| Sound Physicians | |
|
415 6th St Lewiston ID 83501-2431 | |
| (208) 743-2511 | |
| Not Available |
| Full Name | Sound Physicians |
|---|---|
| Speciality | Hospitalist |
| Location | 415 6th St, Lewiston, Idaho |
| Authorized Official Name and Position | Laura Fall (MANAGER) |
| Authorized Official Contact | 2536826040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Physicians 1222 Demonbreun St Ste 1601 Nashville TN 37203-7092 Ph: (253) 682-6040 | Sound Physicians 415 6th St Lewiston ID 83501-2431 Ph: (208) 743-2511 |
| NPI Number | 1730407461 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Medicare PECOS PAC ID | 4688705346 |
|---|---|
| Medicare Enrollment ID | O20100624000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730407461 | NPI | - | NPPES |
| Provider Name | Eric R Maus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114948809 PECOS PAC ID: 2961488390 Enrollment ID: I20040626000345 |
| Provider Name | Jonathan L Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497703169 PECOS PAC ID: 1658358098 Enrollment ID: I20040702000417 |
| Provider Name | Steven C Von Flue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871553248 PECOS PAC ID: 0345210969 Enrollment ID: I20040729001084 |
| Provider Name | Charles T Sherwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215979000 PECOS PAC ID: 7618997370 Enrollment ID: I20051128000414 |
| Provider Name | Michael C Minick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164536728 PECOS PAC ID: 3678580156 Enrollment ID: I20060322000021 |
| Provider Name | James Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730275876 PECOS PAC ID: 8628986452 Enrollment ID: I20061205000135 |
| Provider Name | Stuart Austin Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053351361 PECOS PAC ID: 0244233146 Enrollment ID: I20070828000794 |
| Provider Name | William Laitinen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598792863 PECOS PAC ID: 7113010786 Enrollment ID: I20070912000728 |
| Provider Name | Ryan J Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114053014 PECOS PAC ID: 7113000282 Enrollment ID: I20100701000171 |
| Provider Name | Harry Lazarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548486053 PECOS PAC ID: 1456424274 Enrollment ID: I20101105001023 |
| Provider Name | James H Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720162365 PECOS PAC ID: 4486620960 Enrollment ID: I20101208000499 |
| Provider Name | Phillip J Redd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134296106 PECOS PAC ID: 3779772181 Enrollment ID: I20110114000646 |
| Provider Name | John J Loffarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194728329 PECOS PAC ID: 5890770259 Enrollment ID: I20110823000305 |
| Provider Name | Robert B Buxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073778098 PECOS PAC ID: 3779625512 Enrollment ID: I20111003000432 |
| Provider Name | Malatesha Gangappa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982842019 PECOS PAC ID: 0941473755 Enrollment ID: I20111022000034 |
| Provider Name | Muhammad Kashif Adnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295991784 PECOS PAC ID: 0042484826 Enrollment ID: I20111111000526 |
| Provider Name | Dhakshayani Sundaralingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942289780 PECOS PAC ID: 5890753107 Enrollment ID: I20120803000228 |
| Provider Name | Heidi E Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053406488 PECOS PAC ID: 3274627989 Enrollment ID: I20121120000498 |
| Provider Name | Peggie a Bensch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164468187 PECOS PAC ID: 5890683783 Enrollment ID: I20121127000430 |
| Provider Name | Ginger L Dattilo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639240864 PECOS PAC ID: 8820184518 Enrollment ID: I20130620000445 |
| Provider Name | Sarah R Staller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336450402 PECOS PAC ID: 9537306402 Enrollment ID: I20130925000951 |
| Provider Name | Patrick D Vargas Villazon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821229279 PECOS PAC ID: 6709010903 Enrollment ID: I20131001000242 |
| Provider Name | Ralene F Wiberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912956806 PECOS PAC ID: 8820224207 Enrollment ID: I20131112002164 |
| Provider Name | Jacob B Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104113562 PECOS PAC ID: 1850519273 Enrollment ID: I20140827001029 |
| Provider Name | Olawale O Olaniyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973899 PECOS PAC ID: 6406075688 Enrollment ID: I20140922000000 |
| Provider Name | Jan Rehder King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083038335 PECOS PAC ID: 4880917087 Enrollment ID: I20141219000077 |
| Provider Name | Carson C Bauder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528265949 PECOS PAC ID: 0749335735 Enrollment ID: I20151222000616 |
| Provider Name | Nathan Z Hicks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144667817 PECOS PAC ID: 1355668252 Enrollment ID: I20160624001002 |
| Provider Name | Adam R Schwind |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831539220 PECOS PAC ID: 5597081448 Enrollment ID: I20160725001004 |
| Provider Name | Carolyn G Mcfarlane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679802987 PECOS PAC ID: 4082848700 Enrollment ID: I20160929001673 |
| Provider Name | Ted Hideki Yamamoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689012015 PECOS PAC ID: 2466737960 Enrollment ID: I20170324000712 |
| Provider Name | Cameron J Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730594185 PECOS PAC ID: 4284850215 Enrollment ID: I20170524001125 |
| Provider Name | Cara N Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912347303 PECOS PAC ID: 0941526800 Enrollment ID: I20170916000632 |
| Provider Name | Jordan D Nugent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902224645 PECOS PAC ID: 3274853189 Enrollment ID: I20171128003019 |
| Provider Name | Samantha Lynn Musser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174017701 PECOS PAC ID: 7416204193 Enrollment ID: I20180726001298 |
| Provider Name | Wen Zhong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356381537 PECOS PAC ID: 7810980752 Enrollment ID: I20190121000309 |
| Provider Name | Daniel Shih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790721967 PECOS PAC ID: 7315919156 Enrollment ID: I20190321001082 |
| Provider Name | Michael Romero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801117395 PECOS PAC ID: 2365761798 Enrollment ID: I20190513000315 |
| Provider Name | Niba F Nchotu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366709792 PECOS PAC ID: 3274854153 Enrollment ID: I20190514001307 |
| Provider Name | Justin Michael Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649633041 PECOS PAC ID: 1557652914 Enrollment ID: I20190619002323 |
| Provider Name | Joshua Nadolny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053763706 PECOS PAC ID: 6103258397 Enrollment ID: I20191108000825 |
| Provider Name | Megan Lenkersdorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477197036 PECOS PAC ID: 7315371770 Enrollment ID: I20191231000646 |
| Provider Name | Lembi Che |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508412164 PECOS PAC ID: 6709211485 Enrollment ID: I20200128000678 |
| Provider Name | Zachary a Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932557782 PECOS PAC ID: 6507159340 Enrollment ID: I20200420001331 |
| Provider Name | Zin M Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508122136 PECOS PAC ID: 3779806161 Enrollment ID: I20200508001665 |
| Provider Name | Justin R Tomal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093129751 PECOS PAC ID: 3173836244 Enrollment ID: I20200617001933 |
| Provider Name | Klinton Chad Kilgore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295267631 PECOS PAC ID: 3678904158 Enrollment ID: I20200819002602 |
| Provider Name | Susheel R Ramasahayam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366763849 PECOS PAC ID: 8729236864 Enrollment ID: I20201014002465 |
| Provider Name | Ryan Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285077701 PECOS PAC ID: 6709102866 Enrollment ID: I20201021001135 |
| Provider Name | James L Boysen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699779330 PECOS PAC ID: 9436180916 Enrollment ID: I20210426001939 |
| Provider Name | Evelin Michelle Cruz-gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265017206 PECOS PAC ID: 1052712734 Enrollment ID: I20210701002367 |
| Provider Name | Thomas Owen Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538784558 PECOS PAC ID: 8426459058 Enrollment ID: I20210702000306 |
| Provider Name | Nathaniel Orland Staley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316392137 PECOS PAC ID: 1153724604 Enrollment ID: I20210721004149 |
| Provider Name | Amy Sprague |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629030598 PECOS PAC ID: 6204882673 Enrollment ID: I20211007001470 |
| Provider Name | Korin E Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730582743 PECOS PAC ID: 9739403494 Enrollment ID: I20211217001102 |
| Provider Name | Kristina S Kezar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669452348 PECOS PAC ID: 9436174828 Enrollment ID: I20220308001069 |
| Provider Name | Sarah J Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629310370 PECOS PAC ID: 1850698812 Enrollment ID: I20220805001825 |
| Provider Name | Kristine Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598927931 PECOS PAC ID: 1557535952 Enrollment ID: I20220919001991 |
| Provider Name | Nathaniel Ord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831710102 PECOS PAC ID: 1456774868 Enrollment ID: I20230802002060 |
| Provider Name | Neysi Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124681374 PECOS PAC ID: 7113302886 Enrollment ID: I20230811003146 |
| Provider Name | Augustine Okechukwu Okeke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043572696 PECOS PAC ID: 2567697998 Enrollment ID: I20230817004114 |
| Provider Name | Casey M Spirk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518472109 PECOS PAC ID: 7315201837 Enrollment ID: I20230822001085 |
| Provider Name | Mark E Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760182984 PECOS PAC ID: 1658734371 Enrollment ID: I20230905000217 |
| Provider Name | Kim Mcgrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619599347 PECOS PAC ID: 4385067883 Enrollment ID: I20230918001519 |
| Provider Name | Wendy Terese Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265743348 PECOS PAC ID: 3779720693 Enrollment ID: I20230918002705 |
| Provider Name | Mark Steven Kirk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477180107 PECOS PAC ID: 2567816879 Enrollment ID: I20230921002770 |
| Provider Name | Samantha Renee Eteve |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295363687 PECOS PAC ID: 7012330673 Enrollment ID: I20230926000444 |
| Provider Name | Victor Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639708027 PECOS PAC ID: 6709200561 Enrollment ID: I20231010003155 |
| Provider Name | Ahmed Mohamed Abdelhaleem Elsayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568022473 PECOS PAC ID: 0244561058 Enrollment ID: I20231020002649 |
| Provider Name | Chris P Blaine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952930109 PECOS PAC ID: 5799105193 Enrollment ID: I20231116002447 |
| Provider Name | Haney Assaad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730119702 PECOS PAC ID: 4385741750 Enrollment ID: I20231120002137 |
| Provider Name | Jerry G Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114152758 PECOS PAC ID: 8527235530 Enrollment ID: I20231120003163 |
| Provider Name | Tyler Ice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659900736 PECOS PAC ID: 7012330970 Enrollment ID: I20231127000555 |
| Provider Name | Leah Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730692989 PECOS PAC ID: 9032540141 Enrollment ID: I20231221002372 |
| Provider Name | Nauroz Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356384325 PECOS PAC ID: 4486657731 Enrollment ID: I20231228002996 |
| Provider Name | Rachel Marie Pitman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245926823 PECOS PAC ID: 3577913888 Enrollment ID: I20231228003919 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20231229002998 |
| Provider Name | Shristi Kunwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497043319 PECOS PAC ID: 1355569435 Enrollment ID: I20240105000257 |
| Provider Name | Jordyn Lanae Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548899156 PECOS PAC ID: 6305260563 Enrollment ID: I20240114000078 |
| Provider Name | Adam Glanzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932763141 PECOS PAC ID: 4385055441 Enrollment ID: I20240115001941 |
| Provider Name | Justin Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477040939 PECOS PAC ID: 2668716507 Enrollment ID: I20240119003497 |
| Provider Name | Forrest Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821094350 PECOS PAC ID: 5597779942 Enrollment ID: I20240119003582 |
| Provider Name | Casey Bingham Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639856735 PECOS PAC ID: 2567815616 Enrollment ID: I20240125001608 |
| Provider Name | Raad Al Shaikhli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326433483 PECOS PAC ID: 5698073492 Enrollment ID: I20240214002438 |
| Provider Name | Joseph Gregory Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477148443 PECOS PAC ID: 0648670968 Enrollment ID: I20240401001457 |
| Provider Name | Benjamin Krasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316327927 PECOS PAC ID: 0547572000 Enrollment ID: I20240424001228 |
| Provider Name | Mona Batra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053304634 PECOS PAC ID: 1658319876 Enrollment ID: I20240516001871 |
| Provider Name | Egishe Karapetyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538785829 PECOS PAC ID: 0749683340 Enrollment ID: I20240521001526 |
| Provider Name | Tao Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316472707 PECOS PAC ID: 7416298534 Enrollment ID: I20240523001412 |
| Provider Name | Jonathan W. Mcneely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528252079 PECOS PAC ID: 5991957623 Enrollment ID: I20240619001993 |
| Provider Name | Nathan Bugs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922773704 PECOS PAC ID: 6709321730 Enrollment ID: I20240713000379 |
| Provider Name | Rachel Quintela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437863818 PECOS PAC ID: 9739554148 Enrollment ID: I20240719001357 |
| Provider Name | Olivia Nicole Roehling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285262246 PECOS PAC ID: 8527499128 Enrollment ID: I20240719001850 |
| Provider Name | Estevan Torrez Andia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760845465 PECOS PAC ID: 7214278878 Enrollment ID: I20240820002164 |
| Provider Name | Alexander Newman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588050637 PECOS PAC ID: 9234480864 Enrollment ID: I20241227002159 |
| Provider Name | Christopher Thuruthumaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316331549 PECOS PAC ID: 1355656471 Enrollment ID: I20250108003878 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20250206001800 |
| Provider Name | Hannah Marie Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952862294 PECOS PAC ID: 0547593592 Enrollment ID: I20250521001845 |
| Provider Name | Evangelos Nicholas Pallis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249198 PECOS PAC ID: 2961439617 Enrollment ID: I20250627002736 |
| Provider Name | Trent Delong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588246268 PECOS PAC ID: 9133522048 Enrollment ID: I20250709003774 |
| Provider Name | Matthew Benjamin Lancaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255072138 PECOS PAC ID: 3577943216 Enrollment ID: I20250714000000 |
| Provider Name | Daniyal Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962881896 PECOS PAC ID: 4688964307 Enrollment ID: I20250806003969 |
| Provider Name | Scott Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386611861 PECOS PAC ID: 5890799340 Enrollment ID: I20250906000752 |
| Provider Name | William Dechavez Convalecer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699794594 PECOS PAC ID: 5991709669 Enrollment ID: I20251203001428 |
| Provider Name | Samuel Joon Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053607952 PECOS PAC ID: 2860775475 Enrollment ID: I20260130001137 |
| Provider Name | Adebamike A. Oshunbade |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619619764 PECOS PAC ID: 6800272451 Enrollment ID: I20260306001099 |
| Provider Name | Joshua Clason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114613262 PECOS PAC ID: 3274003645 Enrollment ID: I20260527000923 |
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