| Shock Trauma Associates, P.a. | |
|
11 S Paca St Suite 500 Baltimore MD 21201-1791 | |
| (410) 328-6704 | |
| (410) 328-4124 |
| Full Name | Shock Trauma Associates, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 S Paca St, Baltimore, Maryland |
| Authorized Official Name and Position | Kimberly Collic (DIRECTOR OF PROFESSIONAL FEES) |
| Authorized Official Contact | 6672141334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shock Trauma Associates, P.a. Po Box 64793 Baltimore MD 21264-4793 Ph: (410) 328-6704 | Shock Trauma Associates, P.a. 11 S Paca St Suite 500 Baltimore MD 21201-1791 Ph: (410) 328-6704 |
| NPI Number | 1679512909 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 6800882317 |
|---|---|
| Medicare Enrollment ID | O20040421000976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679512909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QE0002X | Clinic/center - Emergency Care | (* (Not Available)) | Primary |
| Provider Name | Tsion Berhane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255336962 PECOS PAC ID: 4284539024 Enrollment ID: I20031204000472 |
| Provider Name | Christopher Jason Hilton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386633782 PECOS PAC ID: 8426943176 Enrollment ID: I20040220000278 |
| Provider Name | Rodney J Taylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306853791 PECOS PAC ID: 8022004555 Enrollment ID: I20040421001110 |
| Provider Name | Cynthia R Sampson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417966482 PECOS PAC ID: 4688663115 Enrollment ID: I20040510001360 |
| Provider Name | Omid G Moayed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831136076 PECOS PAC ID: 5890776553 Enrollment ID: I20040527001005 |
| Provider Name | Kathryn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619028966 PECOS PAC ID: 9133100506 Enrollment ID: I20040601000499 |
| Provider Name | Natalie Sigalovsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700895703 PECOS PAC ID: 6507758059 Enrollment ID: I20040611000111 |
| Provider Name | Alex Sigalovsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508875501 PECOS PAC ID: 1153313911 Enrollment ID: I20040611000132 |
| Provider Name | Thomas E Grissom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740221902 PECOS PAC ID: 5294710646 Enrollment ID: I20040621001340 |
| Provider Name | Michelle H Duell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982604773 PECOS PAC ID: 1153220983 Enrollment ID: I20040622000611 |
| Provider Name | Jay Menaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568437176 PECOS PAC ID: 6507845070 Enrollment ID: I20040717000373 |
| Provider Name | Cynthia J Bucci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760439442 PECOS PAC ID: 4789657362 Enrollment ID: I20040813000210 |
| Provider Name | Siamak Moayedi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013952563 PECOS PAC ID: 8921073388 Enrollment ID: I20040830000324 |
| Provider Name | William C Chiu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518939925 PECOS PAC ID: 9537129416 Enrollment ID: I20041014000929 |
| Provider Name | Deborah M Stein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306886049 PECOS PAC ID: 5496719122 Enrollment ID: I20041112000890 |
| Provider Name | Theresa A Slade-moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528252020 PECOS PAC ID: 9739145376 Enrollment ID: I20041206001017 |
| Provider Name | Matthew R D'angelo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851328884 PECOS PAC ID: 5799741864 Enrollment ID: I20041209000857 |
| Provider Name | David Thomas Efron |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437190063 PECOS PAC ID: 6901863513 Enrollment ID: I20041215000718 |
| Provider Name | Robert A Sikorski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154378099 PECOS PAC ID: 4486621018 Enrollment ID: I20050127001103 |
| Provider Name | Sarah B Murthi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821045865 PECOS PAC ID: 6406807676 Enrollment ID: I20050204000240 |
| Provider Name | Linda J Goetz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750310314 PECOS PAC ID: 3476506197 Enrollment ID: I20050223000588 |
| Provider Name | Cynthia Shin-yi Shen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700830908 PECOS PAC ID: 5991758344 Enrollment ID: I20050224000936 |
| Provider Name | Terri Jackson-niiquaye |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265589956 PECOS PAC ID: 6608767439 Enrollment ID: I20050304000300 |
| Provider Name | Steven Schwartz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194714329 PECOS PAC ID: 7911982954 Enrollment ID: I20050323000072 |
| Provider Name | Harold Gaines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255328811 PECOS PAC ID: 8325094899 Enrollment ID: I20050328000856 |
| Provider Name | Aldo T Iacono |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962456392 PECOS PAC ID: 4486600657 Enrollment ID: I20050330001000 |
| Provider Name | Jeffrey S Wolf |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699782086 PECOS PAC ID: 3870521958 Enrollment ID: I20050729000878 |
| Provider Name | Elena C Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215947015 PECOS PAC ID: 1850320193 Enrollment ID: I20050808000546 |
| Provider Name | Howard Neal Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811975006 PECOS PAC ID: 8224058789 Enrollment ID: I20051129000478 |
| Provider Name | Mary K Browning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689683245 PECOS PAC ID: 6204889090 Enrollment ID: I20060105000671 |
| Provider Name | Ron E Samet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194757658 PECOS PAC ID: 5395769426 Enrollment ID: I20060117000413 |
| Provider Name | Jo Ann Sikora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689636003 PECOS PAC ID: 3678587813 Enrollment ID: I20060126000926 |
| Provider Name | Curtis N Nelson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255370011 PECOS PAC ID: 6709820558 Enrollment ID: I20060202000916 |
| Provider Name | Enslin F Aldrich |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780639393 PECOS PAC ID: 7315957230 Enrollment ID: I20060421000353 |
| Provider Name | Imran Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932233566 PECOS PAC ID: 7416965025 Enrollment ID: I20060510000562 |
| Provider Name | Joseph Marc Simard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326093790 PECOS PAC ID: 1052324076 Enrollment ID: I20060717000126 |
| Provider Name | Bizhan Aarabi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174578876 PECOS PAC ID: 4587677513 Enrollment ID: I20060717000145 |
| Provider Name | Howard Michael Eisenberg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760421507 PECOS PAC ID: 6608890272 Enrollment ID: I20060809000297 |
| Provider Name | Avelino C Verceles |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1063448322 PECOS PAC ID: 5193776417 Enrollment ID: I20060927000117 |
| Provider Name | Giora Netzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902988322 PECOS PAC ID: 0749382836 Enrollment ID: I20070220000498 |
| Provider Name | Bryan Thomas Ambro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821176017 PECOS PAC ID: 6103897293 Enrollment ID: I20070222000228 |
| Provider Name | Carla A Aresco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235202037 PECOS PAC ID: 1052413697 Enrollment ID: I20070228000126 |
| Provider Name | Sharee T Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134271786 PECOS PAC ID: 2365545738 Enrollment ID: I20070306000369 |
| Provider Name | Bonjo M Batoon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841209483 PECOS PAC ID: 1052414430 Enrollment ID: I20070306000424 |
| Provider Name | Ali Tabatabai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639204753 PECOS PAC ID: 5395837520 Enrollment ID: I20070817000367 |
| Provider Name | Sabrina Kratz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740324920 PECOS PAC ID: 8325131758 Enrollment ID: I20070830000612 |
| Provider Name | Colleen C Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295957579 PECOS PAC ID: 3375637648 Enrollment ID: I20070917000746 |
| Provider Name | Ronald Tesoriero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013997964 PECOS PAC ID: 0244325017 Enrollment ID: I20071009000529 |
| Provider Name | David J Travis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134115702 PECOS PAC ID: 9537185624 Enrollment ID: I20071203000466 |
| Provider Name | Erika Dick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255539474 PECOS PAC ID: 2668552894 Enrollment ID: I20071231000126 |
| Provider Name | Michael M Broussard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043491921 PECOS PAC ID: 2860573334 Enrollment ID: I20080123000082 |
| Provider Name | Mudusar I Raza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467562371 PECOS PAC ID: 8527163997 Enrollment ID: I20080213000356 |
| Provider Name | Douglas G Sward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427192608 PECOS PAC ID: 0143304238 Enrollment ID: I20080228000086 |
| Provider Name | Mary Scott Herring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700075397 PECOS PAC ID: 8325124902 Enrollment ID: I20080324000194 |
| Provider Name | Melissa J Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134314271 PECOS PAC ID: 4284713751 Enrollment ID: I20080508000581 |
| Provider Name | Mohit Kapoor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114906773 PECOS PAC ID: 9739253907 Enrollment ID: I20080806000225 |
| Provider Name | Rohit Khirbat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194926063 PECOS PAC ID: 7517043987 Enrollment ID: I20080903000084 |
| Provider Name | Bianca M Conti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639219918 PECOS PAC ID: 8325107360 Enrollment ID: I20081106000160 |
| Provider Name | Dale Jeremy Yeatts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659322584 PECOS PAC ID: 4082626676 Enrollment ID: I20090209000277 |
| Provider Name | Elliot Michael Jessie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417921735 PECOS PAC ID: 3678626454 Enrollment ID: I20090727000238 |
| Provider Name | Shannon Q Hagan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295974343 PECOS PAC ID: 9234283920 Enrollment ID: I20090814000221 |
| Provider Name | Charles A Sansur |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568679652 PECOS PAC ID: 0648326579 Enrollment ID: I20090918000089 |
| Provider Name | Daniel L Herr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720069842 PECOS PAC ID: 5597811257 Enrollment ID: I20090922000120 |
| Provider Name | Samuel M Galvagno |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679649255 PECOS PAC ID: 1456497353 Enrollment ID: I20091007000204 |
| Provider Name | Joseph Dubose |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871667576 PECOS PAC ID: 4486790185 Enrollment ID: I20091012000026 |
| Provider Name | Cheryl A Cline |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235312612 PECOS PAC ID: 0749326213 Enrollment ID: I20091014000302 |
| Provider Name | Robyn D Anderson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447288444 PECOS PAC ID: 1557251683 Enrollment ID: I20091103000252 |
| Provider Name | Obi Udekwu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669416251 PECOS PAC ID: 7719025733 Enrollment ID: I20091112000267 |
| Provider Name | Emilene S Drager |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912188095 PECOS PAC ID: 5496898223 Enrollment ID: I20100202000705 |
| Provider Name | Tracey L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487828885 PECOS PAC ID: 9133263676 Enrollment ID: I20100222000191 |
| Provider Name | Michael Grant |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669437299 PECOS PAC ID: 5597892133 Enrollment ID: I20100429001118 |
| Provider Name | Theresa M Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255669313 PECOS PAC ID: 4789713439 Enrollment ID: I20100519000203 |
| Provider Name | Patricia A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265759856 PECOS PAC ID: 4981735685 Enrollment ID: I20100624000300 |
| Provider Name | David R Gens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790712818 PECOS PAC ID: 1052436565 Enrollment ID: I20100921000082 |
| Provider Name | Joseph Rabin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1639303670 PECOS PAC ID: 4981896255 Enrollment ID: I20101005000352 |
| Provider Name | Sharon M Henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346207297 PECOS PAC ID: 1759574395 Enrollment ID: I20101015000103 |
| Provider Name | Kent E Kester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649250622 PECOS PAC ID: 4587857958 Enrollment ID: I20101018000761 |
| Provider Name | Mary L Hyder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821034109 PECOS PAC ID: 8820281645 Enrollment ID: I20101025000564 |
| Provider Name | Ileana Gheorghiu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033151261 PECOS PAC ID: 4688867468 Enrollment ID: I20101025001209 |
| Provider Name | Sukhwant Sidhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043249139 PECOS PAC ID: 0244424927 Enrollment ID: I20101027000833 |
| Provider Name | Nader M Habashi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164467957 PECOS PAC ID: 3274585252 Enrollment ID: I20101027001417 |
| Provider Name | Ronald P Rabinowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982648499 PECOS PAC ID: 4385838937 Enrollment ID: I20101028000230 |
| Provider Name | Patricia B. Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386654523 PECOS PAC ID: 8325232606 Enrollment ID: I20101101000204 |
| Provider Name | Emmanuel Kyereme-tuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295748580 PECOS PAC ID: 2567493182 Enrollment ID: I20101101001373 |
| Provider Name | Manjari Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700828175 PECOS PAC ID: 9234323205 Enrollment ID: I20101103000972 |
| Provider Name | Thomas M Scalea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790763993 PECOS PAC ID: 9931268141 Enrollment ID: I20101105000368 |
| Provider Name | Caron Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861635583 PECOS PAC ID: 9638364771 Enrollment ID: I20101115000408 |
| Provider Name | Larita Yvette Fouche-weber |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760427645 PECOS PAC ID: 5496941163 Enrollment ID: I20101119000618 |
| Provider Name | Lou-ellen A Lallier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649480096 PECOS PAC ID: 8921294992 Enrollment ID: I20101202000499 |
| Provider Name | Mary J Njoku |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700829363 PECOS PAC ID: 2961691084 Enrollment ID: I20110105000647 |
| Provider Name | David Schreibman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679516132 PECOS PAC ID: 4486833662 Enrollment ID: I20110119001325 |
| Provider Name | Vadivelu Sivaraman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689612111 PECOS PAC ID: 4880873769 Enrollment ID: I20110125000073 |
| Provider Name | William Howie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598774069 PECOS PAC ID: 4486834660 Enrollment ID: I20110204000383 |
| Provider Name | Kinjal N Sethuraman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770680688 PECOS PAC ID: 6305819277 Enrollment ID: I20110310000184 |
| Provider Name | Krystle S Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629379334 PECOS PAC ID: 1951584333 Enrollment ID: I20110322000868 |
| Provider Name | Joey Sliwkowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750306346 PECOS PAC ID: 0244288637 Enrollment ID: I20110524000662 |
| Provider Name | Lewis Rubinson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396752481 PECOS PAC ID: 4183658644 Enrollment ID: I20110527000196 |
| Provider Name | Jose J Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144304262 PECOS PAC ID: 2668501263 Enrollment ID: I20110808000223 |
| Provider Name | Raymond Fang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154303998 PECOS PAC ID: 8820267974 Enrollment ID: I20110808000429 |
| Provider Name | John Morrissey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740293984 PECOS PAC ID: 5597934422 Enrollment ID: I20110811000150 |
| Provider Name | Jason Clifford Brookman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881886166 PECOS PAC ID: 0042406811 Enrollment ID: I20110812000368 |
| Provider Name | Laura S Buchanan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609073923 PECOS PAC ID: 5395917660 Enrollment ID: I20111010000280 |
| Provider Name | Paulesh Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801921812 PECOS PAC ID: 2769656750 Enrollment ID: I20111201000577 |
| Provider Name | Yashvir Sangwan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205097698 PECOS PAC ID: 8729255641 Enrollment ID: I20120118000199 |
| Provider Name | Emily A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457672818 PECOS PAC ID: 8820265382 Enrollment ID: I20120124000558 |
| Provider Name | Albert K Koerner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801847041 PECOS PAC ID: 1850326711 Enrollment ID: I20120305000314 |
| Provider Name | Melissa Motta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366565749 PECOS PAC ID: 4183883762 Enrollment ID: I20120319000260 |
| Provider Name | Obinna Adogu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831460294 PECOS PAC ID: 7618138082 Enrollment ID: I20120411000380 |
| Provider Name | Adam Henry Rabinowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942384706 PECOS PAC ID: 8022278449 Enrollment ID: I20120620000751 |
| Provider Name | Gunjan Y Parikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497940886 PECOS PAC ID: 8325171234 Enrollment ID: I20120706000220 |
| Provider Name | Graeme F Woodworth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154473064 PECOS PAC ID: 1052576550 Enrollment ID: I20120709000235 |
| Provider Name | Alicia M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154571966 PECOS PAC ID: 8325203508 Enrollment ID: I20120713000507 |
| Provider Name | Christopher Melvin Franklin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477753267 PECOS PAC ID: 2961668694 Enrollment ID: I20120725000455 |
| Provider Name | Ashutosh Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902019078 PECOS PAC ID: 9638168859 Enrollment ID: I20120802000142 |
| Provider Name | Farhan Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629225529 PECOS PAC ID: 4789735176 Enrollment ID: I20120803000201 |
| Provider Name | Megan Graybill Anders |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629279955 PECOS PAC ID: 2769660950 Enrollment ID: I20120806000667 |
| Provider Name | Deborah A Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447505847 PECOS PAC ID: 0345497343 Enrollment ID: I20120827000623 |
| Provider Name | Deondra Patrice-simmons Asike |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013114669 PECOS PAC ID: 1658528245 Enrollment ID: I20120905000117 |
| Provider Name | James V Oconnor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619904455 PECOS PAC ID: 6507900602 Enrollment ID: I20120912000054 |
| Provider Name | Kalpesh T Vakharia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205957396 PECOS PAC ID: 8123299922 Enrollment ID: I20121003000600 |
| Provider Name | Milad Lali Pooran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962465252 PECOS PAC ID: 6608948393 Enrollment ID: I20121031000459 |
| Provider Name | Maureen D Shirtliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689901290 PECOS PAC ID: 5991964587 Enrollment ID: I20121231000017 |
| Provider Name | Anne M Weichold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265792139 PECOS PAC ID: 1951556083 Enrollment ID: I20130221000279 |
| Provider Name | Ellyn M Tennyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376752790 PECOS PAC ID: 3870748304 Enrollment ID: I20130306000354 |
| Provider Name | Daniel R Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144524430 PECOS PAC ID: 3173782760 Enrollment ID: I20130313000296 |
| Provider Name | Michelle J Adelstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396956488 PECOS PAC ID: 7416192695 Enrollment ID: I20130315000286 |
| Provider Name | Katie B Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033392519 PECOS PAC ID: 2860638814 Enrollment ID: I20130417000200 |
| Provider Name | Joseph J Larivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164558581 PECOS PAC ID: 0749427029 Enrollment ID: I20130503000388 |
| Provider Name | Thanh Q Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619103447 PECOS PAC ID: 8921278839 Enrollment ID: I20130529000685 |
| Provider Name | Johanna Aparicio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568706232 PECOS PAC ID: 1951541309 Enrollment ID: I20130708000205 |
| Provider Name | Timothy J Meyenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954317 PECOS PAC ID: 5193965341 Enrollment ID: I20130711000108 |
| Provider Name | Margaret H Lauerman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184899965 PECOS PAC ID: 2668614173 Enrollment ID: I20130813000681 |
| Provider Name | Jane Lashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013283654 PECOS PAC ID: 8628211513 Enrollment ID: I20130824000039 |
| Provider Name | Kimberly A Boswell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538328422 PECOS PAC ID: 2860644531 Enrollment ID: I20130824000209 |
| Provider Name | Matthew J Bradley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265586283 PECOS PAC ID: 3072756295 Enrollment ID: I20130906000513 |
| Provider Name | Jack Applefeld |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720050164 PECOS PAC ID: 2163472036 Enrollment ID: I20130909000468 |
| Provider Name | Michael Mazzeffi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053571687 PECOS PAC ID: 7214171990 Enrollment ID: I20130919000212 |
| Provider Name | Wan-tsu Wendy Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811186075 PECOS PAC ID: 7315191533 Enrollment ID: I20131021000271 |
| Provider Name | Jason Brocker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952564395 PECOS PAC ID: 2961567276 Enrollment ID: I20131112001131 |
| Provider Name | Kevin Michael Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447419247 PECOS PAC ID: 7113080300 Enrollment ID: I20131125001184 |
| Provider Name | Rhoda A Vandyck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467612606 PECOS PAC ID: 0840427225 Enrollment ID: I20131210000667 |
| Provider Name | Quincy K Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952549438 PECOS PAC ID: 2668626987 Enrollment ID: I20131218001618 |
| Provider Name | Jeffrey H Rea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124206347 PECOS PAC ID: 5092985655 Enrollment ID: I20140103001306 |
| Provider Name | Rishi Kundi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174740559 PECOS PAC ID: 9133357395 Enrollment ID: I20140115000101 |
| Provider Name | Ann E Matta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336495506 PECOS PAC ID: 6507095247 Enrollment ID: I20140129001569 |
| Provider Name | Jennifer M Trenary Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821208349 PECOS PAC ID: 3173752052 Enrollment ID: I20140219001177 |
| Provider Name | Felicia I Batten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356535892 PECOS PAC ID: 0941430292 Enrollment ID: I20140306000007 |
| Provider Name | Rebecca E Duncan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053573311 PECOS PAC ID: 8729244280 Enrollment ID: I20140307001540 |
| Provider Name | Renee Rosanne Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851667976 PECOS PAC ID: 9537318936 Enrollment ID: I20140401000833 |
| Provider Name | Rebecca A Horrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700227550 PECOS PAC ID: 4284865361 Enrollment ID: I20140403000467 |
| Provider Name | Amy K Borth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447541065 PECOS PAC ID: 7416189964 Enrollment ID: I20140415001525 |
| Provider Name | Megan Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649615758 PECOS PAC ID: 7012149537 Enrollment ID: I20140416001593 |
| Provider Name | Sharon A Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902079114 PECOS PAC ID: 9133352917 Enrollment ID: I20140501000769 |
| Provider Name | Timothy Jardeleza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871619361 PECOS PAC ID: 9830322395 Enrollment ID: I20140507001704 |
| Provider Name | Bimbola Fola Akintade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053344598 PECOS PAC ID: 1254332687 Enrollment ID: I20140508000344 |
| Provider Name | Todd E. Rasmussen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093725707 PECOS PAC ID: 4486687258 Enrollment ID: I20140509001336 |
| Provider Name | Rachel Hausladen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982841466 PECOS PAC ID: 0042377376 Enrollment ID: I20140623001818 |
| Provider Name | Samuel A Tisherman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891761292 PECOS PAC ID: 5799817102 Enrollment ID: I20140707001808 |
| Provider Name | Eleanor Dunlap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265857205 PECOS PAC ID: 6800863903 Enrollment ID: I20140725001432 |
| Provider Name | Barbara C Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033427075 PECOS PAC ID: 3870719339 Enrollment ID: I20140725001678 |
| Provider Name | Stephanie L Katzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205251469 PECOS PAC ID: 7214154525 Enrollment ID: I20140811001184 |
| Provider Name | Lindsay B O'meara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003107525 PECOS PAC ID: 2365666591 Enrollment ID: I20140814001168 |
| Provider Name | Patricia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851671325 PECOS PAC ID: 6507026150 Enrollment ID: I20140821001291 |
| Provider Name | Daniel Jennings Haase |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871828764 PECOS PAC ID: 7517130859 Enrollment ID: I20140910001743 |
| Provider Name | Tiffany S Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538332713 PECOS PAC ID: 0345400982 Enrollment ID: I20141002000978 |
| Provider Name | Maria K Villacin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518101088 PECOS PAC ID: 3678793155 Enrollment ID: I20141006000115 |
| Provider Name | Rosemary A Kozar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336178508 PECOS PAC ID: 5193865921 Enrollment ID: I20141202000317 |
| Provider Name | Jewel D Greywoode |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023227626 PECOS PAC ID: 5294913208 Enrollment ID: I20141224001079 |
| Provider Name | Dawn Marie Silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104262047 PECOS PAC ID: 3678897758 Enrollment ID: I20150120001858 |
| Provider Name | Laura Zimmermand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447648332 PECOS PAC ID: 7719203744 Enrollment ID: I20150310000181 |
| Provider Name | Dawn M Calderone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598180093 PECOS PAC ID: 3072830710 Enrollment ID: I20150318000662 |
| Provider Name | Christopher R Cornachione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174920094 PECOS PAC ID: 7810215779 Enrollment ID: I20150406001819 |
| Provider Name | Yaniv Ergas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114320546 PECOS PAC ID: 6800114760 Enrollment ID: I20150406001918 |
| Provider Name | Emily Chell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720404874 PECOS PAC ID: 6507184397 Enrollment ID: I20150407000846 |
| Provider Name | Michelle Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174946024 PECOS PAC ID: 1153649405 Enrollment ID: I20150416000972 |
| Provider Name | Carly M Esteves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982027835 PECOS PAC ID: 0648598813 Enrollment ID: I20150420000907 |
| Provider Name | Scott Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730399239 PECOS PAC ID: 6002134152 Enrollment ID: I20150421001878 |
| Provider Name | Danielle M Meade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730579939 PECOS PAC ID: 2860711785 Enrollment ID: I20150427002362 |
| Provider Name | Elizabeth B Guelde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811324585 PECOS PAC ID: 9234458860 Enrollment ID: I20150504001647 |
| Provider Name | Lauren Abate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306240833 PECOS PAC ID: 7113247172 Enrollment ID: I20150515000255 |
| Provider Name | Nicole C Tobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669898789 PECOS PAC ID: 3577875939 Enrollment ID: I20150629000868 |
| Provider Name | Gary T Schwartzbauer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235332040 PECOS PAC ID: 0345552816 Enrollment ID: I20150713000767 |
| Provider Name | Alison V Grazioli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811214596 PECOS PAC ID: 7113176967 Enrollment ID: I20150803000976 |
| Provider Name | Andrew D Lerner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962636514 PECOS PAC ID: 5890915383 Enrollment ID: I20150812006854 |
| Provider Name | Rhea Brown Votipka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750773941 PECOS PAC ID: 1153638788 Enrollment ID: I20150915002235 |
| Provider Name | James Andrew Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689988552 PECOS PAC ID: 9638355761 Enrollment ID: I20151006002813 |
| Provider Name | Janelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033537840 PECOS PAC ID: 1658680343 Enrollment ID: I20151020001727 |
| Provider Name | Nicholas S Dowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807806 PECOS PAC ID: 8224330162 Enrollment ID: I20160108000850 |
| Provider Name | Jennifer Massetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417277898 PECOS PAC ID: 2769642370 Enrollment ID: I20160201000863 |
| Provider Name | Julie A Kieliszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831580521 PECOS PAC ID: 1456655000 Enrollment ID: I20160202002401 |
| Provider Name | Harry Phillip Marshall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063400570 PECOS PAC ID: 7214998459 Enrollment ID: I20160209000914 |
| Provider Name | Kenneth E Wood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225099138 PECOS PAC ID: 2769520519 Enrollment ID: I20160302000635 |
| Provider Name | Christopher L Kolokythas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023401429 PECOS PAC ID: 3274839279 Enrollment ID: I20160316001758 |
| Provider Name | Paul R Cardinal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487027587 PECOS PAC ID: 4486950433 Enrollment ID: I20160317000215 |
| Provider Name | Lincy Koodaly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588021844 PECOS PAC ID: 8820395619 Enrollment ID: I20160322001044 |
| Provider Name | Shanna E Fortune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013335397 PECOS PAC ID: 3971800400 Enrollment ID: I20160329001920 |
| Provider Name | Rachael Edgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568823805 PECOS PAC ID: 8022316694 Enrollment ID: I20160414001506 |
| Provider Name | Shannon M Gaasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336524180 PECOS PAC ID: 1355640947 Enrollment ID: I20160503002207 |
| Provider Name | Jacquelyn Rae Ryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417310004 PECOS PAC ID: 3274822341 Enrollment ID: I20160512000743 |
| Provider Name | Quadeer M Fasihuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942464839 PECOS PAC ID: 2961681317 Enrollment ID: I20160516000171 |
| Provider Name | Mauro Sarmiento |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285607465 PECOS PAC ID: 6608882717 Enrollment ID: I20160517001094 |
| Provider Name | Kaitlyn M Felbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330158 PECOS PAC ID: 1557651924 Enrollment ID: I20160526001843 |
| Provider Name | Katherine Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821499013 PECOS PAC ID: 1355666082 Enrollment ID: I20160526002307 |
| Provider Name | Santa Dalessio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275591919 PECOS PAC ID: 0446356729 Enrollment ID: I20160531000904 |
| Provider Name | Nathalie Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417316357 PECOS PAC ID: 0840581278 Enrollment ID: I20160621000427 |
| Provider Name | Colleen L Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427441740 PECOS PAC ID: 9335431840 Enrollment ID: I20160701000581 |
| Provider Name | Alison R Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902253453 PECOS PAC ID: 5395038962 Enrollment ID: I20160720001901 |
| Provider Name | Devorah Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668569 PECOS PAC ID: 0749573558 Enrollment ID: I20160801000684 |
| Provider Name | Melissa D Magassouba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281484 PECOS PAC ID: 3173816956 Enrollment ID: I20160802000206 |
| Provider Name | Kabrina Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681109 PECOS PAC ID: 9133413966 Enrollment ID: I20160802002033 |
| Provider Name | Jeanpierre El Khoury |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003174707 PECOS PAC ID: 2466769823 Enrollment ID: I20160803002752 |
| Provider Name | Jacques Mather |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740456201 PECOS PAC ID: 5092014068 Enrollment ID: I20160809001550 |
| Provider Name | Nicholas A Morris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922328798 PECOS PAC ID: 6002077914 Enrollment ID: I20160907002092 |
| Provider Name | Michelle Eun Chung Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780975730 PECOS PAC ID: 0244523405 Enrollment ID: I20160917000077 |
| Provider Name | Ashley Menne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740500081 PECOS PAC ID: 0941509889 Enrollment ID: I20160919000411 |
| Provider Name | Cristina Feather |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457587560 PECOS PAC ID: 3678860251 Enrollment ID: I20161007000551 |
| Provider Name | Justin Richards |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306010988 PECOS PAC ID: 8022317023 Enrollment ID: I20161010001873 |
| Provider Name | Lindsey A Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013360841 PECOS PAC ID: 5799073474 Enrollment ID: I20161012001916 |
| Provider Name | Teresa Nicole Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760930796 PECOS PAC ID: 2365720943 Enrollment ID: I20161116001357 |
| Provider Name | Melissa D Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356891105 PECOS PAC ID: 0042599771 Enrollment ID: I20161201000127 |
| Provider Name | Emily Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451133 PECOS PAC ID: 9335378421 Enrollment ID: I20161227001313 |
| Provider Name | Ellen Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679934228 PECOS PAC ID: 9133403595 Enrollment ID: I20170302000852 |
| Provider Name | Hashem Vahabzadeh Monshie |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235377813 PECOS PAC ID: 2860641578 Enrollment ID: I20170309000677 |
| Provider Name | Terri Nicole Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932241981 PECOS PAC ID: 3779882816 Enrollment ID: I20170316000176 |
| Provider Name | Michael Shteyman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487946695 PECOS PAC ID: 8820396062 Enrollment ID: I20170327000447 |
| Provider Name | Filimon Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801330758 PECOS PAC ID: 8022395623 Enrollment ID: I20170509001594 |
| Provider Name | Jean E Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689114845 PECOS PAC ID: 0244517480 Enrollment ID: I20170509002745 |
| Provider Name | Meghan E Amatuccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487185559 PECOS PAC ID: 6406133636 Enrollment ID: I20170511001052 |
| Provider Name | Anna M Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811434624 PECOS PAC ID: 5698052983 Enrollment ID: I20170516001310 |
| Provider Name | Sean Mckay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417918004 PECOS PAC ID: 1456396118 Enrollment ID: I20170519001504 |
| Provider Name | David Hering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750812442 PECOS PAC ID: 1254608375 Enrollment ID: I20170522000507 |
| Provider Name | David Porembka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104884063 PECOS PAC ID: 4688693500 Enrollment ID: I20170524001567 |
| Provider Name | Lindsay A Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316327372 PECOS PAC ID: 6608186788 Enrollment ID: I20170526001387 |
| Provider Name | Jessica A Alper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669910535 PECOS PAC ID: 5294003497 Enrollment ID: I20170612001913 |
| Provider Name | Ghassan Kanj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649359944 PECOS PAC ID: 7113914730 Enrollment ID: I20170613002176 |
| Provider Name | Kevin Goundry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912448424 PECOS PAC ID: 5395013486 Enrollment ID: I20170614000294 |
| Provider Name | James A Akras |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821153404 PECOS PAC ID: 5395923585 Enrollment ID: I20170615001587 |
| Provider Name | Sophia H Moradi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427595750 PECOS PAC ID: 3577831320 Enrollment ID: I20170620000610 |
| Provider Name | James H Lantry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942435060 PECOS PAC ID: 2769631746 Enrollment ID: I20170727001918 |
| Provider Name | Delinda Wills |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063531804 PECOS PAC ID: 4880848118 Enrollment ID: I20170728000721 |
| Provider Name | Thomas J Cusack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144580812 PECOS PAC ID: 6406149665 Enrollment ID: I20170802002727 |
| Provider Name | Anthony P. Basel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437590254 PECOS PAC ID: 1557678745 Enrollment ID: I20170803001179 |
| Provider Name | Tracy Lavern Evans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467479402 PECOS PAC ID: 1951399179 Enrollment ID: I20170810001126 |
| Provider Name | Kenneth M Crandall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1447485891 PECOS PAC ID: 7719286848 Enrollment ID: I20170822000963 |
| Provider Name | Allison Lankford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639434087 PECOS PAC ID: 9739473000 Enrollment ID: I20170831002247 |
| Provider Name | Mustafa A Abdulmahdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205278843 PECOS PAC ID: 6002114964 Enrollment ID: I20170907000062 |
| Provider Name | Kerry Latham |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588733562 PECOS PAC ID: 7911145487 Enrollment ID: I20170928003699 |
| Provider Name | Andrew Thien Anh Vu Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437464997 PECOS PAC ID: 6507153855 Enrollment ID: I20170929000011 |
| Provider Name | Stefanie A Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326485954 PECOS PAC ID: 2062737158 Enrollment ID: I20171005002889 |
| Provider Name | Courtney E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215301122 PECOS PAC ID: 1759680697 Enrollment ID: I20171011000949 |
| Provider Name | John Klune |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255597100 PECOS PAC ID: 0244525038 Enrollment ID: I20171101002702 |
| Provider Name | Abigale Celotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114440468 PECOS PAC ID: 6204192347 Enrollment ID: I20171107000449 |
| Provider Name | Fan Liang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922356567 PECOS PAC ID: 4183916760 Enrollment ID: I20171130000308 |
| Provider Name | Dawn Golus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164759205 PECOS PAC ID: 5294994877 Enrollment ID: I20171201001612 |
| Provider Name | Gina Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831335868 PECOS PAC ID: 8123182409 Enrollment ID: I20171205003068 |
| Provider Name | Daniel Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881113108 PECOS PAC ID: 5193082014 Enrollment ID: I20171207001220 |
| Provider Name | Melissa Ann Powell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053407809 PECOS PAC ID: 6002713450 Enrollment ID: I20171211000733 |
| Provider Name | Susan E. Huppmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114437266 PECOS PAC ID: 9739447327 Enrollment ID: I20180104000261 |
| Provider Name | Kathleen B To |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467651612 PECOS PAC ID: 8729102355 Enrollment ID: I20180108002773 |
| Provider Name | Loubna S Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669983813 PECOS PAC ID: 2961761382 Enrollment ID: I20180110002778 |
| Provider Name | Casi Larish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467971846 PECOS PAC ID: 8022377357 Enrollment ID: I20180112001746 |
| Provider Name | Estefania Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750892097 PECOS PAC ID: 1759641483 Enrollment ID: I20180129000340 |
| Provider Name | Mira H Ghneim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265757942 PECOS PAC ID: 6305138975 Enrollment ID: I20180214001625 |
| Provider Name | Adnan A Khera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285900803 PECOS PAC ID: 8426341876 Enrollment ID: I20180406001705 |
| Provider Name | Mary E Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225418221 PECOS PAC ID: 9537478680 Enrollment ID: I20180507000314 |
| Provider Name | Elizabeth Julianne Le |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548553035 PECOS PAC ID: 8325345184 Enrollment ID: I20180612001500 |
| Provider Name | Isaac Howley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750605523 PECOS PAC ID: 3072761121 Enrollment ID: I20180629001103 |
| Provider Name | Linda Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124003470 PECOS PAC ID: 8224020193 Enrollment ID: I20180730000139 |
| Provider Name | Gregory M Schrank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992096432 PECOS PAC ID: 6103174610 Enrollment ID: I20180731001783 |
| Provider Name | Jason S Radowsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942463963 PECOS PAC ID: 5092063354 Enrollment ID: I20180802000605 |
| Provider Name | Jennifer E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285111377 PECOS PAC ID: 7416207717 Enrollment ID: I20180907000830 |
| Provider Name | Christian D Cain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669730081 PECOS PAC ID: 5597015768 Enrollment ID: I20180910001117 |
| Provider Name | Sashank K Reddy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346530136 PECOS PAC ID: 4981853926 Enrollment ID: I20180918001806 |
| Provider Name | Rashidah Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033605621 PECOS PAC ID: 8820349343 Enrollment ID: I20180924000173 |
| Provider Name | Natasha Hopkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134612617 PECOS PAC ID: 8921350455 Enrollment ID: I20181011001804 |
| Provider Name | Jennifer A Matvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205312931 PECOS PAC ID: 3779835038 Enrollment ID: I20181015002201 |
| Provider Name | Cara Lomangino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275782880 PECOS PAC ID: 5597087999 Enrollment ID: I20181020000512 |
| Provider Name | Lindsey Kirchoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477914695 PECOS PAC ID: 4789972191 Enrollment ID: I20181113001402 |
| Provider Name | Ajibola K Ibironke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073914685 PECOS PAC ID: 8729330964 Enrollment ID: I20181120003168 |
| Provider Name | Sarah Lynn Wachter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285075325 PECOS PAC ID: 0941420087 Enrollment ID: I20181121001476 |
| Provider Name | Joseph Veator Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497238984 PECOS PAC ID: 0547504847 Enrollment ID: I20181127001628 |
| Provider Name | Kathryn Lidard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427533934 PECOS PAC ID: 9638414618 Enrollment ID: I20181219001575 |
| Provider Name | Shailvi Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942521349 PECOS PAC ID: 8921396938 Enrollment ID: I20181226000093 |
| Provider Name | Alina M Huneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770066482 PECOS PAC ID: 1759626534 Enrollment ID: I20181226000308 |
| Provider Name | Maureen Scarboro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770974875 PECOS PAC ID: 4385945740 Enrollment ID: I20190109000695 |
| Provider Name | Bobbie J Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043788219 PECOS PAC ID: 0446596332 Enrollment ID: I20190115000035 |
| Provider Name | Sarah Y Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972965911 PECOS PAC ID: 0941561591 Enrollment ID: I20190115000042 |
| Provider Name | Kathleen Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568915718 PECOS PAC ID: 8426395088 Enrollment ID: I20190122000690 |
| Provider Name | Maria S Ordaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982987459 PECOS PAC ID: 7113147505 Enrollment ID: I20190130002167 |
| Provider Name | Richard David Betzold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700178746 PECOS PAC ID: 7315264678 Enrollment ID: I20190207002222 |
| Provider Name | Ashifa I Moledina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487152773 PECOS PAC ID: 3375881766 Enrollment ID: I20190211000101 |
| Provider Name | Mallory E Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356854582 PECOS PAC ID: 7810259603 Enrollment ID: I20190213002173 |
| Provider Name | Jooyoung J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255682399 PECOS PAC ID: 2769705235 Enrollment ID: I20190214001207 |
| Provider Name | Sean R Terwilliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790272623 PECOS PAC ID: 2264779263 Enrollment ID: I20190214002802 |
| Provider Name | William Mckinley Parham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972512630 PECOS PAC ID: 2668486879 Enrollment ID: I20190226000945 |
| Provider Name | Jed Thomas Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336615897 PECOS PAC ID: 3779822309 Enrollment ID: I20190226002830 |
| Provider Name | Nora H Cheung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194057711 PECOS PAC ID: 1951535947 Enrollment ID: I20190305003401 |
| Provider Name | Sara M Mcclintock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407398209 PECOS PAC ID: 0941581052 Enrollment ID: I20190403001939 |
| Provider Name | Jeanne M Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295989051 PECOS PAC ID: 6800944612 Enrollment ID: I20190423001336 |
| Provider Name | Alyssa D Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578029351 PECOS PAC ID: 7113250085 Enrollment ID: I20190607001040 |
| Provider Name | Lauren Chasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316400930 PECOS PAC ID: 4880927235 Enrollment ID: I20190618000386 |
| Provider Name | Melike Harfouche |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295172492 PECOS PAC ID: 2466744057 Enrollment ID: I20190709002731 |
| Provider Name | Katherine Kelley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770926131 PECOS PAC ID: 8921308990 Enrollment ID: I20190711001229 |
| Provider Name | Debbie Jerez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285292946 PECOS PAC ID: 0042546673 Enrollment ID: I20190719001550 |
| Provider Name | Kavitha Ranganathan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801183355 PECOS PAC ID: 3577783398 Enrollment ID: I20190724003615 |
| Provider Name | Robin Yang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790944478 PECOS PAC ID: 2961738000 Enrollment ID: I20190726000075 |
| Provider Name | Joseph Alden Herrold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013311067 PECOS PAC ID: 3274829841 Enrollment ID: I20190910000483 |
| Provider Name | Ashley Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861056517 PECOS PAC ID: 4284963562 Enrollment ID: I20190911003196 |
| Provider Name | Jennifer A Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043577356 PECOS PAC ID: 9638335607 Enrollment ID: I20190925003747 |
| Provider Name | Lindsey D Turnbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740834837 PECOS PAC ID: 3678803947 Enrollment ID: I20190930001559 |
| Provider Name | Jaclyn Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861838682 PECOS PAC ID: 9931447182 Enrollment ID: I20191010000048 |
| Provider Name | David P Milzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609928779 PECOS PAC ID: 9234020751 Enrollment ID: I20191030000204 |
| Provider Name | Paula Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720631633 PECOS PAC ID: 5799017232 Enrollment ID: I20191101000858 |
| Provider Name | Meredith E Sommerville |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396004719 PECOS PAC ID: 4688802077 Enrollment ID: I20191106000071 |
| Provider Name | Molly H Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487201513 PECOS PAC ID: 6709218233 Enrollment ID: I20191121000367 |
| Provider Name | William A Teeter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255692570 PECOS PAC ID: 6305139908 Enrollment ID: I20191125000653 |
| Provider Name | Benjamin Labovitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699247395 PECOS PAC ID: 2860825213 Enrollment ID: I20191126000479 |
| Provider Name | Menachem Lasdun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588122030 PECOS PAC ID: 8224462551 Enrollment ID: I20191219001785 |
| Provider Name | Crystal R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477026045 PECOS PAC ID: 4981038767 Enrollment ID: I20200103000426 |
| Provider Name | Bryce H Smetzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235799065 PECOS PAC ID: 8729412515 Enrollment ID: I20200103000765 |
| Provider Name | Jennifer M Snead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548820475 PECOS PAC ID: 2961836762 Enrollment ID: I20200103001003 |
| Provider Name | Alexandra Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548732167 PECOS PAC ID: 2668807413 Enrollment ID: I20200124000418 |
| Provider Name | Cheryl A Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154787729 PECOS PAC ID: 3072810720 Enrollment ID: I20200317001522 |
| Provider Name | Uma Maduekwe |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1144531237 PECOS PAC ID: 5496057994 Enrollment ID: I20200603001357 |
| Provider Name | Bethany Strong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104182815 PECOS PAC ID: 0941448179 Enrollment ID: I20200604000849 |
| Provider Name | Arissa M Torrie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720442114 PECOS PAC ID: 1557652245 Enrollment ID: I20200611002188 |
| Provider Name | Samuel K Self |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538534771 PECOS PAC ID: 7113202748 Enrollment ID: I20200617002979 |
| Provider Name | Maria Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750917399 PECOS PAC ID: 6406278415 Enrollment ID: I20200622000106 |
| Provider Name | Robert Laskowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730509837 PECOS PAC ID: 0547590911 Enrollment ID: I20200701000703 |
| Provider Name | Anna Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023639366 PECOS PAC ID: 6608290440 Enrollment ID: I20200727000881 |
| Provider Name | Emily C Esposito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720472962 PECOS PAC ID: 2961769047 Enrollment ID: I20200811001836 |
| Provider Name | John Maddox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528122256 PECOS PAC ID: 1759529944 Enrollment ID: I20200812000129 |
| Provider Name | Elizabeth K Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831332923 PECOS PAC ID: 0244473288 Enrollment ID: I20200813000022 |
| Provider Name | Eric M Krause |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285998328 PECOS PAC ID: 4385980713 Enrollment ID: I20200831000044 |
| Provider Name | Alexander Ksendzovsky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326305095 PECOS PAC ID: 1557590387 Enrollment ID: I20200902000469 |
| Provider Name | Meredith K Peiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589748 PECOS PAC ID: 6901223049 Enrollment ID: I20200903000798 |
| Provider Name | Jacob Cherian |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609163898 PECOS PAC ID: 5890045314 Enrollment ID: I20200914000155 |
| Provider Name | Catherine B Mirsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477192615 PECOS PAC ID: 2466871652 Enrollment ID: I20201008000970 |
| Provider Name | Susan I Brundage |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073697587 PECOS PAC ID: 0143358945 Enrollment ID: I20201012001131 |
| Provider Name | Melissa Pergakis |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619357548 PECOS PAC ID: 7012225808 Enrollment ID: I20201021001686 |
| Provider Name | Jamie Podell |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1356761795 PECOS PAC ID: 4880028430 Enrollment ID: I20201103000703 |
| Provider Name | Lauren Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841811460 PECOS PAC ID: 7416367263 Enrollment ID: I20201105001120 |
| Provider Name | Julia E Dunning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891962973 PECOS PAC ID: 4981926466 Enrollment ID: I20201111000133 |
| Provider Name | Tara Polla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730733486 PECOS PAC ID: 1153755392 Enrollment ID: I20201111000185 |
| Provider Name | Caroline Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275159279 PECOS PAC ID: 7810308087 Enrollment ID: I20201118002543 |
| Provider Name | Rebekah Hartland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477166965 PECOS PAC ID: 7517378797 Enrollment ID: I20201118002701 |
| Provider Name | Erin Elizabeth Lock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780986323 PECOS PAC ID: 1951599687 Enrollment ID: I20201203001402 |
| Provider Name | Kristopher J Filak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396034609 PECOS PAC ID: 1456699214 Enrollment ID: I20201214002276 |
| Provider Name | Elizabeth R Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295337376 PECOS PAC ID: 9133532088 Enrollment ID: I20210113002544 |
| Provider Name | George Bragdon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609353507 PECOS PAC ID: 0143569020 Enrollment ID: I20210223000544 |
| Provider Name | Nicholas A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609496801 PECOS PAC ID: 1355759069 Enrollment ID: I20210419001806 |
| Provider Name | Jessica H Resnyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932713112 PECOS PAC ID: 7810305455 Enrollment ID: I20210420000550 |
| Provider Name | Jennifer A Jaress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558965004 PECOS PAC ID: 8527476928 Enrollment ID: I20210426000021 |
| Provider Name | Crystal N Debeary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669064507 PECOS PAC ID: 5799184123 Enrollment ID: I20210604000592 |
| Provider Name | Joanne Marie Arellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760978894 PECOS PAC ID: 2860745791 Enrollment ID: I20210614002077 |
| Provider Name | Judy Pan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1023271152 PECOS PAC ID: 8022443738 Enrollment ID: I20210706000048 |
| Provider Name | Patrick Walker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124448162 PECOS PAC ID: 0941591945 Enrollment ID: I20210726001523 |
| Provider Name | Sayuri P Jinadasa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982967295 PECOS PAC ID: 3779823794 Enrollment ID: I20210727000066 |
| Provider Name | Joseph D Kamassai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700249455 PECOS PAC ID: 0042614059 Enrollment ID: I20210812000239 |
| Provider Name | Cheralyn Hendrix |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093192023 PECOS PAC ID: 5395034425 Enrollment ID: I20210812000540 |
| Provider Name | Christopher R Slivka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295286953 PECOS PAC ID: 2860771946 Enrollment ID: I20210812001567 |
| Provider Name | Mohamed Labib |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801288816 PECOS PAC ID: 9638499767 Enrollment ID: I20210812001677 |
| Provider Name | Candice Nemec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780252387 PECOS PAC ID: 9739586298 Enrollment ID: I20210927000018 |
| Provider Name | Janet Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669066981 PECOS PAC ID: 4082011390 Enrollment ID: I20210928003186 |
| Provider Name | Alembemulu Adane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417459603 PECOS PAC ID: 7113325309 Enrollment ID: I20211001000446 |
| Provider Name | Nicholas J Levasseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326611625 PECOS PAC ID: 4183022338 Enrollment ID: I20211001002645 |
| Provider Name | Mary A Purtill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831192483 PECOS PAC ID: 9436148921 Enrollment ID: I20211006002415 |
| Provider Name | Alexis M Martinez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407423148 PECOS PAC ID: 4486052040 Enrollment ID: I20211012002133 |
| Provider Name | Richard G Wittmeyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568882439 PECOS PAC ID: 6305063561 Enrollment ID: I20211013002093 |
| Provider Name | William B Gamble |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770923948 PECOS PAC ID: 2365848017 Enrollment ID: I20211118000689 |
| Provider Name | Kin Wah Chew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194103614 PECOS PAC ID: 1951602531 Enrollment ID: I20211118001085 |
| Provider Name | Amber Pyzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750975322 PECOS PAC ID: 9638568314 Enrollment ID: I20211118001458 |
| Provider Name | Benjamin M Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558716092 PECOS PAC ID: 7416243753 Enrollment ID: I20211119000021 |
| Provider Name | Michael Joseph Sibel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962768606 PECOS PAC ID: 6608191614 Enrollment ID: I20211123002752 |
| Provider Name | Brandon W Propper |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033320213 PECOS PAC ID: 9931358868 Enrollment ID: I20211210000052 |
| Provider Name | Anna Romagnoli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265781835 PECOS PAC ID: 2961740881 Enrollment ID: I20211220000237 |
| Provider Name | James Wiseman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346421930 PECOS PAC ID: 0143369892 Enrollment ID: I20211220002181 |
| Provider Name | Alexandra S Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003579525 PECOS PAC ID: 2365833639 Enrollment ID: I20211221000163 |
| Provider Name | Austin T Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912565433 PECOS PAC ID: 0840681110 Enrollment ID: I20211221000426 |
| Provider Name | Meaghan C Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508436148 PECOS PAC ID: 0143613737 Enrollment ID: I20220202002801 |
| Provider Name | William D Zimmerman |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1275997124 PECOS PAC ID: 1052730199 Enrollment ID: I20220217002461 |
| Provider Name | Decal M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932871894 PECOS PAC ID: 3577958735 Enrollment ID: I20220324002831 |
| Provider Name | Bilal Butt |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1184979551 PECOS PAC ID: 8729380654 Enrollment ID: I20220407002332 |
| Provider Name | Diamond Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194477489 PECOS PAC ID: 6204223365 Enrollment ID: I20220420002177 |
| Provider Name | Tammie E Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319459 PECOS PAC ID: 5890172696 Enrollment ID: I20220517002087 |
| Provider Name | Kathryn E Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740792845 PECOS PAC ID: 4385904242 Enrollment ID: I20220523001305 |
| Provider Name | Ryan Fransman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902352107 PECOS PAC ID: 9335497676 Enrollment ID: I20220709000357 |
| Provider Name | Jessica Veronica Downing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942704911 PECOS PAC ID: 7315284247 Enrollment ID: I20220802003917 |
| Provider Name | Navpreet Dhillon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407276736 PECOS PAC ID: 2264738541 Enrollment ID: I20220809001441 |
| Provider Name | Remealle Alma How |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609052786 PECOS PAC ID: 2163855784 Enrollment ID: I20220809001683 |
| Provider Name | Lucas Sjeklocha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578004891 PECOS PAC ID: 9032456058 Enrollment ID: I20220811000703 |
| Provider Name | Kristy Hawley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922461276 PECOS PAC ID: 9638552359 Enrollment ID: I20220812002476 |
| Provider Name | Alexander Vostal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588198048 PECOS PAC ID: 5698158897 Enrollment ID: I20220822001427 |
| Provider Name | Andrew Connor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760917991 PECOS PAC ID: 5799058947 Enrollment ID: I20220822003567 |
| Provider Name | Shannon N Cataldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609522770 PECOS PAC ID: 5597149393 Enrollment ID: I20220829000394 |
| Provider Name | Whitney E Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003227067 PECOS PAC ID: 0042557050 Enrollment ID: I20220914001534 |
| Provider Name | Sarah K Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053062398 PECOS PAC ID: 9931584679 Enrollment ID: I20220916002000 |
| Provider Name | Megan B Wanzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164016895 PECOS PAC ID: 0749665305 Enrollment ID: I20220917000015 |
| Provider Name | Matthew A Schechter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285950303 PECOS PAC ID: 0749609550 Enrollment ID: I20220927003725 |
| Provider Name | Meaghan Keville |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891007498 PECOS PAC ID: 7719121680 Enrollment ID: I20220928002587 |
| Provider Name | Alexandra W Delbarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043967789 PECOS PAC ID: 0648646588 Enrollment ID: I20221018003609 |
| Provider Name | Prajwal Ciryam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124419049 PECOS PAC ID: 7113345034 Enrollment ID: I20221019001821 |
| Provider Name | Grigorios Lamaris |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265691166 PECOS PAC ID: 6507119955 Enrollment ID: I20221021000070 |
| Provider Name | Joanna S Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083034847 PECOS PAC ID: 7113244112 Enrollment ID: I20221110002884 |
| Provider Name | Choyin Y Chung |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326468711 PECOS PAC ID: 8325464522 Enrollment ID: I20221111000207 |
| Provider Name | Kimberly Wan Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730811324 PECOS PAC ID: 4981075033 Enrollment ID: I20230127000740 |
| Provider Name | Morgan Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356966592 PECOS PAC ID: 0840617346 Enrollment ID: I20230131003226 |
| Provider Name | Sheba Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376299693 PECOS PAC ID: 6204207145 Enrollment ID: I20230131003709 |
| Provider Name | Suzanna Shafi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093428856 PECOS PAC ID: 7719351667 Enrollment ID: I20230316001810 |
| Provider Name | Lisa Gebicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184218083 PECOS PAC ID: 9335513290 Enrollment ID: I20230316001977 |
| Provider Name | Christopher James Smith |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1053817981 PECOS PAC ID: 7113265323 Enrollment ID: I20230706002058 |
| Provider Name | Chintan Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124699913 PECOS PAC ID: 0446612196 Enrollment ID: I20230814001218 |
| Provider Name | Joseph Alexander Nelson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861923617 PECOS PAC ID: 4981004041 Enrollment ID: I20230817000813 |
| Provider Name | Matthew C Vasquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225324353 PECOS PAC ID: 9537522560 Enrollment ID: I20230824000197 |
| Provider Name | Gyan Das |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841738150 PECOS PAC ID: 1557734076 Enrollment ID: I20230908000889 |
| Provider Name | Ruthanne M Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710634860 PECOS PAC ID: 1153785142 Enrollment ID: I20230908002466 |
| Provider Name | Timothy Chryssikos |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841673332 PECOS PAC ID: 3375833700 Enrollment ID: I20230918000502 |
| Provider Name | Jessica L Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790304012 PECOS PAC ID: 4587019740 Enrollment ID: I20231009002917 |
| Provider Name | Appajosula Sarada Rao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861924326 PECOS PAC ID: 8325493927 Enrollment ID: I20231017004023 |
| Provider Name | Amit A Pandit |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730477837 PECOS PAC ID: 0143458927 Enrollment ID: I20231018003627 |
| Provider Name | Patrick T Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821451279 PECOS PAC ID: 2466745534 Enrollment ID: I20231019001874 |
| Provider Name | Ashley L Schenning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861126815 PECOS PAC ID: 0749636207 Enrollment ID: I20231019003588 |
| Provider Name | Marjorie Everson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801863261 PECOS PAC ID: 6305854183 Enrollment ID: I20231021000680 |
| Provider Name | Rebecca Schwartz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407207434 PECOS PAC ID: 1850798802 Enrollment ID: I20231026002411 |
| Provider Name | Tyler Holliday |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699207654 PECOS PAC ID: 7517346380 Enrollment ID: I20231030001165 |
| Provider Name | Amber R Zissimos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528764438 PECOS PAC ID: 0749636314 Enrollment ID: I20231102001980 |
| Provider Name | Ross C Puffer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023456985 PECOS PAC ID: 9234379777 Enrollment ID: I20231108000534 |
| Provider Name | Meaghan Broderick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205362324 PECOS PAC ID: 8921455122 Enrollment ID: I20231109001661 |
| Provider Name | Kristopher G Hooten |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528296076 PECOS PAC ID: 0143457663 Enrollment ID: I20231114003166 |
| Provider Name | Seema Anandalwar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932527538 PECOS PAC ID: 4385091289 Enrollment ID: I20231115000929 |
| Provider Name | Christopher P Michetti |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700807179 PECOS PAC ID: 0840456448 Enrollment ID: I20231115001143 |
| Provider Name | Valerie Borgstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477165918 PECOS PAC ID: 7214385616 Enrollment ID: I20231125000283 |
| Provider Name | Neeraj Badjatia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851336143 PECOS PAC ID: 0143257345 Enrollment ID: I20231214003576 |
| Provider Name | Ashley Krogel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588337638 PECOS PAC ID: 4981053907 Enrollment ID: I20231215000048 |
| Provider Name | Brianna M Wagaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396527420 PECOS PAC ID: 7315397080 Enrollment ID: I20231220003165 |
| Provider Name | Jerome M Alchimowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104609254 PECOS PAC ID: 2264882984 Enrollment ID: I20231221000893 |
| Provider Name | Jordan Gornitsky |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376316265 PECOS PAC ID: 3274984497 Enrollment ID: I20240111002417 |
| Provider Name | Kirsten A Monks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083489694 PECOS PAC ID: 4183077316 Enrollment ID: I20240124002128 |
| Provider Name | Tatum Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750750311 PECOS PAC ID: 7517276124 Enrollment ID: I20240124003228 |
| Provider Name | Martin Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093430415 PECOS PAC ID: 3779936083 Enrollment ID: I20240201003939 |
| Provider Name | Eric J Ley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588789655 PECOS PAC ID: 8820197916 Enrollment ID: I20240302000343 |
| Provider Name | Danielle Tarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093578296 PECOS PAC ID: 6901241579 Enrollment ID: I20240305003286 |
| Provider Name | Gabrielle Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710749171 PECOS PAC ID: 5799121190 Enrollment ID: I20240307002759 |
| Provider Name | Steven B Holsten |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902817315 PECOS PAC ID: 2062485931 Enrollment ID: I20240406000518 |
| Provider Name | Laura S Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285493825 PECOS PAC ID: 6204275324 Enrollment ID: I20240422001857 |
| Provider Name | Adelina Buganu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386209815 PECOS PAC ID: 7416286018 Enrollment ID: I20240423000429 |
| Provider Name | Melanie G Hollidge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487000477 PECOS PAC ID: 9234417486 Enrollment ID: I20240530000659 |
| Provider Name | Clair Y.s. Maher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326887076 PECOS PAC ID: 9436696309 Enrollment ID: I20240809000397 |
| Provider Name | Deo D Balumuka |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649774951 PECOS PAC ID: 9436400355 Enrollment ID: I20240814001329 |
| Provider Name | Matthew Ryan Woodward |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235664749 PECOS PAC ID: 0547539058 Enrollment ID: I20240911004472 |
| Provider Name | Thomas J Gregory |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023647146 PECOS PAC ID: 3870916968 Enrollment ID: I20240930002547 |
| Provider Name | Victoria E Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912731027 PECOS PAC ID: 7416488945 Enrollment ID: I20241008001293 |
| Provider Name | Kendall E Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992562623 PECOS PAC ID: 6002347556 Enrollment ID: I20241008001997 |
| Provider Name | Shelby T Mclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912763269 PECOS PAC ID: 0345771895 Enrollment ID: I20241008002119 |
| Provider Name | Ariel N Gaines |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538722830 PECOS PAC ID: 5698206142 Enrollment ID: I20241008002228 |
| Provider Name | Wenceslas C Krakowiecki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053976795 PECOS PAC ID: 9537594049 Enrollment ID: I20241008002283 |
| Provider Name | Samantha Elise Balajthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073212791 PECOS PAC ID: 5496104598 Enrollment ID: I20241021002287 |
| Provider Name | Jacqueline Marie Robinson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780170753 PECOS PAC ID: 6901339563 Enrollment ID: I20241104003549 |
| Provider Name | Megan M Farace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811754559 PECOS PAC ID: 1254865652 Enrollment ID: I20241107002108 |
| Provider Name | Suzanne M Klaus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417445636 PECOS PAC ID: 3577814490 Enrollment ID: I20241123000000 |
| Provider Name | Jamie A Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932662731 PECOS PAC ID: 7416290747 Enrollment ID: I20241212003001 |
| Provider Name | Aliya Fatima Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629635784 PECOS PAC ID: 4284087800 Enrollment ID: I20241220001342 |
| Provider Name | Anastasia M Eberhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083491633 PECOS PAC ID: 8921535576 Enrollment ID: I20241220002846 |
| Provider Name | Daniel E Horwitz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407347719 PECOS PAC ID: 1355874801 Enrollment ID: I20250116004075 |
| Provider Name | Anthony J Desantis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558716472 PECOS PAC ID: 2466985924 Enrollment ID: I20250123002649 |
Gbmc Health Partners At Helping Up Mission, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 E Baltimore St, Ground Floor, Baltimore, MD 21202 Phone: 410-826-0170 | |
Johns Hopkins University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2024 E Monument St Ste 2626, Baltimore, MD 21287 Phone: 410-933-6430 | |
Solutions Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W University Pkwy Apt 425, Baltimore, MD 21210 Phone: 786-451-5184 | |
Plume Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Pratt St, Baltimore, MD 21202 Phone: 720-248-4483 | |
Np Medical Solutions By Sheila Waller Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5119 Mcfaul Rd, Baltimore, MD 21206 Phone: 443-531-6248 | |
Health Care For The Homeless, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 410-837-5533 Fax: 410-837-8020 | |
Maryland Medical First P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8901 Clement Ave, Baltimore, MD 21234 Phone: 410-661-4670 Fax: 410-661-4671 |