| Sentara Rmh Medical Group | |
|
2006 Health Campus Dr Rockingham VA 22801-8679 | |
| (540) 689-5618 | |
| (540) 564-7172 |
| Full Name | Sentara Rmh Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 2006 Health Campus Dr, Rockingham, Virginia |
| Authorized Official Name and Position | Meghan Painter (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5405647157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentara Rmh Medical Group Po Box 79777 Baltimore Baltimore MD 21279-0777 Ph: (757) 252-2900 | Sentara Rmh Medical Group 2006 Health Campus Dr Rockingham VA 22801-8679 Ph: (540) 689-5618 |
| NPI Number | 1669844908 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 7618270729 |
|---|---|
| Medicare Enrollment ID | O20160125000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669844908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Shahab M Ehtesham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144283029 PECOS PAC ID: 9133025778 Enrollment ID: I20040311001019 |
| Provider Name | Roumiana Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811903834 PECOS PAC ID: 9133011620 Enrollment ID: I20040329000807 |
| Provider Name | Hugo Moises Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740255710 PECOS PAC ID: 1850387614 Enrollment ID: I20040426000511 |
| Provider Name | Harold Franci Reilly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619935749 PECOS PAC ID: 9032106737 Enrollment ID: I20040426001673 |
| Provider Name | Gregory Gerard Degnan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1154315398 PECOS PAC ID: 2163403320 Enrollment ID: I20040525001248 |
| Provider Name | Oscar F Figueroa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801889720 PECOS PAC ID: 4981682689 Enrollment ID: I20040709000604 |
| Provider Name | David P Mclaughlin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447206271 PECOS PAC ID: 7517946189 Enrollment ID: I20040719000194 |
| Provider Name | Reena Rizvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356357305 PECOS PAC ID: 7012981228 Enrollment ID: I20040824000291 |
| Provider Name | Yemisrach Mulugeta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770675829 PECOS PAC ID: 5496720344 Enrollment ID: I20040901001482 |
| Provider Name | Karoly Varga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316903362 PECOS PAC ID: 7911979653 Enrollment ID: I20041129000825 |
| Provider Name | Robin D Breeden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245294859 PECOS PAC ID: 5496705162 Enrollment ID: I20050131000342 |
| Provider Name | Donna T Van Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629025440 PECOS PAC ID: 8628020930 Enrollment ID: I20050215000729 |
| Provider Name | Paul Liszka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20050412000226 |
| Provider Name | Anthony M Bevilacqua |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912903998 PECOS PAC ID: 0547225377 Enrollment ID: I20050422000366 |
| Provider Name | Syed Imran Shafqat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750345617 PECOS PAC ID: 1658313929 Enrollment ID: I20050608000865 |
| Provider Name | Aklilu M Degene |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750338075 PECOS PAC ID: 0749216679 Enrollment ID: I20050712001160 |
| Provider Name | Annlisbeth Poore-bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285619643 PECOS PAC ID: 3173557816 Enrollment ID: I20050922000586 |
| Provider Name | Timothy K Bowers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801843271 PECOS PAC ID: 4981611431 Enrollment ID: I20060308000818 |
| Provider Name | Jeffrey S Young |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447386321 PECOS PAC ID: 4688682347 Enrollment ID: I20060322000652 |
| Provider Name | Tara D Balint |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932156304 PECOS PAC ID: 5395757124 Enrollment ID: I20060619000175 |
| Provider Name | Punkaj Dua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003851890 PECOS PAC ID: 8325090756 Enrollment ID: I20060809000223 |
| Provider Name | Robert A Garwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073535803 PECOS PAC ID: 0446256721 Enrollment ID: I20061010000190 |
| Provider Name | Nando Visvalingam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386601862 PECOS PAC ID: 0143246652 Enrollment ID: I20070314000550 |
| Provider Name | Alison R Moats |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891874954 PECOS PAC ID: 6002916913 Enrollment ID: I20070706000346 |
| Provider Name | James Forrest Calland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538195227 PECOS PAC ID: 1456356195 Enrollment ID: I20070829000844 |
| Provider Name | Alan Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265412936 PECOS PAC ID: 7517053267 Enrollment ID: I20071011000356 |
| Provider Name | Shawn M Lepley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083694764 PECOS PAC ID: 6103912787 Enrollment ID: I20071011000647 |
| Provider Name | Makunda Abdul-mbacke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013995851 PECOS PAC ID: 0941242606 Enrollment ID: I20071102000166 |
| Provider Name | Don R Martin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265478093 PECOS PAC ID: 5597853531 Enrollment ID: I20071108000653 |
| Provider Name | Hammad Qureshy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689749368 PECOS PAC ID: 8123073780 Enrollment ID: I20080325000111 |
| Provider Name | Morris Jackson Fendley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144226846 PECOS PAC ID: 7012096068 Enrollment ID: I20080502000248 |
| Provider Name | John R Gaughen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942418660 PECOS PAC ID: 7113099854 Enrollment ID: I20080711000449 |
| Provider Name | Duane S White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548269525 PECOS PAC ID: 9133120009 Enrollment ID: I20080716000376 |
| Provider Name | Gauri Aggarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356471114 PECOS PAC ID: 8123047750 Enrollment ID: I20080822000308 |
| Provider Name | Thomas S Weber |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295766525 PECOS PAC ID: 0244208288 Enrollment ID: I20081002000342 |
| Provider Name | Keith Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417933870 PECOS PAC ID: 3577631043 Enrollment ID: I20081010000220 |
| Provider Name | Zelalem A Ashiny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922172873 PECOS PAC ID: 1456351709 Enrollment ID: I20081024000663 |
| Provider Name | Ignaz R Jarbadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306967286 PECOS PAC ID: 9133288152 Enrollment ID: I20081105000873 |
| Provider Name | David S Herring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932173432 PECOS PAC ID: 2961561949 Enrollment ID: I20081110000533 |
| Provider Name | Kathie J Hiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487629218 PECOS PAC ID: 8820158629 Enrollment ID: I20081124000809 |
| Provider Name | Miklos Szentirmai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619975422 PECOS PAC ID: 5395767677 Enrollment ID: I20090604000475 |
| Provider Name | James C Styron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386862159 PECOS PAC ID: 3173676749 Enrollment ID: I20090729000388 |
| Provider Name | John D Wenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700815131 PECOS PAC ID: 8022011667 Enrollment ID: I20090803000760 |
| Provider Name | Aamir Mahmood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427265586 PECOS PAC ID: 0648324616 Enrollment ID: I20090811000427 |
| Provider Name | Dirk Stanton Proffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558338053 PECOS PAC ID: 0446394316 Enrollment ID: I20100216000075 |
| Provider Name | Nancy L Brubaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831153121 PECOS PAC ID: 9234273079 Enrollment ID: I20100217000855 |
| Provider Name | Fletcher Garrett Matthews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437157633 PECOS PAC ID: 6901968734 Enrollment ID: I20100429000157 |
| Provider Name | Lubna Rana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023133469 PECOS PAC ID: 2466553789 Enrollment ID: I20100726000747 |
| Provider Name | Eugene Y Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225012909 PECOS PAC ID: 4789717893 Enrollment ID: I20100726000877 |
| Provider Name | Mark Mandichak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386849644 PECOS PAC ID: 9537292511 Enrollment ID: I20100727000906 |
| Provider Name | Rajiv Malhotra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023226743 PECOS PAC ID: 3375676885 Enrollment ID: I20100804001034 |
| Provider Name | Thomas Mckee Oates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548223159 PECOS PAC ID: 0244363554 Enrollment ID: I20100805000981 |
| Provider Name | Christopher Rash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457568735 PECOS PAC ID: 4082730569 Enrollment ID: I20100922000807 |
| Provider Name | Paul Guarino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437204302 PECOS PAC ID: 8527155290 Enrollment ID: I20100927001460 |
| Provider Name | Jordan Lynn Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053503417 PECOS PAC ID: 6103942958 Enrollment ID: I20100929000677 |
| Provider Name | Prasad N Betadpur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871525543 PECOS PAC ID: 0244299253 Enrollment ID: I20101022000839 |
| Provider Name | Fouzia Siddiqui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609031699 PECOS PAC ID: 7214121987 Enrollment ID: I20101027000756 |
| Provider Name | John W Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679589642 PECOS PAC ID: 8022202365 Enrollment ID: I20101101001029 |
| Provider Name | John F. Walsh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699732818 PECOS PAC ID: 2264514546 Enrollment ID: I20101110000956 |
| Provider Name | Glenn Edward Deputy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124084066 PECOS PAC ID: 1254357767 Enrollment ID: I20101111000314 |
| Provider Name | Rodney Samuel Arthur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285699215 PECOS PAC ID: 5698791101 Enrollment ID: I20101115001379 |
| Provider Name | Stewart G. Pollock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255397600 PECOS PAC ID: 3779509294 Enrollment ID: I20101118000975 |
| Provider Name | Robert Vernooy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376644880 PECOS PAC ID: 5496780520 Enrollment ID: I20101118001301 |
| Provider Name | Arthur Strunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447215306 PECOS PAC ID: 3870789944 Enrollment ID: I20101201000745 |
| Provider Name | Timothy C. Landes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134184088 PECOS PAC ID: 7618993122 Enrollment ID: I20101210000083 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20101214000950 |
| Provider Name | Fariah Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568774347 PECOS PAC ID: 5991993032 Enrollment ID: I20101216000327 |
| Provider Name | Andrew H White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366751307 PECOS PAC ID: 5698954568 Enrollment ID: I20110124001251 |
| Provider Name | Henry H Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346256377 PECOS PAC ID: 1456533900 Enrollment ID: I20110304000741 |
| Provider Name | Alexander V Rilling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154581510 PECOS PAC ID: 2466638838 Enrollment ID: I20110519000290 |
| Provider Name | Fikirte Fesseha Teferedgin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689847972 PECOS PAC ID: 3577623131 Enrollment ID: I20110519000866 |
| Provider Name | Jason Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609973627 PECOS PAC ID: 7012974587 Enrollment ID: I20110526000832 |
| Provider Name | Jefferson Mark Prichard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609899400 PECOS PAC ID: 9032188958 Enrollment ID: I20110726000033 |
| Provider Name | Rodney Jamil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063694552 PECOS PAC ID: 1850470592 Enrollment ID: I20110728000155 |
| Provider Name | Zequan Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912114992 PECOS PAC ID: 0840469342 Enrollment ID: I20110817000386 |
| Provider Name | Chetna Dua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093980419 PECOS PAC ID: 0446421739 Enrollment ID: I20110916000328 |
| Provider Name | Kourosh Houdsony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255578506 PECOS PAC ID: 3779754486 Enrollment ID: I20110928000639 |
| Provider Name | John Khuu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063639011 PECOS PAC ID: 5597937649 Enrollment ID: I20111013000428 |
| Provider Name | Michael J Botticelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962439273 PECOS PAC ID: 7719157809 Enrollment ID: I20111214000012 |
| Provider Name | Owen T Regan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518074889 PECOS PAC ID: 9537178413 Enrollment ID: I20120416000332 |
| Provider Name | James Novick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184664807 PECOS PAC ID: 1456321959 Enrollment ID: I20120530000103 |
| Provider Name | Erika Struble |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114907359 PECOS PAC ID: 6002091105 Enrollment ID: I20120705000324 |
| Provider Name | Linda Ruth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306102496 PECOS PAC ID: 1759547243 Enrollment ID: I20120727000552 |
| Provider Name | Jennifer M Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649527623 PECOS PAC ID: 8325295983 Enrollment ID: I20120904000635 |
| Provider Name | Wesam Hassen Moustafa Hussein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043539919 PECOS PAC ID: 5890977763 Enrollment ID: I20121108000449 |
| Provider Name | Victoria A Krauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649454125 PECOS PAC ID: 3971756842 Enrollment ID: I20130102000149 |
| Provider Name | Ambi G Zeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932457033 PECOS PAC ID: 7113163999 Enrollment ID: I20130424000139 |
| Provider Name | Christopher J Hess |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598932618 PECOS PAC ID: 5890935902 Enrollment ID: I20130715000296 |
| Provider Name | Victoria F Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265879191 PECOS PAC ID: 0547402109 Enrollment ID: I20130809000522 |
| Provider Name | Benjamin Isaac Mwanika |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457595258 PECOS PAC ID: 3375713027 Enrollment ID: I20130826000424 |
| Provider Name | Clark Case Baumbusch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548411515 PECOS PAC ID: 9335373406 Enrollment ID: I20131002000504 |
| Provider Name | Christopher David Edens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396092987 PECOS PAC ID: 6709010515 Enrollment ID: I20131010001168 |
| Provider Name | Everett Russell Ford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639164783 PECOS PAC ID: 1658382023 Enrollment ID: I20131018001115 |
| Provider Name | Robert A Lancey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699739060 PECOS PAC ID: 2769425669 Enrollment ID: I20131105000108 |
| Provider Name | Samuel Doak Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811003593 PECOS PAC ID: 0648374348 Enrollment ID: I20131213000893 |
| Provider Name | Natalie N.s. Detrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083041552 PECOS PAC ID: 0648408286 Enrollment ID: I20140106000910 |
| Provider Name | Belay S Birhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881024859 PECOS PAC ID: 8628206877 Enrollment ID: I20140114001409 |
| Provider Name | Malika Manyam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013148576 PECOS PAC ID: 5092963512 Enrollment ID: I20140318001085 |
| Provider Name | Parag G Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689992372 PECOS PAC ID: 6901055128 Enrollment ID: I20140703000879 |
| Provider Name | Adedoyin G Akintide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518142991 PECOS PAC ID: 5991856551 Enrollment ID: I20140707000690 |
| Provider Name | Sami Abdul Jawad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487930905 PECOS PAC ID: 9830314863 Enrollment ID: I20140708001707 |
| Provider Name | Shahzad Haider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619260379 PECOS PAC ID: 6709003361 Enrollment ID: I20140806000754 |
| Provider Name | Michelle N Mcneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811301344 PECOS PAC ID: 2163487505 Enrollment ID: I20140821001968 |
| Provider Name | Adrian D Parasca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760701478 PECOS PAC ID: 8729231048 Enrollment ID: I20140922002214 |
| Provider Name | Georgios Psarros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760500227 PECOS PAC ID: 1456425354 Enrollment ID: I20141001002190 |
| Provider Name | Nirmal Khandoobhai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396163184 PECOS PAC ID: 8325269491 Enrollment ID: I20141015001285 |
| Provider Name | Kimberly M St. Jean |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780909531 PECOS PAC ID: 5294956132 Enrollment ID: I20141018000111 |
| Provider Name | Olana Befekadu Molla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033404843 PECOS PAC ID: 5698995868 Enrollment ID: I20141117000081 |
| Provider Name | Deonna Dearing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619383841 PECOS PAC ID: 0244452571 Enrollment ID: I20141120001915 |
| Provider Name | Yohannes Tilahun Mengistu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912292525 PECOS PAC ID: 0941522718 Enrollment ID: I20141205000341 |
| Provider Name | Kevin Casey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912078254 PECOS PAC ID: 2668377540 Enrollment ID: I20141216001749 |
| Provider Name | Tewodros B Teferra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700170552 PECOS PAC ID: 2668693060 Enrollment ID: I20141222002482 |
| Provider Name | Yasser Khoudeir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568430817 PECOS PAC ID: 4789657396 Enrollment ID: I20141231001418 |
| Provider Name | Timothy J Doherty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467613422 PECOS PAC ID: 6002077302 Enrollment ID: I20150122000469 |
| Provider Name | Atrac A Kay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811188006 PECOS PAC ID: 4981849908 Enrollment ID: I20150324001921 |
| Provider Name | Michelle C Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275924854 PECOS PAC ID: 0648598797 Enrollment ID: I20150421001857 |
| Provider Name | Nicholas A Spinelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992976369 PECOS PAC ID: 4688897747 Enrollment ID: I20150723007497 |
| Provider Name | Sophia Leung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376786251 PECOS PAC ID: 3779701065 Enrollment ID: I20150922001240 |
| Provider Name | Adrienne J Koch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184919177 PECOS PAC ID: 1951535244 Enrollment ID: I20150922002924 |
| Provider Name | Jason Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023037348 PECOS PAC ID: 9032427950 Enrollment ID: I20150925002495 |
| Provider Name | Brannon Weeks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518075019 PECOS PAC ID: 5799867248 Enrollment ID: I20151005001751 |
| Provider Name | Egya Nyameke Chinbuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689989204 PECOS PAC ID: 6002008620 Enrollment ID: I20151028001859 |
| Provider Name | Zsofia V Hole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386969681 PECOS PAC ID: 5193954774 Enrollment ID: I20151119000490 |
| Provider Name | Jeffrey S Taylor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447486451 PECOS PAC ID: 7618118845 Enrollment ID: I20151222000924 |
| Provider Name | Peter L Shue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851578991 PECOS PAC ID: 0244386779 Enrollment ID: I20160114002233 |
| Provider Name | Zahid I Baig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356325088 PECOS PAC ID: 8022021179 Enrollment ID: I20160119002304 |
| Provider Name | Zafar Zamir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336123058 PECOS PAC ID: 7113930264 Enrollment ID: I20160720002923 |
| Provider Name | Furhan Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20160805002349 |
| Provider Name | Alfred C Burris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578738639 PECOS PAC ID: 4789715681 Enrollment ID: I20160915000575 |
| Provider Name | Floyd Burton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932117322 PECOS PAC ID: 2264486174 Enrollment ID: I20161025000326 |
| Provider Name | Heather A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558305607 PECOS PAC ID: 7315184074 Enrollment ID: I20161128000794 |
| Provider Name | Gauhar Khurshid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295847671 PECOS PAC ID: 3274814256 Enrollment ID: I20170105001824 |
| Provider Name | Matthew Cauchi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972878320 PECOS PAC ID: 2769625185 Enrollment ID: I20170105001949 |
| Provider Name | Tracey L Guilfoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487198966 PECOS PAC ID: 8022393354 Enrollment ID: I20170328001997 |
| Provider Name | Earl Dwayne King |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063433746 PECOS PAC ID: 0547393472 Enrollment ID: I20170607001939 |
| Provider Name | Suneel B Bhat |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578854956 PECOS PAC ID: 9931331170 Enrollment ID: I20170725000840 |
| Provider Name | Fasil Mengistu Tiruneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184042061 PECOS PAC ID: 3678863156 Enrollment ID: I20170726002586 |
| Provider Name | Syed S Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174956387 PECOS PAC ID: 2769777549 Enrollment ID: I20170731002840 |
| Provider Name | Yaniel Cabezas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124452701 PECOS PAC ID: 7012289903 Enrollment ID: I20170828003389 |
| Provider Name | Kelly E Gladin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528321346 PECOS PAC ID: 8527280593 Enrollment ID: I20170912002893 |
| Provider Name | Zachary Motyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235651431 PECOS PAC ID: 5092088294 Enrollment ID: I20170914000128 |
| Provider Name | Sean C Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720374648 PECOS PAC ID: 5395915649 Enrollment ID: I20170928004143 |
| Provider Name | Haley G Tusing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689193617 PECOS PAC ID: 7810255155 Enrollment ID: I20171214002602 |
| Provider Name | Roy Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063701035 PECOS PAC ID: 2163666066 Enrollment ID: I20180108001733 |
| Provider Name | Jennifer L Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629585450 PECOS PAC ID: 9931469392 Enrollment ID: I20180202000092 |
| Provider Name | Kristin A Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134558307 PECOS PAC ID: 7214290782 Enrollment ID: I20180416000506 |
| Provider Name | Malinda Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942293998 PECOS PAC ID: 0042357998 Enrollment ID: I20180424001083 |
| Provider Name | Yuriy O Zhukov |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962666396 PECOS PAC ID: 8921153677 Enrollment ID: I20180514001580 |
| Provider Name | Tanya Hedi Tajouri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598920126 PECOS PAC ID: 8628123387 Enrollment ID: I20180613000503 |
| Provider Name | Elmutaz Eltahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982723821 PECOS PAC ID: 5991897969 Enrollment ID: I20180619003043 |
| Provider Name | Laura R Trissel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068973 PECOS PAC ID: 3577836055 Enrollment ID: I20180716000557 |
| Provider Name | Erica L Formato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699161679 PECOS PAC ID: 6305146747 Enrollment ID: I20180725002723 |
| Provider Name | John Quiles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033347695 PECOS PAC ID: 9931340338 Enrollment ID: I20180727000581 |
| Provider Name | Nahom A Tegegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205222601 PECOS PAC ID: 5193014140 Enrollment ID: I20180815000750 |
| Provider Name | Alan R Johnson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508197203 PECOS PAC ID: 2961631775 Enrollment ID: I20180817001679 |
| Provider Name | Christine Ou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851684666 PECOS PAC ID: 5496004244 Enrollment ID: I20180828000848 |
| Provider Name | Mamta Ojha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215220389 PECOS PAC ID: 2769601301 Enrollment ID: I20181116001681 |
| Provider Name | Laura Wilkerson Shifflett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346720604 PECOS PAC ID: 0648515312 Enrollment ID: I20181227002058 |
| Provider Name | Moussa Sissoko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669679809 PECOS PAC ID: 4981728235 Enrollment ID: I20190205002769 |
| Provider Name | Caroline A Brand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457795841 PECOS PAC ID: 0042454233 Enrollment ID: I20190208000237 |
| Provider Name | Navin Gupta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457344673 PECOS PAC ID: 8729028089 Enrollment ID: I20190509002253 |
| Provider Name | Anthony Mark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629128947 PECOS PAC ID: 8325360829 Enrollment ID: I20190510001178 |
| Provider Name | Emily Jo Turzanski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023273216 PECOS PAC ID: 3577797984 Enrollment ID: I20190520001461 |
| Provider Name | Mohammed Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063854586 PECOS PAC ID: 9335445899 Enrollment ID: I20190612002395 |
| Provider Name | Rollin R Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841645025 PECOS PAC ID: 5991032021 Enrollment ID: I20190812001936 |
| Provider Name | Tanya J Raef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205859451 PECOS PAC ID: 9537114756 Enrollment ID: I20190815000483 |
| Provider Name | Christine Ann Arcidicono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588216014 PECOS PAC ID: 9234467804 Enrollment ID: I20190820002930 |
| Provider Name | Brittany Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376105064 PECOS PAC ID: 8123358843 Enrollment ID: I20190924000288 |
| Provider Name | Tracy J Moll |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427430396 PECOS PAC ID: 0446524276 Enrollment ID: I20190925000212 |
| Provider Name | Michael S Scholfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427222462 PECOS PAC ID: 3476707845 Enrollment ID: I20190925003621 |
| Provider Name | Alemante Kassa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316301187 PECOS PAC ID: 7810228731 Enrollment ID: I20191008000977 |
| Provider Name | Katelyn M Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942852728 PECOS PAC ID: 2163753799 Enrollment ID: I20191014001462 |
| Provider Name | Ashley N Mcdorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689221756 PECOS PAC ID: 3173855285 Enrollment ID: I20191022003311 |
| Provider Name | Timothy S Snow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730449810 PECOS PAC ID: 6204184898 Enrollment ID: I20191023000276 |
| Provider Name | Elaine A Clancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407401151 PECOS PAC ID: 5496187783 Enrollment ID: I20191106002867 |
| Provider Name | Richard H Beasley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811023625 PECOS PAC ID: 9335307172 Enrollment ID: I20191211000095 |
| Provider Name | Mario Montalvo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194103085 PECOS PAC ID: 0648546754 Enrollment ID: I20191226000081 |
| Provider Name | Jennifer R Derby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033290804 PECOS PAC ID: 3274840160 Enrollment ID: I20200107003365 |
| Provider Name | Jennifer Erin Mihalik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275732067 PECOS PAC ID: 7719158260 Enrollment ID: I20200304000651 |
| Provider Name | Zhijie Gao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942434774 PECOS PAC ID: 8224340450 Enrollment ID: I20200331000420 |
| Provider Name | Carey E Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528691052 PECOS PAC ID: 4880023233 Enrollment ID: I20200406001506 |
| Provider Name | John Randall Finch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740249028 PECOS PAC ID: 6507832367 Enrollment ID: I20200408002982 |
| Provider Name | Brooke A Runion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508401647 PECOS PAC ID: 9638590565 Enrollment ID: I20200602001454 |
| Provider Name | Anil Venkata Seshu Yallapragada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639338585 PECOS PAC ID: 9739343740 Enrollment ID: I20200603002957 |
| Provider Name | Benjamin P Persons |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093109142 PECOS PAC ID: 7719238161 Enrollment ID: I20200817002472 |
| Provider Name | Esam Salem Omeish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982766614 PECOS PAC ID: 4880675669 Enrollment ID: I20200821002266 |
| Provider Name | Heather L Codding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467062562 PECOS PAC ID: 1153740808 Enrollment ID: I20200929002121 |
| Provider Name | Shahryar Anwar Ansari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932689528 PECOS PAC ID: 0244659613 Enrollment ID: I20201005000760 |
| Provider Name | Mohamed A Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831320571 PECOS PAC ID: 5092021832 Enrollment ID: I20201113000771 |
| Provider Name | Maxine Jean-louis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134593965 PECOS PAC ID: 6305258567 Enrollment ID: I20201211000046 |
| Provider Name | Matar G. Matar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700231552 PECOS PAC ID: 3476821505 Enrollment ID: I20210301002019 |
| Provider Name | John Jeffrey Cortina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194834275 PECOS PAC ID: 0042280539 Enrollment ID: I20210401001794 |
| Provider Name | Jordan A Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922520881 PECOS PAC ID: 9032480033 Enrollment ID: I20210419002199 |
| Provider Name | Shiry Raouf Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891217758 PECOS PAC ID: 3870864879 Enrollment ID: I20210423002016 |
| Provider Name | Justin Ross Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235339870 PECOS PAC ID: 5890955041 Enrollment ID: I20210526000318 |
| Provider Name | Betty L Strawhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922692136 PECOS PAC ID: 6507265956 Enrollment ID: I20210604001472 |
| Provider Name | Warren Taylor Wolfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952989014 PECOS PAC ID: 8224438494 Enrollment ID: I20210609001034 |
| Provider Name | Laura R. Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013513068 PECOS PAC ID: 4284034455 Enrollment ID: I20210609001215 |
| Provider Name | Jessica A. Stevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780814541 PECOS PAC ID: 9537316187 Enrollment ID: I20210621000161 |
| Provider Name | John Daniel Morrissey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740293984 PECOS PAC ID: 5597934422 Enrollment ID: I20210623000991 |
| Provider Name | Thomas I. Krisztinicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073673695 PECOS PAC ID: 0547158909 Enrollment ID: I20210702002739 |
| Provider Name | Admir Syla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871014324 PECOS PAC ID: 4688900426 Enrollment ID: I20210723001648 |
| Provider Name | Banafsheh Motazedi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457702573 PECOS PAC ID: 8325441223 Enrollment ID: I20210729003399 |
| Provider Name | Lidiya Gutnikova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578055075 PECOS PAC ID: 6002140340 Enrollment ID: I20210802001008 |
| Provider Name | Mark D. Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821484163 PECOS PAC ID: 0941551634 Enrollment ID: I20210811000741 |
| Provider Name | Benjamin Ruth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972999647 PECOS PAC ID: 1951618552 Enrollment ID: I20210813000644 |
| Provider Name | Trent Mazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588158109 PECOS PAC ID: 3375891633 Enrollment ID: I20210817001433 |
| Provider Name | Michael H Blume |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285602813 PECOS PAC ID: 6406861087 Enrollment ID: I20210908000613 |
| Provider Name | Carla Andrea Gibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639663693 PECOS PAC ID: 8628475704 Enrollment ID: I20210916003381 |
| Provider Name | Stacy Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275894529 PECOS PAC ID: 5799089942 Enrollment ID: I20210922000524 |
| Provider Name | Daniela Mae-lynn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326616772 PECOS PAC ID: 4183021793 Enrollment ID: I20210924000852 |
| Provider Name | Erwin Secretov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346634573 PECOS PAC ID: 4486964418 Enrollment ID: I20211124001503 |
| Provider Name | Tueme Irene Balk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881356376 PECOS PAC ID: 4587055926 Enrollment ID: I20211220001508 |
| Provider Name | Riad Almudallal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245220763 PECOS PAC ID: 7517862170 Enrollment ID: I20220105000042 |
| Provider Name | Jessica Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568084556 PECOS PAC ID: 1355733395 Enrollment ID: I20220124002868 |
| Provider Name | Nathalie J Narcisse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255309001 PECOS PAC ID: 0749258788 Enrollment ID: I20220126000031 |
| Provider Name | Eva Noelle Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205595493 PECOS PAC ID: 0749674067 Enrollment ID: I20220303000523 |
| Provider Name | David Okolica |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518148774 PECOS PAC ID: 8022189133 Enrollment ID: I20220308001736 |
| Provider Name | Mukul Bhatnagar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790750453 PECOS PAC ID: 5991774085 Enrollment ID: I20220311000261 |
| Provider Name | Leah Alberta Damiani Strain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841621869 PECOS PAC ID: 7618288523 Enrollment ID: I20220322002419 |
| Provider Name | Rakesh R Singasani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134534324 PECOS PAC ID: 3476811019 Enrollment ID: I20220503002432 |
| Provider Name | Philip Schulte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962156455 PECOS PAC ID: 4284012790 Enrollment ID: I20220610002264 |
| Provider Name | Geethapriya Rajasekaran Rathnakumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255738258 PECOS PAC ID: 0749541753 Enrollment ID: I20220614000349 |
| Provider Name | Mark Donald Mackay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427618735 PECOS PAC ID: 6002295565 Enrollment ID: I20220614001953 |
| Provider Name | Aboubakr Khairat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720246358 PECOS PAC ID: 3678707700 Enrollment ID: I20220616000455 |
| Provider Name | Bryant V Mciver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720252661 PECOS PAC ID: 5991089195 Enrollment ID: I20220622000268 |
| Provider Name | Mekaela Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114588191 PECOS PAC ID: 6002248499 Enrollment ID: I20220809001794 |
| Provider Name | Bryce Coolidge Simes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710448642 PECOS PAC ID: 3173850971 Enrollment ID: I20220818003542 |
| Provider Name | Giorgio Lino Guiulfo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699154559 PECOS PAC ID: 8426321670 Enrollment ID: I20220829001702 |
| Provider Name | Ahmad Abdul Ali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700307808 PECOS PAC ID: 2769741875 Enrollment ID: I20220831000359 |
| Provider Name | Kristin Hom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497100127 PECOS PAC ID: 0244524312 Enrollment ID: I20220906002002 |
| Provider Name | Quoc-thieu Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568844017 PECOS PAC ID: 6204148935 Enrollment ID: I20221007000672 |
| Provider Name | Sylvester Luu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730542853 PECOS PAC ID: 1951652585 Enrollment ID: I20221012003827 |
| Provider Name | Love Vimal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255782603 PECOS PAC ID: 9133414980 Enrollment ID: I20221020003181 |
| Provider Name | Muhammad Farooq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922591072 PECOS PAC ID: 8527315688 Enrollment ID: I20221024001549 |
| Provider Name | Francis Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861482515 PECOS PAC ID: 7517867104 Enrollment ID: I20221108002513 |
| Provider Name | Jianqing Lin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285787267 PECOS PAC ID: 3971658733 Enrollment ID: I20221111001302 |
| Provider Name | Brian Adams |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811954860 PECOS PAC ID: 6800809054 Enrollment ID: I20221118000714 |
| Provider Name | Lila Glotfelty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790102002 PECOS PAC ID: 0042511321 Enrollment ID: I20221207002771 |
| Provider Name | Jessica Lynn Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578285763 PECOS PAC ID: 4587033634 Enrollment ID: I20221212001527 |
| Provider Name | Brandon W Kuiper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245587195 PECOS PAC ID: 5395040125 Enrollment ID: I20230228002211 |
| Provider Name | Jenelle Lynn Alderfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326751892 PECOS PAC ID: 3678946902 Enrollment ID: I20230307000934 |
| Provider Name | Yoo Suh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194713131 PECOS PAC ID: 8123056785 Enrollment ID: I20230323002865 |
| Provider Name | Erin Nicole Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396443875 PECOS PAC ID: 3971978602 Enrollment ID: I20230412000663 |
| Provider Name | Erica Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982305637 PECOS PAC ID: 2365807278 Enrollment ID: I20230428000640 |
| Provider Name | Michael Louis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851825145 PECOS PAC ID: 1052773702 Enrollment ID: I20230814000908 |
| Provider Name | Krystal Trump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891353561 PECOS PAC ID: 9335575166 Enrollment ID: I20230816003600 |
| Provider Name | Carolyn R Murrer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700347853 PECOS PAC ID: 6002142767 Enrollment ID: I20230920002351 |
| Provider Name | Tyler Dashiell Huddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073228912 PECOS PAC ID: 0941655823 Enrollment ID: I20231012001993 |
| Provider Name | Andrew Fontaine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417484742 PECOS PAC ID: 1951756741 Enrollment ID: I20231013002895 |
| Provider Name | Avin Mohammad Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962185595 PECOS PAC ID: 4587013586 Enrollment ID: I20231215003391 |
| Provider Name | Mohamed Hashem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588026926 PECOS PAC ID: 5799078481 Enrollment ID: I20231228003954 |
| Provider Name | Brian Chase Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275150625 PECOS PAC ID: 5799136008 Enrollment ID: I20240111001764 |
| Provider Name | Jennifer M Adkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144606815 PECOS PAC ID: 1557704830 Enrollment ID: I20240205001239 |
| Provider Name | Cathy Ann Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023528023 PECOS PAC ID: 7315381944 Enrollment ID: I20240222000090 |
| Provider Name | Vivek R Krishna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295920320 PECOS PAC ID: 7719148238 Enrollment ID: I20240306003665 |
| Provider Name | Anton E Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740263227 PECOS PAC ID: 9032196035 Enrollment ID: I20240307004254 |
Sentara Community Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Health Campus Dr, Rockingham, VA 22801 Phone: 540-564-5880 Fax: 757-470-5392 |