| Sih Medical Group | |
|
1239 E Main St Carbondale IL 62901 | |
| (618) 457-5200 | |
| (618) 549-5128 |
| Full Name | Sih Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1239 E Main St, Carbondale, Illinois |
| Authorized Official Name and Position | Warren P Ladner (SENIOR VP CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6184575200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sih Medical Group Po Box 3988 Carbondale IL 62902-3988 Ph: (618) 457-5200 | Sih Medical Group 1239 E Main St Carbondale IL 62901 Ph: (618) 457-5200 |
| NPI Number | 1770656837 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Medicare PECOS PAC ID | 3678677390 |
|---|---|
| Medicare Enrollment ID | O20070404000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770656837 | NPI | - | NPPES |
| 3932056 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Roger D Watters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356321343 PECOS PAC ID: 4587578513 Enrollment ID: I20031114000190 |
| Provider Name | Donna M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816453 PECOS PAC ID: 6901702034 Enrollment ID: I20031210000262 |
| Provider Name | Diana B Moreland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467480905 PECOS PAC ID: 5092612895 Enrollment ID: I20031218000763 |
| Provider Name | Bianca Christina Bottiaux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679639561 PECOS PAC ID: 9638076359 Enrollment ID: I20031218000858 |
| Provider Name | Pamela K Sparling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811989627 PECOS PAC ID: 8325946882 Enrollment ID: I20031222000750 |
| Provider Name | Lynn S Cook |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508891219 PECOS PAC ID: 3971405804 Enrollment ID: I20040122000334 |
| Provider Name | Echo Reardon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124041884 PECOS PAC ID: 6002718822 Enrollment ID: I20040122000910 |
| Provider Name | Naeem a Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588618482 PECOS PAC ID: 4486547924 Enrollment ID: I20040207000396 |
| Provider Name | Dobroslawa T Reschke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639191992 PECOS PAC ID: 2860381407 Enrollment ID: I20040312000254 |
| Provider Name | Michael a Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184731267 PECOS PAC ID: 7012807464 Enrollment ID: I20040318000784 |
| Provider Name | Robert Bruce Herzog |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902963614 PECOS PAC ID: 6507758067 Enrollment ID: I20040329000648 |
| Provider Name | Sam Stokes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558452144 PECOS PAC ID: 8022908573 Enrollment ID: I20040403000060 |
| Provider Name | Eldin E Karaikovic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033131024 PECOS PAC ID: 3870586308 Enrollment ID: I20040408000291 |
| Provider Name | Gerald W Mcclallen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285686709 PECOS PAC ID: 2769477256 Enrollment ID: I20040415000359 |
| Provider Name | William G Pyle |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306827001 PECOS PAC ID: 1355337205 Enrollment ID: I20040424000098 |
| Provider Name | Jill N Absher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831284264 PECOS PAC ID: 1456348796 Enrollment ID: I20040428000771 |
| Provider Name | Michele a Behm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841307014 PECOS PAC ID: 0547257875 Enrollment ID: I20040428001367 |
| Provider Name | Chirag H Dave |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790725307 PECOS PAC ID: 8729077268 Enrollment ID: I20040510000757 |
| Provider Name | Kevin L Rainey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215042833 PECOS PAC ID: 5890784326 Enrollment ID: I20040510001338 |
| Provider Name | Robert Deaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386750404 PECOS PAC ID: 2264421577 Enrollment ID: I20040511001226 |
| Provider Name | Jaswant S Sidhu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548228752 PECOS PAC ID: 1759372253 Enrollment ID: I20040522000290 |
| Provider Name | Traci Beck |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710963749 PECOS PAC ID: 3375524507 Enrollment ID: I20040525001011 |
| Provider Name | Jason a Kole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043251317 PECOS PAC ID: 5395728612 Enrollment ID: I20040609000222 |
| Provider Name | George Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928714 PECOS PAC ID: 4284619784 Enrollment ID: I20040621000071 |
| Provider Name | Kathleen L Grove |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912016064 PECOS PAC ID: 9032109517 Enrollment ID: I20040706000650 |
| Provider Name | Chante T Trinh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093827727 PECOS PAC ID: 5698753465 Enrollment ID: I20040709000122 |
| Provider Name | Jeffrey Jacobs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174524136 PECOS PAC ID: 0143290098 Enrollment ID: I20040730000597 |
| Provider Name | Gardner T Kenny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851383947 PECOS PAC ID: 0648263871 Enrollment ID: I20040810000382 |
| Provider Name | Abdul R Majid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508858424 PECOS PAC ID: 6800868266 Enrollment ID: I20040810000425 |
| Provider Name | Bradley J Blakey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285621151 PECOS PAC ID: 1557333689 Enrollment ID: I20040810000528 |
| Provider Name | Allan J Schwartz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013946433 PECOS PAC ID: 6709850308 Enrollment ID: I20040820000190 |
| Provider Name | Agnes Blanche Delaney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366445975 PECOS PAC ID: 2264409192 Enrollment ID: I20040910001220 |
| Provider Name | Diane K Sierens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831127802 PECOS PAC ID: 2062481294 Enrollment ID: I20040924001021 |
| Provider Name | Zheng G Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841210952 PECOS PAC ID: 7416917471 Enrollment ID: I20041013001317 |
| Provider Name | Mark J Garwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326030396 PECOS PAC ID: 0547253775 Enrollment ID: I20041014000441 |
| Provider Name | Jo Ann Rajcic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952349649 PECOS PAC ID: 4981664554 Enrollment ID: I20041018000856 |
| Provider Name | Brooke a Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508905662 PECOS PAC ID: 2466413984 Enrollment ID: I20041019000747 |
| Provider Name | Tamir Hersonskey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629025663 PECOS PAC ID: 4183686637 Enrollment ID: I20041028000055 |
| Provider Name | Brian C Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518920073 PECOS PAC ID: 5294797478 Enrollment ID: I20041029000890 |
| Provider Name | Cynthia a Epplin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578555348 PECOS PAC ID: 5294798708 Enrollment ID: I20041111000430 |
| Provider Name | Richard Dilorenzo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528090164 PECOS PAC ID: 4789633900 Enrollment ID: I20050114000328 |
| Provider Name | Kent a Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982684445 PECOS PAC ID: 5597718148 Enrollment ID: I20050223000951 |
| Provider Name | Mark G Busby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679510739 PECOS PAC ID: 2567368780 Enrollment ID: I20050310000358 |
| Provider Name | Nyambi Ebie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548234883 PECOS PAC ID: 5294787677 Enrollment ID: I20050324000490 |
| Provider Name | Isaac a Roberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447297676 PECOS PAC ID: 4486615531 Enrollment ID: I20050324000748 |
| Provider Name | Abraham Kuruvilla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881806255 PECOS PAC ID: 2163469263 Enrollment ID: I20050411000689 |
| Provider Name | Timothy K Jennings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750496378 PECOS PAC ID: 2961440342 Enrollment ID: I20050418000961 |
| Provider Name | Son Phong Le |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902988009 PECOS PAC ID: 4981645173 Enrollment ID: I20050518000476 |
| Provider Name | Cesar E Coello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003997560 PECOS PAC ID: 5698716488 Enrollment ID: I20050523000328 |
| Provider Name | John T Girardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346248143 PECOS PAC ID: 1254328560 Enrollment ID: I20050630000077 |
| Provider Name | Ida Kay Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831264639 PECOS PAC ID: 6406883180 Enrollment ID: I20050725000658 |
| Provider Name | Mark S Steen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306929906 PECOS PAC ID: 8426086984 Enrollment ID: I20050727000506 |
| Provider Name | Refat D Khader |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073505988 PECOS PAC ID: 1456242601 Enrollment ID: I20050801000124 |
| Provider Name | Eric a Ruebke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467402065 PECOS PAC ID: 7810927514 Enrollment ID: I20050812000422 |
| Provider Name | Matthew C Winkleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225018153 PECOS PAC ID: 9335118249 Enrollment ID: I20050817000120 |
| Provider Name | Stephanie L Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689626095 PECOS PAC ID: 2860422086 Enrollment ID: I20050817000812 |
| Provider Name | Laura M Winkleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558331207 PECOS PAC ID: 6901865450 Enrollment ID: I20050818000535 |
| Provider Name | Dacia Renee Gerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104874338 PECOS PAC ID: 5799700878 Enrollment ID: I20051007000382 |
| Provider Name | Mary M Lynda Damery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528056504 PECOS PAC ID: 8628095593 Enrollment ID: I20051031000080 |
| Provider Name | David Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649210766 PECOS PAC ID: 2860410313 Enrollment ID: I20051103000620 |
| Provider Name | Charlene G Shallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295819688 PECOS PAC ID: 7315967833 Enrollment ID: I20051129000904 |
| Provider Name | Amanda S Sailliez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255305967 PECOS PAC ID: 4082635917 Enrollment ID: I20051207000735 |
| Provider Name | Kimberly Lashway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235118662 PECOS PAC ID: 9830110337 Enrollment ID: I20051213000104 |
| Provider Name | Kurt R Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164535365 PECOS PAC ID: 1658284773 Enrollment ID: I20060201000464 |
| Provider Name | Ana Migone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790753341 PECOS PAC ID: 5294648309 Enrollment ID: I20060202000322 |
| Provider Name | David Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558434795 PECOS PAC ID: 3577579721 Enrollment ID: I20060227000226 |
| Provider Name | Arvind Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861590689 PECOS PAC ID: 3971510066 Enrollment ID: I20060315000096 |
| Provider Name | Jai Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255333118 PECOS PAC ID: 3870488331 Enrollment ID: I20060315000183 |
| Provider Name | Terrence P Glennon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548270259 PECOS PAC ID: 1658389366 Enrollment ID: I20060322000371 |
| Provider Name | Craig Thomas Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134201213 PECOS PAC ID: 5193734861 Enrollment ID: I20060410000124 |
| Provider Name | Mark Thomas Donvito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073564175 PECOS PAC ID: 7618988478 Enrollment ID: I20060509000324 |
| Provider Name | Osama R Aaflaq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083663520 PECOS PAC ID: 8527079383 Enrollment ID: I20060509000326 |
| Provider Name | Anad K Salem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659366839 PECOS PAC ID: 9032120704 Enrollment ID: I20060509000558 |
| Provider Name | Valerie Ann Kupferer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003869280 PECOS PAC ID: 5395757397 Enrollment ID: I20060612000037 |
| Provider Name | Javier Muniz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548263668 PECOS PAC ID: 0143223297 Enrollment ID: I20060810000429 |
| Provider Name | Mourad Alnatour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891734257 PECOS PAC ID: 0941203483 Enrollment ID: I20060823000039 |
| Provider Name | Dana I Tarandy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629001623 PECOS PAC ID: 7012911142 Enrollment ID: I20060905000060 |
| Provider Name | Hossam Hamdi Mohamed Abdelsalam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972543080 PECOS PAC ID: 5698782175 Enrollment ID: I20060914000435 |
| Provider Name | John Watson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871596726 PECOS PAC ID: 6608820675 Enrollment ID: I20061130000020 |
| Provider Name | Adrian P Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568531010 PECOS PAC ID: 9133128697 Enrollment ID: I20061211000157 |
| Provider Name | Alberto D Cuartas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740381169 PECOS PAC ID: 2264403823 Enrollment ID: I20061219000459 |
| Provider Name | David a Mann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386739670 PECOS PAC ID: 2961499207 Enrollment ID: I20061228000275 |
| Provider Name | Raed Al-dallow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164572095 PECOS PAC ID: 4688675903 Enrollment ID: I20070129000474 |
| Provider Name | Gabriel a Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376680462 PECOS PAC ID: 1951303270 Enrollment ID: I20070215000150 |
| Provider Name | Mary a Ozee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780690388 PECOS PAC ID: 7315049368 Enrollment ID: I20070222000537 |
| Provider Name | Avtar S Dhindsa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790844181 PECOS PAC ID: 7618079492 Enrollment ID: I20070226000218 |
| Provider Name | Dale W Blaise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770557472 PECOS PAC ID: 0941106660 Enrollment ID: I20070329000493 |
| Provider Name | Tamara G Helfer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932102969 PECOS PAC ID: 3678510823 Enrollment ID: I20070409000153 |
| Provider Name | Eduardo Smith Singares |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477554756 PECOS PAC ID: 6507898368 Enrollment ID: I20070621000193 |
| Provider Name | John E Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629017108 PECOS PAC ID: 7719950658 Enrollment ID: I20070713000171 |
| Provider Name | James D Wade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639223464 PECOS PAC ID: 7214037647 Enrollment ID: I20070713000303 |
| Provider Name | Theresa a Rogers-smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134340227 PECOS PAC ID: 4385745710 Enrollment ID: I20070728000280 |
| Provider Name | Sajjad Mueed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124182860 PECOS PAC ID: 4183691884 Enrollment ID: I20070808000770 |
| Provider Name | Elias Jay Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336346360 PECOS PAC ID: 1658463005 Enrollment ID: I20070815000605 |
| Provider Name | Steve a Rhyne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255396495 PECOS PAC ID: 0547241895 Enrollment ID: I20070824000837 |
| Provider Name | Adam M Vargo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861683187 PECOS PAC ID: 6305939315 Enrollment ID: I20070907000228 |
| Provider Name | Peggy M Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053531541 PECOS PAC ID: 2466548276 Enrollment ID: I20071009000861 |
| Provider Name | Paula R Lindner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730151499 PECOS PAC ID: 9931187713 Enrollment ID: I20071012000029 |
| Provider Name | Tanatip Korte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376656439 PECOS PAC ID: 5597852582 Enrollment ID: I20071108000093 |
| Provider Name | Robin L Gallo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497869440 PECOS PAC ID: 7214025808 Enrollment ID: I20071115000217 |
| Provider Name | Loni J Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508056953 PECOS PAC ID: 8022106285 Enrollment ID: I20071121000503 |
| Provider Name | Jeffrey Lehman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548261399 PECOS PAC ID: 8921072679 Enrollment ID: I20071128000076 |
| Provider Name | Andrew L Makowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770514861 PECOS PAC ID: 4385648021 Enrollment ID: I20071227000250 |
| Provider Name | Douglas Nordli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386755486 PECOS PAC ID: 4789768821 Enrollment ID: I20080227000516 |
| Provider Name | Gordon Chu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235310756 PECOS PAC ID: 9335225499 Enrollment ID: I20080328000790 |
| Provider Name | Obaid Shafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144418401 PECOS PAC ID: 8022197532 Enrollment ID: I20080509000062 |
| Provider Name | Nicole a Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033250576 PECOS PAC ID: 4385714369 Enrollment ID: I20080603000148 |
| Provider Name | Tommie S Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265635957 PECOS PAC ID: 2466523089 Enrollment ID: I20080625000124 |
| Provider Name | Sahar Halabi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003937350 PECOS PAC ID: 9931271764 Enrollment ID: I20080710000424 |
| Provider Name | Dongwoo John Chang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962485037 PECOS PAC ID: 6709779853 Enrollment ID: I20080819000941 |
| Provider Name | John H Davidson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043480056 PECOS PAC ID: 1557436508 Enrollment ID: I20080826000564 |
| Provider Name | Archana K Reddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629236047 PECOS PAC ID: 2264509579 Enrollment ID: I20080927000114 |
| Provider Name | Christopher Hogg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518998202 PECOS PAC ID: 9537190988 Enrollment ID: I20081007000219 |
| Provider Name | Nathaniel E Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063660074 PECOS PAC ID: 7315015948 Enrollment ID: I20081008000708 |
| Provider Name | Jesse Paul Bueza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700032067 PECOS PAC ID: 1456360270 Enrollment ID: I20081009000555 |
| Provider Name | Gowda Sharath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043466576 PECOS PAC ID: 4688732415 Enrollment ID: I20081023000487 |
| Provider Name | Jeffery Michael Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295998011 PECOS PAC ID: 1951460997 Enrollment ID: I20081106000175 |
| Provider Name | Aaron B Greenspan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558382911 PECOS PAC ID: 5597757468 Enrollment ID: I20090108000568 |
| Provider Name | Donnie E Shelton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346301025 PECOS PAC ID: 2668536913 Enrollment ID: I20090130000504 |
| Provider Name | Tarah E Cranick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750471595 PECOS PAC ID: 6901902386 Enrollment ID: I20090206000330 |
| Provider Name | Scott W Cranick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902992050 PECOS PAC ID: 6709981038 Enrollment ID: I20090220000346 |
| Provider Name | Jeffrey D Parks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215044367 PECOS PAC ID: 1153210596 Enrollment ID: I20090324000319 |
| Provider Name | Agnieszka Anna Ardelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568426427 PECOS PAC ID: 6002711769 Enrollment ID: I20090519000284 |
| Provider Name | Sandra L Rose |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1487889317 PECOS PAC ID: 0749333029 Enrollment ID: I20090804000429 |
| Provider Name | Mack E Mccain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558321190 PECOS PAC ID: 4284667379 Enrollment ID: I20090828000494 |
| Provider Name | Eric Kivisto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447257316 PECOS PAC ID: 8820155963 Enrollment ID: I20090917000544 |
| Provider Name | Zachary R Gustavison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316108970 PECOS PAC ID: 7214838960 Enrollment ID: I20091110000703 |
| Provider Name | Caleb Ross Lippman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598703910 PECOS PAC ID: 1951378009 Enrollment ID: I20100106000436 |
| Provider Name | Kevin D Oestmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902913908 PECOS PAC ID: 6507755949 Enrollment ID: I20100130000098 |
| Provider Name | Emily D Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023083748 PECOS PAC ID: 2668515834 Enrollment ID: I20100210000431 |
| Provider Name | Dana L Rix-crouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407187784 PECOS PAC ID: 9335275544 Enrollment ID: I20100326000763 |
| Provider Name | Allison B Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962731919 PECOS PAC ID: 9133256209 Enrollment ID: I20100421000443 |
| Provider Name | Mark J Korte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821102849 PECOS PAC ID: 7911981089 Enrollment ID: I20100520000743 |
| Provider Name | Dennon W Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689788630 PECOS PAC ID: 3072597350 Enrollment ID: I20100526001006 |
| Provider Name | Thomas De Torres |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497820211 PECOS PAC ID: 1850421603 Enrollment ID: I20100604000997 |
| Provider Name | Sherry Michele Williams |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1104137140 PECOS PAC ID: 5799818068 Enrollment ID: I20100806000596 |
| Provider Name | Lynn Ann Suppan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780916569 PECOS PAC ID: 3971627167 Enrollment ID: I20100824001239 |
| Provider Name | Cora E Musial |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609889450 PECOS PAC ID: 6406970615 Enrollment ID: I20100825000221 |
| Provider Name | Anne E Fairfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154334258 PECOS PAC ID: 3870597297 Enrollment ID: I20100908000166 |
| Provider Name | Mary K Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386960151 PECOS PAC ID: 5395860993 Enrollment ID: I20100920001064 |
| Provider Name | Uday R Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992901185 PECOS PAC ID: 9133213077 Enrollment ID: I20101007000481 |
| Provider Name | Bhanu Vakkalanka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578766796 PECOS PAC ID: 3072705789 Enrollment ID: I20101012001232 |
| Provider Name | Gerson a Criste |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265698260 PECOS PAC ID: 8426103524 Enrollment ID: I20101015000489 |
| Provider Name | Erin E Stock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326165846 PECOS PAC ID: 2062606528 Enrollment ID: I20101029000113 |
| Provider Name | Amanda J Bleichner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639339419 PECOS PAC ID: 7315131638 Enrollment ID: I20101101000702 |
| Provider Name | Ahmed H Jafri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376597815 PECOS PAC ID: 4587743232 Enrollment ID: I20101111001461 |
| Provider Name | Donald P Prentiss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275617839 PECOS PAC ID: 9436130507 Enrollment ID: I20110104001195 |
| Provider Name | James X Tao |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1174674154 PECOS PAC ID: 2668661570 Enrollment ID: I20110107000466 |
| Provider Name | Joseph R Haake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982805503 PECOS PAC ID: 9830378140 Enrollment ID: I20110119000437 |
| Provider Name | Shannon B Rider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508846429 PECOS PAC ID: 4981883543 Enrollment ID: I20110127001131 |
| Provider Name | Chizor Odibi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477702462 PECOS PAC ID: 9931389772 Enrollment ID: I20110210000626 |
| Provider Name | Conway Chin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326001827 PECOS PAC ID: 9436124104 Enrollment ID: I20110216000465 |
| Provider Name | Casey L Gustavison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508004706 PECOS PAC ID: 2567529811 Enrollment ID: I20110325000726 |
| Provider Name | Jamie G Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801193206 PECOS PAC ID: 0547443327 Enrollment ID: I20110401000146 |
| Provider Name | Aileen Galan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679775647 PECOS PAC ID: 3577639822 Enrollment ID: I20110531000578 |
| Provider Name | Labib Elkahwaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114172186 PECOS PAC ID: 4284812371 Enrollment ID: I20110620000283 |
| Provider Name | William Geittmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467496455 PECOS PAC ID: 6608859053 Enrollment ID: I20110621000729 |
| Provider Name | Joshua J Miksanek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760644439 PECOS PAC ID: 2365610771 Enrollment ID: I20110728000599 |
| Provider Name | Isha Tyagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487816161 PECOS PAC ID: 7214106491 Enrollment ID: I20110803000895 |
| Provider Name | Adrian D Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255593919 PECOS PAC ID: 0840469953 Enrollment ID: I20110805000750 |
| Provider Name | Srinivas Rajamahanty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124339403 PECOS PAC ID: 2365575057 Enrollment ID: I20110824000509 |
| Provider Name | Jeremy Gerwe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376683003 PECOS PAC ID: 0345390076 Enrollment ID: I20110826000732 |
| Provider Name | Ashwin Narasimhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548241912 PECOS PAC ID: 8426088659 Enrollment ID: I20110908001818 |
| Provider Name | Clayborn John Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548575855 PECOS PAC ID: 4082882048 Enrollment ID: I20110912000101 |
| Provider Name | Ronald a Zimmermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346404985 PECOS PAC ID: 5991976300 Enrollment ID: I20110915000247 |
| Provider Name | Deana Lynn Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134373129 PECOS PAC ID: 3375715980 Enrollment ID: I20111004000106 |
| Provider Name | Richard Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922380344 PECOS PAC ID: 8527077346 Enrollment ID: I20111017000189 |
| Provider Name | Bhanu Kiran Pisini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417262320 PECOS PAC ID: 8224201066 Enrollment ID: I20111024000337 |
| Provider Name | Brahm Jyot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174772966 PECOS PAC ID: 3779756838 Enrollment ID: I20111104000672 |
| Provider Name | Daniel Ralls |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588949861 PECOS PAC ID: 1557534476 Enrollment ID: I20111109000120 |
| Provider Name | Elizabeth a Bohn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679721179 PECOS PAC ID: 8820268998 Enrollment ID: I20111207000732 |
| Provider Name | Micah L Oakley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912163189 PECOS PAC ID: 8527238690 Enrollment ID: I20111208000098 |
| Provider Name | Megan M Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386931590 PECOS PAC ID: 4284809781 Enrollment ID: I20111212000818 |
| Provider Name | Debra J Kester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477673747 PECOS PAC ID: 5698678084 Enrollment ID: I20120117000839 |
| Provider Name | Robert T Dinga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992894703 PECOS PAC ID: 3072783471 Enrollment ID: I20120121000103 |
| Provider Name | Anna L Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396859328 PECOS PAC ID: 1052581113 Enrollment ID: I20120123000294 |
| Provider Name | Opal K Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588769285 PECOS PAC ID: 6002075710 Enrollment ID: I20120315000149 |
| Provider Name | Stephanie a Osborne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942573944 PECOS PAC ID: 4789847930 Enrollment ID: I20120525000221 |
| Provider Name | Thomas M Pinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831461607 PECOS PAC ID: 5597929620 Enrollment ID: I20120621000018 |
| Provider Name | Nastane Le Bec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518123843 PECOS PAC ID: 0042475915 Enrollment ID: I20120626000642 |
| Provider Name | Wilson Cueva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366608713 PECOS PAC ID: 4486839008 Enrollment ID: I20120920000747 |
| Provider Name | Sharon Kippenbrock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649431396 PECOS PAC ID: 2961650569 Enrollment ID: I20120924000028 |
| Provider Name | Matthew B Eubanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679717425 PECOS PAC ID: 5890943435 Enrollment ID: I20120924000546 |
| Provider Name | Shawn S Wallery |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881851780 PECOS PAC ID: 0749430445 Enrollment ID: I20121015000364 |
| Provider Name | Brett Dempsey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659599538 PECOS PAC ID: 7810062569 Enrollment ID: I20121102000444 |
| Provider Name | Christina H Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750504023 PECOS PAC ID: 3577664135 Enrollment ID: I20121114000487 |
| Provider Name | Karthik Koduru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720241565 PECOS PAC ID: 0244308732 Enrollment ID: I20121116000547 |
| Provider Name | Rachel Lynn Terrill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750632691 PECOS PAC ID: 9638321383 Enrollment ID: I20121204000436 |
| Provider Name | Shasha Wu |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1083833412 PECOS PAC ID: 5597919654 Enrollment ID: I20130126000024 |
| Provider Name | Amy E Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629329230 PECOS PAC ID: 4284888033 Enrollment ID: I20130204000377 |
| Provider Name | Katrina L Tripp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578814414 PECOS PAC ID: 8628222387 Enrollment ID: I20130204000529 |
| Provider Name | Jimmy Morrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881782654 PECOS PAC ID: 5193637742 Enrollment ID: I20130219000419 |
| Provider Name | Angela P Buss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568791408 PECOS PAC ID: 7416086699 Enrollment ID: I20130308000224 |
| Provider Name | Kristin R Betz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909519 PECOS PAC ID: 2163677402 Enrollment ID: I20130312000505 |
| Provider Name | Nader Jacob Dababneh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821065392 PECOS PAC ID: 0547236101 Enrollment ID: I20130313000541 |
| Provider Name | Ella Caitlin Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821348988 PECOS PAC ID: 1850536178 Enrollment ID: I20130314000243 |
| Provider Name | Ashley E Juhl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578804001 PECOS PAC ID: 0749426120 Enrollment ID: I20130410000360 |
| Provider Name | Adrienne N Kovalsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356573968 PECOS PAC ID: 4385897263 Enrollment ID: I20130429000250 |
| Provider Name | Karl M Kochendorfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972524403 PECOS PAC ID: 1951308329 Enrollment ID: I20130513000471 |
| Provider Name | Wendi L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730432071 PECOS PAC ID: 2365680741 Enrollment ID: I20130523000580 |
| Provider Name | Joseph Reses |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356526255 PECOS PAC ID: 6507997913 Enrollment ID: I20130712000415 |
| Provider Name | Elizabeth R Eggemeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528401809 PECOS PAC ID: 2668612698 Enrollment ID: I20130715000713 |
| Provider Name | Harshavardhan Tathireddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366670994 PECOS PAC ID: 4587805080 Enrollment ID: I20130725000675 |
| Provider Name | Muhammad J Popalzai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003051871 PECOS PAC ID: 1052562535 Enrollment ID: I20130731000752 |
| Provider Name | Don C Arnold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457501926 PECOS PAC ID: 7517137995 Enrollment ID: I20130807000388 |
| Provider Name | Michael a Chipman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760693899 PECOS PAC ID: 5991820482 Enrollment ID: I20130808000135 |
| Provider Name | Abdel Kader Abdel Jaber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013229988 PECOS PAC ID: 0244472603 Enrollment ID: I20130814000446 |
| Provider Name | Suven Shankar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1760605372 PECOS PAC ID: 0941443998 Enrollment ID: I20130823000753 |
| Provider Name | Swarna Matsa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245548536 PECOS PAC ID: 2961646328 Enrollment ID: I20130925000334 |
| Provider Name | Satyadeep Bhattacharya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477726875 PECOS PAC ID: 8325272586 Enrollment ID: I20131002000242 |
| Provider Name | Britney N Arnold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013342039 PECOS PAC ID: 2860627759 Enrollment ID: I20131031000449 |
| Provider Name | Kalid Adab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346473345 PECOS PAC ID: 7517114390 Enrollment ID: I20131031001059 |
| Provider Name | Deena Hassaballa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679890446 PECOS PAC ID: 6002041639 Enrollment ID: I20131106001183 |
| Provider Name | Lisa Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376847301 PECOS PAC ID: 7618103151 Enrollment ID: I20131112000279 |
| Provider Name | Lauren D Houseright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811326440 PECOS PAC ID: 8224265699 Enrollment ID: I20131210000256 |
| Provider Name | Jill B Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326314634 PECOS PAC ID: 2062642572 Enrollment ID: I20140303000569 |
| Provider Name | Mohammed a Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396953485 PECOS PAC ID: 8123259561 Enrollment ID: I20140327000922 |
| Provider Name | Beth J Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235553470 PECOS PAC ID: 9537391339 Enrollment ID: I20140409001954 |
| Provider Name | Constance E Kirby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831514470 PECOS PAC ID: 3870725344 Enrollment ID: I20140416000001 |
| Provider Name | Michael a Bryant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871542811 PECOS PAC ID: 6204898901 Enrollment ID: I20140616000987 |
| Provider Name | Clayton Thomas Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689960650 PECOS PAC ID: 8224283452 Enrollment ID: I20140625001397 |
| Provider Name | Alexandra Asrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144516568 PECOS PAC ID: 5092930982 Enrollment ID: I20140709001662 |
| Provider Name | Brent M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063708550 PECOS PAC ID: 6800041039 Enrollment ID: I20140709002262 |
| Provider Name | Kelli Nicole Webb |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518129600 PECOS PAC ID: 8921247768 Enrollment ID: I20140711001319 |
| Provider Name | Mitchell a Cook |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285920835 PECOS PAC ID: 6305061037 Enrollment ID: I20140714000036 |
| Provider Name | Gurpreet Bambra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649428475 PECOS PAC ID: 7911123534 Enrollment ID: I20140716002377 |
| Provider Name | Alejandro Hornik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134384977 PECOS PAC ID: 0345466579 Enrollment ID: I20140724001871 |
| Provider Name | Nitin C Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144267865 PECOS PAC ID: 7113816752 Enrollment ID: I20140730001685 |
| Provider Name | Shrutee Baniya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699088203 PECOS PAC ID: 0840417572 Enrollment ID: I20140804001429 |
| Provider Name | Stacie Griffis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881980092 PECOS PAC ID: 3678790144 Enrollment ID: I20140806001310 |
| Provider Name | Heather Lynn Barrett |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619105897 PECOS PAC ID: 7416196878 Enrollment ID: I20140825000981 |
| Provider Name | Richard Buchman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639457807 PECOS PAC ID: 0941428205 Enrollment ID: I20140827002918 |
| Provider Name | Muhammad Adnan Malik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609014026 PECOS PAC ID: 4789803180 Enrollment ID: I20140917001881 |
| Provider Name | Crystal Adel Honold |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609171206 PECOS PAC ID: 3678895869 Enrollment ID: I20141125000125 |
| Provider Name | Holly a Wilke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386064996 PECOS PAC ID: 3173845302 Enrollment ID: I20141125001472 |
| Provider Name | Duane H Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700973435 PECOS PAC ID: 8224072103 Enrollment ID: I20141203000479 |
| Provider Name | Asim M Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033421953 PECOS PAC ID: 6901029222 Enrollment ID: I20150112000402 |
| Provider Name | Yousef Al-shraideh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184989915 PECOS PAC ID: 8325296874 Enrollment ID: I20150219002433 |
| Provider Name | Steven Bruce Wehmeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780874255 PECOS PAC ID: 1759577844 Enrollment ID: I20150304001757 |
| Provider Name | Kyle W Higdon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235527854 PECOS PAC ID: 6709102783 Enrollment ID: I20150310002199 |
| Provider Name | Desiree Castonguay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730578535 PECOS PAC ID: 7911223904 Enrollment ID: I20150310002449 |
| Provider Name | Joseph J Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720476914 PECOS PAC ID: 8325364193 Enrollment ID: I20150313001587 |
| Provider Name | Christopher James Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447514971 PECOS PAC ID: 3072751734 Enrollment ID: I20150327002475 |
| Provider Name | Tamara Lynn Buckles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821145715 PECOS PAC ID: 5890848832 Enrollment ID: I20150407000499 |
| Provider Name | Jeffrey Frakes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407858806 PECOS PAC ID: 2567355373 Enrollment ID: I20150605000703 |
| Provider Name | Andrea Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193773 PECOS PAC ID: 1658682976 Enrollment ID: I20150612000787 |
| Provider Name | John Field |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578906624 PECOS PAC ID: 7416268487 Enrollment ID: I20150617000802 |
| Provider Name | Bachir Farah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336370915 PECOS PAC ID: 9638480684 Enrollment ID: I20150618000388 |
| Provider Name | Lukasz Dabrowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467711796 PECOS PAC ID: 6002127529 Enrollment ID: I20150624001342 |
| Provider Name | Esteban Golombievski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023339033 PECOS PAC ID: 7719299171 Enrollment ID: I20150629000989 |
| Provider Name | Joe Varghese Yohannan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003163148 PECOS PAC ID: 4688813371 Enrollment ID: I20150707000523 |
| Provider Name | Thomas J. Cartolano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366688632 PECOS PAC ID: 9335452846 Enrollment ID: I20150713001954 |
| Provider Name | Olufenwa F Milhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225353717 PECOS PAC ID: 1850515958 Enrollment ID: I20150716002243 |
| Provider Name | Muhammad Ali Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144412859 PECOS PAC ID: 0446480354 Enrollment ID: I20150716003268 |
| Provider Name | Kevin ML Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093007171 PECOS PAC ID: 6507082047 Enrollment ID: I20150717000523 |
| Provider Name | Adam J Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154684975 PECOS PAC ID: 4385860493 Enrollment ID: I20150721002147 |
| Provider Name | Nicholas a Pasteur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104180173 PECOS PAC ID: 6800116682 Enrollment ID: I20150727001109 |
| Provider Name | Sarah Nicole Kries |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063897908 PECOS PAC ID: 0042525073 Enrollment ID: I20150819008178 |
| Provider Name | Ryan Stock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134414618 PECOS PAC ID: 4880909712 Enrollment ID: I20150820011352 |
| Provider Name | Carlos Mario Rivera Serrano |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497910905 PECOS PAC ID: 9537303516 Enrollment ID: I20151022001996 |
| Provider Name | Morgan L Dillow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659741312 PECOS PAC ID: 0547579997 Enrollment ID: I20151026000939 |
| Provider Name | Raja Kumari Vaidadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588918395 PECOS PAC ID: 4587974738 Enrollment ID: I20151030001293 |
| Provider Name | Sorel Lira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639445331 PECOS PAC ID: 9133429343 Enrollment ID: I20151119001684 |
| Provider Name | Cori Ann Starkweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932578895 PECOS PAC ID: 6709186943 Enrollment ID: I20151119002890 |
| Provider Name | Melissa a Martinez Mateo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003124280 PECOS PAC ID: 1254570799 Enrollment ID: I20151120001752 |
| Provider Name | Nathan D Caslow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972973626 PECOS PAC ID: 1658672480 Enrollment ID: I20151221000010 |
| Provider Name | Mark T Hemming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407110174 PECOS PAC ID: 0143534776 Enrollment ID: I20151229002246 |
| Provider Name | Kara Nan Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982075396 PECOS PAC ID: 4082915194 Enrollment ID: I20160105002267 |
| Provider Name | Matheau Antoine Julien |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20160106000390 |
| Provider Name | Laura Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275905374 PECOS PAC ID: 7517260177 Enrollment ID: I20160114002981 |
| Provider Name | Barak Bar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306085048 PECOS PAC ID: 4981848058 Enrollment ID: I20160324001843 |
| Provider Name | Celena M Lowes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841650736 PECOS PAC ID: 3678870003 Enrollment ID: I20160329002423 |
| Provider Name | Jessica Milburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669833026 PECOS PAC ID: 7911204300 Enrollment ID: I20160330001300 |
| Provider Name | Amy Nichole Dinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285035436 PECOS PAC ID: 2668770645 Enrollment ID: I20160406002485 |
| Provider Name | Ashley Nicole Hornik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225499825 PECOS PAC ID: 4981902988 Enrollment ID: I20160407000441 |
| Provider Name | Joseph Specker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255706818 PECOS PAC ID: 3870892961 Enrollment ID: I20160425000002 |
| Provider Name | Ashley Lauren Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689029993 PECOS PAC ID: 0143519397 Enrollment ID: I20160511002407 |
| Provider Name | Michael L Heaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407858012 PECOS PAC ID: 6002729290 Enrollment ID: I20160614000992 |
| Provider Name | Charli Walter Leroy Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649611252 PECOS PAC ID: 4880836204 Enrollment ID: I20160628000691 |
| Provider Name | Tashia Irene Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467808584 PECOS PAC ID: 7315239662 Enrollment ID: I20160707001592 |
| Provider Name | Mohammad Ishaq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336585140 PECOS PAC ID: 6406157684 Enrollment ID: I20160718000381 |
| Provider Name | Benjamin J Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497047567 PECOS PAC ID: 5799914495 Enrollment ID: I20160719000295 |
| Provider Name | Kevin Neill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972821734 PECOS PAC ID: 5294028601 Enrollment ID: I20160722000936 |
| Provider Name | Arturo Lara Llerena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538501721 PECOS PAC ID: 1052611373 Enrollment ID: I20160727001430 |
| Provider Name | Naoum P Issa |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1902184591 PECOS PAC ID: 9739481474 Enrollment ID: I20160728002093 |
| Provider Name | Tiffany B Ward |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619186269 PECOS PAC ID: 9335320704 Enrollment ID: I20160808000026 |
| Provider Name | Vineet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285074385 PECOS PAC ID: 3870890882 Enrollment ID: I20160809003026 |
| Provider Name | Danielle L Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417305293 PECOS PAC ID: 7113211004 Enrollment ID: I20160816002001 |
| Provider Name | Sahithi Jarugula |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215228655 PECOS PAC ID: 9335371079 Enrollment ID: I20160819000412 |
| Provider Name | Anne Marie Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942754767 PECOS PAC ID: 8123314929 Enrollment ID: I20160902001283 |
| Provider Name | Uwais B Zaid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366777856 PECOS PAC ID: 8426280546 Enrollment ID: I20161007000746 |
| Provider Name | Jonya S Lockart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497108971 PECOS PAC ID: 6709174188 Enrollment ID: I20161018002202 |
| Provider Name | Joshua Lewis Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356892004 PECOS PAC ID: 9133407943 Enrollment ID: I20161031000113 |
| Provider Name | Erin M Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922307115 PECOS PAC ID: 4688981012 Enrollment ID: I20161108000640 |
| Provider Name | Austin M Stallings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770032948 PECOS PAC ID: 5193004091 Enrollment ID: I20161117000364 |
| Provider Name | Shivaprasad Marulendra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205810926 PECOS PAC ID: 1759326382 Enrollment ID: I20161117000540 |
| Provider Name | Zachary a Miksanek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316351315 PECOS PAC ID: 1153642889 Enrollment ID: I20161123000021 |
| Provider Name | Katlyn E Carrier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215483193 PECOS PAC ID: 1456631746 Enrollment ID: I20161202000036 |
| Provider Name | Sonal Devendra Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598170458 PECOS PAC ID: 2062637838 Enrollment ID: I20161206002574 |
| Provider Name | Jorel O Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336553684 PECOS PAC ID: 7618271131 Enrollment ID: I20170105000543 |
| Provider Name | Subaila Zia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649479866 PECOS PAC ID: 3173795531 Enrollment ID: I20170210001455 |
| Provider Name | Amy Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754798 PECOS PAC ID: 6901180645 Enrollment ID: I20170224001895 |
| Provider Name | Sajid Mehmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063749638 PECOS PAC ID: 2466622378 Enrollment ID: I20170306001468 |
| Provider Name | Gerald Steven Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770014748 PECOS PAC ID: 5799060158 Enrollment ID: I20170327001444 |
| Provider Name | Brian Ray Peterson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316978687 PECOS PAC ID: 8325149214 Enrollment ID: I20170405002432 |
| Provider Name | Wesley Ray Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528508074 PECOS PAC ID: 7416233911 Enrollment ID: I20170418001401 |
| Provider Name | Kristina Potanos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134393267 PECOS PAC ID: 9830467778 Enrollment ID: I20170616001215 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20170616002432 |
| Provider Name | Abhish Koirala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134474471 PECOS PAC ID: 6507186913 Enrollment ID: I20170623000188 |
| Provider Name | Fadi Aldaas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417245499 PECOS PAC ID: 5597988048 Enrollment ID: I20170628003371 |
| Provider Name | Hasan Al Janabi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255530119 PECOS PAC ID: 8426228008 Enrollment ID: I20170705001400 |
| Provider Name | Kati K Rush |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710241328 PECOS PAC ID: 2961713730 Enrollment ID: I20170731001547 |
| Provider Name | David Kosturakis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952669277 PECOS PAC ID: 5496995953 Enrollment ID: I20170801002475 |
| Provider Name | Baqer a Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881009637 PECOS PAC ID: 5395016703 Enrollment ID: I20170803001280 |
| Provider Name | Syed Yamin Hashimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689094948 PECOS PAC ID: 3678844024 Enrollment ID: I20170803002968 |
| Provider Name | Jason L Liang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003235250 PECOS PAC ID: 2365713401 Enrollment ID: I20170808000113 |
| Provider Name | Breyanna Grays |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942560800 PECOS PAC ID: 3274825641 Enrollment ID: I20170913002785 |
| Provider Name | Samantha Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457745358 PECOS PAC ID: 2860766953 Enrollment ID: I20170928002004 |
| Provider Name | Paula Lee Pierce-savoie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821528621 PECOS PAC ID: 8527333475 Enrollment ID: I20171003007832 |
| Provider Name | Whitney Celeste Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334459 PECOS PAC ID: 4183999790 Enrollment ID: I20171009000591 |
| Provider Name | Benjamin Dougherty Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760764153 PECOS PAC ID: 3870727092 Enrollment ID: I20171025000678 |
| Provider Name | Nathaniel Crum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073031936 PECOS PAC ID: 4587930052 Enrollment ID: I20171027001545 |
| Provider Name | Tal Pollak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770831158 PECOS PAC ID: 9234370982 Enrollment ID: I20171102003619 |
| Provider Name | Nicholas John Scalzitti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689965790 PECOS PAC ID: 4587980545 Enrollment ID: I20171113003218 |
| Provider Name | Meredith Grace Lukens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588183487 PECOS PAC ID: 2365708930 Enrollment ID: I20171115000212 |
| Provider Name | Corydon Siffring |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891728887 PECOS PAC ID: 7517964398 Enrollment ID: I20171116001992 |
| Provider Name | Britley a White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205346483 PECOS PAC ID: 5597022871 Enrollment ID: I20171121001440 |
| Provider Name | Martha Agnes Curtin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144748179 PECOS PAC ID: 1153688296 Enrollment ID: I20171128002986 |
| Provider Name | Eric D Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306358445 PECOS PAC ID: 2961769435 Enrollment ID: I20171208001194 |
| Provider Name | Nicholas Jesse Strane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821257049 PECOS PAC ID: 1153492574 Enrollment ID: I20171212000653 |
| Provider Name | Andrew John Hossler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710392428 PECOS PAC ID: 6901021799 Enrollment ID: I20171212000827 |
| Provider Name | Joanne May Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255431128 PECOS PAC ID: 6608874870 Enrollment ID: I20171219002396 |
| Provider Name | Antoinette Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053854729 PECOS PAC ID: 4082998836 Enrollment ID: I20180108000851 |
| Provider Name | Hope Merkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689180978 PECOS PAC ID: 0547529992 Enrollment ID: I20180111000442 |
| Provider Name | Maria T Decastro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558326470 PECOS PAC ID: 6305732587 Enrollment ID: I20180118001700 |
| Provider Name | Dabney Parker Stack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518903004 PECOS PAC ID: 1951379825 Enrollment ID: I20180201003169 |
| Provider Name | Alexandra Tiffany Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730607235 PECOS PAC ID: 4183998479 Enrollment ID: I20180411002392 |
| Provider Name | Christy R Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508373770 PECOS PAC ID: 9931462181 Enrollment ID: I20180420002130 |
| Provider Name | Kristin Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013362227 PECOS PAC ID: 5294027116 Enrollment ID: I20180426001079 |
| Provider Name | Kimberly Donn Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497255947 PECOS PAC ID: 6305100330 Enrollment ID: I20180427001702 |
| Provider Name | Diana Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588185888 PECOS PAC ID: 7315201076 Enrollment ID: I20180503002226 |
| Provider Name | Kurt a Maddock |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1740253707 PECOS PAC ID: 0648184192 Enrollment ID: I20180515001899 |
| Provider Name | Clarke J Morton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497789515 PECOS PAC ID: 0345246443 Enrollment ID: I20180601000427 |
| Provider Name | Sahitya Settypalli |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1164838371 PECOS PAC ID: 5092036715 Enrollment ID: I20180606002606 |
| Provider Name | Shahabuddin Mohammad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982983599 PECOS PAC ID: 1052617842 Enrollment ID: I20180612000970 |
| Provider Name | Aimee Michelle Belt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932698172 PECOS PAC ID: 3375898364 Enrollment ID: I20180614002404 |
| Provider Name | Rina Elizabeth Caslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609388545 PECOS PAC ID: 1658626171 Enrollment ID: I20180625000019 |
| Provider Name | Vadzim Chyzhyk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093128720 PECOS PAC ID: 6002129962 Enrollment ID: I20180628000422 |
| Provider Name | Tiffany Eve Tamasfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629574561 PECOS PAC ID: 1355697590 Enrollment ID: I20180702001560 |
| Provider Name | Hammad Shafqat |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093070302 PECOS PAC ID: 3870721939 Enrollment ID: I20180705000551 |
| Provider Name | Haitham Hassan Ahmed Hassane |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487065546 PECOS PAC ID: 6406102979 Enrollment ID: I20180713001122 |
| Provider Name | Abraham El-sedfy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1346506607 PECOS PAC ID: 6507113743 Enrollment ID: I20180719001756 |
| Provider Name | Asikhame Ahonkhai Oikeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720444110 PECOS PAC ID: 2163779273 Enrollment ID: I20180720000949 |
| Provider Name | Nikita Chevalier |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457613531 PECOS PAC ID: 7416267000 Enrollment ID: I20180720002411 |
| Provider Name | Roshan Bista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730564428 PECOS PAC ID: 8820345606 Enrollment ID: I20180725001320 |
| Provider Name | Kowsika Movva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023490950 PECOS PAC ID: 2567775406 Enrollment ID: I20180727000169 |
| Provider Name | Mohammed Lawan Gana Guba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003292624 PECOS PAC ID: 2567710973 Enrollment ID: I20180801001702 |
| Provider Name | Dan D Le |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912214347 PECOS PAC ID: 3274790746 Enrollment ID: I20180802001173 |
| Provider Name | Jubilee Phan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023308483 PECOS PAC ID: 8921245762 Enrollment ID: I20180807001143 |
| Provider Name | Motaz R Wraikat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073995684 PECOS PAC ID: 3072861996 Enrollment ID: I20180808002168 |
| Provider Name | Antonio Desean Lozada |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053677047 PECOS PAC ID: 6305143504 Enrollment ID: I20180809004229 |
| Provider Name | Charu Kolekar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811320856 PECOS PAC ID: 8729336565 Enrollment ID: I20180809005638 |
| Provider Name | Kasey D Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093206856 PECOS PAC ID: 2365791746 Enrollment ID: I20180817001210 |
| Provider Name | Megan E Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134610587 PECOS PAC ID: 0345599528 Enrollment ID: I20180821003073 |
| Provider Name | Deborah Tabachnick |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790074912 PECOS PAC ID: 2567689607 Enrollment ID: I20180827001699 |
| Provider Name | Sunnan Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140727 PECOS PAC ID: 0143524199 Enrollment ID: I20180828003683 |
| Provider Name | Omar Latimer Dominique |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770996050 PECOS PAC ID: 0941524516 Enrollment ID: I20180904003276 |
| Provider Name | Mindy M Dudenbostel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447603246 PECOS PAC ID: 3274884937 Enrollment ID: I20180920000156 |
| Provider Name | Naeem Iqbal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902287956 PECOS PAC ID: 8921311465 Enrollment ID: I20180920000467 |
| Provider Name | Maria D Linden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316137490 PECOS PAC ID: 6002967536 Enrollment ID: I20180921002442 |
| Provider Name | Sarah E Borgsmiller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972084796 PECOS PAC ID: 0446501738 Enrollment ID: I20180926000713 |
| Provider Name | Mohammed Ismail Al Hamati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851779920 PECOS PAC ID: 3375845886 Enrollment ID: I20181002003280 |
| Provider Name | Lucas Craig Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447732953 PECOS PAC ID: 5597017210 Enrollment ID: I20181008003159 |
| Provider Name | Kara Danielle Flatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295819381 PECOS PAC ID: 1850643594 Enrollment ID: I20181009000570 |
| Provider Name | Brittany Elizabeth Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457834178 PECOS PAC ID: 6406108059 Enrollment ID: I20181009001551 |
| Provider Name | Nicholas Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649766288 PECOS PAC ID: 8123370509 Enrollment ID: I20181012000980 |
| Provider Name | Arsalan Salamat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669737243 PECOS PAC ID: 0345511481 Enrollment ID: I20181015002705 |
| Provider Name | Fabiolla Kopp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336388586 PECOS PAC ID: 6901115617 Enrollment ID: I20181018000775 |
| Provider Name | Yasmin Farouk Tootla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447544903 PECOS PAC ID: 5092099390 Enrollment ID: I20181101000664 |
| Provider Name | Mary Jo Elam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265686950 PECOS PAC ID: 6406903053 Enrollment ID: I20181101000738 |
| Provider Name | Katharine Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306322110 PECOS PAC ID: 1254685126 Enrollment ID: I20181112001699 |
| Provider Name | Richard Cardall Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770059305 PECOS PAC ID: 1052665676 Enrollment ID: I20181119001504 |
| Provider Name | Nicholas Anthony Kusnezov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396185161 PECOS PAC ID: 3476803248 Enrollment ID: I20181130001792 |
| Provider Name | Cortney Dawn Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427461581 PECOS PAC ID: 1850635558 Enrollment ID: I20181206002905 |
| Provider Name | Robert Aranson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407894728 PECOS PAC ID: 4486613551 Enrollment ID: I20181210001695 |
| Provider Name | Timothy B O'leary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811464381 PECOS PAC ID: 5395080238 Enrollment ID: I20181220001273 |
| Provider Name | Kasey C Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205050416 PECOS PAC ID: 2769576719 Enrollment ID: I20190102000921 |
| Provider Name | Alan John Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386774388 PECOS PAC ID: 8426125485 Enrollment ID: I20190103001057 |
| Provider Name | Nishant Poddar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124387675 PECOS PAC ID: 9638324551 Enrollment ID: I20190111000665 |
| Provider Name | Leslie Ann Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184196883 PECOS PAC ID: 1557601580 Enrollment ID: I20190328002317 |
| Provider Name | Jessica Morgan Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194297879 PECOS PAC ID: 1759622822 Enrollment ID: I20190418001195 |
| Provider Name | Ronald Mcray Jennings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992896880 PECOS PAC ID: 0749384675 Enrollment ID: I20190501003191 |
| Provider Name | Kathy S Devous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538722202 PECOS PAC ID: 3173865680 Enrollment ID: I20190503000063 |
| Provider Name | Mitchell Louis Judge Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932442464 PECOS PAC ID: 0749579233 Enrollment ID: I20190517000940 |
| Provider Name | Syed Saif Zahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649666900 PECOS PAC ID: 6406105782 Enrollment ID: I20190521001990 |
| Provider Name | Aisha Abeo Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730593419 PECOS PAC ID: 9133344252 Enrollment ID: I20190523002287 |
| Provider Name | Anne Margarette Bacal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992119176 PECOS PAC ID: 8123338233 Enrollment ID: I20190604000841 |
| Provider Name | Basmah Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538519046 PECOS PAC ID: 4385981760 Enrollment ID: I20190613000861 |
| Provider Name | Ifeanyichukwu Anoka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639522998 PECOS PAC ID: 6305170747 Enrollment ID: I20190619000420 |
| Provider Name | Nishat Fatima |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760898936 PECOS PAC ID: 6800191974 Enrollment ID: I20190626002503 |
| Provider Name | Holly Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063991206 PECOS PAC ID: 7618201500 Enrollment ID: I20190626003031 |
| Provider Name | Ahmad Chaudhry |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144304635 PECOS PAC ID: 0547386849 Enrollment ID: I20190703002396 |
| Provider Name | Tsahi Samra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255782082 PECOS PAC ID: 7416282884 Enrollment ID: I20190709000457 |
| Provider Name | Jason Everett West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760831218 PECOS PAC ID: 2365733581 Enrollment ID: I20190709003055 |
| Provider Name | Victor Hugo Cepeda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033524715 PECOS PAC ID: 1355647314 Enrollment ID: I20190710000893 |
| Provider Name | Amar Rawal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538591268 PECOS PAC ID: 6901131168 Enrollment ID: I20190710001256 |
| Provider Name | Oluwatosin Beatrice Aluko-olokun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992168702 PECOS PAC ID: 6507148962 Enrollment ID: I20190711000135 |
| Provider Name | Ann Hulme |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124402920 PECOS PAC ID: 6103133632 Enrollment ID: I20190718000247 |
| Provider Name | Sahil Gupta |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1972914869 PECOS PAC ID: 0446538730 Enrollment ID: I20190801001458 |
| Provider Name | William Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801358163 PECOS PAC ID: 8123355542 Enrollment ID: I20190808000336 |
| Provider Name | Bachir Berbari |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407288996 PECOS PAC ID: 6901133867 Enrollment ID: I20190815000257 |
| Provider Name | Salim Hosein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639427933 PECOS PAC ID: 5799007290 Enrollment ID: I20190816000585 |
| Provider Name | Vincent C Compton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437719093 PECOS PAC ID: 9739417411 Enrollment ID: I20190819002983 |
| Provider Name | Long Ha Huynh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013112283 PECOS PAC ID: 6800932468 Enrollment ID: I20190821002118 |
| Provider Name | Sarah K Basler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447749841 PECOS PAC ID: 1850629379 Enrollment ID: I20190822000023 |
| Provider Name | Elliott Arnaud Lhospital |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568880243 PECOS PAC ID: 6901134337 Enrollment ID: I20190823000577 |
| Provider Name | Numan Jahangir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174985634 PECOS PAC ID: 8022303999 Enrollment ID: I20190905000022 |
| Provider Name | Stephen Awuor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790047736 PECOS PAC ID: 1759528854 Enrollment ID: I20190905002209 |
| Provider Name | Tiffany Ramseur Cowan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386876100 PECOS PAC ID: 1052466687 Enrollment ID: I20190909000996 |
| Provider Name | Ellie Marie Bentley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093157315 PECOS PAC ID: 4587993019 Enrollment ID: I20190910000114 |
| Provider Name | Qianqian Xu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649618620 PECOS PAC ID: 6608158795 Enrollment ID: I20190910000135 |
| Provider Name | Corrie Lynn Farris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992280598 PECOS PAC ID: 6507100211 Enrollment ID: I20190911001864 |
| Provider Name | Allison Magnuson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659751998 PECOS PAC ID: 6204187586 Enrollment ID: I20190912000197 |
| Provider Name | William Ross Gray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114378882 PECOS PAC ID: 7911299300 Enrollment ID: I20190923000980 |
| Provider Name | Kaitlin Elizabeth Behnken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720632508 PECOS PAC ID: 3375873946 Enrollment ID: I20190924002752 |
| Provider Name | Allison Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528622644 PECOS PAC ID: 9032449178 Enrollment ID: I20191002003049 |
| Provider Name | Purnima Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265852644 PECOS PAC ID: 9830469261 Enrollment ID: I20191003000529 |
| Provider Name | Benjamin Roose |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609286509 PECOS PAC ID: 6800012253 Enrollment ID: I20191004001807 |
| Provider Name | Maryann Chrzaszcz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750777470 PECOS PAC ID: 3577857051 Enrollment ID: I20191008001698 |
| Provider Name | Brandi L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427609775 PECOS PAC ID: 3173854718 Enrollment ID: I20191011000601 |
| Provider Name | Dawn Marie Stowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306490438 PECOS PAC ID: 0446581656 Enrollment ID: I20191018000751 |
| Provider Name | Jessica Oakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194367318 PECOS PAC ID: 5890027999 Enrollment ID: I20191022002764 |
| Provider Name | Patricia Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306488127 PECOS PAC ID: 9133451263 Enrollment ID: I20191023000470 |
| Provider Name | Cassandra Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356995401 PECOS PAC ID: 9739411695 Enrollment ID: I20191025000054 |
| Provider Name | Lukas Ward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003466269 PECOS PAC ID: 5496087132 Enrollment ID: I20191029002435 |
| Provider Name | Ahmed U Sharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780034926 PECOS PAC ID: 3173816550 Enrollment ID: I20191030000349 |
| Provider Name | Gina Gladson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437699147 PECOS PAC ID: 2567794019 Enrollment ID: I20191101001048 |
| Provider Name | Katy E Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144663568 PECOS PAC ID: 8729381595 Enrollment ID: I20191106000027 |
| Provider Name | Jamal Mosabbeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861410771 PECOS PAC ID: 6608821632 Enrollment ID: I20191112000207 |
| Provider Name | Jill Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770125817 PECOS PAC ID: 3678905692 Enrollment ID: I20191113001668 |
| Provider Name | Heather D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053880781 PECOS PAC ID: 4981949948 Enrollment ID: I20191127001392 |
| Provider Name | Brooke a Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912549965 PECOS PAC ID: 8820421928 Enrollment ID: I20191203002845 |
| Provider Name | Barbara Gatton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659573749 PECOS PAC ID: 0042227308 Enrollment ID: I20191224000534 |
| Provider Name | Tara Lynn Hartley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639718612 PECOS PAC ID: 4981039377 Enrollment ID: I20200113001153 |
| Provider Name | Amy Stacey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962041830 PECOS PAC ID: 1850726043 Enrollment ID: I20200116000851 |
| Provider Name | Gregory a Szych |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268521 PECOS PAC ID: 4688655467 Enrollment ID: I20200122000120 |
| Provider Name | Ganga Prabhakar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023109444 PECOS PAC ID: 6709860943 Enrollment ID: I20200130002235 |
| Provider Name | Bruce Allen Weiner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720084080 PECOS PAC ID: 6608947940 Enrollment ID: I20200205000266 |
| Provider Name | David Hak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942290341 PECOS PAC ID: 0547272619 Enrollment ID: I20200207001644 |
| Provider Name | Jeffrey D Meier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427212091 PECOS PAC ID: 9739247958 Enrollment ID: I20200212000002 |
| Provider Name | Daniel H Sherwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396384533 PECOS PAC ID: 7113354820 Enrollment ID: I20200219000110 |
| Provider Name | Patrick Leonberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063823763 PECOS PAC ID: 2163796566 Enrollment ID: I20200310002753 |
| Provider Name | Nichole Jean Boudet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942834742 PECOS PAC ID: 1355779745 Enrollment ID: I20200318001231 |
| Provider Name | Larry Zhao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700012689 PECOS PAC ID: 7416262621 Enrollment ID: I20200318001616 |
| Provider Name | John Lorenzo Thurston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588959076 PECOS PAC ID: 9436440245 Enrollment ID: I20200319001668 |
| Provider Name | Tiffany Nicole Hines |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134605488 PECOS PAC ID: 1658611850 Enrollment ID: I20200320001722 |
| Provider Name | Gaston Da Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902011158 PECOS PAC ID: 5193825073 Enrollment ID: I20200323002935 |
| Provider Name | Pramodh K Wadera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417949553 PECOS PAC ID: 9436184512 Enrollment ID: I20200325000139 |
| Provider Name | Hope E Hargraves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265065007 PECOS PAC ID: 6901235944 Enrollment ID: I20200326002467 |
| Provider Name | Lindsay B Casolari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043846421 PECOS PAC ID: 3476982299 Enrollment ID: I20200330003768 |
| Provider Name | Kristin Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609401405 PECOS PAC ID: 4789013137 Enrollment ID: I20200406001552 |
| Provider Name | Ramakrishna Venkatesh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548286768 PECOS PAC ID: 1759446792 Enrollment ID: I20200413003782 |
| Provider Name | Grant Bochicchio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255388906 PECOS PAC ID: 9133311509 Enrollment ID: I20200415000241 |
| Provider Name | Matthew Dean Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184190829 PECOS PAC ID: 4789915331 Enrollment ID: I20200415001797 |
| Provider Name | Douglas Schuerer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922024140 PECOS PAC ID: 8820980204 Enrollment ID: I20200416002309 |
| Provider Name | Kelly Vallar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033403589 PECOS PAC ID: 0648572008 Enrollment ID: I20200421000354 |
| Provider Name | Piroska Kopar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760601116 PECOS PAC ID: 4183932817 Enrollment ID: I20200422002005 |
| Provider Name | Debra Sue Lumbley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730146408 PECOS PAC ID: 1153313424 Enrollment ID: I20200518001154 |
| Provider Name | Jennifer Leonard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619256641 PECOS PAC ID: 3678729696 Enrollment ID: I20200520000291 |
| Provider Name | Kelli Jo Anastasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932722196 PECOS PAC ID: 2466873450 Enrollment ID: I20200529000597 |
| Provider Name | Shawn Pyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104964519 PECOS PAC ID: 3779729207 Enrollment ID: I20200610000347 |
| Provider Name | Jason Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447419320 PECOS PAC ID: 2860786852 Enrollment ID: I20200617003286 |
| Provider Name | Joanna E Gernsback |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215252440 PECOS PAC ID: 3577891951 Enrollment ID: I20200622001126 |
| Provider Name | Michelle D Corzine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306465919 PECOS PAC ID: 8426470329 Enrollment ID: I20200623001763 |
| Provider Name | Gurveen Pal Singh Malhotra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154671741 PECOS PAC ID: 1850601758 Enrollment ID: I20200624001443 |
| Provider Name | Zohaib Akhtar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760896633 PECOS PAC ID: 2668778556 Enrollment ID: I20200722003459 |
| Provider Name | Muhammad Amjad Hameed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326423823 PECOS PAC ID: 3971891722 Enrollment ID: I20200727000141 |
| Provider Name | Emily Jo Stickney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134770175 PECOS PAC ID: 9234569369 Enrollment ID: I20200810000342 |
| Provider Name | Benjamin Collie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689029654 PECOS PAC ID: 2860752789 Enrollment ID: I20200811001501 |
| Provider Name | Bethany Kelley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417306838 PECOS PAC ID: 5890089668 Enrollment ID: I20200814000851 |
| Provider Name | Kavan Girishbhai Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437541406 PECOS PAC ID: 2769737337 Enrollment ID: I20200818001324 |
| Provider Name | Kirubel Herano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902333743 PECOS PAC ID: 8628340320 Enrollment ID: I20200820003358 |
| Provider Name | Prativa Pandey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871029280 PECOS PAC ID: 8729405436 Enrollment ID: I20200826002228 |
| Provider Name | Bethany Ann Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922342427 PECOS PAC ID: 2365697224 Enrollment ID: I20200826002531 |
| Provider Name | Anup Sud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316972631 PECOS PAC ID: 4486752649 Enrollment ID: I20200827002541 |
| Provider Name | Nida Junaid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053678755 PECOS PAC ID: 5597037986 Enrollment ID: I20200828000046 |
| Provider Name | Kali J Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790238160 PECOS PAC ID: 6103104534 Enrollment ID: I20200901002134 |
| Provider Name | Adam Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508476615 PECOS PAC ID: 9931527512 Enrollment ID: I20200914002215 |
| Provider Name | Krishna Chaitanya Cherukuri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487096962 PECOS PAC ID: 3173811718 Enrollment ID: I20200921002874 |
| Provider Name | Jessica Lohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619412475 PECOS PAC ID: 7810261674 Enrollment ID: I20200922000332 |
| Provider Name | Elizabeth Bush |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609217850 PECOS PAC ID: 2567606619 Enrollment ID: I20200929003603 |
| Provider Name | Alex Htun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326546201 PECOS PAC ID: 8527484633 Enrollment ID: I20201009001286 |
| Provider Name | Cynthia Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568071132 PECOS PAC ID: 8325458953 Enrollment ID: I20201110000628 |
| Provider Name | Emily Zurliene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770192122 PECOS PAC ID: 9234540303 Enrollment ID: I20201120000600 |
| Provider Name | Patrick Kohlitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962720482 PECOS PAC ID: 5395988620 Enrollment ID: I20201123000816 |
| Provider Name | Jessica N Rigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710586128 PECOS PAC ID: 4486066347 Enrollment ID: I20201217001011 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255738597 PECOS PAC ID: 3678869831 Enrollment ID: I20201222000038 |
| Provider Name | Garri Priyampolskiy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659760833 PECOS PAC ID: 6406129212 Enrollment ID: I20201224000209 |
| Provider Name | Katherine M Kelley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770926131 PECOS PAC ID: 8921308990 Enrollment ID: I20210128002063 |
| Provider Name | Candra D. Kronewitter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831788637 PECOS PAC ID: 1557776234 Enrollment ID: I20210210000432 |
| Provider Name | Brandon M Ufert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053932236 PECOS PAC ID: 3577978287 Enrollment ID: I20210210001881 |
| Provider Name | Vandra Harris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861828097 PECOS PAC ID: 2769606201 Enrollment ID: I20210215000012 |
| Provider Name | Priyanka Baweja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023322567 PECOS PAC ID: 4082863402 Enrollment ID: I20210226000017 |
| Provider Name | Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780017749 PECOS PAC ID: 9133424096 Enrollment ID: I20210302003145 |
| Provider Name | Anne Hardy-henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508276783 PECOS PAC ID: 6305124488 Enrollment ID: I20210303000869 |
| Provider Name | Joanne Philpot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370575 PECOS PAC ID: 9234545609 Enrollment ID: I20210309002989 |
| Provider Name | Cameron M Yosanovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245825926 PECOS PAC ID: 6901213834 Enrollment ID: I20210322000510 |
| Provider Name | Charles Christopher Gerz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497993380 PECOS PAC ID: 8921318858 Enrollment ID: I20210323001602 |
| Provider Name | Muhammad Iqbal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548249931 PECOS PAC ID: 2062431547 Enrollment ID: I20210331002350 |
| Provider Name | James E Towner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548687775 PECOS PAC ID: 1254684996 Enrollment ID: I20210427000590 |
| Provider Name | David Vaccaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548852437 PECOS PAC ID: 2961810122 Enrollment ID: I20210428001191 |
| Provider Name | Arslan Mirza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073928776 PECOS PAC ID: 7113216169 Enrollment ID: I20210609001244 |
| Provider Name | Travis Petricek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558546598 PECOS PAC ID: 2961553458 Enrollment ID: I20210616000361 |
| Provider Name | Joshua Kolb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306102231 PECOS PAC ID: 4183920044 Enrollment ID: I20210616002498 |
| Provider Name | Taylor Rice |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992372817 PECOS PAC ID: 5496155152 Enrollment ID: I20210617000416 |
| Provider Name | Sumeet Soni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962885293 PECOS PAC ID: 8022369172 Enrollment ID: I20210622001317 |
| Provider Name | Dominic Lee Phemister |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306339189 PECOS PAC ID: 7214284538 Enrollment ID: I20210625001598 |
| Provider Name | Efstathios Karamanos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861838260 PECOS PAC ID: 8820220619 Enrollment ID: I20210629000723 |
| Provider Name | Robert Sprague |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255788022 PECOS PAC ID: 7315377256 Enrollment ID: I20210630001779 |
| Provider Name | Tramon C Hunnicutt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407425283 PECOS PAC ID: 9032511597 Enrollment ID: I20210707001894 |
| Provider Name | Jacob S Wolpers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861062424 PECOS PAC ID: 2466854690 Enrollment ID: I20210712001187 |
| Provider Name | Kenechukwu Olufemi Chudy-onwugaje |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861749780 PECOS PAC ID: 1355632233 Enrollment ID: I20210713000932 |
| Provider Name | Lakshmi Manogna Chintalacheruvu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417330283 PECOS PAC ID: 3971882242 Enrollment ID: I20210719003088 |
| Provider Name | Jonatan Hornik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578941753 PECOS PAC ID: 9638472939 Enrollment ID: I20210720004027 |
| Provider Name | Andrea Loggini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043695810 PECOS PAC ID: 1658663620 Enrollment ID: I20210721000137 |
| Provider Name | Hassan Pervaiz |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710339817 PECOS PAC ID: 4789015934 Enrollment ID: I20210721000370 |
| Provider Name | Abdelhameed Nawwar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699218511 PECOS PAC ID: 4789087230 Enrollment ID: I20210721004192 |
| Provider Name | Kilali I Iyalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811309214 PECOS PAC ID: 5890198832 Enrollment ID: I20210728001150 |
| Provider Name | Dennis Asamoah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518489889 PECOS PAC ID: 1951648096 Enrollment ID: I20210731000345 |
| Provider Name | Hal a Lewis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124554209 PECOS PAC ID: 5890067250 Enrollment ID: I20210810000875 |
| Provider Name | Cayley a Burtis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043889553 PECOS PAC ID: 9931503950 Enrollment ID: I20210812000746 |
| Provider Name | Jamie Josephine Compton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023680972 PECOS PAC ID: 8628472545 Enrollment ID: I20210813001270 |
| Provider Name | Donnell Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427238039 PECOS PAC ID: 7113005471 Enrollment ID: I20210816001548 |
| Provider Name | Alaa Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144742230 PECOS PAC ID: 6800291311 Enrollment ID: I20210823000156 |
| Provider Name | Jennifer a Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346862984 PECOS PAC ID: 8527464973 Enrollment ID: I20210909002376 |
| Provider Name | Christina Etherton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629640594 PECOS PAC ID: 7517364433 Enrollment ID: I20210920003328 |
| Provider Name | Roy R Danks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306812029 PECOS PAC ID: 8224936729 Enrollment ID: I20210921002734 |
| Provider Name | Rachel M Fricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558939207 PECOS PAC ID: 7911304464 Enrollment ID: I20210924003001 |
| Provider Name | Katrina C Followell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417626979 PECOS PAC ID: 5496152613 Enrollment ID: I20210930000581 |
| Provider Name | Serhiy Maslovsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184248627 PECOS PAC ID: 3173921913 Enrollment ID: I20211008002813 |
| Provider Name | Amy Dunbar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891866364 PECOS PAC ID: 1355467655 Enrollment ID: I20211014003352 |
| Provider Name | Britton Kyle Herrin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235753559 PECOS PAC ID: 9234537572 Enrollment ID: I20211018001148 |
| Provider Name | Hiba a Haider |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1558687939 PECOS PAC ID: 3476860438 Enrollment ID: I20211029001873 |
| Provider Name | Sonya Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922452408 PECOS PAC ID: 2860804267 Enrollment ID: I20211105000554 |
| Provider Name | Chelsea H Webb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518636489 PECOS PAC ID: 9335538347 Enrollment ID: I20211112002037 |
| Provider Name | Jill Marie Fairbanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154991131 PECOS PAC ID: 8729477617 Enrollment ID: I20211115002534 |
| Provider Name | Lisa Christine Baranski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609499615 PECOS PAC ID: 6406245398 Enrollment ID: I20211115002784 |
| Provider Name | Amelia Jeyapalan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467437491 PECOS PAC ID: 0042297483 Enrollment ID: I20211118002625 |
| Provider Name | Pamela J Clarida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790391977 PECOS PAC ID: 5395135776 Enrollment ID: I20211129000157 |
| Provider Name | Travis M Seddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265103006 PECOS PAC ID: 4880084128 Enrollment ID: I20211201001042 |
| Provider Name | Catherine Eileen Oconnor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134189434 PECOS PAC ID: 0244219434 Enrollment ID: I20211202002013 |
| Provider Name | Jenna Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891452439 PECOS PAC ID: 1254721152 Enrollment ID: I20211208002957 |
| Provider Name | Mitchell Wayne Sanders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528680162 PECOS PAC ID: 9830589530 Enrollment ID: I20211213002100 |
| Provider Name | Mimi Amanda Harzan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477175446 PECOS PAC ID: 4385035955 Enrollment ID: I20211216000339 |
| Provider Name | Dhananjay Deoskar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861696262 PECOS PAC ID: 9436222833 Enrollment ID: I20211220001098 |
| Provider Name | Mostafa Farache |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366646879 PECOS PAC ID: 7618041740 Enrollment ID: I20211220002249 |
| Provider Name | Emily L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306504790 PECOS PAC ID: 7113318254 Enrollment ID: I20211227000942 |
| Provider Name | Trisha Lynn Phemister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457017063 PECOS PAC ID: 4981095957 Enrollment ID: I20211230000063 |
| Provider Name | Matthew Dawson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003159021 PECOS PAC ID: 9638475122 Enrollment ID: I20220126001994 |
| Provider Name | Stacey Elaine Oddera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558964080 PECOS PAC ID: 4082006804 Enrollment ID: I20220127001898 |
| Provider Name | Amy J Glasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689241309 PECOS PAC ID: 0941692792 Enrollment ID: I20220127002982 |
| Provider Name | Megan Morriss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548642291 PECOS PAC ID: 8527372614 Enrollment ID: I20220201000603 |
| Provider Name | Garrett William Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821766973 PECOS PAC ID: 9537552609 Enrollment ID: I20220214000766 |
| Provider Name | Daniel Schuh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821551383 PECOS PAC ID: 4082007927 Enrollment ID: I20220217000134 |
| Provider Name | Claudia L Altmann |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386691756 PECOS PAC ID: 7113008681 Enrollment ID: I20220305000028 |
| Provider Name | Kimberly Shani Forte |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568782738 PECOS PAC ID: 4183852023 Enrollment ID: I20220309000322 |
| Provider Name | Paul Albert Tennant |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245402353 PECOS PAC ID: 6406027408 Enrollment ID: I20220309002651 |
| Provider Name | Jordan M Kirsch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376920538 PECOS PAC ID: 3375853070 Enrollment ID: I20220330000691 |
| Provider Name | Harry Hill |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851316970 PECOS PAC ID: 6709771801 Enrollment ID: I20220331002894 |
| Provider Name | Lloyd Panjikaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609372341 PECOS PAC ID: 6709134414 Enrollment ID: I20220405003039 |
| Provider Name | Amanda S Roye |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891316212 PECOS PAC ID: 6406243716 Enrollment ID: I20220504002407 |
| Provider Name | Nichole Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376211151 PECOS PAC ID: 7911384912 Enrollment ID: I20220512001804 |
| Provider Name | Tiffany Colborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982344214 PECOS PAC ID: 9537546254 Enrollment ID: I20220519000674 |
| Provider Name | Abbas Omais |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699748046 PECOS PAC ID: 9133213226 Enrollment ID: I20220607000091 |
| Provider Name | Aaron King |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538454426 PECOS PAC ID: 7214230606 Enrollment ID: I20220611000256 |
| Provider Name | Jehad Zakaria |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225455181 PECOS PAC ID: 3577942283 Enrollment ID: I20220625000312 |
| Provider Name | Shannon M Denman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902536428 PECOS PAC ID: 0749660132 Enrollment ID: I20220701000433 |
| Provider Name | Michael Mengarelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568022507 PECOS PAC ID: 5698001287 Enrollment ID: I20220707001977 |
| Provider Name | Ayesha Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801458245 PECOS PAC ID: 0345675427 Enrollment ID: I20220715000057 |
| Provider Name | Jacob Mark Burdett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104366574 PECOS PAC ID: 1557742947 Enrollment ID: I20220715002503 |
| Provider Name | Peter Filip |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518493782 PECOS PAC ID: 9335485465 Enrollment ID: I20220718003662 |
| Provider Name | Poonam Thakore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447612148 PECOS PAC ID: 6305125790 Enrollment ID: I20220719001616 |
| Provider Name | Fadi Abou Obeid |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811304751 PECOS PAC ID: 0547570855 Enrollment ID: I20220719001697 |
| Provider Name | Edgar Andres Bello Martinez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699201384 PECOS PAC ID: 5890044093 Enrollment ID: I20220719001965 |
| Provider Name | Eric Christopher Batory |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407410350 PECOS PAC ID: 0143601179 Enrollment ID: I20220721001626 |
| Provider Name | Rizwan Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902288855 PECOS PAC ID: 6800149949 Enrollment ID: I20220726002626 |
| Provider Name | Brent Hitchens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992438451 PECOS PAC ID: 1153703848 Enrollment ID: I20220727002355 |
| Provider Name | Jeffrey a Sorensen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578805651 PECOS PAC ID: 9335431873 Enrollment ID: I20220802001336 |
| Provider Name | Jessica Staszak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114360690 PECOS PAC ID: 9638316201 Enrollment ID: I20220812002085 |
| Provider Name | Javed Syed Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649614462 PECOS PAC ID: 2769609957 Enrollment ID: I20220816002145 |
| Provider Name | Frederick Christiaan Venter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942860671 PECOS PAC ID: 7618350877 Enrollment ID: I20220821000075 |
| Provider Name | Hilda Watkins-williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265994248 PECOS PAC ID: 1951630862 Enrollment ID: I20220821000080 |
| Provider Name | Mohammad Nimer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710440193 PECOS PAC ID: 1355676461 Enrollment ID: I20220823001150 |
| Provider Name | Attila Sandor Dobos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649765140 PECOS PAC ID: 7719360890 Enrollment ID: I20220823001751 |
| Provider Name | Ekanga Sunday Petters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144751827 PECOS PAC ID: 8527331321 Enrollment ID: I20220907001693 |
| Provider Name | Awni D Shahait |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871972422 PECOS PAC ID: 4284936154 Enrollment ID: I20220908002216 |
| Provider Name | Christopher Lewis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578745493 PECOS PAC ID: 0648323147 Enrollment ID: I20220908002514 |
| Provider Name | Saad Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063868818 PECOS PAC ID: 2365787876 Enrollment ID: I20220908003641 |
| Provider Name | Zahra Alsultan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952893778 PECOS PAC ID: 9436405651 Enrollment ID: I20220912003408 |
| Provider Name | Marcia Nicole Kuhlman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790436178 PECOS PAC ID: 1456736313 Enrollment ID: I20220914001321 |
| Provider Name | David Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982338877 PECOS PAC ID: 5092190439 Enrollment ID: I20220921000239 |
| Provider Name | Andrea K Hammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841928967 PECOS PAC ID: 4587049812 Enrollment ID: I20220922000672 |
| Provider Name | Kenten Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1013998186 PECOS PAC ID: 7618162256 Enrollment ID: I20220927001330 |
| Provider Name | Daniel Elizondo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366002362 PECOS PAC ID: 1456687672 Enrollment ID: I20220927002210 |
| Provider Name | Ashton Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487374518 PECOS PAC ID: 9739565854 Enrollment ID: I20220927002633 |
| Provider Name | Alex Balekian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205912656 PECOS PAC ID: 8325075229 Enrollment ID: I20221003001648 |
| Provider Name | Brittany Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619609328 PECOS PAC ID: 6608252259 Enrollment ID: I20221005000223 |
| Provider Name | Sameh Attia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396085700 PECOS PAC ID: 5597909218 Enrollment ID: I20221007000973 |
| Provider Name | Rebecca E Renfroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093450728 PECOS PAC ID: 9032595335 Enrollment ID: I20221010001169 |
| Provider Name | Vishnu Raj Kamar Mani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174964951 PECOS PAC ID: 3476956095 Enrollment ID: I20221016000028 |
| Provider Name | Michael S James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659004430 PECOS PAC ID: 5597131524 Enrollment ID: I20221017002058 |
| Provider Name | Mariah Gloria Teriet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275267262 PECOS PAC ID: 5294101101 Enrollment ID: I20221018002156 |
| Provider Name | Justin Ross Whipple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629975 PECOS PAC ID: 3072989532 Enrollment ID: I20221025001471 |
| Provider Name | Pairote Jaroonwanichkul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801893979 PECOS PAC ID: 4183636533 Enrollment ID: I20221027000635 |
| Provider Name | Robert a Willis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225033434 PECOS PAC ID: 5991705618 Enrollment ID: I20221123002019 |
| Provider Name | Ethan Mark Huckabee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043705395 PECOS PAC ID: 7810244217 Enrollment ID: I20221201003062 |
| Provider Name | Amy Leeann Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255973830 PECOS PAC ID: 0941635023 Enrollment ID: I20221212002132 |
| Provider Name | Anwar Cameron |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548610595 PECOS PAC ID: 9335432715 Enrollment ID: I20221227001194 |
| Provider Name | Hannah Elizabeth Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548972201 PECOS PAC ID: 6709257900 Enrollment ID: I20230126001868 |
| Provider Name | Skylar Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780355016 PECOS PAC ID: 7416329073 Enrollment ID: I20230207002735 |
| Provider Name | Leah Rose Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114665866 PECOS PAC ID: 3173995628 Enrollment ID: I20230208003194 |
| Provider Name | Rachel L Michels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356059331 PECOS PAC ID: 0345612776 Enrollment ID: I20230214000419 |
| Provider Name | Jason W Eng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437513355 PECOS PAC ID: 2264729516 Enrollment ID: I20230310001085 |
| Provider Name | Halee B Essick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770295719 PECOS PAC ID: 8921473612 Enrollment ID: I20230411002085 |
| Provider Name | Samuel Laney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861590358 PECOS PAC ID: 3678679115 Enrollment ID: I20230418001269 |
| Provider Name | Marilyn Kline |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629027586 PECOS PAC ID: 8325050933 Enrollment ID: I20230426001682 |
| Provider Name | Myranda Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710676713 PECOS PAC ID: 9032575980 Enrollment ID: I20230518001220 |
| Provider Name | Catherine Nevels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326558222 PECOS PAC ID: 8325307754 Enrollment ID: I20230519000334 |
| Provider Name | Hailee Elizabeth Basler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871123067 PECOS PAC ID: 3577929397 Enrollment ID: I20230522002031 |
| Provider Name | Danielle Jo Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548800386 PECOS PAC ID: 7911364401 Enrollment ID: I20230526000595 |
| Provider Name | Anna Szyfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134824790 PECOS PAC ID: 0244697621 Enrollment ID: I20230530001586 |
| Provider Name | Issa Pour Ghaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265962450 PECOS PAC ID: 2264702281 Enrollment ID: I20230612001382 |
| Provider Name | Anthony Guynes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285041137 PECOS PAC ID: 0446530810 Enrollment ID: I20230622001887 |
| Provider Name | Okechukwu Obi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083134704 PECOS PAC ID: 7012282742 Enrollment ID: I20230622002111 |
| Provider Name | Victoria Dare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336830561 PECOS PAC ID: 7315305083 Enrollment ID: I20230628001350 |
| Provider Name | Praveen Sampath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023348299 PECOS PAC ID: 9335327576 Enrollment ID: I20230630002034 |
| Provider Name | Ibraheem Javeed Mohammed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477047124 PECOS PAC ID: 9032578547 Enrollment ID: I20230630002195 |
| Provider Name | Is-haq Oladipo Malik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063998862 PECOS PAC ID: 9931502333 Enrollment ID: I20230703000471 |
| Provider Name | Eric D Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073139051 PECOS PAC ID: 8022478791 Enrollment ID: I20230713002544 |
| Provider Name | Andrew J. Barfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750793253 PECOS PAC ID: 9032448667 Enrollment ID: I20230714003330 |
| Provider Name | Paul B Kang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417657305 PECOS PAC ID: 9234599580 Enrollment ID: I20230718002009 |
| Provider Name | Daniel a Kelver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194354456 PECOS PAC ID: 8628438744 Enrollment ID: I20230720000678 |
| Provider Name | Abbasali Badami |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841641438 PECOS PAC ID: 7113388455 Enrollment ID: I20230802002219 |
| Provider Name | Jessica Serena Marie Belobraydic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699120055 PECOS PAC ID: 1658732938 Enrollment ID: I20230802003762 |
| Provider Name | Johnnatan Marin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164059259 PECOS PAC ID: 3577923036 Enrollment ID: I20230803003244 |
| Provider Name | Jessica Grisham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134841125 PECOS PAC ID: 9638537129 Enrollment ID: I20230808000168 |
| Provider Name | Luke Man Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932694452 PECOS PAC ID: 7214327873 Enrollment ID: I20230817001664 |
| Provider Name | Cyril Kamya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245783588 PECOS PAC ID: 4385932664 Enrollment ID: I20230817003460 |
| Provider Name | Brian Knight |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952938193 PECOS PAC ID: 7719349901 Enrollment ID: I20230821001890 |
| Provider Name | Oleksii Iakymenko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598286353 PECOS PAC ID: 3870956733 Enrollment ID: I20230825001574 |
| Provider Name | Samuel M Lindner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831517051 PECOS PAC ID: 3678831112 Enrollment ID: I20230829000266 |
| Provider Name | Divyesh Nemakayala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255781217 PECOS PAC ID: 3779812144 Enrollment ID: I20230908000386 |
| Provider Name | Janalyn Elwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346952728 PECOS PAC ID: 4587028535 Enrollment ID: I20230911001152 |
| Provider Name | Melanie Crow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265119994 PECOS PAC ID: 1254795099 Enrollment ID: I20230913001217 |
| Provider Name | Turenne M Metayer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124588892 PECOS PAC ID: 6103280755 Enrollment ID: I20230914002671 |
| Provider Name | Brianna Lee Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144965245 PECOS PAC ID: 1658735220 Enrollment ID: I20230914003211 |
| Provider Name | Ashley Nicole Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003598269 PECOS PAC ID: 6204290646 Enrollment ID: I20230918003967 |
| Provider Name | Hannah R Pellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437832193 PECOS PAC ID: 8123482585 Enrollment ID: I20230919000090 |
| Provider Name | Ashley Rose Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194406777 PECOS PAC ID: 6800240029 Enrollment ID: I20230921002847 |
| Provider Name | John Pool |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134338114 PECOS PAC ID: 5496818395 Enrollment ID: I20231011001823 |
| Provider Name | Angela Lea O'dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831196120 PECOS PAC ID: 4688568769 Enrollment ID: I20231012000169 |
| Provider Name | Stefan Rozycki |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538401146 PECOS PAC ID: 4789039298 Enrollment ID: I20231018000716 |
| Provider Name | Sonya Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225810682 PECOS PAC ID: 5395191050 Enrollment ID: I20231101000699 |
| Provider Name | Samuel Alexander Linares Gavidia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902468614 PECOS PAC ID: 2365899150 Enrollment ID: I20231116001109 |
| Provider Name | Morgan Rose Flamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881472603 PECOS PAC ID: 3072961242 Enrollment ID: I20231128003396 |
| Provider Name | Roger Shinnerl |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760684765 PECOS PAC ID: 7719979467 Enrollment ID: I20231201001014 |
| Provider Name | Najah Waters |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629331426 PECOS PAC ID: 8921255852 Enrollment ID: I20231204002924 |
| Provider Name | Kezia Briones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356125553 PECOS PAC ID: 8628427424 Enrollment ID: I20231205002419 |
| Provider Name | Isam Hasan Habib |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1588636435 PECOS PAC ID: 9234164963 Enrollment ID: I20231206003438 |
| Provider Name | Roger Pons |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1548217383 PECOS PAC ID: 7214097450 Enrollment ID: I20240103002076 |
| Provider Name | Collin Sharp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659575348 PECOS PAC ID: 8123173176 Enrollment ID: I20240129002823 |
| Provider Name | Noel Phan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396241311 PECOS PAC ID: 3072859040 Enrollment ID: I20240403002936 |
| Provider Name | Shelby L Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205691425 PECOS PAC ID: 9436598885 Enrollment ID: I20240417003134 |
| Provider Name | Daniel Cybulski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487044152 PECOS PAC ID: 4284949637 Enrollment ID: I20240522000340 |
| Provider Name | Ishaan Vohra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477048130 PECOS PAC ID: 5193078913 Enrollment ID: I20240531001777 |
| Provider Name | Jane Luanne Nichols |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235495672 PECOS PAC ID: 0345782199 Enrollment ID: I20240607000896 |
| Provider Name | Ricardo Siller De La Rosa |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558788539 PECOS PAC ID: 8224405352 Enrollment ID: I20240610001409 |
| Provider Name | Bryant L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366298143 PECOS PAC ID: 3971046285 Enrollment ID: I20240614002140 |
| Provider Name | Gillian Marie Mcvicar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982480257 PECOS PAC ID: 6901340223 Enrollment ID: I20240627002802 |
| Provider Name | James Philip Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093383028 PECOS PAC ID: 6709287451 Enrollment ID: I20240708002361 |
| Provider Name | Shujaa Faryad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922520071 PECOS PAC ID: 1850642158 Enrollment ID: I20240710000809 |
| Provider Name | Ismail Oladeji Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497318737 PECOS PAC ID: 7113313503 Enrollment ID: I20240710001217 |
| Provider Name | Matthew Etherington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831767862 PECOS PAC ID: 6204237837 Enrollment ID: I20240710002227 |
| Provider Name | Connor Stephenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063098044 PECOS PAC ID: 8729497177 Enrollment ID: I20240715000256 |
| Provider Name | Lisa a Nation |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902677057 PECOS PAC ID: 3173068806 Enrollment ID: I20240717002255 |
| Provider Name | Amy Dial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881435816 PECOS PAC ID: 1153867809 Enrollment ID: I20240718002255 |
| Provider Name | Ned John Panara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922082130 PECOS PAC ID: 1850345208 Enrollment ID: I20240718003069 |
| Provider Name | Alexander James Lietz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790244713 PECOS PAC ID: 2264813831 Enrollment ID: I20240719003091 |
| Provider Name | Haley Christina Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427804277 PECOS PAC ID: 9537605985 Enrollment ID: I20240723000467 |
| Provider Name | William Chotas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588058838 PECOS PAC ID: 2668717257 Enrollment ID: I20240729003466 |
| Provider Name | Devin Javed Hosein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235652405 PECOS PAC ID: 5799222865 Enrollment ID: I20240807001074 |
| Provider Name | Thomas Fordham Wilson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730503657 PECOS PAC ID: 3375836083 Enrollment ID: I20240812000515 |
| Provider Name | Alexander Geoffrey Stein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20240814002313 |
| Provider Name | Alexander Legenbauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841827847 PECOS PAC ID: 9830637156 Enrollment ID: I20240819001423 |
| Provider Name | Carrie Elaine Parr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578300521 PECOS PAC ID: 1052859212 Enrollment ID: I20240819003402 |
| Provider Name | Zubin F Wala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710502570 PECOS PAC ID: 5799109906 Enrollment ID: I20240827002711 |
| Provider Name | Alexandria Mccloud |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609496470 PECOS PAC ID: 2264854868 Enrollment ID: I20240827002887 |
| Provider Name | Erich Paul Gerhardt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851528335 PECOS PAC ID: 7618126145 Enrollment ID: I20240902000170 |
| Provider Name | Ashlyn Peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669201091 PECOS PAC ID: 0749721850 Enrollment ID: I20240917001049 |
| Provider Name | Michael Sangwoo an |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265060149 PECOS PAC ID: 6305387432 Enrollment ID: I20240917001899 |
| Provider Name | Elizabeth Mae Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992577811 PECOS PAC ID: 9931630183 Enrollment ID: I20240930001524 |
| Provider Name | Ryan Khanna |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609267905 PECOS PAC ID: 0749573921 Enrollment ID: I20241003001997 |
| Provider Name | Samer Ahmad Ali-hasan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699869503 PECOS PAC ID: 0446323976 Enrollment ID: I20241010001214 |
| Provider Name | Kimberly Keser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053391151 PECOS PAC ID: 1153389820 Enrollment ID: I20241017001908 |
| Provider Name | Andrew Kastello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578720629 PECOS PAC ID: 4789717356 Enrollment ID: I20241031002412 |
| Provider Name | Amir R Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205824810 PECOS PAC ID: 0244210151 Enrollment ID: I20241031002625 |
| Provider Name | Molly B Mcelvain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457330367 PECOS PAC ID: 9739612318 Enrollment ID: I20241105000207 |
| Provider Name | Katie Ann Gossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235900333 PECOS PAC ID: 8820523822 Enrollment ID: I20241127003789 |
| Provider Name | Jerry M Winkler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851365910 PECOS PAC ID: 5496648834 Enrollment ID: I20241204002256 |
| Provider Name | Macy Lane Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578388153 PECOS PAC ID: 0244766715 Enrollment ID: I20241206001670 |
| Provider Name | Eleanor Kuhlman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689494957 PECOS PAC ID: 2264968528 Enrollment ID: I20241210001573 |
| Provider Name | George E Eigbire |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093165367 PECOS PAC ID: 7113213455 Enrollment ID: I20250210002264 |
| Provider Name | Alyssa Dawn Mcmillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790595635 PECOS PAC ID: 7810427507 Enrollment ID: I20250211001184 |
| Provider Name | Baxter Heflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982422705 PECOS PAC ID: 0941730519 Enrollment ID: I20250212000483 |
| Provider Name | Amy Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932919073 PECOS PAC ID: 6204366727 Enrollment ID: I20250212002182 |
| Provider Name | Allie Whittington |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407664931 PECOS PAC ID: 3274063573 Enrollment ID: I20250214002351 |
| Provider Name | Debbie Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528239043 PECOS PAC ID: 5698295640 Enrollment ID: I20250221000388 |
| Provider Name | Belinda Kakos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316111263 PECOS PAC ID: 6800052531 Enrollment ID: I20250227002424 |
| Provider Name | Ann Marie Willgoose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932343779 PECOS PAC ID: 3476074352 Enrollment ID: I20250307001249 |
| Provider Name | Jessika Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639974967 PECOS PAC ID: 0446772917 Enrollment ID: I20250313003969 |
| Provider Name | Julvet Mbianda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609398999 PECOS PAC ID: 1355782814 Enrollment ID: I20250324000983 |
| Provider Name | Quan Le |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811166770 PECOS PAC ID: 7416128863 Enrollment ID: I20250327002346 |
| Provider Name | Emily Townes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386387678 PECOS PAC ID: 4981059425 Enrollment ID: I20250415002839 |
| Provider Name | Mikhayla Nicole Kleich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437934981 PECOS PAC ID: 9234655242 Enrollment ID: I20250501003139 |
| Provider Name | Eric Hudgins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558622837 PECOS PAC ID: 1153659347 Enrollment ID: I20250513000176 |
| Provider Name | Salem Thabet |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134605538 PECOS PAC ID: 3173868510 Enrollment ID: I20250520001937 |
| Provider Name | Arthur Pofei Chou |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174760607 PECOS PAC ID: 8527372010 Enrollment ID: I20250602000428 |
| Provider Name | Allie Adams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740998988 PECOS PAC ID: 2466823638 Enrollment ID: I20250606001978 |
| Provider Name | Syeda Ramesha Zaidi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588225197 PECOS PAC ID: 2466783634 Enrollment ID: I20250609001707 |
| Provider Name | Sruthi Samala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851951123 PECOS PAC ID: 5799296471 Enrollment ID: I20250618003756 |
| Provider Name | Arslan Naeem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962856773 PECOS PAC ID: 6204164031 Enrollment ID: I20250620000317 |
| Provider Name | Vihang Vijaykumar Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184967598 PECOS PAC ID: 2062653322 Enrollment ID: I20250620003591 |
| Provider Name | Sandeep Banga |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003266149 PECOS PAC ID: 5597057679 Enrollment ID: I20250715003389 |
| Provider Name | Ibrahim Dare Omore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245896034 PECOS PAC ID: 1052826245 Enrollment ID: I20250716001499 |
| Provider Name | Brandon Mcfadden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235888041 PECOS PAC ID: 5496135303 Enrollment ID: I20250718000789 |
| Provider Name | Adam Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346421245 PECOS PAC ID: 0446421986 Enrollment ID: I20250730000534 |
| Provider Name | Jennifer N Isom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922281054 PECOS PAC ID: 6204343569 Enrollment ID: I20250730002368 |
| Provider Name | Klaorat Prasongdee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366067811 PECOS PAC ID: 2860854163 Enrollment ID: I20250813003193 |
| Provider Name | Daniel L Kitchens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184620304 PECOS PAC ID: 7214908730 Enrollment ID: I20250819000731 |
| Provider Name | Hitesh Reddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699338558 PECOS PAC ID: 7911444708 Enrollment ID: I20250819000816 |
| Provider Name | Jennifer Obasi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710341599 PECOS PAC ID: 1658613989 Enrollment ID: I20250820001527 |
| Provider Name | Karan Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467184622 PECOS PAC ID: 2062894587 Enrollment ID: I20250902000409 |
| Provider Name | Cindy Duong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073191656 PECOS PAC ID: 5092217646 Enrollment ID: I20250904001431 |
| Provider Name | Sudesh Ebenezer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508824525 PECOS PAC ID: 8123117611 Enrollment ID: I20250924001830 |
| Provider Name | Todd M Chatlos |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1245792308 PECOS PAC ID: 4486027877 Enrollment ID: I20250925002611 |
| Provider Name | Heather Riggs Carter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003875535 PECOS PAC ID: 2961533526 Enrollment ID: I20250926000999 |
| Provider Name | Krysta Ann Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003707928 PECOS PAC ID: 9335644491 Enrollment ID: I20250929000465 |
| Provider Name | David Jho |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982725321 PECOS PAC ID: 6204093586 Enrollment ID: I20251003001641 |
| Provider Name | Abbie Nicole Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796273 PECOS PAC ID: 4486142700 Enrollment ID: I20251020001086 |
| Provider Name | Mark D Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003993163 PECOS PAC ID: 5597756759 Enrollment ID: I20251029003490 |
| Provider Name | Casey Goines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487526927 PECOS PAC ID: 5698265262 Enrollment ID: I20251104000259 |
| Provider Name | Cynthia Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003478066 PECOS PAC ID: 0042643355 Enrollment ID: I20251104004466 |
| Provider Name | Carly R Wirick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760871099 PECOS PAC ID: 4789902701 Enrollment ID: I20251106001008 |
| Provider Name | Brendan Dinga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265305650 PECOS PAC ID: 6103316393 Enrollment ID: I20251106001639 |
| Provider Name | Umesha Naragalu Boregowda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881977619 PECOS PAC ID: 3971724204 Enrollment ID: I20251212001516 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20251217001799 |
| Provider Name | John Styliaras |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871720201 PECOS PAC ID: 7416189238 Enrollment ID: I20251230002898 |
| Provider Name | Jannice Edmonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083578348 PECOS PAC ID: 1951887850 Enrollment ID: I20260110000044 |
| Provider Name | Cristen Mckibben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174304158 PECOS PAC ID: 7618312059 Enrollment ID: I20260114002219 |
| Provider Name | Nichole Jeters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174770648 PECOS PAC ID: 8426535295 Enrollment ID: I20260122003465 |
| Provider Name | Kunal Chohan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487232906 PECOS PAC ID: 3072916808 Enrollment ID: I20260123000517 |
| Provider Name | John Allen Ditri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770693426 PECOS PAC ID: 4789751371 Enrollment ID: I20260127001564 |
| Provider Name | Amy Sue Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033153069 PECOS PAC ID: 8921083189 Enrollment ID: I20260129002056 |
| Provider Name | Eric Eskioglu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336222900 PECOS PAC ID: 5890714976 Enrollment ID: I20260206002104 |
| Provider Name | Erick Allen Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043190655 PECOS PAC ID: 0547759128 Enrollment ID: I20260220001436 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324170 PECOS PAC ID: 9436138567 Enrollment ID: I20260223002311 |
| Provider Name | Allison Marie Rourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306237623 PECOS PAC ID: 6800377714 Enrollment ID: I20260227001274 |
| Provider Name | Matthew William Karshner |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477598142 PECOS PAC ID: 5991604647 Enrollment ID: I20260312001596 |
| Provider Name | Rachel Martineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487537940 PECOS PAC ID: 9739663964 Enrollment ID: I20260325001483 |
| Provider Name | Crystal Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780538389 PECOS PAC ID: 9931683182 Enrollment ID: I20260325002081 |
| Provider Name | Sean Meiner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649527573 PECOS PAC ID: 9436428224 Enrollment ID: I20260511001919 |
| Provider Name | Paul Butts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770711566 PECOS PAC ID: 2466764238 Enrollment ID: I20260518000860 |
| Provider Name | Hanad Bashir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437710779 PECOS PAC ID: 3274864269 Enrollment ID: I20260622003879 |
Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 374 East Grand Avenue, Mail Code 674d, Carbondale, IL 62901 Phone: 618-453-3311 Fax: 618-453-4449 |
The Carbondale Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-457-5200 Fax: 618-549-5128 |
Thomas Elementary School Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1025 N Wall St Rm 102, Carbondale, IL 62901 Phone: 618-519-9200 |
Cedar Court Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Cedar Ct, Carbondale, IL 62901 Phone: 618-351-1213 Fax: 618-351-1905 |
Shawnee Health Care, Carbondale Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9900 Fax: 618-519-9961 |
Southern Illinois Gi Specialists LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Diann Ln, Carbondale, IL 62901 Phone: 618-549-8006 Fax: 618-549-8434 |