| Siu Physicians & Surgeons, Inc | |
|
201 E Madison St Ste 328 Springfield IL 62702-5131 | |
| (217) 545-8000 | |
| (844) 470-2488 |
| Full Name | Siu Physicians & Surgeons, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 E Madison St Ste 328, Springfield, Illinois |
| Authorized Official Name and Position | Shelby Renee Burdick (ASST MGR, MEDICAL STAFF SERVICES) |
| Authorized Official Contact | 2175456523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siu Physicians & Surgeons, Inc Po Box 19639 Springfield IL 62794-9639 Ph: (217) 545-8000 | Siu Physicians & Surgeons, Inc 201 E Madison St Ste 328 Springfield IL 62702-5131 Ph: (217) 545-8000 |
| NPI Number | 1558385989 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 2365352820 |
|---|---|
| Medicare Enrollment ID | O20031222000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558385989 | NPI | - | NPPES |
| 0001558385989 | Medicaid | IL | |
| CB2589 | Other | IL | RR MEDICARE |
| CE8689 | Other | IL | RR MEDICARE |
| CE8688 | Other | IL | RR MEDICARE |
| CE8686 | Other | IL | RR MEDICARE |
| CE8931 | Other | IL | RR MEDICARE |
| CE8687 | Other | IL | RR MEDICARE |
| Provider Name | Jonathan D Colen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336168012 PECOS PAC ID: 3274430814 Enrollment ID: I20031212000768 |
| Provider Name | Michael I Maitar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619019304 PECOS PAC ID: 4587563358 Enrollment ID: I20031231000447 |
| Provider Name | Jeffrey L Olejnik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598727620 PECOS PAC ID: 9133028392 Enrollment ID: I20040114000483 |
| Provider Name | Harald Lausen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396878674 PECOS PAC ID: 2668371733 Enrollment ID: I20040115000232 |
| Provider Name | Adel Samy Raheb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265418982 PECOS PAC ID: 7012805211 Enrollment ID: I20040312000058 |
| Provider Name | Mouhamad H Bakir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154319994 PECOS PAC ID: 1456345438 Enrollment ID: I20040413000278 |
| Provider Name | William G Pyle |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306827001 PECOS PAC ID: 1355337205 Enrollment ID: I20040424000098 |
| Provider Name | Jeffrey P Christy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710968490 PECOS PAC ID: 8224024179 Enrollment ID: I20040424000128 |
| Provider Name | Charles R Ellington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407833130 PECOS PAC ID: 9032108907 Enrollment ID: I20040507000350 |
| Provider Name | Brian L Bostwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891768636 PECOS PAC ID: 2668461195 Enrollment ID: I20040510001387 |
| Provider Name | Michael Murray Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093772311 PECOS PAC ID: 2668463449 Enrollment ID: I20040520000721 |
| Provider Name | Richard M Bass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609862200 PECOS PAC ID: 2860473857 Enrollment ID: I20040526000540 |
| Provider Name | Stephen R Hazelrigg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205817996 PECOS PAC ID: 4385626423 Enrollment ID: I20040603000148 |
| Provider Name | Tony Joe De Martini |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174604631 PECOS PAC ID: 5193709962 Enrollment ID: I20040617001069 |
| Provider Name | Randolph S Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366436818 PECOS PAC ID: 4082694484 Enrollment ID: I20040802001325 |
| Provider Name | Tracy A Aldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154310027 PECOS PAC ID: 7214900869 Enrollment ID: I20040813000007 |
| Provider Name | William S Stevens |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548241250 PECOS PAC ID: 2466429402 Enrollment ID: I20040910000527 |
| Provider Name | Mark Robert Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205811775 PECOS PAC ID: 6103894092 Enrollment ID: I20040920000085 |
| Provider Name | Katherine Ann Hild Mosley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932180981 PECOS PAC ID: 0244290039 Enrollment ID: I20041015000582 |
| Provider Name | Sangita Basnet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508854597 PECOS PAC ID: 3173584018 Enrollment ID: I20041022001128 |
| Provider Name | Paula Scheetz Mackrides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316924087 PECOS PAC ID: 8426010554 Enrollment ID: I20041101000989 |
| Provider Name | Jetuan L Rowley-herron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003893785 PECOS PAC ID: 7416919253 Enrollment ID: I20041103000268 |
| Provider Name | Laura K Shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326177809 PECOS PAC ID: 6901860675 Enrollment ID: I20041113000037 |
| Provider Name | Earle M Pescatore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336147693 PECOS PAC ID: 2567426752 Enrollment ID: I20041117000538 |
| Provider Name | Douglas Combs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447218268 PECOS PAC ID: 7012977960 Enrollment ID: I20041130000499 |
| Provider Name | Valerie A Ray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205817046 PECOS PAC ID: 8729044425 Enrollment ID: I20041204000056 |
| Provider Name | John D Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851399976 PECOS PAC ID: 6204803034 Enrollment ID: I20050129000005 |
| Provider Name | Traves Dean Crabtree |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1790703429 PECOS PAC ID: 7113991183 Enrollment ID: I20050216000150 |
| Provider Name | Feiteng Su |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477572733 PECOS PAC ID: 7012962574 Enrollment ID: I20050317000261 |
| Provider Name | Pamela P Friye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639156383 PECOS PAC ID: 8325093479 Enrollment ID: I20050322000415 |
| Provider Name | Jennifer C Hammonds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346200805 PECOS PAC ID: 9931146263 Enrollment ID: I20050408000406 |
| Provider Name | Dareen Daranee Siri |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1730272998 PECOS PAC ID: 8325085434 Enrollment ID: I20050411000804 |
| Provider Name | James Milton Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750368452 PECOS PAC ID: 9032159264 Enrollment ID: I20050506000667 |
| Provider Name | Michael G Jakoby |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770515181 PECOS PAC ID: 3577504422 Enrollment ID: I20050520000277 |
| Provider Name | Ramzi Toufic Nicolas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023090875 PECOS PAC ID: 3678516507 Enrollment ID: I20050602000300 |
| Provider Name | Dharmendra J Nimavat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629052485 PECOS PAC ID: 0143263087 Enrollment ID: I20050602000362 |
| Provider Name | Konstantin Denev |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437131299 PECOS PAC ID: 9234166901 Enrollment ID: I20050725000637 |
| Provider Name | Suzanne Marie Pokrzywinski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528049368 PECOS PAC ID: 1557391703 Enrollment ID: I20050817000847 |
| Provider Name | Steven R Ginos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740298942 PECOS PAC ID: 1456344126 Enrollment ID: I20050822000078 |
| Provider Name | Jeffrey W Cozzens |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750301875 PECOS PAC ID: 2769414325 Enrollment ID: I20050902000431 |
| Provider Name | Jennifer C Edmonds |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760479539 PECOS PAC ID: 3173555695 Enrollment ID: I20050906000916 |
| Provider Name | Michael Hyun-ook Kim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033182795 PECOS PAC ID: 2062460249 Enrollment ID: I20050914001341 |
| Provider Name | Thomas Rebori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649317835 PECOS PAC ID: 2668405143 Enrollment ID: I20050915000021 |
| Provider Name | Marc Stees |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356430458 PECOS PAC ID: 7911932330 Enrollment ID: I20051004000738 |
| Provider Name | Stephen Peter Holland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851470967 PECOS PAC ID: 5890711428 Enrollment ID: I20051021000694 |
| Provider Name | Donald L Yakel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568559359 PECOS PAC ID: 0840217022 Enrollment ID: I20051027000257 |
| Provider Name | Charlene G Shallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295819688 PECOS PAC ID: 7315967833 Enrollment ID: I20051129000904 |
| Provider Name | Joseph Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548485873 PECOS PAC ID: 6103848841 Enrollment ID: I20051222000316 |
| Provider Name | Erin Mara Paris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457336414 PECOS PAC ID: 7416970165 Enrollment ID: I20060109000309 |
| Provider Name | Sara A Lopinski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083918387 PECOS PAC ID: 9436172012 Enrollment ID: I20060110000392 |
| Provider Name | Michael J Karasis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003990953 PECOS PAC ID: 5193748408 Enrollment ID: I20060112000175 |
| Provider Name | Scott Kenneth Schonewolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114996204 PECOS PAC ID: 6002882560 Enrollment ID: I20060126000776 |
| Provider Name | Cara A Gravlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912093816 PECOS PAC ID: 1658388624 Enrollment ID: I20060315000755 |
| Provider Name | Ruta R Kulys |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801865282 PECOS PAC ID: 6901814268 Enrollment ID: I20060328000341 |
| Provider Name | Joseph D Conlon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831131697 PECOS PAC ID: 8224040787 Enrollment ID: I20060627000115 |
| Provider Name | Julie A Fleischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679500292 PECOS PAC ID: 9931017183 Enrollment ID: I20060831000047 |
| 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 | Vinod Alluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279870 PECOS PAC ID: 1254336357 Enrollment ID: I20060925000093 |
| Provider Name | Peter White |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659313823 PECOS PAC ID: 3072518653 Enrollment ID: I20061004000116 |
| Provider Name | Ronald Mark Grady |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821036716 PECOS PAC ID: 2365449105 Enrollment ID: I20061108000576 |
| Provider Name | Jessie Junker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205828084 PECOS PAC ID: 8022016690 Enrollment ID: I20061114000333 |
| Provider Name | Kelly G Powell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922061332 PECOS PAC ID: 7911905427 Enrollment ID: I20061116000539 |
| Provider Name | David Oligschlaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851383418 PECOS PAC ID: 1557270329 Enrollment ID: I20061213000373 |
| Provider Name | Ayame Takahashi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447365440 PECOS PAC ID: 7911906003 Enrollment ID: I20061219000437 |
| Provider Name | Mohammed S Homsi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932272952 PECOS PAC ID: 0143229161 Enrollment ID: I20061220000157 |
| Provider Name | Melissa S Schleder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609959402 PECOS PAC ID: 1759380744 Enrollment ID: I20061221000172 |
| Provider Name | Stacy Lynn Sattovia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114973427 PECOS PAC ID: 6901807007 Enrollment ID: I20070116000123 |
| Provider Name | James H Berman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407820731 PECOS PAC ID: 8729047337 Enrollment ID: I20070328000437 |
| Provider Name | Sayeeda A Jabeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891882601 PECOS PAC ID: 2062517691 Enrollment ID: I20070410000485 |
| Provider Name | Rajagopal V Sreedhar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821211970 PECOS PAC ID: 1759489313 Enrollment ID: I20070605000284 |
| Provider Name | Sherjeel Sana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194847228 PECOS PAC ID: 4183722747 Enrollment ID: I20070605000299 |
| Provider Name | Susan E Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750482121 PECOS PAC ID: 9032210091 Enrollment ID: I20070720000816 |
| Provider Name | Sandra L Ettema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760577902 PECOS PAC ID: 5193826071 Enrollment ID: I20070723000056 |
| Provider Name | Nichole Joy Mirocha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457573388 PECOS PAC ID: 7113028622 Enrollment ID: I20070727000765 |
| Provider Name | Andrew Joseph Yochum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568682649 PECOS PAC ID: 7315048766 Enrollment ID: I20070730000153 |
| Provider Name | Robert Marc Abrams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003016965 PECOS PAC ID: 8224139530 Enrollment ID: I20070730000799 |
| Provider Name | Sajjad Mueed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124182860 PECOS PAC ID: 4183691884 Enrollment ID: I20070808000770 |
| Provider Name | Christopher L Mogren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417147927 PECOS PAC ID: 7214029958 Enrollment ID: I20070824000839 |
| Provider Name | Elizabeth Ramsey Unal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043394729 PECOS PAC ID: 2769575166 Enrollment ID: I20070830000354 |
| Provider Name | Aziz U Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699702316 PECOS PAC ID: 8426141771 Enrollment ID: I20070904000111 |
| Provider Name | Julio Ricardo Loret De Mola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326071887 PECOS PAC ID: 3577500453 Enrollment ID: I20070913000556 |
| Provider Name | Andrea Kay Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972794600 PECOS PAC ID: 6901990464 Enrollment ID: I20070914000665 |
| Provider Name | Edem Stefano Agamah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932147279 PECOS PAC ID: 3173533791 Enrollment ID: I20070915000133 |
| Provider Name | Robert S Mocharnuk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568499770 PECOS PAC ID: 7618061839 Enrollment ID: I20070919000564 |
| Provider Name | Tracy A Stucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518022649 PECOS PAC ID: 8921194259 Enrollment ID: I20071018000374 |
| Provider Name | Lori M Faber |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780650481 PECOS PAC ID: 8325135619 Enrollment ID: I20071102000513 |
| Provider Name | Omar Arturo Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639390388 PECOS PAC ID: 4688761992 Enrollment ID: I20071102000639 |
| Provider Name | Mary Iftner Dobbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235186297 PECOS PAC ID: 6305829391 Enrollment ID: I20071109000030 |
| Provider Name | Douglas Bryon Hood |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679505242 PECOS PAC ID: 4587643119 Enrollment ID: I20071110000116 |
| Provider Name | David B Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386759264 PECOS PAC ID: 1850374109 Enrollment ID: I20080305000101 |
| Provider Name | Jerry L Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295711240 PECOS PAC ID: 9436259058 Enrollment ID: I20080326000046 |
| Provider Name | William G Loveland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417926619 PECOS PAC ID: 2466539168 Enrollment ID: I20080404000549 |
| Provider Name | Mary E Royce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508070442 PECOS PAC ID: 5597707893 Enrollment ID: I20080618000491 |
| Provider Name | Gwyneth S Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215058490 PECOS PAC ID: 7416023833 Enrollment ID: I20080909000684 |
| Provider Name | Samuel A Grampsas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386618833 PECOS PAC ID: 7911075007 Enrollment ID: I20081002000215 |
| Provider Name | Pamela Ann Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679517288 PECOS PAC ID: 7911919287 Enrollment ID: I20081014000713 |
| Provider Name | Vidya Sundareshan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376790733 PECOS PAC ID: 7315005444 Enrollment ID: I20081018000141 |
| Provider Name | Rebecca S Wangard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467618116 PECOS PAC ID: 5395804918 Enrollment ID: I20081111000371 |
| Provider Name | Jarrod Clarke Wall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184695520 PECOS PAC ID: 2860450855 Enrollment ID: I20081119000649 |
| Provider Name | John Hudec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992791032 PECOS PAC ID: 0648333641 Enrollment ID: I20090119000119 |
| Provider Name | Robert L Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306833843 PECOS PAC ID: 9638148737 Enrollment ID: I20090209000305 |
| Provider Name | Ping Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821191594 PECOS PAC ID: 5799784146 Enrollment ID: I20090305000169 |
| Provider Name | Zafar Quader |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124013636 PECOS PAC ID: 3870527401 Enrollment ID: I20090413000332 |
| Provider Name | Amy L Kindred Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407055353 PECOS PAC ID: 9032267802 Enrollment ID: I20090505000270 |
| Provider Name | Zachariah Gurnsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003038423 PECOS PAC ID: 5799836631 Enrollment ID: I20090706000405 |
| Provider Name | Chad A Noggle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063654796 PECOS PAC ID: 6709938673 Enrollment ID: I20090723000711 |
| Provider Name | Jamie M Purdy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790915700 PECOS PAC ID: 6507911658 Enrollment ID: I20090826000331 |
| Provider Name | Mhd Yahia Zeino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528271673 PECOS PAC ID: 5991842213 Enrollment ID: I20091019000636 |
| Provider Name | Gilberto Rodrigo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568653608 PECOS PAC ID: 0749349587 Enrollment ID: I20091105000557 |
| Provider Name | Mary L Hitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528393097 PECOS PAC ID: 4082754684 Enrollment ID: I20091211000432 |
| Provider Name | Rodger Jacob Elble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649251984 PECOS PAC ID: 4981744505 Enrollment ID: I20091211000633 |
| Provider Name | Karen Elizabeth Broquet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750366654 PECOS PAC ID: 6608916226 Enrollment ID: I20091211000642 |
| Provider Name | Dordana E Ingram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508194663 PECOS PAC ID: 7012057466 Enrollment ID: I20091216000459 |
| Provider Name | Lanie Earl Eagleton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205824059 PECOS PAC ID: 1759423577 Enrollment ID: I20100116000104 |
| Provider Name | Joseph Quinn Henkle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629066477 PECOS PAC ID: 6901948728 Enrollment ID: I20100116000126 |
| Provider Name | Gary Michael Rull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154306017 PECOS PAC ID: 5698817468 Enrollment ID: I20100118000185 |
| Provider Name | Casey C Younkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659352656 PECOS PAC ID: 2961544382 Enrollment ID: I20100123000163 |
| Provider Name | Osaretin B Idusuyi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417944091 PECOS PAC ID: 2769524180 Enrollment ID: I20100123000186 |
| Provider Name | Jeffrey I Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265410898 PECOS PAC ID: 2567505530 Enrollment ID: I20100130000278 |
| Provider Name | Gregory Paul Brandt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356326821 PECOS PAC ID: 2860535416 Enrollment ID: I20100204000056 |
| Provider Name | Jan Rakinic |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1457348401 PECOS PAC ID: 4486797032 Enrollment ID: I20100204000066 |
| Provider Name | Thomas A Ala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871584649 PECOS PAC ID: 0547303067 Enrollment ID: I20100205000647 |
| Provider Name | Debra Marie Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467439075 PECOS PAC ID: 3375686710 Enrollment ID: I20100206000230 |
| Provider Name | John Peter Sutyak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679569172 PECOS PAC ID: 4880737287 Enrollment ID: I20100208000438 |
| Provider Name | Erica Elizabeth Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447231493 PECOS PAC ID: 4981749694 Enrollment ID: I20100305000606 |
| Provider Name | Charlene Jane Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255312039 PECOS PAC ID: 3375670227 Enrollment ID: I20100423000593 |
| Provider Name | Sara Beth Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386976298 PECOS PAC ID: 0547397135 Enrollment ID: I20100430000458 |
| Provider Name | Angela K Lafrenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326378175 PECOS PAC ID: 7719016872 Enrollment ID: I20100527000562 |
| Provider Name | Krishna A Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235128109 PECOS PAC ID: 9739219569 Enrollment ID: I20100604000758 |
| Provider Name | Christopher Louis Gleason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649269887 PECOS PAC ID: 1456481282 Enrollment ID: I20100604000782 |
| Provider Name | Andrew Joseph Varney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467437343 PECOS PAC ID: 8224168067 Enrollment ID: I20100604000970 |
| Provider Name | Nicole Zook Sommer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629064746 PECOS PAC ID: 7416087119 Enrollment ID: I20100607000365 |
| Provider Name | Quincy Oneal Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992781710 PECOS PAC ID: 4587794946 Enrollment ID: I20100610000772 |
| Provider Name | Jose A Espinosa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982690632 PECOS PAC ID: 6103956586 Enrollment ID: I20100610000944 |
| Provider Name | Thomas Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912984527 PECOS PAC ID: 0042308173 Enrollment ID: I20100610001001 |
| Provider Name | Janak Koirala |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316935315 PECOS PAC ID: 0749310001 Enrollment ID: I20100611000862 |
| Provider Name | Marci Lynn Moore-connelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851377717 PECOS PAC ID: 3476683731 Enrollment ID: I20100611000865 |
| Provider Name | Bradley Fields Schwartz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821084856 PECOS PAC ID: 5294865556 Enrollment ID: I20100611000867 |
| Provider Name | Sharon Ann Smaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689650566 PECOS PAC ID: 6103956461 Enrollment ID: I20100611000868 |
| Provider Name | Kathleen Mary Bottum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124003025 PECOS PAC ID: 7719017086 Enrollment ID: I20100612000017 |
| Provider Name | Lucinda Sue Buescher |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023011863 PECOS PAC ID: 9436289709 Enrollment ID: I20100612000034 |
| Provider Name | Sriya Kumari Ranatunga |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1689662314 PECOS PAC ID: 6608906979 Enrollment ID: I20100612000052 |
| Provider Name | Stephen Paul Stone |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942203708 PECOS PAC ID: 4789714056 Enrollment ID: I20100612000061 |
| Provider Name | Chad Allen Huston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477534428 PECOS PAC ID: 6406986777 Enrollment ID: I20100612000076 |
| Provider Name | Kevin Thomas Mcvary |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356369185 PECOS PAC ID: 5890825772 Enrollment ID: I20100621000320 |
| Provider Name | Carmel A Fratianni |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033106828 PECOS PAC ID: 6901833409 Enrollment ID: I20100701000658 |
| Provider Name | Christine Yasuko Todd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861477747 PECOS PAC ID: 9830220839 Enrollment ID: I20100707000460 |
| Provider Name | Michael Wallace Neumeister |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326034448 PECOS PAC ID: 6608907613 Enrollment ID: I20100707000548 |
| Provider Name | Kyaw Thet Naing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215913181 PECOS PAC ID: 4183756919 Enrollment ID: I20100714000806 |
| Provider Name | Susan Thompson Hingle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124003124 PECOS PAC ID: 1153453717 Enrollment ID: I20100716000379 |
| Provider Name | Robert Lewis Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861466393 PECOS PAC ID: 9931231487 Enrollment ID: I20100719000473 |
| Provider Name | John A Shoudel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760480750 PECOS PAC ID: 6305979311 Enrollment ID: I20100728000248 |
| Provider Name | Marc Rider Garfinkel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164587994 PECOS PAC ID: 3870643265 Enrollment ID: I20100728001005 |
| Provider Name | Wendy Elaine Gerger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447231212 PECOS PAC ID: 9436282878 Enrollment ID: I20100805000139 |
| Provider Name | Kendra Kay Watts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629059472 PECOS PAC ID: 6800920711 Enrollment ID: I20100813000898 |
| Provider Name | Akshra Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043480304 PECOS PAC ID: 1658405444 Enrollment ID: I20100816000579 |
| Provider Name | Devin Vikram Amin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881649036 PECOS PAC ID: 5890707814 Enrollment ID: I20100819000774 |
| Provider Name | Donna C Canavan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831170695 PECOS PAC ID: 4981728011 Enrollment ID: I20100826000607 |
| Provider Name | Morgan Wilson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538327556 PECOS PAC ID: 2264586783 Enrollment ID: I20100901000405 |
| Provider Name | Melissa J Schutz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497075865 PECOS PAC ID: 0143412833 Enrollment ID: I20101013000805 |
| Provider Name | Timothy Titus Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558463505 PECOS PAC ID: 0345140562 Enrollment ID: I20101019000756 |
| Provider Name | Subhash Chander Chaudhary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073597936 PECOS PAC ID: 3577756675 Enrollment ID: I20101021000633 |
| Provider Name | Meghna Ramesh Desai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609865294 PECOS PAC ID: 2860467966 Enrollment ID: I20101022000768 |
| Provider Name | Laura Bibiana Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679736219 PECOS PAC ID: 7416142997 Enrollment ID: I20101110000207 |
| Provider Name | Alex Gorbonos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538341060 PECOS PAC ID: 0941353908 Enrollment ID: I20101112000451 |
| Provider Name | Arturo Garza-cavazos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336456367 PECOS PAC ID: 0648466193 Enrollment ID: I20101123000164 |
| Provider Name | Beau J Batton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215037494 PECOS PAC ID: 3870789928 Enrollment ID: I20101201000466 |
| Provider Name | Anwar Shafi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487809448 PECOS PAC ID: 7911195086 Enrollment ID: I20101216000675 |
| Provider Name | Justine Holle Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033307780 PECOS PAC ID: 8628266673 Enrollment ID: I20101217000581 |
| Provider Name | Jeanne M Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235431974 PECOS PAC ID: 1254529126 Enrollment ID: I20101217000867 |
| Provider Name | Michelle M Miner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285617456 PECOS PAC ID: 6608064571 Enrollment ID: I20101217000888 |
| Provider Name | Jody H Lack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235351818 PECOS PAC ID: 8325236292 Enrollment ID: I20101217000891 |
| Provider Name | Charmaine Haikaeli Mziray-andrew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225254659 PECOS PAC ID: 9133317001 Enrollment ID: I20101217000900 |
| Provider Name | Craig E Batterman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134101769 PECOS PAC ID: 9638368319 Enrollment ID: I20110111000779 |
| Provider Name | Maha Mikhailwassef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063511095 PECOS PAC ID: 6608972674 Enrollment ID: I20110114000354 |
| Provider Name | Cheryl L Burns |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790081594 PECOS PAC ID: 1951581818 Enrollment ID: I20110209000719 |
| Provider Name | Prasanta L Bhamidipati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851601462 PECOS PAC ID: 3274714845 Enrollment ID: I20110302000507 |
| Provider Name | Anna Maria Lentini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134421506 PECOS PAC ID: 8527241389 Enrollment ID: I20110331000867 |
| Provider Name | Santosh Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942494018 PECOS PAC ID: 3173700432 Enrollment ID: I20110614000434 |
| Provider Name | Laurent Brard |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1346278041 PECOS PAC ID: 3274563861 Enrollment ID: I20110617000610 |
| Provider Name | Kelly A Kendall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396041976 PECOS PAC ID: 2264610179 Enrollment ID: I20110623000720 |
| Provider Name | Isha Tyagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487816161 PECOS PAC ID: 7214106491 Enrollment ID: I20110803000895 |
| Provider Name | Terry F Hatch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427093129 PECOS PAC ID: 9537339593 Enrollment ID: I20110830000388 |
| Provider Name | Nada Nikolic Berry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619198157 PECOS PAC ID: 7416080411 Enrollment ID: I20110831000677 |
| Provider Name | Mingchen Song |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659571487 PECOS PAC ID: 3173794682 Enrollment ID: I20110913000783 |
| Provider Name | Jennifer L Berry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073894812 PECOS PAC ID: 1355512740 Enrollment ID: I20110914000850 |
| Provider Name | Alexander M Hrynewych |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780726430 PECOS PAC ID: 3971774712 Enrollment ID: I20110927000556 |
| Provider Name | Jamie J Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437434289 PECOS PAC ID: 0648444034 Enrollment ID: I20111121000828 |
| Provider Name | Bethany Lynn Tschantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588941645 PECOS PAC ID: 4385819366 Enrollment ID: I20111203000115 |
| Provider Name | David J Rea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245218692 PECOS PAC ID: 8921150665 Enrollment ID: I20111203000122 |
| Provider Name | Amber Nicole Garwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437431368 PECOS PAC ID: 8123294634 Enrollment ID: I20120105000239 |
| Provider Name | James G Glasser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568432250 PECOS PAC ID: 7517099922 Enrollment ID: I20120229000291 |
| Provider Name | Laura K Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023346582 PECOS PAC ID: 0244492981 Enrollment ID: I20120425000815 |
| Provider Name | Jay S Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790760544 PECOS PAC ID: 9234119538 Enrollment ID: I20120510000335 |
| Provider Name | Stacy Renee Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043408313 PECOS PAC ID: 3971765850 Enrollment ID: I20120510000570 |
| Provider Name | Nitin Kukkar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417119918 PECOS PAC ID: 3476716069 Enrollment ID: I20120517000485 |
| Provider Name | Melissa Allisant Nicol |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326326380 PECOS PAC ID: 8224291760 Enrollment ID: I20120521000661 |
| Provider Name | Obiora Edward Onwuameze |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386806453 PECOS PAC ID: 5597921379 Enrollment ID: I20120723000877 |
| Provider Name | Elizabeth Ann Nietert |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619199072 PECOS PAC ID: 4880888056 Enrollment ID: I20120920000687 |
| Provider Name | Joanna Rebecca Rea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487631974 PECOS PAC ID: 3779682372 Enrollment ID: I20120924000566 |
| Provider Name | Tareq Zaza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447287412 PECOS PAC ID: 9638320443 Enrollment ID: I20121102000408 |
| Provider Name | Fariba Javadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538265830 PECOS PAC ID: 2860416583 Enrollment ID: I20121102000419 |
| Provider Name | Ahmed M El-zawahry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982792669 PECOS PAC ID: 7113198433 Enrollment ID: I20121110000045 |
| Provider Name | Teresa A Fesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437402575 PECOS PAC ID: 8022261569 Enrollment ID: I20130110000617 |
| Provider Name | Ravishankar Hasanadka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699858068 PECOS PAC ID: 7618148289 Enrollment ID: I20130116000264 |
| Provider Name | Ashish Moonat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063670362 PECOS PAC ID: 6901051168 Enrollment ID: I20130220000096 |
| Provider Name | Manjula V Burri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619172228 PECOS PAC ID: 1658311873 Enrollment ID: I20130302000020 |
| Provider Name | Mohammed Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639456122 PECOS PAC ID: 8729224720 Enrollment ID: I20130417000630 |
| Provider Name | Martha Lynn Hlafka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215162102 PECOS PAC ID: 3375707755 Enrollment ID: I20130514000469 |
| Provider Name | Ahmad Jibawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346551892 PECOS PAC ID: 6608014717 Enrollment ID: I20130531000477 |
| Provider Name | Justin Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730490111 PECOS PAC ID: 4688813595 Enrollment ID: I20130625000187 |
| Provider Name | Assaad Youssef Semaan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1841457975 PECOS PAC ID: 7618117961 Enrollment ID: I20130709000625 |
| Provider Name | Rebecca Jean Larson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063674588 PECOS PAC ID: 8820239205 Enrollment ID: I20130726000723 |
| Provider Name | Ramzi Souki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386807451 PECOS PAC ID: 3274774591 Enrollment ID: I20130730000487 |
| Provider Name | Robert C Welliver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124287651 PECOS PAC ID: 7810130721 Enrollment ID: I20130826000041 |
| Provider Name | Rama Poola |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932362241 PECOS PAC ID: 4789746595 Enrollment ID: I20131001000069 |
| Provider Name | Hamid Uwaidha Al-johany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912218702 PECOS PAC ID: 7315172798 Enrollment ID: I20131022000185 |
| Provider Name | Ashley N Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689016297 PECOS PAC ID: 0941435218 Enrollment ID: I20131029000885 |
| Provider Name | Peter S Kieffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639194053 PECOS PAC ID: 3678595303 Enrollment ID: I20131114000114 |
| Provider Name | Dawn Michelle Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336222306 PECOS PAC ID: 8729011903 Enrollment ID: I20131226000272 |
| Provider Name | Dominique R Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629490081 PECOS PAC ID: 6002046935 Enrollment ID: I20140220000660 |
| Provider Name | Patricia Marie Fank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629499769 PECOS PAC ID: 1052541869 Enrollment ID: I20140222000370 |
| Provider Name | Nicole L Atwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322209 PECOS PAC ID: 0042440851 Enrollment ID: I20140222000390 |
| Provider Name | Emily Suzanne Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831430347 PECOS PAC ID: 6305077694 Enrollment ID: I20140331000925 |
| Provider Name | Lorie Ann Sporrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053739201 PECOS PAC ID: 4486886702 Enrollment ID: I20140418000654 |
| Provider Name | Erica E Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932364551 PECOS PAC ID: 2567695968 Enrollment ID: I20140509001997 |
| Provider Name | Cindy Lee Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134547367 PECOS PAC ID: 8527291848 Enrollment ID: I20140512000718 |
| Provider Name | Tamer Hudali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770863615 PECOS PAC ID: 9739303157 Enrollment ID: I20140604002222 |
| Provider Name | Eric Richard Black |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245323005 PECOS PAC ID: 8123242070 Enrollment ID: I20140616000342 |
| Provider Name | Vidhya Prakash |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528285798 PECOS PAC ID: 8628292588 Enrollment ID: I20140616000535 |
| Provider Name | Mukul Bhattarai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013204262 PECOS PAC ID: 9830314335 Enrollment ID: I20140625001005 |
| Provider Name | Ginger Lee Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699192526 PECOS PAC ID: 2668697186 Enrollment ID: I20140625001768 |
| Provider Name | Kristen Zaghig Leadbetter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083877088 PECOS PAC ID: 3971729526 Enrollment ID: I20140717001131 |
| Provider Name | Adam Joseph Reid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922290451 PECOS PAC ID: 9335365568 Enrollment ID: I20140724001558 |
| Provider Name | Anna Marie Hickey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326386921 PECOS PAC ID: 9537385620 Enrollment ID: I20140725001364 |
| Provider Name | Nitin C Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144267865 PECOS PAC ID: 7113816752 Enrollment ID: I20140730001685 |
| Provider Name | Ryan Matthew Majcina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619026135 PECOS PAC ID: 7517018500 Enrollment ID: I20140801001085 |
| Provider Name | Sapan Sharankishor Desai |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700088234 PECOS PAC ID: 5294902532 Enrollment ID: I20140805003030 |
| Provider Name | Seleena Meher Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902043334 PECOS PAC ID: 1759508955 Enrollment ID: I20140812001834 |
| Provider Name | Breanne Frieze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508282559 PECOS PAC ID: 3870710841 Enrollment ID: I20140814002436 |
| Provider Name | Rexanne Lagare Caga-anan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386933877 PECOS PAC ID: 5496973943 Enrollment ID: I20140826001327 |
| Provider Name | Carrie Ann West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689092546 PECOS PAC ID: 4385863844 Enrollment ID: I20140915002150 |
| Provider Name | Krati Chauhan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710148481 PECOS PAC ID: 0648440552 Enrollment ID: I20140923001430 |
| Provider Name | Omar Al-heeti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083903645 PECOS PAC ID: 0244450245 Enrollment ID: I20140925000186 |
| Provider Name | Dodie Lynn Gazda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376881136 PECOS PAC ID: 1557581444 Enrollment ID: I20140926001502 |
| Provider Name | Douglas William Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669490132 PECOS PAC ID: 4688705726 Enrollment ID: I20141003001623 |
| Provider Name | Sarah Graham Majcina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447460456 PECOS PAC ID: 7719010214 Enrollment ID: I20141006001936 |
| Provider Name | Venkateswara Prasad Poola |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821248881 PECOS PAC ID: 8123152220 Enrollment ID: I20141017001840 |
| Provider Name | Dana Lynn Crosby |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144483900 PECOS PAC ID: 9234371907 Enrollment ID: I20141104001522 |
| Provider Name | Sacharitha Bowers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306067533 PECOS PAC ID: 2567509227 Enrollment ID: I20141113000912 |
| Provider Name | Najib Murr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831319862 PECOS PAC ID: 6800067265 Enrollment ID: I20141203002676 |
| Provider Name | Sheref Unal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730297607 PECOS PAC ID: 9830111491 Enrollment ID: I20141222002072 |
| Provider Name | Funminiyi Anne Ajayi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588649321 PECOS PAC ID: 8325015126 Enrollment ID: I20150203002342 |
| Provider Name | Nassir Hm Monim Mansour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790923951 PECOS PAC ID: 1355666736 Enrollment ID: I20150205001097 |
| Provider Name | Mary Kathleen Zielke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467841338 PECOS PAC ID: 2365767704 Enrollment ID: I20150206000920 |
| Provider Name | Ranjiv Ignatius Mathews |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447200357 PECOS PAC ID: 6103954185 Enrollment ID: I20150317000990 |
| Provider Name | Christopher James Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447514971 PECOS PAC ID: 3072751734 Enrollment ID: I20150327002475 |
| Provider Name | Ashish Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780847384 PECOS PAC ID: 5698991164 Enrollment ID: I20150521002711 |
| Provider Name | Leah R Boon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255728242 PECOS PAC ID: 8628399250 Enrollment ID: I20150608000633 |
| Provider Name | Celine Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184002867 PECOS PAC ID: 7012238652 Enrollment ID: I20150608001131 |
| Provider Name | Jennifer Lynn Rimar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467858514 PECOS PAC ID: 4486975737 Enrollment ID: I20150611001840 |
| Provider Name | Kaylie A Caswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578950101 PECOS PAC ID: 5193046456 Enrollment ID: I20150611002297 |
| Provider Name | Schuyler Whitney Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750645263 PECOS PAC ID: 8921249418 Enrollment ID: I20150625001456 |
| Provider Name | Khalid Naseer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851341366 PECOS PAC ID: 9335177047 Enrollment ID: I20150630001727 |
| Provider Name | Sameer Saifee Vohra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841585783 PECOS PAC ID: 0648582460 Enrollment ID: I20150708001866 |
| Provider Name | Robert Dons |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508905928 PECOS PAC ID: 4183765431 Enrollment ID: I20150708002450 |
| Provider Name | Jessica J Dour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639561285 PECOS PAC ID: 3476867532 Enrollment ID: I20150803001279 |
| Provider Name | Momin Saulat Siddique |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184852089 PECOS PAC ID: 2062727167 Enrollment ID: I20150819007111 |
| Provider Name | John Mark Flack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164450987 PECOS PAC ID: 2264344688 Enrollment ID: I20150819007418 |
| Provider Name | Amelia Mathews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700806338 PECOS PAC ID: 5496760118 Enrollment ID: I20150819007743 |
| Provider Name | Prashanth Porayette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841425568 PECOS PAC ID: 7113166794 Enrollment ID: I20150825005789 |
| Provider Name | Venkata S. Pendyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831444553 PECOS PAC ID: 3476869082 Enrollment ID: I20150827001221 |
| Provider Name | Sana Waqar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205157740 PECOS PAC ID: 3577879196 Enrollment ID: I20150827001575 |
| Provider Name | Johnny C Tenegra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134483936 PECOS PAC ID: 6204077001 Enrollment ID: I20150902000958 |
| Provider Name | Amy Durako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871987750 PECOS PAC ID: 1850611492 Enrollment ID: I20150928000745 |
| Provider Name | Matthew David Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881824647 PECOS PAC ID: 8921231408 Enrollment ID: I20151123000521 |
| Provider Name | Mohamed Farooq Ahamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346507001 PECOS PAC ID: 9537460910 Enrollment ID: I20151209002744 |
| Provider Name | Youssef Fahd El Bitar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750669354 PECOS PAC ID: 3971808593 Enrollment ID: I20160219000654 |
| Provider Name | Shreepada Tripathy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306145099 PECOS PAC ID: 4981902665 Enrollment ID: I20160413000696 |
| Provider Name | Nicole S Soper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073969044 PECOS PAC ID: 0749573277 Enrollment ID: I20160721001040 |
| Provider Name | Kimberly Nichole Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033375605 PECOS PAC ID: 1052589454 Enrollment ID: I20160728002282 |
| Provider Name | Jongjin Anne Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730443334 PECOS PAC ID: 5092019265 Enrollment ID: I20160729000380 |
| Provider Name | Ehab Ghassan Dababneh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003255308 PECOS PAC ID: 6002058492 Enrollment ID: I20160805001078 |
| Provider Name | Verghese Mathew |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093795627 PECOS PAC ID: 9436245594 Enrollment ID: I20160805001710 |
| Provider Name | Samantha Dial |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669767562 PECOS PAC ID: 2860638426 Enrollment ID: I20160819000400 |
| Provider Name | Michael Jon Thomas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386872307 PECOS PAC ID: 3577702398 Enrollment ID: I20160830000784 |
| Provider Name | Youssef Georges Chami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801875588 PECOS PAC ID: 8224013560 Enrollment ID: I20160830000993 |
| Provider Name | Abhishek Kalidas Kulkarni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437399391 PECOS PAC ID: 0446418990 Enrollment ID: I20160830001370 |
| Provider Name | Mehul Alkesh Trivedi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144665993 PECOS PAC ID: 8022303007 Enrollment ID: I20160830001778 |
| Provider Name | Hillary D Danenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073965570 PECOS PAC ID: 4587950506 Enrollment ID: I20160831000274 |
| Provider Name | Laura A Hickenbottom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043617665 PECOS PAC ID: 8628394954 Enrollment ID: I20160831000536 |
| Provider Name | Brandt David Whitehurst |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700107232 PECOS PAC ID: 0941457808 Enrollment ID: I20160902000156 |
| Provider Name | Kari Marguerite Wolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083648471 PECOS PAC ID: 0941219372 Enrollment ID: I20160907000971 |
| Provider Name | Andrew Stephen Cluster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245542869 PECOS PAC ID: 0749574382 Enrollment ID: I20160922001599 |
| Provider Name | Aysha Rafaquat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528409034 PECOS PAC ID: 2567750391 Enrollment ID: I20161011003130 |
| Provider Name | Kathy Jean Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457704025 PECOS PAC ID: 1254629751 Enrollment ID: I20161017002079 |
| Provider Name | Jennifer K Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942640438 PECOS PAC ID: 0244456259 Enrollment ID: I20161017002269 |
| Provider Name | Jesse Tao Buedefeldt-pollard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669768644 PECOS PAC ID: 2062651953 Enrollment ID: I20161019001420 |
| Provider Name | Deidra D Frisbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871043703 PECOS PAC ID: 2961781513 Enrollment ID: I20161122001867 |
| Provider Name | Ashley T Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770931495 PECOS PAC ID: 7214217538 Enrollment ID: I20161202001067 |
| Provider Name | Julie C Borjon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265974604 PECOS PAC ID: 5991085896 Enrollment ID: I20161212001670 |
| Provider Name | Loralee Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174075147 PECOS PAC ID: 7012298482 Enrollment ID: I20161222000676 |
| Provider Name | Adrienn Elizabeth Myers-woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245774132 PECOS PAC ID: 8224310750 Enrollment ID: I20170118001583 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20170130000865 |
| Provider Name | Max A Baier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972589919 PECOS PAC ID: 3173805058 Enrollment ID: I20170130001618 |
| Provider Name | Ashleigh J Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518403716 PECOS PAC ID: 3971886524 Enrollment ID: I20170206002833 |
| Provider Name | Giuseppe Gioia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932188729 PECOS PAC ID: 6103894514 Enrollment ID: I20170306001974 |
| Provider Name | Sanober Parveen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467894527 PECOS PAC ID: 3678872959 Enrollment ID: I20170407000093 |
| Provider Name | Sandra L Yockey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427132190 PECOS PAC ID: 2466738232 Enrollment ID: I20170410001236 |
| Provider Name | Carrie Elizabeth Janus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831639194 PECOS PAC ID: 9133405491 Enrollment ID: I20170421000621 |
| Provider Name | Ryan Cyril Pate |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801017744 PECOS PAC ID: 2264556646 Enrollment ID: I20170425002831 |
| Provider Name | Waqas Azhar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598172140 PECOS PAC ID: 4385912344 Enrollment ID: I20170615000442 |
| Provider Name | Abdul Moiz Hafiz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225397219 PECOS PAC ID: 7517262488 Enrollment ID: I20170713003398 |
| Provider Name | Zainab Obaidi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891102505 PECOS PAC ID: 3072883685 Enrollment ID: I20170713003634 |
| Provider Name | Beenish Nazir Hafiz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215296215 PECOS PAC ID: 1456575042 Enrollment ID: I20170713003665 |
| Provider Name | Hadoun Jabri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679828925 PECOS PAC ID: 8325318934 Enrollment ID: I20170713003694 |
| Provider Name | Jacob Aloysius Varney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972910172 PECOS PAC ID: 0941427983 Enrollment ID: I20170714000304 |
| Provider Name | Christa L Borgman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598179624 PECOS PAC ID: 1850519547 Enrollment ID: I20170714001515 |
| Provider Name | Stacie Renee Gregory |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336436435 PECOS PAC ID: 2961642368 Enrollment ID: I20170714001613 |
| Provider Name | Robert Henry Blackwell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346569480 PECOS PAC ID: 8123320579 Enrollment ID: I20170714002337 |
| Provider Name | Hesham Allam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669784559 PECOS PAC ID: 6709156292 Enrollment ID: I20170717000361 |
| Provider Name | Shaylee J Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134660723 PECOS PAC ID: 2668742131 Enrollment ID: I20170717003392 |
| Provider Name | Joseph P Schowalter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811213473 PECOS PAC ID: 7012218373 Enrollment ID: I20170718000492 |
| Provider Name | Sevann Helo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144588302 PECOS PAC ID: 1557632163 Enrollment ID: I20170731003493 |
| Provider Name | Sebastian Strobel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346444759 PECOS PAC ID: 7517108426 Enrollment ID: I20170801002941 |
| Provider Name | Louis Kienzler Graham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699039404 PECOS PAC ID: 6305071507 Enrollment ID: I20170808000191 |
| Provider Name | Abdul Monem Swied |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033642509 PECOS PAC ID: 4688945736 Enrollment ID: I20170808000811 |
| Provider Name | Megan D Siegrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992227417 PECOS PAC ID: 3577834670 Enrollment ID: I20170808003059 |
| Provider Name | Dorcas Oludimimu Adaramola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447515374 PECOS PAC ID: 8426298498 Enrollment ID: I20170821000155 |
| Provider Name | Abdullah Alsawaf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023376951 PECOS PAC ID: 4789998857 Enrollment ID: I20170821001400 |
| Provider Name | Nathaniel Winer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245225598 PECOS PAC ID: 1052413671 Enrollment ID: I20170918003570 |
| Provider Name | Schola Nwachukwu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548555782 PECOS PAC ID: 0244552537 Enrollment ID: I20170925000801 |
| Provider Name | Kelsey L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164953352 PECOS PAC ID: 5597039800 Enrollment ID: I20170926002242 |
| Provider Name | Roger Hoon Kim |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225237704 PECOS PAC ID: 5799821880 Enrollment ID: I20170927003463 |
| Provider Name | Nicholas Nasry Tadros |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114185394 PECOS PAC ID: 8022255157 Enrollment ID: I20170928003125 |
| Provider Name | Jessica Sestak Winkleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043741234 PECOS PAC ID: 2365717436 Enrollment ID: I20170929001906 |
| Provider Name | Henry Adekola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104196641 PECOS PAC ID: 0547574600 Enrollment ID: I20171018000043 |
| Provider Name | Ezzeldin A Saleh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417951971 PECOS PAC ID: 5890876411 Enrollment ID: I20171106000257 |
| Provider Name | Dawn Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740481118 PECOS PAC ID: 0941473599 Enrollment ID: I20171122001544 |
| Provider Name | Mohamed Rafa Labedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043537871 PECOS PAC ID: 4183875859 Enrollment ID: I20171211001074 |
| Provider Name | Andrew John Hossler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710392428 PECOS PAC ID: 6901021799 Enrollment ID: I20171212000827 |
| Provider Name | Caitlen Elizabeth Despain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588186084 PECOS PAC ID: 0345508529 Enrollment ID: I20171215001661 |
| Provider Name | Ray S Sawaqed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023109899 PECOS PAC ID: 4688605553 Enrollment ID: I20180103002410 |
| Provider Name | Rachel M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083005722 PECOS PAC ID: 6305163544 Enrollment ID: I20180109000412 |
| Provider Name | Carlos F Sanchez Glanville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336395904 PECOS PAC ID: 3678853470 Enrollment ID: I20180119002289 |
| Provider Name | Kathleen A Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629585237 PECOS PAC ID: 8820358229 Enrollment ID: I20180202001626 |
| Provider Name | Kathleen Ann Mchale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922024793 PECOS PAC ID: 2062474869 Enrollment ID: I20180222000631 |
| Provider Name | Alexander David Raw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316387947 PECOS PAC ID: 0840551487 Enrollment ID: I20180222002873 |
| Provider Name | Katy Jane Brown |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396987699 PECOS PAC ID: 4486873296 Enrollment ID: I20180226000649 |
| Provider Name | Alarmelu Sambandam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194767772 PECOS PAC ID: 1658375605 Enrollment ID: I20180301000038 |
| Provider Name | Hannah J. Bettis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922596568 PECOS PAC ID: 6608131537 Enrollment ID: I20180524002262 |
| Provider Name | Ahmed T Sokrab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730594094 PECOS PAC ID: 8729206792 Enrollment ID: I20180530001685 |
| Provider Name | Basar Cenik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013350446 PECOS PAC ID: 8123383528 Enrollment ID: I20180606002340 |
| Provider Name | Mohammad Al-akchar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730561903 PECOS PAC ID: 4284980467 Enrollment ID: I20180629002224 |
| Provider Name | Pele Boutrous Dina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275898116 PECOS PAC ID: 2062651946 Enrollment ID: I20180630000091 |
| Provider Name | Keisha Leshon Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396184446 PECOS PAC ID: 9830495142 Enrollment ID: I20180702000087 |
| Provider Name | Bilal Butt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184979551 PECOS PAC ID: 8729380654 Enrollment ID: I20180702002029 |
| Provider Name | Randy K Sulaver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982968756 PECOS PAC ID: 0042450652 Enrollment ID: I20180710000080 |
| Provider Name | Debra Doud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972894590 PECOS PAC ID: 1850562786 Enrollment ID: I20180723001749 |
| Provider Name | Kowsika Movva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023490950 PECOS PAC ID: 2567775406 Enrollment ID: I20180727000169 |
| Provider Name | Haneme Idrizi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649215344 PECOS PAC ID: 4082875273 Enrollment ID: I20180814002515 |
| Provider Name | Ruchika Goel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912160151 PECOS PAC ID: 7911142328 Enrollment ID: I20180814003680 |
| Provider Name | Terah Louise Holland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851706824 PECOS PAC ID: 6608166723 Enrollment ID: I20180817000683 |
| Provider Name | Janese Laster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679839047 PECOS PAC ID: 4486903895 Enrollment ID: I20180817002494 |
| Provider Name | Carmen Orellana Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205191988 PECOS PAC ID: 8527206648 Enrollment ID: I20180818000026 |
| Provider Name | Yoon Jae Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821229584 PECOS PAC ID: 3971742958 Enrollment ID: I20180820000423 |
| Provider Name | Lindsey Leigh Saint |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386871069 PECOS PAC ID: 1456529437 Enrollment ID: I20180820000801 |
| Provider Name | Danielle Oros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265927313 PECOS PAC ID: 3072863778 Enrollment ID: I20180829004483 |
| Provider Name | Ibrahim Binalsheikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578741922 PECOS PAC ID: 6901023712 Enrollment ID: I20180906000601 |
| Provider Name | Mary Katherine Scott Siebenaler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568807618 PECOS PAC ID: 8325281777 Enrollment ID: I20180925000305 |
| Provider Name | Lori A Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043790306 PECOS PAC ID: 2365794922 Enrollment ID: I20181009001818 |
| Provider Name | Nevin I Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285110213 PECOS PAC ID: 5597017194 Enrollment ID: I20181010000107 |
| Provider Name | Evans M Mutua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265917371 PECOS PAC ID: 8729331228 Enrollment ID: I20181031000843 |
| Provider Name | Myra E Tosh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982828125 PECOS PAC ID: 5496008708 Enrollment ID: I20181101002969 |
| Provider Name | Christina N High |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730664053 PECOS PAC ID: 9638413156 Enrollment ID: I20181210001831 |
| Provider Name | Mariam Murtaza Ali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811338841 PECOS PAC ID: 8224373865 Enrollment ID: I20181231000040 |
| Provider Name | Taylor W Stone |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518319177 PECOS PAC ID: 2769775220 Enrollment ID: I20190329000042 |
| Provider Name | Michelle Lee Geiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114402518 PECOS PAC ID: 4486995693 Enrollment ID: I20190416000672 |
| Provider Name | Sonaina Imtiaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376959510 PECOS PAC ID: 8820216427 Enrollment ID: I20190617003068 |
| Provider Name | Ramprasad Jegadeesan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437590866 PECOS PAC ID: 5991090821 Enrollment ID: I20190626001853 |
| Provider Name | Ahmed Mohamed Torky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891137394 PECOS PAC ID: 2769716653 Enrollment ID: I20190626002788 |
| Provider Name | Nauman Jahangir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265818405 PECOS PAC ID: 2163714098 Enrollment ID: I20190627000071 |
| Provider Name | Todd A Diebold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689081861 PECOS PAC ID: 3274759956 Enrollment ID: I20190628000270 |
| Provider Name | Kaci Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427439363 PECOS PAC ID: 1254648140 Enrollment ID: I20190628000834 |
| Provider Name | Arindam Chakrabarty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063896819 PECOS PAC ID: 6800190687 Enrollment ID: I20190701000145 |
| Provider Name | Meredith Volle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295182467 PECOS PAC ID: 1557655354 Enrollment ID: I20190711000342 |
| Provider Name | Benjamin James Rejowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306286703 PECOS PAC ID: 4587805890 Enrollment ID: I20190711003274 |
| Provider Name | Jeremy Edmund Kulacz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336551100 PECOS PAC ID: 8426275074 Enrollment ID: I20190712001182 |
| Provider Name | Kalyan Kandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437533098 PECOS PAC ID: 0042526220 Enrollment ID: I20190712001505 |
| Provider Name | Mohammad Junaid Hussain |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427242767 PECOS PAC ID: 7012101843 Enrollment ID: I20190712001914 |
| Provider Name | Michael Robert Ruebhausen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942649819 PECOS PAC ID: 0648574343 Enrollment ID: I20190718000794 |
| Provider Name | Adam William Berry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336521483 PECOS PAC ID: 7416252689 Enrollment ID: I20190723002321 |
| Provider Name | Kristina Epplin Sondgeroth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992068845 PECOS PAC ID: 0648569905 Enrollment ID: I20190725003799 |
| Provider Name | Audrey Thursby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356993372 PECOS PAC ID: 2365778388 Enrollment ID: I20190730001133 |
| Provider Name | Amanda M Clouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164087276 PECOS PAC ID: 5991031767 Enrollment ID: I20190731003678 |
| Provider Name | Haylie A Damhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245897255 PECOS PAC ID: 8527394261 Enrollment ID: I20190801002517 |
| Provider Name | Emily M Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891352126 PECOS PAC ID: 4486980174 Enrollment ID: I20190802000772 |
| Provider Name | Melanie Lynne Barnard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043625270 PECOS PAC ID: 9032335369 Enrollment ID: I20190805000157 |
| Provider Name | Nathalie Emma Marie Foray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013356930 PECOS PAC ID: 3375785769 Enrollment ID: I20190805001809 |
| Provider Name | Christopher Lawrance |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851602684 PECOS PAC ID: 3779810320 Enrollment ID: I20190806001204 |
| Provider Name | Andrew Corkery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104277607 PECOS PAC ID: 0143516286 Enrollment ID: I20190815000236 |
| Provider Name | Shaheen Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972953107 PECOS PAC ID: 8921337874 Enrollment ID: I20190903001011 |
| Provider Name | Jordan Sestak Bruce |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528440724 PECOS PAC ID: 8921311986 Enrollment ID: I20190916000291 |
| Provider Name | Stephanie P Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245720705 PECOS PAC ID: 9032457643 Enrollment ID: I20190918002664 |
| Provider Name | Madeline Mier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891157921 PECOS PAC ID: 6901192152 Enrollment ID: I20191002002300 |
| Provider Name | Oritsegbubemi Eghosa Adekola |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992074298 PECOS PAC ID: 4688822349 Enrollment ID: I20191024000420 |
| Provider Name | Theresa Diane Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215450812 PECOS PAC ID: 0143552984 Enrollment ID: I20191029001732 |
| Provider Name | Kara N Babaian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194915066 PECOS PAC ID: 7719165398 Enrollment ID: I20191106002498 |
| Provider Name | Amal Asiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376822486 PECOS PAC ID: 0345537544 Enrollment ID: I20191113001241 |
| Provider Name | Ryan Mccarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013368646 PECOS PAC ID: 2264729375 Enrollment ID: I20191114000140 |
| Provider Name | Taryn Plummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487202479 PECOS PAC ID: 5092148171 Enrollment ID: I20191203002027 |
| Provider Name | Troy L. Spilde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871766493 PECOS PAC ID: 6305913104 Enrollment ID: I20191211001845 |
| Provider Name | Amanda Joann Mcdannald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750926077 PECOS PAC ID: 5092148643 Enrollment ID: I20191212000606 |
| Provider Name | Lindsay B Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730724972 PECOS PAC ID: 8325471980 Enrollment ID: I20191212001221 |
| Provider Name | Kalyan C Potu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861834897 PECOS PAC ID: 8527297704 Enrollment ID: I20191213001345 |
| Provider Name | Ahmad El Kouzi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861834152 PECOS PAC ID: 3678866225 Enrollment ID: I20191223000014 |
| Provider Name | Ahmed Mami |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114034352 PECOS PAC ID: 8628061918 Enrollment ID: I20200123000653 |
| Provider Name | Harini Rathinamanickam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871722116 PECOS PAC ID: 3072829159 Enrollment ID: I20200123002974 |
| Provider Name | Audra M Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437798899 PECOS PAC ID: 5395171193 Enrollment ID: I20200213001888 |
| Provider Name | Afaq Motiwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205185345 PECOS PAC ID: 0941503916 Enrollment ID: I20200217004206 |
| Provider Name | Charlyn K Ware |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174934269 PECOS PAC ID: 7416384284 Enrollment ID: I20200218000769 |
| Provider Name | Sydney J Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710527908 PECOS PAC ID: 8426485178 Enrollment ID: I20200219001755 |
| Provider Name | Mariyah Z Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285083931 PECOS PAC ID: 9234422882 Enrollment ID: I20200219002936 |
| Provider Name | Mohsin Salih |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326488594 PECOS PAC ID: 3274835020 Enrollment ID: I20200227001123 |
| Provider Name | Mark W Graves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285702308 PECOS PAC ID: 3870668874 Enrollment ID: I20200228001722 |
| Provider Name | Anshul Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902288988 PECOS PAC ID: 6103177399 Enrollment ID: I20200505001268 |
| Provider Name | Caitlyn Berg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740710029 PECOS PAC ID: 2365712916 Enrollment ID: I20200511002003 |
| Provider Name | Eshan Samuel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164831186 PECOS PAC ID: 5890915136 Enrollment ID: I20200511002735 |
| Provider Name | Priyanka Bhandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417305277 PECOS PAC ID: 5698067551 Enrollment ID: I20200527001280 |
| Provider Name | Kendra Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649581570 PECOS PAC ID: 4385886381 Enrollment ID: I20200602000369 |
| Provider Name | Maria Monn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518377233 PECOS PAC ID: 8527283662 Enrollment ID: I20200608000721 |
| Provider Name | Amy N Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013536804 PECOS PAC ID: 2567883077 Enrollment ID: I20200608002878 |
| Provider Name | Alphonso Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437773454 PECOS PAC ID: 9739501156 Enrollment ID: I20200611003005 |
| Provider Name | Madeleine Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427683903 PECOS PAC ID: 9032531488 Enrollment ID: I20200612000995 |
| Provider Name | Fawwad I Zaidi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881924702 PECOS PAC ID: 6204090228 Enrollment ID: I20200616000838 |
| Provider Name | Jennifer Inness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215551320 PECOS PAC ID: 7214359389 Enrollment ID: I20200617003412 |
| Provider Name | Ashley Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073148375 PECOS PAC ID: 3779905567 Enrollment ID: I20200624001847 |
| Provider Name | Christina Hubbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669004370 PECOS PAC ID: 2769805084 Enrollment ID: I20200706000637 |
| Provider Name | Kylee C Wassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689216491 PECOS PAC ID: 0840613048 Enrollment ID: I20200707000785 |
| Provider Name | Julie Michelle Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043776958 PECOS PAC ID: 1951724053 Enrollment ID: I20200708001859 |
| Provider Name | Mary Francine Chua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844827 PECOS PAC ID: 6709199904 Enrollment ID: I20200710000804 |
| Provider Name | Amanda Magerl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578112363 PECOS PAC ID: 4688097413 Enrollment ID: I20200713000162 |
| Provider Name | Najwa Pervin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811304066 PECOS PAC ID: 9133440506 Enrollment ID: I20200721001679 |
| Provider Name | Shruti Hegde |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295143725 PECOS PAC ID: 7618268566 Enrollment ID: I20200723001326 |
| Provider Name | Katie J Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912562109 PECOS PAC ID: 0840615209 Enrollment ID: I20200731001600 |
| Provider Name | Lillian J Houston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093919714 PECOS PAC ID: 5294893038 Enrollment ID: I20200904000300 |
| Provider Name | Emily Catherine Sturm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013357987 PECOS PAC ID: 3870735665 Enrollment ID: I20200910000869 |
| Provider Name | Amanda Krus-johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255781886 PECOS PAC ID: 9335431295 Enrollment ID: I20200915003567 |
| Provider Name | Lamya S Mubayed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447686415 PECOS PAC ID: 2860619459 Enrollment ID: I20200928002839 |
| Provider Name | Sarah Elizabeth Halsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609486802 PECOS PAC ID: 5193145373 Enrollment ID: I20201009002013 |
| Provider Name | Omar Zuhair Abdulfattah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205259330 PECOS PAC ID: 1759701675 Enrollment ID: I20201015000033 |
| Provider Name | Zainab Alnafoosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124401070 PECOS PAC ID: 7810230794 Enrollment ID: I20201016000753 |
| Provider Name | Emily A Davidsmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659981629 PECOS PAC ID: 8729408042 Enrollment ID: I20201026001058 |
| Provider Name | Eileen Anna Ciccia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497013767 PECOS PAC ID: 1759683279 Enrollment ID: I20201029000193 |
| Provider Name | Ashley Abraham |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285900423 PECOS PAC ID: 8426359324 Enrollment ID: I20201104000675 |
| Provider Name | Robin E Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831798933 PECOS PAC ID: 9931519857 Enrollment ID: I20201104002666 |
| Provider Name | Whitney C Ringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891308185 PECOS PAC ID: 9537579388 Enrollment ID: I20201105000993 |
| Provider Name | Andrea Dawn Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316559529 PECOS PAC ID: 6709297013 Enrollment ID: I20201117002685 |
| Provider Name | Jodi Lynn Isley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013564962 PECOS PAC ID: 2860803004 Enrollment ID: I20201119002096 |
| Provider Name | Katherine G Brockhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343648 PECOS PAC ID: 7517378151 Enrollment ID: I20201202002881 |
| Provider Name | Alexandra L Huddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922609437 PECOS PAC ID: 9739591850 Enrollment ID: I20201215001035 |
| Provider Name | Breanne L Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982205514 PECOS PAC ID: 4385056092 Enrollment ID: I20201221002210 |
| Provider Name | Megan E Strohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073122594 PECOS PAC ID: 3779995436 Enrollment ID: I20201222001570 |
| Provider Name | Corrie M Pirtle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861097255 PECOS PAC ID: 6800200403 Enrollment ID: I20210121002552 |
| Provider Name | Brian Ross Stotter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649619453 PECOS PAC ID: 3577852888 Enrollment ID: I20210125003147 |
| Provider Name | Yasser Sa D Abdelrahman Al-khadra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891104915 PECOS PAC ID: 1052698826 Enrollment ID: I20210203000800 |
| Provider Name | Kyle J Fiorito |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518516749 PECOS PAC ID: 5496180879 Enrollment ID: I20210212001138 |
| Provider Name | Sheena R Hoadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467042507 PECOS PAC ID: 6608281191 Enrollment ID: I20210216000128 |
| Provider Name | Mohammad Mahmoud |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376960302 PECOS PAC ID: 4183915507 Enrollment ID: I20210324003261 |
| Provider Name | William Robinson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881814762 PECOS PAC ID: 9537215942 Enrollment ID: I20210408001491 |
| Provider Name | Emily Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265026538 PECOS PAC ID: 6305255050 Enrollment ID: I20210510000566 |
| Provider Name | Elisabeth C Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427268283 PECOS PAC ID: 3678721867 Enrollment ID: I20210512002952 |
| Provider Name | Vanessa Larraine Williams |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306297130 PECOS PAC ID: 1658663513 Enrollment ID: I20210514000033 |
| Provider Name | Asad Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417440710 PECOS PAC ID: 3476801804 Enrollment ID: I20210518001794 |
| Provider Name | Ahmed Ali Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861947871 PECOS PAC ID: 3274869474 Enrollment ID: I20210519002361 |
| Provider Name | Eunice Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245523968 PECOS PAC ID: 7113240599 Enrollment ID: I20210521000323 |
| Provider Name | Suhayb Ranjha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548754542 PECOS PAC ID: 3476800400 Enrollment ID: I20210525002490 |
| Provider Name | Jennifer Arnold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356721930 PECOS PAC ID: 6709192784 Enrollment ID: I20210609003298 |
| Provider Name | David Stewart |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205930484 PECOS PAC ID: 3072511245 Enrollment ID: I20210616002542 |
| Provider Name | Behzad Elahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932549698 PECOS PAC ID: 5991073678 Enrollment ID: I20210616002559 |
| Provider Name | Brittany Noel Blaise |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659809945 PECOS PAC ID: 4789953407 Enrollment ID: I20210623000413 |
| Provider Name | Carlos Ignacio Illingworth Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265817910 PECOS PAC ID: 6103159850 Enrollment ID: I20210714002955 |
| Provider Name | Enas Shanshen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093092389 PECOS PAC ID: 7012156870 Enrollment ID: I20210721001706 |
| Provider Name | Zaid Ali Shtaiwi Al-zaghal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801396064 PECOS PAC ID: 7719380054 Enrollment ID: I20210726000588 |
| Provider Name | Jesse Lee Henneberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316299456 PECOS PAC ID: 7719380898 Enrollment ID: I20210727002656 |
| Provider Name | Clare Cadagin Zimmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902291735 PECOS PAC ID: 3870996804 Enrollment ID: I20210728000821 |
| Provider Name | Allyson Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235722984 PECOS PAC ID: 3072917897 Enrollment ID: I20210802000949 |
| Provider Name | Laura Jean Naughton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306376496 PECOS PAC ID: 1254601479 Enrollment ID: I20210827001896 |
| Provider Name | Paige Nicole Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497428304 PECOS PAC ID: 3971909789 Enrollment ID: I20210902001097 |
| Provider Name | Robert P Glatz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457687832 PECOS PAC ID: 3971759556 Enrollment ID: I20210914000225 |
| Provider Name | Anne O'brien Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487328506 PECOS PAC ID: 6800293952 Enrollment ID: I20210916001878 |
| Provider Name | Danielle Jean Key |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083103220 PECOS PAC ID: 7113323627 Enrollment ID: I20210921001722 |
| Provider Name | Tian Ran Zhang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356894521 PECOS PAC ID: 6406140953 Enrollment ID: I20211004000653 |
| Provider Name | Casey Jo Mifflin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528737897 PECOS PAC ID: 1658779665 Enrollment ID: I20211005003478 |
| Provider Name | Neilkamal Mundi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629678917 PECOS PAC ID: 1153729033 Enrollment ID: I20211006003090 |
| Provider Name | Joshua Seth Camins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790311017 PECOS PAC ID: 2769880566 Enrollment ID: I20211008000834 |
| Provider Name | Megan Marie Sanert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578136610 PECOS PAC ID: 8022416627 Enrollment ID: I20211012003492 |
| Provider Name | Sidra Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801322136 PECOS PAC ID: 5395143770 Enrollment ID: I20211015001007 |
| Provider Name | Shannon Nicole Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619547353 PECOS PAC ID: 0749678878 Enrollment ID: I20211022000796 |
| Provider Name | Tosha Nicole Donnals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265005102 PECOS PAC ID: 3072901586 Enrollment ID: I20211102000653 |
| Provider Name | Stephanie Mcmaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245841238 PECOS PAC ID: 4880084987 Enrollment ID: I20211203001980 |
| Provider Name | Kelly Argo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275203051 PECOS PAC ID: 1456741206 Enrollment ID: I20211209001364 |
| Provider Name | Mohammed Ageel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932441623 PECOS PAC ID: 4385948827 Enrollment ID: I20211210000904 |
| Provider Name | Frances Tangherlini Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023436888 PECOS PAC ID: 4789965609 Enrollment ID: I20211216000841 |
| Provider Name | Aubrey Lynn Ferris Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093331530 PECOS PAC ID: 8527450881 Enrollment ID: I20220118001064 |
| Provider Name | Omar Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467803122 PECOS PAC ID: 3274820600 Enrollment ID: I20220201001476 |
| Provider Name | Jay Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003579335 PECOS PAC ID: 8325431844 Enrollment ID: I20220205000140 |
| Provider Name | Ashley Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864772 PECOS PAC ID: 0840684106 Enrollment ID: I20220302001679 |
| Provider Name | Nicole L Pelser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639827827 PECOS PAC ID: 0244617579 Enrollment ID: I20220506000970 |
| Provider Name | Jessica T Kunken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326781600 PECOS PAC ID: 6608253844 Enrollment ID: I20220510000767 |
| Provider Name | Venkata R Karthik Missula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285294041 PECOS PAC ID: 6507190071 Enrollment ID: I20220510000926 |
| Provider Name | Faisal Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053835090 PECOS PAC ID: 2365714755 Enrollment ID: I20220521000283 |
| Provider Name | Max Nutt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740715358 PECOS PAC ID: 8527330901 Enrollment ID: I20220523001802 |
| Provider Name | Shravana Aryal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609438332 PECOS PAC ID: 3375920879 Enrollment ID: I20220524000156 |
| Provider Name | Noupama Mirihagalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609435395 PECOS PAC ID: 5698000180 Enrollment ID: I20220524002504 |
| Provider Name | Elizabeth Tatum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033778717 PECOS PAC ID: 8224363718 Enrollment ID: I20220524002966 |
| Provider Name | Nirali Ramani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750802237 PECOS PAC ID: 5092086157 Enrollment ID: I20220524003165 |
| Provider Name | Morgan Christine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609451541 PECOS PAC ID: 6305223793 Enrollment ID: I20220525000776 |
| Provider Name | Breck Aaron Jones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003298001 PECOS PAC ID: 2466765615 Enrollment ID: I20220601001620 |
| Provider Name | Bryan Combs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588011779 PECOS PAC ID: 0143509620 Enrollment ID: I20220602000444 |
| Provider Name | Tharani Sundararajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376102285 PECOS PAC ID: 3678807146 Enrollment ID: I20220602001748 |
| Provider Name | Danielle L Redding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679229256 PECOS PAC ID: 8921486713 Enrollment ID: I20220607002294 |
| Provider Name | Jayant N Acharya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891710695 PECOS PAC ID: 2163313081 Enrollment ID: I20220615002616 |
| Provider Name | Laura Joan Molony |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134612047 PECOS PAC ID: 2466709407 Enrollment ID: I20220621000463 |
| Provider Name | Rucha Haily Dalvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336692367 PECOS PAC ID: 7315232030 Enrollment ID: I20220621001770 |
| Provider Name | James Michael Pugely |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902985575 PECOS PAC ID: 5799749008 Enrollment ID: I20220810002908 |
| Provider Name | Stephanie Margaret Dalla Riva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801388665 PECOS PAC ID: 9931456829 Enrollment ID: I20220817002589 |
| Provider Name | Timothy H.f. Daugherty |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780066738 PECOS PAC ID: 7113239005 Enrollment ID: I20220823000751 |
| Provider Name | James Nolan Winters |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730561796 PECOS PAC ID: 5799098927 Enrollment ID: I20220824000187 |
| Provider Name | Nitin Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568620003 PECOS PAC ID: 0345561064 Enrollment ID: I20220824002832 |
| Provider Name | Emily Lenczowski Konopka |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770076838 PECOS PAC ID: 2264780139 Enrollment ID: I20220824003564 |
| Provider Name | Ashima Datey Chakrabarty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669992343 PECOS PAC ID: 5698046688 Enrollment ID: I20220825000255 |
| Provider Name | Dale Robert Korinek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053054783 PECOS PAC ID: 2567846504 Enrollment ID: I20220825000878 |
| Provider Name | Jamie Wasilewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083717490 PECOS PAC ID: 5496740433 Enrollment ID: I20220825002000 |
| Provider Name | Khalil Qato |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386087070 PECOS PAC ID: 5698026060 Enrollment ID: I20220831003654 |
| Provider Name | Mariha Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194387720 PECOS PAC ID: 3476941444 Enrollment ID: I20220831003822 |
| Provider Name | James W Feimster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811347214 PECOS PAC ID: 3375836844 Enrollment ID: I20220908003369 |
| Provider Name | Dianne Sherill Davis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114331634 PECOS PAC ID: 8628298387 Enrollment ID: I20220914003160 |
| Provider Name | Lauren Aileen Bunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396365102 PECOS PAC ID: 9638554058 Enrollment ID: I20220920003531 |
| Provider Name | Jenna Christine Goeckner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407376122 PECOS PAC ID: 6406127604 Enrollment ID: I20220921003685 |
| Provider Name | Sydney Desollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811587314 PECOS PAC ID: 3971989088 Enrollment ID: I20220927002332 |
| Provider Name | Ashley M Raufer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649931577 PECOS PAC ID: 3274909577 Enrollment ID: I20221011001766 |
| Provider Name | Lauren Boaz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396466405 PECOS PAC ID: 5092183509 Enrollment ID: I20221114003037 |
| Provider Name | Mahmut G Yucel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104453091 PECOS PAC ID: 9638564974 Enrollment ID: I20221201000567 |
| Provider Name | Abby N Siegrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326756198 PECOS PAC ID: 1153790589 Enrollment ID: I20221207001487 |
| Provider Name | Rachael L Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275260499 PECOS PAC ID: 3577934298 Enrollment ID: I20230117001377 |
| Provider Name | Nicholas Patrick Lopreiato |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265878151 PECOS PAC ID: 6204218126 Enrollment ID: I20230126000441 |
| Provider Name | Erika Gonzalez Osorio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962996769 PECOS PAC ID: 4486901345 Enrollment ID: I20230208000381 |
| Provider Name | Raj Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467947341 PECOS PAC ID: 0840600821 Enrollment ID: I20230321001614 |
| Provider Name | Sumi Lisa Miriam Rebeiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659809721 PECOS PAC ID: 3375813546 Enrollment ID: I20230324002385 |
| Provider Name | Mallory Elizabeth Westcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548960644 PECOS PAC ID: 4880068055 Enrollment ID: I20230330001056 |
| Provider Name | Alyssa Wichmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891417283 PECOS PAC ID: 0446627509 Enrollment ID: I20230421001155 |
| Provider Name | Avani Ganta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538689054 PECOS PAC ID: 4587085808 Enrollment ID: I20230425002443 |
| Provider Name | Michael Bernard Neinast |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770105769 PECOS PAC ID: 5597189050 Enrollment ID: I20230512001722 |
| Provider Name | Ahmed Abbas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215420740 PECOS PAC ID: 4789931833 Enrollment ID: I20230516001591 |
| Provider Name | Urav Kirtibhai Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639696107 PECOS PAC ID: 5991127714 Enrollment ID: I20230522000886 |
| Provider Name | Neil C Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912521790 PECOS PAC ID: 9234553785 Enrollment ID: I20230601001251 |
| Provider Name | Mohammed S Akram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619921806 PECOS PAC ID: 0941213300 Enrollment ID: I20230612002711 |
| Provider Name | Mulham Alom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205454691 PECOS PAC ID: 1254798945 Enrollment ID: I20230612002814 |
| Provider Name | Bruce M Frankel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831136605 PECOS PAC ID: 5193747855 Enrollment ID: I20230612002882 |
| Provider Name | Seth Bires |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1083173322 PECOS PAC ID: 5092048637 Enrollment ID: I20230613001312 |
| Provider Name | Mitchell Heuermann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295227783 PECOS PAC ID: 7517215882 Enrollment ID: I20230614001564 |
| Provider Name | Neil Bharat Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972829489 PECOS PAC ID: 2466695481 Enrollment ID: I20230621000128 |
| Provider Name | Amber Dale Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306468889 PECOS PAC ID: 0042634362 Enrollment ID: I20230705000393 |
| Provider Name | Aman Swied |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407478431 PECOS PAC ID: 4880017425 Enrollment ID: I20230705001394 |
| Provider Name | Andrianna Antoinette Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912490947 PECOS PAC ID: 9537418124 Enrollment ID: I20230725000703 |
| Provider Name | Ahmad Al Turk |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841675725 PECOS PAC ID: 7719389238 Enrollment ID: I20230728001045 |
| Provider Name | Brette Harding |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346760105 PECOS PAC ID: 8921378555 Enrollment ID: I20230801004397 |
| Provider Name | Manuel Rojo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588012041 PECOS PAC ID: 9931560208 Enrollment ID: I20230802003269 |
| Provider Name | Hafiz Muhammad Sharj Arshad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144636069 PECOS PAC ID: 0042520314 Enrollment ID: I20230803002567 |
| Provider Name | Rachel Tindall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245509926 PECOS PAC ID: 0840586715 Enrollment ID: I20230822003793 |
| Provider Name | Farhan Maqbool |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730609363 PECOS PAC ID: 6305209438 Enrollment ID: I20230823000264 |
| Provider Name | Rachel Kim |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326496563 PECOS PAC ID: 5698069938 Enrollment ID: I20230824000957 |
| Provider Name | Kaitlyn Engle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114556875 PECOS PAC ID: 9133541477 Enrollment ID: I20230829002916 |
| Provider Name | Alessandra Mantovani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376944025 PECOS PAC ID: 0840411203 Enrollment ID: I20230829003867 |
| Provider Name | Ceisha C Ukatu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326453465 PECOS PAC ID: 6507081536 Enrollment ID: I20230914002978 |
| Provider Name | Meredith Wall Wagner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316380694 PECOS PAC ID: 3678713955 Enrollment ID: I20230918002243 |
| Provider Name | Ryan Buettner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467953208 PECOS PAC ID: 3375891781 Enrollment ID: I20230929001233 |
| Provider Name | Teah Qvavadze |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033523501 PECOS PAC ID: 2365896842 Enrollment ID: I20231003000594 |
| Provider Name | Timothy Patrick Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235751231 PECOS PAC ID: 4880018456 Enrollment ID: I20231003001366 |
| Provider Name | Laura Carrihill Healy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265871966 PECOS PAC ID: 7416250774 Enrollment ID: I20231010001205 |
| Provider Name | Aileen Marie Danko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326003443 PECOS PAC ID: 5799677233 Enrollment ID: I20231027001518 |
| Provider Name | Gabriel Uwaifo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043267818 PECOS PAC ID: 8224096177 Enrollment ID: I20231027001843 |
| Provider Name | Maryann Van Ryn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295473296 PECOS PAC ID: 1456708908 Enrollment ID: I20231106002492 |
| Provider Name | Julie Rae Wetmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295955193 PECOS PAC ID: 2163688524 Enrollment ID: I20231114001876 |
| Provider Name | Kaitlyn M Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023888989 PECOS PAC ID: 3870945579 Enrollment ID: I20240118001600 |
| Provider Name | Aaron A Moore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699137794 PECOS PAC ID: 4587959424 Enrollment ID: I20240201002115 |
| Provider Name | Cindy Margaret Moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184086274 PECOS PAC ID: 3072801455 Enrollment ID: I20240313001254 |
| Provider Name | Kathy D. Swafford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871583849 PECOS PAC ID: 8729426978 Enrollment ID: I20240405003117 |
| Provider Name | Nitin Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023682648 PECOS PAC ID: 3577965201 Enrollment ID: I20240522000170 |
| Provider Name | Murad Baba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750757209 PECOS PAC ID: 5092001610 Enrollment ID: I20240522000292 |
| Provider Name | Aneeq Waqar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477075943 PECOS PAC ID: 7810255916 Enrollment ID: I20240530001865 |
| Provider Name | Ishaan Vohra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477048130 PECOS PAC ID: 5193078913 Enrollment ID: I20240531001777 |
| Provider Name | Akhil Shivaprasad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679135354 PECOS PAC ID: 5890152854 Enrollment ID: I20240614003597 |
| Provider Name | Ali Bin Sarwar Zubairi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578321915 PECOS PAC ID: 1951844927 Enrollment ID: I20240618003491 |
| Provider Name | Neelam P Phalke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023512316 PECOS PAC ID: 2163779505 Enrollment ID: I20240701002773 |
| Provider Name | Andrea Lyn Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629818638 PECOS PAC ID: 4385189901 Enrollment ID: I20240708003040 |
| Provider Name | Luke Matthew Schiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588233829 PECOS PAC ID: 7618370362 Enrollment ID: I20240711003750 |
| Provider Name | Adrian Curnow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750430617 PECOS PAC ID: 0941390637 Enrollment ID: I20240719000616 |
| Provider Name | Kayla Seed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134852965 PECOS PAC ID: 5890231906 Enrollment ID: I20240725001712 |
| Provider Name | Lindsey Shehee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407349822 PECOS PAC ID: 4587917398 Enrollment ID: I20240726000706 |
| Provider Name | Laila Mahmoud Hashim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588287841 PECOS PAC ID: 7315360039 Enrollment ID: I20240729001777 |
| Provider Name | Kody Gibson Bolk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669976023 PECOS PAC ID: 9234486697 Enrollment ID: I20240731000660 |
| Provider Name | Randi Janae Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437928538 PECOS PAC ID: 2264979863 Enrollment ID: I20240731003696 |
| Provider Name | Yansoun Younes Elmasry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740856558 PECOS PAC ID: 2961948195 Enrollment ID: I20240808002271 |
| Provider Name | Kalpana Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063455624 PECOS PAC ID: 2163548348 Enrollment ID: I20240814000429 |
| Provider Name | Alexander Geoffrey Stein |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20240814002313 |
| Provider Name | Heather Noel Rowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649846262 PECOS PAC ID: 2365845039 Enrollment ID: I20240814004165 |
| Provider Name | Mackenzie Lemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689428294 PECOS PAC ID: 0941749527 Enrollment ID: I20240827003054 |
| Provider Name | Christine Catalano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093540346 PECOS PAC ID: 4082145347 Enrollment ID: I20240927001716 |
| Provider Name | Leah Cobb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891962197 PECOS PAC ID: 3971868761 Enrollment ID: I20240930001472 |
| Provider Name | Nuri Ozden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841279627 PECOS PAC ID: 5890746366 Enrollment ID: I20241004003568 |
| Provider Name | Steven K Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356754451 PECOS PAC ID: 7416259874 Enrollment ID: I20241010001942 |
| Provider Name | Katie Nicole Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548094220 PECOS PAC ID: 4587196894 Enrollment ID: I20241011000687 |
| Provider Name | Gilbert Shawn Duxbury |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508014044 PECOS PAC ID: 7719133198 Enrollment ID: I20241011000781 |
| Provider Name | Lionel D Vazquez-figueroa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902259294 PECOS PAC ID: 0446783575 Enrollment ID: I20241029001278 |
| Provider Name | Hongtao Alex Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750678017 PECOS PAC ID: 2668801945 Enrollment ID: I20241106000224 |
| Provider Name | Tracy J Roberts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740341544 PECOS PAC ID: 4789857319 Enrollment ID: I20241121003375 |
| Provider Name | Katie Ann Gossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235900333 PECOS PAC ID: 8820523822 Enrollment ID: I20241127003789 |
| Provider Name | Michaela M Schneiderbauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972776797 PECOS PAC ID: 7517147234 Enrollment ID: I20241205002510 |
| Provider Name | Abdul Shahein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811236714 PECOS PAC ID: 1456604701 Enrollment ID: I20250123002878 |
| Provider Name | Rabia Iqbal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457917833 PECOS PAC ID: 7911231998 Enrollment ID: I20250221001878 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
Memorial Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
Hshs Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 Executive Park Dr, Springfield, IL 62703 Phone: 217-523-5406 | |
Michael Bova M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Farragut Dr, Suite C, Springfield, IL 62704 Phone: 217-726-9346 | |
Siu Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 | |
B3 Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 2d, Springfield, IL 62701 Phone: 217-508-5859 | |
Seen Medical Group Of Il, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 2nd St Ste 404, Springfield, IL 62704 Phone: 339-793-8998 |