| Seton Family Of Doctors | |
|
1601 Trinity St Stop 704 Austin TX 78712-1865 | |
| (512) 324-8300 | |
| Not Available |
| Full Name | Seton Family Of Doctors |
|---|---|
| Speciality | Neurological Surgery |
| Location | 1601 Trinity St Stop 704, Austin, Texas |
| Authorized Official Name and Position | Clayton Carsner (VP/COO) |
| Authorized Official Contact | 5123245846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seton Family Of Doctors Po Box 13689 Belfast ME 04915-4027 Ph: (512) 324-8960 | Seton Family Of Doctors 1601 Trinity St Stop 704 Austin TX 78712-1865 Ph: (512) 324-8300 |
| NPI Number | 1588997233 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 06/25/2026 |
| Medicare PECOS PAC ID | 0941333280 |
|---|---|
| Medicare Enrollment ID | O20100806000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588997233 | NPI | - | NPPES |
| Provider Name | Edward J Peters |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255342184 PECOS PAC ID: 9537072335 Enrollment ID: I20031107000461 |
| Provider Name | John A Bertelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215959697 PECOS PAC ID: 5799698460 Enrollment ID: I20031110000014 |
| Provider Name | Ellen B Jatinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003821166 PECOS PAC ID: 0840103230 Enrollment ID: I20031111000595 |
| Provider Name | Yu Mei Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215949607 PECOS PAC ID: 1850296617 Enrollment ID: I20031204000610 |
| Provider Name | Jeff E Hagen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710965488 PECOS PAC ID: 9931092327 Enrollment ID: I20040209000745 |
| Provider Name | Robert J Just |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235171471 PECOS PAC ID: 6709772429 Enrollment ID: I20040227000365 |
| Provider Name | John P Sabra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093738791 PECOS PAC ID: 3971490392 Enrollment ID: I20040301001240 |
| Provider Name | John M Uecker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508889205 PECOS PAC ID: 6507753928 Enrollment ID: I20040301001246 |
| Provider Name | Lynne M Knowles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568561397 PECOS PAC ID: 2062300650 Enrollment ID: I20040305000751 |
| Provider Name | Mary W Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912988494 PECOS PAC ID: 6103716121 Enrollment ID: I20040316000116 |
| Provider Name | Dennis Raymond Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194778829 PECOS PAC ID: 7719877281 Enrollment ID: I20040318000147 |
| Provider Name | Brent Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588680672 PECOS PAC ID: 8022909738 Enrollment ID: I20040323000592 |
| Provider Name | Bharathi P Kondur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073567509 PECOS PAC ID: 4385535863 Enrollment ID: I20040326000921 |
| Provider Name | Said Soubra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548219751 PECOS PAC ID: 1850386020 Enrollment ID: I20040416001321 |
| Provider Name | John W Hays |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083666549 PECOS PAC ID: 0941296479 Enrollment ID: I20040421001104 |
| Provider Name | Robert P Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003801119 PECOS PAC ID: 6608862511 Enrollment ID: I20040423001265 |
| Provider Name | Titus K Venyah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639130966 PECOS PAC ID: 6608864798 Enrollment ID: I20040505001682 |
| Provider Name | Sherine E Salib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245304799 PECOS PAC ID: 7113916438 Enrollment ID: I20040511000580 |
| Provider Name | Wendy S Lankford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275548331 PECOS PAC ID: 9234110198 Enrollment ID: I20040526001097 |
| Provider Name | Robert John Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750307757 PECOS PAC ID: 5496736100 Enrollment ID: I20040527001332 |
| Provider Name | Todd E Crump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740275437 PECOS PAC ID: 6709860299 Enrollment ID: I20040614000896 |
| Provider Name | James M Callas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316933401 PECOS PAC ID: 4284618257 Enrollment ID: I20040616001116 |
| Provider Name | Abhilasha Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225032931 PECOS PAC ID: 3870578016 Enrollment ID: I20040622000219 |
| Provider Name | Irfan H Hydari |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659394500 PECOS PAC ID: 0941288492 Enrollment ID: I20040710000371 |
| Provider Name | Sara Austin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770695397 PECOS PAC ID: 6507845765 Enrollment ID: I20040720000614 |
| Provider Name | Sanjay K Sharma |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083703656 PECOS PAC ID: 0547240087 Enrollment ID: I20040723000861 |
| Provider Name | Joy Celeste Sheppard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982692984 PECOS PAC ID: 2668442989 Enrollment ID: I20040726001284 |
| Provider Name | Abdul Thannoun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962438713 PECOS PAC ID: 5890765416 Enrollment ID: I20040729001078 |
| Provider Name | Amir Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205824810 PECOS PAC ID: 0244210151 Enrollment ID: I20040730000829 |
| Provider Name | Yen Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770579203 PECOS PAC ID: 6800867920 Enrollment ID: I20040803000909 |
| Provider Name | Donna S Villacis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689736613 PECOS PAC ID: 5890766695 Enrollment ID: I20040804001385 |
| Provider Name | Pavan Saridena |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922003680 PECOS PAC ID: 0143291757 Enrollment ID: I20040805000312 |
| Provider Name | Mukhtar Anees |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073714200 PECOS PAC ID: 2860463460 Enrollment ID: I20040805000934 |
| Provider Name | Craig Keathley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194799171 PECOS PAC ID: 6103895230 Enrollment ID: I20040927000449 |
| Provider Name | Aaron C Maxwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437224912 PECOS PAC ID: 2769441948 Enrollment ID: I20041004000999 |
| Provider Name | Rosalie Pierce Hudson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063483873 PECOS PAC ID: 0446212088 Enrollment ID: I20041027000440 |
| Provider Name | Marco E Bosquez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1689787509 PECOS PAC ID: 4587628433 Enrollment ID: I20041119000104 |
| Provider Name | Jaqueline A Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538111430 PECOS PAC ID: 6901898352 Enrollment ID: I20041210000344 |
| Provider Name | Robert D Graham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215935820 PECOS PAC ID: 0143278309 Enrollment ID: I20050107000321 |
| Provider Name | Kimberly Carter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538193495 PECOS PAC ID: 2668421967 Enrollment ID: I20050113000495 |
| Provider Name | Luci K Leykum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568579530 PECOS PAC ID: 9335198142 Enrollment ID: I20050119000702 |
| Provider Name | Swati Avashia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740291319 PECOS PAC ID: 5991754608 Enrollment ID: I20050120000410 |
| Provider Name | Christopher A Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871570895 PECOS PAC ID: 4082665377 Enrollment ID: I20050203000549 |
| Provider Name | Lori M Naglieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528073699 PECOS PAC ID: 7810948619 Enrollment ID: I20050209000726 |
| Provider Name | Carol R Andrus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700915501 PECOS PAC ID: 9436101656 Enrollment ID: I20050216000512 |
| Provider Name | Pratima V Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972558658 PECOS PAC ID: 5890750939 Enrollment ID: I20050225000615 |
| Provider Name | George P Rodgers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487646667 PECOS PAC ID: 4385548908 Enrollment ID: I20050302000661 |
| Provider Name | Sanober Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275549529 PECOS PAC ID: 8729031620 Enrollment ID: I20050302000702 |
| Provider Name | Seth Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821067729 PECOS PAC ID: 2668426701 Enrollment ID: I20050310000873 |
| Provider Name | Kimberly Rutter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821150822 PECOS PAC ID: 9830143999 Enrollment ID: I20050310000965 |
| Provider Name | Howard N Klaskin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710948336 PECOS PAC ID: 2062467806 Enrollment ID: I20050315000722 |
| Provider Name | Dan Vaisman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558339663 PECOS PAC ID: 4486609138 Enrollment ID: I20050316000324 |
| Provider Name | Frances Marie Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013129980 PECOS PAC ID: 5193772275 Enrollment ID: I20050331000811 |
| Provider Name | Renu Mohandas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205949112 PECOS PAC ID: 3971540972 Enrollment ID: I20050412000274 |
| Provider Name | Arjun Mohandas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123573 PECOS PAC ID: 6103863121 Enrollment ID: I20050412000437 |
| Provider Name | Jeffrey G. Deloach |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295849966 PECOS PAC ID: 0446297063 Enrollment ID: I20050414000432 |
| Provider Name | Trent Lee Mcginty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114935988 PECOS PAC ID: 8820036304 Enrollment ID: I20050425000778 |
| Provider Name | Leslie A Barkis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669468039 PECOS PAC ID: 1254370620 Enrollment ID: I20050426001073 |
| Provider Name | Chere D Atkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164433322 PECOS PAC ID: 2163462615 Enrollment ID: I20050504000916 |
| Provider Name | Gregg Alan Vagner |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1295705986 PECOS PAC ID: 0143287482 Enrollment ID: I20050606000881 |
| Provider Name | Michael Guy Teneriello |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1801834809 PECOS PAC ID: 3577508688 Enrollment ID: I20050620000979 |
| Provider Name | Vu D Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093755357 PECOS PAC ID: 0941245914 Enrollment ID: I20050621001093 |
| Provider Name | Patrick K Kelley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659306348 PECOS PAC ID: 3971593914 Enrollment ID: I20050622000908 |
| Provider Name | Donell B Oliver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285679787 PECOS PAC ID: 6204871775 Enrollment ID: I20050624000395 |
| Provider Name | Daniel Y Levesque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033125307 PECOS PAC ID: 4082659552 Enrollment ID: I20050624000433 |
| Provider Name | Zachary Chipman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083776041 PECOS PAC ID: 2264478841 Enrollment ID: I20050705000969 |
| Provider Name | Lisa M Sunden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922160936 PECOS PAC ID: 7517903198 Enrollment ID: I20050705000985 |
| Provider Name | Michael Nix |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891857884 PECOS PAC ID: 0345286837 Enrollment ID: I20050706000953 |
| Provider Name | John G Harkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629130513 PECOS PAC ID: 2668418161 Enrollment ID: I20050706001003 |
| Provider Name | Jigish N Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548241961 PECOS PAC ID: 9133155039 Enrollment ID: I20050712000976 |
| Provider Name | Jason L Gooch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285609735 PECOS PAC ID: 4789611476 Enrollment ID: I20050725000715 |
| Provider Name | Asma Nuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720180870 PECOS PAC ID: 8224066626 Enrollment ID: I20050727000878 |
| Provider Name | Michael K Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376617811 PECOS PAC ID: 9537191929 Enrollment ID: I20050907000296 |
| Provider Name | Jadranko Corak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801960364 PECOS PAC ID: 8426080813 Enrollment ID: I20050907000308 |
| Provider Name | Lysbeth W Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285708305 PECOS PAC ID: 0042242448 Enrollment ID: I20050907000328 |
| Provider Name | Elizabeth Douglass |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073675401 PECOS PAC ID: 7012949415 Enrollment ID: I20050907000352 |
| Provider Name | Eric A K Mayer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821067596 PECOS PAC ID: 5597797852 Enrollment ID: I20050907000920 |
| Provider Name | Chad P Dieterichs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528049236 PECOS PAC ID: 9234161225 Enrollment ID: I20050910000249 |
| Provider Name | John T Schlitt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497736987 PECOS PAC ID: 2860424850 Enrollment ID: I20050910000264 |
| Provider Name | Donovan David Runyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699752774 PECOS PAC ID: 7012940992 Enrollment ID: I20050912000928 |
| Provider Name | Olena L Nakonechna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629254883 PECOS PAC ID: 7719910363 Enrollment ID: I20050921000425 |
| Provider Name | Lee E Moroz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609824457 PECOS PAC ID: 2769416007 Enrollment ID: I20050926000528 |
| Provider Name | Deepa Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447309919 PECOS PAC ID: 4688607047 Enrollment ID: I20051004000881 |
| Provider Name | Esther Yaniv |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245240712 PECOS PAC ID: 6002878691 Enrollment ID: I20051005000739 |
| Provider Name | Gwendolyn B Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700812716 PECOS PAC ID: 0143245514 Enrollment ID: I20051014000098 |
| Provider Name | Viveka D'souza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023106952 PECOS PAC ID: 2769408483 Enrollment ID: I20051021000036 |
| Provider Name | Daniel A Carrasco |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558345793 PECOS PAC ID: 3375560832 Enrollment ID: I20051025000338 |
| Provider Name | Nasim Hedayati |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396804878 PECOS PAC ID: 8426077868 Enrollment ID: I20051115000933 |
| Provider Name | Isaac Lavie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487716478 PECOS PAC ID: 1153340500 Enrollment ID: I20051115001046 |
| Provider Name | Whitney Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093877078 PECOS PAC ID: 6608895537 Enrollment ID: I20051121000171 |
| Provider Name | Mustasim Rumi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043323926 PECOS PAC ID: 3173594124 Enrollment ID: I20051128000407 |
| Provider Name | William D Stavinoha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639186224 PECOS PAC ID: 0547281271 Enrollment ID: I20051209000376 |
| Provider Name | Karen Kish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124015953 PECOS PAC ID: 7214904697 Enrollment ID: I20051216000332 |
| Provider Name | Branislav Jokic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912977000 PECOS PAC ID: 9931121969 Enrollment ID: I20051219000772 |
| Provider Name | Fransisco Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972569895 PECOS PAC ID: 5092705202 Enrollment ID: I20060120000777 |
| Provider Name | Michael Breen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225190259 PECOS PAC ID: 4385691864 Enrollment ID: I20060130000273 |
| Provider Name | Dayna G Diven |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740214675 PECOS PAC ID: 5395725956 Enrollment ID: I20060405000306 |
| Provider Name | Pavani Muddasani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992781330 PECOS PAC ID: 0244242303 Enrollment ID: I20060608000276 |
| Provider Name | Tahir S Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679517015 PECOS PAC ID: 7810909520 Enrollment ID: I20060621000204 |
| Provider Name | Matthew Blake Stahlman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548230212 PECOS PAC ID: 3072525401 Enrollment ID: I20060628000300 |
| Provider Name | Anna M Lozano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396706636 PECOS PAC ID: 5092728238 Enrollment ID: I20060711000173 |
| Provider Name | Eric J Frischhertz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982658589 PECOS PAC ID: 2365418563 Enrollment ID: I20060711000288 |
| Provider Name | Balakumar Pandian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467406967 PECOS PAC ID: 0547263766 Enrollment ID: I20060808000516 |
| Provider Name | Osvaldo Gigliotti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639123789 PECOS PAC ID: 1658354568 Enrollment ID: I20060817000567 |
| Provider Name | Tuan D Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952341034 PECOS PAC ID: 0446254528 Enrollment ID: I20060901000064 |
| Provider Name | Chamalee Weeratunge |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245274026 PECOS PAC ID: 1850395856 Enrollment ID: I20060906000144 |
| Provider Name | Jessica Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568487791 PECOS PAC ID: 1153325055 Enrollment ID: I20060907000459 |
| Provider Name | Alejandro Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609891126 PECOS PAC ID: 9436153996 Enrollment ID: I20060914000421 |
| Provider Name | Deborah Elaine Briggs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497748370 PECOS PAC ID: 5597794578 Enrollment ID: I20060914000448 |
| Provider Name | Jason S Reichenberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396715280 PECOS PAC ID: 6709807738 Enrollment ID: I20061006000548 |
| Provider Name | Sarah E Smiley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386672129 PECOS PAC ID: 2062418312 Enrollment ID: I20061010000777 |
| Provider Name | Ryan M Tibbetts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013953900 PECOS PAC ID: 0042216293 Enrollment ID: I20061011000065 |
| Provider Name | Stephanie S Michel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285675264 PECOS PAC ID: 6507861804 Enrollment ID: I20061019000057 |
| Provider Name | Kenneth J Moise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154339547 PECOS PAC ID: 2163429762 Enrollment ID: I20061024000321 |
| Provider Name | Wendell Drew Fielder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972500866 PECOS PAC ID: 3870592264 Enrollment ID: I20061213000035 |
| Provider Name | Ian S Alward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790764058 PECOS PAC ID: 2567350473 Enrollment ID: I20070109000518 |
| Provider Name | Dana Sprute |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295754406 PECOS PAC ID: 0941202212 Enrollment ID: I20070215000592 |
| Provider Name | Shawna A Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861579492 PECOS PAC ID: 8426150301 Enrollment ID: I20070223000161 |
| Provider Name | David Philip Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487677282 PECOS PAC ID: 7719089523 Enrollment ID: I20070226000484 |
| Provider Name | Terrell Benold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245252576 PECOS PAC ID: 7911000377 Enrollment ID: I20070306000231 |
| Provider Name | Raju Z Kurunthottical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184602393 PECOS PAC ID: 3870698152 Enrollment ID: I20070416000054 |
| Provider Name | Michelle C Gooch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861408130 PECOS PAC ID: 6709981756 Enrollment ID: I20070419000254 |
| Provider Name | Lamia Kadir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942366638 PECOS PAC ID: 7517905664 Enrollment ID: I20070426000600 |
| Provider Name | Brian E Monks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013966290 PECOS PAC ID: 1951408798 Enrollment ID: I20070514000172 |
| Provider Name | Carlos Vr Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235251075 PECOS PAC ID: 6406953967 Enrollment ID: I20070517000124 |
| Provider Name | David M Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033217591 PECOS PAC ID: 1658277785 Enrollment ID: I20070524000184 |
| Provider Name | Brady E Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871661124 PECOS PAC ID: 4284732736 Enrollment ID: I20070606000403 |
| Provider Name | Jay Borick |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477604916 PECOS PAC ID: 5193823383 Enrollment ID: I20070612000532 |
| Provider Name | Marcy L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629093067 PECOS PAC ID: 8426079740 Enrollment ID: I20070627000296 |
| Provider Name | Oscar Rios |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346377066 PECOS PAC ID: 2466553714 Enrollment ID: I20070731000202 |
| Provider Name | Chandrini Jayasundera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316143407 PECOS PAC ID: 5799876074 Enrollment ID: I20070801000601 |
| Provider Name | Kamran A Shaikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457562274 PECOS PAC ID: 7315038734 Enrollment ID: I20070814000302 |
| Provider Name | Stephanie A Shaw |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760687354 PECOS PAC ID: 7517059926 Enrollment ID: I20070815000250 |
| Provider Name | Adam B Weinfeld |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346363280 PECOS PAC ID: 1254424906 Enrollment ID: I20070911000580 |
| Provider Name | David M Zientek |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629053061 PECOS PAC ID: 7517051865 Enrollment ID: I20070918000530 |
| Provider Name | Amanda B White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164642237 PECOS PAC ID: 9133213374 Enrollment ID: I20070919000696 |
| Provider Name | Suma S Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174558605 PECOS PAC ID: 7517051600 Enrollment ID: I20070920000173 |
| Provider Name | Charitha Rao Tokur-sridhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801016761 PECOS PAC ID: 1456446236 Enrollment ID: I20071009000598 |
| Provider Name | Lawrence F Buxton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871586305 PECOS PAC ID: 0749377349 Enrollment ID: I20071029000747 |
| Provider Name | Pamela A Cowper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437165719 PECOS PAC ID: 4880783992 Enrollment ID: I20071127000601 |
| Provider Name | Larry C. Kravitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912913260 PECOS PAC ID: 7214026335 Enrollment ID: I20071127000717 |
| Provider Name | John M. Morrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609882950 PECOS PAC ID: 2769571777 Enrollment ID: I20071128000678 |
| Provider Name | Chad F Babcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356482178 PECOS PAC ID: 8426147471 Enrollment ID: I20071129000158 |
| Provider Name | Randall W Kirtley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457374621 PECOS PAC ID: 8325138241 Enrollment ID: I20071217000041 |
| Provider Name | Ivan R Nepustil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407879463 PECOS PAC ID: 4981784055 Enrollment ID: I20071231000546 |
| Provider Name | Michael Rie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902009301 PECOS PAC ID: 7911087762 Enrollment ID: I20080107000043 |
| Provider Name | Jeffrey K Hubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821139221 PECOS PAC ID: 8426139601 Enrollment ID: I20080114000368 |
| Provider Name | Chrishanthi Mary Susan Perera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205871845 PECOS PAC ID: 6800978859 Enrollment ID: I20080129000619 |
| Provider Name | Yue Deng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821292483 PECOS PAC ID: 4385726348 Enrollment ID: I20080129000752 |
| Provider Name | Rebecca M Riser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407817067 PECOS PAC ID: 1355424243 Enrollment ID: I20080215000343 |
| Provider Name | Amy Kristin Easterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881897270 PECOS PAC ID: 6002990017 Enrollment ID: I20080229000346 |
| Provider Name | Florence C Spitler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952381071 PECOS PAC ID: 6103885728 Enrollment ID: I20080311000086 |
| Provider Name | Shantanu S Naik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942362520 PECOS PAC ID: 3375583529 Enrollment ID: I20080324000552 |
| Provider Name | Frosty Dr Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073517736 PECOS PAC ID: 9032149604 Enrollment ID: I20080327000141 |
| Provider Name | Anuradha R Rangarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225057516 PECOS PAC ID: 9638067119 Enrollment ID: I20080414000574 |
| Provider Name | Kurt J Berneburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952347908 PECOS PAC ID: 7113006180 Enrollment ID: I20080501000335 |
| Provider Name | Natasya A Ikbal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962610659 PECOS PAC ID: 2769552090 Enrollment ID: I20080529000468 |
| Provider Name | Michael F Lenis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295730828 PECOS PAC ID: 8729007646 Enrollment ID: I20080607000008 |
| Provider Name | Om N Pandey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316927353 PECOS PAC ID: 5698785616 Enrollment ID: I20080610000639 |
| Provider Name | Charlotte Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235327792 PECOS PAC ID: 1153492608 Enrollment ID: I20080611000558 |
| Provider Name | Harsh Babbar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114105418 PECOS PAC ID: 5799856621 Enrollment ID: I20080619000372 |
| Provider Name | Philip C Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306852678 PECOS PAC ID: 7810068699 Enrollment ID: I20080623000227 |
| Provider Name | Steven Michael Stoltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699955039 PECOS PAC ID: 7214000801 Enrollment ID: I20080715000475 |
| Provider Name | Marc P Simpao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427244946 PECOS PAC ID: 0446323562 Enrollment ID: I20080723000571 |
| Provider Name | Jennifer Goss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710180906 PECOS PAC ID: 0143394023 Enrollment ID: I20080811000749 |
| Provider Name | Jeffrey Karl Eaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366646929 PECOS PAC ID: 7012083504 Enrollment ID: I20080908000088 |
| Provider Name | Michael Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811959885 PECOS PAC ID: 5294801452 Enrollment ID: I20080911000686 |
| Provider Name | Lotika R Misra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487850046 PECOS PAC ID: 3971678186 Enrollment ID: I20081002000245 |
| Provider Name | Amy Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518047869 PECOS PAC ID: 1759376080 Enrollment ID: I20081003000679 |
| Provider Name | Christopher J Garrison |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427066117 PECOS PAC ID: 6002984952 Enrollment ID: I20081006000600 |
| Provider Name | Jonathan Macclements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760472625 PECOS PAC ID: 8921167263 Enrollment ID: I20081031000477 |
| Provider Name | Mohamad A Zeineddin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912982885 PECOS PAC ID: 1153480215 Enrollment ID: I20081104000242 |
| Provider Name | Francis P Buckley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104816008 PECOS PAC ID: 5890854939 Enrollment ID: I20081105000155 |
| Provider Name | Matthew T Rogers |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417932674 PECOS PAC ID: 5395803993 Enrollment ID: I20081118000055 |
| Provider Name | Alison J Brooks-heinzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043412471 PECOS PAC ID: 3971663238 Enrollment ID: I20081118000417 |
| Provider Name | Latha Tatineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487844957 PECOS PAC ID: 4486714235 Enrollment ID: I20081124000400 |
| Provider Name | Mrinalini N Kulkarni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568434694 PECOS PAC ID: 6204998909 Enrollment ID: I20081215000056 |
| Provider Name | Stephanie A Sypniewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700812112 PECOS PAC ID: 4688736390 Enrollment ID: I20081215000148 |
| Provider Name | Kristin E Mondy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265459762 PECOS PAC ID: 9436181575 Enrollment ID: I20081230000347 |
| Provider Name | Robert L Duhaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922151588 PECOS PAC ID: 0840352738 Enrollment ID: I20081231000448 |
| Provider Name | Pradeep Modur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346248515 PECOS PAC ID: 4082777990 Enrollment ID: I20090120000111 |
| Provider Name | Paul J Roach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760467468 PECOS PAC ID: 8729073879 Enrollment ID: I20090210000742 |
| Provider Name | Susan E Dozier |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1023033883 PECOS PAC ID: 7911063391 Enrollment ID: I20090310000424 |
| Provider Name | Lisa A D Andrade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356432942 PECOS PAC ID: 5597668913 Enrollment ID: I20090313000498 |
| Provider Name | Kelly Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730337874 PECOS PAC ID: 9436216025 Enrollment ID: I20090326000187 |
| Provider Name | Stephen Dean Rose |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1639160476 PECOS PAC ID: 3577660604 Enrollment ID: I20090330000491 |
| Provider Name | Ronald Paul Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760498364 PECOS PAC ID: 5395892327 Enrollment ID: I20090409000110 |
| Provider Name | Mark Robert Lee |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861413536 PECOS PAC ID: 4587626726 Enrollment ID: I20090420000099 |
| Provider Name | Jason Bosco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285610865 PECOS PAC ID: 0840349221 Enrollment ID: I20090513000511 |
| Provider Name | Glenda Velji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902059454 PECOS PAC ID: 3971652215 Enrollment ID: I20090518000078 |
| Provider Name | Sarah E Hibbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598905549 PECOS PAC ID: 7214087568 Enrollment ID: I20090609000250 |
| Provider Name | Lee Roy Rice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164459004 PECOS PAC ID: 6204886351 Enrollment ID: I20090610000523 |
| Provider Name | Christina Sheely |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154379899 PECOS PAC ID: 5799757480 Enrollment ID: I20090615000382 |
| Provider Name | Steven Henry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770679607 PECOS PAC ID: 4486704194 Enrollment ID: I20090617000658 |
| Provider Name | Enas L. Pruitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073682472 PECOS PAC ID: 9638220122 Enrollment ID: I20090623000454 |
| Provider Name | Marian Y Williams-brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861696460 PECOS PAC ID: 9537212642 Enrollment ID: I20090806000127 |
| Provider Name | Sachin Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295970820 PECOS PAC ID: 4789737891 Enrollment ID: I20090806000156 |
| Provider Name | Raymond Harshbarger |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124145255 PECOS PAC ID: 6204989312 Enrollment ID: I20090806000195 |
| Provider Name | John K Stokes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245390095 PECOS PAC ID: 7911097597 Enrollment ID: I20090806000659 |
| Provider Name | Frank C Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801017272 PECOS PAC ID: 6800949819 Enrollment ID: I20090807000385 |
| Provider Name | John P Zubro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437228624 PECOS PAC ID: 3173587821 Enrollment ID: I20090807000582 |
| Provider Name | Paul Victor Loar |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1063488617 PECOS PAC ID: 4789615444 Enrollment ID: I20090814000383 |
| Provider Name | Mary B Cishek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821073305 PECOS PAC ID: 6305831447 Enrollment ID: I20090817000663 |
| Provider Name | Jordan Laroe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760532469 PECOS PAC ID: 3678643699 Enrollment ID: I20090820000577 |
| Provider Name | Deborah K Neitsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881658482 PECOS PAC ID: 1355496472 Enrollment ID: I20090825000750 |
| Provider Name | Rita Tsai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609085042 PECOS PAC ID: 2860547510 Enrollment ID: I20090901000304 |
| Provider Name | Carlos A Meza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437218807 PECOS PAC ID: 9931254687 Enrollment ID: I20090901000320 |
| Provider Name | Deepak Agrawal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417174707 PECOS PAC ID: 7618023177 Enrollment ID: I20090924000388 |
| Provider Name | Leigh A Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780869685 PECOS PAC ID: 2769538180 Enrollment ID: I20090925000290 |
| Provider Name | Jimmy Viet Ninh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104088939 PECOS PAC ID: 6608913835 Enrollment ID: I20091021000239 |
| Provider Name | Tobin Lim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538346267 PECOS PAC ID: 8628115516 Enrollment ID: I20091026000582 |
| Provider Name | Vicki Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679806285 PECOS PAC ID: 0143367037 Enrollment ID: I20091026000615 |
| Provider Name | Alexandra E Ely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154331460 PECOS PAC ID: 3779590203 Enrollment ID: I20091026000631 |
| Provider Name | Juan Ortega Barnett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295939379 PECOS PAC ID: 8224123088 Enrollment ID: I20091028000418 |
| Provider Name | Nancy Matteer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568615136 PECOS PAC ID: 8628116100 Enrollment ID: I20091104000354 |
| Provider Name | Matthew Geck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073561833 PECOS PAC ID: 4486681228 Enrollment ID: I20091113000217 |
| Provider Name | Claire Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902056641 PECOS PAC ID: 5092854331 Enrollment ID: I20091130000500 |
| Provider Name | Kathleen J Felder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043488729 PECOS PAC ID: 8123167475 Enrollment ID: I20091130000571 |
| Provider Name | Ryan Bergeson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154460152 PECOS PAC ID: 8123196284 Enrollment ID: I20091204000445 |
| Provider Name | Charles J Hubbard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609845809 PECOS PAC ID: 2961509542 Enrollment ID: I20091207000147 |
| Provider Name | John Pearce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710979547 PECOS PAC ID: 3274673702 Enrollment ID: I20091215000085 |
| Provider Name | Stephen Pearce |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922000504 PECOS PAC ID: 6709986342 Enrollment ID: I20091215000684 |
| Provider Name | Jacqueline M Kerr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215948120 PECOS PAC ID: 2668512518 Enrollment ID: I20091228000247 |
| Provider Name | Aubrey Chad Hartmann |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194713933 PECOS PAC ID: 7911957261 Enrollment ID: I20091230000121 |
| Provider Name | Michael Valastro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619081312 PECOS PAC ID: 0840377016 Enrollment ID: I20091230000513 |
| Provider Name | Isaac J Lippe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366403545 PECOS PAC ID: 5092856849 Enrollment ID: I20091231000058 |
| Provider Name | Jose Oviedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700876448 PECOS PAC ID: 0840331591 Enrollment ID: I20100104000398 |
| Provider Name | Jodi Anne Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831263490 PECOS PAC ID: 6103848346 Enrollment ID: I20100106000703 |
| Provider Name | Jordan S Weingarten |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639194939 PECOS PAC ID: 9537170154 Enrollment ID: I20100125000610 |
| Provider Name | Michael Putney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760596597 PECOS PAC ID: 0941387112 Enrollment ID: I20100129000061 |
| Provider Name | Michael Shapiro |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306861604 PECOS PAC ID: 7719998335 Enrollment ID: I20100209000663 |
| Provider Name | Gerard Marroquin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932173044 PECOS PAC ID: 6709920838 Enrollment ID: I20100212000492 |
| Provider Name | Elliot M Frohman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689630147 PECOS PAC ID: 9032253059 Enrollment ID: I20100215000395 |
| Provider Name | Elizabeth R Mattson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184610495 PECOS PAC ID: 9335284496 Enrollment ID: I20100301000957 |
| Provider Name | Matthew J Furman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003802109 PECOS PAC ID: 9537204482 Enrollment ID: I20100303001056 |
| Provider Name | Steve Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437263282 PECOS PAC ID: 5991615312 Enrollment ID: I20100304000183 |
| Provider Name | Michael Augustine Gilheany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245462597 PECOS PAC ID: 6709911738 Enrollment ID: I20100316000967 |
| Provider Name | Jill E Heytens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972625994 PECOS PAC ID: 0345376604 Enrollment ID: I20100326000194 |
| Provider Name | Viet N Tran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316050990 PECOS PAC ID: 4284724865 Enrollment ID: I20100327000181 |
| Provider Name | Stephanie J Reich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346234143 PECOS PAC ID: 6204962376 Enrollment ID: I20100327000529 |
| Provider Name | Mark V Queralt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437160934 PECOS PAC ID: 6002906682 Enrollment ID: I20100407000208 |
| Provider Name | David W Morledge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225129703 PECOS PAC ID: 1456257401 Enrollment ID: I20100504000498 |
| Provider Name | Tatiana B Jacobson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003026469 PECOS PAC ID: 7012045289 Enrollment ID: I20100507000751 |
| Provider Name | Tammy Sartor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023083839 PECOS PAC ID: 0446388359 Enrollment ID: I20100514000071 |
| Provider Name | Kent T Ellington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487752986 PECOS PAC ID: 5092611129 Enrollment ID: I20100517000851 |
| Provider Name | Letitia E Phalen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609802750 PECOS PAC ID: 9830227511 Enrollment ID: I20100518000166 |
| Provider Name | Teresa K Lyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811923287 PECOS PAC ID: 9133206303 Enrollment ID: I20100518000188 |
| Provider Name | Richard C Male |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134129596 PECOS PAC ID: 5698834786 Enrollment ID: I20100518000577 |
| Provider Name | Paul Nader |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164407102 PECOS PAC ID: 7214833128 Enrollment ID: I20100527000730 |
| Provider Name | Paul Harford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710902036 PECOS PAC ID: 5092845396 Enrollment ID: I20100614000193 |
| Provider Name | David Savage |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346259199 PECOS PAC ID: 9436069432 Enrollment ID: I20100715000247 |
| Provider Name | Shawn M Laney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740218585 PECOS PAC ID: 1658404611 Enrollment ID: I20100728000833 |
| Provider Name | Maneesh R Amancharla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508026154 PECOS PAC ID: 4688707102 Enrollment ID: I20100804001134 |
| Provider Name | Jason Fuller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164537387 PECOS PAC ID: 9931233541 Enrollment ID: I20100818000861 |
| Provider Name | Matthew K Hummell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134289994 PECOS PAC ID: 2466542048 Enrollment ID: I20100820000986 |
| Provider Name | Elizabeth M Rohlich |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942531348 PECOS PAC ID: 5597889758 Enrollment ID: I20100825000776 |
| Provider Name | Sarah Buttrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922018852 PECOS PAC ID: 3779607858 Enrollment ID: I20100825001187 |
| Provider Name | Christopher J Moreland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841340874 PECOS PAC ID: 5193884815 Enrollment ID: I20100827000451 |
| Provider Name | Johol Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902867187 PECOS PAC ID: 1850466277 Enrollment ID: I20100830001099 |
| Provider Name | Hyon Sik Kang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346202645 PECOS PAC ID: 9638277999 Enrollment ID: I20100902000787 |
| Provider Name | Jefferey P Klein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053392431 PECOS PAC ID: 8820113681 Enrollment ID: I20100916000634 |
| Provider Name | Jon P Filardi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295716652 PECOS PAC ID: 2567587389 Enrollment ID: I20100917000089 |
| Provider Name | Steven Rutman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154302636 PECOS PAC ID: 5698890309 Enrollment ID: I20100918000138 |
| Provider Name | Laura A Meritt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316949605 PECOS PAC ID: 2769508233 Enrollment ID: I20100922000604 |
| Provider Name | Melanie A Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407858707 PECOS PAC ID: 0244287803 Enrollment ID: I20100922001188 |
| Provider Name | Thomas A Hill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457321077 PECOS PAC ID: 2466578802 Enrollment ID: I20100923000304 |
| Provider Name | Christopher Stearns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750572947 PECOS PAC ID: 6305962515 Enrollment ID: I20100924000969 |
| Provider Name | Joel Goode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649247198 PECOS PAC ID: 6901877794 Enrollment ID: I20101006000851 |
| Provider Name | David W Reue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285621011 PECOS PAC ID: 6800960873 Enrollment ID: I20101013000911 |
| Provider Name | Shannon M Abikhaled |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699762427 PECOS PAC ID: 8527120641 Enrollment ID: I20101013001074 |
| Provider Name | Sally M Grogono |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437146263 PECOS PAC ID: 5890857916 Enrollment ID: I20101013001193 |
| Provider Name | Boone Goodgame |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1649487570 PECOS PAC ID: 4981776499 Enrollment ID: I20101019000100 |
| Provider Name | Elizabeth Havey Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326251240 PECOS PAC ID: 8224221593 Enrollment ID: I20101019000744 |
| Provider Name | Senthil K Sivam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023209210 PECOS PAC ID: 0941493670 Enrollment ID: I20101026000587 |
| Provider Name | Leesa E Echols |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134433741 PECOS PAC ID: 1456545870 Enrollment ID: I20101029001055 |
| Provider Name | Narasimharao Vemula |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912966391 PECOS PAC ID: 4385644137 Enrollment ID: I20101101000128 |
| Provider Name | Clayton A Mccuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235321126 PECOS PAC ID: 3274727573 Enrollment ID: I20101101000481 |
| Provider Name | Anna K Dvorak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477712891 PECOS PAC ID: 7810181963 Enrollment ID: I20101102001027 |
| Provider Name | John Dallas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972687127 PECOS PAC ID: 8921292079 Enrollment ID: I20101102001130 |
| Provider Name | William F Kessler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013925585 PECOS PAC ID: 1557394954 Enrollment ID: I20101111000252 |
| Provider Name | Mauricio A Sardan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902005523 PECOS PAC ID: 9931271509 Enrollment ID: I20101115000375 |
| Provider Name | Gustavo G Villarreal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649231036 PECOS PAC ID: 3870548621 Enrollment ID: I20101117001021 |
| Provider Name | Sara J Strother |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154634970 PECOS PAC ID: 7315134756 Enrollment ID: I20101210000115 |
| Provider Name | Vanessa J Yium |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598759300 PECOS PAC ID: 7810185691 Enrollment ID: I20101221000142 |
| Provider Name | Marina Hossein Nejad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881902948 PECOS PAC ID: 8426246851 Enrollment ID: I20101229000122 |
| Provider Name | Paula C Wilson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1205140977 PECOS PAC ID: 4688862048 Enrollment ID: I20101229000543 |
| Provider Name | Jefferson T Miley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922292259 PECOS PAC ID: 6901094226 Enrollment ID: I20101230000174 |
| Provider Name | Jack Wesley Wallis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962484733 PECOS PAC ID: 8628267648 Enrollment ID: I20110106000571 |
| Provider Name | Enrique B Pena |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003922964 PECOS PAC ID: 7315944626 Enrollment ID: I20110110000229 |
| Provider Name | Lorin C. Nash |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1922311810 PECOS PAC ID: 4385824358 Enrollment ID: I20110208000662 |
| Provider Name | Louis Corne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073574356 PECOS PAC ID: 5698776029 Enrollment ID: I20110215000794 |
| Provider Name | James T Robison Iv |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1003890583 PECOS PAC ID: 1557318029 Enrollment ID: I20110223000361 |
| Provider Name | Mark J Pirwitz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063436152 PECOS PAC ID: 7214967736 Enrollment ID: I20110302000865 |
| Provider Name | Anna Vu-wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982621520 PECOS PAC ID: 1658553045 Enrollment ID: I20110307000337 |
| Provider Name | Meha M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518124452 PECOS PAC ID: 1759449077 Enrollment ID: I20110323000715 |
| Provider Name | Brian David Vaillant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922119890 PECOS PAC ID: 8426231689 Enrollment ID: I20110324000863 |
| Provider Name | Eeric Truumees |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356322630 PECOS PAC ID: 9133289267 Enrollment ID: I20110405001058 |
| Provider Name | Elizabeth A Wedberg Sivam |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497056113 PECOS PAC ID: 8921283656 Enrollment ID: I20110425000045 |
| Provider Name | Holly S Cross |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811292212 PECOS PAC ID: 9032395322 Enrollment ID: I20110523000191 |
| Provider Name | Saamir A Hassan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932352572 PECOS PAC ID: 6901084938 Enrollment ID: I20110622000473 |
| Provider Name | Jayson Aydelotte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063493039 PECOS PAC ID: 2466549159 Enrollment ID: I20110627000360 |
| Provider Name | Kristopher M Heinzman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669640892 PECOS PAC ID: 1658549183 Enrollment ID: I20110727000444 |
| Provider Name | Katherine J Kaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992007728 PECOS PAC ID: 8729257399 Enrollment ID: I20110816000750 |
| Provider Name | Jennifer Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598073835 PECOS PAC ID: 5193995223 Enrollment ID: I20110829000697 |
| Provider Name | Ammar M Ahmed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245421429 PECOS PAC ID: 4183894124 Enrollment ID: I20110830000241 |
| Provider Name | Megan K Lemley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922394279 PECOS PAC ID: 7113197906 Enrollment ID: I20110906000253 |
| Provider Name | Kimberly Maureen Brown |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1326019571 PECOS PAC ID: 9638108772 Enrollment ID: I20110926000744 |
| Provider Name | Holli T Sadler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477715415 PECOS PAC ID: 3971774688 Enrollment ID: I20110928000616 |
| Provider Name | Tracy L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922396803 PECOS PAC ID: 4284806506 Enrollment ID: I20111011000247 |
| Provider Name | Robert Uchiyama |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1134200934 PECOS PAC ID: 7012979248 Enrollment ID: I20111012000251 |
| Provider Name | Arsia J Dabiri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831338474 PECOS PAC ID: 7911179833 Enrollment ID: I20111018000603 |
| Provider Name | Raj Keriwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073775524 PECOS PAC ID: 1456524081 Enrollment ID: I20111027000128 |
| Provider Name | Deepa Varshney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720247208 PECOS PAC ID: 9436322062 Enrollment ID: I20111027000155 |
| Provider Name | Jairo Andres Libreros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194980128 PECOS PAC ID: 1052585502 Enrollment ID: I20111117000581 |
| Provider Name | Blanca A Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902008253 PECOS PAC ID: 2466626635 Enrollment ID: I20111128000448 |
| Provider Name | Christine Anita Celio |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1104149640 PECOS PAC ID: 1456526458 Enrollment ID: I20111201000768 |
| Provider Name | Jeeathbell Balbastro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164626768 PECOS PAC ID: 4385719749 Enrollment ID: I20111215000121 |
| Provider Name | Steven A Taylor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912052812 PECOS PAC ID: 6709982911 Enrollment ID: I20111219000413 |
| Provider Name | Jessica L Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659668614 PECOS PAC ID: 8921274309 Enrollment ID: I20120106000172 |
| Provider Name | Marc E Wenzel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265709315 PECOS PAC ID: 5092982975 Enrollment ID: I20120117000585 |
| Provider Name | Christy Capet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346443611 PECOS PAC ID: 7416124391 Enrollment ID: I20120117000622 |
| Provider Name | Clive Polon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962476762 PECOS PAC ID: 4183882194 Enrollment ID: I20120222000608 |
| Provider Name | Srinivason R Parthasarathy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639122963 PECOS PAC ID: 0345408092 Enrollment ID: I20120227000288 |
| Provider Name | Asif S Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376595611 PECOS PAC ID: 3779570890 Enrollment ID: I20120301000858 |
| Provider Name | Tiphany R Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144597402 PECOS PAC ID: 5496916991 Enrollment ID: I20120410000446 |
| Provider Name | Ernest A Haeusslein |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780617571 PECOS PAC ID: 1850551656 Enrollment ID: I20120410000537 |
| Provider Name | Stephen J Bekanich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578587770 PECOS PAC ID: 9638179955 Enrollment ID: I20120410000639 |
| Provider Name | April K Watkins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659689941 PECOS PAC ID: 4688835820 Enrollment ID: I20120413000585 |
| Provider Name | Samantha M Toney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558569152 PECOS PAC ID: 6406018589 Enrollment ID: I20120507000679 |
| Provider Name | Sarah M Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073764494 PECOS PAC ID: 3072778653 Enrollment ID: I20120705000216 |
| Provider Name | Irma A Sigala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376765123 PECOS PAC ID: 6406011741 Enrollment ID: I20120711000462 |
| Provider Name | Deborah K English |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043473697 PECOS PAC ID: 2860657053 Enrollment ID: I20120714000020 |
| Provider Name | Roshanak Zinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659660991 PECOS PAC ID: 8729244777 Enrollment ID: I20120719000566 |
| Provider Name | Joshua Fox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760685366 PECOS PAC ID: 8628234226 Enrollment ID: I20120726000309 |
| Provider Name | Laura L Winslett |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255633053 PECOS PAC ID: 5496911828 Enrollment ID: I20120730000291 |
| Provider Name | Kathryn Ann Anger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023310141 PECOS PAC ID: 0547426991 Enrollment ID: I20120730000458 |
| Provider Name | Tyler S Jorgensen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1396906335 PECOS PAC ID: 4082890553 Enrollment ID: I20120801000486 |
| Provider Name | Patrick Combs |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851405310 PECOS PAC ID: 6709032840 Enrollment ID: I20120806000842 |
| Provider Name | Aneesh George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104051382 PECOS PAC ID: 9436305091 Enrollment ID: I20120814000425 |
| Provider Name | Hayley L Belveal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316292220 PECOS PAC ID: 7012164809 Enrollment ID: I20120830000106 |
| Provider Name | Koonj A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316193907 PECOS PAC ID: 6204084742 Enrollment ID: I20120907000228 |
| Provider Name | Brent Michael Egeland |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053433375 PECOS PAC ID: 2264600691 Enrollment ID: I20120910000183 |
| Provider Name | Johanna Morton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164682381 PECOS PAC ID: 0547418972 Enrollment ID: I20120910000658 |
| Provider Name | Jacqueline Sosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407021173 PECOS PAC ID: 2163670597 Enrollment ID: I20120910000684 |
| Provider Name | Megan L Mccoin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043471824 PECOS PAC ID: 9032367347 Enrollment ID: I20120911000771 |
| Provider Name | Jamie V Zachrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649431818 PECOS PAC ID: 9234387978 Enrollment ID: I20120921000103 |
| Provider Name | Kevin S Caperton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417096348 PECOS PAC ID: 7719159458 Enrollment ID: I20120928000103 |
| Provider Name | Vida Esfandiari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558521435 PECOS PAC ID: 3173772514 Enrollment ID: I20121001000019 |
| Provider Name | Joseph P Jeanette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881738649 PECOS PAC ID: 3577712876 Enrollment ID: I20121002000194 |
| Provider Name | Deborah A Bergfeld |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891744223 PECOS PAC ID: 1153358809 Enrollment ID: I20121011000417 |
| Provider Name | Slade Alan Hodges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073756888 PECOS PAC ID: 5698924330 Enrollment ID: I20121012000482 |
| Provider Name | Catrina J Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245517093 PECOS PAC ID: 7911157144 Enrollment ID: I20121025000156 |
| Provider Name | Shailaja J Hayden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427226224 PECOS PAC ID: 8325110232 Enrollment ID: I20121025000723 |
| Provider Name | Matthew Fox |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740471929 PECOS PAC ID: 6406002518 Enrollment ID: I20121204000382 |
| Provider Name | Steven J Warach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407925886 PECOS PAC ID: 7911151865 Enrollment ID: I20130131000390 |
| Provider Name | Ruth M Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417210840 PECOS PAC ID: 2860646007 Enrollment ID: I20130216000041 |
| Provider Name | Vincent Y Wang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568584159 PECOS PAC ID: 0244363208 Enrollment ID: I20130305000425 |
| Provider Name | Katie S Volkers |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1164768248 PECOS PAC ID: 7012162472 Enrollment ID: I20130311000042 |
| Provider Name | Amy E Papermaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417200429 PECOS PAC ID: 3072759620 Enrollment ID: I20130426000277 |
| Provider Name | Megan N Yockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750628434 PECOS PAC ID: 6204072705 Enrollment ID: I20130429000039 |
| Provider Name | Jena J Hiltenbrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205174778 PECOS PAC ID: 1850538976 Enrollment ID: I20130509000370 |
| Provider Name | Jessica Trevino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912946484 PECOS PAC ID: 8426240755 Enrollment ID: I20130520000046 |
| Provider Name | Jennifer Arce |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063750792 PECOS PAC ID: 8426297409 Enrollment ID: I20130624000521 |
| Provider Name | Kristen G Nieto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942461884 PECOS PAC ID: 8527209915 Enrollment ID: I20130727000140 |
| Provider Name | Jameel R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942520143 PECOS PAC ID: 6406097690 Enrollment ID: I20130731000294 |
| Provider Name | Benyam G Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154646560 PECOS PAC ID: 9537301197 Enrollment ID: I20130809000529 |
| Provider Name | Yeewen Annie Tsui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245464676 PECOS PAC ID: 5597907683 Enrollment ID: I20130820000948 |
| Provider Name | Clay A Cauthen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1730396862 PECOS PAC ID: 2668537796 Enrollment ID: I20130904000902 |
| Provider Name | Narmadha Kalyanaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740441773 PECOS PAC ID: 1557533536 Enrollment ID: I20130905000772 |
| Provider Name | Mauricio F Hong |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073710067 PECOS PAC ID: 7810049517 Enrollment ID: I20130905000859 |
| Provider Name | Allison R Losey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013141183 PECOS PAC ID: 9234372467 Enrollment ID: I20130906000674 |
| Provider Name | Galen Wachtman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619030418 PECOS PAC ID: 5991949836 Enrollment ID: I20130917000021 |
| Provider Name | Amy Okpaku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386634723 PECOS PAC ID: 6800980665 Enrollment ID: I20130919000516 |
| Provider Name | Saurin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184944381 PECOS PAC ID: 1951545565 Enrollment ID: I20130923000221 |
| Provider Name | David Kin Yip |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285952077 PECOS PAC ID: 0941434823 Enrollment ID: I20131008001335 |
| Provider Name | Michele Groetzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255770970 PECOS PAC ID: 6709029697 Enrollment ID: I20131014000639 |
| Provider Name | Crystal M Bowden Mckay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871810069 PECOS PAC ID: 0749427441 Enrollment ID: I20131028000777 |
| Provider Name | Jamilla C Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932337029 PECOS PAC ID: 1052568102 Enrollment ID: I20131108001448 |
| Provider Name | Kelly Stowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043651169 PECOS PAC ID: 7911133467 Enrollment ID: I20131112000518 |
| Provider Name | Beverly Seagren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689016685 PECOS PAC ID: 2163658220 Enrollment ID: I20131119000990 |
| Provider Name | Emily Burns Mcleod |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053745505 PECOS PAC ID: 2769618552 Enrollment ID: I20131127000618 |
| Provider Name | Tannon D Carroll |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154484715 PECOS PAC ID: 2365613502 Enrollment ID: I20131217000386 |
| Provider Name | Andrea L Pana |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558587519 PECOS PAC ID: 2365679446 Enrollment ID: I20131217000570 |
| Provider Name | Lenore M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457623613 PECOS PAC ID: 4284894015 Enrollment ID: I20140111000132 |
| Provider Name | Kelly L Deputy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538509146 PECOS PAC ID: 2961630876 Enrollment ID: I20140122000299 |
| Provider Name | Barrett Luce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174841472 PECOS PAC ID: 4688803976 Enrollment ID: I20140207001216 |
| Provider Name | Melanie Jeanne Palmer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1396166294 PECOS PAC ID: 9032348073 Enrollment ID: I20140214001301 |
| Provider Name | Muminot O Ogunmuyiwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225469976 PECOS PAC ID: 7719116771 Enrollment ID: I20140215000027 |
| Provider Name | Dustin J Herschap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134540834 PECOS PAC ID: 2769612001 Enrollment ID: I20140305001788 |
| Provider Name | Joseph Dubose |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871667576 PECOS PAC ID: 4486790185 Enrollment ID: I20140310001309 |
| Provider Name | Brynn N Clymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912281270 PECOS PAC ID: 1557593597 Enrollment ID: I20140407000725 |
| Provider Name | Ikechukwu John Obih |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811156730 PECOS PAC ID: 5395977128 Enrollment ID: I20140410000392 |
| Provider Name | Dalia El Bejjani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972666949 PECOS PAC ID: 6901806397 Enrollment ID: I20140416000491 |
| Provider Name | Alexia R Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588085930 PECOS PAC ID: 4486886637 Enrollment ID: I20140422001734 |
| Provider Name | Laura E Vandoren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184700874 PECOS PAC ID: 0941252688 Enrollment ID: I20140505000243 |
| Provider Name | Celia B Servin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326336371 PECOS PAC ID: 8022241520 Enrollment ID: I20140508000558 |
| Provider Name | Marisa L Chagoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215231014 PECOS PAC ID: 2567632953 Enrollment ID: I20140529001993 |
| Provider Name | Mariela C Hession |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720248594 PECOS PAC ID: 4082857115 Enrollment ID: I20140602001090 |
| Provider Name | Kevin Patrick Meyers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750589610 PECOS PAC ID: 2163616897 Enrollment ID: I20140630000875 |
| Provider Name | Venessa Pena-robichaux |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851611164 PECOS PAC ID: 2567695703 Enrollment ID: I20140703001685 |
| Provider Name | Jennifer L Vickers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184859225 PECOS PAC ID: 5991920712 Enrollment ID: I20140710000245 |
| Provider Name | Robert C Fatter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407115256 PECOS PAC ID: 4082839899 Enrollment ID: I20140711001533 |
| Provider Name | Jennifer S Summers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588894323 PECOS PAC ID: 9830315985 Enrollment ID: I20140725000163 |
| Provider Name | Bradley S Putty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225051774 PECOS PAC ID: 7012169840 Enrollment ID: I20140804000687 |
| Provider Name | Nahyung Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063822443 PECOS PAC ID: 7618195371 Enrollment ID: I20140822000383 |
| Provider Name | Kavitha Kumbum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508079302 PECOS PAC ID: 9739071531 Enrollment ID: I20140826001233 |
| Provider Name | Jeffrey Donald Cone |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194912469 PECOS PAC ID: 6103045919 Enrollment ID: I20140909002486 |
| Provider Name | Claire E. Hoverman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851547384 PECOS PAC ID: 0648416479 Enrollment ID: I20140918002362 |
| Provider Name | Kristin Wong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275850497 PECOS PAC ID: 0042448821 Enrollment ID: I20141008001237 |
| Provider Name | Jessica C Mueller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376868760 PECOS PAC ID: 5799905998 Enrollment ID: I20141010001709 |
| Provider Name | Robert Hartvig Hansen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902142870 PECOS PAC ID: 7315178480 Enrollment ID: I20141013000730 |
| Provider Name | Vamsi Krishna |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891930863 PECOS PAC ID: 9032389671 Enrollment ID: I20141014000482 |
| Provider Name | Molly C Kert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124331665 PECOS PAC ID: 2062607641 Enrollment ID: I20141015000641 |
| Provider Name | Christine Hilleary Norton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487659157 PECOS PAC ID: 5799827275 Enrollment ID: I20141021002572 |
| Provider Name | Crystal B Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750790556 PECOS PAC ID: 2365664414 Enrollment ID: I20141105002054 |
| Provider Name | Kristen Calnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659601433 PECOS PAC ID: 7113149790 Enrollment ID: I20141114001605 |
| Provider Name | William Ryan Ince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811253479 PECOS PAC ID: 1951523281 Enrollment ID: I20141120001972 |
| Provider Name | Clarissa Mary Johnston |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1649342445 PECOS PAC ID: 1951580133 Enrollment ID: I20141125002017 |
| Provider Name | Leah H Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538575618 PECOS PAC ID: 4284956038 Enrollment ID: I20141204002287 |
| Provider Name | Michelle S Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083018394 PECOS PAC ID: 1254653835 Enrollment ID: I20141210001201 |
| Provider Name | Nimesh H Amin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083039911 PECOS PAC ID: 7416270616 Enrollment ID: I20141219000089 |
| Provider Name | Antonio B. Chavez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366767493 PECOS PAC ID: 7517280464 Enrollment ID: I20141229000649 |
| Provider Name | Lindsay N Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336544758 PECOS PAC ID: 8628392180 Enrollment ID: I20150112000880 |
| Provider Name | Christopher Yang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083823785 PECOS PAC ID: 2769624725 Enrollment ID: I20150202000049 |
| Provider Name | Ala A Eddin H S Tayyem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437400702 PECOS PAC ID: 3779808076 Enrollment ID: I20150209000772 |
| Provider Name | Balamurugan Lakshmanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023229135 PECOS PAC ID: 5991856288 Enrollment ID: I20150210002145 |
| Provider Name | Paraag Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265751192 PECOS PAC ID: 4688999725 Enrollment ID: I20150211001608 |
| Provider Name | Michelle E Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700116548 PECOS PAC ID: 5597081927 Enrollment ID: I20150303000511 |
| Provider Name | Scott W Tolan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821313610 PECOS PAC ID: 3678890449 Enrollment ID: I20150317000528 |
| Provider Name | Lynne Berdofe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568621951 PECOS PAC ID: 1759608318 Enrollment ID: I20150320000146 |
| Provider Name | Laura Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043604101 PECOS PAC ID: 6204154610 Enrollment ID: I20150415001687 |
| Provider Name | Danielle C Husen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821488230 PECOS PAC ID: 3476872342 Enrollment ID: I20150428001610 |
| Provider Name | Stephanie Kay Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508176884 PECOS PAC ID: 6800070582 Enrollment ID: I20150529002086 |
| Provider Name | Gilda Tirado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366876609 PECOS PAC ID: 0143541755 Enrollment ID: I20150608002911 |
| Provider Name | Praveen Sampath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023348299 PECOS PAC ID: 9335327576 Enrollment ID: I20150609001266 |
| Provider Name | Sylvia Garcia Beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598876583 PECOS PAC ID: 7012817273 Enrollment ID: I20150626001136 |
| Provider Name | Melia M Lucero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932498391 PECOS PAC ID: 5496067373 Enrollment ID: I20150707001000 |
| Provider Name | Grayson A Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245466457 PECOS PAC ID: 7719290907 Enrollment ID: I20150716002349 |
| Provider Name | Megan A Juarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952798779 PECOS PAC ID: 2264746684 Enrollment ID: I20150729009577 |
| Provider Name | Mary E Seigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609274034 PECOS PAC ID: 8820303431 Enrollment ID: I20150811005411 |
| Provider Name | Jeffrey T Jobe |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1487882296 PECOS PAC ID: 6002042439 Enrollment ID: I20150812008234 |
| Provider Name | Karen A Merkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093109340 PECOS PAC ID: 3173838588 Enrollment ID: I20150813011969 |
| Provider Name | Pedro Gr Teixeira |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851692784 PECOS PAC ID: 5395974844 Enrollment ID: I20150819007229 |
| Provider Name | Holly M Fatter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063772051 PECOS PAC ID: 3577878495 Enrollment ID: I20150820011097 |
| Provider Name | Vikash Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023389327 PECOS PAC ID: 7214162395 Enrollment ID: I20150825004180 |
| Provider Name | Julie M Arldt Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437535432 PECOS PAC ID: 9739496258 Enrollment ID: I20150916001649 |
| Provider Name | Arjina Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479320 PECOS PAC ID: 5890002935 Enrollment ID: I20150922001327 |
| Provider Name | William D Nelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184949026 PECOS PAC ID: 4789808361 Enrollment ID: I20150922002782 |
| Provider Name | Mary E Harrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669761136 PECOS PAC ID: 8224346192 Enrollment ID: I20150928000709 |
| Provider Name | Neil N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992016919 PECOS PAC ID: 7618193996 Enrollment ID: I20151005000547 |
| Provider Name | Jennifer Beth Uxer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184831232 PECOS PAC ID: 0143418079 Enrollment ID: I20151015000977 |
| Provider Name | Ernestine Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073694923 PECOS PAC ID: 0941382501 Enrollment ID: I20151102001114 |
| Provider Name | Daniel J Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154689917 PECOS PAC ID: 9335368927 Enrollment ID: I20151103000716 |
| Provider Name | Raymonda El Khoury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356539910 PECOS PAC ID: 8820245533 Enrollment ID: I20151106001010 |
| Provider Name | Valerie Evett Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295105252 PECOS PAC ID: 7315257821 Enrollment ID: I20151113000480 |
| Provider Name | Sherri Cook-rousey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295107142 PECOS PAC ID: 6608177969 Enrollment ID: I20151211000037 |
| Provider Name | Anupama Alareddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376783696 PECOS PAC ID: 4587965520 Enrollment ID: I20151217000614 |
| Provider Name | Stephanie N Targac Cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235507757 PECOS PAC ID: 6204137243 Enrollment ID: I20151217000655 |
| Provider Name | Sigrid B Tristan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912199563 PECOS PAC ID: 4789870411 Enrollment ID: I20160229002990 |
| Provider Name | Grace Bednar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215217625 PECOS PAC ID: 7214233527 Enrollment ID: I20160314000789 |
| Provider Name | Meghana A Gadgil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164711990 PECOS PAC ID: 8527382118 Enrollment ID: I20160318001630 |
| Provider Name | James Stuart Ferriss |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1114129541 PECOS PAC ID: 6709078264 Enrollment ID: I20160331002334 |
| Provider Name | Savannah E Harebottle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730543158 PECOS PAC ID: 2961700653 Enrollment ID: I20160413001162 |
| Provider Name | Phommalone Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851756589 PECOS PAC ID: 7416255658 Enrollment ID: I20160421000232 |
| Provider Name | Lianda M Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023379104 PECOS PAC ID: 1850690850 Enrollment ID: I20160426000691 |
| Provider Name | Anokhi Jambusaria-pahlajani |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740442433 PECOS PAC ID: 5193974467 Enrollment ID: I20160427000119 |
| Provider Name | Christa E Seligman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184087686 PECOS PAC ID: 8628377579 Enrollment ID: I20160428000688 |
| Provider Name | Michael T Koltz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689700726 PECOS PAC ID: 0042451585 Enrollment ID: I20160512000989 |
| Provider Name | Murray Holcomb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871563437 PECOS PAC ID: 5991616450 Enrollment ID: I20160513000630 |
| Provider Name | Garret Pool |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730478777 PECOS PAC ID: 9537388764 Enrollment ID: I20160524000341 |
| Provider Name | Masahiro Ono |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962807222 PECOS PAC ID: 8921398314 Enrollment ID: I20160525002889 |
| Provider Name | Patrick R Aguilar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891011862 PECOS PAC ID: 6608005202 Enrollment ID: I20160601001640 |
| Provider Name | Yan Liu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134446172 PECOS PAC ID: 7719112986 Enrollment ID: I20160606001413 |
| Provider Name | Karl M Koenig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659483865 PECOS PAC ID: 4789683236 Enrollment ID: I20160621000916 |
| Provider Name | Devin V Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154521086 PECOS PAC ID: 9032267455 Enrollment ID: I20160622002622 |
| Provider Name | David C Ring |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1568452746 PECOS PAC ID: 5193620888 Enrollment ID: I20160623000710 |
| Provider Name | Zhouwen Tang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619297223 PECOS PAC ID: 6507157302 Enrollment ID: I20160627000814 |
| Provider Name | Kimberly Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710340963 PECOS PAC ID: 0749571487 Enrollment ID: I20160627002581 |
| Provider Name | John Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033382544 PECOS PAC ID: 9537246756 Enrollment ID: I20160629002049 |
| Provider Name | Leorah A Freeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023463114 PECOS PAC ID: 5799077293 Enrollment ID: I20160701000231 |
| Provider Name | Vernell N Ohare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972953958 PECOS PAC ID: 4789976739 Enrollment ID: I20160712001110 |
| Provider Name | Dustin G. Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942593272 PECOS PAC ID: 6800194317 Enrollment ID: I20160712002346 |
| Provider Name | Elise Carper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699835009 PECOS PAC ID: 1153400759 Enrollment ID: I20160721000240 |
| Provider Name | Esther Melamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144563669 PECOS PAC ID: 8921391327 Enrollment ID: I20160722000561 |
| Provider Name | Peter P Monteleone |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164625760 PECOS PAC ID: 3375727514 Enrollment ID: I20160810002025 |
| Provider Name | Emy M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508104886 PECOS PAC ID: 4981823200 Enrollment ID: I20160816001252 |
| Provider Name | Adjoa D Ofori-abebresse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926440 PECOS PAC ID: 8820383623 Enrollment ID: I20160817003290 |
| Provider Name | Christopher H Topel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578857199 PECOS PAC ID: 6709171465 Enrollment ID: I20160820000076 |
| Provider Name | Yasir Al-abboodi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295095081 PECOS PAC ID: 0547569659 Enrollment ID: I20160929001860 |
| Provider Name | Edward Charles Osterberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477795458 PECOS PAC ID: 0547574980 Enrollment ID: I20161011001430 |
| Provider Name | Damian M Sacky |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1396038998 PECOS PAC ID: 4688962400 Enrollment ID: I20161011002618 |
| Provider Name | Manoj Thangam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205270204 PECOS PAC ID: 0648568485 Enrollment ID: I20161012000160 |
| Provider Name | Christopher P Moriates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427383132 PECOS PAC ID: 5092978965 Enrollment ID: I20161014002010 |
| Provider Name | Krishna Pokala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578856399 PECOS PAC ID: 3375831787 Enrollment ID: I20161017002806 |
| Provider Name | Rebecca G Slonaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679027882 PECOS PAC ID: 5890083257 Enrollment ID: I20161018001461 |
| Provider Name | Sarah Eggers |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033568365 PECOS PAC ID: 6204124696 Enrollment ID: I20161018002410 |
| Provider Name | Ramsey R Ashour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538498563 PECOS PAC ID: 8325265242 Enrollment ID: I20161019002213 |
| Provider Name | Frank Parker Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331226 PECOS PAC ID: 7810150729 Enrollment ID: I20161025002778 |
| Provider Name | Shila S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407298649 PECOS PAC ID: 8820376759 Enrollment ID: I20161028000184 |
| Provider Name | Noreen Valla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265879332 PECOS PAC ID: 0244518991 Enrollment ID: I20161031001902 |
| Provider Name | Julie Kestner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820874 PECOS PAC ID: 0345528725 Enrollment ID: I20161107001062 |
| Provider Name | Gretchen D Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932405354 PECOS PAC ID: 1052690500 Enrollment ID: I20161128001445 |
| Provider Name | Sohrab Rahimi Naini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831352095 PECOS PAC ID: 4082760095 Enrollment ID: I20161201001846 |
| Provider Name | Rhiannon Pfullman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789296 PECOS PAC ID: 8224318522 Enrollment ID: I20161202000634 |
| Provider Name | Thomas K Kurian |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174688360 PECOS PAC ID: 3577715770 Enrollment ID: I20161215000159 |
| Provider Name | Karen J Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063770972 PECOS PAC ID: 4880974567 Enrollment ID: I20161215001536 |
| Provider Name | Crystal Milner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816195 PECOS PAC ID: 1052618758 Enrollment ID: I20161227000870 |
| Provider Name | Viviana Sneed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053794149 PECOS PAC ID: 4688984750 Enrollment ID: I20161228002067 |
| Provider Name | Janice L Sillas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700040318 PECOS PAC ID: 1658525480 Enrollment ID: I20170103001732 |
| Provider Name | James Stuart Wolf |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023100492 PECOS PAC ID: 1355240953 Enrollment ID: I20170110000426 |
| Provider Name | Kimberly Sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467846048 PECOS PAC ID: 5597046383 Enrollment ID: I20170110002897 |
| Provider Name | Angela R Payne |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861941692 PECOS PAC ID: 6800178187 Enrollment ID: I20170120002286 |
| Provider Name | Durreshahwar K Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386879013 PECOS PAC ID: 1052561750 Enrollment ID: I20170128000203 |
| Provider Name | Tamra N Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881130896 PECOS PAC ID: 5193008985 Enrollment ID: I20170201000871 |
| Provider Name | Caroline Paganoni |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003289265 PECOS PAC ID: 4981987146 Enrollment ID: I20170214000058 |
| Provider Name | Raymond E Bietry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366600769 PECOS PAC ID: 6002953643 Enrollment ID: I20170222002659 |
| Provider Name | Brenna C Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528416450 PECOS PAC ID: 2062796881 Enrollment ID: I20170222002812 |
| Provider Name | Christine Ajjan Laky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164495925 PECOS PAC ID: 4385797562 Enrollment ID: I20170301001977 |
| Provider Name | Claude-jean Langevin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730373580 PECOS PAC ID: 9537348925 Enrollment ID: I20170313001227 |
| Provider Name | Kelly L Swap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609325315 PECOS PAC ID: 0840575742 Enrollment ID: I20170315002100 |
| Provider Name | Sarah M Felderhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699213702 PECOS PAC ID: 9032494182 Enrollment ID: I20170403000089 |
| Provider Name | Roberto M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497291736 PECOS PAC ID: 7012293848 Enrollment ID: I20170411000575 |
| Provider Name | Manpreet Sran |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1013278316 PECOS PAC ID: 3678850666 Enrollment ID: I20170428001621 |
| Provider Name | Thomas R Vetter |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225081656 PECOS PAC ID: 7416916671 Enrollment ID: I20170503001403 |
| Provider Name | Rebecca G Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639185226 PECOS PAC ID: 3678661881 Enrollment ID: I20170517000500 |
| Provider Name | Elizabeth L Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942311261 PECOS PAC ID: 9032277702 Enrollment ID: I20170517001488 |
| Provider Name | Punam V Bhakta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235667163 PECOS PAC ID: 2961779301 Enrollment ID: I20170606002050 |
| Provider Name | Gloria Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358039 PECOS PAC ID: 7315215779 Enrollment ID: I20170608000645 |
| Provider Name | Ankur Prakash Bhakta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164714127 PECOS PAC ID: 3476860826 Enrollment ID: I20170609001449 |
| Provider Name | Marc D Trust |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457618159 PECOS PAC ID: 5698043834 Enrollment ID: I20170613000520 |
| Provider Name | Matthew Tyrrell Burrus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538458526 PECOS PAC ID: 2961633938 Enrollment ID: I20170626001744 |
| Provider Name | Tatiana Cp Cardenas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942569694 PECOS PAC ID: 2365735685 Enrollment ID: I20170627000385 |
| Provider Name | Laura K Eastep |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457555013 PECOS PAC ID: 8628347770 Enrollment ID: I20170705000311 |
| Provider Name | Bailey W Escarzaga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245573518 PECOS PAC ID: 7416226568 Enrollment ID: I20170705000410 |
| Provider Name | Shanti Nulu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699961938 PECOS PAC ID: 7315120607 Enrollment ID: I20170706002870 |
| Provider Name | Rasheed A Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952531485 PECOS PAC ID: 1850539222 Enrollment ID: I20170708000027 |
| Provider Name | Paul David Zito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396155966 PECOS PAC ID: 8325318504 Enrollment ID: I20170720001655 |
| Provider Name | Kobina D Ghartey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033438684 PECOS PAC ID: 5193969913 Enrollment ID: I20170721000259 |
| Provider Name | Jeffrey Knabe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750674446 PECOS PAC ID: 3678843729 Enrollment ID: I20170721001553 |
| Provider Name | Luke Samuel Mccage |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093057903 PECOS PAC ID: 2668740473 Enrollment ID: I20170724000718 |
| Provider Name | David Orsini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043502263 PECOS PAC ID: 8224337928 Enrollment ID: I20170724001608 |
| Provider Name | Darshan N Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144423872 PECOS PAC ID: 4688773419 Enrollment ID: I20170727001676 |
| Provider Name | Christina A Salazar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083902068 PECOS PAC ID: 5193023315 Enrollment ID: I20170802003245 |
| Provider Name | Khang Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548608599 PECOS PAC ID: 6507090966 Enrollment ID: I20170804003035 |
| Provider Name | Jason O Toy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841589157 PECOS PAC ID: 1153642004 Enrollment ID: I20170811000282 |
| Provider Name | Robert C Schutt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144454349 PECOS PAC ID: 8426950114 Enrollment ID: I20170815000460 |
| Provider Name | Lia E Gracey Maniar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124361209 PECOS PAC ID: 0345468898 Enrollment ID: I20170816001114 |
| Provider Name | Dillon James Gerhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932635331 PECOS PAC ID: 7618249004 Enrollment ID: I20170819000025 |
| Provider Name | Neel Srikishen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912286048 PECOS PAC ID: 0648542761 Enrollment ID: I20170823003556 |
| Provider Name | Mandeep Mangat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336432889 PECOS PAC ID: 0840562930 Enrollment ID: I20170824001481 |
| Provider Name | Ryan Michael Sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285053041 PECOS PAC ID: 3375816853 Enrollment ID: I20170905001897 |
| Provider Name | Jamie Shanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134644636 PECOS PAC ID: 9335412832 Enrollment ID: I20170905002986 |
| Provider Name | Sharon Ince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641786 PECOS PAC ID: 3173804093 Enrollment ID: I20170907002844 |
| Provider Name | Jamie Galindo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134645690 PECOS PAC ID: 3870867419 Enrollment ID: I20170921000503 |
| Provider Name | June Spann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467568436 PECOS PAC ID: 2567627904 Enrollment ID: I20170927001427 |
| Provider Name | Rachel Bowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851735591 PECOS PAC ID: 2466726559 Enrollment ID: I20170928002191 |
| Provider Name | Sarah Anne Frommer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720399736 PECOS PAC ID: 7618194788 Enrollment ID: I20171004002824 |
| Provider Name | Charley Rose Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841715158 PECOS PAC ID: 4981979291 Enrollment ID: I20171011003077 |
| Provider Name | Erica M. Harmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942749742 PECOS PAC ID: 1254607443 Enrollment ID: I20171016000730 |
| Provider Name | Eun J Eoh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982970307 PECOS PAC ID: 3971879966 Enrollment ID: I20171018002513 |
| Provider Name | Sarah Stayer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1245673755 PECOS PAC ID: 4981929783 Enrollment ID: I20171024001396 |
| Provider Name | Sidrah Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194054858 PECOS PAC ID: 7113158551 Enrollment ID: I20171025002447 |
| Provider Name | Nicole A Griffis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528252665 PECOS PAC ID: 3870869134 Enrollment ID: I20171101001232 |
| Provider Name | David Paydarfar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134104797 PECOS PAC ID: 8527008101 Enrollment ID: I20171110001839 |
| Provider Name | Marissa Aileen Wagner Mery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831363217 PECOS PAC ID: 0143586842 Enrollment ID: I20171114000420 |
| Provider Name | Margaret Whitney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043576127 PECOS PAC ID: 0749424752 Enrollment ID: I20171121002957 |
| Provider Name | Jeny Ghartey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235306713 PECOS PAC ID: 7315012440 Enrollment ID: I20171204001816 |
| Provider Name | Rebecca Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134631476 PECOS PAC ID: 4486911195 Enrollment ID: I20171206000413 |
| Provider Name | Rachel Alice High |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245677582 PECOS PAC ID: 5496027351 Enrollment ID: I20171208002425 |
| Provider Name | Obinna Ukabam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528354545 PECOS PAC ID: 0345489696 Enrollment ID: I20171211000211 |
| Provider Name | Elizabeth A Kvale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245267616 PECOS PAC ID: 1052584455 Enrollment ID: I20171213000195 |
| Provider Name | Drew Daniel Benac |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447697941 PECOS PAC ID: 5092073254 Enrollment ID: I20171215000950 |
| Provider Name | Jessica A Laster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356853444 PECOS PAC ID: 2163780966 Enrollment ID: I20171228001548 |
| Provider Name | Romnee Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912411000 PECOS PAC ID: 3476813742 Enrollment ID: I20180206000297 |
| Provider Name | Christina L Moussette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780055202 PECOS PAC ID: 9537429667 Enrollment ID: I20180208002629 |
| Provider Name | Lauren D Thaxton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760772859 PECOS PAC ID: 5294042966 Enrollment ID: I20180213000265 |
| Provider Name | Lauren Pokala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083124333 PECOS PAC ID: 9830459817 Enrollment ID: I20180213000661 |
| Provider Name | William J Schwartz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275516023 PECOS PAC ID: 7416984182 Enrollment ID: I20180214001268 |
| Provider Name | Jordan Amadio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497987432 PECOS PAC ID: 3779840434 Enrollment ID: I20180215000232 |
| Provider Name | Jessica L Darnutzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245627140 PECOS PAC ID: 1557621364 Enrollment ID: I20180215001508 |
| Provider Name | Elizabeth S Billingsley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851470173 PECOS PAC ID: 0941261168 Enrollment ID: I20180220000390 |
| Provider Name | Danielle Frances Duquette |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184162539 PECOS PAC ID: 7719249291 Enrollment ID: I20180321000678 |
| Provider Name | Raquel Leanne Lyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023437530 PECOS PAC ID: 7719240514 Enrollment ID: I20180409001501 |
| Provider Name | Huy Duc Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679890099 PECOS PAC ID: 5496904104 Enrollment ID: I20180410000527 |
| Provider Name | Adrienne Brenner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1588164263 PECOS PAC ID: 6204199912 Enrollment ID: I20180411000935 |
| Provider Name | Deidre Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801234869 PECOS PAC ID: 9739442278 Enrollment ID: I20180413001520 |
| Provider Name | Elaine L Hamilton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215036173 PECOS PAC ID: 1456614890 Enrollment ID: I20180417000813 |
| Provider Name | Katherine C. Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689170185 PECOS PAC ID: 4385908102 Enrollment ID: I20180503000056 |
| Provider Name | Christine D Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679885909 PECOS PAC ID: 5092936708 Enrollment ID: I20180507000701 |
| Provider Name | Rosimeiry Jamalabad |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184065864 PECOS PAC ID: 6406111608 Enrollment ID: I20180517000305 |
| Provider Name | Dana C Brewer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124321377 PECOS PAC ID: 3971784943 Enrollment ID: I20180531002827 |
| Provider Name | Ewell Steve Roach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922084011 PECOS PAC ID: 3476535790 Enrollment ID: I20180607001896 |
| Provider Name | Erin Nicole Zapalac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316446818 PECOS PAC ID: 5193080489 Enrollment ID: I20180608000365 |
| Provider Name | John R Jefferson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477719227 PECOS PAC ID: 6406090539 Enrollment ID: I20180612000873 |
| Provider Name | Ethan Meltzer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467865790 PECOS PAC ID: 5597983429 Enrollment ID: I20180620000569 |
| Provider Name | Kristin M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407190572 PECOS PAC ID: 2567696214 Enrollment ID: I20180620002865 |
| Provider Name | Brett H Keeling |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649614769 PECOS PAC ID: 5698040137 Enrollment ID: I20180625000173 |
| Provider Name | Erik D West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093216715 PECOS PAC ID: 8921354879 Enrollment ID: I20180706001070 |
| Provider Name | Patrick P Spicer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548670177 PECOS PAC ID: 2860748571 Enrollment ID: I20180711002071 |
| Provider Name | Jaison S John |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386027936 PECOS PAC ID: 9335496322 Enrollment ID: I20180723001083 |
| Provider Name | Laura Kromann Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447678792 PECOS PAC ID: 3779886411 Enrollment ID: I20180730000433 |
| Provider Name | Brandon Shaun Altillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013282375 PECOS PAC ID: 3577839992 Enrollment ID: I20180801001559 |
| Provider Name | Krystel Babaran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558811455 PECOS PAC ID: 0648528992 Enrollment ID: I20180803000040 |
| Provider Name | Samantha Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518200930 PECOS PAC ID: 4981832540 Enrollment ID: I20180807001659 |
| Provider Name | Dimitrios Miserlis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1720375348 PECOS PAC ID: 8729201660 Enrollment ID: I20180821002288 |
| Provider Name | Karime Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215312707 PECOS PAC ID: 9739438904 Enrollment ID: I20180821002508 |
| Provider Name | Adewole S Adamson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255630034 PECOS PAC ID: 3971819053 Enrollment ID: I20180904000391 |
| Provider Name | Kelly M Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922415181 PECOS PAC ID: 0749590230 Enrollment ID: I20180905001251 |
| Provider Name | Hemali R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821416447 PECOS PAC ID: 9032429592 Enrollment ID: I20180905001481 |
| Provider Name | Stewart Lee Schaefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669867834 PECOS PAC ID: 2365745445 Enrollment ID: I20180911000511 |
| Provider Name | Erika Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215433354 PECOS PAC ID: 7416207428 Enrollment ID: I20180912000376 |
| Provider Name | Kimberly S Kenney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467693713 PECOS PAC ID: 8224332556 Enrollment ID: I20180918002347 |
| Provider Name | Lucas Manuel Ferrer Cardona |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790912244 PECOS PAC ID: 7315298932 Enrollment ID: I20180920002579 |
| Provider Name | Tera C Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245504380 PECOS PAC ID: 8527319144 Enrollment ID: I20180920002836 |
| Provider Name | Shane C Constable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497136816 PECOS PAC ID: 9739430273 Enrollment ID: I20180924001191 |
| Provider Name | Jeff H Luh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598082687 PECOS PAC ID: 5193037885 Enrollment ID: I20181011002400 |
| Provider Name | Joseph G William |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972920270 PECOS PAC ID: 1557588514 Enrollment ID: I20181015000162 |
| Provider Name | Mario Alberto Cendan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124512082 PECOS PAC ID: 7315299633 Enrollment ID: I20181015000425 |
| Provider Name | Kimberly A Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417949041 PECOS PAC ID: 4880633296 Enrollment ID: I20181025000392 |
| Provider Name | Rachel L Tink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619462223 PECOS PAC ID: 2365795036 Enrollment ID: I20181025002220 |
| Provider Name | Paul E Tatum |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821079559 PECOS PAC ID: 8224942263 Enrollment ID: I20181101001555 |
| Provider Name | Eric Huan Bui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184858797 PECOS PAC ID: 8325355456 Enrollment ID: I20181109000718 |
| Provider Name | Gretchen Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538645957 PECOS PAC ID: 6800140591 Enrollment ID: I20181115001998 |
| Provider Name | Andrea A Fekete |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306215652 PECOS PAC ID: 0749588226 Enrollment ID: I20181116002155 |
| Provider Name | Brian P Kelley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992092449 PECOS PAC ID: 0143459974 Enrollment ID: I20181119000486 |
| Provider Name | Elizabeth Mulcihy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629558416 PECOS PAC ID: 6002160579 Enrollment ID: I20181120000570 |
| Provider Name | Andrew G Kitcher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467603563 PECOS PAC ID: 8224162334 Enrollment ID: I20181128001099 |
| Provider Name | William Stone |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1538646062 PECOS PAC ID: 8729323100 Enrollment ID: I20181213002296 |
| Provider Name | Jim L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713258 PECOS PAC ID: 9032407424 Enrollment ID: I20181214002814 |
| Provider Name | Jawad Ali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386936532 PECOS PAC ID: 7012202427 Enrollment ID: I20181217000931 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396903837 PECOS PAC ID: 3971773755 Enrollment ID: I20181217002818 |
| Provider Name | Christopher H Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528569753 PECOS PAC ID: 2668717810 Enrollment ID: I20181217003035 |
| Provider Name | Susan Lara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285101253 PECOS PAC ID: 6901141803 Enrollment ID: I20181221000143 |
| Provider Name | Steve L Steffensen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326028390 PECOS PAC ID: 6103164728 Enrollment ID: I20190206001894 |
| Provider Name | Janice Ellen Merideth Mattocks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164997557 PECOS PAC ID: 1850639907 Enrollment ID: I20190214002025 |
| Provider Name | Matthew A Bartow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225482466 PECOS PAC ID: 1759621337 Enrollment ID: I20190318002021 |
| Provider Name | Courtney H Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588148720 PECOS PAC ID: 7315288164 Enrollment ID: I20190404002307 |
| Provider Name | Victoria K Najm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457834418 PECOS PAC ID: 8022359264 Enrollment ID: I20190416001835 |
| Provider Name | Priscilla Moorhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588010524 PECOS PAC ID: 6608163985 Enrollment ID: I20190418000111 |
| Provider Name | Katrina Sherman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851856785 PECOS PAC ID: 8123360138 Enrollment ID: I20190423001496 |
| Provider Name | Dianne E Elledge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770965329 PECOS PAC ID: 2062700974 Enrollment ID: I20190507002006 |
| Provider Name | Usha Manandhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770079923 PECOS PAC ID: 7315289519 Enrollment ID: I20190508000286 |
| Provider Name | Candace Vielma |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992266241 PECOS PAC ID: 6305189341 Enrollment ID: I20190515001488 |
| Provider Name | Mark M Gajjar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942519319 PECOS PAC ID: 7810270543 Enrollment ID: I20190516000063 |
| Provider Name | Amber L Peoples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003370362 PECOS PAC ID: 0941543854 Enrollment ID: I20190516001466 |
| Provider Name | Christopher Pt Boylan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962805911 PECOS PAC ID: 1557604287 Enrollment ID: I20190522000084 |
| Provider Name | Pragnesh Jitendrabhai Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265787360 PECOS PAC ID: 7719210798 Enrollment ID: I20190605003225 |
| Provider Name | Jessica Yvonne Marie Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710333679 PECOS PAC ID: 8527391119 Enrollment ID: I20190613002434 |
| Provider Name | Jeffrey S Lobel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366465346 PECOS PAC ID: 3971508870 Enrollment ID: I20190627000663 |
| Provider Name | Camille Ayoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851746077 PECOS PAC ID: 7113253667 Enrollment ID: I20190723000125 |
| Provider Name | Linda A Feagins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376745158 PECOS PAC ID: 5092987719 Enrollment ID: I20190725000620 |
| Provider Name | Kaveeta Marwaha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568816767 PECOS PAC ID: 5799011763 Enrollment ID: I20190729002833 |
| Provider Name | Johanna I Busch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518320498 PECOS PAC ID: 6901132984 Enrollment ID: I20190729003229 |
| Provider Name | Reema Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912354267 PECOS PAC ID: 1052647054 Enrollment ID: I20190730000211 |
| Provider Name | Alyssa Pinkston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639732514 PECOS PAC ID: 6507192515 Enrollment ID: I20190730000601 |
| Provider Name | Julie Machen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528449113 PECOS PAC ID: 5799093175 Enrollment ID: I20190730004133 |
| Provider Name | Mehraj Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205280914 PECOS PAC ID: 8729313853 Enrollment ID: I20190807002523 |
| Provider Name | Saurin Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144676529 PECOS PAC ID: 7416284765 Enrollment ID: I20190808001909 |
| Provider Name | Sarah Taunton Marino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326493081 PECOS PAC ID: 5395073167 Enrollment ID: I20190819002044 |
| Provider Name | Courtney E Nurmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366095184 PECOS PAC ID: 9335477975 Enrollment ID: I20190821001467 |
| Provider Name | Adrienne Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174086805 PECOS PAC ID: 7911235122 Enrollment ID: I20190827000823 |
| Provider Name | Gina Hauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114370251 PECOS PAC ID: 0042504052 Enrollment ID: I20190828002182 |
| Provider Name | Victoria Branyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750949301 PECOS PAC ID: 7012245988 Enrollment ID: I20190830000481 |
| Provider Name | Haritha P Saikumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932544830 PECOS PAC ID: 3577854645 Enrollment ID: I20190904000333 |
| Provider Name | Sara M Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316326556 PECOS PAC ID: 9133400310 Enrollment ID: I20190905000900 |
| Provider Name | Manzure Mawla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831519172 PECOS PAC ID: 7618260977 Enrollment ID: I20190906002055 |
| Provider Name | Erik Z Krause |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194131888 PECOS PAC ID: 4789986118 Enrollment ID: I20190909001324 |
| Provider Name | Rachael Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548726565 PECOS PAC ID: 4688903149 Enrollment ID: I20190909001394 |
| Provider Name | George A Macones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386647345 PECOS PAC ID: 1557305307 Enrollment ID: I20190916003529 |
| Provider Name | Joseph Graham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093125015 PECOS PAC ID: 4284964289 Enrollment ID: I20190917004031 |
| Provider Name | Alison Gale Cahill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679788038 PECOS PAC ID: 3779682356 Enrollment ID: I20190920001871 |
| Provider Name | Elizabeth A Kern |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235522723 PECOS PAC ID: 3072833755 Enrollment ID: I20190924000359 |
| Provider Name | Victoria Shepard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902269129 PECOS PAC ID: 2466788294 Enrollment ID: I20190924002845 |
| Provider Name | Tessa Kimberly Novick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881039568 PECOS PAC ID: 2668765470 Enrollment ID: I20190925001776 |
| Provider Name | Karuna Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376997213 PECOS PAC ID: 8628308863 Enrollment ID: I20191001001633 |
| Provider Name | Stanley Tyler Hollmig |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033437835 PECOS PAC ID: 3678790169 Enrollment ID: I20191007003327 |
| Provider Name | Anil K Roy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144586116 PECOS PAC ID: 8022349729 Enrollment ID: I20191010001909 |
| Provider Name | William Michael Brode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619362217 PECOS PAC ID: 4486966264 Enrollment ID: I20191016000387 |
| Provider Name | Veena A Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033452255 PECOS PAC ID: 5193093318 Enrollment ID: I20191016001113 |
| Provider Name | Nicholas M. Barbaro |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619925443 PECOS PAC ID: 9830273697 Enrollment ID: I20191017001834 |
| Provider Name | Rebecca C Thrower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063875029 PECOS PAC ID: 4082907712 Enrollment ID: I20191017002162 |
| Provider Name | Richard P Benedict |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164412110 PECOS PAC ID: 7214957406 Enrollment ID: I20191021000424 |
| Provider Name | Rama V Thyagarajan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003886151 PECOS PAC ID: 1658302831 Enrollment ID: I20191024002773 |
| Provider Name | Katelyn Roth |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184277444 PECOS PAC ID: 0547592875 Enrollment ID: I20191105002988 |
| Provider Name | Denerica Lacey Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437627791 PECOS PAC ID: 1759620875 Enrollment ID: I20191111001298 |
| Provider Name | Chelsey C Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205347952 PECOS PAC ID: 4082972351 Enrollment ID: I20191120000103 |
| Provider Name | Kevin Victor Hackshaw |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255348785 PECOS PAC ID: 7416921192 Enrollment ID: I20191125002353 |
| Provider Name | Greg Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700852860 PECOS PAC ID: 9133255920 Enrollment ID: I20191205002881 |
| Provider Name | Michelle Ebong Jackson-tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053872036 PECOS PAC ID: 6305279290 Enrollment ID: I20191206001688 |
| Provider Name | Holly J Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942775697 PECOS PAC ID: 4789017690 Enrollment ID: I20191206002414 |
| Provider Name | Cristal Latanza Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578730388 PECOS PAC ID: 1153637202 Enrollment ID: I20191216000306 |
| Provider Name | Salmaan Jawaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467746503 PECOS PAC ID: 1456615715 Enrollment ID: I20191216000320 |
| Provider Name | Elizabeth Schulwolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316977556 PECOS PAC ID: 9638178635 Enrollment ID: I20191228000273 |
| Provider Name | Danielle D Doucet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337945 PECOS PAC ID: 0345674354 Enrollment ID: I20191230000625 |
| Provider Name | Anna Wendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437703675 PECOS PAC ID: 9739513607 Enrollment ID: I20191231000875 |
| Provider Name | Rachel Pearson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386063030 PECOS PAC ID: 4183059439 Enrollment ID: I20200115002022 |
| Provider Name | Amanda P Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114577806 PECOS PAC ID: 4880029644 Enrollment ID: I20200124001146 |
| Provider Name | James Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205478906 PECOS PAC ID: 7618303074 Enrollment ID: I20200203000662 |
| Provider Name | Amy D Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407493570 PECOS PAC ID: 5890121933 Enrollment ID: I20200207001319 |
| Provider Name | Lauren Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336785468 PECOS PAC ID: 3577999663 Enrollment ID: I20200210000634 |
| Provider Name | Agata A Bednarz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477671527 PECOS PAC ID: 6305750142 Enrollment ID: I20200213000342 |
| Provider Name | Lindsey B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457994550 PECOS PAC ID: 3971930603 Enrollment ID: I20200219000752 |
| Provider Name | Hussein Abidali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205274768 PECOS PAC ID: 1557642451 Enrollment ID: I20200219001174 |
| Provider Name | Onyinye Ugboaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801158167 PECOS PAC ID: 3971738121 Enrollment ID: I20200220002752 |
| Provider Name | Samantha Eubanks |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811353642 PECOS PAC ID: 4688933237 Enrollment ID: I20200313001137 |
| Provider Name | Tabbatha Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589623 PECOS PAC ID: 4789012279 Enrollment ID: I20200316002357 |
| Provider Name | Autumn Fuselier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295360444 PECOS PAC ID: 0547698615 Enrollment ID: I20200324001450 |
| Provider Name | Natalie Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689004558 PECOS PAC ID: 1456643469 Enrollment ID: I20200325003069 |
| Provider Name | Alicia Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194160960 PECOS PAC ID: 7315203452 Enrollment ID: I20200401003112 |
| Provider Name | Nicole A Turgeon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972594109 PECOS PAC ID: 0941231310 Enrollment ID: I20200402003081 |
| Provider Name | Abby N Tedlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134764962 PECOS PAC ID: 6204266422 Enrollment ID: I20200430000834 |
| Provider Name | Allison Tessmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083240105 PECOS PAC ID: 4385074509 Enrollment ID: I20200430000874 |
| Provider Name | Lorie M Harper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871613786 PECOS PAC ID: 3870749518 Enrollment ID: I20200602000375 |
| Provider Name | Rory R Mayer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508157546 PECOS PAC ID: 3971837717 Enrollment ID: I20200610001607 |
| Provider Name | Alexandria J Haselhorst |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194103036 PECOS PAC ID: 4880016187 Enrollment ID: I20200615001354 |
| Provider Name | Rachel R Gardner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891159646 PECOS PAC ID: 1951723279 Enrollment ID: I20200615002603 |
| Provider Name | Margaret E Brown |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679936215 PECOS PAC ID: 0244539450 Enrollment ID: I20200616000849 |
| Provider Name | Sneha Vakamudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588930796 PECOS PAC ID: 8729333232 Enrollment ID: I20200701002133 |
| Provider Name | Tera F Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457647182 PECOS PAC ID: 9133432420 Enrollment ID: I20200706002274 |
| Provider Name | Alex Dalke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518370113 PECOS PAC ID: 7416238654 Enrollment ID: I20200708000994 |
| Provider Name | Patrick W Mcnair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164788055 PECOS PAC ID: 4880909928 Enrollment ID: I20200713002734 |
| Provider Name | Anupama Kapadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912437039 PECOS PAC ID: 4183978430 Enrollment ID: I20200728001932 |
| Provider Name | Andrew Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922528090 PECOS PAC ID: 1254755929 Enrollment ID: I20200728002372 |
| Provider Name | Omar Jilani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528301397 PECOS PAC ID: 9032407622 Enrollment ID: I20200729001485 |
| Provider Name | Denise Laura Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780047480 PECOS PAC ID: 9032534680 Enrollment ID: I20200730000988 |
| Provider Name | Khranasa N Mohebpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255866695 PECOS PAC ID: 7315216371 Enrollment ID: I20200730001332 |
| Provider Name | Kazia L Parsons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881116267 PECOS PAC ID: 7416227350 Enrollment ID: I20200731000152 |
| Provider Name | Jananie Ramesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659802627 PECOS PAC ID: 4981029352 Enrollment ID: I20200731001917 |
| Provider Name | Piotr Kapinos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841697133 PECOS PAC ID: 8729360326 Enrollment ID: I20200731002962 |
| Provider Name | Gulnara R Martorella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558891390 PECOS PAC ID: 3072930940 Enrollment ID: I20200825000457 |
| Provider Name | Kunj Bharat Amin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164876496 PECOS PAC ID: 5395036487 Enrollment ID: I20200916000660 |
| Provider Name | Thomas Robert Lasater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417477647 PECOS PAC ID: 3870911035 Enrollment ID: I20200921001139 |
| Provider Name | Lynnea Elisabeth Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730791799 PECOS PAC ID: 7719305820 Enrollment ID: I20200921003209 |
| Provider Name | Max S Holtz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447613963 PECOS PAC ID: 0749573327 Enrollment ID: I20200929001123 |
| Provider Name | Alan Steven Nova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417393919 PECOS PAC ID: 6406149756 Enrollment ID: I20201007000920 |
| Provider Name | Grace Farris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093981425 PECOS PAC ID: 6507036043 Enrollment ID: I20201007001404 |
| Provider Name | Michelle Galles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730650268 PECOS PAC ID: 1759700990 Enrollment ID: I20201007001805 |
| Provider Name | Aaron Laviana |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194016774 PECOS PAC ID: 3971873191 Enrollment ID: I20201008003165 |
| Provider Name | Rupal H. Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629412051 PECOS PAC ID: 0446593180 Enrollment ID: I20201008003290 |
| Provider Name | Megan Ann Trainor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245686609 PECOS PAC ID: 6002108685 Enrollment ID: I20201008003502 |
| Provider Name | Matthew M Padrick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134507387 PECOS PAC ID: 9739509993 Enrollment ID: I20201009000957 |
| Provider Name | Kelsy Vick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083227037 PECOS PAC ID: 2163842345 Enrollment ID: I20201009001652 |
| Provider Name | Sarah Lindsay Wood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689985046 PECOS PAC ID: 4284857392 Enrollment ID: I20201012002306 |
| Provider Name | Bianca Ibarra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255795647 PECOS PAC ID: 7315233004 Enrollment ID: I20201013000108 |
| Provider Name | Ashwin A Kamath |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508120866 PECOS PAC ID: 9234368457 Enrollment ID: I20201014000953 |
| Provider Name | Cynthia Thein Singh Unger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588815971 PECOS PAC ID: 0042490880 Enrollment ID: I20201105001108 |
| Provider Name | Derek N Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417284175 PECOS PAC ID: 3274669270 Enrollment ID: I20201117001283 |
| Provider Name | Shaunn Elizabeth Atebara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245838705 PECOS PAC ID: 6901217223 Enrollment ID: I20201117003172 |
| Provider Name | Lauren Foreman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063915668 PECOS PAC ID: 6901153667 Enrollment ID: I20201120000427 |
| Provider Name | Aliza Norwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568752988 PECOS PAC ID: 4486978616 Enrollment ID: I20201123003240 |
| Provider Name | Clara Di Vincenzo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982218897 PECOS PAC ID: 5395157994 Enrollment ID: I20201223000348 |
| Provider Name | Philip M Coff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477550572 PECOS PAC ID: 3476589383 Enrollment ID: I20210105001835 |
| Provider Name | Angela Renee Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497351076 PECOS PAC ID: 6305259409 Enrollment ID: I20210111000729 |
| Provider Name | Bianca Nieves Cervantez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720625205 PECOS PAC ID: 4284047150 Enrollment ID: I20210114000128 |
| Provider Name | Hamza Aziz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306230362 PECOS PAC ID: 4789933128 Enrollment ID: I20210115001298 |
| Provider Name | Krishnarao Gorrepati |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588624811 PECOS PAC ID: 2062405095 Enrollment ID: I20210126000251 |
| Provider Name | Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386026466 PECOS PAC ID: 7012295199 Enrollment ID: I20210126001862 |
| Provider Name | Valerie Bianca Galvan-turner |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1104060425 PECOS PAC ID: 2062651383 Enrollment ID: I20210127000773 |
| Provider Name | Crystale J Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275784969 PECOS PAC ID: 4880832872 Enrollment ID: I20210224000582 |
| Provider Name | Laszlo Tamas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366478646 PECOS PAC ID: 3274676523 Enrollment ID: I20210302000335 |
| Provider Name | Mackenzie Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417549296 PECOS PAC ID: 2163838590 Enrollment ID: I20210310001400 |
| Provider Name | Kimberly E.g. Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578156444 PECOS PAC ID: 7214343383 Enrollment ID: I20210316000359 |
| Provider Name | Karla Maguire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750525333 PECOS PAC ID: 4082768403 Enrollment ID: I20210325001165 |
| Provider Name | Nicole A Moretti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427318518 PECOS PAC ID: 3577843010 Enrollment ID: I20210419001080 |
| Provider Name | Brian Kwun Kwok Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518056571 PECOS PAC ID: 2365501194 Enrollment ID: I20210426000117 |
| Provider Name | Aaron R Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093035172 PECOS PAC ID: 2062652332 Enrollment ID: I20210505002311 |
| Provider Name | Abdulhamid Al-douri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093205197 PECOS PAC ID: 5890104624 Enrollment ID: I20210507001985 |
| Provider Name | Timothy Ian Mercer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215337092 PECOS PAC ID: 9931473220 Enrollment ID: I20210510000665 |
| Provider Name | Marilyn R Jay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174950539 PECOS PAC ID: 3577962653 Enrollment ID: I20210521000758 |
| Provider Name | Ted A Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609465533 PECOS PAC ID: 8527467612 Enrollment ID: I20210521000964 |
| Provider Name | Allison J Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154979896 PECOS PAC ID: 7810396926 Enrollment ID: I20210521001708 |
| Provider Name | Reeta Dawady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457958738 PECOS PAC ID: 8527467554 Enrollment ID: I20210525001697 |
| Provider Name | Srilakshmi Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467867069 PECOS PAC ID: 8022437789 Enrollment ID: I20210601000179 |
| Provider Name | Thomas Ryan Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437739695 PECOS PAC ID: 1254730708 Enrollment ID: I20210603000682 |
| Provider Name | Hannah Caroline Machemehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780046417 PECOS PAC ID: 1557648078 Enrollment ID: I20210615003726 |
| Provider Name | Morgan R Laviolette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861067027 PECOS PAC ID: 9830599372 Enrollment ID: I20210621001460 |
| Provider Name | Nabeel Saghir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417487323 PECOS PAC ID: 3173898301 Enrollment ID: I20210622001744 |
| Provider Name | Silaja Yitta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437353067 PECOS PAC ID: 4082899083 Enrollment ID: I20210624000949 |
| Provider Name | Jennifer Lynne Travieso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508247776 PECOS PAC ID: 5799099313 Enrollment ID: I20210628003035 |
| Provider Name | Samantha J Whitehawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356952212 PECOS PAC ID: 3274934088 Enrollment ID: I20210630004251 |
| Provider Name | Molly Lisa Singer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629507702 PECOS PAC ID: 7012285992 Enrollment ID: I20210702000236 |
| Provider Name | Tasha Nicole Hack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649883497 PECOS PAC ID: 4183026453 Enrollment ID: I20210708002136 |
| Provider Name | Victoria S Razgunas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609359892 PECOS PAC ID: 1355687351 Enrollment ID: I20210714000236 |
| Provider Name | Stephanie Ying Chu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316472970 PECOS PAC ID: 2668874579 Enrollment ID: I20210715000935 |
| Provider Name | Travis Gratton |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144648684 PECOS PAC ID: 1658594874 Enrollment ID: I20210715000997 |
| Provider Name | Harras Bin Zaid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861718736 PECOS PAC ID: 1355652421 Enrollment ID: I20210726002150 |
| Provider Name | Steven Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306225784 PECOS PAC ID: 1153625637 Enrollment ID: I20210728001570 |
| Provider Name | Elizabeth F Ramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881249126 PECOS PAC ID: 3072843911 Enrollment ID: I20210728002716 |
| Provider Name | Justine Cynthia Reilly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184144198 PECOS PAC ID: 3870903040 Enrollment ID: I20210806000632 |
| Provider Name | Nawalage Ravi Nayanadul Cooray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275071136 PECOS PAC ID: 3971907312 Enrollment ID: I20210809000249 |
| Provider Name | Tammie L Generette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750788568 PECOS PAC ID: 5294139309 Enrollment ID: I20210811004554 |
| Provider Name | Holly Gureski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053985671 PECOS PAC ID: 8628472529 Enrollment ID: I20210813000387 |
| Provider Name | Senecae Patrice Ontiberos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851990931 PECOS PAC ID: 7618372574 Enrollment ID: I20210816004100 |
| Provider Name | Kunal Shah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619233558 PECOS PAC ID: 3274938006 Enrollment ID: I20210817003133 |
| Provider Name | Mary Micaela Rieger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134548399 PECOS PAC ID: 4587913462 Enrollment ID: I20210817004237 |
| Provider Name | Grace Ching |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730672353 PECOS PAC ID: 2062767403 Enrollment ID: I20210818000363 |
| Provider Name | Andrew A Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598112948 PECOS PAC ID: 6103221882 Enrollment ID: I20210818001595 |
| Provider Name | Shumaila N. Khawja |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326466384 PECOS PAC ID: 6002031960 Enrollment ID: I20210818002548 |
| Provider Name | Karen De La Garza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518454032 PECOS PAC ID: 7618221011 Enrollment ID: I20210819000220 |
| Provider Name | Mozhgon Vafaee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326536517 PECOS PAC ID: 7719382373 Enrollment ID: I20210819000725 |
| Provider Name | Nwabundo I Anusim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144504408 PECOS PAC ID: 6204067119 Enrollment ID: I20210819001591 |
| Provider Name | Lisa Hadorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164005807 PECOS PAC ID: 0143625608 Enrollment ID: I20210820001655 |
| Provider Name | Alex Cruz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407242308 PECOS PAC ID: 2567886559 Enrollment ID: I20210824000653 |
| Provider Name | Rebecca Nekolaichuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275021883 PECOS PAC ID: 6103221254 Enrollment ID: I20210827000147 |
| Provider Name | Qaisar Alshebani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073010724 PECOS PAC ID: 0244636033 Enrollment ID: I20210902000119 |
| Provider Name | Gerardo Alcazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922444280 PECOS PAC ID: 0749568251 Enrollment ID: I20210902001596 |
| Provider Name | Pranay Kappera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831628916 PECOS PAC ID: 8729484555 Enrollment ID: I20210902001758 |
| Provider Name | Therese O James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326629734 PECOS PAC ID: 7618373465 Enrollment ID: I20210902002698 |
| Provider Name | Jason R Hall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003223983 PECOS PAC ID: 4385952399 Enrollment ID: I20210903002195 |
| Provider Name | Hwarang S Han |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740667534 PECOS PAC ID: 3971926015 Enrollment ID: I20210920000796 |
| Provider Name | Tereasa M Simonson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780684126 PECOS PAC ID: 4385557941 Enrollment ID: I20210922002919 |
| Provider Name | Joe Hidrogo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184072043 PECOS PAC ID: 5799182432 Enrollment ID: I20210923001344 |
| Provider Name | Sergio A Montano |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811382930 PECOS PAC ID: 9335458504 Enrollment ID: I20211001001811 |
| Provider Name | Sarah Wilson Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497425193 PECOS PAC ID: 5991103715 Enrollment ID: I20211008001946 |
| Provider Name | Michelle E O Rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205265865 PECOS PAC ID: 9739317405 Enrollment ID: I20211011002605 |
| Provider Name | William Dewease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063046746 PECOS PAC ID: 2769880004 Enrollment ID: I20211018001237 |
| Provider Name | Sean D Motl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023512019 PECOS PAC ID: 5799032959 Enrollment ID: I20211029002455 |
| Provider Name | Elisa Furay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245618180 PECOS PAC ID: 6608178124 Enrollment ID: I20211103002132 |
| Provider Name | Gregory N Wallingford |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467870477 PECOS PAC ID: 6709153174 Enrollment ID: I20211103002484 |
| Provider Name | Anne Holland Mardy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972946150 PECOS PAC ID: 2769745264 Enrollment ID: I20211104002199 |
| Provider Name | Jessica Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326711524 PECOS PAC ID: 4183013022 Enrollment ID: I20211115000780 |
| Provider Name | Susan Guthrie Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669925111 PECOS PAC ID: 1355730235 Enrollment ID: I20211115002194 |
| Provider Name | Curry L Koening |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821158593 PECOS PAC ID: 6002902673 Enrollment ID: I20211120000032 |
| Provider Name | Rebecca A Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801283734 PECOS PAC ID: 1850660630 Enrollment ID: I20211122000097 |
| Provider Name | Yuko Hamajima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851843288 PECOS PAC ID: 9234410788 Enrollment ID: I20211122001806 |
| Provider Name | Darren Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124517172 PECOS PAC ID: 3375933740 Enrollment ID: I20211130001030 |
| Provider Name | Srinivas J Ivatury |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1003098237 PECOS PAC ID: 0244459956 Enrollment ID: I20211130003069 |
| Provider Name | Ryan Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780255422 PECOS PAC ID: 2860882115 Enrollment ID: I20211201001182 |
| Provider Name | Joel Adler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518279199 PECOS PAC ID: 8729241344 Enrollment ID: I20211201001960 |
| Provider Name | Jillian Mclaughlin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225456684 PECOS PAC ID: 2769753516 Enrollment ID: I20211201002930 |
| Provider Name | Maura Ruby Ronquillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912433707 PECOS PAC ID: 3678828738 Enrollment ID: I20211202000693 |
| Provider Name | Nissa R Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205407335 PECOS PAC ID: 9739570698 Enrollment ID: I20220103001789 |
| Provider Name | Andrea Valls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558030239 PECOS PAC ID: 1951792811 Enrollment ID: I20220103002022 |
| Provider Name | Muhammad Osman Arif |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679709380 PECOS PAC ID: 3173836095 Enrollment ID: I20220105000716 |
| Provider Name | Genesis F Salgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568941490 PECOS PAC ID: 3375934003 Enrollment ID: I20220106001415 |
| Provider Name | Petra Kelsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578927026 PECOS PAC ID: 3274826839 Enrollment ID: I20220107001222 |
| Provider Name | Saivivek Reddy Bogale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669732970 PECOS PAC ID: 3173872710 Enrollment ID: I20220110001394 |
| Provider Name | Elizabeth Dufrene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629680525 PECOS PAC ID: 0749672277 Enrollment ID: I20220113001084 |
| Provider Name | Joan Boughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134166614 PECOS PAC ID: 1850300567 Enrollment ID: I20220120001996 |
| Provider Name | Deborah M Boateng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437605045 PECOS PAC ID: 7719245067 Enrollment ID: I20220125000880 |
| Provider Name | Rebecca E Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922391655 PECOS PAC ID: 7719144054 Enrollment ID: I20220204000941 |
| Provider Name | Alexander M. Saucedo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801328224 PECOS PAC ID: 4284028986 Enrollment ID: I20220223000347 |
| Provider Name | Michelle Arendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407520810 PECOS PAC ID: 6305231804 Enrollment ID: I20220321000346 |
| Provider Name | Olivia C Calzada Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053890525 PECOS PAC ID: 9335492651 Enrollment ID: I20220321001827 |
| Provider Name | Derek Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619635182 PECOS PAC ID: 7113312323 Enrollment ID: I20220324000870 |
| Provider Name | John Schmittner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275891913 PECOS PAC ID: 6103863238 Enrollment ID: I20220511000603 |
| Provider Name | Lauren Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912666199 PECOS PAC ID: 2062899974 Enrollment ID: I20220516001260 |
| Provider Name | Colleen Kuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407513146 PECOS PAC ID: 3375920192 Enrollment ID: I20220517002872 |
| Provider Name | Khaleah A Artley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265198196 PECOS PAC ID: 8123405750 Enrollment ID: I20220519001453 |
| Provider Name | Angela Mcmaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699436782 PECOS PAC ID: 2567849110 Enrollment ID: I20220519002028 |
| Provider Name | Floyd Butz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841886066 PECOS PAC ID: 8628455276 Enrollment ID: I20220519002134 |
| Provider Name | Rumi Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184676926 PECOS PAC ID: 7315967692 Enrollment ID: I20220520000406 |
| Provider Name | Kelly Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528721537 PECOS PAC ID: 0345627931 Enrollment ID: I20220520000954 |
| Provider Name | Jillian C Grevenstuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710646211 PECOS PAC ID: 0941687461 Enrollment ID: I20220521000043 |
| Provider Name | Mohammad Alsumrain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639327885 PECOS PAC ID: 2062675408 Enrollment ID: I20220524000849 |
| Provider Name | Leah M Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295342327 PECOS PAC ID: 3173935491 Enrollment ID: I20220524002780 |
| Provider Name | Tomas K Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660974 PECOS PAC ID: 5193057362 Enrollment ID: I20220525000369 |
| Provider Name | Katherine A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104395904 PECOS PAC ID: 2466785704 Enrollment ID: I20220525000592 |
| Provider Name | Kamalpreet K Singh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750543435 PECOS PAC ID: 9032257951 Enrollment ID: I20220526000036 |
| Provider Name | Michelle Lubetzky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285892141 PECOS PAC ID: 6406035740 Enrollment ID: I20220526000241 |
| Provider Name | Lesley A Khan-farooqi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700168796 PECOS PAC ID: 8527228733 Enrollment ID: I20220526000483 |
| Provider Name | Lisa Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295481950 PECOS PAC ID: 8729466172 Enrollment ID: I20220526000594 |
| Provider Name | Vanessa J Schiafone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952053217 PECOS PAC ID: 4880072230 Enrollment ID: I20220526000728 |
| Provider Name | Emily N Baker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568066413 PECOS PAC ID: 3274911409 Enrollment ID: I20220531002531 |
| Provider Name | Joel M Mietus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184758328 PECOS PAC ID: 3678641560 Enrollment ID: I20220606000076 |
| Provider Name | Lindsey N Fujan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932744166 PECOS PAC ID: 3072991967 Enrollment ID: I20220606001207 |
| Provider Name | Meryl S Logan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730513482 PECOS PAC ID: 6507244274 Enrollment ID: I20220608002319 |
| Provider Name | Jeffrey Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326794553 PECOS PAC ID: 4284013665 Enrollment ID: I20220615000061 |
| Provider Name | Trisha Manis Parekh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568755916 PECOS PAC ID: 8224318076 Enrollment ID: I20220623000128 |
| Provider Name | Madhuri Kasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770986424 PECOS PAC ID: 8224375936 Enrollment ID: I20220624001446 |
| Provider Name | Valerie Rodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619646346 PECOS PAC ID: 6103205992 Enrollment ID: I20220624001926 |
| Provider Name | Lakshya U Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932668977 PECOS PAC ID: 2668852856 Enrollment ID: I20220706000954 |
| Provider Name | Brett Deatherage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669821070 PECOS PAC ID: 2567743628 Enrollment ID: I20220706001367 |
| Provider Name | Andrew J Cheng |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1780004101 PECOS PAC ID: 4183046360 Enrollment ID: I20220706001785 |
| Provider Name | Morgann W Murdock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841522802 PECOS PAC ID: 7416337373 Enrollment ID: I20220708003098 |
| Provider Name | Leticia Roa Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225775513 PECOS PAC ID: 2567843824 Enrollment ID: I20220718001889 |
| Provider Name | Rajvi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467016790 PECOS PAC ID: 4688055718 Enrollment ID: I20220720001108 |
| Provider Name | Jonathan Shirshekan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144602111 PECOS PAC ID: 8022313097 Enrollment ID: I20220721000526 |
| Provider Name | James M Hubley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497311351 PECOS PAC ID: 3072994821 Enrollment ID: I20220726000069 |
| Provider Name | Kelly Mover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477050920 PECOS PAC ID: 9032454087 Enrollment ID: I20220726001086 |
| Provider Name | Kelli Bagwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881250488 PECOS PAC ID: 2860874658 Enrollment ID: I20220726001880 |
| Provider Name | Kevin P Ferriter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619430535 PECOS PAC ID: 4688069966 Enrollment ID: I20220727002161 |
| Provider Name | Helen Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538547690 PECOS PAC ID: 8921301078 Enrollment ID: I20220805001886 |
| Provider Name | Tamer A Amer |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1417342296 PECOS PAC ID: 6709198930 Enrollment ID: I20220805002393 |
| Provider Name | Mustafa S Abdul-moheeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396301289 PECOS PAC ID: 3870975873 Enrollment ID: I20220808003067 |
| Provider Name | Prashant K Upadhyaya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861699506 PECOS PAC ID: 0244465045 Enrollment ID: I20220808003319 |
| Provider Name | Carmen Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215548557 PECOS PAC ID: 9537586615 Enrollment ID: I20220812000690 |
| Provider Name | Sagarika P. Satyavada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316331267 PECOS PAC ID: 7517340060 Enrollment ID: I20220816000697 |
| Provider Name | Emily Ann Biller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700376944 PECOS PAC ID: 8921497322 Enrollment ID: I20220816002990 |
| Provider Name | Harland Berning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043773831 PECOS PAC ID: 9436533429 Enrollment ID: I20220824002788 |
| Provider Name | Meghan E Dowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205469798 PECOS PAC ID: 2264816156 Enrollment ID: I20220825003490 |
| Provider Name | Lauren Caldwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477948776 PECOS PAC ID: 3274917935 Enrollment ID: I20220829003479 |
| Provider Name | Jennifer J Rhea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912634684 PECOS PAC ID: 1153705314 Enrollment ID: I20220907002443 |
| Provider Name | Alessandra Marilyn Quaroni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290847 PECOS PAC ID: 8022492164 Enrollment ID: I20220908001815 |
| Provider Name | Yitzhak Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356803852 PECOS PAC ID: 0941685341 Enrollment ID: I20220921002851 |
| Provider Name | Raju Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114218070 PECOS PAC ID: 2264726868 Enrollment ID: I20221004001622 |
| Provider Name | Jonathan Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982325478 PECOS PAC ID: 4486030111 Enrollment ID: I20221004002886 |
| Provider Name | Antonieta Rueda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851854699 PECOS PAC ID: 2062898646 Enrollment ID: I20221005001553 |
| Provider Name | Ahmed Sesay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144625658 PECOS PAC ID: 8527359983 Enrollment ID: I20221007000059 |
| Provider Name | Andrea L Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144836495 PECOS PAC ID: 6507276250 Enrollment ID: I20221007000969 |
| Provider Name | Kristina Tzartzeva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760846802 PECOS PAC ID: 6709252661 Enrollment ID: I20221018000372 |
| Provider Name | Michele Agustin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881182871 PECOS PAC ID: 9830566116 Enrollment ID: I20221028001441 |
| Provider Name | Sooraj Tejaswi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932425782 PECOS PAC ID: 4789709718 Enrollment ID: I20221101002731 |
| Provider Name | Sarah Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881258937 PECOS PAC ID: 9537495452 Enrollment ID: I20221107002319 |
| Provider Name | Traci Craft |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285131136 PECOS PAC ID: 4486022787 Enrollment ID: I20221117001114 |
| Provider Name | Benjamin Yarbrough |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1912394651 PECOS PAC ID: 2466714142 Enrollment ID: I20221118000881 |
| Provider Name | Kimberly Jagst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851051700 PECOS PAC ID: 6709278351 Enrollment ID: I20221118001509 |
| Provider Name | Michael Seamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396386348 PECOS PAC ID: 8628403235 Enrollment ID: I20221129000656 |
| Provider Name | Avni Paresh Mody |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437683307 PECOS PAC ID: 1850702994 Enrollment ID: I20221130003431 |
| Provider Name | Chorvy Yos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730898651 PECOS PAC ID: 8224406814 Enrollment ID: I20221202000526 |
| Provider Name | Madison Eckles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104480136 PECOS PAC ID: 6002147519 Enrollment ID: I20221202002594 |
| Provider Name | Elizabeth Yim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326435454 PECOS PAC ID: 3375880040 Enrollment ID: I20221212002890 |
| Provider Name | Sarah Odeyomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891350500 PECOS PAC ID: 0244609337 Enrollment ID: I20221213000066 |
| Provider Name | Brittany Rosales |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508244583 PECOS PAC ID: 7911205232 Enrollment ID: I20221214002321 |
| Provider Name | Samantha Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932832425 PECOS PAC ID: 6204205222 Enrollment ID: I20221214002766 |
| Provider Name | Mahsa Mansouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982199386 PECOS PAC ID: 6709287402 Enrollment ID: I20221215001146 |
| Provider Name | Gretchen K Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174230601 PECOS PAC ID: 8325418023 Enrollment ID: I20221221000204 |
| Provider Name | George Arnaoutakis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518171347 PECOS PAC ID: 8820278328 Enrollment ID: I20230120000916 |
| Provider Name | Jenna S Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881219525 PECOS PAC ID: 6204207467 Enrollment ID: I20230126000138 |
| Provider Name | Jennifer E Nordhauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417516915 PECOS PAC ID: 8921479106 Enrollment ID: I20230126000656 |
| Provider Name | Matthew Steven Willsey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649660234 PECOS PAC ID: 0244545267 Enrollment ID: I20230202000988 |
| Provider Name | Joshua Collin Grimm |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457672701 PECOS PAC ID: 9830347293 Enrollment ID: I20230221002125 |
| Provider Name | Devin Leslie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265922264 PECOS PAC ID: 4789057803 Enrollment ID: I20230310000051 |
| Provider Name | Hamidreza Saber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457739906 PECOS PAC ID: 4486936804 Enrollment ID: I20230310001823 |
| Provider Name | Jonathan Lundy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841344678 PECOS PAC ID: 5597140418 Enrollment ID: I20230315001441 |
| Provider Name | Jennifer Renee Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952917742 PECOS PAC ID: 4587074448 Enrollment ID: I20230321001971 |
| Provider Name | Amanda Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477265940 PECOS PAC ID: 9739554114 Enrollment ID: I20230418000174 |
| Provider Name | Raj K Nangunoori |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134477037 PECOS PAC ID: 1456639707 Enrollment ID: I20230419001948 |
| Provider Name | Collin M Mckenzie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598298481 PECOS PAC ID: 4486901956 Enrollment ID: I20230422000190 |
| Provider Name | Matthew T Wallace |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609012731 PECOS PAC ID: 9335366988 Enrollment ID: I20230502000309 |
| Provider Name | Allison Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942767389 PECOS PAC ID: 6800252404 Enrollment ID: I20230524003262 |
| Provider Name | Jennifer Elizabeth Cavin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437511904 PECOS PAC ID: 2365736766 Enrollment ID: I20230619001767 |
| Provider Name | James Hart Little |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386651875 PECOS PAC ID: 7416231766 Enrollment ID: I20230626002409 |
| Provider Name | Nerlyne Desravines |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174917272 PECOS PAC ID: 5395054241 Enrollment ID: I20230706004158 |
| Provider Name | Carsen M Kwolek |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780391870 PECOS PAC ID: 7416317920 Enrollment ID: I20230715000736 |
| Provider Name | Navid Valizadeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073933222 PECOS PAC ID: 1456603794 Enrollment ID: I20230717001202 |
| Provider Name | Taylor Ooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134793672 PECOS PAC ID: 7911367362 Enrollment ID: I20230717001660 |
| Provider Name | Bryanna Mantilla |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437646569 PECOS PAC ID: 7113261272 Enrollment ID: I20230725000560 |
| Provider Name | Susan Talamini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023470796 PECOS PAC ID: 2567758600 Enrollment ID: I20230814001336 |
| Provider Name | Molly Elizabeth Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730736976 PECOS PAC ID: 2365772860 Enrollment ID: I20230817002426 |
| Provider Name | Borna Ethan Tabibian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295199685 PECOS PAC ID: 6305134164 Enrollment ID: I20230821001191 |
| Provider Name | Maureen Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003383522 PECOS PAC ID: 3072851526 Enrollment ID: I20230908000068 |
| Provider Name | Burton D Dunlap |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174056907 PECOS PAC ID: 1153699285 Enrollment ID: I20230908002081 |
| Provider Name | Mary Frances Cypher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679925721 PECOS PAC ID: 8527352806 Enrollment ID: I20230928003656 |
| Provider Name | Erika Bonifacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134843709 PECOS PAC ID: 0648624262 Enrollment ID: I20230929001512 |
| Provider Name | Lauren Jeanette Beaudry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650235 PECOS PAC ID: 8325278161 Enrollment ID: I20230929002435 |
| Provider Name | Anne M Schumaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558618348 PECOS PAC ID: 5294989703 Enrollment ID: I20230930000561 |
| Provider Name | Kimberly Catahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306536081 PECOS PAC ID: 7113372343 Enrollment ID: I20231009001361 |
| Provider Name | Jessica Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003524877 PECOS PAC ID: 3971958117 Enrollment ID: I20231009002162 |
| Provider Name | Mohammad Bashashati Saghezchi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346774510 PECOS PAC ID: 9335594407 Enrollment ID: I20231010000213 |
| Provider Name | Paul Sarkaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902463300 PECOS PAC ID: 7315392362 Enrollment ID: I20231011000098 |
| Provider Name | Ayele Tete |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659068393 PECOS PAC ID: 5991151342 Enrollment ID: I20231023000140 |
| Provider Name | Anish Soni |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225535222 PECOS PAC ID: 6204282429 Enrollment ID: I20231025000023 |
| Provider Name | Andrew Lin |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1538692181 PECOS PAC ID: 0547616773 Enrollment ID: I20231025000441 |
| Provider Name | Jillian Rippon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073134235 PECOS PAC ID: 9830545813 Enrollment ID: I20231026004017 |
| Provider Name | Veronica Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255952057 PECOS PAC ID: 5890141642 Enrollment ID: I20231031000029 |
| Provider Name | Stanley Lawrence Hoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043660228 PECOS PAC ID: 9436577723 Enrollment ID: I20231031003497 |
| Provider Name | Jonathan Theo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164919379 PECOS PAC ID: 0244687507 Enrollment ID: I20231107004129 |
| Provider Name | Jennifer Speyrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558144394 PECOS PAC ID: 5597112425 Enrollment ID: I20231114001602 |
| Provider Name | Mohammad A Yousef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609255686 PECOS PAC ID: 6507172863 Enrollment ID: I20231114001945 |
| Provider Name | Priyanka Satish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205358835 PECOS PAC ID: 6709158413 Enrollment ID: I20231114003123 |
| Provider Name | Andre Yu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538693940 PECOS PAC ID: 9739458456 Enrollment ID: I20231114003827 |
| Provider Name | Brady A Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548729635 PECOS PAC ID: 3971837782 Enrollment ID: I20231115002534 |
| Provider Name | Pranu R Neelam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245720978 PECOS PAC ID: 6901295302 Enrollment ID: I20231116000768 |
| Provider Name | Alyssa Kwok |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1265963847 PECOS PAC ID: 6406126705 Enrollment ID: I20231121000798 |
| Provider Name | Alycia T Billeaudeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659145779 PECOS PAC ID: 6103275573 Enrollment ID: I20231211001467 |
| Provider Name | Satoshi Furukawa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104814144 PECOS PAC ID: 6800792037 Enrollment ID: I20231220003357 |
| Provider Name | Kristen M Sankey-thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831652692 PECOS PAC ID: 1254781719 Enrollment ID: I20231222003167 |
| Provider Name | Jeanne Elizabeth Hicks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154692176 PECOS PAC ID: 9436419934 Enrollment ID: I20231229002322 |
| Provider Name | Cassandra E Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093596355 PECOS PAC ID: 3072964394 Enrollment ID: I20240110003724 |
| Provider Name | Karen M Kim |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720114572 PECOS PAC ID: 4284941600 Enrollment ID: I20240116003871 |
| Provider Name | Hayden T Oldham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817045 PECOS PAC ID: 3870801129 Enrollment ID: I20240123002501 |
| Provider Name | Tanesha Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740983733 PECOS PAC ID: 3375995509 Enrollment ID: I20240123003434 |
| Provider Name | Karyn Charise Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831253152 PECOS PAC ID: 9335462134 Enrollment ID: I20240125000323 |
| Provider Name | Zackary Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154109874 PECOS PAC ID: 9537512470 Enrollment ID: I20240127000277 |
| Provider Name | Grace Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487175048 PECOS PAC ID: 6608121017 Enrollment ID: I20240206003946 |
| Provider Name | Queen U Ukaoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659143956 PECOS PAC ID: 8123464534 Enrollment ID: I20240307003261 |
| Provider Name | Claire Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104695733 PECOS PAC ID: 4486092962 Enrollment ID: I20240403000671 |
| Provider Name | Sovik De Sirkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588124739 PECOS PAC ID: 0143664334 Enrollment ID: I20240404002314 |
| Provider Name | Federico E Garcia Trobo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417366873 PECOS PAC ID: 7315273356 Enrollment ID: I20240415003027 |
| Provider Name | Kiani K Dziuda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285497214 PECOS PAC ID: 7315386075 Enrollment ID: I20240415003284 |
| Provider Name | David Sly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255387148 PECOS PAC ID: 9032358379 Enrollment ID: I20240415003376 |
| Provider Name | Meredith A Booten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992262372 PECOS PAC ID: 0840528345 Enrollment ID: I20240418001635 |
| Provider Name | Kayla Lynn Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902532492 PECOS PAC ID: 6002271533 Enrollment ID: I20240430002210 |
| Provider Name | Alexander Richard Farr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518494137 PECOS PAC ID: 6507289360 Enrollment ID: I20240520000869 |
| Provider Name | Christy Taylor Risinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700897634 PECOS PAC ID: 7911927033 Enrollment ID: I20240530003753 |
| Provider Name | Joshua L Davis |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003268079 PECOS PAC ID: 3678829652 Enrollment ID: I20240603003476 |
| Provider Name | Jamie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972365260 PECOS PAC ID: 9335681287 Enrollment ID: I20240606001182 |
| Provider Name | Rita Awuku |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003677485 PECOS PAC ID: 4385186246 Enrollment ID: I20240606001859 |
| Provider Name | Gabrielle Domanic-fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013768068 PECOS PAC ID: 5092257410 Enrollment ID: I20240612003190 |
| Provider Name | James L Wise |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982681334 PECOS PAC ID: 4981607850 Enrollment ID: I20240625001946 |
| Provider Name | Mouruge Obada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457104309 PECOS PAC ID: 1557805595 Enrollment ID: I20240701002581 |
| Provider Name | Muhaymin S Abdul-moheeth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689240541 PECOS PAC ID: 5496290124 Enrollment ID: I20240717002462 |
| Provider Name | William Brockway |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346703832 PECOS PAC ID: 2062746126 Enrollment ID: I20240718001207 |
| Provider Name | John E Kehoe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669714309 PECOS PAC ID: 8729411798 Enrollment ID: I20240718003648 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538725502 PECOS PAC ID: 5991241507 Enrollment ID: I20240718004981 |
| Provider Name | Samuel D Leonard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649733551 PECOS PAC ID: 1153867544 Enrollment ID: I20240722002516 |
| Provider Name | Nichole J Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538188305 PECOS PAC ID: 6507898533 Enrollment ID: I20240723003620 |
| Provider Name | Ryan Quinn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710683545 PECOS PAC ID: 2567908809 Enrollment ID: I20240723004181 |
| Provider Name | Kelly Gondek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033968581 PECOS PAC ID: 0446796460 Enrollment ID: I20240725002178 |
| Provider Name | Bo S Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649294695 PECOS PAC ID: 7416951298 Enrollment ID: I20240801002358 |
| Provider Name | Ilona Farkas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649817891 PECOS PAC ID: 9830500644 Enrollment ID: I20240808001196 |
| Provider Name | Douglas Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528634508 PECOS PAC ID: 8426595356 Enrollment ID: I20240808003369 |
| Provider Name | Eugene Keener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780250787 PECOS PAC ID: 2860939709 Enrollment ID: I20240808003978 |
| Provider Name | Sarah E Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407808363 PECOS PAC ID: 7810434784 Enrollment ID: I20240809000324 |
| Provider Name | Colleen O'neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013585728 PECOS PAC ID: 9133667074 Enrollment ID: I20240809003754 |
| Provider Name | Nimmy Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922674076 PECOS PAC ID: 7911445861 Enrollment ID: I20240809003999 |
| Provider Name | Sara Gottesman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881259612 PECOS PAC ID: 0042758898 Enrollment ID: I20240812003675 |
| Provider Name | Louis M Anzalone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316437932 PECOS PAC ID: 6103298658 Enrollment ID: I20240813000220 |
| Provider Name | Axis A Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023863438 PECOS PAC ID: 3274071931 Enrollment ID: I20240813004327 |
| Provider Name | Saleem Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437656691 PECOS PAC ID: 8022367689 Enrollment ID: I20240817000677 |
| Provider Name | Elizabeth M Emberley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326337098 PECOS PAC ID: 1759699713 Enrollment ID: I20240821001674 |
| Provider Name | Khushwant Mangat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932661576 PECOS PAC ID: 8729313499 Enrollment ID: I20240821004898 |
| Provider Name | Melissa Paige Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992276083 PECOS PAC ID: 8022356708 Enrollment ID: I20240822001327 |
| Provider Name | Lili Sadri |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356877484 PECOS PAC ID: 2062782840 Enrollment ID: I20240906001733 |
| Provider Name | Kaitlin C Redd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467882548 PECOS PAC ID: 9638309974 Enrollment ID: I20240917004515 |
| Provider Name | Terry Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639924913 PECOS PAC ID: 5092247312 Enrollment ID: I20241011000988 |
| Provider Name | Alexander T Cantu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609443340 PECOS PAC ID: 5092116715 Enrollment ID: I20241016004963 |
| Provider Name | Amanda Teblunthuis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962030486 PECOS PAC ID: 2163847138 Enrollment ID: I20241016004981 |
| Provider Name | Jonathan Thomas Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245887355 PECOS PAC ID: 4284088741 Enrollment ID: I20241017004392 |
| Provider Name | Crysti Donahue |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821841479 PECOS PAC ID: 8921530601 Enrollment ID: I20241018002722 |
| Provider Name | Christoffer Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881260537 PECOS PAC ID: 4183157266 Enrollment ID: I20241028002971 |
| Provider Name | Sarah Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972331676 PECOS PAC ID: 9830622851 Enrollment ID: I20241030000605 |
| Provider Name | Ginikachukwu Hillary Ibezim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578139325 PECOS PAC ID: 0042743890 Enrollment ID: I20241031002387 |
| Provider Name | Joshua Shaffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396366043 PECOS PAC ID: 4082147749 Enrollment ID: I20241101003088 |
| Provider Name | Claire Marie Sokas |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1851753222 PECOS PAC ID: 0941530984 Enrollment ID: I20241108000384 |
| Provider Name | Shahed Toossi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730479239 PECOS PAC ID: 6709017817 Enrollment ID: I20241108002953 |
| Provider Name | Saad Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861021545 PECOS PAC ID: 6709311087 Enrollment ID: I20241122002942 |
| Provider Name | Opeyemi Aroyewun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669096525 PECOS PAC ID: 3274970108 Enrollment ID: I20241127001033 |
| Provider Name | Sarah Hallmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720811920 PECOS PAC ID: 3476088428 Enrollment ID: I20241127001355 |
| Provider Name | Caleb Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508248451 PECOS PAC ID: 9436469103 Enrollment ID: I20241127002366 |
| Provider Name | Sonia Grabowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659102168 PECOS PAC ID: 3577098375 Enrollment ID: I20241202003429 |
| Provider Name | Sana Azam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396314225 PECOS PAC ID: 3577964279 Enrollment ID: I20241203002055 |
| Provider Name | Jorge Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568038099 PECOS PAC ID: 9638605165 Enrollment ID: I20241209000131 |
| Provider Name | Tracy D Thangam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205305505 PECOS PAC ID: 3870832223 Enrollment ID: I20241209001371 |
| Provider Name | Tracie Roseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104300607 PECOS PAC ID: 1759817786 Enrollment ID: I20241213000371 |
| Provider Name | Gregory H. Versteeg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891299426 PECOS PAC ID: 7810232493 Enrollment ID: I20241219003823 |
| Provider Name | Ananda Vigneswari Anebarassou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750950648 PECOS PAC ID: 5890196844 Enrollment ID: I20241227001732 |
| Provider Name | Frances E Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922829340 PECOS PAC ID: 1658801451 Enrollment ID: I20250210000451 |
| Provider Name | Saivenkat Vagvala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831546571 PECOS PAC ID: 2860783891 Enrollment ID: I20250218003593 |
| Provider Name | Shelby Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902622087 PECOS PAC ID: 7416477526 Enrollment ID: I20250219003326 |
| Provider Name | Errol Singh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629141577 PECOS PAC ID: 6901793942 Enrollment ID: I20250220001333 |
| Provider Name | Luis M Argote-greene |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598877748 PECOS PAC ID: 8820304587 Enrollment ID: I20250227002246 |
| Provider Name | Mary C Duncan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124854229 PECOS PAC ID: 9234653973 Enrollment ID: I20250403002793 |
| Provider Name | Sarah B Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821316902 PECOS PAC ID: 4385863760 Enrollment ID: I20250404000735 |
| Provider Name | Khan O Mohammad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134797103 PECOS PAC ID: 3476992272 Enrollment ID: I20250408002944 |
| Provider Name | Morgan Lakner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326850751 PECOS PAC ID: 7810411683 Enrollment ID: I20250414002675 |
| Provider Name | Kenneth Son |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417048331 PECOS PAC ID: 7719935261 Enrollment ID: I20250414003013 |
| Provider Name | Brennan Lanier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730716374 PECOS PAC ID: 6305361163 Enrollment ID: I20250415001585 |
| Provider Name | Lisa M Bernhard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972750099 PECOS PAC ID: 8820158454 Enrollment ID: I20250415001877 |
| Provider Name | Taylor Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144617192 PECOS PAC ID: 8729393046 Enrollment ID: I20250423000413 |
| Provider Name | Oliver Mithoefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205450178 PECOS PAC ID: 6305265919 Enrollment ID: I20250428001305 |
| Provider Name | Daniel Ahle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922674068 PECOS PAC ID: 5294270294 Enrollment ID: I20250530002255 |
| Provider Name | Megan Abdurashidova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710501820 PECOS PAC ID: 5496264566 Enrollment ID: I20250530002722 |
| Provider Name | Ana Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194494500 PECOS PAC ID: 1759770258 Enrollment ID: I20250530003048 |
| Provider Name | Cassidy Brent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801618319 PECOS PAC ID: 6800305699 Enrollment ID: I20250603002366 |
| Provider Name | Christopher W Graham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861472961 PECOS PAC ID: 3072409135 Enrollment ID: I20250603002727 |
| Provider Name | Lauren Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306642541 PECOS PAC ID: 0244749992 Enrollment ID: I20250603003896 |
| Provider Name | Ronald Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437612538 PECOS PAC ID: 3173950854 Enrollment ID: I20250606002571 |
| Provider Name | Claire Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508678749 PECOS PAC ID: 3779093588 Enrollment ID: I20250610004193 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Episcopal Mission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Occupational Health Centers Of The Southwest P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Tmc Provider Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 E Slaughter Ln Ste 404, Austin, TX 78744 Phone: 469-277-8253 |