
| Provider Name | Amanda P Stiteler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679918700 PECOS PAC ID: 7416247580 Enrollment ID: I20180918003670 |
| Provider Name | Olugbemisola Oredein Mccoy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316386709 PECOS PAC ID: 9234428012 Enrollment ID: I20180925000019 |
| Provider Name | Meredith Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598177834 PECOS PAC ID: 1052601119 Enrollment ID: I20181003003593 |
| Provider Name | Jonathan C Haber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669874384 PECOS PAC ID: 1951623115 Enrollment ID: I20181015002195 |
| Provider Name | Amberly Ann Levan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750869319 PECOS PAC ID: 4688927718 Enrollment ID: I20181019000291 |
| Provider Name | Joshua Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588042956 PECOS PAC ID: 2769772045 Enrollment ID: I20181025000140 |
| Provider Name | Melanie Ames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548754476 PECOS PAC ID: 0042563207 Enrollment ID: I20181105003402 |
| Provider Name | Raven B Custalow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669955019 PECOS PAC ID: 0840543013 Enrollment ID: I20181106000339 |
| Provider Name | Shereka Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164935896 PECOS PAC ID: 5799075362 Enrollment ID: I20181107002587 |
| Provider Name | John Michael Fejes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386886166 PECOS PAC ID: 5496800914 Enrollment ID: I20181107003787 |
| Provider Name | Kelli Lyn Macadam |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366924193 PECOS PAC ID: 2163776147 Enrollment ID: I20181109000794 |
| Provider Name | Paul Sherman Brown |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841294824 PECOS PAC ID: 4789574336 Enrollment ID: I20181112002002 |
| Provider Name | Jane Wey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891774592 PECOS PAC ID: 9830195080 Enrollment ID: I20181129002664 |
| Provider Name | Jorge Rodolfo Rivera-irias |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114951928 PECOS PAC ID: 5294916763 Enrollment ID: I20181205003774 |
| Provider Name | Virginia Plitt Teti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326273038 PECOS PAC ID: 4880833565 Enrollment ID: I20181221000106 |
| Provider Name | Stacy King Slat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144411422 PECOS PAC ID: 5395080147 Enrollment ID: I20181222000335 |
| Provider Name | George Christian Balazs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841497625 PECOS PAC ID: 7416224258 Enrollment ID: I20181228002472 |
| Provider Name | Erica E Schneider |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659646990 PECOS PAC ID: 1850605205 Enrollment ID: I20181231001174 |
| Provider Name | Rachel M Norum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225505845 PECOS PAC ID: 5799021200 Enrollment ID: I20190103002580 |
| Provider Name | Patricia D Copley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619912979 PECOS PAC ID: 5294768206 Enrollment ID: I20190107002493 |
| Provider Name | Margaret Tajak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063705440 PECOS PAC ID: 4880938513 Enrollment ID: I20190108002261 |
| Provider Name | Ahmed Jahangeer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033153127 PECOS PAC ID: 0941272082 Enrollment ID: I20190124003490 |
| Provider Name | Heidi Joy Lazos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386115178 PECOS PAC ID: 0547507691 Enrollment ID: I20190128000803 |
| Provider Name | Timothy Robert Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063908192 PECOS PAC ID: 8527305408 Enrollment ID: I20190130002947 |
| Provider Name | Lindsay M Otis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225516396 PECOS PAC ID: 5597003285 Enrollment ID: I20190204003059 |
| Provider Name | Jennifer Lynn Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542354 PECOS PAC ID: 9739427220 Enrollment ID: I20190207001401 |
| Provider Name | Brian J Hunt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164440319 PECOS PAC ID: 7113816471 Enrollment ID: I20190213003396 |
| Provider Name | Elmira Basaly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841511441 PECOS PAC ID: 3870734320 Enrollment ID: I20190214001887 |
| Provider Name | Claudia Viola Claiborne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407825466 PECOS PAC ID: 1153418082 Enrollment ID: I20190220001185 |
| Provider Name | Cindy L Runkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942463831 PECOS PAC ID: 2062571904 Enrollment ID: I20190222002483 |
| Provider Name | Bridget N Mcmullen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568440923 PECOS PAC ID: 0345589701 Enrollment ID: I20190228002535 |
| Provider Name | Joshua Tobin Sigler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629444153 PECOS PAC ID: 2264782762 Enrollment ID: I20190304001446 |
| Provider Name | Saraswati C Srikantiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659340073 PECOS PAC ID: 9931124773 Enrollment ID: I20190306000229 |
| Provider Name | Sarah J Shotwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174000269 PECOS PAC ID: 2062751043 Enrollment ID: I20190311000012 |
| Provider Name | Hemchand Ramberan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033320403 PECOS PAC ID: 8628150455 Enrollment ID: I20190312001864 |
| Provider Name | Mary A Verardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407039415 PECOS PAC ID: 0840375861 Enrollment ID: I20190320002898 |
| Provider Name | Demetria L Yarbrough |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134375488 PECOS PAC ID: 8123171485 Enrollment ID: I20190408002105 |
| Provider Name | David Grant Buckwalter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275734378 PECOS PAC ID: 9638224439 Enrollment ID: I20190409000540 |
| Provider Name | Nelson C Echebiri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780973305 PECOS PAC ID: 2769791763 Enrollment ID: I20190410000903 |
| Provider Name | Peter B Mikhail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316181308 PECOS PAC ID: 9931362019 Enrollment ID: I20190411002703 |
| Provider Name | Shawn Dean Redding |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023165313 PECOS PAC ID: 2769644756 Enrollment ID: I20190416000810 |
| Provider Name | Aaron Daley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588088769 PECOS PAC ID: 8022395136 Enrollment ID: I20190502000965 |
| Provider Name | Aasta Pedersen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518152792 PECOS PAC ID: 6608019674 Enrollment ID: I20190503001807 |
| Provider Name | Asia Denise Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730651282 PECOS PAC ID: 3274875638 Enrollment ID: I20190503002399 |
| Provider Name | Ashlee R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942763040 PECOS PAC ID: 5092058172 Enrollment ID: I20190513000302 |
| Provider Name | Steven Grijalva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215909809 PECOS PAC ID: 3779707146 Enrollment ID: I20190515001001 |
| Provider Name | Arina R Cadariu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922141969 PECOS PAC ID: 9739144981 Enrollment ID: I20190516001791 |
| Provider Name | Joseph C Dell'aria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205935236 PECOS PAC ID: 5799785424 Enrollment ID: I20190529000175 |
| Provider Name | Christina M. Burch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619902392 PECOS PAC ID: 8921159898 Enrollment ID: I20190529001936 |
| Provider Name | Tina M Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851954002 PECOS PAC ID: 3678816980 Enrollment ID: I20190529002265 |
| Provider Name | William Eli Chastain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891980777 PECOS PAC ID: 4385832419 Enrollment ID: I20190530000026 |
| Provider Name | Fuhbe C Mfone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508227083 PECOS PAC ID: 1355674276 Enrollment ID: I20190610000251 |
| Provider Name | Bikash Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750541132 PECOS PAC ID: 6103096672 Enrollment ID: I20190610002000 |
| Provider Name | Helen G Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962858944 PECOS PAC ID: 8527353218 Enrollment ID: I20190612001734 |
| Provider Name | Kara Elizabeth Friend |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598926842 PECOS PAC ID: 0345466942 Enrollment ID: I20190613002363 |
| Provider Name | Chaitali Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376995795 PECOS PAC ID: 0446584858 Enrollment ID: I20190618003116 |
| Provider Name | Priscilla A Bullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396932521 PECOS PAC ID: 9436483898 Enrollment ID: I20190619001679 |
| Provider Name | Shannon Leigh Dishman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396204319 PECOS PAC ID: 0446584304 Enrollment ID: I20190626001604 |
| Provider Name | Djurabek Bahtiyarovich Babadjanov |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740421049 PECOS PAC ID: 2264766948 Enrollment ID: I20190701000184 |
| Provider Name | James Kyriakedes |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1700220852 PECOS PAC ID: 2567766843 Enrollment ID: I20190722000544 |
| Provider Name | Alexandra E Ward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548536451 PECOS PAC ID: 5294039186 Enrollment ID: I20190724000272 |
| Provider Name | Justin Alexander Billings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679935027 PECOS PAC ID: 1850655580 Enrollment ID: I20190731000567 |
| Provider Name | Maulik Dineshchandra Panchal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396172748 PECOS PAC ID: 1658662929 Enrollment ID: I20190806000254 |
| Provider Name | Devon Maurice Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518321421 PECOS PAC ID: 1355678749 Enrollment ID: I20190807003355 |
| Provider Name | Aarika Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023582525 PECOS PAC ID: 4284961582 Enrollment ID: I20190808003897 |
| Provider Name | Bridget Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619322930 PECOS PAC ID: 7113254459 Enrollment ID: I20190809001168 |
| Provider Name | Kimberly Eve Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073823142 PECOS PAC ID: 8729220439 Enrollment ID: I20190812002690 |
| Provider Name | Jacquelenn Stuhldreher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952563728 PECOS PAC ID: 4789822032 Enrollment ID: I20190813000930 |
| Provider Name | Robert S Culley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861886590 PECOS PAC ID: 7416246772 Enrollment ID: I20190813001512 |
| Provider Name | Hardawan Ahmed Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861855991 PECOS PAC ID: 9739416702 Enrollment ID: I20190814000483 |
| Provider Name | Rafayat Hossain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366700023 PECOS PAC ID: 3274876701 Enrollment ID: I20190816002253 |
| Provider Name | Manoj Chawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922598572 PECOS PAC ID: 6901152255 Enrollment ID: I20190819001286 |
| Provider Name | Kristen E Spratt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285054569 PECOS PAC ID: 9830493832 Enrollment ID: I20190820000351 |
| Provider Name | Som Nath Chalise |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255580361 PECOS PAC ID: 7911176631 Enrollment ID: I20190820001638 |
| Provider Name | Cori Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458334 PECOS PAC ID: 3779811344 Enrollment ID: I20190820002974 |
| Provider Name | Brandy Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215599717 PECOS PAC ID: 4385972843 Enrollment ID: I20190821002433 |
| Provider Name | Oladunni Modinat Enilari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275820664 PECOS PAC ID: 8224256433 Enrollment ID: I20190828004314 |
| Provider Name | Yasser Samra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518288638 PECOS PAC ID: 2769623925 Enrollment ID: I20190829001767 |
| Provider Name | Jamie L Lawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548822554 PECOS PAC ID: 6507195476 Enrollment ID: I20190903001849 |
| Provider Name | Sathish Mohan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447679782 PECOS PAC ID: 1254557168 Enrollment ID: I20190905003246 |
| Provider Name | William Gartlan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679987929 PECOS PAC ID: 3173812286 Enrollment ID: I20190909001085 |
| Provider Name | Chetan Narendra Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306132139 PECOS PAC ID: 7416277223 Enrollment ID: I20190910002787 |
| Provider Name | Sally G Tamayo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013082163 PECOS PAC ID: 5294817433 Enrollment ID: I20190918001266 |
| Provider Name | Jeremy Norman Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477973972 PECOS PAC ID: 8628374881 Enrollment ID: I20190923002089 |
| Provider Name | Elsie Achieng |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1467896670 PECOS PAC ID: 9830328616 Enrollment ID: I20190923002369 |
| Provider Name | Krystal Ann Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447804497 PECOS PAC ID: 3678804721 Enrollment ID: I20191003003673 |
| Provider Name | Sumeyye Calp Inal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952671067 PECOS PAC ID: 1658602016 Enrollment ID: I20191016000835 |
| Provider Name | Ryan M Mcatee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134569841 PECOS PAC ID: 4789915091 Enrollment ID: I20191016003388 |
| Provider Name | Adrian A Salmon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528282456 PECOS PAC ID: 8123124807 Enrollment ID: I20191017002717 |
| Provider Name | Kaitlyn Aversa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942853403 PECOS PAC ID: 0446582639 Enrollment ID: I20191021001337 |
| Provider Name | Kathleen Foss Valdivieso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114575263 PECOS PAC ID: 0648502898 Enrollment ID: I20191022000113 |
| Provider Name | Virginia M Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356995427 PECOS PAC ID: 5597095497 Enrollment ID: I20191022002871 |
| Provider Name | Brian Liang-yu Chen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871750695 PECOS PAC ID: 5193995884 Enrollment ID: I20191028001903 |
| Provider Name | Haala Rokadia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376787333 PECOS PAC ID: 6901034321 Enrollment ID: I20191029002415 |
| Provider Name | Fnu Vikram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962831149 PECOS PAC ID: 8123301322 Enrollment ID: I20191104000714 |
| Provider Name | Jennifer Alene Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386294031 PECOS PAC ID: 2264764695 Enrollment ID: I20191104002059 |
| Provider Name | David Allan Scott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851421838 PECOS PAC ID: 1759575251 Enrollment ID: I20191104003293 |
| Provider Name | Elizabeth Fiscus Waring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659781896 PECOS PAC ID: 1951525955 Enrollment ID: I20191106001171 |
| Provider Name | Ashton Howard Goldman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760740096 PECOS PAC ID: 3779721774 Enrollment ID: I20191112003272 |
| Provider Name | Rachel Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548731565 PECOS PAC ID: 6002248762 Enrollment ID: I20191118002611 |
| Provider Name | Lindsey Youngblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053727784 PECOS PAC ID: 5698075232 Enrollment ID: I20191202002808 |
| Provider Name | Samantha Rene Verser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215578364 PECOS PAC ID: 7416380464 Enrollment ID: I20191204002138 |
| Provider Name | Patricia Fiorella Rodriguez Lozano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285998641 PECOS PAC ID: 6709186588 Enrollment ID: I20191204002819 |
| Provider Name | Tenesha Bottoms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407497381 PECOS PAC ID: 8426481052 Enrollment ID: I20191211003177 |
| Provider Name | Hassan Elnour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326302894 PECOS PAC ID: 0941596399 Enrollment ID: I20191213000644 |
| Provider Name | Shaimaa Fadl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487044830 PECOS PAC ID: 8628367919 Enrollment ID: I20191216003124 |
| Provider Name | Stephen Dale Balka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972153450 PECOS PAC ID: 7113351651 Enrollment ID: I20191216003126 |
| Provider Name | Stephanie A Giammittorio |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497075584 PECOS PAC ID: 0042524910 Enrollment ID: I20200115002048 |
| Provider Name | Stacy J Tanner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598020935 PECOS PAC ID: 2668604240 Enrollment ID: I20200115003335 |
| Provider Name | Jennifer Lee Retikis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578116851 PECOS PAC ID: 4981030921 Enrollment ID: I20200211000354 |
| Provider Name | Arnaldo Efrain Velez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427242536 PECOS PAC ID: 3870736176 Enrollment ID: I20200211000443 |
| Provider Name | Kaylee L Zapata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629618871 PECOS PAC ID: 2365878253 Enrollment ID: I20200213000948 |
| Provider Name | Enrique Segura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508036195 PECOS PAC ID: 1456537786 Enrollment ID: I20200217002570 |
| Provider Name | Ines Stromberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205136496 PECOS PAC ID: 0244532356 Enrollment ID: I20200219000916 |
| Provider Name | Lindsey Hux Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942851894 PECOS PAC ID: 7012344690 Enrollment ID: I20200220000269 |
| Provider Name | Allen Ozeran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346525128 PECOS PAC ID: 2365705514 Enrollment ID: I20200224001680 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20200314000177 |
| Provider Name | Jatifha Cedeya Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962985309 PECOS PAC ID: 3072941533 Enrollment ID: I20200316000978 |
| Provider Name | David Lee Parks |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1679547731 PECOS PAC ID: 8426139700 Enrollment ID: I20200320000936 |
| Provider Name | Son Phuong Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558650127 PECOS PAC ID: 6800189952 Enrollment ID: I20200323002646 |
| Provider Name | Sandra Walker Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770749202 PECOS PAC ID: 0547304412 Enrollment ID: I20200330002712 |
| Provider Name | Kerry Ellen Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639131113 PECOS PAC ID: 9133182116 Enrollment ID: I20200331002141 |
| Provider Name | Cheree Latai Faison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679132369 PECOS PAC ID: 3971932609 Enrollment ID: I20200401001914 |
| Provider Name | Glory Mbong-ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346873171 PECOS PAC ID: 0749619336 Enrollment ID: I20200402001032 |
| Provider Name | Loyette Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750914800 PECOS PAC ID: 0042649527 Enrollment ID: I20200403002327 |
| Provider Name | Leo Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114423035 PECOS PAC ID: 3375887599 Enrollment ID: I20200406000435 |
| Provider Name | Kara E Ward |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073756227 PECOS PAC ID: 1951534866 Enrollment ID: I20200408001588 |
| Provider Name | Michael Ney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326675109 PECOS PAC ID: 3577992700 Enrollment ID: I20200408004735 |
| Provider Name | Charles Jervey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801865365 PECOS PAC ID: 5799751921 Enrollment ID: I20200420002296 |
| Provider Name | Daniel Michael Kopolovich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184037053 PECOS PAC ID: 6507142643 Enrollment ID: I20200421000417 |
| Provider Name | Lindsey B Sachs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578199642 PECOS PAC ID: 9830529528 Enrollment ID: I20200421000435 |
| Provider Name | Sandra Corsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891838033 PECOS PAC ID: 1052532066 Enrollment ID: I20200422003389 |
| Provider Name | Candace B Lankford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134751530 PECOS PAC ID: 4981034253 Enrollment ID: I20200429001017 |
| Provider Name | Shanon F Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477102531 PECOS PAC ID: 5193156339 Enrollment ID: I20200504000983 |
| Provider Name | Mary Elizabeth Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013424431 PECOS PAC ID: 9133540396 Enrollment ID: I20200527000503 |
| Provider Name | Mohit Bhasin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124070693 PECOS PAC ID: 2163435322 Enrollment ID: I20200527002722 |
| Provider Name | Heather D Eley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285883306 PECOS PAC ID: 4183045990 Enrollment ID: I20200603002276 |
| Provider Name | Kimberly-ann Milliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457885717 PECOS PAC ID: 7113299124 Enrollment ID: I20200608002580 |
| Provider Name | John Lamm |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518302017 PECOS PAC ID: 9931410453 Enrollment ID: I20200609002097 |
| Provider Name | Ameet Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679096838 PECOS PAC ID: 8426322900 Enrollment ID: I20200610000343 |
| Provider Name | Shu Guang Xu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285684324 PECOS PAC ID: 4486544350 Enrollment ID: I20200617000837 |
| Provider Name | Barbara Beauchamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407388440 PECOS PAC ID: 3870866148 Enrollment ID: I20200617001606 |
| Provider Name | Michelle Renee Dipasquale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558980771 PECOS PAC ID: 5496177594 Enrollment ID: I20200618001490 |
| Provider Name | Alejandro Santillan Cadenillas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780027169 PECOS PAC ID: 5092005959 Enrollment ID: I20200623000797 |
| Provider Name | Dwayne North |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457745143 PECOS PAC ID: 5092017574 Enrollment ID: I20200624000673 |
| Provider Name | Sujith Philip John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780065706 PECOS PAC ID: 4385936384 Enrollment ID: I20200702002470 |
| Provider Name | Kathryn E Edman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174061030 PECOS PAC ID: 6507289766 Enrollment ID: I20200706002824 |
| Provider Name | Richard Slama |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699191635 PECOS PAC ID: 9638416456 Enrollment ID: I20200709001031 |
| Provider Name | Paul M Trinquero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124417944 PECOS PAC ID: 3577868413 Enrollment ID: I20200713001903 |
| Provider Name | Linwood Thomas Joyner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336680537 PECOS PAC ID: 7810311354 Enrollment ID: I20200716003729 |
| Provider Name | Zachary Morie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730611245 PECOS PAC ID: 0345512356 Enrollment ID: I20200716003928 |
| Provider Name | Andrew Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649230483 PECOS PAC ID: 2264585751 Enrollment ID: I20200721000484 |
| Provider Name | Tyler Anderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447612478 PECOS PAC ID: 8022380476 Enrollment ID: I20200804002931 |
| Provider Name | Antilkumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669910568 PECOS PAC ID: 7517202740 Enrollment ID: I20200805000000 |
| Provider Name | Xuan H Valdez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396108197 PECOS PAC ID: 8729310685 Enrollment ID: I20200805000379 |
| Provider Name | Jessica B Weng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053843987 PECOS PAC ID: 6204170921 Enrollment ID: I20200805000911 |
| Provider Name | Caitlin Marie Harrah |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215558952 PECOS PAC ID: 3678998879 Enrollment ID: I20200805001471 |
| Provider Name | Roxanne D Chalifoux |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164074761 PECOS PAC ID: 7911322987 Enrollment ID: I20200807001236 |
| Provider Name | Olumide O Ajayeoba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144577826 PECOS PAC ID: 1850519711 Enrollment ID: I20200811002085 |
| Provider Name | Dikshya Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639581226 PECOS PAC ID: 4688090418 Enrollment ID: I20200811003007 |
| Provider Name | Sean Michael Stuart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659507234 PECOS PAC ID: 3274959622 Enrollment ID: I20200814002210 |
| Provider Name | Bryant O Gray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871947572 PECOS PAC ID: 5890021463 Enrollment ID: I20200818000822 |
| Provider Name | Emily M Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043693393 PECOS PAC ID: 4587913959 Enrollment ID: I20200818001447 |
| Provider Name | Racquel T Fung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811545510 PECOS PAC ID: 8729404041 Enrollment ID: I20200818001478 |
| Provider Name | Samuel J Potolicchio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114993367 PECOS PAC ID: 1557408846 Enrollment ID: I20200825002336 |
| Provider Name | Silya Mazigh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942735071 PECOS PAC ID: 4082031604 Enrollment ID: I20200827003017 |
| Provider Name | Shaunette Davey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356570584 PECOS PAC ID: 8527331008 Enrollment ID: I20200903003520 |
| Provider Name | Jerrid Neeley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902339401 PECOS PAC ID: 6507137429 Enrollment ID: I20200911001594 |
| Provider Name | Nicole Leigh White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153262 PECOS PAC ID: 5193143535 Enrollment ID: I20200916001775 |
| Provider Name | Ashley Jasmine Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366055451 PECOS PAC ID: 4587082649 Enrollment ID: I20200922001747 |
| Provider Name | Omari Peterkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518576297 PECOS PAC ID: 0547689630 Enrollment ID: I20200923000230 |
| Provider Name | Wendy J Bottinor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841581501 PECOS PAC ID: 7012158553 Enrollment ID: I20200923001273 |
| Provider Name | Louis W. Varella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306374020 PECOS PAC ID: 7214356930 Enrollment ID: I20200930000950 |
| Provider Name | David Brent Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235754524 PECOS PAC ID: 9436578150 Enrollment ID: I20200930001142 |
| Provider Name | Karandeep Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609300664 PECOS PAC ID: 2163840596 Enrollment ID: I20201005000120 |
| Provider Name | Thomas Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720374721 PECOS PAC ID: 4486972742 Enrollment ID: I20201007001122 |
| Provider Name | April M Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538783303 PECOS PAC ID: 4981024114 Enrollment ID: I20201008003419 |
| Provider Name | Tarun K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205363769 PECOS PAC ID: 0648690644 Enrollment ID: I20201013001543 |
| Provider Name | Shraddha Rajeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588014708 PECOS PAC ID: 8527488527 Enrollment ID: I20201013001641 |
| Provider Name | Hemal Patel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1225490022 PECOS PAC ID: 2668892415 Enrollment ID: I20201015001993 |
| Provider Name | Latosha Christine Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952914731 PECOS PAC ID: 4486074101 Enrollment ID: I20201020000119 |
| Provider Name | Megan Betts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465644 PECOS PAC ID: 4789920398 Enrollment ID: I20201022002758 |
| Provider Name | Madison Lashley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598176380 PECOS PAC ID: 6204139579 Enrollment ID: I20201027003309 |
| Provider Name | Martha Luz Alejandro-bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831706597 PECOS PAC ID: 2365852696 Enrollment ID: I20201027003316 |
| Provider Name | Lauren S Hasbrouck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982069498 PECOS PAC ID: 8224333745 Enrollment ID: I20201102000994 |
| Provider Name | Britteny Nicole Stone-joel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346852639 PECOS PAC ID: 1951711860 Enrollment ID: I20201104002034 |
| Provider Name | Dustin M St George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093177495 PECOS PAC ID: 9436482676 Enrollment ID: I20201104002675 |
| Provider Name | Sheila Margaret Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689272726 PECOS PAC ID: 8123438942 Enrollment ID: I20201106001206 |
| Provider Name | Matthew J Nemero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780124446 PECOS PAC ID: 8224372792 Enrollment ID: I20201111000136 |
| Provider Name | Jessica Lauren Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538769724 PECOS PAC ID: 9739599341 Enrollment ID: I20201111001086 |
| Provider Name | Kazir I Kabir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275062200 PECOS PAC ID: 8729499116 Enrollment ID: I20201116000483 |
| Provider Name | Richard Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932427218 PECOS PAC ID: 4880810282 Enrollment ID: I20201117001797 |
| Provider Name | Tasha Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134736929 PECOS PAC ID: 4789095779 Enrollment ID: I20201123003384 |
| Provider Name | Richard Scott Sweeney |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316109606 PECOS PAC ID: 2466863295 Enrollment ID: I20201130000478 |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20201201003163 |
| Provider Name | Anne Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336749209 PECOS PAC ID: 1254742968 Enrollment ID: I20201202001113 |
| Provider Name | Samantha Conte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891248431 PECOS PAC ID: 1951712587 Enrollment ID: I20201202002542 |
| Provider Name | Adam Bourgon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659638575 PECOS PAC ID: 4688803281 Enrollment ID: I20201203000888 |
| Provider Name | Hany Farag |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538362066 PECOS PAC ID: 8426100074 Enrollment ID: I20201203000982 |
| Provider Name | Haley Center |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295338952 PECOS PAC ID: 9032521166 Enrollment ID: I20201215001411 |
| Provider Name | Jennifer Towne Treacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700402534 PECOS PAC ID: 4183036072 Enrollment ID: I20201217002195 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20201231001299 |
| Provider Name | Joshua J Natali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710220983 PECOS PAC ID: 2860721610 Enrollment ID: I20210104000570 |
| Provider Name | Jeremy David Simmons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023275971 PECOS PAC ID: 9133347511 Enrollment ID: I20210104000652 |
| Provider Name | Christina Jackson Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417593120 PECOS PAC ID: 8022421296 Enrollment ID: I20210107000500 |
| Provider Name | Marissa L Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20210107001064 |
| Provider Name | David M Hanrahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033347125 PECOS PAC ID: 2163835398 Enrollment ID: I20210108000173 |
| Provider Name | Mary Fahrmeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245252303 PECOS PAC ID: 4880657527 Enrollment ID: I20210108000257 |
| Provider Name | Isabella Kanellopoulou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245354083 PECOS PAC ID: 4981782810 Enrollment ID: I20210108001347 |
| Provider Name | Jamie L Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664789 PECOS PAC ID: 6901044379 Enrollment ID: I20210108001387 |
| Provider Name | Ehsun Raza Mirza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821049735 PECOS PAC ID: 6103918826 Enrollment ID: I20210112002476 |
| Provider Name | Douglas M Ikelheimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508979519 PECOS PAC ID: 1759347396 Enrollment ID: I20210119001213 |
| Provider Name | Sandeep S Saran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033538459 PECOS PAC ID: 8123432861 Enrollment ID: I20210120003065 |
| Provider Name | Stefan Mianowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639564156 PECOS PAC ID: 9537469093 Enrollment ID: I20210129000485 |
| Provider Name | Mark D Alter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730263617 PECOS PAC ID: 5991855330 Enrollment ID: I20210202000728 |
| Provider Name | Daniel W Bradford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851350326 PECOS PAC ID: 3173543725 Enrollment ID: I20210203001106 |
| Provider Name | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20210211003087 |
| Provider Name | Jimi O Akingbade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942269881 PECOS PAC ID: 7214826064 Enrollment ID: I20210215001082 |
| Provider Name | Kent Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184935983 PECOS PAC ID: 5395165757 Enrollment ID: I20210304002001 |
| Provider Name | Tonia Contelmo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659876159 PECOS PAC ID: 4082963558 Enrollment ID: I20210310002177 |
| Provider Name | Sara Elaine Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649877697 PECOS PAC ID: 8628485265 Enrollment ID: I20210329001019 |
| Provider Name | Sangeeta Bhupendra Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952342560 PECOS PAC ID: 8820062847 Enrollment ID: I20210413001675 |
| Provider Name | Kyndis Richelle Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144812389 PECOS PAC ID: 8224447834 Enrollment ID: I20210512001078 |
| Provider Name | Shadi Ghadermarzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073040226 PECOS PAC ID: 0143594168 Enrollment ID: I20210512001539 |
| Provider Name | Rondeshya Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184209777 PECOS PAC ID: 2567861412 Enrollment ID: I20210525002757 |
| Provider Name | Olubusola Amiola |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437503323 PECOS PAC ID: 6305162041 Enrollment ID: I20210614001797 |
| Provider Name | Sandria Taquania Vernon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235633520 PECOS PAC ID: 2668872243 Enrollment ID: I20210618001227 |
| Provider Name | Wanda Lizette Carrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376000570 PECOS PAC ID: 8921400235 Enrollment ID: I20210708003483 |
| Provider Name | Christina A Zauner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972965754 PECOS PAC ID: 0648548412 Enrollment ID: I20210720001887 |
| Provider Name | Mazen Awais |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477670834 PECOS PAC ID: 8921152984 Enrollment ID: I20210721000532 |
| Provider Name | Penelope Duvall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851393201 PECOS PAC ID: 3375449127 Enrollment ID: I20210721000688 |
| Provider Name | Michelle Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033319553 PECOS PAC ID: 0244493930 Enrollment ID: I20210722001161 |
| Provider Name | Tarik James Hamdani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932468295 PECOS PAC ID: 4486057833 Enrollment ID: I20210723000362 |
| Provider Name | Vicki Marie Sikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194307918 PECOS PAC ID: 5395148415 Enrollment ID: I20210728000102 |
| Provider Name | Arun K Sherma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942474614 PECOS PAC ID: 1153616313 Enrollment ID: I20210728003902 |
| Provider Name | Andrea Avalos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710483680 PECOS PAC ID: 1557764560 Enrollment ID: I20210728004026 |
| Provider Name | Michael Siu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932634870 PECOS PAC ID: 9830518265 Enrollment ID: I20210803000562 |
| Provider Name | Andrew James Pisetzner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497362248 PECOS PAC ID: 1052715778 Enrollment ID: I20210803001739 |
| Provider Name | Farhod Djuraev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609370964 PECOS PAC ID: 0840548756 Enrollment ID: I20210806000210 |
| Provider Name | Zoya Yameen Iqbaluddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902301591 PECOS PAC ID: 1759637440 Enrollment ID: I20210810002104 |
| Provider Name | Najeebullah Brohi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730664756 PECOS PAC ID: 5698179679 Enrollment ID: I20210812003176 |
| Provider Name | Andrea Elise Miller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740864677 PECOS PAC ID: 3375947369 Enrollment ID: I20210812004006 |
| Provider Name | Cody Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104241595 PECOS PAC ID: 1254753411 Enrollment ID: I20210813000279 |
| Provider Name | Jamie Danielle Guertin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538565767 PECOS PAC ID: 8921421223 Enrollment ID: I20210827001503 |
| Provider Name | Kasey Conklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508396433 PECOS PAC ID: 9830595800 Enrollment ID: I20210831002458 |
| Provider Name | Kristen E Holtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568959096 PECOS PAC ID: 3779813464 Enrollment ID: I20210901000697 |
| Provider Name | Elizabeth Breton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962087957 PECOS PAC ID: 8729484647 Enrollment ID: I20210901000918 |
| Provider Name | Akinbola A Ajayi-obe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265850549 PECOS PAC ID: 2466711791 Enrollment ID: I20210902000649 |
| Provider Name | Orean Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154878213 PECOS PAC ID: 7012281652 Enrollment ID: I20210908002261 |
| Provider Name | Leelawattie Bisnauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912583337 PECOS PAC ID: 2466858600 Enrollment ID: I20210913003527 |
| Provider Name | Zachary Mansell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1558881946 PECOS PAC ID: 6901225127 Enrollment ID: I20210922001799 |
| Provider Name | Courtney Brooke Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275202095 PECOS PAC ID: 7517364219 Enrollment ID: I20210923000054 |
| Provider Name | Oye Amenyefia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356914675 PECOS PAC ID: 0345647798 Enrollment ID: I20210928000428 |
| Provider Name | Sarah Goldman Aledia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003400797 PECOS PAC ID: 8820495211 Enrollment ID: I20210928002036 |
| Provider Name | Lisa Stoddart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902008840 PECOS PAC ID: 6103116645 Enrollment ID: I20210928003569 |
| Provider Name | Kritika Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598261596 PECOS PAC ID: 1759612948 Enrollment ID: I20210930000815 |
| Provider Name | Camil Correia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366822009 PECOS PAC ID: 7810290822 Enrollment ID: I20211012000823 |
| Provider Name | Peggy N Rahal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912096702 PECOS PAC ID: 1658279526 Enrollment ID: I20211012001794 |
| Provider Name | James Kevin Obrien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326233511 PECOS PAC ID: 3971523739 Enrollment ID: I20211014001317 |
| Provider Name | Meghan Gildow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932878436 PECOS PAC ID: 4688072002 Enrollment ID: I20211014002129 |
| Provider Name | Rebecca Sue Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568711810 PECOS PAC ID: 7012315336 Enrollment ID: I20211018000462 |
| Provider Name | Julia Michelle White |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912369109 PECOS PAC ID: 6305117961 Enrollment ID: I20211019002234 |
| Provider Name | Ruth Compton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831484047 PECOS PAC ID: 9133452568 Enrollment ID: I20211022001818 |
| Provider Name | Asadullah Baig Mirza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164819991 PECOS PAC ID: 4789982927 Enrollment ID: I20211026002233 |
| Provider Name | John Oliver Patrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235632241 PECOS PAC ID: 0244628873 Enrollment ID: I20211101000333 |
| Provider Name | Divya Gumber |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407250913 PECOS PAC ID: 5294124350 Enrollment ID: I20211110002075 |
| Provider Name | Marcus William Sinewe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699206664 PECOS PAC ID: 3971935511 Enrollment ID: I20211115000147 |
| Provider Name | Chase Stephen Correia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609142801 PECOS PAC ID: 0547567976 Enrollment ID: I20211116002245 |
| Provider Name | Jocelyn Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750047395 PECOS PAC ID: 8224427034 Enrollment ID: I20211117001418 |
| Provider Name | Marissa Gregoire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699437251 PECOS PAC ID: 9032508619 Enrollment ID: I20211120000225 |
| Provider Name | Bruno A Perossa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346657889 PECOS PAC ID: 5092934513 Enrollment ID: I20211130001104 |
| Provider Name | David R Delaplane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023081411 PECOS PAC ID: 6507848314 Enrollment ID: I20211203001660 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20211227000984 |
| Provider Name | Mustafa Anssar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588168603 PECOS PAC ID: 3577801695 Enrollment ID: I20211229001004 |
| Provider Name | Tasmia Ahmed |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1962936039 PECOS PAC ID: 1557785763 Enrollment ID: I20220104001159 |
| Provider Name | Navid Behrooz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871889311 PECOS PAC ID: 8527332279 Enrollment ID: I20220113000505 |
| Provider Name | Whitney C Ullery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730843657 PECOS PAC ID: 3870985336 Enrollment ID: I20220113002253 |
| Provider Name | Victoria Serven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922503721 PECOS PAC ID: 5395092332 Enrollment ID: I20220114002304 |
| Provider Name | Brian Eric Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154783835 PECOS PAC ID: 4284994971 Enrollment ID: I20220201002467 |
| Provider Name | Jennifer Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922515972 PECOS PAC ID: 6204198591 Enrollment ID: I20220202002439 |
| Provider Name | Michael Fiocco |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295738508 PECOS PAC ID: 4486781523 Enrollment ID: I20220209002376 |
| Provider Name | Samantha Ilia Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386131373 PECOS PAC ID: 4284986399 Enrollment ID: I20220214001022 |
| Provider Name | Hasan Riaz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780831164 PECOS PAC ID: 8426372681 Enrollment ID: I20220216002272 |
| Provider Name | Travis Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407352693 PECOS PAC ID: 7618220088 Enrollment ID: I20220218000394 |
| Provider Name | Eric Schmieler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932569498 PECOS PAC ID: 8628362472 Enrollment ID: I20220303000603 |
| Provider Name | Paula Garcia Pittinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235896820 PECOS PAC ID: 7810381944 Enrollment ID: I20220305000019 |
| Provider Name | Felicitas Lembi Kanla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932734241 PECOS PAC ID: 6608261276 Enrollment ID: I20220317000491 |
| Provider Name | Daniel A Soroff |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1104806314 PECOS PAC ID: 7810945847 Enrollment ID: I20220321000158 |
| Provider Name | James Robert Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336554310 PECOS PAC ID: 4385039890 Enrollment ID: I20220321000860 |
| Provider Name | Hicks Corey Manson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891149480 PECOS PAC ID: 5294028072 Enrollment ID: I20220321000914 |
| Provider Name | Kevin Michael Mclendon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720510837 PECOS PAC ID: 2466709787 Enrollment ID: I20220321001557 |
| Provider Name | Folarin Kalada Sogbetun |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356536882 PECOS PAC ID: 4789732546 Enrollment ID: I20220321001861 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20220406001633 |
| Provider Name | Hannah Homafar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184944738 PECOS PAC ID: 8628370038 Enrollment ID: I20220408002281 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220413001505 |
| Provider Name | Todd Anthony Maraist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467560029 PECOS PAC ID: 4284653825 Enrollment ID: I20220418000268 |
| Provider Name | Ala Haddadin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982685673 PECOS PAC ID: 9537283460 Enrollment ID: I20220422000299 |
| Provider Name | Kristi L Cassleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477858280 PECOS PAC ID: 6507119401 Enrollment ID: I20220422002285 |
| Provider Name | Sashank Pokhrel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700034188 PECOS PAC ID: 9032383765 Enrollment ID: I20220503001021 |
| Provider Name | Barbara Robinson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851489041 PECOS PAC ID: 5799713145 Enrollment ID: I20220520000037 |
| Provider Name | Callie Danielle Tayrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881340743 PECOS PAC ID: 5395123566 Enrollment ID: I20220531000436 |
| Provider Name | Joseph Morris |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609843085 PECOS PAC ID: 7012924509 Enrollment ID: I20220603001463 |
| Provider Name | Endra W Sookoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386933158 PECOS PAC ID: 3577868934 Enrollment ID: I20220622003314 |
| Provider Name | Kristine L Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205572401 PECOS PAC ID: 4284013004 Enrollment ID: I20220623003317 |
| Provider Name | Karen J Severson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689787426 PECOS PAC ID: 0840364030 Enrollment ID: I20220628003804 |
| Provider Name | Rebecca Lynn Deanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669101721 PECOS PAC ID: 2961882345 Enrollment ID: I20220701000025 |
| Provider Name | Jose Luis Perez Lara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013461060 PECOS PAC ID: 8426438508 Enrollment ID: I20220707000548 |
| Provider Name | Meghna Chopra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295364446 PECOS PAC ID: 3072937317 Enrollment ID: I20220711003589 |
| Provider Name | Leonid Reshko |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770016065 PECOS PAC ID: 7810244704 Enrollment ID: I20220712000583 |
| Provider Name | Jeffrey Joseph Henneman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528628658 PECOS PAC ID: 1456688324 Enrollment ID: I20220712001784 |
| Provider Name | Allison Fox |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801385059 PECOS PAC ID: 1850656695 Enrollment ID: I20220713001066 |
| Provider Name | Terry D. Bauch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790774768 PECOS PAC ID: 8628170065 Enrollment ID: I20220713001966 |
| Provider Name | Suraj Rajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114367786 PECOS PAC ID: 3779718010 Enrollment ID: I20220713003773 |
| Provider Name | Charles F Hunley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962653683 PECOS PAC ID: 5799973517 Enrollment ID: I20220713004063 |
| Provider Name | Christopher Jonathan Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326455221 PECOS PAC ID: 9830570167 Enrollment ID: I20220719000397 |
| Provider Name | Samuel Aj Tabacchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366905721 PECOS PAC ID: 8729315072 Enrollment ID: I20220719001142 |
| Provider Name | Drew Aaron Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861999153 PECOS PAC ID: 2567712755 Enrollment ID: I20220722000084 |
| Provider Name | Lindsay B Hefner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912390105 PECOS PAC ID: 0143601021 Enrollment ID: I20220725000053 |
| Provider Name | Aaron H Chevinsky |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1598755316 PECOS PAC ID: 8921042243 Enrollment ID: I20220801000794 |
| Provider Name | Daniel Ripley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841829728 PECOS PAC ID: 2062836307 Enrollment ID: I20220802001886 |
| Provider Name | Choua N Thao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20220804000254 |
| Provider Name | Fatima Wong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730506668 PECOS PAC ID: 9133349830 Enrollment ID: I20220804001933 |
| Provider Name | Kaushal Kantibhai Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396186466 PECOS PAC ID: 4486942711 Enrollment ID: I20220808001711 |
| Provider Name | Vincent Edouard Gullas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578125381 PECOS PAC ID: 3678805454 Enrollment ID: I20220823001217 |
| Provider Name | Jignesh Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1477501351 PECOS PAC ID: 5890707624 Enrollment ID: I20220823001549 |
| Provider Name | Heather S White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063146900 PECOS PAC ID: 1658754601 Enrollment ID: I20220824000636 |
| Provider Name | Adam George Purdy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932563582 PECOS PAC ID: 4284059379 Enrollment ID: I20220829001581 |
| Provider Name | Stephen Andrew Sebastian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386206449 PECOS PAC ID: 0840674289 Enrollment ID: I20220901003629 |
| Provider Name | Paul Thomas Kroner Florit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558777847 PECOS PAC ID: 6103199336 Enrollment ID: I20220907001810 |
| Provider Name | Lauren Weber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649474636 PECOS PAC ID: 1658503529 Enrollment ID: I20220913001161 |
| Provider Name | Marisa Johnson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083615520 PECOS PAC ID: 0143111641 Enrollment ID: I20220915001315 |
| Provider Name | Jonathan Michael Sardina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053629535 PECOS PAC ID: 1951547561 Enrollment ID: I20220916001369 |
| Provider Name | Telron Apree Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760119994 PECOS PAC ID: 3375928880 Enrollment ID: I20220920002459 |
| Provider Name | Kayla E Leach-frasca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598113268 PECOS PAC ID: 4688960099 Enrollment ID: I20220922002444 |
| Provider Name | Ahmed Mustafa Ali Younes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053974287 PECOS PAC ID: 1052646866 Enrollment ID: I20220926001986 |
| Provider Name | Reem Alhashemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770044828 PECOS PAC ID: 5496131575 Enrollment ID: I20220927001031 |
| Provider Name | Man Si Lou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750878427 PECOS PAC ID: 0547508897 Enrollment ID: I20220927001977 |
| Provider Name | Alexander Fleming |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184117509 PECOS PAC ID: 2163779323 Enrollment ID: I20220927002852 |
| Provider Name | Lyle James Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20221010000080 |
| Provider Name | Marcus Teshome |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891722948 PECOS PAC ID: 9133221229 Enrollment ID: I20221017000379 |
| Provider Name | Ronnell Deanna Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801532155 PECOS PAC ID: 4688040520 Enrollment ID: I20221018003431 |
| Provider Name | Dana J Beasley-coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427776376 PECOS PAC ID: 5799151445 Enrollment ID: I20221020001197 |
| Provider Name | German Echeverry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689995771 PECOS PAC ID: 3577794197 Enrollment ID: I20221027002619 |
| Provider Name | Amanda Foskey Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528786910 PECOS PAC ID: 7719354026 Enrollment ID: I20221028002482 |
| Provider Name | Alice Jane Mckinzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720025075 PECOS PAC ID: 7012261167 Enrollment ID: I20221102001453 |
| Provider Name | Mahesh Cheryala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275083263 PECOS PAC ID: 8426330598 Enrollment ID: I20221107002474 |
| Provider Name | Jordan P Crittenden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275074346 PECOS PAC ID: 4688950108 Enrollment ID: I20221117000739 |
| Provider Name | Ashley Michelle Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801513080 PECOS PAC ID: 1052789153 Enrollment ID: I20221121003328 |
| Provider Name | Christina Michelle Ancheta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497395446 PECOS PAC ID: 1052789047 Enrollment ID: I20221123000323 |
| Provider Name | Shauna Evelyn Ocasio Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790406734 PECOS PAC ID: 5597133421 Enrollment ID: I20221123002304 |
| Provider Name | Robin Karasek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558823740 PECOS PAC ID: 9931577806 Enrollment ID: I20221127000011 |
| Provider Name | Elmyra V Encarnacion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093762270 PECOS PAC ID: 0547173494 Enrollment ID: I20221201000369 |
| Provider Name | Travis Kling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811458581 PECOS PAC ID: 3577932938 Enrollment ID: I20221207002566 |
| Provider Name | Kyle Hollmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285195966 PECOS PAC ID: 7214336049 Enrollment ID: I20221208000061 |
| Provider Name | Matthew Robert Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417317009 PECOS PAC ID: 6305139197 Enrollment ID: I20221209002811 |
| Provider Name | Christina Freeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013625128 PECOS PAC ID: 1254700081 Enrollment ID: I20221216001663 |
| Provider Name | Kashmala Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295297976 PECOS PAC ID: 2668841396 Enrollment ID: I20221219003028 |
| Provider Name | Akinyinka Abidem Ajelabi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20221222001204 |
| Provider Name | Kathryn Elise Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750019774 PECOS PAC ID: 3678943180 Enrollment ID: I20221227002513 |
| Provider Name | Autumn Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255997748 PECOS PAC ID: 9335478361 Enrollment ID: I20221229000086 |
| Provider Name | Nora Dina Homsi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497136386 PECOS PAC ID: 7214325349 Enrollment ID: I20221229002406 |
| Provider Name | Robert Keilig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205399458 PECOS PAC ID: 6507193943 Enrollment ID: I20230104002695 |
| Provider Name | Heather Rose Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750002309 PECOS PAC ID: 8820468986 Enrollment ID: I20230105002236 |
| Provider Name | Ryan Thomas Jahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750763017 PECOS PAC ID: 5991085177 Enrollment ID: I20230110002754 |
| Provider Name | Ashley Nicole Clemmons Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295459790 PECOS PAC ID: 0244600120 Enrollment ID: I20230111000440 |
| Provider Name | Max Moonwon Chae |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730310970 PECOS PAC ID: 3072984822 Enrollment ID: I20230113002545 |
| Provider Name | Heather Michelle Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227890 PECOS PAC ID: 1355712720 Enrollment ID: I20230123000196 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20230123001629 |
| Provider Name | Matheau A Julien |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20230125002966 |
| Provider Name | Michael Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295851285 PECOS PAC ID: 2769864784 Enrollment ID: I20230127001190 |
| Provider Name | Angelina Maneval |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124447461 PECOS PAC ID: 6800013756 Enrollment ID: I20230127001819 |
| Provider Name | Parikshit Thakur Hameer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477822799 PECOS PAC ID: 8325350846 Enrollment ID: I20230130000799 |
| Provider Name | Harry Lomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1942294202 PECOS PAC ID: 3173558822 Enrollment ID: I20230131000617 |
| Provider Name | Shayan Gates |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356722284 PECOS PAC ID: 8628452984 Enrollment ID: I20230207001780 |
| Provider Name | Dmitri Gagarin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114109089 PECOS PAC ID: 6608058672 Enrollment ID: I20230216001391 |
| Provider Name | Debra Kay Spatz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932175288 PECOS PAC ID: 2769536325 Enrollment ID: I20230216001507 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230217000206 |
| Provider Name | Carla Branson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821700881 PECOS PAC ID: 7012380009 Enrollment ID: I20230222000118 |
| Provider Name | Rigoberto Arteaga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437410875 PECOS PAC ID: 3476926148 Enrollment ID: I20230228000311 |
| Provider Name | Dana A Marrero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407081748 PECOS PAC ID: 8426213869 Enrollment ID: I20230228001526 |
| Provider Name | Leslie Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912612060 PECOS PAC ID: 6305219692 Enrollment ID: I20230307003449 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20230316001052 |
| Provider Name | Roya Sedghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871517037 PECOS PAC ID: 1658373832 Enrollment ID: I20230323000232 |
| Provider Name | Philibert Blanza Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881390797 PECOS PAC ID: 8628443827 Enrollment ID: I20230330002530 |
| Provider Name | Rumi Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184676926 PECOS PAC ID: 7315967692 Enrollment ID: I20230331001703 |
| Provider Name | Alexa Joy Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457061970 PECOS PAC ID: 7012382914 Enrollment ID: I20230406001147 |
| Provider Name | Dawn Margaret Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659678084 PECOS PAC ID: 3173795374 Enrollment ID: I20230406001350 |
| Provider Name | Erik Dwight Stickney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619937984 PECOS PAC ID: 7315101706 Enrollment ID: I20230414002036 |
| Provider Name | Ashley Gause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205411212 PECOS PAC ID: 6204201544 Enrollment ID: I20230418002804 |
| Provider Name | James Augustine Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215166707 PECOS PAC ID: 8729256433 Enrollment ID: I20230424000987 |
| Provider Name | Heather R Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932807435 PECOS PAC ID: 3779948765 Enrollment ID: I20230426001816 |
| Provider Name | Emily Ferrara Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366896656 PECOS PAC ID: 7810287174 Enrollment ID: I20230427000798 |
| Provider Name | Iulia Oana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306010756 PECOS PAC ID: 9537054234 Enrollment ID: I20230428000372 |
| Provider Name | Morgan Elizabeth Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740997055 PECOS PAC ID: 6103281621 Enrollment ID: I20230504002661 |
| Provider Name | Victoria Anne Lear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083314108 PECOS PAC ID: 1951767466 Enrollment ID: I20230525000142 |
| Provider Name | Nathan Christopher Sheets |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477788263 PECOS PAC ID: 5193963882 Enrollment ID: I20230525000418 |
| Provider Name | James Orlando |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629051123 PECOS PAC ID: 7315030368 Enrollment ID: I20230526000113 |
| Provider Name | Alexander Chi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366604217 PECOS PAC ID: 6002957826 Enrollment ID: I20230606001914 |
| Provider Name | Angela V Barco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447961404 PECOS PAC ID: 7315304367 Enrollment ID: I20230606002459 |
| Provider Name | Javon Miguel Edgecombe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255622015 PECOS PAC ID: 2961635115 Enrollment ID: I20230609002887 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20230619000661 |
| Provider Name | Jamie Marie Firth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780335802 PECOS PAC ID: 7416315312 Enrollment ID: I20230626001537 |
| Provider Name | Paul K Zelensky |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1891077210 PECOS PAC ID: 0244405819 Enrollment ID: I20230706000222 |
| Provider Name | Arthur T Martella |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497799548 PECOS PAC ID: 2567566276 Enrollment ID: I20230711002522 |
| Provider Name | Anthony Zaffino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497384234 PECOS PAC ID: 6709201544 Enrollment ID: I20230712001243 |
| Provider Name | Karen Dorothy Louise Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154317378 PECOS PAC ID: 6002803640 Enrollment ID: I20230712002584 |
| Provider Name | Ahmed Jouan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043766314 PECOS PAC ID: 1557764909 Enrollment ID: I20230712003545 |
| Provider Name | Lindsay E Borden |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1861854788 PECOS PAC ID: 3577858810 Enrollment ID: I20230712004243 |
| Provider Name | Patrice R Paschall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083322747 PECOS PAC ID: 1456711944 Enrollment ID: I20230714003673 |
| Provider Name | Jared Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306475132 PECOS PAC ID: 0547685380 Enrollment ID: I20230718002981 |
| Provider Name | Maen Abou Ziki |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720499833 PECOS PAC ID: 0345549887 Enrollment ID: I20230719002852 |
| Provider Name | Karim Abdalla Reda Fetouh Hebishi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144707902 PECOS PAC ID: 4981956802 Enrollment ID: I20230725001368 |
| Provider Name | Donald Joseph Mendoza |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164927851 PECOS PAC ID: 8224499959 Enrollment ID: I20230727003558 |
| Provider Name | Stephanie Rapke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285686345 PECOS PAC ID: 6204812142 Enrollment ID: I20230801001531 |
| Provider Name | Connor Ericksen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457882391 PECOS PAC ID: 9739452012 Enrollment ID: I20230801001705 |
| Provider Name | Patrick Burke |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609254812 PECOS PAC ID: 0941503643 Enrollment ID: I20230801001940 |
| Provider Name | Tiffany Jean Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245920891 PECOS PAC ID: 6305207697 Enrollment ID: I20230802004148 |
| Provider Name | Ryan M Warren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588292866 PECOS PAC ID: 6507227816 Enrollment ID: I20230803000336 |
| Provider Name | Tokunbo Izevbuhe Ayeni |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255795084 PECOS PAC ID: 2466813621 Enrollment ID: I20230803002796 |
| Provider Name | Doreen Boateng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467151373 PECOS PAC ID: 1658732797 Enrollment ID: I20230804001880 |
| Provider Name | Megan Jessica Probasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467148221 PECOS PAC ID: 4789045717 Enrollment ID: I20230807002286 |
| Provider Name | Charleton Yves-marie B Goodman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609516673 PECOS PAC ID: 5799166914 Enrollment ID: I20230807003067 |
| Provider Name | Mark Winston Hargrove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427686872 PECOS PAC ID: 9133580194 Enrollment ID: I20230807003158 |
| Provider Name | Edward Francis Miles |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336311349 PECOS PAC ID: 3577700673 Enrollment ID: I20230808002811 |
| Provider Name | Laura Kueny |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093134355 PECOS PAC ID: 2365869435 Enrollment ID: I20230814002193 |
| Provider Name | Alanna D'amelio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275162836 PECOS PAC ID: 4981029725 Enrollment ID: I20230815000764 |
| Provider Name | Jesse Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568415263 PECOS PAC ID: 5597776716 Enrollment ID: I20230815002987 |
| Provider Name | Noralys Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992300420 PECOS PAC ID: 3173937463 Enrollment ID: I20230817002870 |
| Provider Name | Kristen M Kelly-williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659532265 PECOS PAC ID: 6305093873 Enrollment ID: I20230817003061 |
| Provider Name | Andrew Jordan Mishler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609369578 PECOS PAC ID: 4789005562 Enrollment ID: I20230823000576 |
| Provider Name | Jeffrey Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942627070 PECOS PAC ID: 3577926625 Enrollment ID: I20230823000811 |
| Provider Name | Andrea B Lese |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1336322882 PECOS PAC ID: 7315166972 Enrollment ID: I20230901003647 |
| Provider Name | Omar Salam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376777995 PECOS PAC ID: 6305097338 Enrollment ID: I20230905000139 |
| Provider Name | Anthony M Kangea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841917226 PECOS PAC ID: 9335503580 Enrollment ID: I20230907000398 |
| Provider Name | Eric Daniel Hudgins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558622837 PECOS PAC ID: 1153659347 Enrollment ID: I20230912001230 |
| Provider Name | Steven Pappas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952930695 PECOS PAC ID: 2163847906 Enrollment ID: I20230919002130 |
| Provider Name | Jason Michael Webb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437298163 PECOS PAC ID: 8224260138 Enrollment ID: I20230921000868 |
| Provider Name | Kaitlyn K Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326675299 PECOS PAC ID: 2769802289 Enrollment ID: I20230922000440 |
| Provider Name | Michael Vantiem |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558755066 PECOS PAC ID: 0547682080 Enrollment ID: I20230926001482 |
| Provider Name | Stephen Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962030304 PECOS PAC ID: 3577987932 Enrollment ID: I20230927000173 |
| Provider Name | Andrew B Hayes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588169502 PECOS PAC ID: 8224454509 Enrollment ID: I20230927003503 |
| Provider Name | Shilpa Gadde |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336450964 PECOS PAC ID: 7214179019 Enrollment ID: I20230928003699 |
| Provider Name | Keyur B Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518406230 PECOS PAC ID: 8527303833 Enrollment ID: I20230928003935 |
| Provider Name | Natalia Adriana Diaz Torres |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467975227 PECOS PAC ID: 4880048586 Enrollment ID: I20230929000279 |
| Provider Name | Belinda Humes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093475030 PECOS PAC ID: 3173977899 Enrollment ID: I20230929001053 |
| Provider Name | Matthew Albright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073142840 PECOS PAC ID: 3274958012 Enrollment ID: I20231002002158 |
| Provider Name | Toni Azizov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407376759 PECOS PAC ID: 6608220025 Enrollment ID: I20231003002789 |
| Provider Name | Tariq Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20231004002516 |
| Provider Name | Jamila Scarlett Wynter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265961528 PECOS PAC ID: 9133471170 Enrollment ID: I20231005001595 |
| Provider Name | Sofiya Rehman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528406923 PECOS PAC ID: 5395043277 Enrollment ID: I20231009002990 |
| Provider Name | Daniel Wayne Shields |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538780820 PECOS PAC ID: 3971927906 Enrollment ID: I20231011004142 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20231020000046 |
| Provider Name | Heather A Teller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366154957 PECOS PAC ID: 6608222732 Enrollment ID: I20231026000975 |
| Provider Name | Appaji Rayi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184930133 PECOS PAC ID: 4981915824 Enrollment ID: I20231026003765 |
| Provider Name | Irene Graziani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043516396 PECOS PAC ID: 2567696727 Enrollment ID: I20231030002215 |
| Provider Name | Emma Katherine Raver Burch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235667510 PECOS PAC ID: 1951757533 Enrollment ID: I20231102002301 |
| Provider Name | Kofi Adeleke Doonquah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740210426 PECOS PAC ID: 5890977805 Enrollment ID: I20231113001207 |
| Provider Name | Kristina K Rached |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437534591 PECOS PAC ID: 6204136203 Enrollment ID: I20231113001658 |
| Provider Name | Tokunbo James Matthews |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205994852 PECOS PAC ID: 7012167786 Enrollment ID: I20231114003407 |
| Provider Name | Herman Gabriel Gaztambide Rodriguez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164735502 PECOS PAC ID: 7517185135 Enrollment ID: I20231115003943 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20231116003372 |
| Provider Name | John Francisco Trujillo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033475785 PECOS PAC ID: 0749403418 Enrollment ID: I20231122000307 |
| Provider Name | Asma Moussaoui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720424898 PECOS PAC ID: 8426354432 Enrollment ID: I20231128003663 |
| Provider Name | Ryan Peter Carfi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063047660 PECOS PAC ID: 2860887379 Enrollment ID: I20231201000411 |
| Provider Name | Alexandra Beris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174520050 PECOS PAC ID: 2567455801 Enrollment ID: I20231205000826 |
| Provider Name | Tiffany Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003596214 PECOS PAC ID: 1850740218 Enrollment ID: I20231211000993 |
| Provider Name | Seth Hepner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609131663 PECOS PAC ID: 2466681671 Enrollment ID: I20231212003913 |
| Provider Name | David James Hanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427441930 PECOS PAC ID: 0244515682 Enrollment ID: I20231212003942 |
| Provider Name | Johanna Torres-santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659710721 PECOS PAC ID: 6204101744 Enrollment ID: I20231219000457 |
| Provider Name | Angela Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598028524 PECOS PAC ID: 6800015744 Enrollment ID: I20231227002493 |
| Provider Name | Jeffrey Griffin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235661182 PECOS PAC ID: 5890176218 Enrollment ID: I20240102002418 |
| Provider Name | Jenna Teresa Kado |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1417367756 PECOS PAC ID: 4284991522 Enrollment ID: I20240102002572 |
| Provider Name | Salvatore Verteramo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366496580 PECOS PAC ID: 7911036751 Enrollment ID: I20240110003322 |
| Provider Name | Yi Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629327986 PECOS PAC ID: 0547538118 Enrollment ID: I20240118000911 |
| Provider Name | Barbara A Burggraaff |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1730112442 PECOS PAC ID: 7719880087 Enrollment ID: I20240207003648 |
| Provider Name | Kareem Seoudy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104387083 PECOS PAC ID: 9830427632 Enrollment ID: I20240216002847 |
| Provider Name | Thomas P Mcmahon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619048030 PECOS PAC ID: 5092893214 Enrollment ID: I20240216003816 |
| Provider Name | Manuj Agarwal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316262363 PECOS PAC ID: 9335451855 Enrollment ID: I20240220001573 |
| Provider Name | Dan Alexandru Silaghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871108027 PECOS PAC ID: 5698194074 Enrollment ID: I20240223002880 |
| Provider Name | Farhan Katchi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396031225 PECOS PAC ID: 8325277551 Enrollment ID: I20240227002946 |
| Provider Name | Noura Mohamed Sharabash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629250501 PECOS PAC ID: 4183791403 Enrollment ID: I20240227003620 |
| Provider Name | Sarah Hall Lankford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053174177 PECOS PAC ID: 0143665851 Enrollment ID: I20240304001161 |
| Provider Name | Daniel Adu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255643029 PECOS PAC ID: 9537393400 Enrollment ID: I20240306000532 |
| Provider Name | Jane Song Nzuna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063916823 PECOS PAC ID: 2062762545 Enrollment ID: I20240315002329 |
Bon Secours Liver Institute Of Hampton Roads Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602 Phone: 757-947-3190 Fax: 757-947-3195 | |
Bruton Avenue Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Bruton Ave, Newport News, VA 23601 Phone: 757-594-4111 Fax: 757-594-4115 | |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Riverside Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606 Phone: 757-534-5509 Fax: 757-534-6096 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |
I&o Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606 Phone: 757-240-5580 Fax: 757-240-5578 | |
Riverside Lifelong Health & Aging Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Denbigh Blvd, 1020a, Newport News, VA 23602 Phone: 757-875-2050 Fax: 757-875-2070 |