| Shawnee Mission Physicians Group | |
|
9100 W 74th St Merriam KS 66204-4004 | |
| (913) 676-2000 | |
| Not Available |
| Full Name | Shawnee Mission Physicians Group |
|---|---|
| Speciality | Family Medicine |
| Location | 9100 W 74th St, Merriam, Kansas |
| Authorized Official Name and Position | Alan Verrill (CEO) |
| Authorized Official Contact | 9136762153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Mission Physicians Group 7315 E Frontage Rd Ste 222 Merriam KS 66204-1658 | Shawnee Mission Physicians Group 9100 W 74th St Merriam KS 66204-4004 Ph: (913) 676-2000 |
| NPI Number | 1992735690 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Medicare PECOS PAC ID | 9537119037 |
|---|---|
| Medicare Enrollment ID | O20050701000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992735690 | NPI | - | NPPES |
| Provider Name | Loree J Cordova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770511362 PECOS PAC ID: 3072411909 Enrollment ID: I20031230000084 |
| Provider Name | Jean M Schrader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851322754 PECOS PAC ID: 2860390796 Enrollment ID: I20031230000107 |
| Provider Name | Tamela R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356412910 PECOS PAC ID: 1759274087 Enrollment ID: I20040202001142 |
| Provider Name | Rebecca a Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720054182 PECOS PAC ID: 7315830841 Enrollment ID: I20040206000575 |
| Provider Name | Paul L Oboynick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861454324 PECOS PAC ID: 9739074493 Enrollment ID: I20040220000336 |
| Provider Name | Darci M Mathison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659456598 PECOS PAC ID: 2668364779 Enrollment ID: I20040325000589 |
| Provider Name | Kerry B Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952401002 PECOS PAC ID: 2567457914 Enrollment ID: I20040416000209 |
| Provider Name | Matthew Risdon Galliano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437119526 PECOS PAC ID: 0547250987 Enrollment ID: I20040525000502 |
| Provider Name | Sherebanu F Gaslightwala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790718708 PECOS PAC ID: 2062493992 Enrollment ID: I20040526001576 |
| Provider Name | Steven Joe Hess |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902867096 PECOS PAC ID: 8325020126 Enrollment ID: I20040609000677 |
| Provider Name | Mark a Wiles |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932107521 PECOS PAC ID: 1052383080 Enrollment ID: I20040810001325 |
| Provider Name | Angela C Shaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801993951 PECOS PAC ID: 0941277651 Enrollment ID: I20040913000939 |
| Provider Name | Lisa Dawn Crough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740222900 PECOS PAC ID: 3173580008 Enrollment ID: I20041213000794 |
| Provider Name | Jerad E Widman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083655039 PECOS PAC ID: 5496712168 Enrollment ID: I20050210000727 |
| Provider Name | Thaju Salam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295794733 PECOS PAC ID: 8628032547 Enrollment ID: I20050317000880 |
| Provider Name | Wade L Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588757967 PECOS PAC ID: 7618911892 Enrollment ID: I20050617000905 |
| Provider Name | Del G Rey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649224718 PECOS PAC ID: 5799711313 Enrollment ID: I20050714000287 |
| Provider Name | Lisa a Pazdernik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306872957 PECOS PAC ID: 7416985676 Enrollment ID: I20050728001139 |
| Provider Name | Rebecca a Ruble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972696045 PECOS PAC ID: 6507834025 Enrollment ID: I20050920000843 |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285625277 PECOS PAC ID: 8729050620 Enrollment ID: I20051028000035 |
| Provider Name | Steven J Broxterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053403253 PECOS PAC ID: 6709797723 Enrollment ID: I20051028000754 |
| Provider Name | Laura a Gaffney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740372390 PECOS PAC ID: 5890732614 Enrollment ID: I20051029000010 |
| Provider Name | Mary K Foos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295827822 PECOS PAC ID: 1254378771 Enrollment ID: I20051029000067 |
| Provider Name | Kathryn E Cameron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962594572 PECOS PAC ID: 0840237673 Enrollment ID: I20051029000308 |
| Provider Name | William S Ritter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104825462 PECOS PAC ID: 9335192905 Enrollment ID: I20051029000336 |
| Provider Name | Bob E Green |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316946544 PECOS PAC ID: 8921051426 Enrollment ID: I20051029000339 |
| Provider Name | Jhulan Mukharji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154320414 PECOS PAC ID: 0547213035 Enrollment ID: I20051031000234 |
| Provider Name | Anthony a Albracht |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841299112 PECOS PAC ID: 0446203921 Enrollment ID: I20051031000412 |
| Provider Name | Lynda Wolter Brumley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780641811 PECOS PAC ID: 6406818350 Enrollment ID: I20051031000949 |
| Provider Name | William J Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184668279 PECOS PAC ID: 9739157256 Enrollment ID: I20051101000177 |
| Provider Name | Syed Faisal Jafri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609929868 PECOS PAC ID: 7315998408 Enrollment ID: I20051109000388 |
| Provider Name | Michelle Lynn Dew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003853763 PECOS PAC ID: 6305853243 Enrollment ID: I20060316000618 |
| Provider Name | John E Croom |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1952352908 PECOS PAC ID: 4880607340 Enrollment ID: I20060728000393 |
| Provider Name | Joel D Kavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497749295 PECOS PAC ID: 9032112131 Enrollment ID: I20060810000143 |
| Provider Name | Shashank B Radadiya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306887161 PECOS PAC ID: 9032113402 Enrollment ID: I20060828000333 |
| Provider Name | Stephanie R Lininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962580209 PECOS PAC ID: 4385535061 Enrollment ID: I20061130000515 |
| Provider Name | Patricia L Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275611410 PECOS PAC ID: 1456359371 Enrollment ID: I20061130000520 |
| Provider Name | Scott E Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093714933 PECOS PAC ID: 9739188152 Enrollment ID: I20070213000404 |
| Provider Name | Elizabeth C Parks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255420956 PECOS PAC ID: 2567355621 Enrollment ID: I20070214000240 |
| Provider Name | Neathery B Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942347398 PECOS PAC ID: 2466555669 Enrollment ID: I20070308000254 |
| Provider Name | Anton E Coleman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740263227 PECOS PAC ID: 9032196035 Enrollment ID: I20070324000137 |
| Provider Name | Elizabeth a Volk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790702454 PECOS PAC ID: 5890798532 Enrollment ID: I20070606000079 |
| Provider Name | James Burdette Boyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962570713 PECOS PAC ID: 5193713774 Enrollment ID: I20070625000714 |
| Provider Name | Jessica D Yoakam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023141397 PECOS PAC ID: 3779684618 Enrollment ID: I20070723000563 |
| Provider Name | Carrie L Werst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578770749 PECOS PAC ID: 5698866077 Enrollment ID: I20070814000784 |
| Provider Name | Jennifer L Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841264173 PECOS PAC ID: 9830182286 Enrollment ID: I20070815000512 |
| Provider Name | Ronald K Fields |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1376675678 PECOS PAC ID: 6901831742 Enrollment ID: I20071030000349 |
| Provider Name | Rakesh Gaur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780630368 PECOS PAC ID: 6507805264 Enrollment ID: I20071112000608 |
| Provider Name | Tell B Copening |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801912605 PECOS PAC ID: 9133218571 Enrollment ID: I20071207000541 |
| Provider Name | Denise R Nickel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477749653 PECOS PAC ID: 6608966825 Enrollment ID: I20071212000163 |
| Provider Name | Rebecca L Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518159870 PECOS PAC ID: 8022199645 Enrollment ID: I20080121000236 |
| Provider Name | Andrew Judah Green |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255325791 PECOS PAC ID: 0840212858 Enrollment ID: I20080430000084 |
| Provider Name | Nicole E Berge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457329575 PECOS PAC ID: 7517046261 Enrollment ID: I20080506000509 |
| Provider Name | Melanie Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295839439 PECOS PAC ID: 7113006727 Enrollment ID: I20080508000067 |
| Provider Name | Claudia Ximena Wendell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679504153 PECOS PAC ID: 8325077712 Enrollment ID: I20080515000070 |
| Provider Name | Kristin Anne Leland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013968213 PECOS PAC ID: 2567497795 Enrollment ID: I20080611000428 |
| Provider Name | Matthew B Earnest |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730246992 PECOS PAC ID: 4587735501 Enrollment ID: I20080619000201 |
| Provider Name | Shelley C Elias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508955303 PECOS PAC ID: 2961576343 Enrollment ID: I20080801000681 |
| Provider Name | Aman U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235236258 PECOS PAC ID: 2860568318 Enrollment ID: I20080905000655 |
| Provider Name | Jill M Ackerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386616621 PECOS PAC ID: 6901864248 Enrollment ID: I20080910000427 |
| Provider Name | Chad a Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710942891 PECOS PAC ID: 6305912569 Enrollment ID: I20080911000662 |
| Provider Name | Lisa G Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346437407 PECOS PAC ID: 6406839505 Enrollment ID: I20081010000081 |
| Provider Name | Van L Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538332945 PECOS PAC ID: 4082774757 Enrollment ID: I20081125000727 |
| Provider Name | Clarke Henry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750389029 PECOS PAC ID: 9638226301 Enrollment ID: I20090415000358 |
| Provider Name | Brook a Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114161528 PECOS PAC ID: 9931250065 Enrollment ID: I20090630000460 |
| Provider Name | Veronica Margaret Gavula |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447487780 PECOS PAC ID: 9739232133 Enrollment ID: I20090803000401 |
| Provider Name | Amy M Gordon Ames |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326091950 PECOS PAC ID: 8224181516 Enrollment ID: I20090804000524 |
| Provider Name | David Robbins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871580738 PECOS PAC ID: 3072545144 Enrollment ID: I20090814000057 |
| Provider Name | M Yaser Mounla |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154399921 PECOS PAC ID: 8022015809 Enrollment ID: I20090901000425 |
| Provider Name | Elizabeth a Beal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861636961 PECOS PAC ID: 8022154335 Enrollment ID: I20090930000035 |
| Provider Name | Mouhammed Kyasa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568574978 PECOS PAC ID: 2769550524 Enrollment ID: I20091125000273 |
| Provider Name | Janae M Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306812730 PECOS PAC ID: 7113066333 Enrollment ID: I20091201000675 |
| Provider Name | Michael E Nelson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700855194 PECOS PAC ID: 1951489509 Enrollment ID: I20091228000078 |
| Provider Name | Valery C Webb |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871529065 PECOS PAC ID: 1153350616 Enrollment ID: I20100107000304 |
| Provider Name | Lisa Marie Madsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003808320 PECOS PAC ID: 5597835223 Enrollment ID: I20100121000701 |
| Provider Name | Bradley J Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982635207 PECOS PAC ID: 2264575299 Enrollment ID: I20100129000629 |
| Provider Name | Van T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013963255 PECOS PAC ID: 1254474877 Enrollment ID: I20100204000682 |
| Provider Name | Susan L Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265466742 PECOS PAC ID: 2466596853 Enrollment ID: I20100223000804 |
| Provider Name | Jay S Robinow |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598727190 PECOS PAC ID: 4688686041 Enrollment ID: I20100305000690 |
| Provider Name | Royce E Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841243086 PECOS PAC ID: 7911933718 Enrollment ID: I20100324000331 |
| Provider Name | Ashley N Winblad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679808596 PECOS PAC ID: 5698801785 Enrollment ID: I20100329000093 |
| Provider Name | Julie D Brack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396836680 PECOS PAC ID: 3476689274 Enrollment ID: I20100331000754 |
| Provider Name | John H Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861593964 PECOS PAC ID: 8527129477 Enrollment ID: I20100331000965 |
| Provider Name | Sukumar Ethirajan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1396716056 PECOS PAC ID: 9931235595 Enrollment ID: I20100407000501 |
| Provider Name | Matthew S Buss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902998594 PECOS PAC ID: 8325085152 Enrollment ID: I20100422000497 |
| Provider Name | Gregory P Odonnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891734224 PECOS PAC ID: 0244212769 Enrollment ID: I20100422000546 |
| Provider Name | Gordon R Kelley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548225535 PECOS PAC ID: 2860306966 Enrollment ID: I20100513000050 |
| Provider Name | Michael a Greenfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336191287 PECOS PAC ID: 6204964166 Enrollment ID: I20100513000517 |
| Provider Name | Paul D Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174575930 PECOS PAC ID: 2668500554 Enrollment ID: I20100513000905 |
| Provider Name | Jeffrey M Kaplan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730176041 PECOS PAC ID: 1951397371 Enrollment ID: I20100518000103 |
| Provider Name | Tiffany a Vetter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649486523 PECOS PAC ID: 5496856304 Enrollment ID: I20100518000594 |
| Provider Name | Travis J Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356394985 PECOS PAC ID: 0749319960 Enrollment ID: I20100527000006 |
| Provider Name | Michael E Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982608519 PECOS PAC ID: 9931013034 Enrollment ID: I20100528000682 |
| Provider Name | Arthur a Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538125877 PECOS PAC ID: 9537073630 Enrollment ID: I20100602000048 |
| Provider Name | Louis D Christifano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942391248 PECOS PAC ID: 9638208572 Enrollment ID: I20100602000386 |
| Provider Name | Christopher M Lynch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992809164 PECOS PAC ID: 1355473844 Enrollment ID: I20100720000014 |
| Provider Name | Michael Harwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407962236 PECOS PAC ID: 7214094374 Enrollment ID: I20100730000803 |
| Provider Name | Melanie a Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386835718 PECOS PAC ID: 2567596679 Enrollment ID: I20100811000522 |
| Provider Name | Pratip Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891801692 PECOS PAC ID: 9931095064 Enrollment ID: I20100813000973 |
| Provider Name | Cheryl Rips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356347371 PECOS PAC ID: 9335125376 Enrollment ID: I20100818000090 |
| Provider Name | Anthony J Healy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245452705 PECOS PAC ID: 2264598176 Enrollment ID: I20100830000608 |
| Provider Name | Nathan M Bloom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164629218 PECOS PAC ID: 3476678376 Enrollment ID: I20100915001103 |
| Provider Name | Melissa D Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407161342 PECOS PAC ID: 1355534819 Enrollment ID: I20101018000563 |
| Provider Name | Brianne J Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407881618 PECOS PAC ID: 9335332600 Enrollment ID: I20101019000712 |
| Provider Name | Stacey Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427089333 PECOS PAC ID: 1850586512 Enrollment ID: I20101109000053 |
| Provider Name | Michelle R Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942454608 PECOS PAC ID: 5991867020 Enrollment ID: I20110112000820 |
| Provider Name | Brendan B Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356346175 PECOS PAC ID: 9931200177 Enrollment ID: I20110209000627 |
| Provider Name | Michael R Magee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952306771 PECOS PAC ID: 1759482995 Enrollment ID: I20110209000649 |
| Provider Name | Sahar R Kamel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790878007 PECOS PAC ID: 6103813290 Enrollment ID: I20110309000701 |
| Provider Name | Vinaya K Koduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043326887 PECOS PAC ID: 0941367007 Enrollment ID: I20110324000401 |
| Provider Name | Bradley D Yost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073601464 PECOS PAC ID: 5092702118 Enrollment ID: I20110401000303 |
| Provider Name | Ali Shwaiki |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407802895 PECOS PAC ID: 2668433657 Enrollment ID: I20110720000432 |
| Provider Name | Brenda L Shoup |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1043266620 PECOS PAC ID: 9234162348 Enrollment ID: I20110720000462 |
| Provider Name | Jandra G Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457659104 PECOS PAC ID: 3678741030 Enrollment ID: I20110729000526 |
| Provider Name | Kimberly D Ponnuru |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689766230 PECOS PAC ID: 8426227737 Enrollment ID: I20110824000947 |
| Provider Name | Katherine L Cashner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225330111 PECOS PAC ID: 0941489686 Enrollment ID: I20110912000185 |
| Provider Name | Susan L Dahlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972507754 PECOS PAC ID: 6103872627 Enrollment ID: I20110921000229 |
| Provider Name | Stephanie R Elliott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659557874 PECOS PAC ID: 6901078245 Enrollment ID: I20111011000527 |
| Provider Name | Reagan M Wittek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295817492 PECOS PAC ID: 2769469634 Enrollment ID: I20111025000217 |
| Provider Name | Deborah J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194826156 PECOS PAC ID: 1850567660 Enrollment ID: I20111228000676 |
| Provider Name | Lowell J Byers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1144275132 PECOS PAC ID: 0345434296 Enrollment ID: I20120109000539 |
| Provider Name | Ashley Maye Rehmsmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073880571 PECOS PAC ID: 1052578093 Enrollment ID: I20120203000088 |
| Provider Name | Matthew W Swan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710144761 PECOS PAC ID: 8123186848 Enrollment ID: I20120206000415 |
| Provider Name | Corinna Ann Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366542334 PECOS PAC ID: 6204800022 Enrollment ID: I20120308000529 |
| Provider Name | Estelle Renae Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043583909 PECOS PAC ID: 5294995841 Enrollment ID: I20120320000258 |
| Provider Name | Angelina M Mead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295013274 PECOS PAC ID: 2365602208 Enrollment ID: I20120329000590 |
| Provider Name | Theresa M Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366605024 PECOS PAC ID: 1254593825 Enrollment ID: I20120426000272 |
| Provider Name | Jacqueline N Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154628154 PECOS PAC ID: 3678759933 Enrollment ID: I20120702000277 |
| Provider Name | Abigail R Proffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477711356 PECOS PAC ID: 3870742810 Enrollment ID: I20121005000508 |
| Provider Name | Sarah Darby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790005239 PECOS PAC ID: 0446400337 Enrollment ID: I20121031000311 |
| Provider Name | Ann M Gottfried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376888099 PECOS PAC ID: 0244483592 Enrollment ID: I20130117000027 |
| Provider Name | Marcia L Norwich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699081653 PECOS PAC ID: 9830344886 Enrollment ID: I20130225000263 |
| Provider Name | Abigail M Moos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558556886 PECOS PAC ID: 9931354677 Enrollment ID: I20130312000097 |
| Provider Name | Jeffrey M Schroeder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518270032 PECOS PAC ID: 0547405243 Enrollment ID: I20130401000089 |
| Provider Name | Samantha M Schroeder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538472550 PECOS PAC ID: 9830335256 Enrollment ID: I20130409000341 |
| Provider Name | Sarah S Yeamans |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942544853 PECOS PAC ID: 9234376724 Enrollment ID: I20130430000213 |
| Provider Name | Michaela L Galimba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093943383 PECOS PAC ID: 8123164399 Enrollment ID: I20130718000322 |
| Provider Name | Matthew a Butler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326359308 PECOS PAC ID: 0446492029 Enrollment ID: I20130810000033 |
| Provider Name | John P Greenwood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215135157 PECOS PAC ID: 8628211745 Enrollment ID: I20130821000299 |
| Provider Name | Jill M Soenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255768354 PECOS PAC ID: 9234367673 Enrollment ID: I20140121000845 |
| Provider Name | Carrie E Tyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114357613 PECOS PAC ID: 9032348446 Enrollment ID: I20140205001554 |
| Provider Name | Emily a Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265855472 PECOS PAC ID: 0244461978 Enrollment ID: I20140324000379 |
| Provider Name | Alexander E Fong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326201658 PECOS PAC ID: 4587896428 Enrollment ID: I20140408002023 |
| Provider Name | Emily Fox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730503582 PECOS PAC ID: 2264665140 Enrollment ID: I20140429002203 |
| Provider Name | Jacob P Smeltzer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609023803 PECOS PAC ID: 3971773367 Enrollment ID: I20140702001018 |
| Provider Name | Janet M Gianino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386058378 PECOS PAC ID: 4880810738 Enrollment ID: I20140729002418 |
| Provider Name | Monica a Thielen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770997470 PECOS PAC ID: 4385860279 Enrollment ID: I20140730000799 |
| Provider Name | Montgomery L Roberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124089321 PECOS PAC ID: 4981675758 Enrollment ID: I20140812002115 |
| Provider Name | Melissa S Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245006 PECOS PAC ID: 8022239086 Enrollment ID: I20141016002099 |
| Provider Name | Tracy a Coltharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783866 PECOS PAC ID: 1850613860 Enrollment ID: I20141202001674 |
| Provider Name | M Obadah Al Chekakie |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982853610 PECOS PAC ID: 1557417631 Enrollment ID: I20141209001016 |
| Provider Name | Lynn Rawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285836023 PECOS PAC ID: 4183723729 Enrollment ID: I20141217001966 |
| Provider Name | Jennifer R Vanleeuwen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215339965 PECOS PAC ID: 2163745308 Enrollment ID: I20141219001683 |
| Provider Name | Maeve Hodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992194807 PECOS PAC ID: 8224353396 Enrollment ID: I20150224001991 |
| Provider Name | Elli J Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578953162 PECOS PAC ID: 6204152986 Enrollment ID: I20150225000660 |
| Provider Name | Kathleen R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700214392 PECOS PAC ID: 2961713235 Enrollment ID: I20150612002456 |
| Provider Name | Erin U Feitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801078308 PECOS PAC ID: 0648347716 Enrollment ID: I20150617002712 |
| Provider Name | Joan L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568859239 PECOS PAC ID: 4688986417 Enrollment ID: I20150707002650 |
| Provider Name | Alison N Delich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265811442 PECOS PAC ID: 5395058093 Enrollment ID: I20150724010144 |
| Provider Name | Jennifer D Sturich-cummins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851655401 PECOS PAC ID: 0648498097 Enrollment ID: I20150730011445 |
| Provider Name | Erin a Mcgonigle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457615635 PECOS PAC ID: 1052552312 Enrollment ID: I20150730011608 |
| Provider Name | Ammar Habib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558526285 PECOS PAC ID: 5991841140 Enrollment ID: I20150803000996 |
| Provider Name | Jayson a Neil |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194140483 PECOS PAC ID: 5294953543 Enrollment ID: I20150813009748 |
| Provider Name | Vadsana Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669540357 PECOS PAC ID: 7810161015 Enrollment ID: I20150814013073 |
| Provider Name | Lisa a Childress |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659692176 PECOS PAC ID: 0840314407 Enrollment ID: I20150826001194 |
| Provider Name | Jessica M Greinke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447517495 PECOS PAC ID: 0446568711 Enrollment ID: I20151006002601 |
| Provider Name | Ashley Janese Batley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619377868 PECOS PAC ID: 9234350091 Enrollment ID: I20151111001438 |
| Provider Name | Sam River Holmes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295104891 PECOS PAC ID: 3476863960 Enrollment ID: I20151112003072 |
| Provider Name | Frank Michael Skidmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760585061 PECOS PAC ID: 5890769194 Enrollment ID: I20151211001481 |
| Provider Name | Sigi P Joseph |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619075355 PECOS PAC ID: 8628226651 Enrollment ID: I20160217001985 |
| Provider Name | Ericka K Domalakes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619294998 PECOS PAC ID: 2567685498 Enrollment ID: I20160226001364 |
| Provider Name | Emily M Ingenthron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659730901 PECOS PAC ID: 1254636111 Enrollment ID: I20160302000035 |
| Provider Name | Kayla R. Kjelshus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225499031 PECOS PAC ID: 4688971062 Enrollment ID: I20160330001146 |
| Provider Name | Joshua S Langert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447495387 PECOS PAC ID: 2961624770 Enrollment ID: I20160520001091 |
| Provider Name | Lauren J Bessey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386873578 PECOS PAC ID: 7517091036 Enrollment ID: I20160614000411 |
| Provider Name | Jason K Bessey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366671422 PECOS PAC ID: 5092849521 Enrollment ID: I20160614000570 |
| Provider Name | Jacquelyn L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134308745 PECOS PAC ID: 1153446992 Enrollment ID: I20160614000798 |
| Provider Name | Marcy C Kot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427298504 PECOS PAC ID: 8921154683 Enrollment ID: I20160706001835 |
| Provider Name | Benjamin J Johnston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144517897 PECOS PAC ID: 7012165616 Enrollment ID: I20160721002336 |
| Provider Name | Megan Baumgardner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447511399 PECOS PAC ID: 3577860378 Enrollment ID: I20160729000072 |
| Provider Name | Heath G. Wilt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740455203 PECOS PAC ID: 0446415392 Enrollment ID: I20160812000154 |
| Provider Name | Moses Tabe Ambilichu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073774238 PECOS PAC ID: 8224205307 Enrollment ID: I20160816001337 |
| Provider Name | Casey P Hertzenberg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407016439 PECOS PAC ID: 9335447911 Enrollment ID: I20160816001516 |
| Provider Name | Brandon M Bowers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386828515 PECOS PAC ID: 3274658273 Enrollment ID: I20160912002564 |
| Provider Name | Sherif a Ragab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336308220 PECOS PAC ID: 1153558663 Enrollment ID: I20160919000982 |
| Provider Name | Jeffrey Mincher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639518525 PECOS PAC ID: 3577850429 Enrollment ID: I20160921001459 |
| Provider Name | John D Eatman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942596523 PECOS PAC ID: 7416241096 Enrollment ID: I20160929002378 |
| Provider Name | Deborah Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336424316 PECOS PAC ID: 9739354366 Enrollment ID: I20161020002112 |
| Provider Name | Rebecca Scott Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033662234 PECOS PAC ID: 8123307501 Enrollment ID: I20161108002184 |
| Provider Name | Roya K Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710437413 PECOS PAC ID: 1254611486 Enrollment ID: I20161206000858 |
| Provider Name | Abdulraheem MD Qasem |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1962692368 PECOS PAC ID: 5698916062 Enrollment ID: I20170104001869 |
| Provider Name | Piyushkumar Jani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346683455 PECOS PAC ID: 7315249141 Enrollment ID: I20170221001066 |
| Provider Name | Andrew S Waters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538456025 PECOS PAC ID: 0840597720 Enrollment ID: I20170411000768 |
| Provider Name | Lauren a Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487195517 PECOS PAC ID: 3375820525 Enrollment ID: I20170426001192 |
| Provider Name | Nichole R Smith |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770846685 PECOS PAC ID: 6507176344 Enrollment ID: I20170518000249 |
| Provider Name | Dennis M Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336192442 PECOS PAC ID: 1759294515 Enrollment ID: I20170628000278 |
| Provider Name | Morgan J Arsenault |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215463302 PECOS PAC ID: 8426327784 Enrollment ID: I20170630000868 |
| Provider Name | Anna C Ruelberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922547371 PECOS PAC ID: 6608145677 Enrollment ID: I20170706002523 |
| Provider Name | Rachel M Seymour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386061430 PECOS PAC ID: 4789985003 Enrollment ID: I20170718001227 |
| Provider Name | Gregory Hahn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972702215 PECOS PAC ID: 0648541920 Enrollment ID: I20170804000381 |
| Provider Name | Esther M Shull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639690571 PECOS PAC ID: 9032481684 Enrollment ID: I20170817000840 |
| Provider Name | Suzanne Elizabeth Ozbun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104113125 PECOS PAC ID: 8921226895 Enrollment ID: I20170823002574 |
| Provider Name | Martin F Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710257449 PECOS PAC ID: 6406018654 Enrollment ID: I20170920001524 |
| Provider Name | Samuel M Taylon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891923850 PECOS PAC ID: 7517280233 Enrollment ID: I20171025000875 |
| Provider Name | Marjon Z Monfared |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639512395 PECOS PAC ID: 9133486855 Enrollment ID: I20171204003127 |
| Provider Name | Amandeep Kalra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659546240 PECOS PAC ID: 8921163569 Enrollment ID: I20171211001494 |
| Provider Name | David R Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215929229 PECOS PAC ID: 7517016108 Enrollment ID: I20180108003120 |
| Provider Name | Tory Christopher Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740790500 PECOS PAC ID: 0446519953 Enrollment ID: I20180108003168 |
| Provider Name | Whitney B Breen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464734 PECOS PAC ID: 2668731597 Enrollment ID: I20180122001839 |
| Provider Name | Danielle C Schrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821506080 PECOS PAC ID: 7113289695 Enrollment ID: I20180321000901 |
| Provider Name | Lesley a Hofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146694 PECOS PAC ID: 0042572554 Enrollment ID: I20180321002006 |
| Provider Name | Richard D Coats |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972507705 PECOS PAC ID: 1355316118 Enrollment ID: I20180410002165 |
| Provider Name | Ahmed Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033423744 PECOS PAC ID: 2062645542 Enrollment ID: I20180411002691 |
| Provider Name | Katlyn C Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015739 PECOS PAC ID: 4880949791 Enrollment ID: I20180618002617 |
| Provider Name | Sara S Lange |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1760616312 PECOS PAC ID: 0749572352 Enrollment ID: I20180719000828 |
| Provider Name | Stephen R Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496710 PECOS PAC ID: 8325397318 Enrollment ID: I20180824000559 |
| Provider Name | Michael V Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801374418 PECOS PAC ID: 6800149634 Enrollment ID: I20181025000425 |
| Provider Name | Rebecca Milholland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063610376 PECOS PAC ID: 0244482057 Enrollment ID: I20181217000590 |
| Provider Name | Kevin E Suttmoeller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144201914 PECOS PAC ID: 2860390689 Enrollment ID: I20190506000664 |
| Provider Name | Bailey Ann Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275008369 PECOS PAC ID: 2264774454 Enrollment ID: I20190509001337 |
| Provider Name | Elizabeth Catherine Butler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184910028 PECOS PAC ID: 5799053708 Enrollment ID: I20190515001245 |
| Provider Name | Bhaswanth Dhanireddy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679972467 PECOS PAC ID: 0143518191 Enrollment ID: I20190516000111 |
| Provider Name | Kirsten R Lampe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275980716 PECOS PAC ID: 3274868997 Enrollment ID: I20190717001006 |
| Provider Name | Nicholas R Isom |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972950004 PECOS PAC ID: 3375838139 Enrollment ID: I20190717001448 |
| Provider Name | Mariana N Mack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649226622 PECOS PAC ID: 9133126089 Enrollment ID: I20190718003237 |
| Provider Name | Jennifer C Bulcock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194023010 PECOS PAC ID: 1951638667 Enrollment ID: I20190802002129 |
| Provider Name | Melissa a Ceballos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306307616 PECOS PAC ID: 7113254574 Enrollment ID: I20190807002272 |
| Provider Name | Michelle B Lackamp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881155190 PECOS PAC ID: 7416284229 Enrollment ID: I20190815002704 |
| Provider Name | Brooke M Varnum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427412485 PECOS PAC ID: 7315225588 Enrollment ID: I20190830000658 |
| Provider Name | Sabeen Khaliq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801283601 PECOS PAC ID: 6305149519 Enrollment ID: I20190831000199 |
| Provider Name | Jordan L Walter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023675725 PECOS PAC ID: 0244560449 Enrollment ID: I20191002000644 |
| Provider Name | Patricia B Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225096803 PECOS PAC ID: 3870669278 Enrollment ID: I20191024000734 |
| Provider Name | Jennifer a Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758604 PECOS PAC ID: 6305178716 Enrollment ID: I20191104001386 |
| Provider Name | Nakita L Stephens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861772097 PECOS PAC ID: 8224358577 Enrollment ID: I20191104001545 |
| Provider Name | Anna S Bhatnagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467000729 PECOS PAC ID: 0547592966 Enrollment ID: I20191104001580 |
| Provider Name | Clinton Ray Gates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548674989 PECOS PAC ID: 3577889153 Enrollment ID: I20191118000209 |
| Provider Name | Stella H Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760831580 PECOS PAC ID: 8224463922 Enrollment ID: I20200125000336 |
| Provider Name | Erin K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417503491 PECOS PAC ID: 0840625588 Enrollment ID: I20200127001369 |
| Provider Name | Goldie a Bjornstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245879097 PECOS PAC ID: 0345676607 Enrollment ID: I20200204002212 |
| Provider Name | Jordyn Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578117149 PECOS PAC ID: 5496182289 Enrollment ID: I20200217000359 |
| Provider Name | Briana B Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740811660 PECOS PAC ID: 5294162160 Enrollment ID: I20200305002385 |
| Provider Name | Josel Balino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568094969 PECOS PAC ID: 4789012097 Enrollment ID: I20200320000731 |
| Provider Name | Melinda Dessieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386276921 PECOS PAC ID: 2668800848 Enrollment ID: I20200323000511 |
| Provider Name | Danijela Prodanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831710169 PECOS PAC ID: 7618398314 Enrollment ID: I20200604003136 |
| Provider Name | Matthew J Pierson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184985327 PECOS PAC ID: 5092017558 Enrollment ID: I20200706001047 |
| Provider Name | Simran-jyot a Elder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073856738 PECOS PAC ID: 2668775115 Enrollment ID: I20200730002253 |
| Provider Name | Christine Khong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205360773 PECOS PAC ID: 9234461195 Enrollment ID: I20200730003469 |
| Provider Name | Jamie D Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356987820 PECOS PAC ID: 1759706278 Enrollment ID: I20200730003796 |
| Provider Name | Leah D Sapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891006813 PECOS PAC ID: 6901921790 Enrollment ID: I20200804002433 |
| Provider Name | Brett Haarmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811909302 PECOS PAC ID: 2163415084 Enrollment ID: I20200923001369 |
| Provider Name | William S Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861026270 PECOS PAC ID: 4688084015 Enrollment ID: I20201113000514 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881987071 PECOS PAC ID: 6507085875 Enrollment ID: I20201202002906 |
| Provider Name | Fadi Mohammed Thaer Bdair |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356383889 PECOS PAC ID: 1759308950 Enrollment ID: I20201203001401 |
| Provider Name | Danielle Marie Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194283457 PECOS PAC ID: 5395157424 Enrollment ID: I20201215001468 |
| Provider Name | Emily Mitchell Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598115032 PECOS PAC ID: 5597058172 Enrollment ID: I20201215002012 |
| Provider Name | Sarah M Stoughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417566100 PECOS PAC ID: 9133531833 Enrollment ID: I20201222003028 |
| Provider Name | Fouzia Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558967604 PECOS PAC ID: 7113331562 Enrollment ID: I20210127001050 |
| Provider Name | Maria B Werly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790073542 PECOS PAC ID: 7315194636 Enrollment ID: I20210603000193 |
| Provider Name | Derek M Low |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245644376 PECOS PAC ID: 1456573526 Enrollment ID: I20210715001868 |
| Provider Name | Marie De Hoop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104409101 PECOS PAC ID: 6103228945 Enrollment ID: I20210715002304 |
| Provider Name | John C Liu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255781274 PECOS PAC ID: 5991097867 Enrollment ID: I20210719000210 |
| Provider Name | Christine M Cook |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952797052 PECOS PAC ID: 8426351818 Enrollment ID: I20210819000131 |
| Provider Name | Macy M Saunders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043889371 PECOS PAC ID: 3072910728 Enrollment ID: I20210922001301 |
| Provider Name | Jodie a Mayfield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487150108 PECOS PAC ID: 2062776446 Enrollment ID: I20210927001507 |
| Provider Name | Anna L Nicek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518491224 PECOS PAC ID: 2466723317 Enrollment ID: I20211001000224 |
| Provider Name | Danielle L Carmitchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912678996 PECOS PAC ID: 4880092071 Enrollment ID: I20211001000354 |
| Provider Name | Kenzie L Chew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932686300 PECOS PAC ID: 1658601000 Enrollment ID: I20211004002191 |
| Provider Name | Holly Christine Robin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720525736 PECOS PAC ID: 0244584431 Enrollment ID: I20211011000361 |
| Provider Name | Rishi Grewal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417054404 PECOS PAC ID: 5496823346 Enrollment ID: I20211021000496 |
| Provider Name | Sabah Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497200687 PECOS PAC ID: 6204224785 Enrollment ID: I20211103000220 |
| Provider Name | Elizabeth G Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396988879 PECOS PAC ID: 5092936872 Enrollment ID: I20211103000384 |
| Provider Name | Umang H Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942732086 PECOS PAC ID: 4385914829 Enrollment ID: I20211105002250 |
| Provider Name | Bangalore V Deepak |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689835084 PECOS PAC ID: 9537229810 Enrollment ID: I20211116001107 |
| Provider Name | Alexa N Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437813268 PECOS PAC ID: 1153711866 Enrollment ID: I20211210001231 |
| Provider Name | Jill K Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740504273 PECOS PAC ID: 1153451307 Enrollment ID: I20220126001099 |
| Provider Name | Melissa a Matzek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932868809 PECOS PAC ID: 6507259041 Enrollment ID: I20220207000416 |
| Provider Name | Megan P Beemer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326703281 PECOS PAC ID: 9335534023 Enrollment ID: I20220316000305 |
| Provider Name | Victor M Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730833252 PECOS PAC ID: 9335535350 Enrollment ID: I20220331000147 |
| Provider Name | Stephanie Raychael Hulse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033706619 PECOS PAC ID: 5991119521 Enrollment ID: I20220504000693 |
| Provider Name | Kerry Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588947147 PECOS PAC ID: 8729213145 Enrollment ID: I20220610000337 |
| Provider Name | Selena M De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578234621 PECOS PAC ID: 5496137622 Enrollment ID: I20220803003337 |
| Provider Name | Jason D'souza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619383221 PECOS PAC ID: 3173892940 Enrollment ID: I20220804000836 |
| Provider Name | Jessica a Kline |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679993760 PECOS PAC ID: 4688890791 Enrollment ID: I20220901002128 |
| Provider Name | Michael C Mcnellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932844636 PECOS PAC ID: 7113302217 Enrollment ID: I20220909001197 |
| Provider Name | John P Lecluyse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356790810 PECOS PAC ID: 9133417041 Enrollment ID: I20220912002897 |
| Provider Name | Mason Andrews |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255473054 PECOS PAC ID: 3870732183 Enrollment ID: I20220926001991 |
| Provider Name | Katherine Arner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578236204 PECOS PAC ID: 0143606384 Enrollment ID: I20220926002681 |
| Provider Name | Shandi R Appier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285128058 PECOS PAC ID: 0941559652 Enrollment ID: I20221019001743 |
| Provider Name | Jessica L Thomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033545843 PECOS PAC ID: 8426286824 Enrollment ID: I20221025001504 |
| Provider Name | Kimberlynn G Cass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982295309 PECOS PAC ID: 2961887799 Enrollment ID: I20221101000285 |
| Provider Name | Jordan a Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770206765 PECOS PAC ID: 0840669826 Enrollment ID: I20221214000592 |
| Provider Name | Cora a Mallot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194796441 PECOS PAC ID: 6103829460 Enrollment ID: I20221214000887 |
| Provider Name | Quincy Jade Wallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750090429 PECOS PAC ID: 6204205032 Enrollment ID: I20221216001890 |
| Provider Name | Andrea R Bietau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134832389 PECOS PAC ID: 6204209588 Enrollment ID: I20230307002960 |
| Provider Name | Raja Gopaldas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982849451 PECOS PAC ID: 7911031836 Enrollment ID: I20230509002130 |
| Provider Name | Connor James Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881223329 PECOS PAC ID: 8426445933 Enrollment ID: I20230531000943 |
| Provider Name | Abby M Pollard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518623362 PECOS PAC ID: 0345607701 Enrollment ID: I20230531001936 |
| Provider Name | Jacqueline S Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356028880 PECOS PAC ID: 5496117251 Enrollment ID: I20230811000410 |
| Provider Name | Adam M Tritsch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811276934 PECOS PAC ID: 9133371172 Enrollment ID: I20230905001113 |
| Provider Name | Kristin M Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023646346 PECOS PAC ID: 6305261637 Enrollment ID: I20230921000387 |
| Provider Name | Teresa Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659159648 PECOS PAC ID: 2961858311 Enrollment ID: I20231021000670 |
| Provider Name | Allison L Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831975564 PECOS PAC ID: 3678929247 Enrollment ID: I20231102001914 |
| Provider Name | John Pool |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134338114 PECOS PAC ID: 5496818395 Enrollment ID: I20231109002569 |
| Provider Name | Emilee M Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427702729 PECOS PAC ID: 4284020496 Enrollment ID: I20240111004071 |
| Provider Name | Erin Opfer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790764124 PECOS PAC ID: 1557790011 Enrollment ID: I20240318003153 |
| Provider Name | David Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477742906 PECOS PAC ID: 3577747138 Enrollment ID: I20240404000614 |
| Provider Name | Krysta C Ramirez Henry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902191166 PECOS PAC ID: 5698945178 Enrollment ID: I20240404001226 |
| Provider Name | Mehran Mandegar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174689335 PECOS PAC ID: 6608846811 Enrollment ID: I20240404001588 |
| Provider Name | Lauren Hunter Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780435594 PECOS PAC ID: 8224476304 Enrollment ID: I20240409002134 |
| Provider Name | Kate Sugden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225894835 PECOS PAC ID: 3476992827 Enrollment ID: I20240417003739 |
| Provider Name | Jessica Michelle Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346539715 PECOS PAC ID: 2062771256 Enrollment ID: I20240426000944 |
| Provider Name | Laura Agnes Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891552758 PECOS PAC ID: 9931548112 Enrollment ID: I20240509000487 |
| Provider Name | Kassandra N Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649037409 PECOS PAC ID: 9335580760 Enrollment ID: I20240515003728 |
| Provider Name | Chad Laurich |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750590998 PECOS PAC ID: 3577618685 Enrollment ID: I20240524002382 |
| Provider Name | Lyla Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063945103 PECOS PAC ID: 3476912700 Enrollment ID: I20240529000785 |
| Provider Name | Eric J Snowden |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548767114 PECOS PAC ID: 7113272832 Enrollment ID: I20240610001838 |
| Provider Name | Sydni Niernberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194581710 PECOS PAC ID: 2961946348 Enrollment ID: I20240626002330 |
| Provider Name | Dan L Gehlbach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962405654 PECOS PAC ID: 3173067493 Enrollment ID: I20240627002819 |
| Provider Name | Johni Kilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194055111 PECOS PAC ID: 4880729508 Enrollment ID: I20240718000934 |
| Provider Name | Jill K Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144356890 PECOS PAC ID: 6406888544 Enrollment ID: I20240725000871 |
| Provider Name | Kellie Seefeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992544514 PECOS PAC ID: 7214473313 Enrollment ID: I20240725001084 |
| Provider Name | Ryan P Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053970087 PECOS PAC ID: 3173858867 Enrollment ID: I20240726000987 |
| Provider Name | Eli Becker |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508858507 PECOS PAC ID: 7810956927 Enrollment ID: I20240806002616 |
| Provider Name | Allison Minyakov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659128866 PECOS PAC ID: 4981142726 Enrollment ID: I20240812003499 |
| Provider Name | Alexis N Schutz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548824329 PECOS PAC ID: 7517364565 Enrollment ID: I20240827002512 |
| Provider Name | Brecklyn B Yocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932949666 PECOS PAC ID: 4385183995 Enrollment ID: I20240827004132 |
| Provider Name | Christopher Moyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417535410 PECOS PAC ID: 1850831579 Enrollment ID: I20240909004238 |
| Provider Name | Kayla M Beashore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649850116 PECOS PAC ID: 4880091925 Enrollment ID: I20240917000726 |
| Provider Name | Emily Vahrenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447838909 PECOS PAC ID: 8820497316 Enrollment ID: I20241007001288 |
| Provider Name | William Imad Numair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710714753 PECOS PAC ID: 9739611195 Enrollment ID: I20241010002795 |
| Provider Name | James Stringham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538182449 PECOS PAC ID: 6103843271 Enrollment ID: I20241119004627 |
| Provider Name | Bridget Leinenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184202459 PECOS PAC ID: 8527469477 Enrollment ID: I20241120001126 |
| Provider Name | Jacklyne S Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124847900 PECOS PAC ID: 9133654510 Enrollment ID: I20241121003005 |
| Provider Name | Joe S Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114989753 PECOS PAC ID: 7012943830 Enrollment ID: I20241212002465 |
| Provider Name | Rachel E Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356111355 PECOS PAC ID: 1355877440 Enrollment ID: I20241212002719 |
| Provider Name | Mia Talley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225855018 PECOS PAC ID: 3476080888 Enrollment ID: I20241226000639 |
| Provider Name | Sumaiya Sarwar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619330321 PECOS PAC ID: 3476840240 Enrollment ID: I20250402003177 |
| Provider Name | Tyrus R Frerking |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134114093 PECOS PAC ID: 0042103996 Enrollment ID: I20250403001153 |
| Provider Name | Jill E Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215753397 PECOS PAC ID: 2264957018 Enrollment ID: I20250415001434 |
| Provider Name | Amy Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629882873 PECOS PAC ID: 3678098829 Enrollment ID: I20250421000922 |
| Provider Name | Sterling Wayne Mccolgin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760513204 PECOS PAC ID: 4981666484 Enrollment ID: I20250422000514 |
| Provider Name | Austin Wagner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285899401 PECOS PAC ID: 5597070318 Enrollment ID: I20250916003685 |
| Provider Name | David Mantilla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598252835 PECOS PAC ID: 1254835606 Enrollment ID: I20250918001423 |
| Provider Name | Lane a Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144970138 PECOS PAC ID: 3274913934 Enrollment ID: I20251107004140 |
| Provider Name | Amber R Bledsoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922236991 PECOS PAC ID: 5193951036 Enrollment ID: I20251107004453 |
| Provider Name | Lauren Diskin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124788815 PECOS PAC ID: 2365836889 Enrollment ID: I20251107004520 |
| Provider Name | Madison N Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902795644 PECOS PAC ID: 5395236871 Enrollment ID: I20251112002628 |
| Provider Name | David Porter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154831642 PECOS PAC ID: 5698033231 Enrollment ID: I20251112002945 |
| Provider Name | Evanne G Mcarthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194539486 PECOS PAC ID: 4587155072 Enrollment ID: I20251112003040 |
| Provider Name | James Lucio |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649235151 PECOS PAC ID: 9830153139 Enrollment ID: I20251112003133 |
| Provider Name | Jordan J Handley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447061767 PECOS PAC ID: 7810488319 Enrollment ID: I20251112003181 |
| Provider Name | Omid Zad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083889083 PECOS PAC ID: 9133376395 Enrollment ID: I20251112003300 |
| Provider Name | Rachel Oldfather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497332902 PECOS PAC ID: 4688165186 Enrollment ID: I20251112003366 |
| Provider Name | Hiromi Maruyama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013181775 PECOS PAC ID: 2668543885 Enrollment ID: I20251112003501 |
| Provider Name | Amay Parikh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740464924 PECOS PAC ID: 3971637166 Enrollment ID: I20251112003567 |
| Provider Name | Michael R Wahl |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346237807 PECOS PAC ID: 3476548769 Enrollment ID: I20251112003615 |
| Provider Name | Megan Endres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053294108 PECOS PAC ID: 7012408545 Enrollment ID: I20251112004026 |
| Provider Name | Kay L North |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679503528 PECOS PAC ID: 2860821303 Enrollment ID: I20251112004234 |
| Provider Name | Obidi Chigbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447130232 PECOS PAC ID: 5890286322 Enrollment ID: I20251112004289 |
| Provider Name | Andrew R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326621210 PECOS PAC ID: 2769885128 Enrollment ID: I20251113000509 |
| Provider Name | Abigail N Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154006112 PECOS PAC ID: 1254822612 Enrollment ID: I20251113000598 |
| Provider Name | Madison K Koelling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710778642 PECOS PAC ID: 0042701427 Enrollment ID: I20251113001544 |
| Provider Name | Marlin Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164481156 PECOS PAC ID: 8325232630 Enrollment ID: I20251113001720 |
| Provider Name | Viral Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942691209 PECOS PAC ID: 5395039291 Enrollment ID: I20251113002698 |
| Provider Name | Rachel Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285383554 PECOS PAC ID: 8921488891 Enrollment ID: I20251113002920 |
| Provider Name | Emily Orscheln |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356631444 PECOS PAC ID: 2567600141 Enrollment ID: I20251114002033 |
| Provider Name | Megan G Howland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689468993 PECOS PAC ID: 6204327539 Enrollment ID: I20251114002261 |
| Provider Name | Ashley a Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861379844 PECOS PAC ID: 1850882192 Enrollment ID: I20251114002448 |
| Provider Name | Chippy Ajithan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598741795 PECOS PAC ID: 7719082460 Enrollment ID: I20251120003941 |
| Provider Name | Jason F Tobler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538305362 PECOS PAC ID: 4284872482 Enrollment ID: I20251201000237 |
| Provider Name | Mohammad Yassin Hmadeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649444944 PECOS PAC ID: 0547307191 Enrollment ID: I20251201000306 |
| Provider Name | Laura Tessendorf Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528823242 PECOS PAC ID: 4587109764 Enrollment ID: I20251201000390 |
| Provider Name | Ian Mccombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144032558 PECOS PAC ID: 9739672676 Enrollment ID: I20251201000577 |
| Provider Name | Robert O'connor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710103270 PECOS PAC ID: 8123126984 Enrollment ID: I20251201000822 |
| Provider Name | Samuel Dumontier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033603717 PECOS PAC ID: 0345597720 Enrollment ID: I20251201001264 |
| Provider Name | Lauren E Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942889563 PECOS PAC ID: 1153711247 Enrollment ID: I20251208002324 |
| Provider Name | Krystene Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992446751 PECOS PAC ID: 6709252935 Enrollment ID: I20251208002584 |
| Provider Name | Junaid Sa Malik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598859852 PECOS PAC ID: 9032156922 Enrollment ID: I20251208002730 |
| Provider Name | Steven Kaster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417950379 PECOS PAC ID: 6002881067 Enrollment ID: I20251208003115 |
| Provider Name | Guillermo J Arias-howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134312168 PECOS PAC ID: 8527211143 Enrollment ID: I20251209001760 |
| Provider Name | Abigail M Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417612607 PECOS PAC ID: 7214329416 Enrollment ID: I20251215001728 |
| Provider Name | Maria C Carrillo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588673289 PECOS PAC ID: 3072510130 Enrollment ID: I20251223000379 |
| Provider Name | Poornima U Pandellapalli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205933850 PECOS PAC ID: 8224129655 Enrollment ID: I20260129001410 |
| Provider Name | Jared Herl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275224461 PECOS PAC ID: 2668815804 Enrollment ID: I20260129001613 |
| Provider Name | Gabriella Perez Barr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164396982 PECOS PAC ID: 7012495146 Enrollment ID: I20260130001593 |
| Provider Name | Liat E Applewhite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710093000 PECOS PAC ID: 6507997897 Enrollment ID: I20260219000675 |
| Provider Name | Antonella Tenerelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639943152 PECOS PAC ID: 2769965441 Enrollment ID: I20260311001208 |
| Provider Name | Masoud Mark Taslimi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689739054 PECOS PAC ID: 7315977816 Enrollment ID: I20260311001271 |
| Provider Name | Salman Nazir Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497794499 PECOS PAC ID: 3870503527 Enrollment ID: I20260311001399 |
| Provider Name | Hany Farag |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538362066 PECOS PAC ID: 8426100074 Enrollment ID: I20260311003225 |
| Provider Name | Ho Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053931915 PECOS PAC ID: 4385018068 Enrollment ID: I20260318000235 |
| Provider Name | Matheau Antoine Julien |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20260413002210 |
| Provider Name | Meghan G Goff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942155890 PECOS PAC ID: 9537637632 Enrollment ID: I20260507000409 |
| Provider Name | Chad D Holland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063805489 PECOS PAC ID: 9830418722 Enrollment ID: I20260507001294 |
| Provider Name | Eric Munoz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982607529 PECOS PAC ID: 3072709062 Enrollment ID: I20260513004285 |
| Provider Name | Hisham G Qandeel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588994271 PECOS PAC ID: 5890955793 Enrollment ID: I20260528002060 |
| Provider Name | Megan Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215492608 PECOS PAC ID: 5890185425 Enrollment ID: I20260604001308 |
| Provider Name | Heather Stanley-christian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306818133 PECOS PAC ID: 4385741370 Enrollment ID: I20260624002844 |
William O Reed, Jr, MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9119 W 74th St, Ste 354, Merriam, KS 66204 Phone: 913-432-7200 Fax: 877-492-3737 |
Sidney W. Wang MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7315 E Frontage Rd, Suite 115, Merriam, KS 66204 Phone: 913-722-2020 Fax: 913-722-4330 |
Possabilities Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6223 Slater St, Merriam, KS 66202 Phone: 913-620-1007 |
Health Partnership Clinic - Merriam Park Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6100 Mastin St, Merriam, KS 66203 Phone: 913-648-2266 Fax: 913-768-1944 |
Adventhealth Primary Care Mar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7450 Kessler St Ste 300, Merriam, KS 66204 Phone: 913-632-2900 |