| Southcoast Physicians Group, Inc. | |
|
200 Mill Road Suite 180 Fairhaven MA 02719-5252 | |
| (508) 973-2000 | |
| (508) 973-2001 |
| Full Name | Southcoast Physicians Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Mill Road, Fairhaven, Massachusetts |
| Authorized Official Name and Position | Melissa Rose (SHS VICE PRESIDENT OF CONTRACTING) |
| Authorized Official Contact | 5089732950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcoast Physicians Group, Inc. 200 Mill Road Suite 180 Fairhaven MA 02719-5252 Ph: (508) 973-2000 | Southcoast Physicians Group, Inc. 200 Mill Road Suite 180 Fairhaven MA 02719-5252 Ph: (508) 973-2000 |
| NPI Number | 1336137629 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 0749171957 |
|---|---|
| Medicare Enrollment ID | O20040920000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336137629 | NPI | - | NPPES |
| CN5678 | Other | MA | RAILROAD MEDICARE |
| M20518 | Other | MA | MEDICARE PIN |
| BM20689 | Medicaid | RI | |
| CD2506 | Other | MA | RAILROAD MEDICARE |
| CG4450 | Other | MA | RAILROAD MEDICARE |
| 9779752 | Medicaid | MA | |
| M16989 | Other | MA | BCBS MASSACHUSETTS |
| SP28498 | Medicaid | RI | |
| BM11666 | Medicaid | RI |
| Provider Name | David K Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548238090 PECOS PAC ID: 3476467036 Enrollment ID: I20031118000174 |
| Provider Name | Charles Eil |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134176886 PECOS PAC ID: 7618871468 Enrollment ID: I20031122000035 |
| Provider Name | Georgina K Nouaime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992755029 PECOS PAC ID: 2264338086 Enrollment ID: I20031211000161 |
| Provider Name | Elizabeth M Blanchard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134198989 PECOS PAC ID: 6204734437 Enrollment ID: I20031226000208 |
| Provider Name | Marie T Aguiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487642724 PECOS PAC ID: 7810896420 Enrollment ID: I20040102000521 |
| Provider Name | John Stamoulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861441891 PECOS PAC ID: 9537060546 Enrollment ID: I20040114000113 |
| Provider Name | Jennifer C Lussier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942267620 PECOS PAC ID: 8628963840 Enrollment ID: I20040217000888 |
| Provider Name | John W Obell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982657805 PECOS PAC ID: 6103712922 Enrollment ID: I20040226001004 |
| Provider Name | Paul a Ruggieri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225065113 PECOS PAC ID: 4688563992 Enrollment ID: I20040315000114 |
| Provider Name | Donna P Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740282706 PECOS PAC ID: 0244129369 Enrollment ID: I20040315000847 |
| Provider Name | Gregory S Hunt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538111380 PECOS PAC ID: 5890685127 Enrollment ID: I20040318001314 |
| Provider Name | Erika L Bloom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437146545 PECOS PAC ID: 8022900240 Enrollment ID: I20040325000110 |
| Provider Name | Mark E White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679560635 PECOS PAC ID: 4082506670 Enrollment ID: I20040329000097 |
| Provider Name | Curtis Mello |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124080312 PECOS PAC ID: 6507850856 Enrollment ID: I20040412000288 |
| Provider Name | Robert J Mcgowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285637405 PECOS PAC ID: 3072507649 Enrollment ID: I20040414001444 |
| Provider Name | Jonathan Mazur |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497865414 PECOS PAC ID: 1850386376 Enrollment ID: I20040415000607 |
| Provider Name | Thomas T Streeter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700954542 PECOS PAC ID: 1052308467 Enrollment ID: I20040428000457 |
| Provider Name | Kathleen Titus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467426619 PECOS PAC ID: 5991792202 Enrollment ID: I20040428001246 |
| Provider Name | L Pet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194745257 PECOS PAC ID: 9830187558 Enrollment ID: I20040503000838 |
| Provider Name | M. Wajid Baig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417959610 PECOS PAC ID: 9335138882 Enrollment ID: I20040510000791 |
| Provider Name | Michael J Meuth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982608956 PECOS PAC ID: 2466441910 Enrollment ID: I20040510000832 |
| Provider Name | Matthew S Baltz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700866548 PECOS PAC ID: 5092704593 Enrollment ID: I20040510001160 |
| Provider Name | Maria E Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265592364 PECOS PAC ID: 1052301025 Enrollment ID: I20040513000495 |
| Provider Name | Alexander P Rabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548249758 PECOS PAC ID: 7810988037 Enrollment ID: I20040518001107 |
| Provider Name | Jennifer D Levesque |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487698908 PECOS PAC ID: 1658352877 Enrollment ID: I20040525000919 |
| Provider Name | Catherine a Obin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841286739 PECOS PAC ID: 9436130945 Enrollment ID: I20040528000784 |
| Provider Name | John a Zorsch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609944636 PECOS PAC ID: 8426031824 Enrollment ID: I20040608000688 |
| Provider Name | Rosemarie N Zolnierz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013903574 PECOS PAC ID: 2668455403 Enrollment ID: I20040611000402 |
| Provider Name | Alison Vargas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598717803 PECOS PAC ID: 0143204461 Enrollment ID: I20040615000977 |
| Provider Name | John K Findley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891777504 PECOS PAC ID: 8628052776 Enrollment ID: I20040616000155 |
| Provider Name | Arielle L Adrien Jean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386691160 PECOS PAC ID: 1355326018 Enrollment ID: I20040618000850 |
| Provider Name | Kimberly a Cox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285618009 PECOS PAC ID: 6406833250 Enrollment ID: I20040630000702 |
| Provider Name | Merrie Beth Dodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801857933 PECOS PAC ID: 1850378563 Enrollment ID: I20040701000222 |
| Provider Name | Douglas F Garland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639140049 PECOS PAC ID: 3779570197 Enrollment ID: I20040708001110 |
| Provider Name | Brian Bonenfant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245248228 PECOS PAC ID: 0042298853 Enrollment ID: I20040708001446 |
| Provider Name | Brian Balsis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225035066 PECOS PAC ID: 8224018247 Enrollment ID: I20040721000983 |
| Provider Name | Daniel F Sousa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285744698 PECOS PAC ID: 4486551033 Enrollment ID: I20040727001505 |
| Provider Name | Patricia M Grindell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245269588 PECOS PAC ID: 2264402023 Enrollment ID: I20040728001590 |
| Provider Name | Peter Augustinos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518936327 PECOS PAC ID: 6103897541 Enrollment ID: I20040802000321 |
| Provider Name | Ciaran J Mcnamee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124019351 PECOS PAC ID: 0143291591 Enrollment ID: I20040802000449 |
| Provider Name | Hugh Woolverton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346207842 PECOS PAC ID: 5799756565 Enrollment ID: I20040804001174 |
| Provider Name | Jeffrey B Syme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225099443 PECOS PAC ID: 2668443458 Enrollment ID: I20040804001285 |
| Provider Name | Priscilla Shube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821050006 PECOS PAC ID: 7911978739 Enrollment ID: I20040804001536 |
| Provider Name | Mark a Ringiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669432605 PECOS PAC ID: 7618948340 Enrollment ID: I20040804001629 |
| Provider Name | Jill S Oxley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316984420 PECOS PAC ID: 9739150400 Enrollment ID: I20040804001880 |
| Provider Name | David B Rosenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962488890 PECOS PAC ID: 3577535798 Enrollment ID: I20040809001038 |
| Provider Name | Linda M Bushee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487651162 PECOS PAC ID: 2365414323 Enrollment ID: I20040810000819 |
| Provider Name | Hisham S Elkadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417919168 PECOS PAC ID: 8426020108 Enrollment ID: I20040812000302 |
| Provider Name | John W Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356337711 PECOS PAC ID: 6800869199 Enrollment ID: I20040816000485 |
| Provider Name | Scott F Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477592988 PECOS PAC ID: 2860465192 Enrollment ID: I20040816000799 |
| Provider Name | Albert J Fox |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487688149 PECOS PAC ID: 9638142482 Enrollment ID: I20040818001242 |
| Provider Name | Ben H Kaon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801894399 PECOS PAC ID: 8224920665 Enrollment ID: I20040823000672 |
| Provider Name | Terence Mcgovern |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033158035 PECOS PAC ID: 5597744128 Enrollment ID: I20040824000795 |
| Provider Name | Holly L Alexandre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922003334 PECOS PAC ID: 2961477914 Enrollment ID: I20040901000815 |
| Provider Name | Lori L Georgeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154387355 PECOS PAC ID: 0941276893 Enrollment ID: I20040902000730 |
| Provider Name | Gregory D Russell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053365163 PECOS PAC ID: 1254307051 Enrollment ID: I20040903000419 |
| Provider Name | Mark R Desnoyers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245283167 PECOS PAC ID: 6800887332 Enrollment ID: I20040903000438 |
| Provider Name | Christos Katavolos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417911611 PECOS PAC ID: 6507832227 Enrollment ID: I20040903000624 |
| Provider Name | Julie M Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003896069 PECOS PAC ID: 0042286676 Enrollment ID: I20040907000051 |
| Provider Name | George S Botros |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780681742 PECOS PAC ID: 3476520586 Enrollment ID: I20040916000561 |
| Provider Name | Chandra S Reddivari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477522290 PECOS PAC ID: 8729056239 Enrollment ID: I20040922000870 |
| Provider Name | Kolleen M Deandrade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851596704 PECOS PAC ID: 5395714455 Enrollment ID: I20040927000804 |
| Provider Name | Anas Wardeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295705598 PECOS PAC ID: 0345219341 Enrollment ID: I20040927000996 |
| Provider Name | Diane M Reilly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528065489 PECOS PAC ID: 3971572710 Enrollment ID: I20040929000246 |
| Provider Name | Robin M Haverly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952507915 PECOS PAC ID: 5597734095 Enrollment ID: I20040930001075 |
| Provider Name | Mark R Hilty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609863729 PECOS PAC ID: 2365401536 Enrollment ID: I20041005000531 |
| Provider Name | Patrick Curran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497757678 PECOS PAC ID: 0244299329 Enrollment ID: I20041005000619 |
| Provider Name | Karen P Helgeland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235277989 PECOS PAC ID: 5991765877 Enrollment ID: I20041014000923 |
| Provider Name | Young B Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790875540 PECOS PAC ID: 1052372570 Enrollment ID: I20041019000788 |
| Provider Name | Debra a Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801855432 PECOS PAC ID: 6709847247 Enrollment ID: I20041019000932 |
| Provider Name | David J Farber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144262171 PECOS PAC ID: 7719888999 Enrollment ID: I20041102000466 |
| Provider Name | Emmanuel C Maduakor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861474744 PECOS PAC ID: 1456313261 Enrollment ID: I20041103000049 |
| Provider Name | James Arthur Faust |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265474399 PECOS PAC ID: 9032173570 Enrollment ID: I20041115001229 |
| Provider Name | Miguel B Brillantes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609878859 PECOS PAC ID: 1557326824 Enrollment ID: I20041129000351 |
| Provider Name | Kevin S Burgess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760494694 PECOS PAC ID: 8628033651 Enrollment ID: I20041201000359 |
| Provider Name | Kenneth J Piva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750385092 PECOS PAC ID: 8426014416 Enrollment ID: I20041201000849 |
| Provider Name | Sandra C. Landry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104925734 PECOS PAC ID: 6800852773 Enrollment ID: I20041203000048 |
| Provider Name | Mark Shparber |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982614160 PECOS PAC ID: 5991762536 Enrollment ID: I20041215000103 |
| Provider Name | Janice D Sundnas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285625673 PECOS PAC ID: 8224096342 Enrollment ID: I20041221000650 |
| Provider Name | Akmal E Wahid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699880831 PECOS PAC ID: 2567410699 Enrollment ID: I20050105000929 |
| Provider Name | Peter S Cohn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952344533 PECOS PAC ID: 5799736161 Enrollment ID: I20050202000727 |
| Provider Name | Humayon B. Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629016944 PECOS PAC ID: 9739130451 Enrollment ID: I20050209000899 |
| Provider Name | Patricia M Degroot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326096371 PECOS PAC ID: 3274585906 Enrollment ID: I20050210000664 |
| Provider Name | Theophilus Vnm Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750479283 PECOS PAC ID: 1850343955 Enrollment ID: I20050217000146 |
| Provider Name | Khaled Sorour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508823717 PECOS PAC ID: 4284687864 Enrollment ID: I20050223000492 |
| Provider Name | Wayne F Wilbur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649359548 PECOS PAC ID: 7719930304 Enrollment ID: I20050223000519 |
| Provider Name | Nick Mucciardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073670303 PECOS PAC ID: 3577542331 Enrollment ID: I20050308000892 |
| Provider Name | Harvey a Reback |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285668947 PECOS PAC ID: 7618921024 Enrollment ID: I20050309000289 |
| Provider Name | Ronald a Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477519080 PECOS PAC ID: 7618921958 Enrollment ID: I20050309000484 |
| Provider Name | Essam R Awad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659428480 PECOS PAC ID: 9830178441 Enrollment ID: I20050309000769 |
| Provider Name | Maryanne Noris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528005949 PECOS PAC ID: 4183679996 Enrollment ID: I20050315000320 |
| Provider Name | Marivyl J Laxer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225093362 PECOS PAC ID: 1052366861 Enrollment ID: I20050315000355 |
| Provider Name | Renee F Dacosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407843527 PECOS PAC ID: 6002861267 Enrollment ID: I20050321000697 |
| Provider Name | Harry W Matelski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699737874 PECOS PAC ID: 1759337876 Enrollment ID: I20050322000957 |
| Provider Name | Donald W. Middleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861458606 PECOS PAC ID: 7618923749 Enrollment ID: I20050322000988 |
| Provider Name | Jodie X Plouffe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316974165 PECOS PAC ID: 1850347766 Enrollment ID: I20050323001374 |
| Provider Name | David E Adelberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053316356 PECOS PAC ID: 8224084785 Enrollment ID: I20050328000769 |
| Provider Name | Warren M Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285621300 PECOS PAC ID: 6800843962 Enrollment ID: I20050401000022 |
| Provider Name | Kenath J Shamir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811952955 PECOS PAC ID: 5799732764 Enrollment ID: I20050401000144 |
| Provider Name | Marc a Theroux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497742514 PECOS PAC ID: 5193772812 Enrollment ID: I20050405000969 |
| Provider Name | Douglas Michael Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693820 PECOS PAC ID: 0941247084 Enrollment ID: I20050411001006 |
| Provider Name | Robert L Tripp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356387302 PECOS PAC ID: 1951348879 Enrollment ID: I20050412001386 |
| Provider Name | Ronald J Rapoport |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336154764 PECOS PAC ID: 3971540741 Enrollment ID: I20050413000415 |
| Provider Name | Jonathon S Sillman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972550101 PECOS PAC ID: 0345213286 Enrollment ID: I20050413000566 |
| Provider Name | Erron S Plosker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437115227 PECOS PAC ID: 3072551308 Enrollment ID: I20050419000015 |
| Provider Name | William Rockett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063423556 PECOS PAC ID: 6406748284 Enrollment ID: I20050419000267 |
| Provider Name | Lawrence R Dehner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548257660 PECOS PAC ID: 7315985561 Enrollment ID: I20050419001141 |
| Provider Name | Luke F Daley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356380349 PECOS PAC ID: 4183663511 Enrollment ID: I20050426000809 |
| Provider Name | Emmet J Eby |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366410789 PECOS PAC ID: 0446241970 Enrollment ID: I20050426000866 |
| Provider Name | Bruce M Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205896362 PECOS PAC ID: 1759372287 Enrollment ID: I20050426001331 |
| Provider Name | Fae G Nason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588630859 PECOS PAC ID: 5496794620 Enrollment ID: I20050427001041 |
| Provider Name | David R Stebbins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164416483 PECOS PAC ID: 0345289120 Enrollment ID: I20050502000177 |
| Provider Name | John H Macfarlane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447296496 PECOS PAC ID: 8224077961 Enrollment ID: I20050502000770 |
| Provider Name | Thomas J Mccormack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225080005 PECOS PAC ID: 3173563723 Enrollment ID: I20050503001291 |
| Provider Name | Franklin Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497759294 PECOS PAC ID: 5698715183 Enrollment ID: I20050504000301 |
| Provider Name | Danuta M Fichna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922020882 PECOS PAC ID: 1254371305 Enrollment ID: I20050509000045 |
| Provider Name | Marcelo Montorzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427069905 PECOS PAC ID: 5991745986 Enrollment ID: I20050510000181 |
| Provider Name | Irving D Kaplan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790719458 PECOS PAC ID: 3476593179 Enrollment ID: I20050511000750 |
| Provider Name | Jack H Belkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750338497 PECOS PAC ID: 5890737423 Enrollment ID: I20050524001187 |
| Provider Name | Sanjeev J. Goswami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982671756 PECOS PAC ID: 1658345038 Enrollment ID: I20050609000692 |
| Provider Name | Neill Sinclair Barber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023089695 PECOS PAC ID: 4486698057 Enrollment ID: I20050614001267 |
| Provider Name | Vicki a Saint Paine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679527162 PECOS PAC ID: 6507802618 Enrollment ID: I20050629000437 |
| Provider Name | Judith a Catalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124212634 PECOS PAC ID: 4880630904 Enrollment ID: I20050629000512 |
| Provider Name | Dariusz M Hordejuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902884331 PECOS PAC ID: 2860438470 Enrollment ID: I20050706000139 |
| Provider Name | Brenda J Lima |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1235202920 PECOS PAC ID: 5890721864 Enrollment ID: I20050711000819 |
| Provider Name | Maureen M Fletcher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881605616 PECOS PAC ID: 5395771372 Enrollment ID: I20050712000013 |
| Provider Name | Wendy Lapointe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780659268 PECOS PAC ID: 2860428661 Enrollment ID: I20050713000347 |
| Provider Name | Heidi Petra Bas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801826722 PECOS PAC ID: 8527094358 Enrollment ID: I20050713000610 |
| Provider Name | Haytham S Mohamed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700868627 PECOS PAC ID: 9638107493 Enrollment ID: I20050802000759 |
| Provider Name | George Chudolij |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003817560 PECOS PAC ID: 4082509179 Enrollment ID: I20050809000810 |
| Provider Name | Patrick M Donohue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235184342 PECOS PAC ID: 5698759736 Enrollment ID: I20050812000814 |
| Provider Name | Marvin D Berman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295783546 PECOS PAC ID: 9931130234 Enrollment ID: I20050826000131 |
| Provider Name | John C Carroll |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902804990 PECOS PAC ID: 8123056173 Enrollment ID: I20050912000885 |
| Provider Name | Dennis R Larock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215935291 PECOS PAC ID: 3072546969 Enrollment ID: I20050912000963 |
| Provider Name | Ignatius P Oyula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619938958 PECOS PAC ID: 2860425600 Enrollment ID: I20050913000824 |
| Provider Name | Kevin R Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770561037 PECOS PAC ID: 4981639556 Enrollment ID: I20051003000323 |
| Provider Name | Suzanne J Gokavi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497815179 PECOS PAC ID: 8325063738 Enrollment ID: I20051013000794 |
| Provider Name | Scott J Streater |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508856865 PECOS PAC ID: 7719903608 Enrollment ID: I20051020000209 |
| Provider Name | Angela M Simpson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699723700 PECOS PAC ID: 4486670114 Enrollment ID: I20051021000145 |
| Provider Name | Robert J Caldas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124032883 PECOS PAC ID: 2163448747 Enrollment ID: I20051022000249 |
| Provider Name | Katherine Y Benevides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033179452 PECOS PAC ID: 2860410495 Enrollment ID: I20051102000917 |
| Provider Name | Elizabeth M Quann Babineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437125465 PECOS PAC ID: 4183642572 Enrollment ID: I20051103000960 |
| Provider Name | Philip J Sabra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538161732 PECOS PAC ID: 2365478625 Enrollment ID: I20051201000450 |
| Provider Name | Lorie Resendes Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053419481 PECOS PAC ID: 8729008818 Enrollment ID: I20051205000679 |
| Provider Name | Schahid a Rawoof |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649270182 PECOS PAC ID: 4587638606 Enrollment ID: I20051206000835 |
| Provider Name | Brian P Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285611293 PECOS PAC ID: 8527059054 Enrollment ID: I20051209000154 |
| Provider Name | Karen L Jeffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861593428 PECOS PAC ID: 2961423934 Enrollment ID: I20051219000271 |
| Provider Name | Marie Ngom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477505873 PECOS PAC ID: 0446272546 Enrollment ID: I20060103000340 |
| Provider Name | Lesley a Glaude |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609929835 PECOS PAC ID: 9537182027 Enrollment ID: I20060111000231 |
| Provider Name | Hope B Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093702110 PECOS PAC ID: 8628092202 Enrollment ID: I20060123000324 |
| Provider Name | Abena a Addo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366543225 PECOS PAC ID: 5698795284 Enrollment ID: I20060126000826 |
| Provider Name | Heidi D Martins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972593267 PECOS PAC ID: 3476567215 Enrollment ID: I20060131000668 |
| Provider Name | Anargyros T Skaliotis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265491807 PECOS PAC ID: 7911911664 Enrollment ID: I20060201000607 |
| Provider Name | Charles B Shana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427014935 PECOS PAC ID: 9739193392 Enrollment ID: I20060202000692 |
| Provider Name | Jeanne B Larock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750361713 PECOS PAC ID: 8325052863 Enrollment ID: I20060203000320 |
| Provider Name | Erin Lavoie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699732446 PECOS PAC ID: 0547275893 Enrollment ID: I20060208000439 |
| Provider Name | Paymon Kayhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215995543 PECOS PAC ID: 2365457579 Enrollment ID: I20060209000138 |
| Provider Name | Ahmed K Gayed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184682346 PECOS PAC ID: 7517972722 Enrollment ID: I20060209000162 |
| Provider Name | Vladimir P Yufit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801988704 PECOS PAC ID: 5496761553 Enrollment ID: I20060227000376 |
| Provider Name | Scott D Kelley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295769388 PECOS PAC ID: 4385650035 Enrollment ID: I20060303000608 |
| Provider Name | Wendi Z Sylvia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225166697 PECOS PAC ID: 5193783215 Enrollment ID: I20060309000441 |
| Provider Name | Drew L Nahigyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518954650 PECOS PAC ID: 5890702823 Enrollment ID: I20060315000441 |
| Provider Name | Cynthia C Rodrigues |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720135577 PECOS PAC ID: 3072592682 Enrollment ID: I20060321000427 |
| Provider Name | Naresh G Mansharamani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952470080 PECOS PAC ID: 2062491681 Enrollment ID: I20060321000445 |
| Provider Name | Shobhita Sundar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467454611 PECOS PAC ID: 5991731259 Enrollment ID: I20060328000106 |
| Provider Name | Karl M Zuzarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538161781 PECOS PAC ID: 3173559432 Enrollment ID: I20060328000173 |
| Provider Name | Grace Kooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477531895 PECOS PAC ID: 8123036472 Enrollment ID: I20060328000278 |
| Provider Name | Melinda a Mcauliffe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457358319 PECOS PAC ID: 0547278798 Enrollment ID: I20060329000389 |
| Provider Name | Stephen T Gagliardi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831179894 PECOS PAC ID: 3274541370 Enrollment ID: I20060331000251 |
| Provider Name | Sushruta Prusty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629118302 PECOS PAC ID: 1456369362 Enrollment ID: I20060403000729 |
| Provider Name | Stephen Willard Brooks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306899638 PECOS PAC ID: 0840261517 Enrollment ID: I20060405000613 |
| Provider Name | Marvin E Morris |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548245418 PECOS PAC ID: 0345259917 Enrollment ID: I20060410000163 |
| Provider Name | David S Chesney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396732418 PECOS PAC ID: 4486664638 Enrollment ID: I20060502000695 |
| Provider Name | Ashwini Sahni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649233529 PECOS PAC ID: 4789697558 Enrollment ID: I20060720000316 |
| Provider Name | Cindy L Dow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063484368 PECOS PAC ID: 9032124417 Enrollment ID: I20060804000049 |
| Provider Name | Nicola Francalancia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871584003 PECOS PAC ID: 2668475682 Enrollment ID: I20060812000007 |
| Provider Name | Anna Somerto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336107150 PECOS PAC ID: 5193784205 Enrollment ID: I20060824000402 |
| Provider Name | Mariel V. Del Rio-cadorette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750328290 PECOS PAC ID: 3173527900 Enrollment ID: I20060908000125 |
| Provider Name | Wei Gen Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417904806 PECOS PAC ID: 3476558404 Enrollment ID: I20060926000571 |
| Provider Name | Michael J Harrison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508849936 PECOS PAC ID: 5991768301 Enrollment ID: I20061013000345 |
| Provider Name | Pankaj Sikka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750370532 PECOS PAC ID: 5698667210 Enrollment ID: I20061016000129 |
| Provider Name | Andrea R Stewart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043277072 PECOS PAC ID: 6709882681 Enrollment ID: I20061017000346 |
| Provider Name | Hector E Mateo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104816552 PECOS PAC ID: 8426035783 Enrollment ID: I20061018000503 |
| Provider Name | Natia Corsi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336169135 PECOS PAC ID: 5496752099 Enrollment ID: I20061024000347 |
| Provider Name | Michael Naylor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992720601 PECOS PAC ID: 5890740039 Enrollment ID: I20061025000114 |
| Provider Name | Thomas J. Doyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215993506 PECOS PAC ID: 3274531090 Enrollment ID: I20061109000646 |
| Provider Name | Mary Beth L Maher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144326968 PECOS PAC ID: 4789682626 Enrollment ID: I20061201000166 |
| Provider Name | Prakash R Darji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992876569 PECOS PAC ID: 7719986603 Enrollment ID: I20061202000080 |
| Provider Name | Irina Merport |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992760912 PECOS PAC ID: 4183623184 Enrollment ID: I20061220000010 |
| Provider Name | Mohammad Hadi Esteghamati |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598740607 PECOS PAC ID: 9133144710 Enrollment ID: I20061227000102 |
| Provider Name | Bo Xu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679525596 PECOS PAC ID: 5294768263 Enrollment ID: I20070104000105 |
| Provider Name | Nathaniel F Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336132745 PECOS PAC ID: 7517968803 Enrollment ID: I20070130000204 |
| Provider Name | Andrea Kopasz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770698573 PECOS PAC ID: 7214939404 Enrollment ID: I20070131000482 |
| Provider Name | Cathy a Bowers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265503262 PECOS PAC ID: 0840392171 Enrollment ID: I20070216000380 |
| Provider Name | Kevin C Delahanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639272909 PECOS PAC ID: 4880796762 Enrollment ID: I20070223000154 |
| Provider Name | Vitaliy Chernyy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376533711 PECOS PAC ID: 2860479367 Enrollment ID: I20070305000283 |
| Provider Name | Jennifer C Ring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184760696 PECOS PAC ID: 3577666890 Enrollment ID: I20070307000102 |
| Provider Name | Elizabeth S Tivnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730243395 PECOS PAC ID: 8628171154 Enrollment ID: I20070405000195 |
| Provider Name | Zhenglun Zhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598850943 PECOS PAC ID: 6305889585 Enrollment ID: I20070410000061 |
| Provider Name | Phyllis a Correia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164576930 PECOS PAC ID: 4981619624 Enrollment ID: I20070410000447 |
| Provider Name | Barbara L Soares |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528077039 PECOS PAC ID: 7810092210 Enrollment ID: I20070413000012 |
| Provider Name | Lindsey a Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386768364 PECOS PAC ID: 0143326728 Enrollment ID: I20070427000093 |
| Provider Name | Svetlana Ivanov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164409009 PECOS PAC ID: 5193777688 Enrollment ID: I20070517000643 |
| Provider Name | Mary E Macgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528194172 PECOS PAC ID: 5597862516 Enrollment ID: I20070525000097 |
| Provider Name | Jasline K Dhingra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942340815 PECOS PAC ID: 6800994617 Enrollment ID: I20070601000253 |
| Provider Name | Binu J Pathrose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023096682 PECOS PAC ID: 8325147929 Enrollment ID: I20070622000205 |
| Provider Name | Peng Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811105737 PECOS PAC ID: 6204936313 Enrollment ID: I20070702000598 |
| Provider Name | John D Pina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720208614 PECOS PAC ID: 0244330322 Enrollment ID: I20070703000509 |
| Provider Name | Rebecca D Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902964919 PECOS PAC ID: 8325148364 Enrollment ID: I20070705000414 |
| Provider Name | Sally F Alexandre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053388827 PECOS PAC ID: 0345262028 Enrollment ID: I20070710000396 |
| Provider Name | Philip H Knight |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578600995 PECOS PAC ID: 4385745181 Enrollment ID: I20070724000241 |
| Provider Name | Madeleine C Sampson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215044995 PECOS PAC ID: 5698866242 Enrollment ID: I20070810000382 |
| Provider Name | Jennifer Duhon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710186606 PECOS PAC ID: 8921199464 Enrollment ID: I20070813000216 |
| Provider Name | Jane M Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073502431 PECOS PAC ID: 5092806414 Enrollment ID: I20070814000266 |
| Provider Name | Ping Jin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023222577 PECOS PAC ID: 8729170691 Enrollment ID: I20070823000062 |
| Provider Name | Jarvis W Lambert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518969708 PECOS PAC ID: 7719913078 Enrollment ID: I20070824000389 |
| Provider Name | Cheryl Ann Hoffman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205975976 PECOS PAC ID: 1153413968 Enrollment ID: I20070824000399 |
| Provider Name | Jessica C Inwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831121383 PECOS PAC ID: 2668564204 Enrollment ID: I20070827000847 |
| Provider Name | Michael K. Hyder |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770527491 PECOS PAC ID: 9032122064 Enrollment ID: I20070906000301 |
| Provider Name | David E Mcginnis |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1689634115 PECOS PAC ID: 0840266052 Enrollment ID: I20070911000215 |
| Provider Name | Susan Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518087139 PECOS PAC ID: 6406949163 Enrollment ID: I20070911000714 |
| Provider Name | Donna a Kucharski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336148238 PECOS PAC ID: 2062477243 Enrollment ID: I20070914000551 |
| Provider Name | Paul William Evans |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114076452 PECOS PAC ID: 1254425663 Enrollment ID: I20070917000161 |
| Provider Name | Erika Mello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467576298 PECOS PAC ID: 5193761799 Enrollment ID: I20070920000619 |
| Provider Name | Susan J Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891985990 PECOS PAC ID: 6305931643 Enrollment ID: I20071002000667 |
| Provider Name | Lucas R Ryback |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164582508 PECOS PAC ID: 8022105873 Enrollment ID: I20071026000207 |
| Provider Name | Allison Gorski |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1912993478 PECOS PAC ID: 7012004666 Enrollment ID: I20071030000446 |
| Provider Name | Loretta a Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699964924 PECOS PAC ID: 3577458850 Enrollment ID: I20071121000205 |
| Provider Name | Reziwanguli Aji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164612297 PECOS PAC ID: 9335237502 Enrollment ID: I20071126000017 |
| Provider Name | Kelly a Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982899670 PECOS PAC ID: 9032150925 Enrollment ID: I20071128000708 |
| Provider Name | Henry Korzeniowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063496990 PECOS PAC ID: 9335238211 Enrollment ID: I20071129000459 |
| Provider Name | Ashley L Racette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437347903 PECOS PAC ID: 6002906252 Enrollment ID: I20071212000378 |
| Provider Name | Alan B Blinn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992780530 PECOS PAC ID: 5890883813 Enrollment ID: I20071218000254 |
| Provider Name | Paul G Hammerness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417930850 PECOS PAC ID: 7113007451 Enrollment ID: I20071228000033 |
| Provider Name | Krisann Jardin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467633321 PECOS PAC ID: 9638259674 Enrollment ID: I20080103000586 |
| Provider Name | Christopher a Abadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619971314 PECOS PAC ID: 1456375534 Enrollment ID: I20080108000579 |
| Provider Name | Triffin J Psyhojos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316923550 PECOS PAC ID: 4284520370 Enrollment ID: I20080111000199 |
| Provider Name | Tomasz Pajak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841381126 PECOS PAC ID: 3577526912 Enrollment ID: I20080122000294 |
| Provider Name | Heather M Pianfetti |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679755144 PECOS PAC ID: 6507948411 Enrollment ID: I20080131000237 |
| Provider Name | Jennifer a Anderson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346424058 PECOS PAC ID: 4284716101 Enrollment ID: I20080131000354 |
| Provider Name | Robert H Schwengel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154325827 PECOS PAC ID: 5597847335 Enrollment ID: I20080131000620 |
| Provider Name | Andrew K Parsons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033195250 PECOS PAC ID: 0042300337 Enrollment ID: I20080212000597 |
| Provider Name | Jonathan H Kopchick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710166137 PECOS PAC ID: 0941384143 Enrollment ID: I20080227000125 |
| Provider Name | David J. Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902082365 PECOS PAC ID: 1951487768 Enrollment ID: I20080319000377 |
| Provider Name | Arvind Bansal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154408342 PECOS PAC ID: 0749263911 Enrollment ID: I20080329000037 |
| Provider Name | Christian P Mueller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922099886 PECOS PAC ID: 2163509118 Enrollment ID: I20080402000006 |
| Provider Name | Raimis Matulionis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437149804 PECOS PAC ID: 4789761743 Enrollment ID: I20080402000031 |
| Provider Name | Craig Longo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588717524 PECOS PAC ID: 1456438787 Enrollment ID: I20080410000190 |
| Provider Name | Irina Chernaya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124018569 PECOS PAC ID: 7517944010 Enrollment ID: I20080421000266 |
| Provider Name | Karen L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316943798 PECOS PAC ID: 5890874358 Enrollment ID: I20080508000529 |
| Provider Name | Christian S Pope |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558366419 PECOS PAC ID: 8628157914 Enrollment ID: I20080512000751 |
| Provider Name | Vojin Gajic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952447591 PECOS PAC ID: 7618046954 Enrollment ID: I20080513000444 |
| Provider Name | Naga Vytla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962688580 PECOS PAC ID: 7618046509 Enrollment ID: I20080519000344 |
| Provider Name | Ian a Rivera-colon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982819801 PECOS PAC ID: 4183793805 Enrollment ID: I20080521000637 |
| Provider Name | Anne C Shih |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578539623 PECOS PAC ID: 0345310918 Enrollment ID: I20080609000572 |
| Provider Name | Nevine Henin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672473 PECOS PAC ID: 9335219849 Enrollment ID: I20080610000018 |
| Provider Name | Jeffrey J Michaud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083619928 PECOS PAC ID: 6204907256 Enrollment ID: I20080618000438 |
| Provider Name | Stacey N Knox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346245297 PECOS PAC ID: 7012088065 Enrollment ID: I20080618000445 |
| Provider Name | Tricia a Carty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053308171 PECOS PAC ID: 3577634179 Enrollment ID: I20080625000029 |
| Provider Name | Gabriel L Szabo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245417906 PECOS PAC ID: 8820161367 Enrollment ID: I20080717000111 |
| Provider Name | Daniel H Park |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1912117177 PECOS PAC ID: 1557434099 Enrollment ID: I20080717000114 |
| Provider Name | Sharon L. Marable |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952382012 PECOS PAC ID: 0749353126 Enrollment ID: I20080717000597 |
| Provider Name | James Witkowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386617843 PECOS PAC ID: 8426154246 Enrollment ID: I20080727000011 |
| Provider Name | Erin Kathleen O Brien Donohue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689770158 PECOS PAC ID: 5698746576 Enrollment ID: I20080807000537 |
| Provider Name | Stanlies M Dsouza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407032444 PECOS PAC ID: 9931274685 Enrollment ID: I20080815000111 |
| Provider Name | Iraklis S. Gerogiannis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861583114 PECOS PAC ID: 1153210687 Enrollment ID: I20080822000032 |
| Provider Name | Jason J Diogo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861559429 PECOS PAC ID: 3375619539 Enrollment ID: I20080911000692 |
| Provider Name | David C Bae |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891914669 PECOS PAC ID: 3072680701 Enrollment ID: I20080923000336 |
| Provider Name | Tomas Cvrk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942402987 PECOS PAC ID: 8325116585 Enrollment ID: I20081001000615 |
| Provider Name | Monica S Dasilva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568412872 PECOS PAC ID: 7618900093 Enrollment ID: I20081002000682 |
| Provider Name | Nathan Paul Wilkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548394802 PECOS PAC ID: 2365487329 Enrollment ID: I20081016000382 |
| Provider Name | Kathleen D London-lopes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841455698 PECOS PAC ID: 6507924339 Enrollment ID: I20081023000480 |
| Provider Name | Christian Hugo Dee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871593392 PECOS PAC ID: 2163580556 Enrollment ID: I20081029000653 |
| Provider Name | Gowri U Harinarayanan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700097813 PECOS PAC ID: 7416016480 Enrollment ID: I20081105000441 |
| Provider Name | Roxane J Fredette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467618421 PECOS PAC ID: 7012076904 Enrollment ID: I20081106000705 |
| Provider Name | Shabana Majeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407044654 PECOS PAC ID: 4587735766 Enrollment ID: I20081110000015 |
| Provider Name | Jayanthi N Krishnaprakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811196009 PECOS PAC ID: 5092875567 Enrollment ID: I20081114000130 |
| Provider Name | Eliesel G Lacerda De La Cruz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831363779 PECOS PAC ID: 3375603764 Enrollment ID: I20081114000396 |
| Provider Name | Catherine a Moretti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295987808 PECOS PAC ID: 8426118035 Enrollment ID: I20081126000361 |
| Provider Name | Rene a Umanzor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508890708 PECOS PAC ID: 0749341691 Enrollment ID: I20081210000359 |
| Provider Name | Mushtaque Chachar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891903712 PECOS PAC ID: 4688740434 Enrollment ID: I20081217000521 |
| Provider Name | Craig W Champion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629251749 PECOS PAC ID: 8921160359 Enrollment ID: I20081219000023 |
| Provider Name | Sally Ann Massa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336208990 PECOS PAC ID: 7012917156 Enrollment ID: I20081223000165 |
| Provider Name | Evelyn T. Kelly |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497927685 PECOS PAC ID: 2567526221 Enrollment ID: I20090126000447 |
| Provider Name | Peter Mandelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821036120 PECOS PAC ID: 5092870030 Enrollment ID: I20090209000085 |
| Provider Name | Amy T Moor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013160415 PECOS PAC ID: 7416012083 Enrollment ID: I20090213000388 |
| Provider Name | Mary Dana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700924206 PECOS PAC ID: 0345305892 Enrollment ID: I20090217000101 |
| Provider Name | Igrar Ismail Zade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346270006 PECOS PAC ID: 8123183225 Enrollment ID: I20090224000151 |
| Provider Name | Rachel Fortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083852263 PECOS PAC ID: 3375609191 Enrollment ID: I20090303000596 |
| Provider Name | Donald a Colacchio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306830161 PECOS PAC ID: 1153312962 Enrollment ID: I20090304000356 |
| Provider Name | Lisa D Sweeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083726194 PECOS PAC ID: 6002972528 Enrollment ID: I20090309000543 |
| Provider Name | Beth B Herrick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548229016 PECOS PAC ID: 8123185139 Enrollment ID: I20090318000629 |
| Provider Name | Anne M Madigan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114186095 PECOS PAC ID: 6103973375 Enrollment ID: I20090406000503 |
| Provider Name | Patricia C Henderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720247893 PECOS PAC ID: 9537216700 Enrollment ID: I20090406000536 |
| Provider Name | John C Dorn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952351918 PECOS PAC ID: 9638279219 Enrollment ID: I20090416000240 |
| Provider Name | Michael J Bertucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427056589 PECOS PAC ID: 8527004597 Enrollment ID: I20090422000372 |
| Provider Name | John a Magnotta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659372399 PECOS PAC ID: 6406882786 Enrollment ID: I20090429000341 |
| Provider Name | Azzam Bittar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285890103 PECOS PAC ID: 8921156795 Enrollment ID: I20090505000187 |
| Provider Name | Angela Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639304868 PECOS PAC ID: 2769532795 Enrollment ID: I20090611000703 |
| Provider Name | Suzanne Troup Duncan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285843185 PECOS PAC ID: 3274683164 Enrollment ID: I20090616000175 |
| Provider Name | Leslie a Garrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952472243 PECOS PAC ID: 5294886768 Enrollment ID: I20090623000335 |
| Provider Name | Bin He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821284274 PECOS PAC ID: 6406907625 Enrollment ID: I20090630000187 |
| Provider Name | Jennifer Lynn Mccombs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225229230 PECOS PAC ID: 1254483431 Enrollment ID: I20090720000085 |
| Provider Name | Heather Styke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528202629 PECOS PAC ID: 0345394516 Enrollment ID: I20090822000069 |
| Provider Name | Brett J Hurteau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972616019 PECOS PAC ID: 6608920871 Enrollment ID: I20090822000074 |
| Provider Name | Elizabeth Mcginnis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356450316 PECOS PAC ID: 0042301905 Enrollment ID: I20090827000021 |
| Provider Name | Laura Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265433122 PECOS PAC ID: 2769538602 Enrollment ID: I20090918000156 |
| Provider Name | M Richard Pavao |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003942749 PECOS PAC ID: 7719033042 Enrollment ID: I20090928000665 |
| Provider Name | Amy B Molis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144373036 PECOS PAC ID: 2567508674 Enrollment ID: I20091002000509 |
| Provider Name | Felicia F Barreto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124219621 PECOS PAC ID: 2264578822 Enrollment ID: I20091013000139 |
| Provider Name | John Podkowa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932373552 PECOS PAC ID: 0547323925 Enrollment ID: I20091013000186 |
| Provider Name | Kelly a Coucci |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285709717 PECOS PAC ID: 3971649559 Enrollment ID: I20091013000301 |
| Provider Name | Kari Star |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558533851 PECOS PAC ID: 4789720384 Enrollment ID: I20091013000409 |
| Provider Name | Julianne H Hetzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477794170 PECOS PAC ID: 7517003023 Enrollment ID: I20091013000634 |
| Provider Name | Sudheer Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326200577 PECOS PAC ID: 2961549340 Enrollment ID: I20091019000154 |
| Provider Name | Saira Nisar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114182680 PECOS PAC ID: 1850438714 Enrollment ID: I20091026000304 |
| Provider Name | Elizabeth J Small Pal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568410694 PECOS PAC ID: 3476690389 Enrollment ID: I20091027000056 |
| Provider Name | Victoria L Bruegel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1396929550 PECOS PAC ID: 4688712102 Enrollment ID: I20091103000528 |
| Provider Name | Theresa Piotrowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598794505 PECOS PAC ID: 0547227951 Enrollment ID: I20091123000178 |
| Provider Name | Arumugam Thanumalaya Perumal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770555872 PECOS PAC ID: 8325187842 Enrollment ID: I20091123000322 |
| Provider Name | Michael a Sera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366778870 PECOS PAC ID: 4688713746 Enrollment ID: I20091202000480 |
| Provider Name | Joely V Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558450049 PECOS PAC ID: 9335289859 Enrollment ID: I20091215000012 |
| Provider Name | Thomas a Chasse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811954712 PECOS PAC ID: 0446291231 Enrollment ID: I20091218000049 |
| Provider Name | Rebecca M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750617312 PECOS PAC ID: 2668512559 Enrollment ID: I20091228000565 |
| Provider Name | Nada Zaknoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407905938 PECOS PAC ID: 7517009988 Enrollment ID: I20100122000520 |
| Provider Name | Paul J Flaherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912926460 PECOS PAC ID: 1658346838 Enrollment ID: I20100209000043 |
| Provider Name | Shannon M Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033446166 PECOS PAC ID: 2466596358 Enrollment ID: I20100216000264 |
| Provider Name | Andrea R Prigaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366651010 PECOS PAC ID: 8628112455 Enrollment ID: I20100217000799 |
| Provider Name | Monica C Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932434933 PECOS PAC ID: 1951445899 Enrollment ID: I20100225000659 |
| Provider Name | Larry F Thiesen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073513438 PECOS PAC ID: 7315981529 Enrollment ID: I20100227000097 |
| Provider Name | Christine C Celone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144227000 PECOS PAC ID: 4284779208 Enrollment ID: I20100302000647 |
| Provider Name | Kristen M Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609105667 PECOS PAC ID: 0143365635 Enrollment ID: I20100309000244 |
| Provider Name | Joshua C Frias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568793388 PECOS PAC ID: 9638204985 Enrollment ID: I20100312000045 |
| Provider Name | Steven Thomas Cobery |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598958753 PECOS PAC ID: 2668541764 Enrollment ID: I20100313000055 |
| Provider Name | Carl J Borromeo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639105067 PECOS PAC ID: 2961538426 Enrollment ID: I20100414000055 |
| Provider Name | Theresa M Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619149564 PECOS PAC ID: 5193853810 Enrollment ID: I20100517000339 |
| Provider Name | Kathleen P Pringle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982602223 PECOS PAC ID: 2567533938 Enrollment ID: I20100607000721 |
| Provider Name | Stephen T Punzak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609852870 PECOS PAC ID: 5395875553 Enrollment ID: I20100615000116 |
| Provider Name | Keith Fragoza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376748988 PECOS PAC ID: 2466584792 Enrollment ID: I20100721000787 |
| Provider Name | Katina Robison |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1376633248 PECOS PAC ID: 9931249018 Enrollment ID: I20100730000427 |
| Provider Name | Matthew J Costa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942464649 PECOS PAC ID: 8729112784 Enrollment ID: I20100813000196 |
| Provider Name | Judy E Galley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679548077 PECOS PAC ID: 6103950068 Enrollment ID: I20100813000292 |
| Provider Name | Mark D Barros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760586440 PECOS PAC ID: 5991839888 Enrollment ID: I20100813000625 |
| Provider Name | Joel R Lopes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538145891 PECOS PAC ID: 6608900048 Enrollment ID: I20100820000018 |
| Provider Name | Mohammad Farivar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831136845 PECOS PAC ID: 1355475708 Enrollment ID: I20100820000181 |
| Provider Name | Diego S Illanes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568529121 PECOS PAC ID: 4082748371 Enrollment ID: I20100823000944 |
| Provider Name | Alvin Marcovici |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376530337 PECOS PAC ID: 3577687789 Enrollment ID: I20100825000239 |
| Provider Name | Lisa Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063531853 PECOS PAC ID: 3476677626 Enrollment ID: I20100825000659 |
| Provider Name | Philip a Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588995468 PECOS PAC ID: 5890819916 Enrollment ID: I20100826000461 |
| Provider Name | Dilip K Sthapit |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649464041 PECOS PAC ID: 4789708819 Enrollment ID: I20100826000639 |
| Provider Name | Anne Marie Treadup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568438513 PECOS PAC ID: 9032278577 Enrollment ID: I20100901000945 |
| Provider Name | Andrew R Doben |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144398926 PECOS PAC ID: 3870617228 Enrollment ID: I20100908000125 |
| Provider Name | Matthew F Philips |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598752610 PECOS PAC ID: 9537068143 Enrollment ID: I20100908000129 |
| Provider Name | Sirjana Dhungana Parajuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063606473 PECOS PAC ID: 9133244247 Enrollment ID: I20100914000013 |
| Provider Name | Mazhar a Jakhro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659513869 PECOS PAC ID: 1355466277 Enrollment ID: I20100916000120 |
| Provider Name | Tushar Kumar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962623843 PECOS PAC ID: 9638295983 Enrollment ID: I20100924000179 |
| Provider Name | Rebecca L Villineau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568793909 PECOS PAC ID: 4082730346 Enrollment ID: I20100924000304 |
| Provider Name | Beverly T Gonzales-arrieta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801932306 PECOS PAC ID: 7719060151 Enrollment ID: I20100927000066 |
| Provider Name | Patrick J Gagnon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588869366 PECOS PAC ID: 0446376156 Enrollment ID: I20100929001513 |
| Provider Name | Robert a Fuller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336314764 PECOS PAC ID: 6709078017 Enrollment ID: I20101005000876 |
| Provider Name | Hanumara R Chowdri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194794420 PECOS PAC ID: 5395937379 Enrollment ID: I20101008000510 |
| Provider Name | Nosheen Javed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487977120 PECOS PAC ID: 8729270483 Enrollment ID: I20101013000459 |
| Provider Name | Michael R Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679780761 PECOS PAC ID: 6103019286 Enrollment ID: I20101021000393 |
| Provider Name | Edna Mcaddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396943205 PECOS PAC ID: 3173716107 Enrollment ID: I20101021001139 |
| Provider Name | Sarah P Baily |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508896432 PECOS PAC ID: 1850341298 Enrollment ID: I20101022000733 |
| Provider Name | Luis a Ramirez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154520377 PECOS PAC ID: 9032302948 Enrollment ID: I20101025000255 |
| Provider Name | Boravann Ung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497715486 PECOS PAC ID: 0345433116 Enrollment ID: I20101025001153 |
| Provider Name | Stephanie Cintora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609902097 PECOS PAC ID: 7214080670 Enrollment ID: I20101102000477 |
| Provider Name | Laura Estelle Turini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265600092 PECOS PAC ID: 1153491881 Enrollment ID: I20101104001102 |
| Provider Name | Gerald J Monchik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588690747 PECOS PAC ID: 7214986462 Enrollment ID: I20101115000843 |
| Provider Name | Daniel P Eardley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952337115 PECOS PAC ID: 3577512722 Enrollment ID: I20101129000617 |
| Provider Name | Manni Sethi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700982857 PECOS PAC ID: 7113018557 Enrollment ID: I20101207000631 |
| Provider Name | Michael J Griffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841590841 PECOS PAC ID: 5395933402 Enrollment ID: I20101215001242 |
| Provider Name | Suzelle S. Luc |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770765505 PECOS PAC ID: 7315135464 Enrollment ID: I20101216000378 |
| Provider Name | William Casey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811933047 PECOS PAC ID: 6406854736 Enrollment ID: I20110113001068 |
| Provider Name | Deborah D Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538212576 PECOS PAC ID: 8527247428 Enrollment ID: I20110125000302 |
| Provider Name | Najam a Zaidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679558266 PECOS PAC ID: 9537072186 Enrollment ID: I20110131000022 |
| Provider Name | Pilar G Alonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841295748 PECOS PAC ID: 7315127735 Enrollment ID: I20110202000253 |
| Provider Name | Michael Sandfort |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1841228707 PECOS PAC ID: 0941259196 Enrollment ID: I20110203000200 |
| Provider Name | Ilana Louise Feinerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891753737 PECOS PAC ID: 7517932767 Enrollment ID: I20110309000639 |
| Provider Name | Tome B Carreiro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417258831 PECOS PAC ID: 4486838067 Enrollment ID: I20110405001114 |
| Provider Name | Nina Szulewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326349879 PECOS PAC ID: 9638353816 Enrollment ID: I20110413000127 |
| Provider Name | Cynthia J Drogo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821165556 PECOS PAC ID: 0143405589 Enrollment ID: I20110428000041 |
| Provider Name | Joyce M Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083911853 PECOS PAC ID: 6406031467 Enrollment ID: I20110506000400 |
| Provider Name | Naren Gupta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487862272 PECOS PAC ID: 1759567621 Enrollment ID: I20110511000390 |
| Provider Name | Patrick J Kelty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548228166 PECOS PAC ID: 6901807684 Enrollment ID: I20110524000822 |
| Provider Name | Caroline Haas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093024960 PECOS PAC ID: 1557548948 Enrollment ID: I20110613000427 |
| Provider Name | Jennifer L Rapoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215924337 PECOS PAC ID: 2264619436 Enrollment ID: I20110616000094 |
| Provider Name | Kathryn a Titcomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215246152 PECOS PAC ID: 6800074873 Enrollment ID: I20110621000515 |
| Provider Name | Kwesi a Ntiforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730345794 PECOS PAC ID: 0042356693 Enrollment ID: I20110718000100 |
| Provider Name | Jennielizabeth Petrella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487802088 PECOS PAC ID: 0547329583 Enrollment ID: I20110725000395 |
| Provider Name | Candace L Okeefe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396708780 PECOS PAC ID: 7416948039 Enrollment ID: I20110824000142 |
| Provider Name | Ana T Laus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710135496 PECOS PAC ID: 4183894181 Enrollment ID: I20110831000099 |
| Provider Name | Sonakshi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104081025 PECOS PAC ID: 8325219686 Enrollment ID: I20110916000015 |
| Provider Name | Vivekanand Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528298809 PECOS PAC ID: 2466623491 Enrollment ID: I20110922000305 |
| Provider Name | Syed A. Jafery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255582698 PECOS PAC ID: 5890966857 Enrollment ID: I20110922000619 |
| Provider Name | Meaghan a Mccarthy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811284888 PECOS PAC ID: 8729259791 Enrollment ID: I20110922000720 |
| Provider Name | Sofia M Cabral-murras |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841570199 PECOS PAC ID: 5496926347 Enrollment ID: I20110926000385 |
| Provider Name | Bhavna R Lall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538336250 PECOS PAC ID: 3779755400 Enrollment ID: I20110930000470 |
| Provider Name | Stacie J Noble Shriver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053318899 PECOS PAC ID: 2567634215 Enrollment ID: I20111003000017 |
| Provider Name | Sonia M Seng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366629719 PECOS PAC ID: 7416129655 Enrollment ID: I20111011000576 |
| Provider Name | Kamini Hambly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114147642 PECOS PAC ID: 3870766413 Enrollment ID: I20111027000204 |
| Provider Name | Nita T Pant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215183868 PECOS PAC ID: 8022281286 Enrollment ID: I20111103000283 |
| Provider Name | Mahwish Raza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467618132 PECOS PAC ID: 1658545868 Enrollment ID: I20111129000089 |
| Provider Name | Mohamed a Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477703676 PECOS PAC ID: 9335315167 Enrollment ID: I20111229000187 |
| Provider Name | Christy Paiva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568625036 PECOS PAC ID: 1557538469 Enrollment ID: I20120118000064 |
| Provider Name | Katherine M Hayden |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912212887 PECOS PAC ID: 3173782414 Enrollment ID: I20120306000996 |
| Provider Name | Matthew J Freitas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114246626 PECOS PAC ID: 1153580899 Enrollment ID: I20120315000420 |
| Provider Name | Ramona M Archambault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790773026 PECOS PAC ID: 0648439240 Enrollment ID: I20120316000238 |
| Provider Name | Diane M Kuttner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356395578 PECOS PAC ID: 1052413788 Enrollment ID: I20120316000421 |
| Provider Name | Lisa M Silvia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174800916 PECOS PAC ID: 1557521226 Enrollment ID: I20120404000800 |
| Provider Name | Jennifer L Jolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922269869 PECOS PAC ID: 6901067271 Enrollment ID: I20120412000561 |
| Provider Name | Mary B B Frieburger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417253881 PECOS PAC ID: 9739341090 Enrollment ID: I20120502000368 |
| Provider Name | Joseph M Cabral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811228224 PECOS PAC ID: 1850553140 Enrollment ID: I20120502000654 |
| Provider Name | Jennifer Dias-rezendes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619267820 PECOS PAC ID: 9638331929 Enrollment ID: I20120502000695 |
| Provider Name | Raechel Anne Mcghee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003914979 PECOS PAC ID: 8820252927 Enrollment ID: I20120620000556 |
| Provider Name | Anabela C Da Costa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891867545 PECOS PAC ID: 7416970785 Enrollment ID: I20120622000034 |
| Provider Name | Adam J Saltzman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346452737 PECOS PAC ID: 1456442979 Enrollment ID: I20120725000730 |
| Provider Name | Kristen L Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144507104 PECOS PAC ID: 7214193879 Enrollment ID: I20120725000997 |
| Provider Name | Ericka Michelle Hersh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174781819 PECOS PAC ID: 4284880311 Enrollment ID: I20120806000671 |
| Provider Name | Susan a Oliveira |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477819845 PECOS PAC ID: 6305092180 Enrollment ID: I20120809000916 |
| Provider Name | Rana Y Mansour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114182961 PECOS PAC ID: 8325295728 Enrollment ID: I20120820000726 |
| Provider Name | Michael a Forzano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841433786 PECOS PAC ID: 3577711605 Enrollment ID: I20120914000674 |
| Provider Name | Jasper I Ngomba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760620975 PECOS PAC ID: 2163548066 Enrollment ID: I20120924000657 |
| Provider Name | Mustafa Albakour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407127558 PECOS PAC ID: 9335398718 Enrollment ID: I20120928000043 |
| Provider Name | Wojciech Sokolowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821369273 PECOS PAC ID: 4486804069 Enrollment ID: I20121016000537 |
| Provider Name | Xiaodan Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134381163 PECOS PAC ID: 0042460610 Enrollment ID: I20121017000749 |
| Provider Name | Kristen M Skaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174879175 PECOS PAC ID: 3072763515 Enrollment ID: I20121018000716 |
| Provider Name | Erin a Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255686580 PECOS PAC ID: 0547410722 Enrollment ID: I20121024000444 |
| Provider Name | Kristen E Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497001614 PECOS PAC ID: 7810148640 Enrollment ID: I20121103000043 |
| Provider Name | Jason D Salter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568575496 PECOS PAC ID: 6901950641 Enrollment ID: I20121105000247 |
| Provider Name | Katie Liberty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619278652 PECOS PAC ID: 5294919528 Enrollment ID: I20121107000039 |
| Provider Name | Shadi Mohammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588936546 PECOS PAC ID: 7719138320 Enrollment ID: I20121107000695 |
| Provider Name | Almuhannad Idris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366674707 PECOS PAC ID: 3971754581 Enrollment ID: I20121107000723 |
| Provider Name | Qiu Ci Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396092698 PECOS PAC ID: 6507017118 Enrollment ID: I20121107000744 |
| Provider Name | Erika Q Espindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154678233 PECOS PAC ID: 7012168644 Enrollment ID: I20121108000107 |
| Provider Name | Kyle Tokarz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649242637 PECOS PAC ID: 3971783861 Enrollment ID: I20121113000469 |
| Provider Name | Diana Suris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972731537 PECOS PAC ID: 1759532799 Enrollment ID: I20121121000345 |
| Provider Name | Elaine M Allendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104944115 PECOS PAC ID: 6507017407 Enrollment ID: I20121126000480 |
| Provider Name | Candida Lopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972855195 PECOS PAC ID: 8224280698 Enrollment ID: I20121211000179 |
| Provider Name | Melissa M.V. Carrette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225381742 PECOS PAC ID: 6507018900 Enrollment ID: I20121211000501 |
| Provider Name | Greg W. Goodwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013167634 PECOS PAC ID: 3870745805 Enrollment ID: I20121220000135 |
| Provider Name | Rashmi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902139983 PECOS PAC ID: 6204089212 Enrollment ID: I20121226000173 |
| Provider Name | Lori a Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662833 PECOS PAC ID: 6608029293 Enrollment ID: I20130110000035 |
| Provider Name | Valentina Da Cunha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073748893 PECOS PAC ID: 8921251562 Enrollment ID: I20130110000526 |
| Provider Name | Laura B Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740533439 PECOS PAC ID: 1658524160 Enrollment ID: I20130114000049 |
| Provider Name | Victor E Pricolo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861490807 PECOS PAC ID: 8325008188 Enrollment ID: I20130117000288 |
| Provider Name | Laura C Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104179613 PECOS PAC ID: 3678727781 Enrollment ID: I20130125000018 |
| Provider Name | Qiwei Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316101330 PECOS PAC ID: 7214115336 Enrollment ID: I20130206000207 |
| Provider Name | Therese C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659625382 PECOS PAC ID: 8527213719 Enrollment ID: I20130218000494 |
| Provider Name | Travis D Caron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831435627 PECOS PAC ID: 0941455125 Enrollment ID: I20130220000281 |
| Provider Name | Melanie a Daignault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578809182 PECOS PAC ID: 6103071691 Enrollment ID: I20130307000357 |
| Provider Name | Ismadelyne Antoine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417185612 PECOS PAC ID: 8426203704 Enrollment ID: I20130313000254 |
| Provider Name | Monica Begin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700120268 PECOS PAC ID: 5092950220 Enrollment ID: I20130318000283 |
| Provider Name | Aaron J Novy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194028829 PECOS PAC ID: 8628213758 Enrollment ID: I20130320000675 |
| Provider Name | Michelle Mckenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518176320 PECOS PAC ID: 4587809066 Enrollment ID: I20130404000338 |
| Provider Name | Allison F Miskiv |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952640112 PECOS PAC ID: 8123264462 Enrollment ID: I20130411000370 |
| Provider Name | Jessica L Breen Sheth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871830414 PECOS PAC ID: 6709023435 Enrollment ID: I20130516000260 |
| Provider Name | Ramin R Davoudi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851356216 PECOS PAC ID: 9931117314 Enrollment ID: I20130520000315 |
| Provider Name | Cindy a Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164683652 PECOS PAC ID: 0244479574 Enrollment ID: I20130618000524 |
| Provider Name | Sonia C Peck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639477433 PECOS PAC ID: 4385883412 Enrollment ID: I20130620000280 |
| Provider Name | Wendy L Buja |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497956882 PECOS PAC ID: 3274772306 Enrollment ID: I20130620000295 |
| Provider Name | Sandra Alua |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376867176 PECOS PAC ID: 9335388479 Enrollment ID: I20130620000338 |
| Provider Name | Rose M Larrivee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568684413 PECOS PAC ID: 0648419788 Enrollment ID: I20130620000401 |
| Provider Name | Gopakumar S Sreekumaran Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811201841 PECOS PAC ID: 8527206994 Enrollment ID: I20130701000113 |
| Provider Name | Lauren Brum |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841636594 PECOS PAC ID: 6406096932 Enrollment ID: I20130705000417 |
| Provider Name | Brienne N Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942643549 PECOS PAC ID: 8729228143 Enrollment ID: I20130709000182 |
| Provider Name | Danielle M Rodrigues |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194096834 PECOS PAC ID: 0749445310 Enrollment ID: I20130715000035 |
| Provider Name | Jacob A. Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871735167 PECOS PAC ID: 9830330984 Enrollment ID: I20130801000201 |
| Provider Name | Karen Sarmento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114146164 PECOS PAC ID: 3678715489 Enrollment ID: I20130807000614 |
| Provider Name | Nitya Bhattarai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356658124 PECOS PAC ID: 3173765997 Enrollment ID: I20130807000684 |
| Provider Name | Subash Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497060594 PECOS PAC ID: 4284876905 Enrollment ID: I20130808000936 |
| Provider Name | Alan Mcnamara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124392980 PECOS PAC ID: 7911149497 Enrollment ID: I20130813000346 |
| Provider Name | Jessica L Kerensky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922382159 PECOS PAC ID: 1052584604 Enrollment ID: I20130813000804 |
| Provider Name | Kayse Lynn Barry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497035208 PECOS PAC ID: 9234396417 Enrollment ID: I20130820000162 |
| Provider Name | Ye M Tun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063738615 PECOS PAC ID: 2264675198 Enrollment ID: I20130826000327 |
| Provider Name | Edress Othman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508916792 PECOS PAC ID: 4082690227 Enrollment ID: I20130917000122 |
| Provider Name | Sagar S Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639301187 PECOS PAC ID: 4486898020 Enrollment ID: I20130920000219 |
| Provider Name | Jonelle a Raphael |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497919245 PECOS PAC ID: 5991949547 Enrollment ID: I20130920000290 |
| Provider Name | Nitesh Sood |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124299755 PECOS PAC ID: 3476797754 Enrollment ID: I20130926000832 |
| Provider Name | Deepthi Deconda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477727451 PECOS PAC ID: 9133353329 Enrollment ID: I20131001000145 |
| Provider Name | Michael L Barretti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689766016 PECOS PAC ID: 8325272412 Enrollment ID: I20131003000019 |
| Provider Name | Philip Formica |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1184883209 PECOS PAC ID: 2668607243 Enrollment ID: I20131107000707 |
| Provider Name | Rakshith Gadam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417116724 PECOS PAC ID: 2860565710 Enrollment ID: I20131112000735 |
| Provider Name | Nnamdi O Amaechina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144531518 PECOS PAC ID: 7810123106 Enrollment ID: I20131114001122 |
| Provider Name | Laura M Leydon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841568102 PECOS PAC ID: 5890942262 Enrollment ID: I20131118001525 |
| Provider Name | Meagan L Fuertes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784225 PECOS PAC ID: 6800022963 Enrollment ID: I20131119000977 |
| Provider Name | Benjamin Prieur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215376769 PECOS PAC ID: 1759517717 Enrollment ID: I20131121000565 |
| Provider Name | Ansi Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548429715 PECOS PAC ID: 0941495808 Enrollment ID: I20131126000986 |
| Provider Name | Saba Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518133602 PECOS PAC ID: 3971656547 Enrollment ID: I20131206000345 |
| Provider Name | Valerie M Haney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457786345 PECOS PAC ID: 5890922314 Enrollment ID: I20131209000242 |
| Provider Name | Michael John Langworthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841301546 PECOS PAC ID: 5698744225 Enrollment ID: I20131210001738 |
| Provider Name | Mandy a Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427490648 PECOS PAC ID: 8123255494 Enrollment ID: I20131211001403 |
| Provider Name | Siri Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912334186 PECOS PAC ID: 3577790484 Enrollment ID: I20131223001076 |
| Provider Name | Erin M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649211053 PECOS PAC ID: 9234367681 Enrollment ID: I20140110001563 |
| Provider Name | Janessa O Carvalho |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689860611 PECOS PAC ID: 9830327980 Enrollment ID: I20140116001570 |
| Provider Name | Jason W Sadeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386927721 PECOS PAC ID: 9931337847 Enrollment ID: I20140122000397 |
| Provider Name | Richard H Pin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487708202 PECOS PAC ID: 1850466772 Enrollment ID: I20140129000538 |
| Provider Name | Mark R Morosco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922203777 PECOS PAC ID: 2466410360 Enrollment ID: I20140131001429 |
| Provider Name | Jody P Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306273693 PECOS PAC ID: 7810126398 Enrollment ID: I20140203000561 |
| Provider Name | Gautam Wadhwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386945673 PECOS PAC ID: 4486883881 Enrollment ID: I20140205001225 |
| Provider Name | Rebecca a Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003248683 PECOS PAC ID: 7315176567 Enrollment ID: I20140210001208 |
| Provider Name | Dmitry Levin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639303035 PECOS PAC ID: 2466688304 Enrollment ID: I20140211001649 |
| Provider Name | David L Gillespie |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326192998 PECOS PAC ID: 3476611104 Enrollment ID: I20140213000236 |
| Provider Name | Glynelle E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841538543 PECOS PAC ID: 6800025891 Enrollment ID: I20140218000375 |
| Provider Name | Melinda M Patricio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194150367 PECOS PAC ID: 5193955862 Enrollment ID: I20140225000036 |
| Provider Name | Ronald T Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841443470 PECOS PAC ID: 0547490179 Enrollment ID: I20140227001558 |
| Provider Name | Michael Semenovski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750541876 PECOS PAC ID: 9335379635 Enrollment ID: I20140306001768 |
| Provider Name | Christine Pereira |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316377880 PECOS PAC ID: 1759512247 Enrollment ID: I20140326001320 |
| Provider Name | Phyllis M Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992136543 PECOS PAC ID: 8820220841 Enrollment ID: I20140407000038 |
| Provider Name | Arnoldas Giedrimas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073799573 PECOS PAC ID: 0244481182 Enrollment ID: I20140407001554 |
| Provider Name | Walter Dittel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497915813 PECOS PAC ID: 9537207295 Enrollment ID: I20140408000486 |
| Provider Name | Jennifer Poirier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922424571 PECOS PAC ID: 1456583673 Enrollment ID: I20140422000783 |
| Provider Name | Himanshu Verma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619135936 PECOS PAC ID: 0345366225 Enrollment ID: I20140423000283 |
| Provider Name | Kimberley H Estes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013930114 PECOS PAC ID: 3678598802 Enrollment ID: I20140428000020 |
| Provider Name | Sunny N Onuigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215249180 PECOS PAC ID: 8527292465 Enrollment ID: I20140430000232 |
| Provider Name | Lynn K Folan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194917781 PECOS PAC ID: 0345312583 Enrollment ID: I20140501002035 |
| Provider Name | Jacob Sadeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073943429 PECOS PAC ID: 4688897903 Enrollment ID: I20140514000284 |
| Provider Name | Christian Petrulio |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1427222595 PECOS PAC ID: 7517009467 Enrollment ID: I20140516001724 |
| Provider Name | Erin E Dacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003246190 PECOS PAC ID: 7911120027 Enrollment ID: I20140519000442 |
| Provider Name | Megan L Raposa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750715835 PECOS PAC ID: 9537382288 Enrollment ID: I20140527000823 |
| Provider Name | Linda M Paiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619302023 PECOS PAC ID: 2062635766 Enrollment ID: I20140528000634 |
| Provider Name | Rose a Shorter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861430852 PECOS PAC ID: 9830264407 Enrollment ID: I20140620000681 |
| Provider Name | Christine M Rooney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477550234 PECOS PAC ID: 2163492281 Enrollment ID: I20140623001626 |
| Provider Name | Neil D Hadfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679897318 PECOS PAC ID: 4183856065 Enrollment ID: I20140623001953 |
| Provider Name | Jacob J Freitas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700205713 PECOS PAC ID: 9931324647 Enrollment ID: I20140711001847 |
| Provider Name | Fatima M Jaworek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366870594 PECOS PAC ID: 7113142852 Enrollment ID: I20140714000402 |
| Provider Name | Daryl a Kinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306265418 PECOS PAC ID: 7517183593 Enrollment ID: I20140728002554 |
| Provider Name | Osman Faheem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801073572 PECOS PAC ID: 7517012065 Enrollment ID: I20140729000291 |
| Provider Name | Genny I Wolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659665909 PECOS PAC ID: 5092932780 Enrollment ID: I20140804000381 |
| Provider Name | Christopher John D Mangahas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225324882 PECOS PAC ID: 9931326071 Enrollment ID: I20140813000862 |
| Provider Name | Michelle V Pacheco |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700012564 PECOS PAC ID: 8325266364 Enrollment ID: I20140904000862 |
| Provider Name | Gaurav C Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508038506 PECOS PAC ID: 4587810288 Enrollment ID: I20140905000971 |
| Provider Name | Jorge a Huaco Cateriano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295937316 PECOS PAC ID: 6305083205 Enrollment ID: I20140909001106 |
| Provider Name | James B Watson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265692784 PECOS PAC ID: 9133360381 Enrollment ID: I20140911000477 |
| Provider Name | Alexandra H Armitage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174583025 PECOS PAC ID: 5890758817 Enrollment ID: I20140915000781 |
| Provider Name | Arunima Rajbhandary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003104084 PECOS PAC ID: 0840419396 Enrollment ID: I20140915001746 |
| Provider Name | Yu Jin Nah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205076171 PECOS PAC ID: 5193912947 Enrollment ID: I20140923000473 |
| Provider Name | A Michael Coppa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114964251 PECOS PAC ID: 7810049954 Enrollment ID: I20140925000135 |
| Provider Name | Renee D Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821383142 PECOS PAC ID: 5698903912 Enrollment ID: I20140925001952 |
| Provider Name | Tiffany Lynn Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285047233 PECOS PAC ID: 6002036662 Enrollment ID: I20141002000128 |
| Provider Name | Flavia M Machado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629415195 PECOS PAC ID: 5496975096 Enrollment ID: I20141002001147 |
| Provider Name | Kiran Pokhrel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760764872 PECOS PAC ID: 9436379039 Enrollment ID: I20141002001356 |
| Provider Name | Michael Gerlach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013321868 PECOS PAC ID: 9133349426 Enrollment ID: I20141009000161 |
| Provider Name | Amy D Anderson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366603128 PECOS PAC ID: 9830327444 Enrollment ID: I20141009001176 |
| Provider Name | Rachel a Cimaomo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407020613 PECOS PAC ID: 9335369537 Enrollment ID: I20141010001690 |
| Provider Name | Tina L Charest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699060046 PECOS PAC ID: 7618105669 Enrollment ID: I20141020000765 |
| Provider Name | Shannon Avery-desmarais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053713453 PECOS PAC ID: 7012138860 Enrollment ID: I20141021001720 |
| Provider Name | Michael Messina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992091607 PECOS PAC ID: 5395974331 Enrollment ID: I20141022001599 |
| Provider Name | Britt Doran Sibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598172835 PECOS PAC ID: 0244451847 Enrollment ID: I20141024000042 |
| Provider Name | Emmanuel Dias Resendes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649575846 PECOS PAC ID: 6305067703 Enrollment ID: I20141029000500 |
| Provider Name | Ashley C Paiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861808453 PECOS PAC ID: 5092937854 Enrollment ID: I20141111000331 |
| Provider Name | Ianthe a Arboleda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326257957 PECOS PAC ID: 8224175302 Enrollment ID: I20141124001630 |
| Provider Name | Bethany J Abde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215331566 PECOS PAC ID: 6002138112 Enrollment ID: I20141128000009 |
| Provider Name | Catherine Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063829620 PECOS PAC ID: 3274855226 Enrollment ID: I20141203000756 |
| Provider Name | Ajith T Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932495835 PECOS PAC ID: 5991028086 Enrollment ID: I20141222000790 |
| Provider Name | Gregory W Pierce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497804397 PECOS PAC ID: 5496859472 Enrollment ID: I20141231001252 |
| Provider Name | Lisa a Crary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376947424 PECOS PAC ID: 5395068985 Enrollment ID: I20150107001130 |
| Provider Name | Erica L Cabral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275934382 PECOS PAC ID: 0840514923 Enrollment ID: I20150120001874 |
| Provider Name | Amy L Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336570373 PECOS PAC ID: 6901120823 Enrollment ID: I20150126001353 |
| Provider Name | Elizabeth J Thibodeau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043540883 PECOS PAC ID: 8022333236 Enrollment ID: I20150211000249 |
| Provider Name | Bridget M Royer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306243050 PECOS PAC ID: 9436474558 Enrollment ID: I20150213000063 |
| Provider Name | Khyati a Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861788200 PECOS PAC ID: 1153646104 Enrollment ID: I20150213001419 |
| Provider Name | Maria Openshaw |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679970719 PECOS PAC ID: 2769708742 Enrollment ID: I20150310001960 |
| Provider Name | Nancy Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710382874 PECOS PAC ID: 5092032839 Enrollment ID: I20150316002077 |
| Provider Name | Richard E Horsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740670686 PECOS PAC ID: 3173841897 Enrollment ID: I20150409000750 |
| Provider Name | Tracie Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881975878 PECOS PAC ID: 2163740390 Enrollment ID: I20150417001408 |
| Provider Name | Maureen a Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922005164 PECOS PAC ID: 6305759655 Enrollment ID: I20150421000061 |
| Provider Name | Yolanda L Troublefield |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063511616 PECOS PAC ID: 6709838428 Enrollment ID: I20150423000475 |
| Provider Name | Joy Nightingale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255757480 PECOS PAC ID: 3577883305 Enrollment ID: I20150519002017 |
| Provider Name | Jenna Carchedi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164815700 PECOS PAC ID: 0244550937 Enrollment ID: I20150520001798 |
| Provider Name | Ashley Roy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962755538 PECOS PAC ID: 6002051182 Enrollment ID: I20150526000707 |
| Provider Name | Elizabeth M Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013303957 PECOS PAC ID: 5496066201 Enrollment ID: I20150622000091 |
| Provider Name | Christine B Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205143369 PECOS PAC ID: 5890975791 Enrollment ID: I20150709000591 |
| Provider Name | Christina L Devincent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790014058 PECOS PAC ID: 9931382934 Enrollment ID: I20150714002041 |
| Provider Name | Devin Lynde Bean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245619972 PECOS PAC ID: 9335452747 Enrollment ID: I20150714002063 |
| Provider Name | John Paul E Craford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972866622 PECOS PAC ID: 7012220825 Enrollment ID: I20150723007043 |
| Provider Name | Mumuni T Daodu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083001408 PECOS PAC ID: 0547575102 Enrollment ID: I20150812007136 |
| Provider Name | Alan Robert |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1467839167 PECOS PAC ID: 9133434665 Enrollment ID: I20150813009336 |
| Provider Name | Megan M O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578600888 PECOS PAC ID: 7113232406 Enrollment ID: I20150814014730 |
| Provider Name | Christopher J Luttmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891834958 PECOS PAC ID: 8628961646 Enrollment ID: I20150831001107 |
| Provider Name | Davinderpal Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265712236 PECOS PAC ID: 3779714555 Enrollment ID: I20150831001945 |
| Provider Name | Nishan Dallakoti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841484359 PECOS PAC ID: 8022297126 Enrollment ID: I20150901002202 |
| Provider Name | Christopher N Chihlas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104812049 PECOS PAC ID: 4385779347 Enrollment ID: I20150901003002 |
| Provider Name | Joseph T Lifrak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093700726 PECOS PAC ID: 7416091673 Enrollment ID: I20150908002329 |
| Provider Name | Paul S Faria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033503933 PECOS PAC ID: 0244547917 Enrollment ID: I20150911001699 |
| Provider Name | Kristen M Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780060889 PECOS PAC ID: 7719294156 Enrollment ID: I20150916002551 |
| Provider Name | Sarah Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487889796 PECOS PAC ID: 6204053416 Enrollment ID: I20150923001647 |
| Provider Name | Jimit a Pandya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790041846 PECOS PAC ID: 1759698723 Enrollment ID: I20150923002979 |
| Provider Name | Anuradha Shunmugam Veluswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508288044 PECOS PAC ID: 1153639034 Enrollment ID: I20150925000609 |
| Provider Name | Charles J Kert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023024031 PECOS PAC ID: 2961428537 Enrollment ID: I20150925000784 |
| Provider Name | Ashish Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467615922 PECOS PAC ID: 2769674670 Enrollment ID: I20150928000662 |
| Provider Name | Ehsun Raza Mirza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821049735 PECOS PAC ID: 6103918826 Enrollment ID: I20150929000048 |
| Provider Name | Beatriz M Demoranville |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699795443 PECOS PAC ID: 4385626381 Enrollment ID: I20151001002017 |
| Provider Name | William a Yelle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013007319 PECOS PAC ID: 8325113962 Enrollment ID: I20151006000821 |
| Provider Name | Jessica a Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730569948 PECOS PAC ID: 9436467727 Enrollment ID: I20151007000255 |
| Provider Name | Olivia L. Amorin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346616836 PECOS PAC ID: 2860701869 Enrollment ID: I20151014000160 |
| Provider Name | Yusuf Konuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124255195 PECOS PAC ID: 1557587334 Enrollment ID: I20151014000917 |
| Provider Name | Jon J Skalecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235494956 PECOS PAC ID: 8022257740 Enrollment ID: I20151019000165 |
| Provider Name | Jennifer N Zaydes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073876355 PECOS PAC ID: 3476862038 Enrollment ID: I20151021002154 |
| Provider Name | Joan T Wildenhain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720073455 PECOS PAC ID: 1658415823 Enrollment ID: I20151022000230 |
| Provider Name | Michael R Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265787238 PECOS PAC ID: 9335458835 Enrollment ID: I20151023001646 |
| Provider Name | Nancy D Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366456360 PECOS PAC ID: 0840328092 Enrollment ID: I20151029000303 |
| Provider Name | Ashley Laferte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467837989 PECOS PAC ID: 3678882834 Enrollment ID: I20151029000576 |
| Provider Name | Scott D Crowley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811910664 PECOS PAC ID: 9436126125 Enrollment ID: I20151103000040 |
| Provider Name | Patrick Fei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740428952 PECOS PAC ID: 2163648890 Enrollment ID: I20151109000193 |
| Provider Name | Jessica Huang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649531302 PECOS PAC ID: 6800024829 Enrollment ID: I20151112000464 |
| Provider Name | Amy L Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871979302 PECOS PAC ID: 5294035309 Enrollment ID: I20151121000029 |
| Provider Name | Barbara a Roderick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295084002 PECOS PAC ID: 1658671326 Enrollment ID: I20151202000564 |
| Provider Name | Praveen Devineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245586346 PECOS PAC ID: 3971803503 Enrollment ID: I20151203000312 |
| Provider Name | Sherry a Vieira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992180301 PECOS PAC ID: 6103126644 Enrollment ID: I20151204001589 |
| Provider Name | Claudia G Fontes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295103539 PECOS PAC ID: 6709186174 Enrollment ID: I20151208001640 |
| Provider Name | Grace a Snell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851773576 PECOS PAC ID: 8527369479 Enrollment ID: I20151217001292 |
| Provider Name | Natasha M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235505660 PECOS PAC ID: 0648572974 Enrollment ID: I20160104002228 |
| Provider Name | Lisa Lavigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296680 PECOS PAC ID: 1153624341 Enrollment ID: I20160121001878 |
| Provider Name | Sareem Wani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861621096 PECOS PAC ID: 7517123201 Enrollment ID: I20160125002337 |
| Provider Name | Dominique Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164763512 PECOS PAC ID: 9537463641 Enrollment ID: I20160210002402 |
| Provider Name | Jeannette M Sorace-burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780063628 PECOS PAC ID: 2365748621 Enrollment ID: I20160311001736 |
| Provider Name | Catherine Rose Major |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467437582 PECOS PAC ID: 4981793189 Enrollment ID: I20160407000274 |
| Provider Name | Kristina Neto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457784373 PECOS PAC ID: 8325362809 Enrollment ID: I20160504001333 |
| Provider Name | Peter S Gill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831283175 PECOS PAC ID: 2668471160 Enrollment ID: I20160518000222 |
| Provider Name | Tina Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396104956 PECOS PAC ID: 1850680455 Enrollment ID: I20160521000018 |
| Provider Name | Swetlana Lobachova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164718672 PECOS PAC ID: 3072752344 Enrollment ID: I20160523001129 |
| Provider Name | Vijairam Selvaraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942566856 PECOS PAC ID: 9931425287 Enrollment ID: I20160525001400 |
| Provider Name | Sean J Osborne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073977823 PECOS PAC ID: 7719277946 Enrollment ID: I20160601000041 |
| Provider Name | Samer S Nasser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922276294 PECOS PAC ID: 2567508880 Enrollment ID: I20160607000000 |
| Provider Name | Tammy L Gleeson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023085214 PECOS PAC ID: 1052482874 Enrollment ID: I20160621002023 |
| Provider Name | Judy L Jang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134310055 PECOS PAC ID: 4587828793 Enrollment ID: I20160719002100 |
| Provider Name | Ghazi G. Hussain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972815306 PECOS PAC ID: 2062654650 Enrollment ID: I20160722002183 |
| Provider Name | Collins a Tabiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700032471 PECOS PAC ID: 2860660107 Enrollment ID: I20160802002620 |
| Provider Name | Aida a Morse |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548498645 PECOS PAC ID: 4688822679 Enrollment ID: I20160816000717 |
| Provider Name | Sophia H Rizk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609004969 PECOS PAC ID: 6507085180 Enrollment ID: I20160816000934 |
| Provider Name | Zoe G Vazquez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497192454 PECOS PAC ID: 7911124755 Enrollment ID: I20160816001760 |
| Provider Name | Jonathan H Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689012411 PECOS PAC ID: 5597064881 Enrollment ID: I20160819001931 |
| Provider Name | Jerry Felix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851741672 PECOS PAC ID: 0547555054 Enrollment ID: I20160823002219 |
| Provider Name | Michael a Pepi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750301743 PECOS PAC ID: 4385658145 Enrollment ID: I20160825002787 |
| Provider Name | Christian P Soneru |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417272410 PECOS PAC ID: 3072756006 Enrollment ID: I20160830000870 |
| Provider Name | Michelle L Bisnaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518348283 PECOS PAC ID: 5597050575 Enrollment ID: I20160830001725 |
| Provider Name | Alexis Pappas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114161064 PECOS PAC ID: 4688821200 Enrollment ID: I20160929001441 |
| Provider Name | Michelle Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679912539 PECOS PAC ID: 5799073896 Enrollment ID: I20161005000856 |
| Provider Name | Azar Ansari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538500384 PECOS PAC ID: 4385932623 Enrollment ID: I20161019001373 |
| Provider Name | Chelsea Manzone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073966073 PECOS PAC ID: 9739467895 Enrollment ID: I20161025002520 |
| Provider Name | Venkata S Adavikolanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568804078 PECOS PAC ID: 5799063772 Enrollment ID: I20161026000294 |
| Provider Name | Patrick J Nsereko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659710507 PECOS PAC ID: 0941588925 Enrollment ID: I20161026000409 |
| Provider Name | Andrew a Nowak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134268287 PECOS PAC ID: 3274508692 Enrollment ID: I20161108001438 |
| Provider Name | Peter C Cohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215482518 PECOS PAC ID: 4587943949 Enrollment ID: I20161108001500 |
| Provider Name | Edward C Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922200377 PECOS PAC ID: 8921107228 Enrollment ID: I20161109000140 |
| Provider Name | Melissa N Skolny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104373695 PECOS PAC ID: 4486933660 Enrollment ID: I20161110001104 |
| Provider Name | Michelle R Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437608841 PECOS PAC ID: 4981983129 Enrollment ID: I20161111000335 |
| Provider Name | Audrey L Lopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629426689 PECOS PAC ID: 1557640703 Enrollment ID: I20161111000599 |
| Provider Name | Matthew Waidler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811441207 PECOS PAC ID: 0345529301 Enrollment ID: I20161115000126 |
| Provider Name | Rute Lameiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619425295 PECOS PAC ID: 9931488871 Enrollment ID: I20161116001248 |
| Provider Name | Vidya H Dixit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790125045 PECOS PAC ID: 1355620287 Enrollment ID: I20161117001463 |
| Provider Name | George Turini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508095936 PECOS PAC ID: 3870719651 Enrollment ID: I20161118000850 |
| Provider Name | Brian Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144774522 PECOS PAC ID: 9537448337 Enrollment ID: I20161118001482 |
| Provider Name | Kartika Gourneni Gourneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376985663 PECOS PAC ID: 8820310097 Enrollment ID: I20161122000238 |
| Provider Name | Jennifer L Shallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861940884 PECOS PAC ID: 7517246010 Enrollment ID: I20161123001430 |
| Provider Name | Cynthia M Lopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781400 PECOS PAC ID: 9032499413 Enrollment ID: I20161130001150 |
| Provider Name | Nishi Hamant Patel |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1821435876 PECOS PAC ID: 1052620465 Enrollment ID: I20161130001363 |
| Provider Name | Keren Braithwaite |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477874980 PECOS PAC ID: 8123308483 Enrollment ID: I20161205000323 |
| Provider Name | Stephanie Maire Nunes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952776213 PECOS PAC ID: 1355621517 Enrollment ID: I20161205000532 |
| Provider Name | Kristen Hogan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265899413 PECOS PAC ID: 4284914300 Enrollment ID: I20161207001801 |
| Provider Name | Kristen Constance Morelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225488521 PECOS PAC ID: 6800176645 Enrollment ID: I20161213001069 |
| Provider Name | Hillary J Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931505 PECOS PAC ID: 1153602735 Enrollment ID: I20161220001665 |
| Provider Name | Mohamedtauquir M Puthawala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659662831 PECOS PAC ID: 1355582743 Enrollment ID: I20161221000346 |
| Provider Name | Sandra L Hornig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053863126 PECOS PAC ID: 9638450141 Enrollment ID: I20161221000579 |
| Provider Name | Cheri L Cerrato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760933014 PECOS PAC ID: 3971884875 Enrollment ID: I20170109001911 |
| Provider Name | Vikram J Doraiswamy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427468487 PECOS PAC ID: 7618258484 Enrollment ID: I20170110002252 |
| Provider Name | Robert N Yanoshak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316999048 PECOS PAC ID: 3173413036 Enrollment ID: I20170110002322 |
| Provider Name | Hannah B Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457808024 PECOS PAC ID: 3274814918 Enrollment ID: I20170111002138 |
| Provider Name | Victoria M Cabral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588115356 PECOS PAC ID: 1355623729 Enrollment ID: I20170119000603 |
| Provider Name | Jenna Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871036756 PECOS PAC ID: 6103108048 Enrollment ID: I20170130000026 |
| Provider Name | Joshua Medeiros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508314469 PECOS PAC ID: 3173806866 Enrollment ID: I20170202001785 |
| Provider Name | Christina M Vassileva |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124172135 PECOS PAC ID: 4082752662 Enrollment ID: I20170213000221 |
| Provider Name | Stacey Marie Sallar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316499403 PECOS PAC ID: 1153604335 Enrollment ID: I20170214000944 |
| Provider Name | Antoanela Zaharia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164517231 PECOS PAC ID: 1456350305 Enrollment ID: I20170315001622 |
| Provider Name | Erin P Cote |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932643509 PECOS PAC ID: 1052696929 Enrollment ID: I20170316001736 |
| Provider Name | Erica Lynn Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679019095 PECOS PAC ID: 1557646130 Enrollment ID: I20170322000548 |
| Provider Name | Walid Zairi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558808428 PECOS PAC ID: 8325323793 Enrollment ID: I20170327001925 |
| Provider Name | Jennifer Lynn Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083154710 PECOS PAC ID: 3375829021 Enrollment ID: I20170411002019 |
| Provider Name | Sabrina Badloe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427497155 PECOS PAC ID: 7214213826 Enrollment ID: I20170414000349 |
| Provider Name | Caisie Marie Cadorette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629527247 PECOS PAC ID: 9537445143 Enrollment ID: I20170414000581 |
| Provider Name | Carolyn a Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437695301 PECOS PAC ID: 9234415761 Enrollment ID: I20170417000806 |
| Provider Name | Damon K Curtis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063895456 PECOS PAC ID: 5092024083 Enrollment ID: I20170427000515 |
| Provider Name | Ashley E Neto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770998692 PECOS PAC ID: 3971721523 Enrollment ID: I20170504001572 |
| Provider Name | Christine J Manoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821529215 PECOS PAC ID: 5092092718 Enrollment ID: I20170508000716 |
| Provider Name | Rajat Lamba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356656375 PECOS PAC ID: 8022319011 Enrollment ID: I20170508001820 |
| Provider Name | Arielle M Spadea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144766312 PECOS PAC ID: 9931486396 Enrollment ID: I20170512000179 |
| Provider Name | Keith M. Baldwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053587626 PECOS PAC ID: 1951584952 Enrollment ID: I20170516002130 |
| Provider Name | Joanne May Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255431128 PECOS PAC ID: 6608874870 Enrollment ID: I20170523000934 |
| Provider Name | Tracy a Feitor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093240350 PECOS PAC ID: 7012285372 Enrollment ID: I20170612000033 |
| Provider Name | Michael D Chmielewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396298584 PECOS PAC ID: 1254609191 Enrollment ID: I20170616000976 |
| Provider Name | Erica L Almeida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700326840 PECOS PAC ID: 1557639309 Enrollment ID: I20170620000257 |
| Provider Name | Nicole A. Coleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811151707 PECOS PAC ID: 4385878636 Enrollment ID: I20170620000960 |
| Provider Name | Autumn Froias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891134235 PECOS PAC ID: 0345519104 Enrollment ID: I20170711000267 |
| Provider Name | Kellyann G. Florentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649703547 PECOS PAC ID: 4486924966 Enrollment ID: I20170717000167 |
| Provider Name | Gregory Sadovnikoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508841081 PECOS PAC ID: 8022097583 Enrollment ID: I20170717002272 |
| Provider Name | Mohammed Chaudary |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164770400 PECOS PAC ID: 9537438825 Enrollment ID: I20170719001363 |
| Provider Name | Christopher S Robertson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104128909 PECOS PAC ID: 0941498042 Enrollment ID: I20170725002791 |
| Provider Name | Albert Lin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528351772 PECOS PAC ID: 0749400760 Enrollment ID: I20170727003201 |
| Provider Name | Kevin Leadholm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124445069 PECOS PAC ID: 6305148222 Enrollment ID: I20170731000062 |
| Provider Name | Allan Mabardy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073809745 PECOS PAC ID: 3173813458 Enrollment ID: I20170802002651 |
| Provider Name | Fatima Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144757998 PECOS PAC ID: 1557632916 Enrollment ID: I20170802003220 |
| Provider Name | Nadia a Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588076202 PECOS PAC ID: 0042437626 Enrollment ID: I20170804000138 |
| Provider Name | Manoj Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295141810 PECOS PAC ID: 6608167614 Enrollment ID: I20170804000339 |
| Provider Name | Daniel B Rubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912345414 PECOS PAC ID: 4789818659 Enrollment ID: I20170804000401 |
| Provider Name | Kirti Basil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245644988 PECOS PAC ID: 4587881693 Enrollment ID: I20170804000700 |
| Provider Name | Chelsea J. Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801159199 PECOS PAC ID: 0345557583 Enrollment ID: I20170804001030 |
| Provider Name | Shruti Basil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861807711 PECOS PAC ID: 8123245230 Enrollment ID: I20170807000755 |
| Provider Name | Jacqueline T. Draper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881008324 PECOS PAC ID: 1153692256 Enrollment ID: I20170808003322 |
| Provider Name | Kevin Raymond Gendreau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023422607 PECOS PAC ID: 4082903182 Enrollment ID: I20170809000382 |
| Provider Name | Dayana Nanda Laxshman Siriwardhana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992251078 PECOS PAC ID: 9537430582 Enrollment ID: I20170809001602 |
| Provider Name | Michael J. Levasseur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063953164 PECOS PAC ID: 5294008124 Enrollment ID: I20170829000715 |
| Provider Name | Sarah M Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225558968 PECOS PAC ID: 4385917178 Enrollment ID: I20170830000102 |
| Provider Name | Renee a Rego |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619213766 PECOS PAC ID: 7416221304 Enrollment ID: I20170915000771 |
| Provider Name | Jonathan a Casey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639139819 PECOS PAC ID: 0547361222 Enrollment ID: I20170918000990 |
| Provider Name | Andrea L Pickup-simonin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720968 PECOS PAC ID: 7911271457 Enrollment ID: I20170921001248 |
| Provider Name | Jessica Lynn Runquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124557376 PECOS PAC ID: 6800161431 Enrollment ID: I20171009001582 |
| Provider Name | Muhammad Bajwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558627455 PECOS PAC ID: 2163736984 Enrollment ID: I20171017001797 |
| Provider Name | Tyler R Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518482827 PECOS PAC ID: 9638445745 Enrollment ID: I20171017002894 |
| Provider Name | Susan M Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366976219 PECOS PAC ID: 5496021453 Enrollment ID: I20171019001846 |
| Provider Name | Naomi K Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260196 PECOS PAC ID: 1951677335 Enrollment ID: I20171031000328 |
| Provider Name | Hussna Wakily |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811155765 PECOS PAC ID: 7719209469 Enrollment ID: I20171115000826 |
| Provider Name | Sarah a Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164838710 PECOS PAC ID: 5193942209 Enrollment ID: I20171121002097 |
| Provider Name | Stephanie Pine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386163533 PECOS PAC ID: 9032476536 Enrollment ID: I20171207001683 |
| Provider Name | Jennifer Killenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881826428 PECOS PAC ID: 9739446204 Enrollment ID: I20171208001479 |
| Provider Name | Zsolt T Orban |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275534281 PECOS PAC ID: 0941388185 Enrollment ID: I20171212002245 |
| Provider Name | Omar Shweish |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871908186 PECOS PAC ID: 8729371877 Enrollment ID: I20171214001374 |
| Provider Name | Kathleen Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598274508 PECOS PAC ID: 3072871847 Enrollment ID: I20171228000021 |
| Provider Name | Jeffrey Laperriere |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437672052 PECOS PAC ID: 2567721103 Enrollment ID: I20180105000622 |
| Provider Name | Syeda M Sayeed |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1205034311 PECOS PAC ID: 7517150345 Enrollment ID: I20180109003441 |
| Provider Name | Sean Kevin Piechocki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316902489 PECOS PAC ID: 7113180217 Enrollment ID: I20180113000065 |
| Provider Name | Courtney Fuller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265944227 PECOS PAC ID: 6002175130 Enrollment ID: I20180118002218 |
| Provider Name | Hassan Ziud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134432016 PECOS PAC ID: 1759514144 Enrollment ID: I20180119001306 |
| Provider Name | Daisy Ormseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811407901 PECOS PAC ID: 8325308042 Enrollment ID: I20180129000097 |
| Provider Name | Patrick B. Brennan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407366859 PECOS PAC ID: 3577823343 Enrollment ID: I20180216001020 |
| Provider Name | Justina Marie Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396258075 PECOS PAC ID: 8123388915 Enrollment ID: I20180216001860 |
| Provider Name | Jennifer Diane Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447431713 PECOS PAC ID: 7315979572 Enrollment ID: I20180221001855 |
| Provider Name | Manjunath Govindaiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104298918 PECOS PAC ID: 9830451640 Enrollment ID: I20180314001599 |
| Provider Name | Lisabeth H Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548517915 PECOS PAC ID: 8820066053 Enrollment ID: I20180327001314 |
| Provider Name | Douglas Joel Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528098837 PECOS PAC ID: 7214997170 Enrollment ID: I20180329001576 |
| Provider Name | Binu S Oien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336552223 PECOS PAC ID: 8527365089 Enrollment ID: I20180403000616 |
| Provider Name | Daniel Paul Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982920591 PECOS PAC ID: 2264463587 Enrollment ID: I20180413001432 |
| Provider Name | Annalise Boisvert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689962623 PECOS PAC ID: 4082845391 Enrollment ID: I20180508001218 |
| Provider Name | Noreen Elizabeth Flynn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689161291 PECOS PAC ID: 0345504718 Enrollment ID: I20180511000130 |
| Provider Name | Hoi C Chan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295145837 PECOS PAC ID: 4284941451 Enrollment ID: I20180514001258 |
| Provider Name | Samantha J Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558883025 PECOS PAC ID: 8921363334 Enrollment ID: I20180605001660 |
| Provider Name | John Andrew Johnson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043650641 PECOS PAC ID: 3678853215 Enrollment ID: I20180611001644 |
| Provider Name | Bushra a Awidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265848907 PECOS PAC ID: 2567717143 Enrollment ID: I20180622000941 |
| Provider Name | Akiko Minami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174937247 PECOS PAC ID: 5496077117 Enrollment ID: I20180710002004 |
| Provider Name | Kara J. Kopaczewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215323852 PECOS PAC ID: 7012264633 Enrollment ID: I20180727000247 |
| Provider Name | Praneetha Arge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407262694 PECOS PAC ID: 2860740263 Enrollment ID: I20180801001580 |
| Provider Name | Seth William O'donnell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225285455 PECOS PAC ID: 1850518523 Enrollment ID: I20180801003044 |
| Provider Name | Crystal Lynn Oconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881822831 PECOS PAC ID: 0547518615 Enrollment ID: I20180806002255 |
| Provider Name | Daniel P Tighe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750721361 PECOS PAC ID: 4486921061 Enrollment ID: I20180807000547 |
| Provider Name | Lelia M. Lamp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154680254 PECOS PAC ID: 0749538502 Enrollment ID: I20180810000219 |
| Provider Name | Elana R Schachne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629568704 PECOS PAC ID: 0941559678 Enrollment ID: I20180814001630 |
| Provider Name | Kumait Jaroje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649523713 PECOS PAC ID: 6507134145 Enrollment ID: I20180814003487 |
| Provider Name | Alyson Enmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700375201 PECOS PAC ID: 4880944438 Enrollment ID: I20180904000051 |
| Provider Name | Shaun Rudi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821426081 PECOS PAC ID: 7416173455 Enrollment ID: I20180904002745 |
| Provider Name | Verusckha Stephanie Torres Tayag |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356468904 PECOS PAC ID: 8325149156 Enrollment ID: I20180905003602 |
| Provider Name | Himesh Sheth |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689060097 PECOS PAC ID: 6507161957 Enrollment ID: I20180919003687 |
| Provider Name | Lindsay Anne Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629556204 PECOS PAC ID: 5698026995 Enrollment ID: I20180926000904 |
| Provider Name | Theodore Delmonico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376806943 PECOS PAC ID: 6204109630 Enrollment ID: I20180926001281 |
| Provider Name | Lisa M Porto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962989822 PECOS PAC ID: 6608128145 Enrollment ID: I20181010001963 |
| Provider Name | Barbara Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407348303 PECOS PAC ID: 6305198839 Enrollment ID: I20181011001739 |
| Provider Name | Dani Hackner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528097987 PECOS PAC ID: 1759573363 Enrollment ID: I20181012000128 |
| Provider Name | Rana Assaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609241967 PECOS PAC ID: 3274813787 Enrollment ID: I20181024000448 |
| Provider Name | Jaimie Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477930881 PECOS PAC ID: 8820382997 Enrollment ID: I20181025002575 |
| Provider Name | Mukti J Patel-prineas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083932990 PECOS PAC ID: 0840439840 Enrollment ID: I20181030002821 |
| Provider Name | Jacqueline F Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083196844 PECOS PAC ID: 3971856451 Enrollment ID: I20181031000136 |
| Provider Name | Brianne C Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346732534 PECOS PAC ID: 0941553283 Enrollment ID: I20181102000864 |
| Provider Name | Emiko Ishihara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467872986 PECOS PAC ID: 4981957255 Enrollment ID: I20181102002044 |
| Provider Name | Luke Suvunrungsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134500309 PECOS PAC ID: 1759635956 Enrollment ID: I20181106002315 |
| Provider Name | Satcha Borgella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669609772 PECOS PAC ID: 7911135249 Enrollment ID: I20181109000576 |
| Provider Name | Lindsay R Lacorte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285999250 PECOS PAC ID: 8325332430 Enrollment ID: I20181119000594 |
| Provider Name | Olabamiji Kazeem Abimbola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619460938 PECOS PAC ID: 6608120076 Enrollment ID: I20181121002153 |
| Provider Name | Michael E Brammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417364316 PECOS PAC ID: 4587908744 Enrollment ID: I20181129001631 |
| Provider Name | Sarah Anne Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043792898 PECOS PAC ID: 3870837867 Enrollment ID: I20181203000360 |
| Provider Name | Celeste B Moyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730659046 PECOS PAC ID: 3173867918 Enrollment ID: I20181204003452 |
| Provider Name | Heather L O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649753302 PECOS PAC ID: 6901140508 Enrollment ID: I20181210000933 |
| Provider Name | Rebecca Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124502737 PECOS PAC ID: 9537404660 Enrollment ID: I20181218003428 |
| Provider Name | Benjamin Paul Johnson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740574193 PECOS PAC ID: 0749526002 Enrollment ID: I20190108003139 |
| Provider Name | Ryan M Laferte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801340195 PECOS PAC ID: 2860772621 Enrollment ID: I20190108003816 |
| Provider Name | Rona Spector |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831449909 PECOS PAC ID: 1759627441 Enrollment ID: I20190117001275 |
| Provider Name | Anthony Fondren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831615541 PECOS PAC ID: 3375818685 Enrollment ID: I20190130000306 |
| Provider Name | Lindsey S Costello |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689140766 PECOS PAC ID: 0648517466 Enrollment ID: I20190131002041 |
| Provider Name | George Frank Brinius |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821391228 PECOS PAC ID: 6507049160 Enrollment ID: I20190207002362 |
| Provider Name | Kristina V Amaral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881164184 PECOS PAC ID: 0941548150 Enrollment ID: I20190213003269 |
| Provider Name | Kaylee a Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437634052 PECOS PAC ID: 2769720598 Enrollment ID: I20190220002212 |
| Provider Name | Alyssa B Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521584 PECOS PAC ID: 2860731510 Enrollment ID: I20190225002342 |
| Provider Name | Ian a Box |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851740146 PECOS PAC ID: 3476803099 Enrollment ID: I20190319001054 |
| Provider Name | Alicia Jane Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649749839 PECOS PAC ID: 3072854041 Enrollment ID: I20190402000379 |
| Provider Name | Nicole Mapes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063986644 PECOS PAC ID: 6800137050 Enrollment ID: I20190416002102 |
| Provider Name | Elisangela L Teixeira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629631601 PECOS PAC ID: 2466794656 Enrollment ID: I20190509001023 |
| Provider Name | Alicia M Pimentel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720544133 PECOS PAC ID: 2769725951 Enrollment ID: I20190509001364 |
| Provider Name | Kathryn Jean Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184106098 PECOS PAC ID: 1557604782 Enrollment ID: I20190509002795 |
| Provider Name | Ana Raquel Degrazia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245671445 PECOS PAC ID: 4688917792 Enrollment ID: I20190513001542 |
| Provider Name | Jason S Reich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992047088 PECOS PAC ID: 7618194457 Enrollment ID: I20190521002620 |
| Provider Name | Kathryn Young Noonan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265799100 PECOS PAC ID: 5294033460 Enrollment ID: I20190606001733 |
| Provider Name | Rebecca L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063974368 PECOS PAC ID: 7113250069 Enrollment ID: I20190607000158 |
| Provider Name | Marybeth Allian-sauer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477609055 PECOS PAC ID: 9739376278 Enrollment ID: I20190619000192 |
| Provider Name | Jennifer R Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295247765 PECOS PAC ID: 6507190840 Enrollment ID: I20190620001975 |
| Provider Name | Ernesto G Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215321765 PECOS PAC ID: 4688911043 Enrollment ID: I20190624001769 |
| Provider Name | Robert Vazquez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528405685 PECOS PAC ID: 4587881982 Enrollment ID: I20190626000186 |
| Provider Name | Stephen Alexander Sherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740741107 PECOS PAC ID: 3072847938 Enrollment ID: I20190626001678 |
| Provider Name | Adam Korrick Lewkowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669748406 PECOS PAC ID: 2961791710 Enrollment ID: I20190703000612 |
| Provider Name | Michael D Grossman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477580462 PECOS PAC ID: 4284662974 Enrollment ID: I20190717003279 |
| Provider Name | Christopher Zambrano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184990525 PECOS PAC ID: 8628303252 Enrollment ID: I20190718000639 |
| Provider Name | Theodore Schafer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609851591 PECOS PAC ID: 2466621495 Enrollment ID: I20190729001769 |
| Provider Name | Sean Hersey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235542648 PECOS PAC ID: 9032336789 Enrollment ID: I20190729002990 |
| Provider Name | Lara Eisa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003226226 PECOS PAC ID: 6103152905 Enrollment ID: I20190801000572 |
| Provider Name | William R Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629428644 PECOS PAC ID: 5597059246 Enrollment ID: I20190814001327 |
| Provider Name | Amanda a Kelvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083064026 PECOS PAC ID: 4587958152 Enrollment ID: I20190815003049 |
| Provider Name | Mark Edmund Perry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285997734 PECOS PAC ID: 1951548858 Enrollment ID: I20190820001753 |
| Provider Name | Robert J Fruggiero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649620683 PECOS PAC ID: 9638463227 Enrollment ID: I20190822003156 |
| Provider Name | Jamsheed B Vakharia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740236488 PECOS PAC ID: 7719061845 Enrollment ID: I20190828002540 |
| Provider Name | Jeffrey Bird |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013360114 PECOS PAC ID: 4688955636 Enrollment ID: I20190904000276 |
| Provider Name | Jessica Lynn Keough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356902761 PECOS PAC ID: 5698004752 Enrollment ID: I20190916001006 |
| Provider Name | Sarah E Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912479767 PECOS PAC ID: 4284963372 Enrollment ID: I20190916002073 |
| Provider Name | Susan E Cornell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376930446 PECOS PAC ID: 4082943014 Enrollment ID: I20190917000448 |
| Provider Name | Caroline J Plamondon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447311006 PECOS PAC ID: 1951318401 Enrollment ID: I20190918002468 |
| Provider Name | Maneet Kaur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144480641 PECOS PAC ID: 9931335551 Enrollment ID: I20191014000585 |
| Provider Name | Adrienne Boutin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033521588 PECOS PAC ID: 5294066536 Enrollment ID: I20191017000510 |
| Provider Name | Jaimie N Cordeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114572153 PECOS PAC ID: 5294066429 Enrollment ID: I20191018001494 |
| Provider Name | Deborah L Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760428080 PECOS PAC ID: 7517299332 Enrollment ID: I20191029001097 |
| Provider Name | Cindy Rodrigues Medeiros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811214182 PECOS PAC ID: 8426380817 Enrollment ID: I20191105000783 |
| Provider Name | Isabel Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821114752 PECOS PAC ID: 5799673943 Enrollment ID: I20191105001059 |
| Provider Name | Andrea Rosyln Montanari Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831598770 PECOS PAC ID: 1850602392 Enrollment ID: I20191205000492 |
| Provider Name | Lana Y. Schumacher- Beal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992991657 PECOS PAC ID: 5597897256 Enrollment ID: I20191210002233 |
| Provider Name | Justin C Laprise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477061547 PECOS PAC ID: 7911255229 Enrollment ID: I20191217000373 |
| Provider Name | Pamela Elizabeth Opheim-newhall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942505524 PECOS PAC ID: 1951735430 Enrollment ID: I20191217001701 |
| Provider Name | Melissa F Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740821123 PECOS PAC ID: 5991139479 Enrollment ID: I20191217001945 |
| Provider Name | Thomas England |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710392485 PECOS PAC ID: 7416218516 Enrollment ID: I20191219002749 |
| Provider Name | Christopher Caissie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023668209 PECOS PAC ID: 9537595152 Enrollment ID: I20200130000659 |
| Provider Name | Jeffrey Raymond Woods |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194383265 PECOS PAC ID: 6800222175 Enrollment ID: I20200204002598 |
| Provider Name | Khin Sein Yin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073537585 PECOS PAC ID: 1456354828 Enrollment ID: I20200210001134 |
| Provider Name | Jennifer L Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891348702 PECOS PAC ID: 4688000417 Enrollment ID: I20200214000134 |
| Provider Name | Ahmet Z Burakgazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679718290 PECOS PAC ID: 3476723677 Enrollment ID: I20200224001602 |
| Provider Name | Brandon J Fumanti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588890560 PECOS PAC ID: 2668645912 Enrollment ID: I20200306002224 |
| Provider Name | Rebecca Lynn Hebert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407345978 PECOS PAC ID: 7012345424 Enrollment ID: I20200318002029 |
| Provider Name | Monika Aurelia Davies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386603967 PECOS PAC ID: 1658370259 Enrollment ID: I20200324001148 |
| Provider Name | Ashley Amaral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598136707 PECOS PAC ID: 0749619559 Enrollment ID: I20200330003323 |
| Provider Name | Kayla L Pleiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023660990 PECOS PAC ID: 3476982968 Enrollment ID: I20200403002628 |
| Provider Name | Ashley Margarida Replogle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114295128 PECOS PAC ID: 3779912191 Enrollment ID: I20200407001117 |
| Provider Name | Vibha M Inamdar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073856753 PECOS PAC ID: 2961798814 Enrollment ID: I20200409001201 |
| Provider Name | Paula Sofia Rego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870946 PECOS PAC ID: 4183054133 Enrollment ID: I20200415002649 |
| Provider Name | Cassie Cole Costa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356981617 PECOS PAC ID: 9638509417 Enrollment ID: I20200417002610 |
| Provider Name | Nedel Merto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801435383 PECOS PAC ID: 1951732031 Enrollment ID: I20200505000436 |
| Provider Name | Justin Benoit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811379233 PECOS PAC ID: 6103112115 Enrollment ID: I20200518001197 |
| Provider Name | Craig Moores |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1417243619 PECOS PAC ID: 0547580789 Enrollment ID: I20200527000127 |
| Provider Name | Meagan Coon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831729227 PECOS PAC ID: 8224459060 Enrollment ID: I20200602002209 |
| Provider Name | Regina B Monteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003312281 PECOS PAC ID: 4284998162 Enrollment ID: I20200611000546 |
| Provider Name | Leah a Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811374739 PECOS PAC ID: 8426369406 Enrollment ID: I20200611002766 |
| Provider Name | Ela-anamaria Moisa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376073551 PECOS PAC ID: 5991127748 Enrollment ID: I20200624000360 |
| Provider Name | Mollie Calzone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801395199 PECOS PAC ID: 8325462492 Enrollment ID: I20200722001086 |
| Provider Name | Sarah Kuhn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023657426 PECOS PAC ID: 1254756232 Enrollment ID: I20200807001697 |
| Provider Name | Ryan Patrick Carey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740818368 PECOS PAC ID: 9436575560 Enrollment ID: I20200819001873 |
| Provider Name | Craig Gimler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932729126 PECOS PAC ID: 7517383474 Enrollment ID: I20200821002992 |
| Provider Name | Kayla Marie Macari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720613177 PECOS PAC ID: 0244657922 Enrollment ID: I20200826001073 |
| Provider Name | Matthew Pommerening |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245586650 PECOS PAC ID: 9335448844 Enrollment ID: I20200826003948 |
| Provider Name | Katelyn M Oliveira |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407234131 PECOS PAC ID: 2769729094 Enrollment ID: I20200828001520 |
| Provider Name | Hannah R Stoops |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396265724 PECOS PAC ID: 7618394107 Enrollment ID: I20200828001720 |
| Provider Name | Ngoc B Ly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356735401 PECOS PAC ID: 4284984576 Enrollment ID: I20200831000086 |
| Provider Name | Nicholas R. Ondrasik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043416605 PECOS PAC ID: 0941478481 Enrollment ID: I20200831001003 |
| Provider Name | Michael Patrick Mcdowell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740252105 PECOS PAC ID: 8628135001 Enrollment ID: I20200831001277 |
| Provider Name | Deborah L. Ondrasik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205033917 PECOS PAC ID: 3870875198 Enrollment ID: I20200831001513 |
| Provider Name | Didi P Theva |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740600295 PECOS PAC ID: 9537388756 Enrollment ID: I20200901000438 |
| Provider Name | Nabila K Mazumder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033509567 PECOS PAC ID: 4880986579 Enrollment ID: I20200901000739 |
| Provider Name | Jordan Marie Wyrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558901223 PECOS PAC ID: 9638596984 Enrollment ID: I20200901001100 |
| Provider Name | Peter Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598932428 PECOS PAC ID: 8123282092 Enrollment ID: I20200901002125 |
| Provider Name | Robert Weil |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487622122 PECOS PAC ID: 4385616358 Enrollment ID: I20200902002075 |
| Provider Name | Sadek Al Assadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689127672 PECOS PAC ID: 4183042948 Enrollment ID: I20200911000608 |
| Provider Name | Kristen Prescott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881640878 PECOS PAC ID: 4284640871 Enrollment ID: I20200916002993 |
| Provider Name | Carly Ann Koerner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396374609 PECOS PAC ID: 2961820956 Enrollment ID: I20200917000819 |
| Provider Name | Tressah Maguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043834799 PECOS PAC ID: 1658799069 Enrollment ID: I20200917000854 |
| Provider Name | Don E Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952496143 PECOS PAC ID: 7911004593 Enrollment ID: I20200921000779 |
| Provider Name | Jean M Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508419607 PECOS PAC ID: 2769801539 Enrollment ID: I20200928002102 |
| Provider Name | Ivan Urits |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346635422 PECOS PAC ID: 1850711094 Enrollment ID: I20201008003631 |
| Provider Name | Kyle R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063030955 PECOS PAC ID: 3971923988 Enrollment ID: I20201013002094 |
| Provider Name | Samih Alhourani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952822496 PECOS PAC ID: 3971872771 Enrollment ID: I20201016002339 |
| Provider Name | Glenn L Tanzman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053369173 PECOS PAC ID: 9537179593 Enrollment ID: I20201021001875 |
| Provider Name | Paula Marie Griesacker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811214349 PECOS PAC ID: 2567586423 Enrollment ID: I20201021003152 |
| Provider Name | Tara Bronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720485642 PECOS PAC ID: 8325365919 Enrollment ID: I20201023000110 |
| Provider Name | Oluwapelumi Osibanjo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073975512 PECOS PAC ID: 9133539919 Enrollment ID: I20201105002665 |
| Provider Name | Emily Rochac Argueta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710514708 PECOS PAC ID: 9234549882 Enrollment ID: I20201110001703 |
| Provider Name | Joann Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477083061 PECOS PAC ID: 1456620285 Enrollment ID: I20201110003079 |
| Provider Name | Jean Claude Petit Me |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104138106 PECOS PAC ID: 0941505077 Enrollment ID: I20201113001326 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609895051 PECOS PAC ID: 4486669603 Enrollment ID: I20201119000157 |
| Provider Name | Thomas Michael Atwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164942504 PECOS PAC ID: 7113358466 Enrollment ID: I20201119002926 |
| Provider Name | Keri Fazzino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720687965 PECOS PAC ID: 2365853835 Enrollment ID: I20201204002353 |
| Provider Name | Kristen E Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255931150 PECOS PAC ID: 5597176073 Enrollment ID: I20201205000045 |
| Provider Name | Ashley E Manzotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871193789 PECOS PAC ID: 6406267988 Enrollment ID: I20201205000056 |
| Provider Name | Ritu Winders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861092793 PECOS PAC ID: 8224440698 Enrollment ID: I20201209002629 |
| Provider Name | Mikelanne Phaneuf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306157821 PECOS PAC ID: 8527250745 Enrollment ID: I20201215001011 |
| Provider Name | Eliana Decastro Cuellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457966806 PECOS PAC ID: 0840602744 Enrollment ID: I20201217002589 |
| Provider Name | Brent J Medeiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598362311 PECOS PAC ID: 2062824634 Enrollment ID: I20201224000635 |
| Provider Name | Shannon E Houlihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215561949 PECOS PAC ID: 2163835935 Enrollment ID: I20210115001943 |
| Provider Name | Ny My Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386246718 PECOS PAC ID: 7012320724 Enrollment ID: I20210119000670 |
| Provider Name | Erin Senay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306477443 PECOS PAC ID: 1456764182 Enrollment ID: I20210119001336 |
| Provider Name | Jocelyn Cabral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134778665 PECOS PAC ID: 8123432523 Enrollment ID: I20210126002614 |
| Provider Name | Linda Aguiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965998 PECOS PAC ID: 5890109243 Enrollment ID: I20210127000782 |
| Provider Name | Maher El Chaar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891986717 PECOS PAC ID: 0941353494 Enrollment ID: I20210127001214 |
| Provider Name | Erica Figuerado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902418569 PECOS PAC ID: 0042625410 Enrollment ID: I20210217000113 |
| Provider Name | Jason F Medeiros |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669066494 PECOS PAC ID: 5193131373 Enrollment ID: I20210312001943 |
| Provider Name | Elizabeth J Moriarty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447271176 PECOS PAC ID: 3274500202 Enrollment ID: I20210316002950 |
| Provider Name | Holly Komar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184216137 PECOS PAC ID: 9133536014 Enrollment ID: I20210319000832 |
| Provider Name | Natasha Marie Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760075592 PECOS PAC ID: 2062829526 Enrollment ID: I20210329002131 |
| Provider Name | Michelle Dyke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790123347 PECOS PAC ID: 0042448896 Enrollment ID: I20210331001758 |
| Provider Name | Kristen M. Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013204767 PECOS PAC ID: 0042627366 Enrollment ID: I20210401000908 |
| Provider Name | Susan L. Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033590591 PECOS PAC ID: 7416260302 Enrollment ID: I20210407001831 |
| Provider Name | Nadia S. Nathan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013973619 PECOS PAC ID: 1355380676 Enrollment ID: I20210408000411 |
| Provider Name | Molly Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760080071 PECOS PAC ID: 5991113813 Enrollment ID: I20210414001148 |
| Provider Name | Danilo Decio |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912344581 PECOS PAC ID: 9537582903 Enrollment ID: I20210419002248 |
| Provider Name | Jason Boulware |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013211168 PECOS PAC ID: 8628236387 Enrollment ID: I20210420001033 |
| Provider Name | Rachel a Resurreccion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326667692 PECOS PAC ID: 2163830308 Enrollment ID: I20210428000403 |
| Provider Name | Dawn Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619561305 PECOS PAC ID: 3678982691 Enrollment ID: I20210504001079 |
| Provider Name | James M Feeney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184646978 PECOS PAC ID: 5395744106 Enrollment ID: I20210510000384 |
| Provider Name | Heather B Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679129951 PECOS PAC ID: 1850700386 Enrollment ID: I20210512002499 |
| Provider Name | Karlene Menzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104437334 PECOS PAC ID: 5991114332 Enrollment ID: I20210514000801 |
| Provider Name | Vanessa Marie Valcorba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760061949 PECOS PAC ID: 2567861511 Enrollment ID: I20210525002302 |
| Provider Name | Kathleen Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114513694 PECOS PAC ID: 9830598622 Enrollment ID: I20210527001552 |
| Provider Name | Christopher F. Tanga |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811312564 PECOS PAC ID: 9830477249 Enrollment ID: I20210610000486 |
| Provider Name | Alanna D Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427619220 PECOS PAC ID: 8325448582 Enrollment ID: I20210610000999 |
| Provider Name | Julian P Ponsetto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427549187 PECOS PAC ID: 8426305160 Enrollment ID: I20210610002706 |
| Provider Name | Ahmad Alwassia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700149366 PECOS PAC ID: 2466700547 Enrollment ID: I20210611001059 |
| Provider Name | Jennifer Lee Leavitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619408390 PECOS PAC ID: 0840690640 Enrollment ID: I20210616001304 |
| Provider Name | Joshua Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013541945 PECOS PAC ID: 6406256130 Enrollment ID: I20210616002875 |
| Provider Name | Sonia Dearaujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518541028 PECOS PAC ID: 4789085275 Enrollment ID: I20210622000249 |
| Provider Name | Lotte Emma Sherman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104455161 PECOS PAC ID: 6507268877 Enrollment ID: I20210708002273 |
| Provider Name | Conor Bliss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285255695 PECOS PAC ID: 6002218955 Enrollment ID: I20210714002292 |
| Provider Name | Thais Marques Gurgel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831619972 PECOS PAC ID: 0547662405 Enrollment ID: I20210714002740 |
| Provider Name | Michelle A. Breda |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1821445248 PECOS PAC ID: 1355636465 Enrollment ID: I20210714003459 |
| Provider Name | John D Leimert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568407393 PECOS PAC ID: 3577965284 Enrollment ID: I20210716001262 |
| Provider Name | Zachary a Zanfes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760829030 PECOS PAC ID: 8123377538 Enrollment ID: I20210720000191 |
| Provider Name | Alec Joseph Garabedian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578123253 PECOS PAC ID: 1052714490 Enrollment ID: I20210722003827 |
| Provider Name | Dillen J Bosgra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669966115 PECOS PAC ID: 8224432612 Enrollment ID: I20210806001872 |
| Provider Name | John Acord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013531086 PECOS PAC ID: 2961806369 Enrollment ID: I20210806002277 |
| Provider Name | Chelsea Kirker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295313716 PECOS PAC ID: 9830593102 Enrollment ID: I20210809001739 |
| Provider Name | Desiree Steimer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366701062 PECOS PAC ID: 1557613544 Enrollment ID: I20210810003380 |
| Provider Name | Megan Malo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720653405 PECOS PAC ID: 5496150294 Enrollment ID: I20210817002040 |
| Provider Name | Michael a Iadevaia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376048637 PECOS PAC ID: 1153679451 Enrollment ID: I20210818001736 |
| Provider Name | Rommel Gerardo Zerpa Alamo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063919009 PECOS PAC ID: 2163770470 Enrollment ID: I20210818001763 |
| Provider Name | Leyla Herisinazhad Heris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225521974 PECOS PAC ID: 4981009685 Enrollment ID: I20210818002277 |
| Provider Name | Aileen Souza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598261745 PECOS PAC ID: 9739437021 Enrollment ID: I20210818002467 |
| Provider Name | Katrina Jane Roi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720584220 PECOS PAC ID: 8527316819 Enrollment ID: I20210818002787 |
| Provider Name | Paula a Ugalde |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285828798 PECOS PAC ID: 3072607480 Enrollment ID: I20210819001131 |
| Provider Name | Jennifer Cores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760050041 PECOS PAC ID: 0547665150 Enrollment ID: I20210819003070 |
| Provider Name | Melanie Chitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912524786 PECOS PAC ID: 0749685139 Enrollment ID: I20210824000201 |
| Provider Name | Erin E Gallagher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336715739 PECOS PAC ID: 3274938386 Enrollment ID: I20210826002566 |
| Provider Name | Kristin Chatterton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346883345 PECOS PAC ID: 1254737174 Enrollment ID: I20210901000997 |
| Provider Name | Christopher D. Skeehan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306152632 PECOS PAC ID: 8123373354 Enrollment ID: I20210909000902 |
| Provider Name | Sinaro Men |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962078857 PECOS PAC ID: 4082010434 Enrollment ID: I20210909002369 |
| Provider Name | Kesha a Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619468584 PECOS PAC ID: 5496151896 Enrollment ID: I20210910000461 |
| Provider Name | Daniel C. Sacchetti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842567 PECOS PAC ID: 0648497032 Enrollment ID: I20210910000705 |
| Provider Name | Navneet Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881089670 PECOS PAC ID: 5991102089 Enrollment ID: I20210915002913 |
| Provider Name | Miri Shlomi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770080764 PECOS PAC ID: 2961809058 Enrollment ID: I20210915003061 |
| Provider Name | Ming Da Qu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598128456 PECOS PAC ID: 1254624505 Enrollment ID: I20210915003167 |
| Provider Name | Julie Ditata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689245276 PECOS PAC ID: 4587061569 Enrollment ID: I20210917000091 |
| Provider Name | Michelle a Guidotti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982205811 PECOS PAC ID: 9537566492 Enrollment ID: I20210921001339 |
| Provider Name | Joshua D Raffa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518552686 PECOS PAC ID: 8123425915 Enrollment ID: I20210921002781 |
| Provider Name | Lesly Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922678564 PECOS PAC ID: 5890192462 Enrollment ID: I20210923003055 |
| Provider Name | Rita M Vieira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871164616 PECOS PAC ID: 2769889385 Enrollment ID: I20210924001232 |
| Provider Name | Abtin Shahanaghi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417488008 PECOS PAC ID: 9032481601 Enrollment ID: I20211008001401 |
| Provider Name | Erin M Foley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114242518 PECOS PAC ID: 4880724509 Enrollment ID: I20211012003359 |
| Provider Name | Jeffrey Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619298379 PECOS PAC ID: 1658598784 Enrollment ID: I20211015002436 |
| Provider Name | Bamidele Adeoye Fagbola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265002075 PECOS PAC ID: 9436547874 Enrollment ID: I20211103003251 |
| Provider Name | Amy Lynn Vieira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578989638 PECOS PAC ID: 9638568306 Enrollment ID: I20211118000964 |
| Provider Name | Allison Kayla Neves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134898828 PECOS PAC ID: 8921498452 Enrollment ID: I20211124000241 |
| Provider Name | Jarred Trouve |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841668910 PECOS PAC ID: 3577863802 Enrollment ID: I20211124000340 |
| Provider Name | Nikola Perosevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134536600 PECOS PAC ID: 8628342342 Enrollment ID: I20211207001914 |
| Provider Name | Melissa L Hudspeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790457778 PECOS PAC ID: 3072903707 Enrollment ID: I20211210002050 |
| Provider Name | Sofia Adamidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528553229 PECOS PAC ID: 1254721996 Enrollment ID: I20211211000033 |
| Provider Name | Waihong Chung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942694245 PECOS PAC ID: 1052702412 Enrollment ID: I20211220002252 |
| Provider Name | David Andrew Cordeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518547785 PECOS PAC ID: 6204227168 Enrollment ID: I20220103001729 |
| Provider Name | Lauren Elizabeth Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467114017 PECOS PAC ID: 2567853328 Enrollment ID: I20220105001283 |
| Provider Name | Kyle Charles Albano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215608542 PECOS PAC ID: 4082005848 Enrollment ID: I20220105001368 |
| Provider Name | Jocelyn Marie Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073271912 PECOS PAC ID: 2961893722 Enrollment ID: I20220105001484 |
| Provider Name | Megan E Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922779982 PECOS PAC ID: 0547652422 Enrollment ID: I20220127000121 |
| Provider Name | Albert Federico |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578165601 PECOS PAC ID: 0648662544 Enrollment ID: I20220127000906 |
| Provider Name | Ethan R Walsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649762071 PECOS PAC ID: 7113310699 Enrollment ID: I20220204000925 |
| Provider Name | Lauren Jane O'brien |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447897020 PECOS PAC ID: 5597158428 Enrollment ID: I20220216002907 |
| Provider Name | Deanna J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689273054 PECOS PAC ID: 6305232943 Enrollment ID: I20220406002507 |
| Provider Name | Lori Cabral |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437645744 PECOS PAC ID: 9335535699 Enrollment ID: I20220413002126 |
| Provider Name | Paige Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487329892 PECOS PAC ID: 3274920301 Enrollment ID: I20220420000953 |
| Provider Name | Abigail Marie Correira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699433805 PECOS PAC ID: 5698167757 Enrollment ID: I20220427002532 |
| Provider Name | Corrie Lynn Asencio-costa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699436501 PECOS PAC ID: 1557648763 Enrollment ID: I20220503001213 |
| Provider Name | Kayla M Deery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437811015 PECOS PAC ID: 7416344882 Enrollment ID: I20220504000545 |
| Provider Name | Jillian Marie Zucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215690235 PECOS PAC ID: 1759768062 Enrollment ID: I20220506000333 |
| Provider Name | Rachel Marie Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477205011 PECOS PAC ID: 7719364033 Enrollment ID: I20220506000498 |
| Provider Name | Melissa H Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013662402 PECOS PAC ID: 5294112553 Enrollment ID: I20220507000065 |
| Provider Name | Sarah Petrides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538577986 PECOS PAC ID: 3375761059 Enrollment ID: I20220509000787 |
| Provider Name | Aaron James Estrela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245899335 PECOS PAC ID: 2062899636 Enrollment ID: I20220520000154 |
| Provider Name | Rachel Choubah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376291906 PECOS PAC ID: 9436536893 Enrollment ID: I20220524003004 |
| Provider Name | Roy K. Kiberenge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215254784 PECOS PAC ID: 2769608587 Enrollment ID: I20220525002747 |
| Provider Name | Jacob Moshe Winograd |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699204347 PECOS PAC ID: 1052680501 Enrollment ID: I20220527000112 |
| Provider Name | Kelly a Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487313631 PECOS PAC ID: 0143608190 Enrollment ID: I20220602001499 |
| Provider Name | Muhammet Ozer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609431386 PECOS PAC ID: 3779970181 Enrollment ID: I20220603001655 |
| Provider Name | Michael E Simon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366896912 PECOS PAC ID: 9335482892 Enrollment ID: I20220606000575 |
| Provider Name | Alexandra Moscato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174278501 PECOS PAC ID: 9830577451 Enrollment ID: I20220609001296 |
| Provider Name | Kenisha Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336885722 PECOS PAC ID: 6608256425 Enrollment ID: I20220711000331 |
| Provider Name | Olivia Rose Duhaime |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083145643 PECOS PAC ID: 4789955618 Enrollment ID: I20220721003463 |
| Provider Name | Thaylon B Barreto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811552169 PECOS PAC ID: 7012245699 Enrollment ID: I20220729002125 |
| Provider Name | Kaitlyn Egan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588213391 PECOS PAC ID: 2466784244 Enrollment ID: I20220809001454 |
| Provider Name | Heather Nicole Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811645526 PECOS PAC ID: 7618350273 Enrollment ID: I20220815000187 |
| Provider Name | Abhinav Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518451863 PECOS PAC ID: 4688920895 Enrollment ID: I20220818003026 |
| Provider Name | Anastasia a Maltseva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073166922 PECOS PAC ID: 6204233471 Enrollment ID: I20220819002302 |
| Provider Name | John Thomas Ponti |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275023160 PECOS PAC ID: 9931457223 Enrollment ID: I20220822002319 |
| Provider Name | Taylor Irene Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063150100 PECOS PAC ID: 8729461835 Enrollment ID: I20220822002489 |
| Provider Name | Elizabeth Ellen Monteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356084693 PECOS PAC ID: 3072996198 Enrollment ID: I20220822002655 |
| Provider Name | Rafael Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518354240 PECOS PAC ID: 4082921093 Enrollment ID: I20220824002743 |
| Provider Name | Hector Ulises Lopez Marquez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215469861 PECOS PAC ID: 0840699237 Enrollment ID: I20220825000219 |
| Provider Name | Michelle R Gras |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902220742 PECOS PAC ID: 2466682117 Enrollment ID: I20220826000583 |
| Provider Name | Gregory W. Bormes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942255088 PECOS PAC ID: 7911009683 Enrollment ID: I20220826000683 |
| Provider Name | Cristina Calderon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205368594 PECOS PAC ID: 6204175896 Enrollment ID: I20220826001241 |
| Provider Name | Kelly Reiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831839323 PECOS PAC ID: 2567846850 Enrollment ID: I20220906002193 |
| Provider Name | Rachel Ann Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568195170 PECOS PAC ID: 5799160578 Enrollment ID: I20220914002517 |
| Provider Name | Jessica Nicole Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255901310 PECOS PAC ID: 0547667479 Enrollment ID: I20220919001871 |
| Provider Name | Nancy Sardinha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457547226 PECOS PAC ID: 7911383948 Enrollment ID: I20220928003436 |
| Provider Name | Stephen Finney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386105351 PECOS PAC ID: 5294065967 Enrollment ID: I20221006001379 |
| Provider Name | John Shapiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619214236 PECOS PAC ID: 6507242062 Enrollment ID: I20221006001475 |
| Provider Name | Sambath Crosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396403762 PECOS PAC ID: 4082001904 Enrollment ID: I20221006002724 |
| Provider Name | Trent Ainsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578944583 PECOS PAC ID: 0345626743 Enrollment ID: I20221010000512 |
| Provider Name | Stacy Lynn Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528706736 PECOS PAC ID: 9335515451 Enrollment ID: I20221014001102 |
| Provider Name | Jacob Kriegel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871936286 PECOS PAC ID: 2466780119 Enrollment ID: I20221025002666 |
| Provider Name | Erin Costa Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992445803 PECOS PAC ID: 9032586979 Enrollment ID: I20221104001568 |
| Provider Name | Nathan Ribeiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679162382 PECOS PAC ID: 2264825256 Enrollment ID: I20221117001283 |
| Provider Name | Richard Dowd |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528446465 PECOS PAC ID: 5890084552 Enrollment ID: I20221128001664 |
| Provider Name | Jesse Goddard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093917221 PECOS PAC ID: 5799902722 Enrollment ID: I20221129000687 |
| Provider Name | Samantha Melchiono |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720521347 PECOS PAC ID: 2567830110 Enrollment ID: I20221201002452 |
| Provider Name | David M Gilman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659939627 PECOS PAC ID: 8123496783 Enrollment ID: I20221201002792 |
| Provider Name | Amanda Lee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174266514 PECOS PAC ID: 3870961469 Enrollment ID: I20221202000522 |
| Provider Name | Muhammet Ozer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609431386 PECOS PAC ID: 3779970181 Enrollment ID: I20221206001424 |
| Provider Name | Shawnamarie Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932447570 PECOS PAC ID: 4688043714 Enrollment ID: I20221213001621 |
| Provider Name | Ji Hyang Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659018570 PECOS PAC ID: 0143690495 Enrollment ID: I20221230001174 |
| Provider Name | Michael Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528727989 PECOS PAC ID: 8729457122 Enrollment ID: I20230124002128 |
| Provider Name | John C Mills |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720442999 PECOS PAC ID: 9234424177 Enrollment ID: I20230127000343 |
| Provider Name | Laura Garcia Ramirez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093272551 PECOS PAC ID: 5395116461 Enrollment ID: I20230127001587 |
| Provider Name | Stephanie G Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581283 PECOS PAC ID: 4082831128 Enrollment ID: I20230214000872 |
| Provider Name | Purva Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750495271 PECOS PAC ID: 4183779432 Enrollment ID: I20230214001797 |
| Provider Name | Danielle Evan Henshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942921879 PECOS PAC ID: 5193197192 Enrollment ID: I20230220001622 |
| Provider Name | Ehab Zekri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295306280 PECOS PAC ID: 4486027422 Enrollment ID: I20230222001900 |
| Provider Name | Meghan P Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164134904 PECOS PAC ID: 1850764838 Enrollment ID: I20230223000226 |
| Provider Name | Joshua Stone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083026710 PECOS PAC ID: 4082831516 Enrollment ID: I20230227001421 |
| Provider Name | Jacquelyn Cotton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770802001 PECOS PAC ID: 9537396734 Enrollment ID: I20230314001502 |
| Provider Name | Michaela D Carrier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811616980 PECOS PAC ID: 4880068675 Enrollment ID: I20230317000964 |
| Provider Name | Brianna Rae Leung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336865351 PECOS PAC ID: 5890160030 Enrollment ID: I20230331001290 |
| Provider Name | Nirmal Pathak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639602311 PECOS PAC ID: 2163897315 Enrollment ID: I20230331001749 |
| Provider Name | Danielle Van Eron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558934604 PECOS PAC ID: 7315312121 Enrollment ID: I20230410001330 |
| Provider Name | Ashley Alves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427706407 PECOS PAC ID: 1658746474 Enrollment ID: I20230410001799 |
| Provider Name | Catherine Cioe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437477361 PECOS PAC ID: 6709154552 Enrollment ID: I20230412001174 |
| Provider Name | Despoina Mavrommati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659892289 PECOS PAC ID: 8527484849 Enrollment ID: I20230412002434 |
| Provider Name | Hannah Barth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689308710 PECOS PAC ID: 2466817788 Enrollment ID: I20230420000691 |
| Provider Name | Jason C Graff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316973100 PECOS PAC ID: 6406856277 Enrollment ID: I20230425001386 |
| Provider Name | Kimberly S Babb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134342298 PECOS PAC ID: 4587747084 Enrollment ID: I20230425001580 |
| Provider Name | Courtney N Soares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972220416 PECOS PAC ID: 9032574173 Enrollment ID: I20230425002147 |
| Provider Name | Rebecca R Xia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013428705 PECOS PAC ID: 8224395017 Enrollment ID: I20230425002845 |
| Provider Name | Mark Dumas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740497387 PECOS PAC ID: 7214259159 Enrollment ID: I20230510002265 |
| Provider Name | Enitza George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487283503 PECOS PAC ID: 6204292683 Enrollment ID: I20230510002832 |
| Provider Name | Jeffrey Cannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851851158 PECOS PAC ID: 7911231923 Enrollment ID: I20230516000323 |
| Provider Name | Sandhya M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164583779 PECOS PAC ID: 5799888756 Enrollment ID: I20230516002254 |
| Provider Name | Benjamin Britton Zorach |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679969158 PECOS PAC ID: 3971810581 Enrollment ID: I20230522000944 |
| Provider Name | Diane Sette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336568856 PECOS PAC ID: 9537384003 Enrollment ID: I20230530001381 |
| Provider Name | Ahmad Alhariri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003121930 PECOS PAC ID: 2264743079 Enrollment ID: I20230531003534 |
| Provider Name | Patrick a Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730820754 PECOS PAC ID: 5799142501 Enrollment ID: I20230609002693 |
| Provider Name | Brandon D Gomes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508553488 PECOS PAC ID: 5496112203 Enrollment ID: I20230609002802 |
| Provider Name | Kaitlyn a Klibanoff-dombrowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548889090 PECOS PAC ID: 3577920230 Enrollment ID: I20230612001386 |
| Provider Name | Jennifer C Morris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699394619 PECOS PAC ID: 7911321567 Enrollment ID: I20230614001226 |
| Provider Name | Sarah E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265044903 PECOS PAC ID: 5799198842 Enrollment ID: I20230621000054 |
| Provider Name | Subtain a Zia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508362286 PECOS PAC ID: 6709270994 Enrollment ID: I20230621000118 |
| Provider Name | Sarah D Bednarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447967211 PECOS PAC ID: 6507227394 Enrollment ID: I20230726001347 |
| Provider Name | Kevin R. Melnick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295232353 PECOS PAC ID: 6901158880 Enrollment ID: I20230728000241 |
| Provider Name | Saumya Batra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760004717 PECOS PAC ID: 2567823842 Enrollment ID: I20230802003774 |
| Provider Name | Taylor Elise Purvis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922542984 PECOS PAC ID: 9739541327 Enrollment ID: I20230814003042 |
| Provider Name | Jhony J Regis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588365548 PECOS PAC ID: 1254793391 Enrollment ID: I20230822000271 |
| Provider Name | Danielle Lynne Pfister |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649954959 PECOS PAC ID: 0648633693 Enrollment ID: I20230824000996 |
| Provider Name | Katherine H Marks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215564695 PECOS PAC ID: 5890119986 Enrollment ID: I20230901000580 |
| Provider Name | Karen Lacey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700397189 PECOS PAC ID: 1557739901 Enrollment ID: I20230901002374 |
| Provider Name | Parvathi Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548751845 PECOS PAC ID: 7517212178 Enrollment ID: I20230901003218 |
| Provider Name | Khoryn a Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750065371 PECOS PAC ID: 0042674103 Enrollment ID: I20230908000654 |
| Provider Name | Allison Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578265674 PECOS PAC ID: 8820452980 Enrollment ID: I20230908000786 |
| Provider Name | Janine H Abdeen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992436034 PECOS PAC ID: 5092179085 Enrollment ID: I20230908002358 |
| Provider Name | Joshua P Tibbels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902586225 PECOS PAC ID: 2062876857 Enrollment ID: I20230912003844 |
| Provider Name | Alexa Brynildsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720770886 PECOS PAC ID: 6709240328 Enrollment ID: I20230915001135 |
| Provider Name | Eugene Leytin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235556796 PECOS PAC ID: 8921309295 Enrollment ID: I20230919002405 |
| Provider Name | Nicole E Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487361499 PECOS PAC ID: 4183078405 Enrollment ID: I20230920002530 |
| Provider Name | Kaitlyn Elizabeth Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992450118 PECOS PAC ID: 0749667087 Enrollment ID: I20230921002529 |
| Provider Name | Julia Kendrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376836510 PECOS PAC ID: 0941593578 Enrollment ID: I20230922001294 |
| Provider Name | Kelsey Soares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194179846 PECOS PAC ID: 7012361116 Enrollment ID: I20230922002348 |
| Provider Name | Yi Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871908731 PECOS PAC ID: 3971801879 Enrollment ID: I20230922003301 |
| Provider Name | Priscilla Ponte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376227009 PECOS PAC ID: 0244684090 Enrollment ID: I20230927001705 |
| Provider Name | Kendra L Amarante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568155331 PECOS PAC ID: 5092169466 Enrollment ID: I20231004000856 |
| Provider Name | Rebecca L Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467141341 PECOS PAC ID: 2769837954 Enrollment ID: I20231008000023 |
| Provider Name | Tony Xia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811427644 PECOS PAC ID: 0042680340 Enrollment ID: I20231009002891 |
| Provider Name | Louise Dobkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790921609 PECOS PAC ID: 5890859540 Enrollment ID: I20231009003301 |
| Provider Name | Kristen Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092314 PECOS PAC ID: 9032516919 Enrollment ID: I20231010000291 |
| Provider Name | Matthew Amaral |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891342218 PECOS PAC ID: 7113312000 Enrollment ID: I20231011003329 |
| Provider Name | Katie Camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164188348 PECOS PAC ID: 4082062674 Enrollment ID: I20231120002456 |
| Provider Name | Sandra Araujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609502384 PECOS PAC ID: 8426406026 Enrollment ID: I20231120003092 |
| Provider Name | Alysa Lopes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487426607 PECOS PAC ID: 5294183653 Enrollment ID: I20231122002559 |
| Provider Name | Devin H Sadlers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346748977 PECOS PAC ID: 2365703576 Enrollment ID: I20231122003375 |
| Provider Name | Melissa Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205502838 PECOS PAC ID: 9032567276 Enrollment ID: I20231129000621 |
| Provider Name | Alicia Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902460082 PECOS PAC ID: 3375905094 Enrollment ID: I20231205000912 |
| Provider Name | Patrick Camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194599514 PECOS PAC ID: 7911356746 Enrollment ID: I20231205003558 |
| Provider Name | Elise Arsenault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023794138 PECOS PAC ID: 0547619371 Enrollment ID: I20231205003621 |
| Provider Name | Carol E Peloquin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194070508 PECOS PAC ID: 6305109976 Enrollment ID: I20231207000977 |
| Provider Name | Stephanie L Medeiros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619555109 PECOS PAC ID: 2668821299 Enrollment ID: I20231207004104 |
| Provider Name | Kemper R Schumacher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093242273 PECOS PAC ID: 4587013891 Enrollment ID: I20231212003152 |
| Provider Name | Jennifer L Gudmundsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295507549 PECOS PAC ID: 1951751346 Enrollment ID: I20231227002757 |
| Provider Name | Stephanie Y Sinclair |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265695480 PECOS PAC ID: 0941467583 Enrollment ID: I20240117001916 |
| Provider Name | Kailey E Demoura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326816802 PECOS PAC ID: 4284086927 Enrollment ID: I20240118002896 |
| Provider Name | Carlota Duarte-carvalho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336693928 PECOS PAC ID: 4587017959 Enrollment ID: I20240201001998 |
| Provider Name | Kelsey Okolowitcz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083018642 PECOS PAC ID: 1254784630 Enrollment ID: I20240201002584 |
| Provider Name | Rebecca J Carney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992920094 PECOS PAC ID: 5294123667 Enrollment ID: I20240201004233 |
| Provider Name | Cory Elizabeth Costa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962722512 PECOS PAC ID: 4082067335 Enrollment ID: I20240202000656 |
| Provider Name | Erik J Andersen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922313204 PECOS PAC ID: 7618366014 Enrollment ID: I20240202000797 |
| Provider Name | Sandra Melanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841959616 PECOS PAC ID: 3072956341 Enrollment ID: I20240205000949 |
| Provider Name | Herman V Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578503041 PECOS PAC ID: 5496723116 Enrollment ID: I20240205001047 |
| Provider Name | Lindsey Florent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548907645 PECOS PAC ID: 7810330172 Enrollment ID: I20240205002118 |
| Provider Name | Marek Pilecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801128608 PECOS PAC ID: 1850427840 Enrollment ID: I20240207003933 |
| Provider Name | Sam Salvo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033202908 PECOS PAC ID: 8224034574 Enrollment ID: I20240221002546 |
| Provider Name | Catherine Rapp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285892950 PECOS PAC ID: 8729224316 Enrollment ID: I20240227004299 |
| Provider Name | Kerri L Dolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942713375 PECOS PAC ID: 4789029984 Enrollment ID: I20240227004393 |
| Provider Name | Katherine Wordell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023692589 PECOS PAC ID: 4587009725 Enrollment ID: I20240228000888 |
| Provider Name | Nicole Saramago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336820497 PECOS PAC ID: 8325483464 Enrollment ID: I20240228004757 |
| Provider Name | Natasha Marie Teixeira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073382404 PECOS PAC ID: 7416392246 Enrollment ID: I20240301003069 |
| Provider Name | Keith S Buehler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215799440 PECOS PAC ID: 3678919644 Enrollment ID: I20240313000355 |
| Provider Name | Susan E. Domingue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740519651 PECOS PAC ID: 3577900067 Enrollment ID: I20240320000117 |
| Provider Name | Alexandra M Lyons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285405894 PECOS PAC ID: 1759728959 Enrollment ID: I20240323000409 |
| Provider Name | Evelyn Cuadrado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124501218 PECOS PAC ID: 8921445123 Enrollment ID: I20240323000422 |
| Provider Name | Danielle Crabb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831808658 PECOS PAC ID: 3173960382 Enrollment ID: I20240325000206 |
| Provider Name | Lauren Hoey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669994851 PECOS PAC ID: 2163869371 Enrollment ID: I20240325000239 |
| Provider Name | Lindsey Farya |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033988423 PECOS PAC ID: 5890132948 Enrollment ID: I20240325002072 |
| Provider Name | David Handin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710903794 PECOS PAC ID: 4284699133 Enrollment ID: I20240326001100 |
| Provider Name | Alwin Somasundaram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144857624 PECOS PAC ID: 2062850811 Enrollment ID: I20240329001803 |
| Provider Name | Peter Joseph Donahue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235993775 PECOS PAC ID: 1456799717 Enrollment ID: I20240404003689 |
| Provider Name | Ashley O'connell Ferster |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396163747 PECOS PAC ID: 5395978969 Enrollment ID: I20240515001344 |
| Provider Name | Francesca Friel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912568015 PECOS PAC ID: 1052755816 Enrollment ID: I20240523000167 |
| Provider Name | Victoria a Gamache |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629839204 PECOS PAC ID: 5698218568 Enrollment ID: I20240620000052 |
| Provider Name | Kara E Frade |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376049379 PECOS PAC ID: 3072866292 Enrollment ID: I20240620000583 |
| Provider Name | Meagan Hajjar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902302136 PECOS PAC ID: 4284982091 Enrollment ID: I20240620000648 |
| Provider Name | Arthur Manoli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700271137 PECOS PAC ID: 4688977572 Enrollment ID: I20240620000730 |
| Provider Name | Kayla N Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629648597 PECOS PAC ID: 2365984267 Enrollment ID: I20240620000951 |
| Provider Name | Heinrich-karl V Greenblatt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477014884 PECOS PAC ID: 8628302387 Enrollment ID: I20240625000174 |
| Provider Name | Matthew Spring |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104357110 PECOS PAC ID: 3971875659 Enrollment ID: I20240625000187 |
| Provider Name | Jeong Hwan Kim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982024295 PECOS PAC ID: 4981907151 Enrollment ID: I20240625000541 |
| Provider Name | Deborah Nadler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881185965 PECOS PAC ID: 9133521917 Enrollment ID: I20240625000631 |
| Provider Name | Katherine a Stiles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699333740 PECOS PAC ID: 0244563690 Enrollment ID: I20240625000759 |
| Provider Name | Stephanie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164810073 PECOS PAC ID: 3870916141 Enrollment ID: I20240625000862 |
| Provider Name | Emily Bak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598497562 PECOS PAC ID: 2860936150 Enrollment ID: I20240627001843 |
| Provider Name | Sarah Desilet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457758591 PECOS PAC ID: 5799220364 Enrollment ID: I20240709000393 |
| Provider Name | Kerri M Dupre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144640012 PECOS PAC ID: 7517403298 Enrollment ID: I20240718003233 |
| Provider Name | Blair Allison Mailloux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730888009 PECOS PAC ID: 0547706988 Enrollment ID: I20240723000129 |
| Provider Name | Karphly V. Murdock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295581627 PECOS PAC ID: 3971040478 Enrollment ID: I20240801002964 |
| Provider Name | Katherine Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285303081 PECOS PAC ID: 9830582261 Enrollment ID: I20240802000679 |
| Provider Name | Michael Quarella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689293656 PECOS PAC ID: 3971927732 Enrollment ID: I20240820003677 |
| Provider Name | Kimberly Stoessel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366015257 PECOS PAC ID: 5890233969 Enrollment ID: I20240820003827 |
| Provider Name | Cecilia Levoshko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801558895 PECOS PAC ID: 8729526710 Enrollment ID: I20240821004551 |
| Provider Name | Thomas Brillon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750061834 PECOS PAC ID: 9638617624 Enrollment ID: I20240821004552 |
| Provider Name | Alicia Esther Hersey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912534330 PECOS PAC ID: 3476972118 Enrollment ID: I20240821005063 |
| Provider Name | Taylor L Bardsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417792524 PECOS PAC ID: 6103365119 Enrollment ID: I20240822000400 |
| Provider Name | Andreea-constanta Stan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679094726 PECOS PAC ID: 1759621634 Enrollment ID: I20240822000465 |
| Provider Name | Minni Shreya Arumugam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588197636 PECOS PAC ID: 8123364064 Enrollment ID: I20240822000779 |
| Provider Name | Darif Krasnow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649704966 PECOS PAC ID: 9032534508 Enrollment ID: I20240822001145 |
| Provider Name | Lindsey E Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598503203 PECOS PAC ID: 5698214641 Enrollment ID: I20240822002034 |
| Provider Name | Nicholas R Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427685452 PECOS PAC ID: 4789004169 Enrollment ID: I20240822002318 |
| Provider Name | Kristen Clegg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487491981 PECOS PAC ID: 0749729721 Enrollment ID: I20240822003162 |
| Provider Name | Housam Eddin a Alhariri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306419536 PECOS PAC ID: 6305242702 Enrollment ID: I20240823001279 |
| Provider Name | Carolyn B Davidson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275970394 PECOS PAC ID: 4284852807 Enrollment ID: I20240826000795 |
| Provider Name | Jessica Boldridge |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578023503 PECOS PAC ID: 8921338526 Enrollment ID: I20240827000785 |
| Provider Name | Mohamed Muftah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306517875 PECOS PAC ID: 1557800679 Enrollment ID: I20240903001778 |
| Provider Name | Courtney Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437989852 PECOS PAC ID: 1951840073 Enrollment ID: I20240903002008 |
| Provider Name | Matthew Dacosta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093201667 PECOS PAC ID: 8527317676 Enrollment ID: I20240910000738 |
| Provider Name | Susan C Garrity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689410458 PECOS PAC ID: 5092255521 Enrollment ID: I20240910004619 |
| Provider Name | Jeannine L Jeha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205367513 PECOS PAC ID: 9436423266 Enrollment ID: I20240923000332 |
| Provider Name | Nicole Rico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689402372 PECOS PAC ID: 1153862537 Enrollment ID: I20240925003292 |
| Provider Name | Ashley a Horsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962257816 PECOS PAC ID: 5890236160 Enrollment ID: I20240926002153 |
| Provider Name | Brianne E Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790514735 PECOS PAC ID: 4284165028 Enrollment ID: I20241003001250 |
| Provider Name | Richard Lovett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588686745 PECOS PAC ID: 0042300402 Enrollment ID: I20241025002266 |
| Provider Name | Safira Iddriss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821456989 PECOS PAC ID: 2062774466 Enrollment ID: I20241025002591 |
| Provider Name | Mary Grace T Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699475236 PECOS PAC ID: 7214460039 Enrollment ID: I20241031001124 |
| Provider Name | Brianna Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891403390 PECOS PAC ID: 5496288011 Enrollment ID: I20241104002014 |
| Provider Name | Erin K Kopecky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750124640 PECOS PAC ID: 1658806922 Enrollment ID: I20241122002652 |
| Provider Name | Ashley Pimenta-mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104633817 PECOS PAC ID: 9830628627 Enrollment ID: I20250123001314 |
| Provider Name | Adnan Sultan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659635381 PECOS PAC ID: 9335380203 Enrollment ID: I20250123001449 |
| Provider Name | Christina M Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366255705 PECOS PAC ID: 2567982911 Enrollment ID: I20250228000521 |
| Provider Name | Steven a Toms |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780632679 PECOS PAC ID: 0547290116 Enrollment ID: I20250429000288 |
| Provider Name | Steven P Britton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417475559 PECOS PAC ID: 3173049616 Enrollment ID: I20250429000334 |
| Provider Name | Courtney Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922710615 PECOS PAC ID: 4385017862 Enrollment ID: I20250429002085 |
| Provider Name | Tasnim F Imran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447516265 PECOS PAC ID: 2365722816 Enrollment ID: I20250502001590 |
| Provider Name | Kassandra L Cordeiro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134881048 PECOS PAC ID: 3072025048 Enrollment ID: I20250625001289 |
| Provider Name | Cassidy M Mello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356020028 PECOS PAC ID: 4183136179 Enrollment ID: I20250625001645 |
| Provider Name | Dennis P Fitzgerald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760945604 PECOS PAC ID: 5698003499 Enrollment ID: I20250625003696 |
| Provider Name | Meagan R Mulready |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649724899 PECOS PAC ID: 2466965058 Enrollment ID: I20250627000962 |
| Provider Name | Marisa Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639851785 PECOS PAC ID: 5193162170 Enrollment ID: I20250630002435 |
| Provider Name | Sophia B Costa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629843867 PECOS PAC ID: 9931612223 Enrollment ID: I20250630003767 |
| Provider Name | Nicholas a Carvalho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942020904 PECOS PAC ID: 6002329349 Enrollment ID: I20250701000410 |
| Provider Name | Ryanne Cochrane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407524960 PECOS PAC ID: 9032622295 Enrollment ID: I20250701000929 |
| Provider Name | Marina a Haghighat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942094289 PECOS PAC ID: 2062925233 Enrollment ID: I20250701001159 |
| Provider Name | Courtney X Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124826102 PECOS PAC ID: 2264945294 Enrollment ID: I20250702000332 |
| Provider Name | Jennifer L Botelho |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114741444 PECOS PAC ID: 1850804881 Enrollment ID: I20250702000485 |
| Provider Name | Aura Rebello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245444033 PECOS PAC ID: 1658884572 Enrollment ID: I20250702002263 |
| Provider Name | Keara K Calnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487331575 PECOS PAC ID: 2668985599 Enrollment ID: I20250702002527 |
| Provider Name | Mustafa Shoaib Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235874173 PECOS PAC ID: 8224541115 Enrollment ID: I20250702004195 |
| Provider Name | Allison B Nemrow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407645260 PECOS PAC ID: 9436663036 Enrollment ID: I20250707003325 |
| Provider Name | Francis M Mcclarnon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093784522 PECOS PAC ID: 3577557511 Enrollment ID: I20250708004034 |
| Provider Name | Kristy M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801521612 PECOS PAC ID: 3072028000 Enrollment ID: I20250717000760 |
| Provider Name | Olivia Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801631676 PECOS PAC ID: 8022523059 Enrollment ID: I20250717000879 |
| Provider Name | Miguel Martin Leiva Juarez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962924753 PECOS PAC ID: 6507373537 Enrollment ID: I20250725001115 |
| Provider Name | Orbelina Margarita Erazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376433490 PECOS PAC ID: 4789192915 Enrollment ID: I20250731001157 |
| Provider Name | Kristine L Gargaritano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063145571 PECOS PAC ID: 7416459698 Enrollment ID: I20250906000521 |
| Provider Name | Kenneth M Kiberenge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023672151 PECOS PAC ID: 9931434172 Enrollment ID: I20250908001294 |
| Provider Name | Michael J Andrescavage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427943315 PECOS PAC ID: 0446752554 Enrollment ID: I20250908001947 |
| Provider Name | Selina Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124886494 PECOS PAC ID: 2062919764 Enrollment ID: I20251008003492 |
| Provider Name | Tyler C Duffy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629868443 PECOS PAC ID: 1456849454 Enrollment ID: I20251022000994 |
| Provider Name | Raj K Thakrar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427410620 PECOS PAC ID: 4688963358 Enrollment ID: I20251022004072 |
| Provider Name | John J Carroll |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558742999 PECOS PAC ID: 1658668777 Enrollment ID: I20251022004298 |
| Provider Name | Katherine E Macarthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124768239 PECOS PAC ID: 7214313444 Enrollment ID: I20251023000986 |
| Provider Name | Cezar Lisov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689135725 PECOS PAC ID: 6608230826 Enrollment ID: I20251023001708 |
| Provider Name | Ian C Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467254482 PECOS PAC ID: 5991293615 Enrollment ID: I20251023001971 |
| Provider Name | Colin a Foley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740693225 PECOS PAC ID: 5092025395 Enrollment ID: I20251023002197 |
| Provider Name | Benjamin Ari Weistrop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588287502 PECOS PAC ID: 1254752603 Enrollment ID: I20251023002764 |
| Provider Name | Lauren Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962384057 PECOS PAC ID: 7012405756 Enrollment ID: I20251023002910 |
| Provider Name | Erika R Pettinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831084839 PECOS PAC ID: 1456849108 Enrollment ID: I20251023003021 |
| Provider Name | Rachael Laura Bednarz-medeiros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174267900 PECOS PAC ID: 4789064999 Enrollment ID: I20251023004709 |
| Provider Name | Ashley M Kenyon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154950517 PECOS PAC ID: 9830572940 Enrollment ID: I20251023004732 |
| Provider Name | Kelly a Pannikodu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710627385 PECOS PAC ID: 0749668960 Enrollment ID: I20251029000603 |
| Provider Name | Nadah B Zafar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205842341 PECOS PAC ID: 9032010541 Enrollment ID: I20251103001725 |
| Provider Name | Maria Neto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316830581 PECOS PAC ID: 9133619976 Enrollment ID: I20251110000371 |
| Provider Name | Alyssa Cannata |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205721891 PECOS PAC ID: 5294225074 Enrollment ID: I20251110001527 |
| Provider Name | Ronnie Barboza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770171142 PECOS PAC ID: 8628430378 Enrollment ID: I20251110001594 |
| Provider Name | Linda J Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194281246 PECOS PAC ID: 6507385424 Enrollment ID: I20251110001806 |
| Provider Name | Ryan O'kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356900591 PECOS PAC ID: 4981934957 Enrollment ID: I20251110002027 |
| Provider Name | Sarah a Soifert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548743875 PECOS PAC ID: 2668717422 Enrollment ID: I20251110002386 |
| Provider Name | Philip a Philips |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346221686 PECOS PAC ID: 2668373994 Enrollment ID: I20251111000582 |
| Provider Name | Timothy M Rodriggs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730716697 PECOS PAC ID: 4183035728 Enrollment ID: I20251111002100 |
| Provider Name | Curdicia Gilbert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1891198321 PECOS PAC ID: 3779806914 Enrollment ID: I20251114003391 |
| Provider Name | Andrew Arone |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689407769 PECOS PAC ID: 4789175993 Enrollment ID: I20251117000450 |
| Provider Name | Kate E Mayans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477901254 PECOS PAC ID: 8921393117 Enrollment ID: I20251201002376 |
| Provider Name | Andrea R Bonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982376059 PECOS PAC ID: 1254739584 Enrollment ID: I20251219001702 |
| Provider Name | Brandon J Sumpio |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740778356 PECOS PAC ID: 4981954070 Enrollment ID: I20251224001819 |
| Provider Name | Louann Markley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487305132 PECOS PAC ID: 1456847953 Enrollment ID: I20260105003162 |
| Provider Name | Kellyann Aguiar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639301252 PECOS PAC ID: 2668968983 Enrollment ID: I20260106003520 |
| Provider Name | Nicholas L Kensey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578142360 PECOS PAC ID: 2860895893 Enrollment ID: I20260107001084 |
| Provider Name | Melissa D Sama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295560035 PECOS PAC ID: 7810473121 Enrollment ID: I20260107001264 |
| Provider Name | Madison N Mazoyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194692558 PECOS PAC ID: 4587140892 Enrollment ID: I20260107001314 |
| Provider Name | Coyna S Peralta Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033854831 PECOS PAC ID: 6406332600 Enrollment ID: I20260107003534 |
| Provider Name | Patrick Benjamin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770145039 PECOS PAC ID: 7810373727 Enrollment ID: I20260107003719 |
| Provider Name | Thomas P Mcmahon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619048030 PECOS PAC ID: 5092893214 Enrollment ID: I20260116000202 |
| Provider Name | Melissa Ochoa-trochez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740700780 PECOS PAC ID: 9830501568 Enrollment ID: I20260120001406 |
| Provider Name | Jessica Marrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841557220 PECOS PAC ID: 0042535148 Enrollment ID: I20260128003482 |
| Provider Name | Alyssa Fernandes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508756891 PECOS PAC ID: 0446739783 Enrollment ID: I20260207000517 |
| Provider Name | Shawn Blankenship |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801322805 PECOS PAC ID: 8325316177 Enrollment ID: I20260207000632 |
| Provider Name | Kelly Demenezes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619183456 PECOS PAC ID: 2163901414 Enrollment ID: I20260207000690 |
| Provider Name | Renae R Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881551968 PECOS PAC ID: 5799265021 Enrollment ID: I20260217000068 |
| Provider Name | Justine Souza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043840218 PECOS PAC ID: 3678053469 Enrollment ID: I20260219002366 |
| Provider Name | John T Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598641599 PECOS PAC ID: 8921589417 Enrollment ID: I20260223002960 |
| Provider Name | Natalia D Arrance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417482415 PECOS PAC ID: 9739660226 Enrollment ID: I20260223003023 |
| Provider Name | Talia N Roos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912877564 PECOS PAC ID: 5597246587 Enrollment ID: I20260227000331 |
| Provider Name | Viktorija Cepule |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609612860 PECOS PAC ID: 5294219424 Enrollment ID: I20260325001437 |
| Provider Name | Heather Taylor-poyant |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417026899 PECOS PAC ID: 8426207556 Enrollment ID: I20260331003144 |
| Provider Name | Rajvir Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952892085 PECOS PAC ID: 3779839790 Enrollment ID: I20260401002075 |
| Provider Name | Samantha Dias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376363788 PECOS PAC ID: 1355826884 Enrollment ID: I20260401002367 |
| Provider Name | Shrina Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780150490 PECOS PAC ID: 1658856067 Enrollment ID: I20260402001530 |
| Provider Name | Sarah Ann Pacheco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790533347 PECOS PAC ID: 8729563143 Enrollment ID: I20260402001633 |
| Provider Name | Katherine Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356297121 PECOS PAC ID: 6608349964 Enrollment ID: I20260626004629 |
| Provider Name | Mia a Marcello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245048024 PECOS PAC ID: 6608349972 Enrollment ID: I20260627000154 |
| Provider Name | Kaitlyn Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295687101 PECOS PAC ID: 5597238873 Enrollment ID: I20260627000223 |
| Provider Name | Sophie C Gurney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629939947 PECOS PAC ID: 8820561103 Enrollment ID: I20260627000263 |
| Provider Name | Catrina Piccirilli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700728342 PECOS PAC ID: 4880167162 Enrollment ID: I20260627000412 |
New Bedford Medical Associates PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Mill Rd, Fairhaven, MA 02719 Phone: 508-985-5020 |
Family Med Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Washington St, Fairhaven, MA 02719 Phone: 508-992-5546 Fax: 508-990-0391 |