| Samc-enterprise Medical Clinic | |
|
101 Professional Ln Enterprise AL 36330-2085 | |
| (334) 347-3404 | |
| (334) 393-0613 |
| Full Name | Samc-enterprise Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Professional Ln, Enterprise, Alabama |
| Authorized Official Name and Position | Crystal S Foster (CONTRACT MANAGER) |
| Authorized Official Contact | 3347938087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samc-enterprise Medical Clinic 101 Professional Ln Enterprise AL 36330-2085 Ph: (334) 347-3404 | Samc-enterprise Medical Clinic 101 Professional Ln Enterprise AL 36330-2085 Ph: (334) 347-3404 |
| NPI Number | 1619026606 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 9436062296 |
|---|---|
| Medicare Enrollment ID | O20040219000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619026606 | NPI | - | NPPES |
| F945 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Marvin W Sexton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659365138 PECOS PAC ID: 6406760610 Enrollment ID: I20031112000796 |
| Provider Name | Nicholas F Voss |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497750012 PECOS PAC ID: 0941109011 Enrollment ID: I20040107000889 |
| Provider Name | Cassie Williams Luke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982622577 PECOS PAC ID: 3577459304 Enrollment ID: I20040226001060 |
| Provider Name | Thomas L Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710914841 PECOS PAC ID: 1052201886 Enrollment ID: I20040317000098 |
| Provider Name | Jean A Robbins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063455491 PECOS PAC ID: 4385535327 Enrollment ID: I20040322000292 |
| Provider Name | Sher M Ghori |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043262736 PECOS PAC ID: 9739171661 Enrollment ID: I20040331001624 |
| Provider Name | Robert Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992766703 PECOS PAC ID: 4789678095 Enrollment ID: I20040412000033 |
| Provider Name | Olusina M Akinduro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760451959 PECOS PAC ID: 8921096686 Enrollment ID: I20040503001278 |
| Provider Name | Stephen B Ezzell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164474623 PECOS PAC ID: 1456341809 Enrollment ID: I20040517000793 |
| Provider Name | Eric S Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033209473 PECOS PAC ID: 4981686268 Enrollment ID: I20040601001447 |
| Provider Name | Mark L Willis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740269612 PECOS PAC ID: 5092797258 Enrollment ID: I20040602001251 |
| Provider Name | Alan D Prince |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376593681 PECOS PAC ID: 0446237325 Enrollment ID: I20040630000274 |
| Provider Name | Robert W Schuyler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982601902 PECOS PAC ID: 7315924396 Enrollment ID: I20040707000991 |
| Provider Name | Jeffrey M Elliott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639138795 PECOS PAC ID: 0840278776 Enrollment ID: I20040708000710 |
| Provider Name | Robert B Peterman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457536302 PECOS PAC ID: 2466425392 Enrollment ID: I20040818000334 |
| Provider Name | John M Mcdonald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558301481 PECOS PAC ID: 2062409063 Enrollment ID: I20040907001312 |
| Provider Name | Kaycia Vansickle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780796755 PECOS PAC ID: 0941279079 Enrollment ID: I20040927000461 |
| Provider Name | James C Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225094899 PECOS PAC ID: 7810966769 Enrollment ID: I20040928001010 |
| Provider Name | Samuel J Harden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316022148 PECOS PAC ID: 8123087012 Enrollment ID: I20041006001087 |
| Provider Name | Gregory W Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699733683 PECOS PAC ID: 7517929870 Enrollment ID: I20041028001025 |
| Provider Name | James O Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356311666 PECOS PAC ID: 8325004039 Enrollment ID: I20041204000180 |
| Provider Name | Eyob H Tessema |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639195076 PECOS PAC ID: 1759330699 Enrollment ID: I20050118000456 |
| Provider Name | Jeffrey T Kirkland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326005323 PECOS PAC ID: 6901858034 Enrollment ID: I20050216000676 |
| Provider Name | Jon A Dix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992760383 PECOS PAC ID: 4183676232 Enrollment ID: I20050216000770 |
| Provider Name | Chad M Chandler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467417162 PECOS PAC ID: 1850343930 Enrollment ID: I20050216000973 |
| Provider Name | Andreas Muench |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326027491 PECOS PAC ID: 2466497078 Enrollment ID: I20050623000998 |
| Provider Name | Alan W Purvis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932193414 PECOS PAC ID: 0840236816 Enrollment ID: I20050629000958 |
| Provider Name | Paul H Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154326783 PECOS PAC ID: 4587686449 Enrollment ID: I20051220000945 |
| Provider Name | Thomas J Barkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811938368 PECOS PAC ID: 7719993757 Enrollment ID: I20060228000282 |
| Provider Name | Edward T Robson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528014628 PECOS PAC ID: 6002864923 Enrollment ID: I20060321000781 |
| Provider Name | Cheryl A Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447208053 PECOS PAC ID: 4486662673 Enrollment ID: I20060329000736 |
| Provider Name | Kenneth W Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942254263 PECOS PAC ID: 5799794590 Enrollment ID: I20060405000669 |
| Provider Name | Brenda A Jacobsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740372960 PECOS PAC ID: 2961305842 Enrollment ID: I20060505000383 |
| Provider Name | Elizabeth A Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609824531 PECOS PAC ID: 0840201281 Enrollment ID: I20060522000017 |
| Provider Name | David B Woodham |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346245966 PECOS PAC ID: 0941109003 Enrollment ID: I20060720000188 |
| Provider Name | Jennifer M Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356395297 PECOS PAC ID: 0749284701 Enrollment ID: I20060905000448 |
| Provider Name | Homer L Lassiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508893116 PECOS PAC ID: 5496754863 Enrollment ID: I20061212000579 |
| Provider Name | Mathew G Krista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093779738 PECOS PAC ID: 2961403001 Enrollment ID: I20070116000565 |
| Provider Name | Cornelia Glenn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366586604 PECOS PAC ID: 0648377325 Enrollment ID: I20070514000467 |
| Provider Name | Romualdo B Requijo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225173966 PECOS PAC ID: 8820195522 Enrollment ID: I20070514000570 |
| Provider Name | Laura Crna Smoak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902931736 PECOS PAC ID: 2365549060 Enrollment ID: I20070514000578 |
| Provider Name | Gabruce A Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184647992 PECOS PAC ID: 1658260393 Enrollment ID: I20070618000375 |
| Provider Name | Edward F Crockett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730104951 PECOS PAC ID: 6103925979 Enrollment ID: I20070619000521 |
| Provider Name | William E Mcrae |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851421051 PECOS PAC ID: 3779682257 Enrollment ID: I20070625000281 |
| Provider Name | Rusheng Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750408266 PECOS PAC ID: 4284735606 Enrollment ID: I20070728000181 |
| Provider Name | Mhd A Alkhatib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528115326 PECOS PAC ID: 6204927957 Enrollment ID: I20070809000306 |
| Provider Name | David D Gayle |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336133131 PECOS PAC ID: 6204876378 Enrollment ID: I20070823000456 |
| Provider Name | Joseph J Phillips |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013130186 PECOS PAC ID: 9739271511 Enrollment ID: I20070824000184 |
| Provider Name | Sam C West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366403255 PECOS PAC ID: 7315909314 Enrollment ID: I20070911000219 |
| Provider Name | Paula S Wadbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124079157 PECOS PAC ID: 9335127174 Enrollment ID: I20080109000490 |
| Provider Name | Cesar E Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255432027 PECOS PAC ID: 7719067271 Enrollment ID: I20080109000592 |
| Provider Name | Wyndi M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396926515 PECOS PAC ID: 9436232725 Enrollment ID: I20080211000024 |
| Provider Name | Jeffrey B Whitehurst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154316586 PECOS PAC ID: 6002999208 Enrollment ID: I20080212000037 |
| Provider Name | James B Craven |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659365104 PECOS PAC ID: 4486694569 Enrollment ID: I20080306000579 |
| Provider Name | Christian F Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508839440 PECOS PAC ID: 7618951088 Enrollment ID: I20080312000664 |
| Provider Name | Ronald W Holland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275701658 PECOS PAC ID: 8224115811 Enrollment ID: I20080407000533 |
| Provider Name | Carlton M Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487850103 PECOS PAC ID: 9537246913 Enrollment ID: I20080409000533 |
| Provider Name | Lauren P Reece |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861660656 PECOS PAC ID: 6305924382 Enrollment ID: I20080416000083 |
| Provider Name | Natalie E Wozniak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528244522 PECOS PAC ID: 6305924671 Enrollment ID: I20080428000245 |
| Provider Name | Justin Hovey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801970116 PECOS PAC ID: 8022187780 Enrollment ID: I20080521000133 |
| Provider Name | Gaynel B Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033163183 PECOS PAC ID: 5991877540 Enrollment ID: I20080626000563 |
| Provider Name | Sai K Avula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467441741 PECOS PAC ID: 9739166851 Enrollment ID: I20080628000100 |
| Provider Name | John L Meade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659435345 PECOS PAC ID: 4880766161 Enrollment ID: I20080701000472 |
| Provider Name | Starla S Shoupe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083890073 PECOS PAC ID: 0547332207 Enrollment ID: I20080712000069 |
| Provider Name | Thomas Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578776209 PECOS PAC ID: 8527133925 Enrollment ID: I20080820000136 |
| Provider Name | Jonathan G Vukovich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528065539 PECOS PAC ID: 6204902687 Enrollment ID: I20080909000304 |
| Provider Name | William C Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164462826 PECOS PAC ID: 3678587052 Enrollment ID: I20080910000358 |
| Provider Name | John Peacock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700883725 PECOS PAC ID: 5991872046 Enrollment ID: I20080916000315 |
| Provider Name | Joseph C Clements |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295732204 PECOS PAC ID: 5395812317 Enrollment ID: I20080917000286 |
| Provider Name | Lisa M Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548439375 PECOS PAC ID: 0749366276 Enrollment ID: I20080918000069 |
| Provider Name | Yimei M Qian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487801163 PECOS PAC ID: 3173690625 Enrollment ID: I20080924000640 |
| Provider Name | Michael E. Pinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760476212 PECOS PAC ID: 0941240014 Enrollment ID: I20080929000396 |
| Provider Name | James S Burrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437363199 PECOS PAC ID: 8527169069 Enrollment ID: I20081001000503 |
| Provider Name | Saeeda K Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023128212 PECOS PAC ID: 4880680248 Enrollment ID: I20081021000227 |
| Provider Name | Katherine M Takundwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225224025 PECOS PAC ID: 9830257310 Enrollment ID: I20081028000410 |
| Provider Name | John J Marsella |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326027236 PECOS PAC ID: 1658433370 Enrollment ID: I20081215000203 |
| Provider Name | David H Evans |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1871572750 PECOS PAC ID: 1557423274 Enrollment ID: I20081215000214 |
| Provider Name | Rhonda Mcfarland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821055807 PECOS PAC ID: 8527121342 Enrollment ID: I20090106000062 |
| Provider Name | Michael T Flanagan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265411136 PECOS PAC ID: 4789748385 Enrollment ID: I20090127000168 |
| Provider Name | Valerie W Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720232333 PECOS PAC ID: 1557427556 Enrollment ID: I20090226000449 |
| Provider Name | Bradley J Chandler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730326372 PECOS PAC ID: 9739246604 Enrollment ID: I20090319000519 |
| Provider Name | David F Eldridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083852883 PECOS PAC ID: 9739237264 Enrollment ID: I20090511000244 |
| Provider Name | Leonardo S Nasca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528039617 PECOS PAC ID: 5991731267 Enrollment ID: I20090615000399 |
| Provider Name | Faye E Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508883133 PECOS PAC ID: 7618909755 Enrollment ID: I20090630000132 |
| Provider Name | Peter M Rao |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932250339 PECOS PAC ID: 7810048667 Enrollment ID: I20090708000053 |
| Provider Name | Srinivasa R Chennareddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245367721 PECOS PAC ID: 1052411972 Enrollment ID: I20090817000110 |
| Provider Name | Jeffrey H Fadil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467529495 PECOS PAC ID: 1759437510 Enrollment ID: I20090918000481 |
| Provider Name | Bryant F Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053396606 PECOS PAC ID: 4385783117 Enrollment ID: I20091208000123 |
| Provider Name | William E Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134178668 PECOS PAC ID: 2365582210 Enrollment ID: I20091228000272 |
| Provider Name | Bruce R Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417907791 PECOS PAC ID: 8224171103 Enrollment ID: I20100201000106 |
| Provider Name | Montgomery C Peden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851349179 PECOS PAC ID: 2769525641 Enrollment ID: I20100201000119 |
| Provider Name | Kathlyn Diefenderfer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780606426 PECOS PAC ID: 1850442575 Enrollment ID: I20100201000145 |
| Provider Name | James R Conner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386619807 PECOS PAC ID: 2769525310 Enrollment ID: I20100204000064 |
| Provider Name | Roohi F Faiyaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609012111 PECOS PAC ID: 8921141409 Enrollment ID: I20100205000285 |
| Provider Name | John H Burgess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275502486 PECOS PAC ID: 2668450586 Enrollment ID: I20100210000006 |
| Provider Name | Christopher L Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477528990 PECOS PAC ID: 3678618238 Enrollment ID: I20100308000019 |
| Provider Name | Lucas A Trotter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710217989 PECOS PAC ID: 8729113535 Enrollment ID: I20100318000686 |
| Provider Name | Jonas R Salna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922065762 PECOS PAC ID: 4587790753 Enrollment ID: I20100326000340 |
| Provider Name | James Hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871783522 PECOS PAC ID: 6103952619 Enrollment ID: I20100408000498 |
| Provider Name | Donavon L Wewers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972558773 PECOS PAC ID: 0840379939 Enrollment ID: I20100520000049 |
| Provider Name | Walter J Doty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932151719 PECOS PAC ID: 6507995149 Enrollment ID: I20100520000371 |
| Provider Name | Candace R Grantham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366774895 PECOS PAC ID: 7012046832 Enrollment ID: I20100603000389 |
| Provider Name | Richard E May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168269 PECOS PAC ID: 7810924735 Enrollment ID: I20100610000534 |
| Provider Name | Robert A Latimer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558356881 PECOS PAC ID: 5092816660 Enrollment ID: I20100611000546 |
| Provider Name | Emmalyn A Bady-mcdowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336134584 PECOS PAC ID: 7618039942 Enrollment ID: I20100611000562 |
| Provider Name | Kenneth Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346294204 PECOS PAC ID: 6608907191 Enrollment ID: I20100628000355 |
| Provider Name | James A Robeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801861059 PECOS PAC ID: 4284710534 Enrollment ID: I20100707000057 |
| Provider Name | Joseph J Kaplan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912947904 PECOS PAC ID: 8729065925 Enrollment ID: I20100709000623 |
| Provider Name | Robert Michael Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962489252 PECOS PAC ID: 0840322764 Enrollment ID: I20100713000076 |
| Provider Name | Charles Ted Paulk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366429649 PECOS PAC ID: 0648302562 Enrollment ID: I20100713000098 |
| Provider Name | Frederick A Pich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962608455 PECOS PAC ID: 1658404108 Enrollment ID: I20100804000325 |
| Provider Name | Frank Crockett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942277215 PECOS PAC ID: 8224161625 Enrollment ID: I20100805000759 |
| Provider Name | Rita Margaret M Gillespie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467664870 PECOS PAC ID: 9032301460 Enrollment ID: I20101004001259 |
| Provider Name | Jason Deleon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427121029 PECOS PAC ID: 3476745647 Enrollment ID: I20101006000385 |
| Provider Name | Ross Parker Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235312679 PECOS PAC ID: 6901968890 Enrollment ID: I20101007001401 |
| Provider Name | Steven F Johnson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255321279 PECOS PAC ID: 2961466214 Enrollment ID: I20101014000086 |
| Provider Name | Kristy D Johnson-pich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720285182 PECOS PAC ID: 1456544022 Enrollment ID: I20101015000583 |
| Provider Name | Walter J Doty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518160605 PECOS PAC ID: 1355534330 Enrollment ID: I20101022000359 |
| Provider Name | John E Streitman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1528083888 PECOS PAC ID: 4587669411 Enrollment ID: I20101025001033 |
| Provider Name | Lucianne H Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871893883 PECOS PAC ID: 6901094515 Enrollment ID: I20101227000381 |
| Provider Name | Jenna C Parden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205131497 PECOS PAC ID: 2365622107 Enrollment ID: I20110210000542 |
| Provider Name | Joseph D Parden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285939470 PECOS PAC ID: 0244410090 Enrollment ID: I20110210000708 |
| Provider Name | George Nwadiaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063678878 PECOS PAC ID: 3274600788 Enrollment ID: I20110215000230 |
| Provider Name | Nelson Smith Gwinn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922087071 PECOS PAC ID: 1759308430 Enrollment ID: I20110216000825 |
| Provider Name | Christopher David Centafont |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447239595 PECOS PAC ID: 7113953084 Enrollment ID: I20110216000873 |
| Provider Name | Thomas E Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083694665 PECOS PAC ID: 3072558683 Enrollment ID: I20110216000931 |
| Provider Name | Sylvia J Rushing |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578562484 PECOS PAC ID: 5991720229 Enrollment ID: I20110303000386 |
| Provider Name | Brenda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205043973 PECOS PAC ID: 3870777121 Enrollment ID: I20110411000457 |
| Provider Name | James H Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639152879 PECOS PAC ID: 0345247508 Enrollment ID: I20110415000475 |
| Provider Name | Hugh H Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770540775 PECOS PAC ID: 9335204957 Enrollment ID: I20110419000695 |
| Provider Name | Darius G Aliabadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700831047 PECOS PAC ID: 9436195377 Enrollment ID: I20110517000181 |
| Provider Name | Ronald S Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881717775 PECOS PAC ID: 8325126998 Enrollment ID: I20110531000692 |
| Provider Name | Philip J Paustian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215946850 PECOS PAC ID: 8921007907 Enrollment ID: I20110629000050 |
| Provider Name | Christopher D Hargett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922243682 PECOS PAC ID: 1456529114 Enrollment ID: I20110722000687 |
| Provider Name | Dennis R Morrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013931542 PECOS PAC ID: 7214106608 Enrollment ID: I20110801000308 |
| Provider Name | Maria Sucgang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528049863 PECOS PAC ID: 6002085453 Enrollment ID: I20110802000043 |
| Provider Name | Janet K Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053359141 PECOS PAC ID: 7416127881 Enrollment ID: I20110823000732 |
| Provider Name | Ravindranath C Nallamothu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679724033 PECOS PAC ID: 4880864073 Enrollment ID: I20110825000454 |
| Provider Name | Amith Skandhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245417237 PECOS PAC ID: 4082884036 Enrollment ID: I20110830000262 |
| Provider Name | Xinyu Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467613729 PECOS PAC ID: 5799955472 Enrollment ID: I20110907001488 |
| Provider Name | Imad Tahboub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468336 PECOS PAC ID: 9436142866 Enrollment ID: I20110914000315 |
| Provider Name | Srikanth Mansani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306083258 PECOS PAC ID: 0143491217 Enrollment ID: I20110921000367 |
| Provider Name | Clifford W Joyner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740245166 PECOS PAC ID: 4284806472 Enrollment ID: I20111012000409 |
| Provider Name | Julie A Cherry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477510170 PECOS PAC ID: 5193997385 Enrollment ID: I20111012000411 |
| Provider Name | Gina Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922046093 PECOS PAC ID: 1153593090 Enrollment ID: I20111018000816 |
| Provider Name | Dorothea F Diaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629036520 PECOS PAC ID: 0345412201 Enrollment ID: I20111019000214 |
| Provider Name | Benjamin A Mckenzie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629376553 PECOS PAC ID: 1254508377 Enrollment ID: I20120112000623 |
| Provider Name | Brittany A Outlaw |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710256334 PECOS PAC ID: 4688841174 Enrollment ID: I20120124000879 |
| Provider Name | Hannah R Reid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447521117 PECOS PAC ID: 9234396086 Enrollment ID: I20120206000569 |
| Provider Name | Pamela R Defleron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831460765 PECOS PAC ID: 4284892878 Enrollment ID: I20120229000261 |
| Provider Name | Michael R Stanley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255602082 PECOS PAC ID: 2264690767 Enrollment ID: I20120229000396 |
| Provider Name | Kerry L Varner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407127624 PECOS PAC ID: 4082873187 Enrollment ID: I20120308000854 |
| Provider Name | Randall Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932479631 PECOS PAC ID: 7719146729 Enrollment ID: I20120312000374 |
| Provider Name | Alfred F Brem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427187848 PECOS PAC ID: 0244265973 Enrollment ID: I20120321000343 |
| Provider Name | Kari Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144526310 PECOS PAC ID: 6103088828 Enrollment ID: I20120425000567 |
| Provider Name | Haley W Brignac |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104195080 PECOS PAC ID: 7517120405 Enrollment ID: I20120511000123 |
| Provider Name | Jamie M Bludsworth-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801020029 PECOS PAC ID: 2860648433 Enrollment ID: I20120814000578 |
| Provider Name | Zhenhong Zhou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841569068 PECOS PAC ID: 2860649712 Enrollment ID: I20120828000380 |
| Provider Name | Timothy R Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083813885 PECOS PAC ID: 9638326556 Enrollment ID: I20120829000254 |
| Provider Name | Brandi B Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811251010 PECOS PAC ID: 9335396852 Enrollment ID: I20120905000565 |
| Provider Name | Venkataraman Palabindala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114158367 PECOS PAC ID: 3375791312 Enrollment ID: I20120917000156 |
| Provider Name | Amit K Bhise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396977948 PECOS PAC ID: 1456509249 Enrollment ID: I20120920000285 |
| Provider Name | John M Bates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578810347 PECOS PAC ID: 7719136191 Enrollment ID: I20120928000013 |
| Provider Name | Misty M Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609019413 PECOS PAC ID: 2264684851 Enrollment ID: I20121205000384 |
| Provider Name | Rhonda S Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871844027 PECOS PAC ID: 4284886235 Enrollment ID: I20121220000316 |
| Provider Name | Gregory C Whigham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265784268 PECOS PAC ID: 4789838467 Enrollment ID: I20130205000176 |
| Provider Name | Robert Wyatt Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396992137 PECOS PAC ID: 8123285491 Enrollment ID: I20130208000256 |
| Provider Name | Timothy P Bruns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457696841 PECOS PAC ID: 8123272416 Enrollment ID: I20130214000461 |
| Provider Name | Amber A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134469620 PECOS PAC ID: 4981859238 Enrollment ID: I20130313000023 |
| Provider Name | Kenneth Wayne Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184698516 PECOS PAC ID: 8022096932 Enrollment ID: I20130516000136 |
| Provider Name | Robert S Everett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639384936 PECOS PAC ID: 2860593191 Enrollment ID: I20130611000365 |
| Provider Name | James J Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104096544 PECOS PAC ID: 1759439565 Enrollment ID: I20130624000692 |
| Provider Name | Krishnamohan R Basarakodu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235248477 PECOS PAC ID: 8325938640 Enrollment ID: I20130718000677 |
| Provider Name | Baowu Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528404878 PECOS PAC ID: 6901047679 Enrollment ID: I20130723000056 |
| Provider Name | Sri Laxmi Valasareddi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265552657 PECOS PAC ID: 6800930579 Enrollment ID: I20130726000158 |
| Provider Name | Jonathan E Mcneal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164670345 PECOS PAC ID: 7719129493 Enrollment ID: I20130808000409 |
| Provider Name | Eiad Sabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796734 PECOS PAC ID: 7416190525 Enrollment ID: I20130821000213 |
| Provider Name | Carey L Holloway Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922430602 PECOS PAC ID: 1355584392 Enrollment ID: I20130823000683 |
| Provider Name | Carlos S Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063851277 PECOS PAC ID: 3476796277 Enrollment ID: I20130827000105 |
| Provider Name | Mary Grace B Magalong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710080338 PECOS PAC ID: 5991727943 Enrollment ID: I20130906000688 |
| Provider Name | Tom-meka Archinard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215968698 PECOS PAC ID: 3577454032 Enrollment ID: I20131017001725 |
| Provider Name | Kevin Joseph Hayes |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1225254477 PECOS PAC ID: 7214080217 Enrollment ID: I20131114000759 |
| Provider Name | Erika A Capri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467699488 PECOS PAC ID: 8224191119 Enrollment ID: I20131121000909 |
| Provider Name | Jason M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629417 PECOS PAC ID: 5991935389 Enrollment ID: I20140304002046 |
| Provider Name | Clayton Mcknight |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861814568 PECOS PAC ID: 4183855430 Enrollment ID: I20140329000123 |
| Provider Name | Kalen Kosik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770905473 PECOS PAC ID: 9436380789 Enrollment ID: I20140329000170 |
| Provider Name | Elias R. Quintos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306882550 PECOS PAC ID: 7618050774 Enrollment ID: I20140409001941 |
| Provider Name | Patrick F Lux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023449394 PECOS PAC ID: 0244453330 Enrollment ID: I20140516001978 |
| Provider Name | Edwin Enrique Villarreal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447418397 PECOS PAC ID: 5496925547 Enrollment ID: I20140523001722 |
| Provider Name | Nathaniel Lisenbee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225322712 PECOS PAC ID: 9537302179 Enrollment ID: I20140716002342 |
| Provider Name | Pratik Dilip Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144589466 PECOS PAC ID: 3870711617 Enrollment ID: I20140820001450 |
| Provider Name | Kimberly Dawn Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205249869 PECOS PAC ID: 1254559024 Enrollment ID: I20140820002595 |
| Provider Name | Colette E.f. Lee-lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861695892 PECOS PAC ID: 8921045451 Enrollment ID: I20140905001392 |
| Provider Name | Samuel Polek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790004646 PECOS PAC ID: 1052556594 Enrollment ID: I20140911000833 |
| Provider Name | Laura A Gilman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861785313 PECOS PAC ID: 3274773932 Enrollment ID: I20140922000464 |
| Provider Name | Robert S Venable |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871570648 PECOS PAC ID: 2466357017 Enrollment ID: I20140930001677 |
| Provider Name | Linda Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326357898 PECOS PAC ID: 1456571991 Enrollment ID: I20141003000809 |
| Provider Name | Andre C Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104990795 PECOS PAC ID: 4688669310 Enrollment ID: I20141007002163 |
| Provider Name | Jawanunna T Blackmon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619136413 PECOS PAC ID: 7810118973 Enrollment ID: I20141015001107 |
| Provider Name | Kyaw S Naung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740576248 PECOS PAC ID: 6507088655 Enrollment ID: I20141105001869 |
| Provider Name | Brandy Michelle Bodiford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942466073 PECOS PAC ID: 0446431654 Enrollment ID: I20141106000705 |
| Provider Name | Srikanth Paladugu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073805438 PECOS PAC ID: 8527280312 Enrollment ID: I20141111001593 |
| Provider Name | Talal Gharir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407125800 PECOS PAC ID: 8628390606 Enrollment ID: I20141202000602 |
| Provider Name | Qun Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184792020 PECOS PAC ID: 9133383516 Enrollment ID: I20141209001642 |
| Provider Name | Ashley P Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326444589 PECOS PAC ID: 9335461920 Enrollment ID: I20141210001609 |
| Provider Name | Mohammed Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104102086 PECOS PAC ID: 2365765872 Enrollment ID: I20150107002044 |
| Provider Name | Shamsuddin B Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578853594 PECOS PAC ID: 7214252683 Enrollment ID: I20150205000879 |
| Provider Name | Naga Doddapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477839983 PECOS PAC ID: 0749507168 Enrollment ID: I20150324001920 |
| Provider Name | Bascom Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518064583 PECOS PAC ID: 1052632015 Enrollment ID: I20150603001445 |
| Provider Name | Jessica Jill Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285028928 PECOS PAC ID: 1355662024 Enrollment ID: I20150605001972 |
| Provider Name | Demis N Lipe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588956965 PECOS PAC ID: 1759500036 Enrollment ID: I20150608002634 |
| Provider Name | Rasik M Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619255882 PECOS PAC ID: 7315109451 Enrollment ID: I20150611001220 |
| Provider Name | Elizabeth Anne Tibbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801281670 PECOS PAC ID: 5294047338 Enrollment ID: I20150702001495 |
| Provider Name | Melissa A Barton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427018225 PECOS PAC ID: 8325121171 Enrollment ID: I20150708001525 |
| Provider Name | Leandra Lynch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386647766 PECOS PAC ID: 1951291632 Enrollment ID: I20150720001026 |
| Provider Name | Anna L Walding |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467602854 PECOS PAC ID: 0840503843 Enrollment ID: I20150720003305 |
| Provider Name | Richard Misischia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194810150 PECOS PAC ID: 6406897446 Enrollment ID: I20150727002983 |
| Provider Name | Julie A German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508246406 PECOS PAC ID: 3779897269 Enrollment ID: I20150728004787 |
| Provider Name | Mary Leona Walch Pippin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134487580 PECOS PAC ID: 9436460722 Enrollment ID: I20150820011774 |
| Provider Name | Nicole Fennell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619376274 PECOS PAC ID: 8022237908 Enrollment ID: I20150825004750 |
| Provider Name | Waseem A Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144581083 PECOS PAC ID: 7012223100 Enrollment ID: I20150903002705 |
| Provider Name | Bsmah Amar Suof Abdalslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598013492 PECOS PAC ID: 8123257367 Enrollment ID: I20150915003200 |
| Provider Name | Shanthan R Ramidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720484751 PECOS PAC ID: 6406164318 Enrollment ID: I20150925001965 |
| Provider Name | Timothy Coakley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073559985 PECOS PAC ID: 9133128713 Enrollment ID: I20151012002258 |
| Provider Name | Jennifer R Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154798213 PECOS PAC ID: 6002125010 Enrollment ID: I20151014000384 |
| Provider Name | Onyinyechi Joy Okike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114287380 PECOS PAC ID: 5395901789 Enrollment ID: I20151015001558 |
| Provider Name | Jerrid A Pippin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477811370 PECOS PAC ID: 2961723713 Enrollment ID: I20151015002586 |
| Provider Name | Robin Beth Garelick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194745588 PECOS PAC ID: 0840470613 Enrollment ID: I20151027000640 |
| Provider Name | Harsha C Gondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033453519 PECOS PAC ID: 0244540243 Enrollment ID: I20151103002170 |
| Provider Name | Juanita T Heersink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659661874 PECOS PAC ID: 5698912293 Enrollment ID: I20151109001514 |
| Provider Name | Kenneth Ethan Lai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376893974 PECOS PAC ID: 8325266489 Enrollment ID: I20151116000679 |
| Provider Name | Wanda J Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245252782 PECOS PAC ID: 7113993437 Enrollment ID: I20151118000199 |
| Provider Name | Sharon Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962478198 PECOS PAC ID: 4082622329 Enrollment ID: I20151118000920 |
| Provider Name | Vindyha Katpally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366722480 PECOS PAC ID: 4789984477 Enrollment ID: I20151202001710 |
| Provider Name | Andrew L Sawyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215357488 PECOS PAC ID: 1456575224 Enrollment ID: I20151210000263 |
| Provider Name | Judi L Bosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679576268 PECOS PAC ID: 9436192242 Enrollment ID: I20160203001307 |
| Provider Name | John Alexander Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699764555 PECOS PAC ID: 5294919296 Enrollment ID: I20160229002611 |
| Provider Name | Michael E Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376861658 PECOS PAC ID: 8224283536 Enrollment ID: I20160301001359 |
| Provider Name | Hailey M Mullinax Money |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972973519 PECOS PAC ID: 1658677844 Enrollment ID: I20160315000921 |
| Provider Name | Colleen D Mellown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245278274 PECOS PAC ID: 7315959897 Enrollment ID: I20160317000952 |
| Provider Name | Ashley Swim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699133728 PECOS PAC ID: 3678870516 Enrollment ID: I20160321001847 |
| Provider Name | Gary L Gay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457301566 PECOS PAC ID: 3375527856 Enrollment ID: I20160502002274 |
| Provider Name | Robin S Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689037327 PECOS PAC ID: 9234429267 Enrollment ID: I20160603001170 |
| Provider Name | John M Whapham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154347011 PECOS PAC ID: 9931102365 Enrollment ID: I20160804001303 |
| Provider Name | Thomas J Shaknovsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568690014 PECOS PAC ID: 6709041270 Enrollment ID: I20160908002466 |
| Provider Name | Carmen D Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700236908 PECOS PAC ID: 6002103017 Enrollment ID: I20160919002378 |
| Provider Name | Patrick Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144664194 PECOS PAC ID: 6204151764 Enrollment ID: I20160919002464 |
| Provider Name | Lauren Snell Callander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407305527 PECOS PAC ID: 8426336967 Enrollment ID: I20161103000846 |
| Provider Name | Khazraj A Fadhil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205190899 PECOS PAC ID: 5294964524 Enrollment ID: I20161107000630 |
| Provider Name | Jennifer L Guzman-garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437590189 PECOS PAC ID: 5890074207 Enrollment ID: I20161107002418 |
| Provider Name | Sananjay Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548525728 PECOS PAC ID: 8123300787 Enrollment ID: I20170117001243 |
| Provider Name | Joseph E Graham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578638383 PECOS PAC ID: 1052367901 Enrollment ID: I20170228002403 |
| Provider Name | Teri Colquett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932642402 PECOS PAC ID: 1850675968 Enrollment ID: I20170308001375 |
| Provider Name | Amanda J Nedervelt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346660503 PECOS PAC ID: 7315235298 Enrollment ID: I20170321001091 |
| Provider Name | E. Nightingale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508946088 PECOS PAC ID: 7113202599 Enrollment ID: I20170328001667 |
| Provider Name | Melanie C Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962949305 PECOS PAC ID: 5890070122 Enrollment ID: I20170328001837 |
| Provider Name | Phillip T Stanley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104362177 PECOS PAC ID: 7315222429 Enrollment ID: I20170331000929 |
| Provider Name | Justin D Harrelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528505203 PECOS PAC ID: 3173800240 Enrollment ID: I20170428000493 |
| Provider Name | Samantha E Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063950319 PECOS PAC ID: 7214214873 Enrollment ID: I20170509000132 |
| Provider Name | Christina L Moll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912198243 PECOS PAC ID: 8022140912 Enrollment ID: I20170710000387 |
| Provider Name | Bart F Mcdaniel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437699014 PECOS PAC ID: 0244501690 Enrollment ID: I20170803002818 |
| Provider Name | Aubree R Canady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508225475 PECOS PAC ID: 6709158280 Enrollment ID: I20170817002584 |
| Provider Name | Arthur Carlson Kendig |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861424046 PECOS PAC ID: 8325042419 Enrollment ID: I20170818001661 |
| Provider Name | Eric Bryan Schrandt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578950994 PECOS PAC ID: 7911295779 Enrollment ID: I20170821003527 |
| Provider Name | Sara H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154841187 PECOS PAC ID: 3678847050 Enrollment ID: I20170923000035 |
| Provider Name | William T Elkington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790129252 PECOS PAC ID: 5698041036 Enrollment ID: I20171030002243 |
| Provider Name | Suh Yueh Lim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497074694 PECOS PAC ID: 8820318736 Enrollment ID: I20171106002083 |
| Provider Name | Erin Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376066688 PECOS PAC ID: 4082970132 Enrollment ID: I20171107001009 |
| Provider Name | Carlos Ricardo Sequera Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770999476 PECOS PAC ID: 6800190224 Enrollment ID: I20171108001063 |
| Provider Name | Vineela Chikkam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144630054 PECOS PAC ID: 8123384161 Enrollment ID: I20171108001450 |
| Provider Name | Jessica Carliela Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285156752 PECOS PAC ID: 1658637699 Enrollment ID: I20171108001581 |
| Provider Name | Christopher L Surratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114096963 PECOS PAC ID: 6305939901 Enrollment ID: I20171108001956 |
| Provider Name | Patrick F Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972562767 PECOS PAC ID: 1456676014 Enrollment ID: I20171113001457 |
| Provider Name | James T Sorrells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972033769 PECOS PAC ID: 2668730086 Enrollment ID: I20171212002890 |
| Provider Name | Jesse B Basford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164788774 PECOS PAC ID: 1254636400 Enrollment ID: I20180108002622 |
| Provider Name | Christopher Michael Dress |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962472142 PECOS PAC ID: 8426241712 Enrollment ID: I20180215001782 |
| Provider Name | Michael Lee Miller |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154390730 PECOS PAC ID: 1456518042 Enrollment ID: I20180216000612 |
| Provider Name | Jennifer Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336669472 PECOS PAC ID: 1456615848 Enrollment ID: I20180511001079 |
| Provider Name | Tyler Brooks Windsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134644487 PECOS PAC ID: 8527323252 Enrollment ID: I20180530003062 |
| Provider Name | Martin Clemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821378589 PECOS PAC ID: 3971721218 Enrollment ID: I20180530003203 |
| Provider Name | Kofi Gyebi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598926198 PECOS PAC ID: 7012188246 Enrollment ID: I20180604001835 |
| Provider Name | Adnan Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053751362 PECOS PAC ID: 8527313857 Enrollment ID: I20180609000047 |
| Provider Name | Eduardo M Martinez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396845954 PECOS PAC ID: 0749220879 Enrollment ID: I20180611002028 |
| Provider Name | Sarah E Dalvine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174039002 PECOS PAC ID: 8527314939 Enrollment ID: I20180627001231 |
| Provider Name | Shephali Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598172595 PECOS PAC ID: 1355640103 Enrollment ID: I20180702001853 |
| Provider Name | Michael A Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023525169 PECOS PAC ID: 3678829579 Enrollment ID: I20180707000104 |
| Provider Name | Karen E Fife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619221165 PECOS PAC ID: 1557515889 Enrollment ID: I20180711003369 |
| Provider Name | Linda R Boyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497712780 PECOS PAC ID: 9133283039 Enrollment ID: I20180712002680 |
| Provider Name | Melissa S Tankersley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912158080 PECOS PAC ID: 5294897187 Enrollment ID: I20180716003224 |
| Provider Name | Joshua S Bentley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740523869 PECOS PAC ID: 5698075141 Enrollment ID: I20180719003336 |
| Provider Name | Madison Rivenbark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891214631 PECOS PAC ID: 5294082194 Enrollment ID: I20180724001992 |
| Provider Name | Jonathan Scott Cudnik |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285920538 PECOS PAC ID: 7113173337 Enrollment ID: I20180730001724 |
| Provider Name | Srikanth Challagundla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902186737 PECOS PAC ID: 0446572796 Enrollment ID: I20180802002514 |
| Provider Name | Sebastian Tosto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811925696 PECOS PAC ID: 9638175904 Enrollment ID: I20180820000852 |
| Provider Name | Jose F Ramirez Porres |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992936256 PECOS PAC ID: 5991083883 Enrollment ID: I20180822001129 |
| Provider Name | Sujith Philip John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780065706 PECOS PAC ID: 4385936384 Enrollment ID: I20180822002871 |
| Provider Name | Shannon L Skaug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255825832 PECOS PAC ID: 0840549663 Enrollment ID: I20180827003525 |
| Provider Name | Mamatha Kondapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689052409 PECOS PAC ID: 4789935016 Enrollment ID: I20180925002480 |
| Provider Name | Tamara L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659722098 PECOS PAC ID: 1658622659 Enrollment ID: I20181001000993 |
| Provider Name | Walline T Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548364755 PECOS PAC ID: 2769430933 Enrollment ID: I20181001003287 |
| Provider Name | Denise D Tolbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861884462 PECOS PAC ID: 8224380266 Enrollment ID: I20181002003943 |
| Provider Name | Carmen D Jan Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417339649 PECOS PAC ID: 6103118716 Enrollment ID: I20181010003713 |
| Provider Name | Ramesh Swamiappan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770915308 PECOS PAC ID: 4284987652 Enrollment ID: I20181101000752 |
| Provider Name | Tiffany H Sexton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568859197 PECOS PAC ID: 3577876127 Enrollment ID: I20181126001737 |
| Provider Name | Justin P Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831498302 PECOS PAC ID: 9436327459 Enrollment ID: I20181205002602 |
| Provider Name | Julia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003399056 PECOS PAC ID: 0143564708 Enrollment ID: I20181207002324 |
| Provider Name | Ashley Elizabeth Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205271392 PECOS PAC ID: 9638305600 Enrollment ID: I20181214002499 |
| Provider Name | Drew Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619452760 PECOS PAC ID: 2264777010 Enrollment ID: I20181221002575 |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20190226003264 |
| Provider Name | Emma Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932679875 PECOS PAC ID: 8921348814 Enrollment ID: I20190312001995 |
| Provider Name | Tina Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265904825 PECOS PAC ID: 7618217027 Enrollment ID: I20190321002591 |
| Provider Name | Shalita Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396214060 PECOS PAC ID: 1153662283 Enrollment ID: I20190417002677 |
| Provider Name | Candice Leann Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811480833 PECOS PAC ID: 3870842305 Enrollment ID: I20190516002445 |
| Provider Name | Maurice L Furdge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962792093 PECOS PAC ID: 4486977758 Enrollment ID: I20190813002264 |
| Provider Name | Aaron Blake Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477912129 PECOS PAC ID: 1153629498 Enrollment ID: I20190819003431 |
| Provider Name | Rhonda Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326306358 PECOS PAC ID: 2668624958 Enrollment ID: I20190824000641 |
| Provider Name | Dhaval Pau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861812885 PECOS PAC ID: 2668748229 Enrollment ID: I20190929000017 |
| Provider Name | Mazen Zaarour |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437599875 PECOS PAC ID: 2860722030 Enrollment ID: I20191001002932 |
| Provider Name | Virginia R Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435155 PECOS PAC ID: 3779815733 Enrollment ID: I20191024002765 |
| Provider Name | Tyler Hansen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447644356 PECOS PAC ID: 3577862796 Enrollment ID: I20191024003099 |
| Provider Name | Jennifer Ann Hadley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447645825 PECOS PAC ID: 8123315181 Enrollment ID: I20191031001181 |
| Provider Name | David A Hodgett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467554717 PECOS PAC ID: 4688605090 Enrollment ID: I20191104000935 |
| Provider Name | Ramy Ismail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508233172 PECOS PAC ID: 6608165170 Enrollment ID: I20191114002283 |
| Provider Name | Kevin L Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558757922 PECOS PAC ID: 5890031215 Enrollment ID: I20191210001107 |
| Provider Name | Fahad Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184078404 PECOS PAC ID: 5294072294 Enrollment ID: I20191210002365 |
| Provider Name | Brenda A Nyamogo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912325176 PECOS PAC ID: 9436376530 Enrollment ID: I20191223002347 |
| Provider Name | Veronica M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467604868 PECOS PAC ID: 0143380501 Enrollment ID: I20200124000211 |
| Provider Name | Foy G Mann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861860603 PECOS PAC ID: 2567759103 Enrollment ID: I20200128003248 |
| Provider Name | Chaitanya Malla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215356522 PECOS PAC ID: 1355612771 Enrollment ID: I20200131002655 |
| Provider Name | Shawn Gurwara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114371937 PECOS PAC ID: 5799010393 Enrollment ID: I20200207002096 |
| Provider Name | Gregory T Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467485607 PECOS PAC ID: 6507856853 Enrollment ID: I20200211000408 |
| Provider Name | Zoheb Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528453867 PECOS PAC ID: 8325384266 Enrollment ID: I20200219000510 |
| Provider Name | Anika Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073961298 PECOS PAC ID: 9830526896 Enrollment ID: I20200304000222 |
| Provider Name | Larissa Harkacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821443706 PECOS PAC ID: 4880958685 Enrollment ID: I20200306002151 |
| Provider Name | Lauren Clemmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023452489 PECOS PAC ID: 6709190200 Enrollment ID: I20200317000493 |
| Provider Name | Jeffrey W Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447311618 PECOS PAC ID: 7416957584 Enrollment ID: I20200413002370 |
| Provider Name | Zackary Fordham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265589089 PECOS PAC ID: 5092897801 Enrollment ID: I20200416003330 |
| Provider Name | Andrew C Loff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437564994 PECOS PAC ID: 3274831938 Enrollment ID: I20200423003285 |
| Provider Name | Christopher Dallam Mcardle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326091265 PECOS PAC ID: 3870505159 Enrollment ID: I20200501000281 |
| Provider Name | Gia-hau P Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013367523 PECOS PAC ID: 5193071561 Enrollment ID: I20200518002010 |
| Provider Name | Andrew Andrew Outlaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730617788 PECOS PAC ID: 5597037457 Enrollment ID: I20200615002318 |
| Provider Name | Evgeniy A Shchelchkov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649276668 PECOS PAC ID: 7315936143 Enrollment ID: I20200615002956 |
| Provider Name | Kimroy Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093267858 PECOS PAC ID: 3476979105 Enrollment ID: I20200812002063 |
| Provider Name | Joel M Fahling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518404565 PECOS PAC ID: 1355774696 Enrollment ID: I20200818001054 |
| Provider Name | Robert D Garrett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659990901 PECOS PAC ID: 5597181750 Enrollment ID: I20200818003221 |
| Provider Name | Alicia Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225567977 PECOS PAC ID: 6507130507 Enrollment ID: I20200827000434 |
| Provider Name | Nohora Ximena Torres Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396276143 PECOS PAC ID: 7719214113 Enrollment ID: I20200910003159 |
| Provider Name | Yogesh Gujrati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679912570 PECOS PAC ID: 6507285566 Enrollment ID: I20200924003362 |
| Provider Name | Whitni M Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609385293 PECOS PAC ID: 9436578317 Enrollment ID: I20200925001003 |
| Provider Name | Nabiha Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336674100 PECOS PAC ID: 3072933795 Enrollment ID: I20201020000347 |
| Provider Name | Dale Scott Birenbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689661597 PECOS PAC ID: 0244426674 Enrollment ID: I20201118000787 |
| Provider Name | Heba Al Rebh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124414222 PECOS PAC ID: 3375880263 Enrollment ID: I20201227000014 |
| Provider Name | Fatma Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669906582 PECOS PAC ID: 9638592710 Enrollment ID: I20210301001595 |
| Provider Name | Adam Eppler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326484312 PECOS PAC ID: 4587885264 Enrollment ID: I20210316002236 |
| Provider Name | Holly Michelle Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700206513 PECOS PAC ID: 6901122381 Enrollment ID: I20210416000417 |
| Provider Name | Spencer Alexander Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083102388 PECOS PAC ID: 3971852328 Enrollment ID: I20210608002008 |
| Provider Name | Nimit Patidar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982016317 PECOS PAC ID: 1052687845 Enrollment ID: I20210610001139 |
| Provider Name | Anastasia Novozhilova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760988232 PECOS PAC ID: 5092117283 Enrollment ID: I20210709002722 |
| Provider Name | Sahar Rania Mazhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225534910 PECOS PAC ID: 6103228259 Enrollment ID: I20210712002616 |
| Provider Name | Erica L Starling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922672633 PECOS PAC ID: 4880095785 Enrollment ID: I20210712003819 |
| Provider Name | Alyson Burkhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508234865 PECOS PAC ID: 6608177050 Enrollment ID: I20210809002254 |
| Provider Name | Elizabeth Kuhn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285044347 PECOS PAC ID: 0042538001 Enrollment ID: I20210813000172 |
| Provider Name | Livia B Lozano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467940940 PECOS PAC ID: 9638574460 Enrollment ID: I20210817003107 |
| Provider Name | Hira Zubair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154828085 PECOS PAC ID: 3870998636 Enrollment ID: I20210818000213 |
| Provider Name | Ronda F Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467441600 PECOS PAC ID: 0547583643 Enrollment ID: I20210827000849 |
| Provider Name | Arielle Amanda Dahlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154827624 PECOS PAC ID: 3072918143 Enrollment ID: I20210827001203 |
| Provider Name | Ariail Gilbert Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740724566 PECOS PAC ID: 0749685832 Enrollment ID: I20210827001841 |
| Provider Name | Chasity Ann Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720661762 PECOS PAC ID: 3375941487 Enrollment ID: I20211004002238 |
| Provider Name | Robert Rhett Rhyne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588014179 PECOS PAC ID: 0648565317 Enrollment ID: I20211005001991 |
| Provider Name | Kristen Zorn Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306514344 PECOS PAC ID: 2961890645 Enrollment ID: I20211029000624 |
| Provider Name | Julia Skettini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255860482 PECOS PAC ID: 0446522387 Enrollment ID: I20211103003230 |
| Provider Name | Robert T Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831869387 PECOS PAC ID: 9931599867 Enrollment ID: I20211207002044 |
| Provider Name | Ashraf A Syed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750339297 PECOS PAC ID: 1254723836 Enrollment ID: I20220111000302 |
| Provider Name | Heather Y Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003480716 PECOS PAC ID: 6305238981 Enrollment ID: I20220111000470 |
| Provider Name | Jeffery W Johns |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1588828982 PECOS PAC ID: 4688825490 Enrollment ID: I20220201001720 |
| Provider Name | Ashley Michelle Asher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801172234 PECOS PAC ID: 6305012121 Enrollment ID: I20220225001708 |
| Provider Name | Nana F Atuahene |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629325774 PECOS PAC ID: 2466670609 Enrollment ID: I20220406001650 |
| Provider Name | Meagan Pate |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902240112 PECOS PAC ID: 0749576742 Enrollment ID: I20220418001647 |
| Provider Name | Sibaji Shome |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922022672 PECOS PAC ID: 8123097490 Enrollment ID: I20220419000024 |
| Provider Name | Chike Ilorah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619382355 PECOS PAC ID: 8729392402 Enrollment ID: I20220516000215 |
| Provider Name | Eric A Afari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215399068 PECOS PAC ID: 0042502379 Enrollment ID: I20220624002116 |
| Provider Name | Qamar Gulzar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811551674 PECOS PAC ID: 5799169314 Enrollment ID: I20220831002441 |
| Provider Name | Brittney Nicole Herzog |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629511225 PECOS PAC ID: 6305121310 Enrollment ID: I20220909002137 |
| Provider Name | Kateryna Feldman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578127965 PECOS PAC ID: 1759766447 Enrollment ID: I20220915003676 |
| Provider Name | Amanda Thomley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689123416 PECOS PAC ID: 1658652250 Enrollment ID: I20220923001857 |
| Provider Name | Margaret Macgregor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679665541 PECOS PAC ID: 0244250751 Enrollment ID: I20221012001360 |
| Provider Name | Osakpolor Ogbebor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124563853 PECOS PAC ID: 3072989219 Enrollment ID: I20221013001142 |
| Provider Name | Kristin Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225622384 PECOS PAC ID: 3870901291 Enrollment ID: I20221102000021 |
| Provider Name | Mark E Anderson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154410611 PECOS PAC ID: 3971796814 Enrollment ID: I20221121003405 |
| Provider Name | Sagar Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750945416 PECOS PAC ID: 1153799093 Enrollment ID: I20221123002685 |
| Provider Name | Belqis Elferjani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285298927 PECOS PAC ID: 9739557471 Enrollment ID: I20221130000900 |
| Provider Name | Katie G Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861653768 PECOS PAC ID: 3779754346 Enrollment ID: I20221207000834 |
| Provider Name | James E Stone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992728927 PECOS PAC ID: 9638140973 Enrollment ID: I20221216000850 |
| Provider Name | Clayton Aaron Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20221220001218 |
| Provider Name | Samuel D Critides |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902856503 PECOS PAC ID: 9537172622 Enrollment ID: I20230119000507 |
| Provider Name | Mitzi Amelon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831140409 PECOS PAC ID: 8325029663 Enrollment ID: I20230124000377 |
| Provider Name | David Matthew Beaman Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710948799 PECOS PAC ID: 8921076340 Enrollment ID: I20230131001770 |
| Provider Name | Syed Fatmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154985893 PECOS PAC ID: 7810365913 Enrollment ID: I20230131002651 |
| Provider Name | Joseph Bardinelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174978373 PECOS PAC ID: 9335433895 Enrollment ID: I20230215001847 |
| Provider Name | Fnu Anshul |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093168593 PECOS PAC ID: 7517330509 Enrollment ID: I20230221003397 |
| Provider Name | Cody Mcintyre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104539253 PECOS PAC ID: 2567836331 Enrollment ID: I20230317000237 |
| Provider Name | Chad Brady |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831519982 PECOS PAC ID: 0840596995 Enrollment ID: I20230323000654 |
| Provider Name | James Tackett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699787804 PECOS PAC ID: 8224934989 Enrollment ID: I20230324000645 |
| Provider Name | Aubrey Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790775807 PECOS PAC ID: 4981669579 Enrollment ID: I20230327000944 |
| Provider Name | Tehmin Zafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548824303 PECOS PAC ID: 0840664165 Enrollment ID: I20230328000304 |
| Provider Name | Allison Harriott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023247871 PECOS PAC ID: 6709028616 Enrollment ID: I20230403001330 |
| Provider Name | David Chandran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992775357 PECOS PAC ID: 0547397036 Enrollment ID: I20230413002442 |
| Provider Name | Mallory Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598471534 PECOS PAC ID: 4183089519 Enrollment ID: I20230508001338 |
| Provider Name | Michael Michel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710113634 PECOS PAC ID: 7517104615 Enrollment ID: I20230530002102 |
| Provider Name | Breanna Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790358877 PECOS PAC ID: 9133527419 Enrollment ID: I20230531000893 |
| Provider Name | James M Shockley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043673833 PECOS PAC ID: 2668766627 Enrollment ID: I20230609001083 |
| Provider Name | Tyler Edward Pierson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508436007 PECOS PAC ID: 9638538168 Enrollment ID: I20230630002664 |
| Provider Name | Jacob Metcalf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932779519 PECOS PAC ID: 7618336975 Enrollment ID: I20230705000394 |
| Provider Name | Lacey Gober |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063091346 PECOS PAC ID: 5092175430 Enrollment ID: I20230718001094 |
| Provider Name | Jamie Leigh Kilpatrick Morrow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235767096 PECOS PAC ID: 5991165920 Enrollment ID: I20230721001150 |
| Provider Name | Chandra Kumar Mallic Kodavanti |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093236580 PECOS PAC ID: 7214209808 Enrollment ID: I20230816001998 |
| Provider Name | Connor Weir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366937823 PECOS PAC ID: 5496003634 Enrollment ID: I20230817000822 |
| Provider Name | Beulah Jyothy Koduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780037507 PECOS PAC ID: 5799011656 Enrollment ID: I20230818000802 |
| Provider Name | Sara-bethany Weir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548755051 PECOS PAC ID: 7416204060 Enrollment ID: I20230818002818 |
| Provider Name | Willie Charles Cawthon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801586052 PECOS PAC ID: 1557724929 Enrollment ID: I20230831004827 |
| Provider Name | Andrew Rathnasamy Xavier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124097225 PECOS PAC ID: 5597793695 Enrollment ID: I20231010002574 |
| Provider Name | Lila Sheikhi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457790032 PECOS PAC ID: 8527484278 Enrollment ID: I20231010002685 |
| Provider Name | Omar Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992325773 PECOS PAC ID: 4789005240 Enrollment ID: I20231012001826 |
| Provider Name | Ahmed Bassam Salem |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497384176 PECOS PAC ID: 0446675284 Enrollment ID: I20231017003551 |
| Provider Name | Peter De Mola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700402807 PECOS PAC ID: 4688099278 Enrollment ID: I20231019003263 |
| Provider Name | Nurbanu Selvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295364834 PECOS PAC ID: 6901252170 Enrollment ID: I20231024001994 |
| Provider Name | Fateeha Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801425954 PECOS PAC ID: 5193171130 Enrollment ID: I20231026002338 |
| Provider Name | Sahar Baloch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508494014 PECOS PAC ID: 6800242850 Enrollment ID: I20231026002474 |
| Provider Name | Victor Ye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336608371 PECOS PAC ID: 7719333574 Enrollment ID: I20231031000279 |
| Provider Name | Susan Michelle Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073393690 PECOS PAC ID: 4789030487 Enrollment ID: I20231101002529 |
| Provider Name | Morgan D Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699364141 PECOS PAC ID: 4082060629 Enrollment ID: I20231102000632 |
| Provider Name | Paul E Butts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770711566 PECOS PAC ID: 2466764238 Enrollment ID: I20231115000116 |
| Provider Name | Bassam Zahid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295232361 PECOS PAC ID: 9537554613 Enrollment ID: I20231121001327 |
| Provider Name | Christopher D Nance |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194381780 PECOS PAC ID: 1052769460 Enrollment ID: I20231127000204 |
| Provider Name | Sherry Michelle Albertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679252753 PECOS PAC ID: 1355799784 Enrollment ID: I20231127000763 |
| Provider Name | Fadi E Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326677105 PECOS PAC ID: 5991153157 Enrollment ID: I20231128002945 |
| Provider Name | Gabrielle Nicole Snellgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831856780 PECOS PAC ID: 0749639599 Enrollment ID: I20231206000395 |
| Provider Name | Chelsea Brook Brincks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235903170 PECOS PAC ID: 9931542081 Enrollment ID: I20240206003129 |
| Provider Name | Colm J. Acuff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487605671 PECOS PAC ID: 4587558952 Enrollment ID: I20240215002916 |
| Provider Name | Emily Anne Grimm |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144242413 PECOS PAC ID: 3577554989 Enrollment ID: I20240307002507 |
Professional Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
By His Grace Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 Glover Ave Ste A, Enterprise, AL 36330 Phone: 334-475-2680 Fax: 334-475-2681 | |
David H. Hayes, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Glover Ave, Suite B, Enterprise, AL 36330 Phone: 334-347-0991 Fax: 334-347-1805 | |
New Horizons Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 Rucker Blvd Ste A, Enterprise, AL 36330 Phone: 334-347-4343 Fax: 334-393-9611 | |
Hillside Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Boll Weevil Cir, Suite B, Enterprise, AL 36330 Phone: 334-475-2067 | |
Fast Pace Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1026 Boll Weevil Circle, Enterprise, AL 36330 Phone: 931-253-1110 | |
Stephen R Brandt Md Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 |