| Sanford Fifth & Broadway Clinic | |
|
565 S 7th St Bismarck ND 58504-5859 | |
| (701) 323-5550 | |
| Not Available |
| Full Name | Sanford Fifth & Broadway Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 565 S 7th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VP, CHIEF REVENUE CYCLE OFFICER) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Fifth & Broadway Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Fifth & Broadway Clinic 565 S 7th St Bismarck ND 58504-5859 Ph: (701) 323-5550 |
| NPI Number | 1811941172 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 09/16/2026 |
| Certification Date | 09/16/2026 |
| Medicare PECOS PAC ID | 9739098575 |
|---|---|
| Medicare Enrollment ID | O20031105000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811941172 | NPI | - | NPPES |
| 10010 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Robert T Striebel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962593517 PECOS PAC ID: 4880598085 Enrollment ID: I20031120000312 |
| Provider Name | Jeanette M Viney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578662482 PECOS PAC ID: 7214832492 Enrollment ID: I20031201000679 |
| Provider Name | John T Reynolds |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417027988 PECOS PAC ID: 1052216272 Enrollment ID: I20031202000019 |
| Provider Name | Thomas a Thorson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942308614 PECOS PAC ID: 8224933114 Enrollment ID: I20031204000152 |
| Provider Name | Kimber Boyko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386602043 PECOS PAC ID: 0244135143 Enrollment ID: I20031204000201 |
| Provider Name | Ian C Fyfe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144240532 PECOS PAC ID: 0941105753 Enrollment ID: I20031204000848 |
| Provider Name | David John Pengilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710099114 PECOS PAC ID: 6406751981 Enrollment ID: I20031208000068 |
| Provider Name | Stuart T Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821196577 PECOS PAC ID: 3678478161 Enrollment ID: I20031208000132 |
| Provider Name | Kevin P Murphy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912019415 PECOS PAC ID: 7113823618 Enrollment ID: I20031208000276 |
| Provider Name | Kristen M Blees |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659469385 PECOS PAC ID: 1153227665 Enrollment ID: I20031208000317 |
| Provider Name | Geri a Mcintee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689621187 PECOS PAC ID: 4082510367 Enrollment ID: I20031209000069 |
| Provider Name | Anthony M Tello |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558469916 PECOS PAC ID: 6002712304 Enrollment ID: I20031209000156 |
| Provider Name | Christian M Matthews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982620282 PECOS PAC ID: 5496651713 Enrollment ID: I20031209000220 |
| Provider Name | Guy J Connell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598788523 PECOS PAC ID: 7810893138 Enrollment ID: I20031209000238 |
| Provider Name | Kevin J Koester |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518078583 PECOS PAC ID: 1052217379 Enrollment ID: I20031209000263 |
| Provider Name | Donald E Walter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639264328 PECOS PAC ID: 3375449606 Enrollment ID: I20031209000294 |
| Provider Name | Rick W Hofferber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811073174 PECOS PAC ID: 9436055779 Enrollment ID: I20031209000361 |
| Provider Name | Parag Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780795773 PECOS PAC ID: 4688570807 Enrollment ID: I20031209000743 |
| Provider Name | Renee Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194821355 PECOS PAC ID: 0648176867 Enrollment ID: I20031209000781 |
| Provider Name | Billie J Rud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639275944 PECOS PAC ID: 0244136463 Enrollment ID: I20031209000806 |
| Provider Name | Tara M Curtis Haberlock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932205366 PECOS PAC ID: 6800792045 Enrollment ID: I20031209000916 |
| Provider Name | Michael L Quast |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548287634 PECOS PAC ID: 2062318116 Enrollment ID: I20031209001003 |
| Provider Name | Cheryl E Huber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114025855 PECOS PAC ID: 4789580713 Enrollment ID: I20031210000794 |
| Provider Name | Angela S Dornacker-eggl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730109257 PECOS PAC ID: 9739085614 Enrollment ID: I20031210001090 |
| Provider Name | Patricia W Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013970532 PECOS PAC ID: 2264338144 Enrollment ID: I20031210001107 |
| Provider Name | Anthony T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912918772 PECOS PAC ID: 1052217932 Enrollment ID: I20031210001117 |
| Provider Name | Michelle R Tincher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457422883 PECOS PAC ID: 3577469485 Enrollment ID: I20031211000065 |
| Provider Name | Nadim Koleilat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700997780 PECOS PAC ID: 1951207877 Enrollment ID: I20031211000124 |
| Provider Name | Gretchen G Belzer Curl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699878405 PECOS PAC ID: 7012813934 Enrollment ID: I20031211000141 |
| Provider Name | Douglas D Schauer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578661229 PECOS PAC ID: 9830095546 Enrollment ID: I20031211000722 |
| Provider Name | Baruti M Serabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093813743 PECOS PAC ID: 1355247073 Enrollment ID: I20031211000745 |
| Provider Name | Brady J Ness |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518079011 PECOS PAC ID: 8426954140 Enrollment ID: I20031211000755 |
| Provider Name | Jeffrey R Cave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730109885 PECOS PAC ID: 3476459041 Enrollment ID: I20031212000412 |
| Provider Name | Kathryn M Kovar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598795767 PECOS PAC ID: 6800792490 Enrollment ID: I20031212000513 |
| Provider Name | Stephanie J Nottestad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285730689 PECOS PAC ID: 1850298464 Enrollment ID: I20031212000638 |
| Provider Name | Kathleen M Perkerewicz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306958715 PECOS PAC ID: 1850298357 Enrollment ID: I20031215000035 |
| Provider Name | Edward J Wos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457429680 PECOS PAC ID: 1355248881 Enrollment ID: I20031215000184 |
| Provider Name | Rodney N Kraft |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003907841 PECOS PAC ID: 9133026693 Enrollment ID: I20031215000312 |
| Provider Name | Richard E Arndorfer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174586697 PECOS PAC ID: 2769389162 Enrollment ID: I20031215000533 |
| Provider Name | Kamille S Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770682726 PECOS PAC ID: 6901703347 Enrollment ID: I20031215000710 |
| Provider Name | Roy Jeffrey Moen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528092772 PECOS PAC ID: 5597662940 Enrollment ID: I20031215000744 |
| Provider Name | Todd a Twogood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013015783 PECOS PAC ID: 4880591130 Enrollment ID: I20031216000224 |
| Provider Name | Jessica a Balvitsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043316524 PECOS PAC ID: 1153227921 Enrollment ID: I20031216000375 |
| Provider Name | Matthew J Doppler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952404659 PECOS PAC ID: 3375440589 Enrollment ID: I20031216000680 |
| Provider Name | Sherry L Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134227895 PECOS PAC ID: 0941197511 Enrollment ID: I20040301000291 |
| Provider Name | Beverly J Tong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326087404 PECOS PAC ID: 3274420526 Enrollment ID: I20040302000189 |
| Provider Name | Debra J Lukenbill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265456370 PECOS PAC ID: 5294622569 Enrollment ID: I20040302000284 |
| Provider Name | Laurie J Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215901228 PECOS PAC ID: 8729977582 Enrollment ID: I20040311000640 |
| Provider Name | Aselo Voltaire Layawen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437164399 PECOS PAC ID: 0446149058 Enrollment ID: I20040312000086 |
| Provider Name | Denise E Fried |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740254739 PECOS PAC ID: 8921998410 Enrollment ID: I20040318000270 |
| Provider Name | Beth a Zimmerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073587085 PECOS PAC ID: 4587554092 Enrollment ID: I20040318000400 |
| Provider Name | Tracy L Vearrier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043255755 PECOS PAC ID: 9032001359 Enrollment ID: I20040329001816 |
| Provider Name | Shih Ru Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629256318 PECOS PAC ID: 1355334327 Enrollment ID: I20040406000373 |
| Provider Name | Mark W Rodacker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437261724 PECOS PAC ID: 6709871239 Enrollment ID: I20040415000644 |
| Provider Name | Timothy L Pansegrau |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871605279 PECOS PAC ID: 0840285268 Enrollment ID: I20040415001302 |
| Provider Name | Trina R Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861474017 PECOS PAC ID: 5294720934 Enrollment ID: I20040420000805 |
| Provider Name | Todd W Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063499879 PECOS PAC ID: 9436147121 Enrollment ID: I20040503000668 |
| Provider Name | Andreas Sarrigiannidis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497853147 PECOS PAC ID: 9234128299 Enrollment ID: I20040506001183 |
| Provider Name | Kari a Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073606505 PECOS PAC ID: 6507855889 Enrollment ID: I20040511001196 |
| Provider Name | Michael R Brown |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912007642 PECOS PAC ID: 3870579667 Enrollment ID: I20040624000486 |
| Provider Name | William M Bellas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487672184 PECOS PAC ID: 3476539990 Enrollment ID: I20040625000725 |
| Provider Name | Syed Waseem Abbas Zaidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467486969 PECOS PAC ID: 6709862055 Enrollment ID: I20040628000076 |
| Provider Name | Peter L White |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508966524 PECOS PAC ID: 9234115437 Enrollment ID: I20040628001241 |
| Provider Name | Sara R Solberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487692182 PECOS PAC ID: 9436121787 Enrollment ID: I20040809000449 |
| Provider Name | Hongchen Jia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790796548 PECOS PAC ID: 1456324003 Enrollment ID: I20040813000041 |
| Provider Name | Jay Dollinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609967785 PECOS PAC ID: 2668436114 Enrollment ID: I20041115001312 |
| Provider Name | Genevieve M Goven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033136999 PECOS PAC ID: 4385608660 Enrollment ID: I20041116000934 |
| Provider Name | Camille M Meyhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720187669 PECOS PAC ID: 4981660941 Enrollment ID: I20041202000191 |
| Provider Name | Michelle Tepastte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346285541 PECOS PAC ID: 4688630452 Enrollment ID: I20041203000078 |
| Provider Name | Shanon Mark Sell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609895879 PECOS PAC ID: 5597721357 Enrollment ID: I20041203000667 |
| Provider Name | Mark E Berntson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508807116 PECOS PAC ID: 4385601020 Enrollment ID: I20041228000873 |
| Provider Name | Corrine M Vatnsdal-geck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194789891 PECOS PAC ID: 6406809458 Enrollment ID: I20050302000203 |
| Provider Name | Carla J Zacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700828225 PECOS PAC ID: 8527012459 Enrollment ID: I20050303000625 |
| Provider Name | Mustafa Kathawala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497709695 PECOS PAC ID: 2062466006 Enrollment ID: I20050311000514 |
| Provider Name | Susan Stengel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861411076 PECOS PAC ID: 8022065952 Enrollment ID: I20050404000409 |
| Provider Name | Kila Joellen Szymanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407874266 PECOS PAC ID: 1850330754 Enrollment ID: I20050429000569 |
| Provider Name | Sandra L Martsching |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982612099 PECOS PAC ID: 8325088016 Enrollment ID: I20050512000321 |
| Provider Name | Trent E Siemers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326154956 PECOS PAC ID: 6709822034 Enrollment ID: I20050707001014 |
| Provider Name | Wendy K Haaland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932296969 PECOS PAC ID: 1456382647 Enrollment ID: I20050826000950 |
| Provider Name | Eric Belanger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801972161 PECOS PAC ID: 5597797373 Enrollment ID: I20050831000839 |
| Provider Name | Olimpia Rauta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043224348 PECOS PAC ID: 0840224184 Enrollment ID: I20050926000532 |
| Provider Name | James B Ragland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417068420 PECOS PAC ID: 9638104326 Enrollment ID: I20051018001091 |
| Provider Name | Brooke Anna Arndorfer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376649848 PECOS PAC ID: 1759300817 Enrollment ID: I20051117000506 |
| Provider Name | Heather a Jacobson Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447303334 PECOS PAC ID: 5698797025 Enrollment ID: I20051228000368 |
| Provider Name | Maureen a Kosiak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861707531 PECOS PAC ID: 2365466281 Enrollment ID: I20060118000956 |
| Provider Name | Donald J Kosiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629162706 PECOS PAC ID: 1052207941 Enrollment ID: I20060119000412 |
| Provider Name | Jamie L Hawk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033123351 PECOS PAC ID: 1658392873 Enrollment ID: I20060901000387 |
| Provider Name | Suzanne R Sandsmark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952336265 PECOS PAC ID: 8426052101 Enrollment ID: I20060912000231 |
| Provider Name | Lisa J Clairmont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174611370 PECOS PAC ID: 3173521598 Enrollment ID: I20061120000294 |
| Provider Name | Jeffery D Stockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407957418 PECOS PAC ID: 0547283228 Enrollment ID: I20061122000446 |
| Provider Name | Cory E Rathgeber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649367343 PECOS PAC ID: 1557371929 Enrollment ID: I20061220000488 |
| Provider Name | Nigeria M Stahl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780629055 PECOS PAC ID: 0244243533 Enrollment ID: I20070115000258 |
| Provider Name | Amy E Oksa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073611711 PECOS PAC ID: 1254332786 Enrollment ID: I20070125000136 |
| Provider Name | Jason M Asheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780693424 PECOS PAC ID: 8628077872 Enrollment ID: I20070206000077 |
| Provider Name | Ann M Burd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982747713 PECOS PAC ID: 9335243286 Enrollment ID: I20070402000572 |
| Provider Name | Hasrat Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699752964 PECOS PAC ID: 8921032962 Enrollment ID: I20070511000075 |
| Provider Name | Sandeep Batra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699855635 PECOS PAC ID: 8527044908 Enrollment ID: I20070801000136 |
| Provider Name | Supha K Arthurs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790765865 PECOS PAC ID: 9931167145 Enrollment ID: I20070801000690 |
| Provider Name | Nora L Allan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033317854 PECOS PAC ID: 3678664562 Enrollment ID: I20070807000471 |
| Provider Name | Radu L Rauta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134213671 PECOS PAC ID: 7719079029 Enrollment ID: I20070816000290 |
| Provider Name | Davin J Hatlestad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609989268 PECOS PAC ID: 8729021456 Enrollment ID: I20070822001538 |
| Provider Name | Jan Levora |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952599524 PECOS PAC ID: 5395832968 Enrollment ID: I20071029000538 |
| Provider Name | Lisa Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619156411 PECOS PAC ID: 4789773409 Enrollment ID: I20071204000209 |
| Provider Name | Barry a Bjorgaard |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1144250226 PECOS PAC ID: 6901995117 Enrollment ID: I20071211000008 |
| Provider Name | Melissa M Seibel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477735926 PECOS PAC ID: 5496845216 Enrollment ID: I20071217000871 |
| Provider Name | Ahmer H Qarni |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518997691 PECOS PAC ID: 4880780600 Enrollment ID: I20071227000009 |
| Provider Name | John a Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346448925 PECOS PAC ID: 3476654849 Enrollment ID: I20080204000699 |
| Provider Name | Amber a Kuntz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780883587 PECOS PAC ID: 5890878854 Enrollment ID: I20080213000720 |
| Provider Name | Matthew M Iwamoto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073547014 PECOS PAC ID: 7911891056 Enrollment ID: I20080218000278 |
| Provider Name | Tammy J Grosulak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083892095 PECOS PAC ID: 2163505058 Enrollment ID: I20080226000260 |
| Provider Name | Faith M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346281870 PECOS PAC ID: 1850476680 Enrollment ID: I20080304000637 |
| Provider Name | Tanya L Harlow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740498104 PECOS PAC ID: 4082705389 Enrollment ID: I20080610000412 |
| Provider Name | Karin K Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881873776 PECOS PAC ID: 2769557776 Enrollment ID: I20080826000227 |
| Provider Name | Amy M Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225294747 PECOS PAC ID: 9436225018 Enrollment ID: I20080904000706 |
| Provider Name | Audrey K Mcmacken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215199781 PECOS PAC ID: 6901972223 Enrollment ID: I20080910000083 |
| Provider Name | Ryan C Stromme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639192479 PECOS PAC ID: 2466430194 Enrollment ID: I20081008000329 |
| Provider Name | Brandon J Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083710610 PECOS PAC ID: 6103822309 Enrollment ID: I20081015000468 |
| Provider Name | Leanne E Gotvaslee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255582011 PECOS PAC ID: 1052470903 Enrollment ID: I20081106000351 |
| Provider Name | Cloris L Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346493459 PECOS PAC ID: 4981764610 Enrollment ID: I20081125000302 |
| Provider Name | Anthony a Holden |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720086606 PECOS PAC ID: 4183605439 Enrollment ID: I20081211000111 |
| Provider Name | Brenda Kaye Thurlow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033130372 PECOS PAC ID: 7719048537 Enrollment ID: I20081211000189 |
| Provider Name | Lorrissa L Bohlman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518111558 PECOS PAC ID: 8628130028 Enrollment ID: I20081218000543 |
| Provider Name | Nicole Marie Welsch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184642738 PECOS PAC ID: 3072676626 Enrollment ID: I20090108000574 |
| Provider Name | Bradley a Braunagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396762399 PECOS PAC ID: 8022172493 Enrollment ID: I20090129000436 |
| Provider Name | Jessica M Meier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811134976 PECOS PAC ID: 0840354247 Enrollment ID: I20090129000636 |
| Provider Name | Faysal Yousefi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366642191 PECOS PAC ID: 0143389718 Enrollment ID: I20090203000623 |
| Provider Name | Matthew Trefz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376735035 PECOS PAC ID: 9739230590 Enrollment ID: I20090708000152 |
| Provider Name | Brenda Reems |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548400260 PECOS PAC ID: 6204988892 Enrollment ID: I20090713000205 |
| Provider Name | Eric M Hart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942497243 PECOS PAC ID: 6709939465 Enrollment ID: I20090729000232 |
| Provider Name | David L Hochhalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669583183 PECOS PAC ID: 4688736051 Enrollment ID: I20090821000598 |
| Provider Name | Bridgit M Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710118526 PECOS PAC ID: 7214082908 Enrollment ID: I20090901000731 |
| Provider Name | Niral R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841479730 PECOS PAC ID: 6204981707 Enrollment ID: I20090904000565 |
| Provider Name | Michael a Brousseau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477780526 PECOS PAC ID: 0547306615 Enrollment ID: I20091002000202 |
| Provider Name | Denise J Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669707964 PECOS PAC ID: 4385783711 Enrollment ID: I20091125000019 |
| Provider Name | Clark J Fullmer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649240557 PECOS PAC ID: 4981708567 Enrollment ID: I20100127000303 |
| Provider Name | Michael R Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457387391 PECOS PAC ID: 4789766684 Enrollment ID: I20100205000145 |
| Provider Name | David J Gayton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356433718 PECOS PAC ID: 4981749405 Enrollment ID: I20100308000560 |
| Provider Name | Shelley a Killen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184798746 PECOS PAC ID: 8325183841 Enrollment ID: I20100308000582 |
| Provider Name | Ashok Kumar Bansal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861599649 PECOS PAC ID: 5991832271 Enrollment ID: I20100419000035 |
| Provider Name | Tanya R Guthmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740333616 PECOS PAC ID: 2769519743 Enrollment ID: I20100422000950 |
| Provider Name | Lynn E Ashley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558317388 PECOS PAC ID: 6608905559 Enrollment ID: I20100602000520 |
| Provider Name | Gregg R Kovacs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942270426 PECOS PAC ID: 8921990318 Enrollment ID: I20100616000261 |
| Provider Name | Charles O Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174609432 PECOS PAC ID: 2466438270 Enrollment ID: I20100806000589 |
| Provider Name | Jeffrey J Askew |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811031826 PECOS PAC ID: 8527152545 Enrollment ID: I20100816001064 |
| Provider Name | Thandiwe C Gray |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194884338 PECOS PAC ID: 8123125853 Enrollment ID: I20100908001142 |
| Provider Name | Kadon K Hintz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245437730 PECOS PAC ID: 9032234232 Enrollment ID: I20100910001070 |
| Provider Name | Dara E Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740501386 PECOS PAC ID: 2365568870 Enrollment ID: I20100921001434 |
| Provider Name | Janel Renee Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841501236 PECOS PAC ID: 2961528302 Enrollment ID: I20100923000351 |
| Provider Name | Carrie Gerving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316259294 PECOS PAC ID: 4385760735 Enrollment ID: I20100923000409 |
| Provider Name | Jana L Rakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013220508 PECOS PAC ID: 0648396879 Enrollment ID: I20100924001299 |
| Provider Name | Ricardo a Guanzon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629257514 PECOS PAC ID: 6002932183 Enrollment ID: I20100927000232 |
| Provider Name | Sally G Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215248547 PECOS PAC ID: 4981720836 Enrollment ID: I20100928001150 |
| Provider Name | Alan J Fehr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740256163 PECOS PAC ID: 0749297653 Enrollment ID: I20101007000779 |
| Provider Name | Rena M Nordeng Zimmermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578758926 PECOS PAC ID: 7315130812 Enrollment ID: I20101015001069 |
| Provider Name | Ryan M Zimmermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447456686 PECOS PAC ID: 9931392438 Enrollment ID: I20101015001100 |
| Provider Name | Keri L Weick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518288299 PECOS PAC ID: 8820281041 Enrollment ID: I20101020001145 |
| Provider Name | Kristy J Leier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093028334 PECOS PAC ID: 9335332451 Enrollment ID: I20101021000879 |
| Provider Name | Sara R Bashus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457580110 PECOS PAC ID: 6103019161 Enrollment ID: I20101022000053 |
| Provider Name | Bhaja O Shrestha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831354679 PECOS PAC ID: 5294928180 Enrollment ID: I20101025000043 |
| Provider Name | Kiley R Andreas |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598072035 PECOS PAC ID: 2961697719 Enrollment ID: I20101108000081 |
| Provider Name | Sumit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452572 PECOS PAC ID: 2264627553 Enrollment ID: I20101111001581 |
| Provider Name | Kristie a Toman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548452733 PECOS PAC ID: 4789749938 Enrollment ID: I20101115000869 |
| Provider Name | Karlee J Kristensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417257635 PECOS PAC ID: 5294921995 Enrollment ID: I20101119000946 |
| Provider Name | Cathy Mae Schmitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194743542 PECOS PAC ID: 0547456139 Enrollment ID: I20101122000647 |
| Provider Name | Mandi L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639374960 PECOS PAC ID: 8022205855 Enrollment ID: I20101206001256 |
| Provider Name | James E Boatman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285615724 PECOS PAC ID: 1153313275 Enrollment ID: I20101208001147 |
| Provider Name | Ahmed Abdullah |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457353690 PECOS PAC ID: 8729011358 Enrollment ID: I20110103000686 |
| Provider Name | Sheryl L Volk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346542024 PECOS PAC ID: 0749479152 Enrollment ID: I20110114000681 |
| Provider Name | Jaclyn a Vander Linden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740586841 PECOS PAC ID: 9537341557 Enrollment ID: I20110314000188 |
| Provider Name | Michael R Luckenbill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922108653 PECOS PAC ID: 3971579665 Enrollment ID: I20110322000760 |
| Provider Name | Christina M Tello-skjerseth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144480971 PECOS PAC ID: 1254406242 Enrollment ID: I20110606000261 |
| Provider Name | Michael a Sedlacek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356442313 PECOS PAC ID: 8123916954 Enrollment ID: I20110608000601 |
| Provider Name | Marshall S Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285821645 PECOS PAC ID: 5092848838 Enrollment ID: I20110620000307 |
| Provider Name | Justin J Reisenauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932366143 PECOS PAC ID: 2365610730 Enrollment ID: I20110730000033 |
| Provider Name | Jon B Kolberg |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790910446 PECOS PAC ID: 1456520758 Enrollment ID: I20110802000674 |
| Provider Name | Mikhail Kirnus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922272228 PECOS PAC ID: 2860547452 Enrollment ID: I20110802000731 |
| Provider Name | Johanes I Prawira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932337706 PECOS PAC ID: 9830368786 Enrollment ID: I20110809000913 |
| Provider Name | Sara L Mees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417182163 PECOS PAC ID: 4587834643 Enrollment ID: I20110826000626 |
| Provider Name | Amir a Kichloo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194978734 PECOS PAC ID: 2961672696 Enrollment ID: I20110907000867 |
| Provider Name | Matthew H Zimny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669636205 PECOS PAC ID: 7315117041 Enrollment ID: I20110907000875 |
| Provider Name | Mohamed W Mohamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568612968 PECOS PAC ID: 0749451227 Enrollment ID: I20110913000462 |
| Provider Name | Brandi J Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619283298 PECOS PAC ID: 6709057219 Enrollment ID: I20110913000796 |
| Provider Name | Melissa a Kunkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336334606 PECOS PAC ID: 9436320793 Enrollment ID: I20110915000894 |
| Provider Name | Whitney L Champa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730487851 PECOS PAC ID: 2264604974 Enrollment ID: I20110930000186 |
| Provider Name | Amber June Caster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053692566 PECOS PAC ID: 8123290194 Enrollment ID: I20111017000662 |
| Provider Name | Elizabeth M Scheurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912285578 PECOS PAC ID: 0042483208 Enrollment ID: I20111103000261 |
| Provider Name | Krissondra L Klop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205088515 PECOS PAC ID: 1759554926 Enrollment ID: I20111103000297 |
| Provider Name | Peter L Klemin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124228630 PECOS PAC ID: 8325212590 Enrollment ID: I20111128000505 |
| Provider Name | Howard L Russell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013938752 PECOS PAC ID: 9335313469 Enrollment ID: I20111129000414 |
| Provider Name | Arlys M Jorda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073533139 PECOS PAC ID: 6406020569 Enrollment ID: I20111130000015 |
| Provider Name | Josephat G Ngatia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235332206 PECOS PAC ID: 8527234947 Enrollment ID: I20120105000448 |
| Provider Name | Bryan C Cannon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942380373 PECOS PAC ID: 2163592619 Enrollment ID: I20120105000794 |
| Provider Name | Cassie J Haak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730465568 PECOS PAC ID: 6709052038 Enrollment ID: I20120106000836 |
| Provider Name | Jill M Klemin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740449040 PECOS PAC ID: 8123294485 Enrollment ID: I20120109000287 |
| Provider Name | Hanan Fahmy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659387413 PECOS PAC ID: 0547274243 Enrollment ID: I20120120000285 |
| Provider Name | Nicole M Wilson Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235391483 PECOS PAC ID: 5496912974 Enrollment ID: I20120210000741 |
| Provider Name | Berislav Spahija |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487606067 PECOS PAC ID: 1153398672 Enrollment ID: I20120221000688 |
| Provider Name | Cynthia Folk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356678296 PECOS PAC ID: 1456492164 Enrollment ID: I20120223000231 |
| Provider Name | Heidi Grondahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619281987 PECOS PAC ID: 6800912718 Enrollment ID: I20120328000425 |
| Provider Name | Justin M Horner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326169061 PECOS PAC ID: 3971696618 Enrollment ID: I20120725000904 |
| Provider Name | Samuel Odame Anim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053514844 PECOS PAC ID: 3779739917 Enrollment ID: I20120803000467 |
| Provider Name | Brook Nelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215156476 PECOS PAC ID: 6406002286 Enrollment ID: I20120809000897 |
| Provider Name | Christine M Sauter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891053799 PECOS PAC ID: 8628224391 Enrollment ID: I20120813000156 |
| Provider Name | Sean D Kalagher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972715282 PECOS PAC ID: 4587810189 Enrollment ID: I20120815000166 |
| Provider Name | Khalin F Dendy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500155 PECOS PAC ID: 0143415521 Enrollment ID: I20120816000235 |
| Provider Name | Sara L Reinke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871721811 PECOS PAC ID: 4486801818 Enrollment ID: I20120820001045 |
| Provider Name | Steven D Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841428885 PECOS PAC ID: 1850548298 Enrollment ID: I20120820001158 |
| Provider Name | Camelia C Ilie |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851565022 PECOS PAC ID: 6002063229 Enrollment ID: I20120823000241 |
| Provider Name | Tamala M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417212408 PECOS PAC ID: 2567619430 Enrollment ID: I20120828000568 |
| Provider Name | Chelsey J Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992068555 PECOS PAC ID: 5193972065 Enrollment ID: I20120828000589 |
| Provider Name | Matthew R Carpenter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154532547 PECOS PAC ID: 3375790256 Enrollment ID: I20120828000724 |
| Provider Name | Robert G Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720284508 PECOS PAC ID: 3173770831 Enrollment ID: I20120831000131 |
| Provider Name | Maria Caroline Bell |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174529929 PECOS PAC ID: 0941102024 Enrollment ID: I20120831000549 |
| Provider Name | Kristin L Kremers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760741482 PECOS PAC ID: 7315195583 Enrollment ID: I20120912000688 |
| Provider Name | Nicholas a Hoskins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932369634 PECOS PAC ID: 6305982711 Enrollment ID: I20121016000613 |
| Provider Name | Christina R Gisvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013270503 PECOS PAC ID: 5991955205 Enrollment ID: I20121023000377 |
| Provider Name | Bree D Dewing |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801058383 PECOS PAC ID: 4880844802 Enrollment ID: I20121026000500 |
| Provider Name | Rebekah E Aucker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194000869 PECOS PAC ID: 7911172754 Enrollment ID: I20121026000640 |
| Provider Name | Saeed Ally |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609845460 PECOS PAC ID: 2466432968 Enrollment ID: I20121120000121 |
| Provider Name | Olubukola O Oni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912137449 PECOS PAC ID: 0042462889 Enrollment ID: I20121130000391 |
| Provider Name | Stephanie Lynne Gravning |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366670366 PECOS PAC ID: 3072765734 Enrollment ID: I20121204000470 |
| Provider Name | Jeffrey Jay Nelson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649433608 PECOS PAC ID: 8527182385 Enrollment ID: I20121207000178 |
| Provider Name | Steele B Tescher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851642847 PECOS PAC ID: 5395997308 Enrollment ID: I20121219000543 |
| Provider Name | Diosdado T Jaramillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114129103 PECOS PAC ID: 6608823927 Enrollment ID: I20121227000073 |
| Provider Name | Radu R Raducu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588847578 PECOS PAC ID: 0840478780 Enrollment ID: I20130121000155 |
| Provider Name | Preston a Schaffner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154666006 PECOS PAC ID: 3678728862 Enrollment ID: I20130218000528 |
| Provider Name | Jenna L Ficek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871830422 PECOS PAC ID: 4789839812 Enrollment ID: I20130221000272 |
| Provider Name | Amanda R Skluzacek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376783134 PECOS PAC ID: 6608021472 Enrollment ID: I20130227000527 |
| Provider Name | Jenna B Houge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891033049 PECOS PAC ID: 2769627272 Enrollment ID: I20130403000274 |
| Provider Name | Eric D Seamands |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326386061 PECOS PAC ID: 4688819014 Enrollment ID: I20130405000383 |
| Provider Name | Jennifer a Hoggarth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104167402 PECOS PAC ID: 8123264413 Enrollment ID: I20130410000551 |
| Provider Name | Duk H Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760423354 PECOS PAC ID: 7618904616 Enrollment ID: I20130412000331 |
| Provider Name | Paula M Moch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851633804 PECOS PAC ID: 3274771357 Enrollment ID: I20130531000149 |
| Provider Name | Nicole L Cross-hillman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003149790 PECOS PAC ID: 9133367865 Enrollment ID: I20130607000331 |
| Provider Name | Lacey L Armstrong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942520325 PECOS PAC ID: 8628218658 Enrollment ID: I20130715000639 |
| Provider Name | Luis Casas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679541841 PECOS PAC ID: 5597796938 Enrollment ID: I20130716000915 |
| Provider Name | Clifford T Mauriello |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366604878 PECOS PAC ID: 7517107428 Enrollment ID: I20130716000919 |
| Provider Name | Kendra L Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013354018 PECOS PAC ID: 6002057627 Enrollment ID: I20130724000707 |
| Provider Name | Cassie F Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679911622 PECOS PAC ID: 8022259480 Enrollment ID: I20130726000558 |
| Provider Name | Marc D Ricks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669613089 PECOS PAC ID: 9335305887 Enrollment ID: I20130802000788 |
| Provider Name | Troy S Nies |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578908638 PECOS PAC ID: 8426290404 Enrollment ID: I20130805000652 |
| Provider Name | Aaron L Luebke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699929281 PECOS PAC ID: 8921241985 Enrollment ID: I20130823000901 |
| Provider Name | Chris L Cleveland |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982693875 PECOS PAC ID: 6901052471 Enrollment ID: I20130826000422 |
| Provider Name | Ryan K Hegge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669634184 PECOS PAC ID: 4082857941 Enrollment ID: I20130826000745 |
| Provider Name | Christopher a Decock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720252216 PECOS PAC ID: 4880837095 Enrollment ID: I20130906000373 |
| Provider Name | Megan C Fettig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962842120 PECOS PAC ID: 1557505542 Enrollment ID: I20130912000425 |
| Provider Name | Bruce Allen Gardner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508032103 PECOS PAC ID: 5799831210 Enrollment ID: I20130913000145 |
| Provider Name | Joshua J Knudson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043505654 PECOS PAC ID: 6608010343 Enrollment ID: I20130918000555 |
| Provider Name | Christina M Dasilva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346561222 PECOS PAC ID: 8921242462 Enrollment ID: I20130923000711 |
| Provider Name | Sherry K Schillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285641324 PECOS PAC ID: 6406850866 Enrollment ID: I20131001000523 |
| Provider Name | Mubashir K Badar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992041123 PECOS PAC ID: 4880828649 Enrollment ID: I20131009001935 |
| Provider Name | Kathryn M Stensgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437591062 PECOS PAC ID: 6305070061 Enrollment ID: I20131011000770 |
| Provider Name | Diane C Kraft |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255541983 PECOS PAC ID: 7618028655 Enrollment ID: I20131028001068 |
| Provider Name | Courtney L Nordmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760814222 PECOS PAC ID: 2466687959 Enrollment ID: I20131111000245 |
| Provider Name | Carissa Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20131119000019 |
| Provider Name | Richelle M Knudson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811149156 PECOS PAC ID: 3375689805 Enrollment ID: I20131126001031 |
| Provider Name | Erin M Schwinkendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720413966 PECOS PAC ID: 6709013600 Enrollment ID: I20131223000892 |
| Provider Name | Noe B Mateo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255307203 PECOS PAC ID: 3173651999 Enrollment ID: I20140206001275 |
| Provider Name | Catherine Puetz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164449013 PECOS PAC ID: 3375649056 Enrollment ID: I20140305000439 |
| Provider Name | Prem Nath Pathak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417187907 PECOS PAC ID: 7315182482 Enrollment ID: I20140311001007 |
| Provider Name | Hannah M Hauff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346541067 PECOS PAC ID: 2264615913 Enrollment ID: I20140624000372 |
| Provider Name | Ashley J Kremer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033404108 PECOS PAC ID: 3870718562 Enrollment ID: I20140714002077 |
| Provider Name | Theresa a Hegge |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124280649 PECOS PAC ID: 3577702570 Enrollment ID: I20140721002013 |
| Provider Name | Jeffrey a Rundio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215217849 PECOS PAC ID: 7911123864 Enrollment ID: I20140729002265 |
| Provider Name | Erica C Hofland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346569423 PECOS PAC ID: 5597907188 Enrollment ID: I20140814002374 |
| Provider Name | David Saxon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689607418 PECOS PAC ID: 6800843848 Enrollment ID: I20140818002695 |
| Provider Name | Aaron G Van Ningen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679899116 PECOS PAC ID: 2466692959 Enrollment ID: I20140819002545 |
| Provider Name | Nathan a Bro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255637260 PECOS PAC ID: 7911125653 Enrollment ID: I20140821002269 |
| Provider Name | Nika Pierre-louis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851634984 PECOS PAC ID: 7214174366 Enrollment ID: I20140822002540 |
| Provider Name | Daniel D Tarver |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679746218 PECOS PAC ID: 2466696455 Enrollment ID: I20140904000573 |
| Provider Name | Yeshitila G Mengesha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518298728 PECOS PAC ID: 4385778091 Enrollment ID: I20140909001253 |
| Provider Name | Taleb N Taha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407161003 PECOS PAC ID: 3375762107 Enrollment ID: I20140910000329 |
| Provider Name | Megan Miller Pankratz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437461225 PECOS PAC ID: 1456580158 Enrollment ID: I20140915002713 |
| Provider Name | Andrew J Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982983201 PECOS PAC ID: 5496901662 Enrollment ID: I20140917000974 |
| Provider Name | Arslan Arshad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538582911 PECOS PAC ID: 4789803941 Enrollment ID: I20140919002317 |
| Provider Name | Amy L Gotvaslee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396157830 PECOS PAC ID: 7315166311 Enrollment ID: I20140923001809 |
| Provider Name | Carmen R Dargis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336465053 PECOS PAC ID: 2961673348 Enrollment ID: I20140924002633 |
| Provider Name | Nowarat Songsiridej |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346321429 PECOS PAC ID: 0042355562 Enrollment ID: I20141007001191 |
| Provider Name | Rishi Seth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962790832 PECOS PAC ID: 0840411658 Enrollment ID: I20141020002830 |
| Provider Name | Tong Yang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427169788 PECOS PAC ID: 7810139987 Enrollment ID: I20141022002350 |
| Provider Name | Rachael a Trom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003017732 PECOS PAC ID: 1557683323 Enrollment ID: I20141205000163 |
| Provider Name | Lauren E Block |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750799391 PECOS PAC ID: 3274855085 Enrollment ID: I20141205001752 |
| Provider Name | Christopher Seil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659786929 PECOS PAC ID: 0143542969 Enrollment ID: I20141205001980 |
| Provider Name | Mark Thompson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427043454 PECOS PAC ID: 6204875669 Enrollment ID: I20141211000802 |
| Provider Name | Rachel Demello Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518367861 PECOS PAC ID: 1052634318 Enrollment ID: I20141218000656 |
| Provider Name | Miranda F Mathison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598168395 PECOS PAC ID: 8426371675 Enrollment ID: I20141219001698 |
| Provider Name | Ryan M Clauson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629230081 PECOS PAC ID: 8325260490 Enrollment ID: I20141230001991 |
| Provider Name | Kathryn Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700880796 PECOS PAC ID: 3476692674 Enrollment ID: I20150209002094 |
| Provider Name | Jade a Lindberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902220296 PECOS PAC ID: 0547488207 Enrollment ID: I20150305001403 |
| Provider Name | David M Schmitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841513504 PECOS PAC ID: 2365570645 Enrollment ID: I20150331000286 |
| Provider Name | Mathews Lal George |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902957244 PECOS PAC ID: 8224175567 Enrollment ID: I20150427000123 |
| Provider Name | Michael Eugene Bishop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346251527 PECOS PAC ID: 5395767800 Enrollment ID: I20150520001463 |
| Provider Name | Akash S Taggarse |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811063555 PECOS PAC ID: 9537055694 Enrollment ID: I20150528000199 |
| Provider Name | Philip L Wackel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982800645 PECOS PAC ID: 0345465183 Enrollment ID: I20150529002444 |
| Provider Name | Mahmood M Alasmi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215120126 PECOS PAC ID: 3375607450 Enrollment ID: I20150604000319 |
| Provider Name | Amy J Doll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104182526 PECOS PAC ID: 2961713110 Enrollment ID: I20150615002513 |
| Provider Name | Tanya Schnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427029800 PECOS PAC ID: 4183632995 Enrollment ID: I20150701002999 |
| Provider Name | Jeffrey Shuhaiber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114170735 PECOS PAC ID: 3173668183 Enrollment ID: I20150706002560 |
| Provider Name | Lynelle N Noisy Hawk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881894152 PECOS PAC ID: 8325127822 Enrollment ID: I20150716000976 |
| Provider Name | Douglas Satcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821126673 PECOS PAC ID: 2264591619 Enrollment ID: I20150722004452 |
| Provider Name | Jenna L Kelsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528442803 PECOS PAC ID: 8325353931 Enrollment ID: I20150811005584 |
| Provider Name | Rachel M Gruenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821472531 PECOS PAC ID: 3274848809 Enrollment ID: I20150811006151 |
| Provider Name | Candice D Crichlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124383021 PECOS PAC ID: 0446565253 Enrollment ID: I20150821013777 |
| Provider Name | Peter C Kurniali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922236793 PECOS PAC ID: 5496061178 Enrollment ID: I20150825005465 |
| Provider Name | Issa Y Al Rabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104249507 PECOS PAC ID: 1850607524 Enrollment ID: I20150826002485 |
| Provider Name | Peter J Niemann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669602918 PECOS PAC ID: 1557517950 Enrollment ID: I20150828001148 |
| Provider Name | Vanessa R Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639436132 PECOS PAC ID: 0042526543 Enrollment ID: I20150828001518 |
| Provider Name | Kami L Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679955629 PECOS PAC ID: 2668788563 Enrollment ID: I20150908001363 |
| Provider Name | Mark a Detwiller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598010316 PECOS PAC ID: 8022247519 Enrollment ID: I20150908002714 |
| Provider Name | Robert Alan Renschler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023363587 PECOS PAC ID: 1355658113 Enrollment ID: I20150911001236 |
| Provider Name | Erica a Wald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164805230 PECOS PAC ID: 5597072967 Enrollment ID: I20150917000248 |
| Provider Name | Kurt D Icenogle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598105934 PECOS PAC ID: 8224345426 Enrollment ID: I20150921002739 |
| Provider Name | Sadaf Yousuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457607632 PECOS PAC ID: 9133441165 Enrollment ID: I20151001002790 |
| Provider Name | Joshua William Rampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184885543 PECOS PAC ID: 9931253598 Enrollment ID: I20151013002237 |
| Provider Name | Sharmaine Habib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053718825 PECOS PAC ID: 5991019804 Enrollment ID: I20151015001465 |
| Provider Name | Brian W Richard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043601883 PECOS PAC ID: 2668784737 Enrollment ID: I20151019001481 |
| Provider Name | Jessica Dawn Sedevie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083904056 PECOS PAC ID: 6305155896 Enrollment ID: I20151023000962 |
| Provider Name | Andrea Jean Nelsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043442700 PECOS PAC ID: 0749423770 Enrollment ID: I20151029002799 |
| Provider Name | Kristin S Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760773824 PECOS PAC ID: 1052562634 Enrollment ID: I20151118001794 |
| Provider Name | Stephanie J Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861864415 PECOS PAC ID: 4880994854 Enrollment ID: I20151123001977 |
| Provider Name | Morgan S Reese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275909244 PECOS PAC ID: 9436459286 Enrollment ID: I20151130000946 |
| Provider Name | Bhumik Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689938797 PECOS PAC ID: 8527373711 Enrollment ID: I20151207000393 |
| Provider Name | Jerry R Rittenhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831124916 PECOS PAC ID: 8921075607 Enrollment ID: I20160119001331 |
| Provider Name | Puneet Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184808354 PECOS PAC ID: 6507012119 Enrollment ID: I20160219001425 |
| Provider Name | Jeffrey D Vance |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205296993 PECOS PAC ID: 5991001364 Enrollment ID: I20160310001310 |
| Provider Name | Noelle K Riehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346600251 PECOS PAC ID: 5092012021 Enrollment ID: I20160318000611 |
| Provider Name | Robert Walz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518322122 PECOS PAC ID: 0446557250 Enrollment ID: I20160322001909 |
| Provider Name | James C Barrese |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386938843 PECOS PAC ID: 5991921058 Enrollment ID: I20160426001714 |
| Provider Name | Chelsea M Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992166649 PECOS PAC ID: 3779882675 Enrollment ID: I20160427001755 |
| Provider Name | Amanda R Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931067 PECOS PAC ID: 7618266941 Enrollment ID: I20160510001088 |
| Provider Name | Colby R Halsey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376703942 PECOS PAC ID: 4082879945 Enrollment ID: I20160531002396 |
| Provider Name | Abe L Storms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619210325 PECOS PAC ID: 6406150812 Enrollment ID: I20160602000293 |
| Provider Name | Karen E Rampton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689889594 PECOS PAC ID: 5799867529 Enrollment ID: I20160603001284 |
| Provider Name | Mario Matos-cruz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1588868616 PECOS PAC ID: 9931011293 Enrollment ID: I20160630000911 |
| Provider Name | Maria S Castejon Welchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033396437 PECOS PAC ID: 3072805290 Enrollment ID: I20160708001335 |
| Provider Name | Girish R Mood |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487755518 PECOS PAC ID: 4789615246 Enrollment ID: I20160721001345 |
| Provider Name | Jenna C Meldahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316397490 PECOS PAC ID: 0244524759 Enrollment ID: I20160805001819 |
| Provider Name | Barbara L Hoffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700237054 PECOS PAC ID: 3375837818 Enrollment ID: I20160808000076 |
| Provider Name | Carly Marie Schlosser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629423371 PECOS PAC ID: 0749574143 Enrollment ID: I20160808002295 |
| Provider Name | Carlos D Miranda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235446865 PECOS PAC ID: 4981913068 Enrollment ID: I20160810002545 |
| Provider Name | Roderick R Boyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295754075 PECOS PAC ID: 6800881210 Enrollment ID: I20160816001386 |
| Provider Name | Stephen Asante Boateng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104137405 PECOS PAC ID: 8123313095 Enrollment ID: I20160817001988 |
| Provider Name | Scot D Mickelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902247703 PECOS PAC ID: 5597986133 Enrollment ID: I20160818001932 |
| Provider Name | Michael Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306829445 PECOS PAC ID: 9335148592 Enrollment ID: I20160830001300 |
| Provider Name | Brandi Christmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306298534 PECOS PAC ID: 9436445426 Enrollment ID: I20160830002358 |
| Provider Name | Coridon Michael Huez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235421553 PECOS PAC ID: 3577875673 Enrollment ID: I20160902000054 |
| Provider Name | Christopher J Mees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750676342 PECOS PAC ID: 7315171121 Enrollment ID: I20160907002907 |
| Provider Name | Cameron M Charchenko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750676201 PECOS PAC ID: 0648427161 Enrollment ID: I20160909001347 |
| Provider Name | Vishal Chhibber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700227469 PECOS PAC ID: 4284866351 Enrollment ID: I20160919001519 |
| Provider Name | Neil Eric Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457332934 PECOS PAC ID: 0042276933 Enrollment ID: I20161010001487 |
| Provider Name | Lindsey L Henderson Drevecky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609215151 PECOS PAC ID: 2668605759 Enrollment ID: I20161010002215 |
| Provider Name | Meghan K Hendrickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063853711 PECOS PAC ID: 4789906819 Enrollment ID: I20161031002569 |
| Provider Name | Ashley C Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790232171 PECOS PAC ID: 8628357019 Enrollment ID: I20161107001529 |
| Provider Name | Carrie L Meckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558799015 PECOS PAC ID: 3971882358 Enrollment ID: I20161108002086 |
| Provider Name | Ryan T Santin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649698523 PECOS PAC ID: 1658590088 Enrollment ID: I20161121000769 |
| Provider Name | Estelle S Yoo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598953846 PECOS PAC ID: 3678704319 Enrollment ID: I20161121001829 |
| Provider Name | Joshua E Seil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780133900 PECOS PAC ID: 3072893452 Enrollment ID: I20161130000973 |
| Provider Name | Teresa a Gorder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578011193 PECOS PAC ID: 5395025977 Enrollment ID: I20161219000671 |
| Provider Name | Connie Kadrmas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114461340 PECOS PAC ID: 5597047043 Enrollment ID: I20170118002554 |
| Provider Name | Sean R White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720262421 PECOS PAC ID: 2668754615 Enrollment ID: I20170126002156 |
| Provider Name | Lindsey J Lommen Kadrmas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215374996 PECOS PAC ID: 0941420293 Enrollment ID: I20170210001877 |
| Provider Name | Bryan a Lucenta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699886077 PECOS PAC ID: 9638111834 Enrollment ID: I20170228000858 |
| Provider Name | Grant D Syverson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316033749 PECOS PAC ID: 7315125432 Enrollment ID: I20170301001803 |
| Provider Name | Nathan C Roehrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598203895 PECOS PAC ID: 0345524872 Enrollment ID: I20170301002115 |
| Provider Name | Marie-pierre MD Charron |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376081745 PECOS PAC ID: 6103100300 Enrollment ID: I20170308000544 |
| Provider Name | Ahmad F Badery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386744266 PECOS PAC ID: 2163456831 Enrollment ID: I20170314000222 |
| Provider Name | Micheal J Henke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144767385 PECOS PAC ID: 0941585822 Enrollment ID: I20170315001288 |
| Provider Name | Emily Suzanne Eckroth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447443627 PECOS PAC ID: 1658417704 Enrollment ID: I20170330000485 |
| Provider Name | Sarah Kucera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972040103 PECOS PAC ID: 9133405103 Enrollment ID: I20170406001694 |
| Provider Name | Aretas Braziunas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265681258 PECOS PAC ID: 0547320947 Enrollment ID: I20170407000931 |
| Provider Name | Ayesha Vohra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396009601 PECOS PAC ID: 4385911536 Enrollment ID: I20170518002660 |
| Provider Name | Ashley a Reiner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609023290 PECOS PAC ID: 5294802971 Enrollment ID: I20170626002799 |
| Provider Name | Jenna Nickels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952554826 PECOS PAC ID: 3274696851 Enrollment ID: I20170707001213 |
| Provider Name | Richard J Bartl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316018906 PECOS PAC ID: 6608962204 Enrollment ID: I20170713001593 |
| Provider Name | Tewodros Fesseha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225098783 PECOS PAC ID: 3274502471 Enrollment ID: I20170721002790 |
| Provider Name | Djaninn M Mckibben |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023422805 PECOS PAC ID: 2365750114 Enrollment ID: I20170726003223 |
| Provider Name | Brittany Haugtvedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942749247 PECOS PAC ID: 0840561015 Enrollment ID: I20170807000889 |
| Provider Name | Jagila Minso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336569185 PECOS PAC ID: 0143591206 Enrollment ID: I20170808001204 |
| Provider Name | Kristine N Gayda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497275572 PECOS PAC ID: 1456623057 Enrollment ID: I20170816003436 |
| Provider Name | Madalyn Muldoon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558895664 PECOS PAC ID: 0345527024 Enrollment ID: I20170821003572 |
| Provider Name | Kayla M Emter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659788164 PECOS PAC ID: 5092932137 Enrollment ID: I20170822001012 |
| Provider Name | Jarmon C Comeaux |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578721478 PECOS PAC ID: 7214165950 Enrollment ID: I20170831001106 |
| Provider Name | Danielle D Hohbein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912346792 PECOS PAC ID: 1254572209 Enrollment ID: I20170901000214 |
| Provider Name | Anna Jade Newby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699296277 PECOS PAC ID: 4082987615 Enrollment ID: I20170901003066 |
| Provider Name | Jonathan P Hilts |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093061988 PECOS PAC ID: 6103127428 Enrollment ID: I20170907003299 |
| Provider Name | Robert Bruce Canham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063706562 PECOS PAC ID: 2769611003 Enrollment ID: I20170925001549 |
| Provider Name | Stephanie Canham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457614729 PECOS PAC ID: 3274761184 Enrollment ID: I20171004001786 |
| Provider Name | Rachel W Peterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265871826 PECOS PAC ID: 3274757208 Enrollment ID: I20171010000912 |
| Provider Name | Urmila Chaudhry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427083278 PECOS PAC ID: 0345258729 Enrollment ID: I20171010001420 |
| Provider Name | Laura L Matzke Bitterman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1952652992 PECOS PAC ID: 2365677820 Enrollment ID: I20171017002433 |
| Provider Name | Jennifer L Burman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083137756 PECOS PAC ID: 4789950304 Enrollment ID: I20171026002749 |
| Provider Name | Diane B Turcot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952369423 PECOS PAC ID: 4880666833 Enrollment ID: I20171121001465 |
| Provider Name | Heather Berney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568859809 PECOS PAC ID: 5294093472 Enrollment ID: I20171215002010 |
| Provider Name | Amy Dawn Wilkens Sjomeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831609601 PECOS PAC ID: 2466710496 Enrollment ID: I20171221001892 |
| Provider Name | Laura Hilts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538520622 PECOS PAC ID: 8527366780 Enrollment ID: I20180202002013 |
| Provider Name | Tareena Mattson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760834550 PECOS PAC ID: 3173884087 Enrollment ID: I20180308002658 |
| Provider Name | Mckenzie O Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447799382 PECOS PAC ID: 0749542488 Enrollment ID: I20180316002365 |
| Provider Name | Caleb J Balas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184132813 PECOS PAC ID: 9032472923 Enrollment ID: I20180405001577 |
| Provider Name | Haven R Malish |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831283936 PECOS PAC ID: 5496848707 Enrollment ID: I20180427000793 |
| Provider Name | Nicole Halderman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689199002 PECOS PAC ID: 2961766803 Enrollment ID: I20180501001826 |
| Provider Name | Brian R Sauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093005902 PECOS PAC ID: 9436446366 Enrollment ID: I20180508002023 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20180619003054 |
| Provider Name | Jenna M Maher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922590223 PECOS PAC ID: 9335496520 Enrollment ID: I20180718004116 |
| Provider Name | Raimantas Drublionis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942305206 PECOS PAC ID: 7911933742 Enrollment ID: I20180720003240 |
| Provider Name | Sarah J Breen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700386703 PECOS PAC ID: 1254688195 Enrollment ID: I20180723003311 |
| Provider Name | Sri Krishna Chaitanya Arudra |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1134475734 PECOS PAC ID: 1456608157 Enrollment ID: I20180726002438 |
| Provider Name | Damon Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184731952 PECOS PAC ID: 7911905856 Enrollment ID: I20180731002893 |
| Provider Name | Breana B Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651421 PECOS PAC ID: 5294083143 Enrollment ID: I20180808003266 |
| Provider Name | Katherine M Carvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962997106 PECOS PAC ID: 2163770835 Enrollment ID: I20180813002310 |
| Provider Name | Stacy Lynn Kern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457617060 PECOS PAC ID: 1355690629 Enrollment ID: I20180820001886 |
| Provider Name | Samantha Mollman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043612609 PECOS PAC ID: 1759698202 Enrollment ID: I20180823002013 |
| Provider Name | Razvan Nicolescu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013282425 PECOS PAC ID: 5890045140 Enrollment ID: I20180906002051 |
| Provider Name | Stephane RL Blanchard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720408131 PECOS PAC ID: 9032418629 Enrollment ID: I20180906002846 |
| Provider Name | John Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083637086 PECOS PAC ID: 8325043938 Enrollment ID: I20180912001008 |
| Provider Name | Daniel R Field |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922485531 PECOS PAC ID: 9931492592 Enrollment ID: I20180912001727 |
| Provider Name | Karim Courtemanche |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255827697 PECOS PAC ID: 6901157486 Enrollment ID: I20180921001942 |
| Provider Name | Andrew P Swenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316292527 PECOS PAC ID: 4587892435 Enrollment ID: I20180927000696 |
| Provider Name | Nabeel Manzar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881076685 PECOS PAC ID: 1951653898 Enrollment ID: I20181004000710 |
| Provider Name | Kelsey Violet Luce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043792476 PECOS PAC ID: 2264785930 Enrollment ID: I20181025002277 |
| Provider Name | Udit Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568753606 PECOS PAC ID: 9739327990 Enrollment ID: I20181101003106 |
| Provider Name | Danielle P Thurtle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467728931 PECOS PAC ID: 4880907591 Enrollment ID: I20181105000820 |
| Provider Name | Josie J Senger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356820922 PECOS PAC ID: 6103170253 Enrollment ID: I20181108002185 |
| Provider Name | Joshua K Sayler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417367996 PECOS PAC ID: 1557669884 Enrollment ID: I20181109001906 |
| Provider Name | Amanda L Blanchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841672235 PECOS PAC ID: 6002108354 Enrollment ID: I20181112001806 |
| Provider Name | Michael B Huck |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043577729 PECOS PAC ID: 3476816158 Enrollment ID: I20181113001994 |
| Provider Name | Michele M Pasierb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023308632 PECOS PAC ID: 9436461340 Enrollment ID: I20181114000850 |
| Provider Name | Nayan Desai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316368236 PECOS PAC ID: 2062766512 Enrollment ID: I20181119003212 |
| Provider Name | Larissa a Kohler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023370780 PECOS PAC ID: 9931353141 Enrollment ID: I20181127001627 |
| Provider Name | Anita U Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740799600 PECOS PAC ID: 1153665047 Enrollment ID: I20181204001194 |
| Provider Name | Ephraim E Nsien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982718433 PECOS PAC ID: 1456378066 Enrollment ID: I20181205000467 |
| Provider Name | Abby R Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023583101 PECOS PAC ID: 4183969348 Enrollment ID: I20181218000299 |
| Provider Name | Winnie T Chua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780028530 PECOS PAC ID: 9335447838 Enrollment ID: I20190103002699 |
| Provider Name | Adam B Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891134219 PECOS PAC ID: 0042581936 Enrollment ID: I20190111001233 |
| Provider Name | Rebecca E Matthews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306086376 PECOS PAC ID: 3274710850 Enrollment ID: I20190322000620 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558522003 PECOS PAC ID: 0143498550 Enrollment ID: I20190325001334 |
| Provider Name | Emily Stevenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134685373 PECOS PAC ID: 0648510883 Enrollment ID: I20190325002554 |
| Provider Name | Eric Priyakumar Ragland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912273418 PECOS PAC ID: 5597007310 Enrollment ID: I20190426001859 |
| Provider Name | Mustafizur R Choudhury |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073877999 PECOS PAC ID: 7810130424 Enrollment ID: I20190506001618 |
| Provider Name | Oxana V Norvell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134454879 PECOS PAC ID: 1153460498 Enrollment ID: I20190514001855 |
| Provider Name | Ahmed Mohamed Elsayed Kassem |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033572698 PECOS PAC ID: 4587935044 Enrollment ID: I20190603002364 |
| Provider Name | Saurabh Kumar M Limani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144605486 PECOS PAC ID: 4082913603 Enrollment ID: I20190612002103 |
| Provider Name | Christian R Dequet |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639195357 PECOS PAC ID: 6709778590 Enrollment ID: I20190711003485 |
| Provider Name | Desiree G Froslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578127080 PECOS PAC ID: 6204162589 Enrollment ID: I20190724001886 |
| Provider Name | David N Ugobi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730476425 PECOS PAC ID: 1355571605 Enrollment ID: I20190807000290 |
| Provider Name | Erin E Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437714508 PECOS PAC ID: 6002143104 Enrollment ID: I20190813000953 |
| Provider Name | Roberta J Kirby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225007222 PECOS PAC ID: 7012990211 Enrollment ID: I20190821004770 |
| Provider Name | Kayla M Benz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144784000 PECOS PAC ID: 5294064473 Enrollment ID: I20190913000261 |
| Provider Name | Diego a Beltran Melgarejo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104266618 PECOS PAC ID: 5799075107 Enrollment ID: I20190917001023 |
| Provider Name | John Person |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770018228 PECOS PAC ID: 4880964634 Enrollment ID: I20190918000760 |
| Provider Name | Sobia Amjad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912161357 PECOS PAC ID: 2769642958 Enrollment ID: I20190930001463 |
| Provider Name | Sonia D Takacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447804679 PECOS PAC ID: 9931430089 Enrollment ID: I20191003003715 |
| Provider Name | Mckinzie Marie Nuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700446192 PECOS PAC ID: 3779814744 Enrollment ID: I20191007002001 |
| Provider Name | Magarya S Waitara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548688203 PECOS PAC ID: 7517275308 Enrollment ID: I20191015002817 |
| Provider Name | Francis J Kaszuba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710940275 PECOS PAC ID: 2264431311 Enrollment ID: I20191101000534 |
| Provider Name | James R Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20191108001016 |
| Provider Name | Patricia L Watkins |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1457797011 PECOS PAC ID: 5991948515 Enrollment ID: I20191121002884 |
| Provider Name | Wannapak Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811418684 PECOS PAC ID: 7719310085 Enrollment ID: I20191130000111 |
| Provider Name | Danna M Bossert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981056 PECOS PAC ID: 4183057193 Enrollment ID: I20191205001440 |
| Provider Name | Stephen M Berns |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437367927 PECOS PAC ID: 6709986185 Enrollment ID: I20191206002416 |
| Provider Name | Thomas Bey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568488971 PECOS PAC ID: 9537247663 Enrollment ID: I20191212000073 |
| Provider Name | Alex Jaymes Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639518442 PECOS PAC ID: 0941441992 Enrollment ID: I20191212000961 |
| Provider Name | Amy M Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861043234 PECOS PAC ID: 6901230184 Enrollment ID: I20191220001296 |
| Provider Name | Samuel J Milanovich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669682837 PECOS PAC ID: 2264579408 Enrollment ID: I20191226002250 |
| Provider Name | Renae D Welhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841847688 PECOS PAC ID: 7618301649 Enrollment ID: I20191230001151 |
| Provider Name | Deborah Reed-thurston |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1699989764 PECOS PAC ID: 0042481939 Enrollment ID: I20200106000757 |
| Provider Name | Asma Iram Ahmed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962848531 PECOS PAC ID: 2365735313 Enrollment ID: I20200113001443 |
| Provider Name | Brandi Ozbun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538702485 PECOS PAC ID: 0547694390 Enrollment ID: I20200114001783 |
| Provider Name | Christy M Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902440449 PECOS PAC ID: 2264867571 Enrollment ID: I20200115000135 |
| Provider Name | Todd Edmund Duppong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083078281 PECOS PAC ID: 5496082547 Enrollment ID: I20200117001746 |
| Provider Name | Marie a Schaaf Gallagher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811328800 PECOS PAC ID: 7911122486 Enrollment ID: I20200129000528 |
| Provider Name | Joann Nupen Lindemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194362111 PECOS PAC ID: 8426483355 Enrollment ID: I20200206002226 |
| Provider Name | Chelsea L Trewin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699306423 PECOS PAC ID: 8820425143 Enrollment ID: I20200227000195 |
| Provider Name | Megan T Flath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245877299 PECOS PAC ID: 5496182107 Enrollment ID: I20200302002483 |
| Provider Name | April M Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154952083 PECOS PAC ID: 0244668853 Enrollment ID: I20200313001530 |
| Provider Name | Matthew J Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245865377 PECOS PAC ID: 8123456225 Enrollment ID: I20200324002799 |
| Provider Name | Steven Sonnamaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003345323 PECOS PAC ID: 4688942667 Enrollment ID: I20200520002068 |
| Provider Name | Christopher Tin-shu Loh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720044183 PECOS PAC ID: 3779560248 Enrollment ID: I20200602001271 |
| Provider Name | Ricky Yu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538589429 PECOS PAC ID: 0547484214 Enrollment ID: I20200611000737 |
| Provider Name | Kelly a Tolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299614 PECOS PAC ID: 7911258660 Enrollment ID: I20200702000931 |
| Provider Name | Christopher Jon Failing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275946733 PECOS PAC ID: 7315253606 Enrollment ID: I20200714002204 |
| Provider Name | Batoule Majed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821357310 PECOS PAC ID: 2163787177 Enrollment ID: I20200729002176 |
| Provider Name | Tanner C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689108573 PECOS PAC ID: 0345511820 Enrollment ID: I20200803001748 |
| Provider Name | Scott Morgan Belliston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235423393 PECOS PAC ID: 9335446301 Enrollment ID: I20200818003632 |
| Provider Name | William J Boggess |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588962781 PECOS PAC ID: 8729404678 Enrollment ID: I20200821002400 |
| Provider Name | Erin Mondry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740687128 PECOS PAC ID: 1355768862 Enrollment ID: I20200828002472 |
| Provider Name | Katelyn Jeanne Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013533520 PECOS PAC ID: 8123445640 Enrollment ID: I20200828002662 |
| Provider Name | Rodhan a Khthir |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164852646 PECOS PAC ID: 3476784786 Enrollment ID: I20200903001740 |
| Provider Name | Lisa Michelle O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215554324 PECOS PAC ID: 3870910839 Enrollment ID: I20200907000000 |
| Provider Name | Sydney Lyle Rooney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588004311 PECOS PAC ID: 2062656176 Enrollment ID: I20200914002339 |
| Provider Name | Benjamin C Axtman |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1699189787 PECOS PAC ID: 9234432691 Enrollment ID: I20200917001522 |
| Provider Name | Sarah Christine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003388638 PECOS PAC ID: 4284053984 Enrollment ID: I20200930000305 |
| Provider Name | Nicole M Soto |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952383226 PECOS PAC ID: 5799844643 Enrollment ID: I20201020000959 |
| Provider Name | Joshua John Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015578 PECOS PAC ID: 0446660997 Enrollment ID: I20201111003099 |
| Provider Name | Maureen Lawlor Hrishenko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275529786 PECOS PAC ID: 4981669652 Enrollment ID: I20201214002860 |
| Provider Name | Jaclin Dee Seeberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376141671 PECOS PAC ID: 3870906456 Enrollment ID: I20201229002044 |
| Provider Name | Rex Yung |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750327128 PECOS PAC ID: 0446380992 Enrollment ID: I20201230001752 |
| Provider Name | Muslim Atiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548475031 PECOS PAC ID: 5294904504 Enrollment ID: I20210104001241 |
| Provider Name | Hailey Sierra Pomonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750980124 PECOS PAC ID: 3870906183 Enrollment ID: I20210106000275 |
| Provider Name | Andrew Stahl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346683497 PECOS PAC ID: 1355568288 Enrollment ID: I20210112001821 |
| Provider Name | Hannah Rachel Small |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346847670 PECOS PAC ID: 8820402282 Enrollment ID: I20210126000733 |
| Provider Name | Paul a Berger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699921163 PECOS PAC ID: 7810295409 Enrollment ID: I20210215001172 |
| Provider Name | Joshua James Hadsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033736376 PECOS PAC ID: 6507273414 Enrollment ID: I20210319002221 |
| Provider Name | Kimberly Ann Schlag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487243507 PECOS PAC ID: 6103234067 Enrollment ID: I20210414002864 |
| Provider Name | Lee Ann June Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013503911 PECOS PAC ID: 3678982642 Enrollment ID: I20210503002178 |
| Provider Name | Shannon Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942897491 PECOS PAC ID: 0547660268 Enrollment ID: I20210616002609 |
| Provider Name | Usman Tanveer Malik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457520561 PECOS PAC ID: 1951426782 Enrollment ID: I20210713002936 |
| Provider Name | Kellie S Sweet Ciesielski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811977481 PECOS PAC ID: 8820126683 Enrollment ID: I20210826001143 |
| Provider Name | Amanda R Dahl |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588043863 PECOS PAC ID: 6800103532 Enrollment ID: I20210929003745 |
| Provider Name | Muhammad Omar Saleem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598118820 PECOS PAC ID: 5698198059 Enrollment ID: I20211006003275 |
| Provider Name | Hannah Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922678374 PECOS PAC ID: 3274931001 Enrollment ID: I20211008002330 |
| Provider Name | Alicia Broussard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295187888 PECOS PAC ID: 4789082108 Enrollment ID: I20211014002059 |
| Provider Name | Jordan Jeanette Deraney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316437452 PECOS PAC ID: 9436414018 Enrollment ID: I20211018002577 |
| Provider Name | Jean M Lenz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588044051 PECOS PAC ID: 7416262902 Enrollment ID: I20211022000003 |
| Provider Name | Charles J Lenz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932463809 PECOS PAC ID: 8527204528 Enrollment ID: I20211027002084 |
| Provider Name | Brittney Lindsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386311975 PECOS PAC ID: 9234527987 Enrollment ID: I20211028002410 |
| Provider Name | Evan Charles Rogler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760975023 PECOS PAC ID: 7719375427 Enrollment ID: I20211029002013 |
| Provider Name | Shelby Nicole Dvorak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811428097 PECOS PAC ID: 7517355050 Enrollment ID: I20211102002017 |
| Provider Name | Ma Reyna Dominique Cristobal Jiao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952670812 PECOS PAC ID: 7618210287 Enrollment ID: I20211112001480 |
| Provider Name | Ashtyn J Kasch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821472390 PECOS PAC ID: 8325356066 Enrollment ID: I20211118002195 |
| Provider Name | Samantha Nicole Axtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093484263 PECOS PAC ID: 1557750189 Enrollment ID: I20211119000460 |
| Provider Name | Bailee Lass Dungan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104596519 PECOS PAC ID: 1951790492 Enrollment ID: I20211123000018 |
| Provider Name | John Christopher Riedinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205283546 PECOS PAC ID: 7911291448 Enrollment ID: I20211201000186 |
| Provider Name | Anthony Robert Kasch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356728182 PECOS PAC ID: 1557625886 Enrollment ID: I20211228002184 |
| Provider Name | Ana Tracey Morgan-harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043576994 PECOS PAC ID: 4688816572 Enrollment ID: I20220110001612 |
| Provider Name | Jason Alan Duchscherer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447780671 PECOS PAC ID: 1557630233 Enrollment ID: I20220124002919 |
| Provider Name | Evan Peter Kastner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528453107 PECOS PAC ID: 1658679097 Enrollment ID: I20220201002659 |
| Provider Name | Matthew Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386309706 PECOS PAC ID: 3971997875 Enrollment ID: I20220217002755 |
| Provider Name | Tatia M Call |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326718727 PECOS PAC ID: 4486049293 Enrollment ID: I20220314001750 |
| Provider Name | Manoj Kumar Rayamajhi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922765676 PECOS PAC ID: 2466847850 Enrollment ID: I20220322001429 |
| Provider Name | Brandon Mitchell Oliver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801552161 PECOS PAC ID: 2163818923 Enrollment ID: I20220404000247 |
| Provider Name | Breanna Raquel Krueger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528633260 PECOS PAC ID: 7810383627 Enrollment ID: I20220404002290 |
| Provider Name | Sergei a Sobolevsky |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1831154301 PECOS PAC ID: 4183624950 Enrollment ID: I20220411001210 |
| Provider Name | Amber Lee Zimny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952883936 PECOS PAC ID: 7214323690 Enrollment ID: I20220412001310 |
| Provider Name | Katie Nicole Klug |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255939146 PECOS PAC ID: 4183001605 Enrollment ID: I20220520002383 |
| Provider Name | Ariel Schwarzrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424204 PECOS PAC ID: 5890173157 Enrollment ID: I20220528000179 |
| Provider Name | Kelsey a Holzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760051601 PECOS PAC ID: 2567841018 Enrollment ID: I20220614001395 |
| Provider Name | Alexis Lee Kuhnert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689344368 PECOS PAC ID: 0547649576 Enrollment ID: I20220622002905 |
| Provider Name | Sandra Bender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013598036 PECOS PAC ID: 7315326170 Enrollment ID: I20220624001072 |
| Provider Name | Mallorie Emory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396484952 PECOS PAC ID: 2567843592 Enrollment ID: I20220721001823 |
| Provider Name | Artur Szymczak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831474618 PECOS PAC ID: 6406086396 Enrollment ID: I20220725002811 |
| Provider Name | Aileen M Aldrich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184063869 PECOS PAC ID: 4284864174 Enrollment ID: I20220729002405 |
| Provider Name | Molly M Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184295248 PECOS PAC ID: 2769866698 Enrollment ID: I20220826000677 |
| Provider Name | Leann Marie Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023502069 PECOS PAC ID: 5890179535 Enrollment ID: I20220830003487 |
| Provider Name | Jolynn Azure |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003468984 PECOS PAC ID: 3476880840 Enrollment ID: I20220902001591 |
| Provider Name | Brian Rau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225266562 PECOS PAC ID: 6002121167 Enrollment ID: I20220912003418 |
| Provider Name | Kari Jane Datz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144821471 PECOS PAC ID: 7416332143 Enrollment ID: I20220916001424 |
| Provider Name | Eric M Altschuler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427032002 PECOS PAC ID: 0446332894 Enrollment ID: I20220921003227 |
| Provider Name | Kelsie Tescher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184115685 PECOS PAC ID: 1658626577 Enrollment ID: I20220930001514 |
| Provider Name | Vanessa M Magstadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982221354 PECOS PAC ID: 6608252242 Enrollment ID: I20221004003749 |
| Provider Name | Stanley James Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770215394 PECOS PAC ID: 9133595192 Enrollment ID: I20221014002790 |
| Provider Name | Maya a Babu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811208788 PECOS PAC ID: 4688847825 Enrollment ID: I20221018001390 |
| Provider Name | Jade a Kelling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366179509 PECOS PAC ID: 9234505090 Enrollment ID: I20221019000874 |
| Provider Name | Abubaker M. I. Hamad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134612039 PECOS PAC ID: 9830565233 Enrollment ID: I20221025003429 |
| Provider Name | Frank Brancaccio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013918234 PECOS PAC ID: 4082745534 Enrollment ID: I20221027002260 |
| Provider Name | Nicole Jane Norheim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801548029 PECOS PAC ID: 2668849662 Enrollment ID: I20221103002931 |
| Provider Name | Andrew Michael Mills |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487034153 PECOS PAC ID: 0648582676 Enrollment ID: I20221107002019 |
| Provider Name | Sarah Clausen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174910236 PECOS PAC ID: 0840591780 Enrollment ID: I20221122001611 |
| Provider Name | Sara Jade Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760121099 PECOS PAC ID: 2860860491 Enrollment ID: I20221201001889 |
| Provider Name | Tiffany Symanowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417688698 PECOS PAC ID: 4587033907 Enrollment ID: I20221207000830 |
| Provider Name | Alexis Anne Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235639428 PECOS PAC ID: 3072866748 Enrollment ID: I20221212001752 |
| Provider Name | Brianna Alyce Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932848090 PECOS PAC ID: 5799154456 Enrollment ID: I20221220001189 |
| Provider Name | Brett Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720442726 PECOS PAC ID: 8123314234 Enrollment ID: I20230110002224 |
| Provider Name | Angela Greiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770965600 PECOS PAC ID: 4183914849 Enrollment ID: I20230130002304 |
| Provider Name | Gabrielle Tachenko |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033761267 PECOS PAC ID: 3577892660 Enrollment ID: I20230214000616 |
| Provider Name | Paul Wetstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104189166 PECOS PAC ID: 7517377724 Enrollment ID: I20230216002121 |
| Provider Name | Jonathan R Preszler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679921340 PECOS PAC ID: 7214309350 Enrollment ID: I20230217001934 |
| Provider Name | Ariel E Bibb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205557857 PECOS PAC ID: 5092187070 Enrollment ID: I20230221002546 |
| Provider Name | Yesenia Perez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003425257 PECOS PAC ID: 1850764713 Enrollment ID: I20230224000872 |
| Provider Name | Kelsey Rae Duchsherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871214833 PECOS PAC ID: 7911370762 Enrollment ID: I20230227002058 |
| Provider Name | Caleb J Midura |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194447565 PECOS PAC ID: 9234502816 Enrollment ID: I20230301001803 |
| Provider Name | Andrew Dockter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255851077 PECOS PAC ID: 8921365297 Enrollment ID: I20230329001449 |
| Provider Name | Jason Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336435270 PECOS PAC ID: 3274789052 Enrollment ID: I20230419000803 |
| Provider Name | Afton Mckenzie Schaper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073226122 PECOS PAC ID: 4385009034 Enrollment ID: I20230502001392 |
| Provider Name | Allison Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902518657 PECOS PAC ID: 1759746175 Enrollment ID: I20230508001153 |
| Provider Name | Maaz Badshah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043525520 PECOS PAC ID: 8123269206 Enrollment ID: I20230516002558 |
| Provider Name | Samuel G Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20230517002017 |
| Provider Name | Kristen K Mains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780383299 PECOS PAC ID: 7618334137 Enrollment ID: I20230526001838 |
| Provider Name | Geoffrey Glidewell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821658394 PECOS PAC ID: 1850757451 Enrollment ID: I20230526002156 |
| Provider Name | Omid Hajiseyedjavadi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720032808 PECOS PAC ID: 6507878378 Enrollment ID: I20230606000979 |
| Provider Name | Jillian Marie Schwarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356037766 PECOS PAC ID: 1951768589 Enrollment ID: I20230613001075 |
| Provider Name | Lindsey D Goddard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639565872 PECOS PAC ID: 1557693025 Enrollment ID: I20230626003023 |
| Provider Name | Joel Ament |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861425456 PECOS PAC ID: 0446351118 Enrollment ID: I20230718001109 |
| Provider Name | Aswin Mathew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447547104 PECOS PAC ID: 5698098531 Enrollment ID: I20230718002748 |
| Provider Name | Lisa Renee Chastant |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144545195 PECOS PAC ID: 8820233794 Enrollment ID: I20230724000834 |
| Provider Name | Jessica M Binstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497440903 PECOS PAC ID: 4284094129 Enrollment ID: I20230724002465 |
| Provider Name | Micah Timothy Amos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730684176 PECOS PAC ID: 0547523110 Enrollment ID: I20230728003002 |
| Provider Name | Travis Blackhurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548528706 PECOS PAC ID: 9436307741 Enrollment ID: I20230728003194 |
| Provider Name | Bridget L Amos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760928311 PECOS PAC ID: 7315223526 Enrollment ID: I20230801000535 |
| Provider Name | Muthukumar Vellaichamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396778973 PECOS PAC ID: 4385647817 Enrollment ID: I20230803002991 |
| Provider Name | Linda Ijeoma Okereke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104964915 PECOS PAC ID: 8022191725 Enrollment ID: I20230804003139 |
| Provider Name | Alison M Vetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306513767 PECOS PAC ID: 3072974005 Enrollment ID: I20230807002180 |
| Provider Name | Mohamed Tahsin Jouhari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023228772 PECOS PAC ID: 3577747021 Enrollment ID: I20230807003570 |
| Provider Name | Sadaf Javaid-kayani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922625318 PECOS PAC ID: 7810359833 Enrollment ID: I20230808002333 |
| Provider Name | Rajiv Vasan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881757128 PECOS PAC ID: 0143326017 Enrollment ID: I20230808003332 |
| Provider Name | Carly Rae Unger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710665591 PECOS PAC ID: 8426410366 Enrollment ID: I20230809003579 |
| Provider Name | Natalie F Crawford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427581578 PECOS PAC ID: 9931580982 Enrollment ID: I20230821001229 |
| Provider Name | Lovely Chhabra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881824373 PECOS PAC ID: 4284954876 Enrollment ID: I20230822002061 |
| Provider Name | Alexa Rae Finneman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811666597 PECOS PAC ID: 6002207321 Enrollment ID: I20230901002179 |
| Provider Name | Jacy O'keefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952968075 PECOS PAC ID: 9234469578 Enrollment ID: I20230901002279 |
| Provider Name | Matthew Wilson Mcgee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932637675 PECOS PAC ID: 7810266590 Enrollment ID: I20230905002324 |
| Provider Name | Olivia a Lowdermilk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841968773 PECOS PAC ID: 2668836214 Enrollment ID: I20230914002591 |
| Provider Name | Darcie Tveidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972841799 PECOS PAC ID: 1850546102 Enrollment ID: I20230919002267 |
| Provider Name | Hamid R Mohammadzadeh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053394619 PECOS PAC ID: 7719878016 Enrollment ID: I20230919004244 |
| Provider Name | Karen a Bryant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083707301 PECOS PAC ID: 4385768134 Enrollment ID: I20230929003194 |
| Provider Name | Molly M Ruebke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902586381 PECOS PAC ID: 1153775606 Enrollment ID: I20231002003173 |
| Provider Name | Calsey Mischel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114361144 PECOS PAC ID: 3971858549 Enrollment ID: I20231004004002 |
| Provider Name | Stephanie Robinett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619084449 PECOS PAC ID: 1658457049 Enrollment ID: I20231013000846 |
| Provider Name | Brieann Leigh Backes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528841509 PECOS PAC ID: 3072968643 Enrollment ID: I20231017002813 |
| Provider Name | Aye Su Myat Hlaing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215451984 PECOS PAC ID: 5193141505 Enrollment ID: I20231027000738 |
| Provider Name | Allison Lynn Obritsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831877737 PECOS PAC ID: 5193171957 Enrollment ID: I20231031000236 |
| Provider Name | Ramtin Ramsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225244221 PECOS PAC ID: 8325193527 Enrollment ID: I20231106001875 |
| Provider Name | Randy Everett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285680306 PECOS PAC ID: 4587665492 Enrollment ID: I20231109003693 |
| Provider Name | Claudia Maria Kinslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205344488 PECOS PAC ID: 0749693380 Enrollment ID: I20231120002337 |
| Provider Name | Maxwell Buchholz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730866013 PECOS PAC ID: 6305294786 Enrollment ID: I20231122003387 |
| Provider Name | Trisha M Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235756941 PECOS PAC ID: 9032568092 Enrollment ID: I20231215001398 |
| Provider Name | Elizabeth Rouene Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841510104 PECOS PAC ID: 9032357686 Enrollment ID: I20231221003687 |
| Provider Name | Jillian Beth Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922785955 PECOS PAC ID: 6305296914 Enrollment ID: I20231222000551 |
| Provider Name | William Hertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457138166 PECOS PAC ID: 1153772017 Enrollment ID: I20240104004682 |
| Provider Name | George a Cibulas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144600198 PECOS PAC ID: 9234447913 Enrollment ID: I20240108006079 |
| Provider Name | Saige Kassian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841855913 PECOS PAC ID: 7719339779 Enrollment ID: I20240116002305 |
| Provider Name | Brian Steiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467890699 PECOS PAC ID: 1951693910 Enrollment ID: I20240122001195 |
| Provider Name | James Ball |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003864893 PECOS PAC ID: 8820030299 Enrollment ID: I20240202003151 |
| Provider Name | Taylor Lee Braunberger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811359003 PECOS PAC ID: 9335419498 Enrollment ID: I20240203000447 |
| Provider Name | Erin Katherine Weiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609642610 PECOS PAC ID: 2769825967 Enrollment ID: I20240205002352 |
| Provider Name | Michelle Kudrna |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275298366 PECOS PAC ID: 8224472204 Enrollment ID: I20240217000551 |
| Provider Name | Jared Weinand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205497815 PECOS PAC ID: 0648692632 Enrollment ID: I20240219001581 |
| Provider Name | Shakila Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811976442 PECOS PAC ID: 8224093661 Enrollment ID: I20240227003793 |
| Provider Name | Tiffany Tryniszewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467831255 PECOS PAC ID: 4688910078 Enrollment ID: I20240306004256 |
| Provider Name | Kavitha Shashikumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497858435 PECOS PAC ID: 3476534819 Enrollment ID: I20240313002810 |
| Provider Name | Leigh Marendra Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922143387 PECOS PAC ID: 1052758398 Enrollment ID: I20240322001479 |
| Provider Name | Pooja Sareen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962780288 PECOS PAC ID: 5395963136 Enrollment ID: I20240322002539 |
| Provider Name | Brandon J Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538828736 PECOS PAC ID: 8022456656 Enrollment ID: I20240402002417 |
| Provider Name | Theodore James Mckean |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598793309 PECOS PAC ID: 9234221029 Enrollment ID: I20240404002537 |
| Provider Name | Stephen Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710968102 PECOS PAC ID: 7214274117 Enrollment ID: I20240405003682 |
| Provider Name | Brett Simmons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487916326 PECOS PAC ID: 5991182271 Enrollment ID: I20240408000206 |
| Provider Name | Keri Crewson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003269234 PECOS PAC ID: 7911319256 Enrollment ID: I20240408000535 |
| Provider Name | Haylie Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912684531 PECOS PAC ID: 0547608697 Enrollment ID: I20240409001213 |
| Provider Name | Angela Renee Oliver Piquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912428103 PECOS PAC ID: 6800160755 Enrollment ID: I20240429003329 |
| Provider Name | Amber Tincher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235485426 PECOS PAC ID: 9234350562 Enrollment ID: I20240430003468 |
| Provider Name | Kylie Knutson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083475446 PECOS PAC ID: 9638511421 Enrollment ID: I20240524000914 |
| Provider Name | Kayla M Cole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114237542 PECOS PAC ID: 9830450774 Enrollment ID: I20240610000190 |
| Provider Name | Ali Jon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184035693 PECOS PAC ID: 2062831936 Enrollment ID: I20240621002244 |
| Provider Name | Hossein Ghofrani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447576236 PECOS PAC ID: 6103134655 Enrollment ID: I20240628000074 |
| Provider Name | Maria a Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629089412 PECOS PAC ID: 9638102536 Enrollment ID: I20240628002070 |
| Provider Name | Chandra J Urlacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033980891 PECOS PAC ID: 7012452691 Enrollment ID: I20240709000935 |
| Provider Name | Ramakrishna Thippanna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760611321 PECOS PAC ID: 2163672601 Enrollment ID: I20240710000439 |
| Provider Name | Brian W Nielsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851342349 PECOS PAC ID: 6709898190 Enrollment ID: I20240724001888 |
| Provider Name | Mina Tadros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356791206 PECOS PAC ID: 6103107453 Enrollment ID: I20240808003798 |
| Provider Name | Ashley Macy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184278699 PECOS PAC ID: 1759715931 Enrollment ID: I20240815003721 |
| Provider Name | Lovin George |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760036065 PECOS PAC ID: 9335522721 Enrollment ID: I20240815004363 |
| Provider Name | Jessica Lynn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528801693 PECOS PAC ID: 4284173162 Enrollment ID: I20240822003627 |
| Provider Name | Madison Kay Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003665860 PECOS PAC ID: 0143769018 Enrollment ID: I20240823002142 |
| Provider Name | Elmyra V Encarnacion |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093762270 PECOS PAC ID: 0547173494 Enrollment ID: I20240830002706 |
| Provider Name | Gerald Christian Kulish |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871161513 PECOS PAC ID: 8527466309 Enrollment ID: I20240903003096 |
| Provider Name | Lauren Lund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760950406 PECOS PAC ID: 0648710723 Enrollment ID: I20240904004534 |
| Provider Name | Faune Himmelspach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932943545 PECOS PAC ID: 9133669922 Enrollment ID: I20240906004048 |
| Provider Name | Ricardo a Lopez Diaz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780117101 PECOS PAC ID: 8820362296 Enrollment ID: I20240909001041 |
| Provider Name | Victoria Williams Nordby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932957586 PECOS PAC ID: 6406396100 Enrollment ID: I20240909003703 |
| Provider Name | Karissa Nycol Barfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114755097 PECOS PAC ID: 2961942529 Enrollment ID: I20240910001471 |
| Provider Name | Mustafa Satti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275028789 PECOS PAC ID: 8820488232 Enrollment ID: I20240911001203 |
| Provider Name | Alexandra Geiger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356970453 PECOS PAC ID: 7911321286 Enrollment ID: I20240911003775 |
| Provider Name | Antonio M Granda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780624023 PECOS PAC ID: 9739262346 Enrollment ID: I20240912002582 |
| Provider Name | Alexis Jae Int Veldt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336902832 PECOS PAC ID: 2466992623 Enrollment ID: I20240913003280 |
| Provider Name | Kamal K Mubarak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619914108 PECOS PAC ID: 3678585080 Enrollment ID: I20240913003505 |
| Provider Name | Katherine O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861237430 PECOS PAC ID: 1355882200 Enrollment ID: I20240919001736 |
| Provider Name | Brendin Michael Steiner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033897319 PECOS PAC ID: 4981145430 Enrollment ID: I20240924002236 |
| Provider Name | Sierra Marie Entzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437995099 PECOS PAC ID: 2668913138 Enrollment ID: I20240924002915 |
| Provider Name | Crystal Marie Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659134930 PECOS PAC ID: 1850832353 Enrollment ID: I20240924004267 |
| Provider Name | Christina Marie Sarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154028025 PECOS PAC ID: 8426410739 Enrollment ID: I20240926004527 |
| Provider Name | Jason Russell Paxman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306467956 PECOS PAC ID: 1254862493 Enrollment ID: I20240930001210 |
| Provider Name | Zaid Alnoah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053570432 PECOS PAC ID: 4385860030 Enrollment ID: I20241001000946 |
| Provider Name | Morgan Kautzmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679318380 PECOS PAC ID: 5799216669 Enrollment ID: I20241002002276 |
| Provider Name | Christa Kae Sieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396409785 PECOS PAC ID: 1254726276 Enrollment ID: I20241008001529 |
| Provider Name | Emily P Shawkat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801411418 PECOS PAC ID: 5799109518 Enrollment ID: I20241015003896 |
| Provider Name | Umair Sohail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376879940 PECOS PAC ID: 0143468066 Enrollment ID: I20241016004303 |
| Provider Name | Soumya Reddy Neravetla |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558511865 PECOS PAC ID: 6002082260 Enrollment ID: I20241024003616 |
| Provider Name | William D Patten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639309420 PECOS PAC ID: 9537213244 Enrollment ID: I20241028002678 |
| Provider Name | Matthew Ray Schaner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407682172 PECOS PAC ID: 6709319809 Enrollment ID: I20241029000003 |
| Provider Name | Sean Huls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831718287 PECOS PAC ID: 3779988894 Enrollment ID: I20241101000778 |
| Provider Name | Colton John Stiefel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285312561 PECOS PAC ID: 3274067806 Enrollment ID: I20241105002721 |
| Provider Name | Renato Lacurom Delos Santos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457635559 PECOS PAC ID: 1355596446 Enrollment ID: I20241106002871 |
| Provider Name | Daniel Sempeta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770155061 PECOS PAC ID: 5294138418 Enrollment ID: I20241111000165 |
| Provider Name | Srimanasi Javvaji |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750630125 PECOS PAC ID: 5092001149 Enrollment ID: I20241113000195 |
| Provider Name | Karen S Tjaden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598768251 PECOS PAC ID: 3870502586 Enrollment ID: I20241113002051 |
| Provider Name | Alexandra R Dukart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588343123 PECOS PAC ID: 7618402207 Enrollment ID: I20241119003112 |
| Provider Name | Frederick a Rowe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215927405 PECOS PAC ID: 5294763504 Enrollment ID: I20241119003962 |
| Provider Name | Kevin Andrew Byrd |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699725085 PECOS PAC ID: 7416216460 Enrollment ID: I20241122004163 |
| Provider Name | Lauren O'connell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013736396 PECOS PAC ID: 0042745242 Enrollment ID: I20241125003157 |
| Provider Name | Katie Jo Wessling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215758511 PECOS PAC ID: 2567997604 Enrollment ID: I20241126001117 |
| Provider Name | Mark Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750351755 PECOS PAC ID: 6406753292 Enrollment ID: I20241204004062 |
| Provider Name | Maxwell James Otto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770078982 PECOS PAC ID: 5395099725 Enrollment ID: I20241211002070 |
| Provider Name | Kimberly Kate Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609558592 PECOS PAC ID: 9133655103 Enrollment ID: I20241213001678 |
| Provider Name | Housam Alasaly |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1679541957 PECOS PAC ID: 5698807675 Enrollment ID: I20241213002415 |
| Provider Name | Dennis K Kobiri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083240956 PECOS PAC ID: 0345664710 Enrollment ID: I20241217001212 |
| Provider Name | Gregory Downing |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1285656454 PECOS PAC ID: 5991129025 Enrollment ID: I20241219002294 |
| Provider Name | Mohanad a Elshiekh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013274869 PECOS PAC ID: 3274060603 Enrollment ID: I20241226001545 |
| Provider Name | Emma Victoria Hoffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588497648 PECOS PAC ID: 8628502622 Enrollment ID: I20250102001808 |
| Provider Name | Kristin Leingang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649099110 PECOS PAC ID: 6608305412 Enrollment ID: I20250123002436 |
| Provider Name | Abigail Marie Hatlen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871271155 PECOS PAC ID: 9830628460 Enrollment ID: I20250128002909 |
| Provider Name | Matthew James Kalonick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093586059 PECOS PAC ID: 9739618133 Enrollment ID: I20250130001583 |
| Provider Name | Devjit S Nayar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093787806 PECOS PAC ID: 1052352218 Enrollment ID: I20250131002075 |
| Provider Name | Tawhid R Gazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235236571 PECOS PAC ID: 9638271554 Enrollment ID: I20250207000150 |
| Provider Name | Christian M Heesch |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912943549 PECOS PAC ID: 7214825967 Enrollment ID: I20250210003523 |
| Provider Name | Ethany Cullen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679771497 PECOS PAC ID: 7416022579 Enrollment ID: I20250226001466 |
| Provider Name | Alexander Geoffrey Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20250226001922 |
| Provider Name | Cody Wallace Dewitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073397998 PECOS PAC ID: 8527422013 Enrollment ID: I20250314002993 |
| Provider Name | Ashley R Serrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093940355 PECOS PAC ID: 0143537670 Enrollment ID: I20250327003282 |
| Provider Name | Kent Fonti Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669452249 PECOS PAC ID: 2860521580 Enrollment ID: I20250401003206 |
| Provider Name | Dinesh Keran Sivakolundu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174142376 PECOS PAC ID: 4284057522 Enrollment ID: I20250407000467 |
| Provider Name | Sayeda Asad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588474175 PECOS PAC ID: 6800310954 Enrollment ID: I20250410000214 |
| Provider Name | Krystal Bramwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265058564 PECOS PAC ID: 0345608261 Enrollment ID: I20250410000581 |
| Provider Name | Xiao Bi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790135507 PECOS PAC ID: 6800275967 Enrollment ID: I20250501002568 |
| Provider Name | Joseph Mckeown |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174039226 PECOS PAC ID: 9537604434 Enrollment ID: I20250521001346 |
| Provider Name | Tiffany White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053846139 PECOS PAC ID: 4486087301 Enrollment ID: I20250530003247 |
| Provider Name | Anand M Prabhakar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497982987 PECOS PAC ID: 9537211313 Enrollment ID: I20250605001652 |
| Provider Name | Craig M Kubik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821102617 PECOS PAC ID: 8426128034 Enrollment ID: I20250605002012 |
| Provider Name | Snehalkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487819744 PECOS PAC ID: 4789834615 Enrollment ID: I20250605002734 |
| Provider Name | Joseph Henain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346744851 PECOS PAC ID: 8224485370 Enrollment ID: I20250610002518 |
| Provider Name | Richard Wertz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245210608 PECOS PAC ID: 9739141102 Enrollment ID: I20250611003556 |
| Provider Name | Carl Weiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174553440 PECOS PAC ID: 6002709474 Enrollment ID: I20250620001524 |
| Provider Name | Kodjovi Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20250625003672 |
| Provider Name | Mahmood Solaiman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316928849 PECOS PAC ID: 4981684933 Enrollment ID: I20250627000672 |
| Provider Name | Elias Solomon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770624694 PECOS PAC ID: 9931295391 Enrollment ID: I20250627003688 |
| Provider Name | Ryan J Coram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194285429 PECOS PAC ID: 9032567078 Enrollment ID: I20250711001497 |
| Provider Name | Charlotte Heer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205624293 PECOS PAC ID: 1557876158 Enrollment ID: I20250714001548 |
| Provider Name | Firas Al-ali |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891775268 PECOS PAC ID: 3375535123 Enrollment ID: I20250716003969 |
| Provider Name | Urooj Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710272588 PECOS PAC ID: 2163732801 Enrollment ID: I20250717001931 |
| Provider Name | Christopher Thorburn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023637378 PECOS PAC ID: 4981035482 Enrollment ID: I20250718001256 |
| Provider Name | Eusebio Chiong Desuyo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992894604 PECOS PAC ID: 3971532300 Enrollment ID: I20250718001992 |
| Provider Name | Adeola Adelayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205996907 PECOS PAC ID: 1557322641 Enrollment ID: I20250724000661 |
| Provider Name | Anil Bachu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689017550 PECOS PAC ID: 0840432175 Enrollment ID: I20250724001745 |
| Provider Name | Anika Dutta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245811678 PECOS PAC ID: 1153721857 Enrollment ID: I20250725003657 |
| Provider Name | Rachel C Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508430919 PECOS PAC ID: 5092114843 Enrollment ID: I20250728000169 |
| Provider Name | Makda Bsrat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124553540 PECOS PAC ID: 0042556201 Enrollment ID: I20250731002189 |
| Provider Name | Steven Park |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396300323 PECOS PAC ID: 3577899244 Enrollment ID: I20250801002844 |
| Provider Name | Olivia Ochuba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972172369 PECOS PAC ID: 5799183570 Enrollment ID: I20250807003132 |
| Provider Name | Alyssa Twardoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144117623 PECOS PAC ID: 6103324918 Enrollment ID: I20250811003931 |
| Provider Name | Amir R Nasir |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730210303 PECOS PAC ID: 0547316945 Enrollment ID: I20250820001498 |
| Provider Name | Alexander James Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275055956 PECOS PAC ID: 8325319965 Enrollment ID: I20250820003353 |
| Provider Name | Ayse Irem Sonmez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063033355 PECOS PAC ID: 8123444171 Enrollment ID: I20250829000553 |
| Provider Name | Myles M Mitsunaga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437577517 PECOS PAC ID: 5698005940 Enrollment ID: I20250901000700 |
| Provider Name | Rachel Potter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386381374 PECOS PAC ID: 7315320249 Enrollment ID: I20250901000703 |
| Provider Name | Hai Xu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093133878 PECOS PAC ID: 7911242177 Enrollment ID: I20250903002365 |
| Provider Name | Brandon William Kuiper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245587195 PECOS PAC ID: 5395040125 Enrollment ID: I20250905002378 |
| Provider Name | John L Ho |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538257803 PECOS PAC ID: 4880584762 Enrollment ID: I20250905004511 |
| Provider Name | Sarah Kendroud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194221143 PECOS PAC ID: 9133543788 Enrollment ID: I20250910000865 |
| Provider Name | John Peter Bretzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083242564 PECOS PAC ID: 3971927385 Enrollment ID: I20250919000832 |
| Provider Name | Jarren Keily Fallgatter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063190452 PECOS PAC ID: 8527562669 Enrollment ID: I20250919003750 |
| Provider Name | Jonah Michael Warwick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649910191 PECOS PAC ID: 5597269530 Enrollment ID: I20250922001552 |
| Provider Name | Nameer Saad Hamed Al Yousif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780147520 PECOS PAC ID: 2961734371 Enrollment ID: I20250924004234 |
| Provider Name | Elida Rose Voth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356835334 PECOS PAC ID: 1254688179 Enrollment ID: I20250929002584 |
| Provider Name | Larissa Chism-buggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952460933 PECOS PAC ID: 2769579069 Enrollment ID: I20251001002419 |
| Provider Name | Ernest I Okwuonu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639735665 PECOS PAC ID: 7113379868 Enrollment ID: I20251001003609 |
| Provider Name | Shelby Marie Heyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184109761 PECOS PAC ID: 3577069210 Enrollment ID: I20251001004629 |
| Provider Name | Amanda Fossum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265320352 PECOS PAC ID: 1153827746 Enrollment ID: I20251002001459 |
| Provider Name | Jordan Barth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073245973 PECOS PAC ID: 9638675960 Enrollment ID: I20251003003778 |
| Provider Name | Sandra Afriyie Kumi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194531855 PECOS PAC ID: 7214434208 Enrollment ID: I20251007002252 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20251008000850 |
| Provider Name | Alind Zeki Amedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235888520 PECOS PAC ID: 7012395528 Enrollment ID: I20251008002186 |
| Provider Name | Debbie Zabel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578375333 PECOS PAC ID: 2860999307 Enrollment ID: I20251009002012 |
| Provider Name | Kasey May Moss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841677804 PECOS PAC ID: 8426362047 Enrollment ID: I20251009003908 |
| Provider Name | Alyssa Ann Rufsvold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881581981 PECOS PAC ID: 4789171786 Enrollment ID: I20251014001957 |
| Provider Name | Poonam Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609515063 PECOS PAC ID: 9830686252 Enrollment ID: I20251017001259 |
| Provider Name | Catalina Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255563268 PECOS PAC ID: 2860538691 Enrollment ID: I20251022003383 |
| Provider Name | Brooke Ann Joppru |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497487987 PECOS PAC ID: 0941685523 Enrollment ID: I20251023002571 |
| Provider Name | Antoinette P Laurel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821521436 PECOS PAC ID: 0042582900 Enrollment ID: I20251029001220 |
| Provider Name | Jaya Chandra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255072989 PECOS PAC ID: 9032586516 Enrollment ID: I20251029003116 |
| Provider Name | Richard T Pardilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467879619 PECOS PAC ID: 6901022847 Enrollment ID: I20251029004237 |
| Provider Name | Sara Beth Berner-orcutt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164868246 PECOS PAC ID: 6800038019 Enrollment ID: I20251030004946 |
| Provider Name | Paul Campsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427104017 PECOS PAC ID: 4880718329 Enrollment ID: I20251031001861 |
| Provider Name | Sajjad Haider |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396091104 PECOS PAC ID: 3375781313 Enrollment ID: I20251031004020 |
| Provider Name | Cassondra Kambeitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447822598 PECOS PAC ID: 2264835214 Enrollment ID: I20251105001814 |
| Provider Name | Elise Catherine Braswell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295618288 PECOS PAC ID: 3779073754 Enrollment ID: I20251107001918 |
| Provider Name | Kranthi Nomula |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710508072 PECOS PAC ID: 8022430727 Enrollment ID: I20251112003581 |
| Provider Name | Keaton Thomas Joppru |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881157360 PECOS PAC ID: 5193050300 Enrollment ID: I20251112003780 |
| Provider Name | Christina Krieger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568112530 PECOS PAC ID: 6507306206 Enrollment ID: I20251114003408 |
| Provider Name | Shania Elder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669150439 PECOS PAC ID: 5991297483 Enrollment ID: I20251121003570 |
| Provider Name | Jessica a Heinrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588142863 PECOS PAC ID: 7416208566 Enrollment ID: I20251126003464 |
| Provider Name | Wobo Bekwelem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962720136 PECOS PAC ID: 4385926583 Enrollment ID: I20251128000266 |
| Provider Name | Ali Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992695944 PECOS PAC ID: 2860985686 Enrollment ID: I20251201003049 |
| Provider Name | Stephanie Gadbois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740545763 PECOS PAC ID: 0749429611 Enrollment ID: I20251201003123 |
| Provider Name | Victoria Marie Sawle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073256970 PECOS PAC ID: 3173905015 Enrollment ID: I20251204003882 |
| Provider Name | Anita Carmen Reta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174809586 PECOS PAC ID: 6305242231 Enrollment ID: I20251204004455 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538689609 PECOS PAC ID: 1557769064 Enrollment ID: I20251207000001 |
| Provider Name | Amber Reints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598131831 PECOS PAC ID: 3173832623 Enrollment ID: I20251209002641 |
| Provider Name | Hayden Jon Swartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396481727 PECOS PAC ID: 8628430220 Enrollment ID: I20251210003322 |
| Provider Name | Carol Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083070593 PECOS PAC ID: 0648575522 Enrollment ID: I20251211001073 |
| Provider Name | Reginald Deligent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154959161 PECOS PAC ID: 7810428968 Enrollment ID: I20251212000563 |
| Provider Name | Marice K Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346902418 PECOS PAC ID: 6709326416 Enrollment ID: I20251216004122 |
| Provider Name | Shjade Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710696919 PECOS PAC ID: 8921457706 Enrollment ID: I20251218002263 |
| Provider Name | Kafi Bridget Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376064246 PECOS PAC ID: 0446673867 Enrollment ID: I20251218002627 |
| Provider Name | Sarah Jean Klym |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043009582 PECOS PAC ID: 0840785630 Enrollment ID: I20251218004217 |
| Provider Name | Shelby Augusta Swartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770229841 PECOS PAC ID: 0749642338 Enrollment ID: I20251219002435 |
| Provider Name | Krysta Prior |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538993654 PECOS PAC ID: 8527588136 Enrollment ID: I20251222003559 |
| Provider Name | Mihaela Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497027296 PECOS PAC ID: 6507182201 Enrollment ID: I20251226000793 |
| Provider Name | Ivor Bence Asztalos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962882969 PECOS PAC ID: 9032579826 Enrollment ID: I20251229002126 |
| Provider Name | Rachel Walsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710665708 PECOS PAC ID: 5193211100 Enrollment ID: I20251230000109 |
| Provider Name | Ashley Marie Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114494226 PECOS PAC ID: 4486140886 Enrollment ID: I20260106002490 |
| Provider Name | Michael Munz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093712572 PECOS PAC ID: 1850283581 Enrollment ID: I20260108001980 |
| Provider Name | Francisco Augusto Eguia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952846784 PECOS PAC ID: 7911321393 Enrollment ID: I20260109001800 |
| Provider Name | Marshall Andersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013383009 PECOS PAC ID: 2062717937 Enrollment ID: I20260115000178 |
| Provider Name | Nichole P Horrocks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952690745 PECOS PAC ID: 7416125927 Enrollment ID: I20260119000471 |
| Provider Name | Rhett Dacy Carpenter-thompson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598414633 PECOS PAC ID: 7810377744 Enrollment ID: I20260123000821 |
| Provider Name | Rachael L Krob |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144511593 PECOS PAC ID: 5698068237 Enrollment ID: I20260129003779 |
| Provider Name | Thomas Owen Gifford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538224803 PECOS PAC ID: 0840585840 Enrollment ID: I20260205003458 |
| Provider Name | David Gloss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821278912 PECOS PAC ID: 6204967359 Enrollment ID: I20260214000143 |
| Provider Name | David Dick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053649855 PECOS PAC ID: 8628107844 Enrollment ID: I20260219001588 |
| Provider Name | James Betoni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477530715 PECOS PAC ID: 8527061274 Enrollment ID: I20260219002895 |
| Provider Name | Bailey May Isaak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720948359 PECOS PAC ID: 8729569504 Enrollment ID: I20260220001118 |
| Provider Name | Bradley Hall |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003220948 PECOS PAC ID: 2163746587 Enrollment ID: I20260220003057 |
| Provider Name | Kristi Kiernan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851538300 PECOS PAC ID: 1355408246 Enrollment ID: I20260303001230 |
| Provider Name | Harvey Allen Zar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346337813 PECOS PAC ID: 1557316213 Enrollment ID: I20260305000468 |
| Provider Name | Brad Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093057721 PECOS PAC ID: 1951690106 Enrollment ID: I20260310001358 |
| Provider Name | Prameeta Jha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033563820 PECOS PAC ID: 5496099319 Enrollment ID: I20260311004341 |
| Provider Name | Gina Cotton Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407347 PECOS PAC ID: 7416249370 Enrollment ID: I20260320001638 |
| Provider Name | Rachel Voyles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407514276 PECOS PAC ID: 3577958230 Enrollment ID: I20260401003450 |
| Provider Name | Julie Vernelle Bechtel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669638581 PECOS PAC ID: 5294762829 Enrollment ID: I20260401003557 |
| Provider Name | Daniel Goltz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013321769 PECOS PAC ID: 9931443454 Enrollment ID: I20260402002774 |
| Provider Name | Brittany Danae Ingemansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457820011 PECOS PAC ID: 8123368859 Enrollment ID: I20260409001711 |
| Provider Name | Sameh Fayek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295889202 PECOS PAC ID: 7214091719 Enrollment ID: I20260417003190 |
| Provider Name | Naftali Presser |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1124314919 PECOS PAC ID: 5496056335 Enrollment ID: I20260421001611 |
| Provider Name | Faiza Javed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487117685 PECOS PAC ID: 9638647209 Enrollment ID: I20260501003296 |
| Provider Name | Richard Tyrell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508156928 PECOS PAC ID: 7911248612 Enrollment ID: I20260511001966 |
| Provider Name | Ryan Sarkaria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942628193 PECOS PAC ID: 2769789387 Enrollment ID: I20260521001110 |
| Provider Name | Mikel J Ingemansen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740759273 PECOS PAC ID: 5698015873 Enrollment ID: I20260526000036 |
| Provider Name | Kristi Vergena Mizelle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457490955 PECOS PAC ID: 9032378674 Enrollment ID: I20260603003541 |
| Provider Name | Ambreen Chughtai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194448944 PECOS PAC ID: 2668943028 Enrollment ID: I20260605002798 |
| Provider Name | Frank Yuan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508129883 PECOS PAC ID: 6507157419 Enrollment ID: I20260609002409 |
| Provider Name | David Gordon Affleck |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710979653 PECOS PAC ID: 2961492392 Enrollment ID: I20260613000114 |
| Provider Name | Kyle B Nichols |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194041285 PECOS PAC ID: 3678706009 Enrollment ID: I20260616004477 |
| Provider Name | Michael Noller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043712359 PECOS PAC ID: 5991159501 Enrollment ID: I20260617001167 |
Lung Disease and Infection Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S 12th St, Bismarck, ND 58504 Phone: 701-223-4234 Fax: 701-222-0712 |
Prairie Assisted Living Services LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4914 Amberglow Dr, Bismarck, ND 58503 Phone: 701-226-9804 Fax: 701-751-1307 |
Inspired Life Wellness Clinic, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3100 Moonstone Ln, Bismarck, ND 58503 Phone: 701-989-4354 Fax: 701-213-4335 |
Essentia Health Mid Dakota Bismarck 9th St Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4500 |
Wellness Rediscovered P.L.L.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 E Main Ave, Bismarck, ND 58501 Phone: 701-269-9455 |
Tru Health & Wellness PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Main Ave, Bismarck, ND 58501 Phone: 701-226-4432 |