| Southeastern Physician Services Pc | |
|
990 Oak Ridge Tpke Oak Ridge TN 37830-6976 | |
| (865) 481-1000 | |
| Not Available |
| Full Name | Southeastern Physician Services Pc |
|---|---|
| Speciality | Hospitalist |
| Location | 990 Oak Ridge Tpke, Oak Ridge, Tennessee |
| Authorized Official Name and Position | Randal L Dabbs (PRESIDENT) |
| Authorized Official Contact | 8882031274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Physician Services Pc Po Box 635705 Cincinnati OH 45263-5705 Ph: (888) 203-1274 | Southeastern Physician Services Pc 990 Oak Ridge Tpke Oak Ridge TN 37830-6976 Ph: (865) 481-1000 |
| NPI Number | 1083835441 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 01/31/2020 |
| Medicare PECOS PAC ID | 0042307852 |
|---|---|
| Medicare Enrollment ID | O20071025000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083835441 | NPI | - | NPPES |
| 3370208 | Medicaid | TN | |
| GP5012 | Medicaid | SC | |
| 7100046370 | Medicaid | KY | |
| 529932974 | Medicaid | AL | |
| 5950338 | Medicaid | NC |
| Provider Name | Ayodele A Olusanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932155868 PECOS PAC ID: 2163336264 Enrollment ID: I20031113000449 |
| Provider Name | Peter R Deversa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598773871 PECOS PAC ID: 2961306717 Enrollment ID: I20031122000056 |
| Provider Name | Kevin Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518995208 PECOS PAC ID: 7416854260 Enrollment ID: I20031218000502 |
| Provider Name | Than Z Tin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619943792 PECOS PAC ID: 7315847050 Enrollment ID: I20040109000972 |
| Provider Name | David Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871578385 PECOS PAC ID: 9931000569 Enrollment ID: I20040116000628 |
| Provider Name | Robert M Magill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275541567 PECOS PAC ID: 4284536533 Enrollment ID: I20040126000691 |
| Provider Name | Kerry L Milligan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780776765 PECOS PAC ID: 8325937709 Enrollment ID: I20040312001272 |
| Provider Name | Isham C Hewgley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215915921 PECOS PAC ID: 1153213301 Enrollment ID: I20040325000281 |
| Provider Name | Beverly A Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043282502 PECOS PAC ID: 8921093295 Enrollment ID: I20040416000470 |
| Provider Name | Joseph Anthony Destefano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841032 PECOS PAC ID: 4688669526 Enrollment ID: I20040419001314 |
| Provider Name | Michael W Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124112727 PECOS PAC ID: 1658367842 Enrollment ID: I20040422001283 |
| Provider Name | David Guan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891772208 PECOS PAC ID: 8426044454 Enrollment ID: I20040423000638 |
| Provider Name | Clyde R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881676526 PECOS PAC ID: 6305834292 Enrollment ID: I20040430001282 |
| Provider Name | Jalila Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598773889 PECOS PAC ID: 4284615337 Enrollment ID: I20040526000139 |
| Provider Name | Alka Kamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295738128 PECOS PAC ID: 1951383819 Enrollment ID: I20040603001185 |
| Provider Name | Lisa M Pullen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1871672717 PECOS PAC ID: 5991788440 Enrollment ID: I20040608000274 |
| Provider Name | Todd W Markwalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700894276 PECOS PAC ID: 0941283832 Enrollment ID: I20040610001775 |
| Provider Name | Jenny B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811983455 PECOS PAC ID: 3072596865 Enrollment ID: I20040611000769 |
| Provider Name | Christian F Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508839440 PECOS PAC ID: 7618951088 Enrollment ID: I20040614001558 |
| Provider Name | Ayodeji A Oso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689653461 PECOS PAC ID: 0941284889 Enrollment ID: I20040617000118 |
| Provider Name | Pierce C Alexander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255319067 PECOS PAC ID: 6800872516 Enrollment ID: I20040624001327 |
| Provider Name | Jerry W Bradley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558303644 PECOS PAC ID: 8426035270 Enrollment ID: I20040630000751 |
| Provider Name | Richard L Bremer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245218981 PECOS PAC ID: 4981681418 Enrollment ID: I20040702000274 |
| Provider Name | William T Bates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073552121 PECOS PAC ID: 9537130679 Enrollment ID: I20040803001096 |
| Provider Name | Teresa J Regan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457337966 PECOS PAC ID: 4284605031 Enrollment ID: I20040804000939 |
| Provider Name | Karl E Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033265178 PECOS PAC ID: 6800860578 Enrollment ID: I20040819001601 |
| Provider Name | Thomas P Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841285228 PECOS PAC ID: 5991775512 Enrollment ID: I20040823000216 |
| Provider Name | Forrest B Tilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891794418 PECOS PAC ID: 1052386604 Enrollment ID: I20040827000875 |
| Provider Name | Thomas W Doss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629017751 PECOS PAC ID: 5799750097 Enrollment ID: I20040831000393 |
| Provider Name | Stephanie Alison Hatcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114960622 PECOS PAC ID: 1153396320 Enrollment ID: I20040831000982 |
| Provider Name | Dan S Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952340697 PECOS PAC ID: 1052386075 Enrollment ID: I20040901000568 |
| Provider Name | Ashutosh Kumar Mishra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942262829 PECOS PAC ID: 6204729353 Enrollment ID: I20040909000085 |
| Provider Name | James A Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184602898 PECOS PAC ID: 0547230096 Enrollment ID: I20040914000203 |
| Provider Name | Amanullah Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780682906 PECOS PAC ID: 0042289316 Enrollment ID: I20041002000128 |
| Provider Name | Frank A Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619917879 PECOS PAC ID: 9032178157 Enrollment ID: I20041005000869 |
| Provider Name | Moez R Premji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295794089 PECOS PAC ID: 3678532199 Enrollment ID: I20041008000715 |
| Provider Name | Eustacia L Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114977972 PECOS PAC ID: 1052371804 Enrollment ID: I20041015000240 |
| Provider Name | Eugene C Scobey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750493474 PECOS PAC ID: 9830159656 Enrollment ID: I20041015000764 |
| Provider Name | Brian P Donovan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598741787 PECOS PAC ID: 5496655755 Enrollment ID: I20041112000424 |
| Provider Name | Vinaya S Belagode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518048172 PECOS PAC ID: 4284698937 Enrollment ID: I20041112001055 |
| Provider Name | Dimka M Ialamova Touncheva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316924665 PECOS PAC ID: 1052376134 Enrollment ID: I20041130001080 |
| Provider Name | Chetan D Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659480606 PECOS PAC ID: 7113985086 Enrollment ID: I20041222000804 |
| Provider Name | Anna B Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285610931 PECOS PAC ID: 7810945862 Enrollment ID: I20050106000808 |
| Provider Name | Robert Dale Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124057534 PECOS PAC ID: 5698723591 Enrollment ID: I20050107000155 |
| Provider Name | Howard R Brock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215970140 PECOS PAC ID: 7911957063 Enrollment ID: I20050126000563 |
| Provider Name | Vivian Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205889508 PECOS PAC ID: 1456301548 Enrollment ID: I20050126000813 |
| Provider Name | Ruth A Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710905989 PECOS PAC ID: 4183674955 Enrollment ID: I20050128000751 |
| Provider Name | Ami H Chattin-ponce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922119288 PECOS PAC ID: 9830140219 Enrollment ID: I20050202000857 |
| Provider Name | Pawel G Karolczak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639116999 PECOS PAC ID: 4183675846 Enrollment ID: I20050210000114 |
| Provider Name | Keith G Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821036179 PECOS PAC ID: 8426000704 Enrollment ID: I20050215000463 |
| Provider Name | George W Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821094830 PECOS PAC ID: 7214823558 Enrollment ID: I20050223000967 |
| Provider Name | Lee Marvin Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194774802 PECOS PAC ID: 6901859354 Enrollment ID: I20050224001017 |
| Provider Name | Susan Nettleton O Brien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528001112 PECOS PAC ID: 2769435189 Enrollment ID: I20050225000364 |
| Provider Name | Muhammad R Faisal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003858267 PECOS PAC ID: 2567415987 Enrollment ID: I20050225000379 |
| Provider Name | Michael Prostko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114955945 PECOS PAC ID: 9335192756 Enrollment ID: I20050225000418 |
| Provider Name | Charles F Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053357673 PECOS PAC ID: 8325091515 Enrollment ID: I20050228000960 |
| Provider Name | Donald R Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447219688 PECOS PAC ID: 1759299761 Enrollment ID: I20050323001005 |
| Provider Name | Henry Enyenihi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992708002 PECOS PAC ID: 3870549298 Enrollment ID: I20050329000206 |
| Provider Name | Douglas L Damron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396785317 PECOS PAC ID: 4284681388 Enrollment ID: I20050331000898 |
| Provider Name | Mark C Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558364810 PECOS PAC ID: 6305884552 Enrollment ID: I20050419001149 |
| Provider Name | Aileen S Garcia-gayoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891757761 PECOS PAC ID: 1254225253 Enrollment ID: I20050503000928 |
| Provider Name | Stephen L Haile |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114941291 PECOS PAC ID: 8921048232 Enrollment ID: I20050505000970 |
| Provider Name | Stacey L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871563981 PECOS PAC ID: 4981644937 Enrollment ID: I20050509000959 |
| Provider Name | Karen L Harsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205809522 PECOS PAC ID: 5597709063 Enrollment ID: I20050615000531 |
| Provider Name | Janet G Pickstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215914528 PECOS PAC ID: 6103860267 Enrollment ID: I20050620000405 |
| Provider Name | Gregory E Huff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730156241 PECOS PAC ID: 2961447578 Enrollment ID: I20050623000954 |
| Provider Name | David A Hancock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194753459 PECOS PAC ID: 1456397405 Enrollment ID: I20050630000236 |
| Provider Name | Nickola S Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700995206 PECOS PAC ID: 6901832856 Enrollment ID: I20050719000099 |
| Provider Name | Carlos Rafic Shammas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811954134 PECOS PAC ID: 6709813587 Enrollment ID: I20050722000886 |
| Provider Name | Michael Kempton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427072859 PECOS PAC ID: 2466432661 Enrollment ID: I20050801000342 |
| Provider Name | Mohammed H Kabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598795833 PECOS PAC ID: 2769383355 Enrollment ID: I20050801001067 |
| Provider Name | Obadias Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597546 PECOS PAC ID: 4880678135 Enrollment ID: I20050801001209 |
| Provider Name | Rashid Mahboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659356335 PECOS PAC ID: 4789613977 Enrollment ID: I20050808001101 |
| Provider Name | Jose Garrido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982640140 PECOS PAC ID: 7416987144 Enrollment ID: I20050812000732 |
| Provider Name | Azhar S Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013972538 PECOS PAC ID: 2365472529 Enrollment ID: I20050817000332 |
| Provider Name | Mark K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528079969 PECOS PAC ID: 1759311749 Enrollment ID: I20050818001105 |
| Provider Name | Melanie L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629004346 PECOS PAC ID: 9335170513 Enrollment ID: I20050826000888 |
| Provider Name | Debra A Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740231646 PECOS PAC ID: 4688607666 Enrollment ID: I20050912000794 |
| Provider Name | Syed Farhan M Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346238961 PECOS PAC ID: 3476586751 Enrollment ID: I20050916000325 |
| Provider Name | Syed Shaukat Husnain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164641874 PECOS PAC ID: 6002840709 Enrollment ID: I20050922000204 |
| Provider Name | Vitaly Nazarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760469084 PECOS PAC ID: 9830114131 Enrollment ID: I20051005001193 |
| Provider Name | Muhamed Salah Faour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672507 PECOS PAC ID: 1850319948 Enrollment ID: I20051107001156 |
| Provider Name | Gina Pulido-soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184660094 PECOS PAC ID: 8820017429 Enrollment ID: I20051114000154 |
| Provider Name | Constance A Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568409829 PECOS PAC ID: 0547255812 Enrollment ID: I20051115000982 |
| Provider Name | Michael E Ort |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043258213 PECOS PAC ID: 1153342464 Enrollment ID: I20051214000792 |
| Provider Name | Jonathan S Bremer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336181239 PECOS PAC ID: 4688689243 Enrollment ID: I20060217000626 |
| Provider Name | John W Thurman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790705341 PECOS PAC ID: 3072520246 Enrollment ID: I20060313000510 |
| Provider Name | Ron Lanier Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073553608 PECOS PAC ID: 3375551906 Enrollment ID: I20060323000503 |
| Provider Name | Fay Lynn Bembry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811098908 PECOS PAC ID: 6305854308 Enrollment ID: I20060403000488 |
| Provider Name | Naveed H Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386609055 PECOS PAC ID: 4688572795 Enrollment ID: I20060503000599 |
| Provider Name | Ejikeme U Nwokolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457304396 PECOS PAC ID: 3375554470 Enrollment ID: I20060602000203 |
| Provider Name | Udoeyop Udoeyop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730166083 PECOS PAC ID: 7214940295 Enrollment ID: I20060714000182 |
| Provider Name | Patricia Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629058045 PECOS PAC ID: 3274546262 Enrollment ID: I20060714000212 |
| Provider Name | Bessie Ingram-nunally |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720069578 PECOS PAC ID: 9537078720 Enrollment ID: I20060828000119 |
| Provider Name | Edward J Dinkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235163528 PECOS PAC ID: 1254336241 Enrollment ID: I20060926000262 |
| Provider Name | Anthony Udokwu Efobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255300554 PECOS PAC ID: 3971564089 Enrollment ID: I20060927000277 |
| Provider Name | Jason E Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720016710 PECOS PAC ID: 8022013929 Enrollment ID: I20060928000065 |
| Provider Name | Sherry L Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053331082 PECOS PAC ID: 7810993045 Enrollment ID: I20061011000728 |
| Provider Name | Owen Cameron Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255305769 PECOS PAC ID: 5294632212 Enrollment ID: I20061026000066 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20061201000242 |
| Provider Name | Kimerly A Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689668105 PECOS PAC ID: 1951300292 Enrollment ID: I20061213000537 |
| Provider Name | Andrea Joy Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942286786 PECOS PAC ID: 4587663752 Enrollment ID: I20061215000544 |
| Provider Name | Minesh N Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407947666 PECOS PAC ID: 4981604923 Enrollment ID: I20061222000094 |
| Provider Name | Christopher A Colburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518958115 PECOS PAC ID: 9830191097 Enrollment ID: I20070201000290 |
| Provider Name | Doreen Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649293184 PECOS PAC ID: 0840299624 Enrollment ID: I20070205000162 |
| Provider Name | Judith Boggess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457315848 PECOS PAC ID: 6406959717 Enrollment ID: I20070307000081 |
| Provider Name | Qing Yuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225047053 PECOS PAC ID: 1951404193 Enrollment ID: I20070308000582 |
| Provider Name | Leigh A Livingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285798116 PECOS PAC ID: 8325141385 Enrollment ID: I20070312000347 |
| Provider Name | Mary L Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235230871 PECOS PAC ID: 3476656299 Enrollment ID: I20070316000101 |
| Provider Name | Froilan B Joves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063508356 PECOS PAC ID: 2567566094 Enrollment ID: I20070322000396 |
| Provider Name | Ehud Ron Kamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366518938 PECOS PAC ID: 4284731522 Enrollment ID: I20070521000386 |
| Provider Name | Snigdha S Priyadarshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972670552 PECOS PAC ID: 1254438104 Enrollment ID: I20070529000624 |
| Provider Name | Walter Davis Arnold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033162375 PECOS PAC ID: 1456459635 Enrollment ID: I20070612000442 |
| Provider Name | Patricia Oquinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952343956 PECOS PAC ID: 2062510175 Enrollment ID: I20070612000798 |
| Provider Name | Kim Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194723130 PECOS PAC ID: 3274632229 Enrollment ID: I20070615000618 |
| Provider Name | John W Fowler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982658506 PECOS PAC ID: 2365542420 Enrollment ID: I20070703000384 |
| Provider Name | Lora D Spurlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356465603 PECOS PAC ID: 3072613942 Enrollment ID: I20070705000661 |
| Provider Name | Jacob Eric Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194831636 PECOS PAC ID: 6002876331 Enrollment ID: I20070710001001 |
| Provider Name | John E Tapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811986326 PECOS PAC ID: 7618078767 Enrollment ID: I20070719000699 |
| Provider Name | Michael R Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790906436 PECOS PAC ID: 6002917556 Enrollment ID: I20070727000171 |
| Provider Name | Lee D Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336188085 PECOS PAC ID: 2961414420 Enrollment ID: I20070802000618 |
| Provider Name | John N Sawaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346347358 PECOS PAC ID: 8224135215 Enrollment ID: I20070810000410 |
| Provider Name | Jeffrey J Ivins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912092024 PECOS PAC ID: 1850482290 Enrollment ID: I20070814000478 |
| Provider Name | Katherine F Allan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942402284 PECOS PAC ID: 4981796612 Enrollment ID: I20070824000693 |
| Provider Name | Steven T Sheedlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285788323 PECOS PAC ID: 1557454329 Enrollment ID: I20070910000916 |
| Provider Name | Judit Marton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962620476 PECOS PAC ID: 2163517889 Enrollment ID: I20070926000779 |
| Provider Name | Michelle A Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124074489 PECOS PAC ID: 2264527613 Enrollment ID: I20071001000663 |
| Provider Name | Chandra Lynn Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245451012 PECOS PAC ID: 9133214257 Enrollment ID: I20071004000634 |
| Provider Name | Brenda Goodwin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033183462 PECOS PAC ID: 9537255278 Enrollment ID: I20071017000245 |
| Provider Name | Guillermo Alberto Mantilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326234816 PECOS PAC ID: 6002903762 Enrollment ID: I20071029000376 |
| Provider Name | Hannah E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962693952 PECOS PAC ID: 2860580404 Enrollment ID: I20071115000585 |
| Provider Name | Stephen Dennis Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275727927 PECOS PAC ID: 5294823613 Enrollment ID: I20071119000659 |
| Provider Name | Julian A Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679663785 PECOS PAC ID: 7416854104 Enrollment ID: I20071129000584 |
| Provider Name | Sriram Krishnasamy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114024908 PECOS PAC ID: 4082700612 Enrollment ID: I20080131000048 |
| Provider Name | Susan R Curde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134305121 PECOS PAC ID: 0042393423 Enrollment ID: I20080207000575 |
| Provider Name | Kyong-chol Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740265677 PECOS PAC ID: 8426132556 Enrollment ID: I20080227000415 |
| Provider Name | Kent Alan Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497781298 PECOS PAC ID: 7719969914 Enrollment ID: I20080311000124 |
| Provider Name | Amy D Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447428909 PECOS PAC ID: 0941386916 Enrollment ID: I20080401000209 |
| Provider Name | David B Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144490467 PECOS PAC ID: 8628155348 Enrollment ID: I20080404000722 |
| Provider Name | Bruce E Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356523310 PECOS PAC ID: 6204913841 Enrollment ID: I20080408000164 |
| Provider Name | Devon D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952370587 PECOS PAC ID: 9436196094 Enrollment ID: I20080409000494 |
| Provider Name | Meenu Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407057409 PECOS PAC ID: 3678595345 Enrollment ID: I20080505000460 |
| Provider Name | Martinson Ansah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629033246 PECOS PAC ID: 9234100322 Enrollment ID: I20080508000247 |
| Provider Name | Brian K Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376619726 PECOS PAC ID: 1254229883 Enrollment ID: I20080508000474 |
| Provider Name | Chelia Ann Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730206129 PECOS PAC ID: 3072683192 Enrollment ID: I20080602000486 |
| Provider Name | Rene V Aguirre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043367931 PECOS PAC ID: 7113097940 Enrollment ID: I20080604000730 |
| Provider Name | Shandra Lynn Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982879938 PECOS PAC ID: 5092885723 Enrollment ID: I20080605000884 |
| Provider Name | Lakieva T Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174791784 PECOS PAC ID: 1557432663 Enrollment ID: I20080617000785 |
| Provider Name | Thomas J Nedumthottathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730241159 PECOS PAC ID: 5092887265 Enrollment ID: I20080702000630 |
| Provider Name | Uchechukwu Sampson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154478949 PECOS PAC ID: 2365437068 Enrollment ID: I20080725000535 |
| Provider Name | Benedict Aimua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962674424 PECOS PAC ID: 9133293616 Enrollment ID: I20080731000603 |
| Provider Name | Julia A Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487814414 PECOS PAC ID: 5092880468 Enrollment ID: I20080819000797 |
| Provider Name | Peter R Purrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114020666 PECOS PAC ID: 9537235312 Enrollment ID: I20080902000097 |
| Provider Name | Beth A Choby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023090685 PECOS PAC ID: 1153311873 Enrollment ID: I20080908000590 |
| Provider Name | David B Olalekan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043471717 PECOS PAC ID: 9931275047 Enrollment ID: I20080912000562 |
| Provider Name | Prabha A Kunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902975212 PECOS PAC ID: 9335216381 Enrollment ID: I20080917000658 |
| Provider Name | John W Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104811694 PECOS PAC ID: 6204818032 Enrollment ID: I20080918000411 |
| Provider Name | Dewayne S Steffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548252638 PECOS PAC ID: 5991872228 Enrollment ID: I20080929000047 |
| Provider Name | Usman Ahmad Barula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184775991 PECOS PAC ID: 4789579525 Enrollment ID: I20081003000640 |
| Provider Name | Charles A Gildrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053303438 PECOS PAC ID: 3577623545 Enrollment ID: I20081120000413 |
| Provider Name | Jennifer L Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593917 PECOS PAC ID: 3476614363 Enrollment ID: I20081210000746 |
| Provider Name | Yasser A Zohary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629259403 PECOS PAC ID: 4284796541 Enrollment ID: I20081219000418 |
| Provider Name | Kristine J Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891944765 PECOS PAC ID: 1557424231 Enrollment ID: I20090106000719 |
| Provider Name | Anthony L Aird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457513517 PECOS PAC ID: 0446313944 Enrollment ID: I20090109000278 |
| Provider Name | James A Lancaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230604 PECOS PAC ID: 7810070422 Enrollment ID: I20090109000616 |
| Provider Name | Vikki Cleo Burleson-bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669626800 PECOS PAC ID: 3375606759 Enrollment ID: I20090112000197 |
| Provider Name | Ankur M Bant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164544979 PECOS PAC ID: 9638232549 Enrollment ID: I20090120000105 |
| Provider Name | William T Rawlinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013015635 PECOS PAC ID: 4486718269 Enrollment ID: I20090122000328 |
| Provider Name | Grace L Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598720880 PECOS PAC ID: 8921162421 Enrollment ID: I20090128000295 |
| Provider Name | Oliver Patrick Archibald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174508105 PECOS PAC ID: 8022197169 Enrollment ID: I20090224000651 |
| Provider Name | Leonidas N Vieron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245387737 PECOS PAC ID: 0042376691 Enrollment ID: I20090305000345 |
| Provider Name | Shadi M.s. Ayyoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477674232 PECOS PAC ID: 5890881916 Enrollment ID: I20090305000455 |
| Provider Name | Jill B Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689625576 PECOS PAC ID: 4688723844 Enrollment ID: I20090518000298 |
| Provider Name | Zia Ur Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386838811 PECOS PAC ID: 0042384083 Enrollment ID: I20090620000011 |
| Provider Name | Kelly W Ryder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083866651 PECOS PAC ID: 7719038512 Enrollment ID: I20090707000296 |
| Provider Name | Kristie Peggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417192931 PECOS PAC ID: 8022161348 Enrollment ID: I20090804000871 |
| Provider Name | Anita Harker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417146374 PECOS PAC ID: 6002969003 Enrollment ID: I20090807000351 |
| Provider Name | Edgar Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598912701 PECOS PAC ID: 4880747856 Enrollment ID: I20090810000162 |
| Provider Name | Anna Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700018603 PECOS PAC ID: 3375699648 Enrollment ID: I20090929000262 |
| Provider Name | Stephen C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891876819 PECOS PAC ID: 5395882674 Enrollment ID: I20091019000276 |
| Provider Name | Larry Kevin Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245221183 PECOS PAC ID: 4587620158 Enrollment ID: I20091109000364 |
| Provider Name | Shirley R Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114251790 PECOS PAC ID: 6608915319 Enrollment ID: I20091209000068 |
| Provider Name | Monico Banez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962479451 PECOS PAC ID: 6406996008 Enrollment ID: I20091211000468 |
| Provider Name | Callie Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700119294 PECOS PAC ID: 7810037389 Enrollment ID: I20091214000395 |
| Provider Name | Gregory Szych |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268521 PECOS PAC ID: 4688655467 Enrollment ID: I20100119000298 |
| Provider Name | John D D Lugos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023269362 PECOS PAC ID: 7315089505 Enrollment ID: I20100127000041 |
| Provider Name | Donald W Larkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609104462 PECOS PAC ID: 0749323202 Enrollment ID: I20100205000211 |
| Provider Name | Stephanie A Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023289493 PECOS PAC ID: 4385787506 Enrollment ID: I20100210000047 |
| Provider Name | Ramesh Chadalavada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487723342 PECOS PAC ID: 6901822188 Enrollment ID: I20100510000557 |
| Provider Name | Stephen E Dexter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740461011 PECOS PAC ID: 8022146158 Enrollment ID: I20100512000043 |
| Provider Name | Dawn M Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174644538 PECOS PAC ID: 1052441615 Enrollment ID: I20100609000351 |
| Provider Name | Parveen B Makhni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669414090 PECOS PAC ID: 6103956255 Enrollment ID: I20100616000223 |
| Provider Name | Sandra Kilburn Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992947568 PECOS PAC ID: 5294866067 Enrollment ID: I20100623000872 |
| Provider Name | Bruce B Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942280243 PECOS PAC ID: 8729119946 Enrollment ID: I20100701000303 |
| Provider Name | Angela C Greear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578880779 PECOS PAC ID: 7214069897 Enrollment ID: I20100716000628 |
| Provider Name | Melissa A Mcphail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154643278 PECOS PAC ID: 5698807089 Enrollment ID: I20100721000186 |
| Provider Name | Claire De Marcellus Paris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063465128 PECOS PAC ID: 7113059262 Enrollment ID: I20100726000037 |
| Provider Name | Paul David Sain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023086675 PECOS PAC ID: 2062537095 Enrollment ID: I20100915000118 |
| Provider Name | Patrick N Rhyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063497162 PECOS PAC ID: 6305961061 Enrollment ID: I20100917000779 |
| Provider Name | Sarah Honaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053631713 PECOS PAC ID: 7012109226 Enrollment ID: I20101006000814 |
| Provider Name | Pitchar Theerathorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548223084 PECOS PAC ID: 9830086396 Enrollment ID: I20101018000334 |
| Provider Name | Louis E Koella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740250471 PECOS PAC ID: 3870634587 Enrollment ID: I20101019000369 |
| Provider Name | Alvin J Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528270899 PECOS PAC ID: 3577553643 Enrollment ID: I20101025001103 |
| Provider Name | Regina J Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871784777 PECOS PAC ID: 6800089525 Enrollment ID: I20101026000388 |
| Provider Name | Unnati M Kiran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508021718 PECOS PAC ID: 5294929584 Enrollment ID: I20101101000289 |
| Provider Name | Sharjeel Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417142159 PECOS PAC ID: 2163595968 Enrollment ID: I20101103000751 |
| Provider Name | Kenneth Nickle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790849081 PECOS PAC ID: 5698969475 Enrollment ID: I20101105000429 |
| Provider Name | Elizabeth K Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194956755 PECOS PAC ID: 3870788490 Enrollment ID: I20101109000978 |
| Provider Name | Franchesca Shoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770817116 PECOS PAC ID: 3476748716 Enrollment ID: I20101111000937 |
| Provider Name | Akberet B Hadgu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548471501 PECOS PAC ID: 1850588369 Enrollment ID: I20101209001030 |
| Provider Name | William L Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144292798 PECOS PAC ID: 8820150535 Enrollment ID: I20101215001169 |
| Provider Name | Punit Jyotindra Bhutwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919384 PECOS PAC ID: 9739241431 Enrollment ID: I20101216000153 |
| Provider Name | Kirsten B Bunce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093750564 PECOS PAC ID: 3678761897 Enrollment ID: I20110103000474 |
| Provider Name | Anna M Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063721314 PECOS PAC ID: 2163611104 Enrollment ID: I20110106000872 |
| Provider Name | Shawanda F Motlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710290416 PECOS PAC ID: 9133308869 Enrollment ID: I20110126000747 |
| Provider Name | Tonya R Durant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467768499 PECOS PAC ID: 6103006721 Enrollment ID: I20110214000586 |
| Provider Name | Laura Renee Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770888950 PECOS PAC ID: 1759562150 Enrollment ID: I20110217000730 |
| Provider Name | Shweta Kharalkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851585996 PECOS PAC ID: 3779764311 Enrollment ID: I20110302000196 |
| Provider Name | Pedro P Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871774042 PECOS PAC ID: 3779765151 Enrollment ID: I20110307000178 |
| Provider Name | Kimberly R Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992874168 PECOS PAC ID: 0840292421 Enrollment ID: I20110307000722 |
| Provider Name | Monte D Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346401817 PECOS PAC ID: 3577745652 Enrollment ID: I20110310000508 |
| Provider Name | Alyn K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548579840 PECOS PAC ID: 5395929038 Enrollment ID: I20110405000370 |
| Provider Name | Kristin Lee Grant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497909634 PECOS PAC ID: 9234313768 Enrollment ID: I20110407000627 |
| Provider Name | John M Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013987023 PECOS PAC ID: 5991718983 Enrollment ID: I20110519000035 |
| Provider Name | Dawn M Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306136742 PECOS PAC ID: 2769669399 Enrollment ID: I20110608000683 |
| Provider Name | Omer Asif Siddiqui |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659577278 PECOS PAC ID: 6305030768 Enrollment ID: I20110616000804 |
| Provider Name | Kayce B Stansell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700053097 PECOS PAC ID: 6901074285 Enrollment ID: I20110713000432 |
| Provider Name | Keith L Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225253883 PECOS PAC ID: 5496923500 Enrollment ID: I20110715000381 |
| Provider Name | Ashley Austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699930859 PECOS PAC ID: 3173791035 Enrollment ID: I20110719000804 |
| Provider Name | Rachael Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790079614 PECOS PAC ID: 1456529361 Enrollment ID: I20110720000550 |
| Provider Name | Kadallah Z Brandy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689839482 PECOS PAC ID: 0446429542 Enrollment ID: I20110805000652 |
| Provider Name | Hak S Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043471238 PECOS PAC ID: 4082883079 Enrollment ID: I20110809000093 |
| Provider Name | Zaid Brifkani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457516163 PECOS PAC ID: 6507036092 Enrollment ID: I20110818000526 |
| Provider Name | Anthony L Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528283355 PECOS PAC ID: 3779647680 Enrollment ID: I20110819000163 |
| Provider Name | Kellie A Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134389497 PECOS PAC ID: 3678743994 Enrollment ID: I20110824000378 |
| Provider Name | Mohan Gounder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467498279 PECOS PAC ID: 6204733777 Enrollment ID: I20110826000033 |
| Provider Name | Claudia C Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053586941 PECOS PAC ID: 0648440339 Enrollment ID: I20110907001567 |
| Provider Name | Joseph Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831478411 PECOS PAC ID: 6901077163 Enrollment ID: I20110919000734 |
| Provider Name | Omar Chavez-ramones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487774311 PECOS PAC ID: 4486749363 Enrollment ID: I20111007000041 |
| Provider Name | Santiago J Aguilar Duenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285897553 PECOS PAC ID: 8527230846 Enrollment ID: I20111011000282 |
| Provider Name | Egunmwendia I Ogbeide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194032706 PECOS PAC ID: 3870766488 Enrollment ID: I20111026000894 |
| Provider Name | Randall B Bible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215210943 PECOS PAC ID: 2264605591 Enrollment ID: I20111102000723 |
| Provider Name | Brett Odum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336143163 PECOS PAC ID: 0244277903 Enrollment ID: I20111104000310 |
| Provider Name | Makram Jurdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124281894 PECOS PAC ID: 0648444521 Enrollment ID: I20111111000446 |
| Provider Name | Brandon K Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396908430 PECOS PAC ID: 0840469052 Enrollment ID: I20111123000680 |
| Provider Name | Candace S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811271406 PECOS PAC ID: 5395910103 Enrollment ID: I20111206000612 |
| Provider Name | Al-muntaser Abu Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891978235 PECOS PAC ID: 0840465399 Enrollment ID: I20111212000254 |
| Provider Name | Mohammad P Bhidya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407871007 PECOS PAC ID: 7618873043 Enrollment ID: I20120117000722 |
| Provider Name | Natasha S Gilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528370350 PECOS PAC ID: 9739356130 Enrollment ID: I20120126000327 |
| Provider Name | Melissa J Raymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467609735 PECOS PAC ID: 4486811957 Enrollment ID: I20120210000626 |
| Provider Name | Kamal Jit Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073514022 PECOS PAC ID: 5092794610 Enrollment ID: I20120306000341 |
| Provider Name | Jason Della Vecchia |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1770554982 PECOS PAC ID: 6901886159 Enrollment ID: I20120319000381 |
| Provider Name | Rohini Nathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316130586 PECOS PAC ID: 0547394991 Enrollment ID: I20120322000624 |
| Provider Name | Jamie J Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407129794 PECOS PAC ID: 2163683418 Enrollment ID: I20120412000339 |
| Provider Name | Jaima B Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285909234 PECOS PAC ID: 2062675788 Enrollment ID: I20120516000592 |
| Provider Name | Rabia Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275798498 PECOS PAC ID: 1153585666 Enrollment ID: I20120613000695 |
| Provider Name | Maximillian C Finch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588617310 PECOS PAC ID: 9638272305 Enrollment ID: I20120706000586 |
| Provider Name | Sarah K Hafner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851651731 PECOS PAC ID: 5890950240 Enrollment ID: I20120710000198 |
| Provider Name | John Michael Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548523012 PECOS PAC ID: 4789840760 Enrollment ID: I20120718000829 |
| Provider Name | Dennis Starr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477727816 PECOS PAC ID: 2860658630 Enrollment ID: I20120723000763 |
| Provider Name | Joseph M Sturdivant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053514455 PECOS PAC ID: 7517123342 Enrollment ID: I20120724000296 |
| Provider Name | Karen M Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063544666 PECOS PAC ID: 0345406070 Enrollment ID: I20120725000429 |
| Provider Name | Virginia J Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447370028 PECOS PAC ID: 4284880451 Enrollment ID: I20120804000071 |
| Provider Name | Kristen A Okeefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609121086 PECOS PAC ID: 3274780549 Enrollment ID: I20120822000452 |
| Provider Name | Lori A Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770781056 PECOS PAC ID: 0042467086 Enrollment ID: I20120828000126 |
| Provider Name | Ayuk Eric Tabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851692404 PECOS PAC ID: 3375790272 Enrollment ID: I20120829000027 |
| Provider Name | Malisa Overbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437417565 PECOS PAC ID: 1759539018 Enrollment ID: I20120912000458 |
| Provider Name | Aneel Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083814040 PECOS PAC ID: 7113173691 Enrollment ID: I20120920000152 |
| Provider Name | Iffat Tameez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396854493 PECOS PAC ID: 7214185842 Enrollment ID: I20120924000445 |
| Provider Name | Karen D Hanks |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1790981819 PECOS PAC ID: 2264681410 Enrollment ID: I20121004000082 |
| Provider Name | Taopheeq A Mustapha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184949752 PECOS PAC ID: 0244489227 Enrollment ID: I20121008000291 |
| Provider Name | Samer S Hodroge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760716971 PECOS PAC ID: 6608025465 Enrollment ID: I20121011000395 |
| Provider Name | Amit Vashist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598950644 PECOS PAC ID: 9335398130 Enrollment ID: I20121011000762 |
| Provider Name | Deanna L Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184911943 PECOS PAC ID: 8820268543 Enrollment ID: I20121016000383 |
| Provider Name | Nihad A Menoofli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962709477 PECOS PAC ID: 3274705165 Enrollment ID: I20121017000165 |
| Provider Name | Caley M Spotts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316109531 PECOS PAC ID: 6800073156 Enrollment ID: I20121024000419 |
| Provider Name | Christopher Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437267655 PECOS PAC ID: 0840226338 Enrollment ID: I20121024000767 |
| Provider Name | Snehalkumar Baldevbhai Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487819744 PECOS PAC ID: 4789834615 Enrollment ID: I20121030000268 |
| Provider Name | Rebecca Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720338023 PECOS PAC ID: 9133370976 Enrollment ID: I20121105000058 |
| Provider Name | Kacy Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083967962 PECOS PAC ID: 0547412314 Enrollment ID: I20121203000102 |
| Provider Name | Saurabh H Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366682171 PECOS PAC ID: 5991957433 Enrollment ID: I20121210000361 |
| Provider Name | Fatima S Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770891152 PECOS PAC ID: 3971755349 Enrollment ID: I20121211000161 |
| Provider Name | Muhammad Mir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538460951 PECOS PAC ID: 8426200767 Enrollment ID: I20121212000354 |
| Provider Name | Cynthia G Griffiths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295978823 PECOS PAC ID: 9537312327 Enrollment ID: I20130102000482 |
| Provider Name | Imran Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881961563 PECOS PAC ID: 4587818273 Enrollment ID: I20130205000284 |
| Provider Name | Evans N Mize |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831414358 PECOS PAC ID: 6709031750 Enrollment ID: I20130225000312 |
| Provider Name | Tiffany L Yandell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538408372 PECOS PAC ID: 8224283551 Enrollment ID: I20130312000413 |
| Provider Name | Amanda J Hutchinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861600975 PECOS PAC ID: 0143465344 Enrollment ID: I20130316000043 |
| Provider Name | Ashley Gullett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962741926 PECOS PAC ID: 3072758051 Enrollment ID: I20130321000488 |
| Provider Name | Theresa Lynn Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406517 PECOS PAC ID: 2264677194 Enrollment ID: I20130326000268 |
| Provider Name | Muhammad Fs Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336373364 PECOS PAC ID: 2668623869 Enrollment ID: I20130409000358 |
| Provider Name | Louis Caruso |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811918287 PECOS PAC ID: 8820083017 Enrollment ID: I20130415000311 |
| Provider Name | Kathy Jo Justus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093796146 PECOS PAC ID: 6305890377 Enrollment ID: I20130417000114 |
| Provider Name | Lisa Trabucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013254762 PECOS PAC ID: 8325284128 Enrollment ID: I20130424000339 |
| Provider Name | Amy R Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659613156 PECOS PAC ID: 6305083130 Enrollment ID: I20130514000654 |
| Provider Name | Jennifer L Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750725008 PECOS PAC ID: 6709026198 Enrollment ID: I20130708000650 |
| Provider Name | Eltanya A Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942474721 PECOS PAC ID: 4183756208 Enrollment ID: I20130715000445 |
| Provider Name | Erin A Koscinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184936742 PECOS PAC ID: 6507007382 Enrollment ID: I20130719000470 |
| Provider Name | Tatyana Nikolayevena Der |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861717019 PECOS PAC ID: 7214178920 Enrollment ID: I20130723000497 |
| Provider Name | Pamela Sud |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003149568 PECOS PAC ID: 2961643622 Enrollment ID: I20130723001022 |
| Provider Name | Chimalum Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982916763 PECOS PAC ID: 3476795410 Enrollment ID: I20130805000205 |
| Provider Name | Adrian Jefferson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376785543 PECOS PAC ID: 9335395839 Enrollment ID: I20130812000608 |
| Provider Name | Allison K Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629417639 PECOS PAC ID: 1850533209 Enrollment ID: I20130814000350 |
| Provider Name | Jewel A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730404377 PECOS PAC ID: 0446496988 Enrollment ID: I20130816000277 |
| Provider Name | Richard Enoch Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013355379 PECOS PAC ID: 0941443741 Enrollment ID: I20130827000197 |
| Provider Name | Collins Walker Rainey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316265820 PECOS PAC ID: 4385880103 Enrollment ID: I20130830000507 |
| Provider Name | Fnu Kaweeta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033421417 PECOS PAC ID: 0840438826 Enrollment ID: I20130905000016 |
| Provider Name | Toks Macarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164608964 PECOS PAC ID: 2264509041 Enrollment ID: I20130909000477 |
| Provider Name | Oluwaseyi D Adejorin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770895252 PECOS PAC ID: 9638312820 Enrollment ID: I20130909000527 |
| Provider Name | Mark A Clay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417004136 PECOS PAC ID: 0143326322 Enrollment ID: I20130918000838 |
| Provider Name | Gaurav S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962727453 PECOS PAC ID: 7315181617 Enrollment ID: I20130925000907 |
| Provider Name | Elliott J Vizel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649254772 PECOS PAC ID: 7113196262 Enrollment ID: I20131001000151 |
| Provider Name | Rosalind N Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710328844 PECOS PAC ID: 0941434781 Enrollment ID: I20131009001329 |
| Provider Name | Neha Barakam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942430111 PECOS PAC ID: 2163677923 Enrollment ID: I20131017000647 |
| Provider Name | Sumit Pathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841514361 PECOS PAC ID: 2163669698 Enrollment ID: I20131018000462 |
| Provider Name | Melanie L Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487089322 PECOS PAC ID: 2466687439 Enrollment ID: I20131028002012 |
| Provider Name | Yasin Zada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891768222 PECOS PAC ID: 0042241150 Enrollment ID: I20131127000913 |
| Provider Name | Jonathan L Humberd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245537299 PECOS PAC ID: 3577799378 Enrollment ID: I20131127001060 |
| Provider Name | Ankur Seth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275836371 PECOS PAC ID: 5496982548 Enrollment ID: I20131216001718 |
| Provider Name | Ahmad A Al-fakhouri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720211675 PECOS PAC ID: 1658508718 Enrollment ID: I20131217000143 |
| Provider Name | Priyanka Sultania Dudani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316255847 PECOS PAC ID: 5890922678 Enrollment ID: I20131227000387 |
| Provider Name | Jayalakshmi Kuseladass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962717454 PECOS PAC ID: 7719123553 Enrollment ID: I20140124001199 |
| Provider Name | Nfn Sumedha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124220025 PECOS PAC ID: 2769524586 Enrollment ID: I20140124001318 |
| Provider Name | Ashley H Begley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659706208 PECOS PAC ID: 0446488852 Enrollment ID: I20140307001647 |
| Provider Name | Terri Ratcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255753810 PECOS PAC ID: 6608007299 Enrollment ID: I20140325000301 |
| Provider Name | Janet Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073513321 PECOS PAC ID: 9032154059 Enrollment ID: I20140325001274 |
| Provider Name | Raza U Hashmi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700089521 PECOS PAC ID: 1557427671 Enrollment ID: I20140325002072 |
| Provider Name | Sunny Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891970935 PECOS PAC ID: 4183819451 Enrollment ID: I20140326002387 |
| Provider Name | Melanie Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902237985 PECOS PAC ID: 4082846480 Enrollment ID: I20140417002129 |
| Provider Name | Colby Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063836682 PECOS PAC ID: 3173755469 Enrollment ID: I20140421001859 |
| Provider Name | Aaron Kuperman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376577619 PECOS PAC ID: 1456357458 Enrollment ID: I20140428002008 |
| Provider Name | Phillip P Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457639650 PECOS PAC ID: 9537315809 Enrollment ID: I20140429000193 |
| Provider Name | Azeem Elahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780811091 PECOS PAC ID: 4284883034 Enrollment ID: I20140513000123 |
| Provider Name | Maryam Rivaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679891006 PECOS PAC ID: 4880817220 Enrollment ID: I20140603001792 |
| Provider Name | Aesha Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881845287 PECOS PAC ID: 4082747670 Enrollment ID: I20140604001556 |
| Provider Name | Tykise L Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841616489 PECOS PAC ID: 2769606664 Enrollment ID: I20140616001987 |
| Provider Name | Angela Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770866246 PECOS PAC ID: 0042484420 Enrollment ID: I20140623001154 |
| Provider Name | Lisa Carol Schweich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053739193 PECOS PAC ID: 2365667797 Enrollment ID: I20140627000521 |
| Provider Name | Sarah E. Simerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033530209 PECOS PAC ID: 6204051550 Enrollment ID: I20140701000505 |
| Provider Name | Joseph Anthony Bynum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558651919 PECOS PAC ID: 4688812373 Enrollment ID: I20140702001524 |
| Provider Name | Robert Wilder Bradsher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891094272 PECOS PAC ID: 4183873409 Enrollment ID: I20140709001669 |
| Provider Name | Michael S Kleinman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669799797 PECOS PAC ID: 4082839824 Enrollment ID: I20140710001196 |
| Provider Name | Satyanarayana Raja Pusapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871780874 PECOS PAC ID: 1052504297 Enrollment ID: I20140711001630 |
| Provider Name | Nancy G Michaelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452425 PECOS PAC ID: 0840102489 Enrollment ID: I20140725001802 |
| Provider Name | Yasmine Swistek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376953513 PECOS PAC ID: 7416173166 Enrollment ID: I20140801000900 |
| Provider Name | Jawwad Yusuf |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1548425622 PECOS PAC ID: 0345473534 Enrollment ID: I20140811000998 |
| Provider Name | April A. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790109502 PECOS PAC ID: 0547488918 Enrollment ID: I20140826002304 |
| Provider Name | Barbara J Paterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619273596 PECOS PAC ID: 3779701602 Enrollment ID: I20140905001467 |
| Provider Name | Amy S Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245640085 PECOS PAC ID: 6406074368 Enrollment ID: I20140905002241 |
| Provider Name | Estella V Watson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699096313 PECOS PAC ID: 0648416321 Enrollment ID: I20140910002158 |
| Provider Name | Suzanne C Dargan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033524970 PECOS PAC ID: 7012136674 Enrollment ID: I20140912000790 |
| Provider Name | Fei Liang Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871905174 PECOS PAC ID: 6305065954 Enrollment ID: I20140915001359 |
| Provider Name | Barbara Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346658663 PECOS PAC ID: 7113146655 Enrollment ID: I20140916002147 |
| Provider Name | Celeste Harnden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316235997 PECOS PAC ID: 5092957712 Enrollment ID: I20140919001898 |
| Provider Name | Saif Mohammad Tahsin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013324193 PECOS PAC ID: 4183843279 Enrollment ID: I20140923001271 |
| Provider Name | Courtney D Conkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093122301 PECOS PAC ID: 0840419867 Enrollment ID: I20140923002656 |
| Provider Name | Sara L Geaslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730598186 PECOS PAC ID: 3476773425 Enrollment ID: I20140925001861 |
| Provider Name | Nanette K Bentley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457644536 PECOS PAC ID: 7810133444 Enrollment ID: I20141006001385 |
| Provider Name | Katrin Usifo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407141690 PECOS PAC ID: 8022254622 Enrollment ID: I20141009002318 |
| Provider Name | Misty Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871909507 PECOS PAC ID: 1850511098 Enrollment ID: I20141009002465 |
| Provider Name | Julia Jackson Mccary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669644910 PECOS PAC ID: 4880862846 Enrollment ID: I20141016002586 |
| Provider Name | Osarenren Ogbeide |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952375156 PECOS PAC ID: 7911972443 Enrollment ID: I20141106001860 |
| Provider Name | Christian F Lansing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568603512 PECOS PAC ID: 9335364926 Enrollment ID: I20141111001671 |
| Provider Name | Felix L Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629017397 PECOS PAC ID: 4880790393 Enrollment ID: I20141117000716 |
| Provider Name | Frederick Paul Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992945745 PECOS PAC ID: 5193954196 Enrollment ID: I20141201000323 |
| Provider Name | Anna P Littleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023426 PECOS PAC ID: 7719166222 Enrollment ID: I20141202000184 |
| Provider Name | Felicia A Thompson Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760804355 PECOS PAC ID: 5092938043 Enrollment ID: I20141202001291 |
| Provider Name | Ami M Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194126870 PECOS PAC ID: 5092038638 Enrollment ID: I20150106001587 |
| Provider Name | Meredith Massler Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073911889 PECOS PAC ID: 0941524128 Enrollment ID: I20150116000639 |
| Provider Name | Hawkins Uweh Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629362132 PECOS PAC ID: 3779703707 Enrollment ID: I20150217000869 |
| Provider Name | Clifford G Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154562304 PECOS PAC ID: 9638495963 Enrollment ID: I20150304002320 |
| Provider Name | Seger Stacy Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487918900 PECOS PAC ID: 8022334861 Enrollment ID: I20150313000456 |
| Provider Name | Madan Koppolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700033032 PECOS PAC ID: 6305017385 Enrollment ID: I20150313000850 |
| Provider Name | Beth Allison Winters |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669870481 PECOS PAC ID: 8224355805 Enrollment ID: I20150318002514 |
| Provider Name | Chowdhury Ferdous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801006507 PECOS PAC ID: 9931426426 Enrollment ID: I20150320002027 |
| Provider Name | Daniel Joseph Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376506337 PECOS PAC ID: 2264490093 Enrollment ID: I20150401000741 |
| Provider Name | Goda Damera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275841595 PECOS PAC ID: 4486801073 Enrollment ID: I20150402001727 |
| Provider Name | Jacqueline Tobey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821404070 PECOS PAC ID: 2163643222 Enrollment ID: I20150407001839 |
| Provider Name | Amanda Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012098 PECOS PAC ID: 0648598110 Enrollment ID: I20150413001384 |
| Provider Name | Eyob E Michail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457598914 PECOS PAC ID: 9638348279 Enrollment ID: I20150414002078 |
| Provider Name | Christopher B Delashmitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417136920 PECOS PAC ID: 2668597329 Enrollment ID: I20150415001948 |
| Provider Name | Wally Folad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326331893 PECOS PAC ID: 8022237841 Enrollment ID: I20150422001782 |
| Provider Name | Churchill A Akhigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689884439 PECOS PAC ID: 4688739840 Enrollment ID: I20150428001328 |
| Provider Name | Brandi Nicole Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437540200 PECOS PAC ID: 0840519443 Enrollment ID: I20150504000598 |
| Provider Name | Olayinka A Elesha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083887954 PECOS PAC ID: 8729237391 Enrollment ID: I20150513001352 |
| Provider Name | Holly Berndt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528274859 PECOS PAC ID: 7315048147 Enrollment ID: I20150520001653 |
| Provider Name | Mary Suzanne Ryan Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508913237 PECOS PAC ID: 1456300474 Enrollment ID: I20150527001341 |
| Provider Name | Megan K Stuart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689065872 PECOS PAC ID: 4183945371 Enrollment ID: I20150529002079 |
| Provider Name | Amber Kay Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003215039 PECOS PAC ID: 2163743279 Enrollment ID: I20150601002900 |
| Provider Name | Paul Eppinette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528477858 PECOS PAC ID: 1355662354 Enrollment ID: I20150602002792 |
| Provider Name | Malika Manyam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013148576 PECOS PAC ID: 5092963512 Enrollment ID: I20150610002013 |
| Provider Name | Baron V Herford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710203955 PECOS PAC ID: 5991838609 Enrollment ID: I20150701002701 |
| Provider Name | Kevin W Farris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295065142 PECOS PAC ID: 6103955851 Enrollment ID: I20150702002598 |
| Provider Name | Torben Svendsen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700165081 PECOS PAC ID: 9638494909 Enrollment ID: I20150707003298 |
| Provider Name | Rebecca West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760728604 PECOS PAC ID: 4880907740 Enrollment ID: I20150721002091 |
| Provider Name | Louis L Seng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619025780 PECOS PAC ID: 0244290633 Enrollment ID: I20150721002113 |
| Provider Name | Erin Danielle Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902162597 PECOS PAC ID: 6406092220 Enrollment ID: I20150728006126 |
| Provider Name | Oluyemi O Odunusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659523934 PECOS PAC ID: 3375776313 Enrollment ID: I20150728006475 |
| Provider Name | Wesley S Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962769828 PECOS PAC ID: 4688988678 Enrollment ID: I20150804005867 |
| Provider Name | Praveen C. Kanneganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710116801 PECOS PAC ID: 0143486811 Enrollment ID: I20150815000003 |
| Provider Name | Richard L Tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477858116 PECOS PAC ID: 9537322375 Enrollment ID: I20150819008872 |
| Provider Name | Adu Manu Boachie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255691978 PECOS PAC ID: 7719293513 Enrollment ID: I20150824001925 |
| Provider Name | Richard Putney Guerrant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174729735 PECOS PAC ID: 1254647993 Enrollment ID: I20150826001605 |
| Provider Name | Amy Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740523620 PECOS PAC ID: 8729394226 Enrollment ID: I20150828001340 |
| Provider Name | Loraine Ogbenyealu Achebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073807582 PECOS PAC ID: 6507172434 Enrollment ID: I20150908002418 |
| Provider Name | Salman Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598932915 PECOS PAC ID: 9830257567 Enrollment ID: I20150909002807 |
| Provider Name | Matthew Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013273044 PECOS PAC ID: 0345557849 Enrollment ID: I20150916001053 |
| Provider Name | Regina Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750766127 PECOS PAC ID: 4082921317 Enrollment ID: I20150917002480 |
| Provider Name | Tai Auras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376927525 PECOS PAC ID: 7315254505 Enrollment ID: I20150921002347 |
| Provider Name | Izuchukwu Iwueke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568717734 PECOS PAC ID: 2567779614 Enrollment ID: I20150922001569 |
| Provider Name | Carleen Ogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033593223 PECOS PAC ID: 5395053078 Enrollment ID: I20150929002914 |
| Provider Name | Peggy Murrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982080370 PECOS PAC ID: 0345558607 Enrollment ID: I20151006002178 |
| Provider Name | Isaac Noble Biney |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780939751 PECOS PAC ID: 3678882685 Enrollment ID: I20151014000692 |
| Provider Name | Nirmit Dilipkumar Kothari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013232362 PECOS PAC ID: 5294851507 Enrollment ID: I20151014002544 |
| Provider Name | Tabetha Ann Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619302858 PECOS PAC ID: 5597074468 Enrollment ID: I20151014003428 |
| Provider Name | Smriti Chuke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275899502 PECOS PAC ID: 0840431532 Enrollment ID: I20151023001029 |
| Provider Name | Jeffrey Curtis Lowder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508127630 PECOS PAC ID: 1052559739 Enrollment ID: I20151102000224 |
| Provider Name | William Blake Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629450614 PECOS PAC ID: 8628388261 Enrollment ID: I20151110002089 |
| Provider Name | Emily M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942686746 PECOS PAC ID: 4385954791 Enrollment ID: I20151113001027 |
| Provider Name | Earrace Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114393410 PECOS PAC ID: 9133439524 Enrollment ID: I20151116001155 |
| Provider Name | Thang M Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558653923 PECOS PAC ID: 8820398662 Enrollment ID: I20151130000845 |
| Provider Name | Martin E Litman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689938052 PECOS PAC ID: 2769782309 Enrollment ID: I20151203001366 |
| Provider Name | Erin Hood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518266865 PECOS PAC ID: 7911207311 Enrollment ID: I20151207001942 |
| Provider Name | Jaideep Sood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184666505 PECOS PAC ID: 2567514367 Enrollment ID: I20151209000466 |
| Provider Name | Dwayne Likens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326336793 PECOS PAC ID: 3870894090 Enrollment ID: I20151214000514 |
| Provider Name | Robert Knizley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952501983 PECOS PAC ID: 8820142763 Enrollment ID: I20151216000691 |
| Provider Name | Jennifer Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568831550 PECOS PAC ID: 0941501837 Enrollment ID: I20151218000062 |
| Provider Name | Olabisi Akanbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396004099 PECOS PAC ID: 1951604446 Enrollment ID: I20160115001027 |
| Provider Name | Mark A Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588639421 PECOS PAC ID: 5395646012 Enrollment ID: I20160125001054 |
| Provider Name | April N Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417329376 PECOS PAC ID: 9133422116 Enrollment ID: I20160126000520 |
| Provider Name | Suzanne Stevens Warford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679834626 PECOS PAC ID: 3173827532 Enrollment ID: I20160204000745 |
| Provider Name | Erin Carner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285052209 PECOS PAC ID: 0840414272 Enrollment ID: I20160217000901 |
| Provider Name | Melissa E Mcmackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881051522 PECOS PAC ID: 2961708482 Enrollment ID: I20160309002430 |
| Provider Name | Faisal Arif |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891927810 PECOS PAC ID: 4284880881 Enrollment ID: I20160315002273 |
| Provider Name | Melissa H Wild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447651419 PECOS PAC ID: 8224335781 Enrollment ID: I20160328002014 |
| Provider Name | Dexter R Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306204631 PECOS PAC ID: 7012214331 Enrollment ID: I20160330002706 |
| Provider Name | Ashley Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063877678 PECOS PAC ID: 7618274770 Enrollment ID: I20160405000916 |
| Provider Name | Elli B Saraceno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154697563 PECOS PAC ID: 3476851403 Enrollment ID: I20160407001251 |
| Provider Name | Holly Mcgaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598000887 PECOS PAC ID: 9638477342 Enrollment ID: I20160413001794 |
| Provider Name | Jose Casiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609966092 PECOS PAC ID: 8628377181 Enrollment ID: I20160504002021 |
| Provider Name | Lauren Samantha Mccawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235597816 PECOS PAC ID: 8426357765 Enrollment ID: I20160511001941 |
| Provider Name | Debra Fine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677901 PECOS PAC ID: 2860781978 Enrollment ID: I20160512001886 |
| Provider Name | Zerene Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518336890 PECOS PAC ID: 6305154667 Enrollment ID: I20160513000973 |
| Provider Name | David Irvin Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023376878 PECOS PAC ID: 2264678143 Enrollment ID: I20160520001870 |
| Provider Name | John L Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205293198 PECOS PAC ID: 8123318276 Enrollment ID: I20160602001374 |
| Provider Name | Jacquelynn Evans Gyrofi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427403914 PECOS PAC ID: 2163712076 Enrollment ID: I20160606001892 |
| Provider Name | Jordan Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528412301 PECOS PAC ID: 9537450069 Enrollment ID: I20160614000670 |
| Provider Name | Christopher Carr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114991668 PECOS PAC ID: 4789753559 Enrollment ID: I20160706002293 |
| Provider Name | Tanya A Roberge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679928808 PECOS PAC ID: 0749572931 Enrollment ID: I20160708000401 |
| Provider Name | Philippe Leveille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609195924 PECOS PAC ID: 7012143639 Enrollment ID: I20160726002393 |
| Provider Name | Ashley Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679931414 PECOS PAC ID: 6103110606 Enrollment ID: I20160805001392 |
| Provider Name | Oluchukwu Evaristus Oluoha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760822449 PECOS PAC ID: 4981900925 Enrollment ID: I20160810000452 |
| Provider Name | Molly Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285087437 PECOS PAC ID: 2466746359 Enrollment ID: I20160816002096 |
| Provider Name | Heather Tahler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255885810 PECOS PAC ID: 3678868080 Enrollment ID: I20160824002327 |
| Provider Name | Demareo Webb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588003479 PECOS PAC ID: 6800181801 Enrollment ID: I20160829002475 |
| Provider Name | Cynthia Evelyn King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437525003 PECOS PAC ID: 5799070793 Enrollment ID: I20160829002514 |
| Provider Name | Everald Uriah Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922444363 PECOS PAC ID: 5991933327 Enrollment ID: I20160907001237 |
| Provider Name | Julius Cronin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487097028 PECOS PAC ID: 1254579949 Enrollment ID: I20160907001247 |
| Provider Name | Reza Shams Pirzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831419779 PECOS PAC ID: 9032419585 Enrollment ID: I20160921000433 |
| Provider Name | Gina Hiatt Shumway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710316641 PECOS PAC ID: 8426274481 Enrollment ID: I20160921001280 |
| Provider Name | Austin K Pitman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415280 PECOS PAC ID: 4880981745 Enrollment ID: I20160921001699 |
| Provider Name | Barima Poku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750728143 PECOS PAC ID: 1456648880 Enrollment ID: I20160928000857 |
| Provider Name | Cassie Jeanette Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114379625 PECOS PAC ID: 7911294236 Enrollment ID: I20160929001309 |
| Provider Name | Dean Bernell Shroyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528404662 PECOS PAC ID: 4880981166 Enrollment ID: I20160930000430 |
| Provider Name | Shannon Rea Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508261702 PECOS PAC ID: 9436472057 Enrollment ID: I20161012002338 |
| Provider Name | Antoinette Boameh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194157610 PECOS PAC ID: 3678861135 Enrollment ID: I20161017000658 |
| Provider Name | William Lancaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205279437 PECOS PAC ID: 9032350376 Enrollment ID: I20161018002367 |
| Provider Name | Laura Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790230183 PECOS PAC ID: 9032497029 Enrollment ID: I20161026000819 |
| Provider Name | Angela Arnold-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713191 PECOS PAC ID: 0941588693 Enrollment ID: I20161031002016 |
| Provider Name | John J Ekong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831536036 PECOS PAC ID: 1456630888 Enrollment ID: I20161108000462 |
| Provider Name | Leisa E Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861940785 PECOS PAC ID: 8123307550 Enrollment ID: I20161108000693 |
| Provider Name | Jennifer Ann King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659829521 PECOS PAC ID: 1355620584 Enrollment ID: I20161110002673 |
| Provider Name | Nikki D. Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992851 PECOS PAC ID: 1759660426 Enrollment ID: I20161121001177 |
| Provider Name | Alyssa Luigart Musser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043667389 PECOS PAC ID: 1951681402 Enrollment ID: I20161129002363 |
| Provider Name | Christian Orji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172145 PECOS PAC ID: 0143459909 Enrollment ID: I20161130000209 |
| Provider Name | Chintan Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588008973 PECOS PAC ID: 1153632880 Enrollment ID: I20161202000670 |
| Provider Name | Barratt Schichtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386193803 PECOS PAC ID: 8426338138 Enrollment ID: I20161214001320 |
| Provider Name | Ibis D. Nunez-santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871614420 PECOS PAC ID: 7113165606 Enrollment ID: I20161219001609 |
| Provider Name | Jonathan Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568726990 PECOS PAC ID: 9436464153 Enrollment ID: I20161229001115 |
| Provider Name | Lashundra Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659710531 PECOS PAC ID: 6901113406 Enrollment ID: I20170110001056 |
| Provider Name | Robert Wyatt Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396992137 PECOS PAC ID: 8123285491 Enrollment ID: I20170131000270 |
| Provider Name | Amy Renee Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083157788 PECOS PAC ID: 5496037236 Enrollment ID: I20170131001393 |
| Provider Name | Onyinye O Offor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275935512 PECOS PAC ID: 9931400199 Enrollment ID: I20170215002553 |
| Provider Name | Linda Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174071633 PECOS PAC ID: 9931483872 Enrollment ID: I20170221001946 |
| Provider Name | Peter Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173592 PECOS PAC ID: 1557597176 Enrollment ID: I20170302000480 |
| Provider Name | Clint H Trest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750833984 PECOS PAC ID: 4688956238 Enrollment ID: I20170307000401 |
| Provider Name | Raymond J Giammanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629180245 PECOS PAC ID: 1951302892 Enrollment ID: I20170308001795 |
| Provider Name | Theresa Ann Groomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134666191 PECOS PAC ID: 5092090985 Enrollment ID: I20170315001466 |
| Provider Name | Kathleen Elizabeth Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104367283 PECOS PAC ID: 9830474949 Enrollment ID: I20170331001054 |
| Provider Name | Jennifer Aileen Correll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457545402 PECOS PAC ID: 5597986497 Enrollment ID: I20170418002387 |
| Provider Name | Courtney Shane Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154618569 PECOS PAC ID: 3375763063 Enrollment ID: I20170502001488 |
| Provider Name | Michael Franklin Hance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326585332 PECOS PAC ID: 5092092924 Enrollment ID: I20170503000089 |
| Provider Name | Steve Stride |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194019034 PECOS PAC ID: 8325315138 Enrollment ID: I20170526002051 |
| Provider Name | Christopher T Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306264668 PECOS PAC ID: 1355618828 Enrollment ID: I20170605001760 |
| Provider Name | Joseph Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034020 PECOS PAC ID: 6002893468 Enrollment ID: I20170612001181 |
| Provider Name | Elizabeth Marie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619413861 PECOS PAC ID: 7012285844 Enrollment ID: I20170619002626 |
| Provider Name | Madison Leigh Lamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932648904 PECOS PAC ID: 2062780802 Enrollment ID: I20170619002853 |
| Provider Name | Stephanie A Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760920342 PECOS PAC ID: 5799054037 Enrollment ID: I20170630000475 |
| Provider Name | Christopher Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437545662 PECOS PAC ID: 0345561296 Enrollment ID: I20170719003632 |
| Provider Name | Javan Alphonso Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597314 PECOS PAC ID: 3971563065 Enrollment ID: I20170725000815 |
| Provider Name | Rabie Ibrahim Adam-eldien |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104873355 PECOS PAC ID: 1658334610 Enrollment ID: I20170725001594 |
| Provider Name | Kimberly D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245770817 PECOS PAC ID: 2163794710 Enrollment ID: I20170817001326 |
| Provider Name | Samuel B Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740624345 PECOS PAC ID: 4789901315 Enrollment ID: I20170907003048 |
| Provider Name | Joshua A Carithers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295261790 PECOS PAC ID: 4486928355 Enrollment ID: I20170918000225 |
| Provider Name | Andrew Steidl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093125197 PECOS PAC ID: 9133346232 Enrollment ID: I20170919003074 |
| Provider Name | Sarah Elisabeth Witkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144744947 PECOS PAC ID: 7517231160 Enrollment ID: I20170920000835 |
| Provider Name | Brennan P Mccullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912318049 PECOS PAC ID: 1153549498 Enrollment ID: I20170920000860 |
| Provider Name | Charles M. Helton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598168627 PECOS PAC ID: 3072887348 Enrollment ID: I20170926000617 |
| Provider Name | Shivali Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184043853 PECOS PAC ID: 6608165923 Enrollment ID: I20171004002888 |
| Provider Name | Stephanie Lea Yarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801269998 PECOS PAC ID: 3779858436 Enrollment ID: I20171005000725 |
| Provider Name | Andrius Lescauskas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316351844 PECOS PAC ID: 8224304472 Enrollment ID: I20171016003364 |
| Provider Name | Branda B Snowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609311141 PECOS PAC ID: 4789940917 Enrollment ID: I20171103002488 |
| Provider Name | Mark R Heckle |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497190862 PECOS PAC ID: 0941440242 Enrollment ID: I20171103002716 |
| Provider Name | Helio J Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821416108 PECOS PAC ID: 2163788290 Enrollment ID: I20171107000206 |
| Provider Name | Matthew James Kollar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316365547 PECOS PAC ID: 4385900349 Enrollment ID: I20171107001798 |
| Provider Name | Rabin Shrestha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164697926 PECOS PAC ID: 6709072325 Enrollment ID: I20171109001239 |
| Provider Name | Michael David Corvini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396770699 PECOS PAC ID: 0446256150 Enrollment ID: I20171122000068 |
| Provider Name | Leslie B Sullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490307 PECOS PAC ID: 9032476841 Enrollment ID: I20171204002164 |
| Provider Name | Clayton Mcgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871912048 PECOS PAC ID: 3678854957 Enrollment ID: I20171215002245 |
| Provider Name | Bonita Marie Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780103564 PECOS PAC ID: 5496013518 Enrollment ID: I20171219002590 |
| Provider Name | Khalid Bashir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811923261 PECOS PAC ID: 0547543688 Enrollment ID: I20171228001075 |
| Provider Name | Vicky Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548638356 PECOS PAC ID: 5193024362 Enrollment ID: I20180111002796 |
| Provider Name | Katrina D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922519693 PECOS PAC ID: 9638438567 Enrollment ID: I20180122001477 |
| Provider Name | Leslie Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396188975 PECOS PAC ID: 6103185046 Enrollment ID: I20180122002384 |
| Provider Name | Sarah L Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932639317 PECOS PAC ID: 2062771918 Enrollment ID: I20180122002684 |
| Provider Name | Oluwaseyi Segun Balasire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003235243 PECOS PAC ID: 5799045316 Enrollment ID: I20180130002168 |
| Provider Name | Dawn M Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392325 PECOS PAC ID: 2264709864 Enrollment ID: I20180315000129 |
| Provider Name | Deborah Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114946001 PECOS PAC ID: 7618986803 Enrollment ID: I20180502002673 |
| Provider Name | Otis Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467510693 PECOS PAC ID: 2668368366 Enrollment ID: I20180510000747 |
| Provider Name | April D Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083024558 PECOS PAC ID: 3274759634 Enrollment ID: I20180516002006 |
| Provider Name | Kenneth L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033653894 PECOS PAC ID: 6305101593 Enrollment ID: I20180516003021 |
| Provider Name | Antonio Maria Lazcano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235642380 PECOS PAC ID: 1456616564 Enrollment ID: I20180521000057 |
| Provider Name | Aliyi A Aliyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558700468 PECOS PAC ID: 6507167822 Enrollment ID: I20180530002689 |
| Provider Name | Allison Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780181263 PECOS PAC ID: 6709141229 Enrollment ID: I20180601002173 |
| Provider Name | Furhan Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306194667 PECOS PAC ID: 7113233610 Enrollment ID: I20180605001974 |
| Provider Name | Mosunmola A Ademosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003234006 PECOS PAC ID: 1759654379 Enrollment ID: I20180612001202 |
| Provider Name | Penny Kierra Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881106110 PECOS PAC ID: 7911252184 Enrollment ID: I20180613000278 |
| Provider Name | Chibuzor Nkiruka Nnaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740418177 PECOS PAC ID: 5395997175 Enrollment ID: I20180614001449 |
| Provider Name | Samuel Leibovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063585164 PECOS PAC ID: 4183727753 Enrollment ID: I20180623000126 |
| Provider Name | John Patrick Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275765950 PECOS PAC ID: 8325296361 Enrollment ID: I20180626003384 |
| Provider Name | Steven Dylan Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861909426 PECOS PAC ID: 5092061333 Enrollment ID: I20180628003427 |
| Provider Name | Shahnila Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427233196 PECOS PAC ID: 3779764469 Enrollment ID: I20180705000777 |
| Provider Name | Christina N Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851839393 PECOS PAC ID: 0143577619 Enrollment ID: I20180716002611 |
| Provider Name | Laura Marie Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902319866 PECOS PAC ID: 6608123286 Enrollment ID: I20180727002592 |
| Provider Name | Qasim M Mirza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114184645 PECOS PAC ID: 6608915905 Enrollment ID: I20180801002641 |
| Provider Name | Krishna Govinda Kary |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285947473 PECOS PAC ID: 5597916205 Enrollment ID: I20180802001713 |
| Provider Name | Ijeoma Ifedili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336412378 PECOS PAC ID: 6406012871 Enrollment ID: I20180803001480 |
| Provider Name | Rakeshkumar Jayantilal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710343116 PECOS PAC ID: 6507114428 Enrollment ID: I20180808002280 |
| Provider Name | Bipin D Sarodia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467444752 PECOS PAC ID: 9234115338 Enrollment ID: I20180810001112 |
| Provider Name | Jamie Smock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831693399 PECOS PAC ID: 1153679899 Enrollment ID: I20180813000988 |
| Provider Name | Cynthia L Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184120677 PECOS PAC ID: 7113276809 Enrollment ID: I20180813003528 |
| Provider Name | Naga Swetha Samji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417233644 PECOS PAC ID: 9638300395 Enrollment ID: I20180814004119 |
| Provider Name | Rajesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396155719 PECOS PAC ID: 7416204367 Enrollment ID: I20180816002692 |
| Provider Name | Ali Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285884403 PECOS PAC ID: 8820269095 Enrollment ID: I20180821002157 |
| Provider Name | Lekshmi Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639559511 PECOS PAC ID: 1052612942 Enrollment ID: I20180828003057 |
| Provider Name | Yehualashet B Hailemariam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174910491 PECOS PAC ID: 6608126412 Enrollment ID: I20180828004353 |
| Provider Name | Stephen Desouza |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285014712 PECOS PAC ID: 0446523856 Enrollment ID: I20180830000853 |
| Provider Name | Mark Sah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346685260 PECOS PAC ID: 5799035259 Enrollment ID: I20180904000785 |
| Provider Name | Alexandra M Bowling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073996948 PECOS PAC ID: 5597063495 Enrollment ID: I20180905002536 |
| Provider Name | Connie A Manz Hinkle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386039469 PECOS PAC ID: 6204186448 Enrollment ID: I20180909000006 |
| Provider Name | Adugnaw Bekele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689058398 PECOS PAC ID: 1153671268 Enrollment ID: I20180911003790 |
| Provider Name | Michelle Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659786051 PECOS PAC ID: 5092087957 Enrollment ID: I20180912001334 |
| Provider Name | Parshva Rajniknat Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669853123 PECOS PAC ID: 9133405632 Enrollment ID: I20180921000571 |
| Provider Name | Wissam Aldayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881073625 PECOS PAC ID: 3779834825 Enrollment ID: I20180928001417 |
| Provider Name | Vikas Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912380809 PECOS PAC ID: 7214288364 Enrollment ID: I20180928001441 |
| Provider Name | Edward S Brumfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215914635 PECOS PAC ID: 8325196629 Enrollment ID: I20181001002639 |
| Provider Name | Jennifer Morel Treece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417391285 PECOS PAC ID: 3577815141 Enrollment ID: I20181009002689 |
| Provider Name | Oyedotun O Oyewole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083001747 PECOS PAC ID: 6002168374 Enrollment ID: I20181015002462 |
| Provider Name | Farhan Aslam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922268986 PECOS PAC ID: 0941360168 Enrollment ID: I20181019000764 |
| Provider Name | Steven Alexander Woods |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215371570 PECOS PAC ID: 1850539768 Enrollment ID: I20181025002225 |
| Provider Name | Devan L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689165334 PECOS PAC ID: 9638422322 Enrollment ID: I20181025003122 |
| Provider Name | Samuel R Mitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619948213 PECOS PAC ID: 2466436159 Enrollment ID: I20181031001290 |
| Provider Name | Lisa Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855435 PECOS PAC ID: 9931452224 Enrollment ID: I20181103000030 |
| Provider Name | Hiltrud Thurmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881762730 PECOS PAC ID: 4082788096 Enrollment ID: I20181107002068 |
| Provider Name | Jerome Myron Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326143959 PECOS PAC ID: 4981886793 Enrollment ID: I20181121002775 |
| Provider Name | James Edward Bolland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174905475 PECOS PAC ID: 7911292487 Enrollment ID: I20181130001832 |
| Provider Name | Malia Dolores Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528455821 PECOS PAC ID: 3274877931 Enrollment ID: I20181206001175 |
| Provider Name | Louis J Riccardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174837397 PECOS PAC ID: 2769636596 Enrollment ID: I20181206001375 |
| Provider Name | Jeremy S. Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043797970 PECOS PAC ID: 8123363975 Enrollment ID: I20181222000244 |
| Provider Name | Leah Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861967465 PECOS PAC ID: 4284970054 Enrollment ID: I20190115003592 |
| Provider Name | Evan G Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376921494 PECOS PAC ID: 7012229545 Enrollment ID: I20190116000226 |
| Provider Name | Jlee Kimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831551852 PECOS PAC ID: 4981983251 Enrollment ID: I20190123000455 |
| Provider Name | Steven Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780098566 PECOS PAC ID: 8325314693 Enrollment ID: I20190208002040 |
| Provider Name | Sheila M Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316415706 PECOS PAC ID: 0941548986 Enrollment ID: I20190215002802 |
| Provider Name | Alicia N Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265904296 PECOS PAC ID: 5092054353 Enrollment ID: I20190304001461 |
| Provider Name | Abhishek Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992019129 PECOS PAC ID: 6800011420 Enrollment ID: I20190321000500 |
| Provider Name | Pradeep Srikanthan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144603804 PECOS PAC ID: 6305159914 Enrollment ID: I20190327000472 |
| Provider Name | Rebecca Kerby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124566641 PECOS PAC ID: 6709161250 Enrollment ID: I20190402000501 |
| Provider Name | Crystal Gail Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549377 PECOS PAC ID: 4880935774 Enrollment ID: I20190402001346 |
| Provider Name | Shannon C Heinrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093913865 PECOS PAC ID: 7315133592 Enrollment ID: I20190415002795 |
| Provider Name | Sara Eiseler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851653539 PECOS PAC ID: 4789989898 Enrollment ID: I20190424003318 |
| Provider Name | Bukola O Afilaka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619268455 PECOS PAC ID: 3476774324 Enrollment ID: I20190501002806 |
| Provider Name | Faisal A Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124404066 PECOS PAC ID: 2264765254 Enrollment ID: I20190606000234 |
| Provider Name | Yvonne A Berko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326434150 PECOS PAC ID: 9133453574 Enrollment ID: I20190619000747 |
| Provider Name | Phillip Phu Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992269674 PECOS PAC ID: 5294069167 Enrollment ID: I20190626002005 |
| Provider Name | Matthew A Allison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245680933 PECOS PAC ID: 2769778224 Enrollment ID: I20190719002039 |
| Provider Name | Deirdre Jocelyn James |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033552492 PECOS PAC ID: 4082854674 Enrollment ID: I20190730004735 |
| Provider Name | Sandy Henin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689055808 PECOS PAC ID: 8426348160 Enrollment ID: I20190809001048 |
| Provider Name | Denise Foster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225384100 PECOS PAC ID: 6002063666 Enrollment ID: I20190817000326 |
| Provider Name | Stephanie Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548737935 PECOS PAC ID: 2365770328 Enrollment ID: I20190828004238 |
| Provider Name | David Robert Siegel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760741789 PECOS PAC ID: 7517247943 Enrollment ID: I20191001003105 |
| Provider Name | Sarah Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588218119 PECOS PAC ID: 8527398650 Enrollment ID: I20191002002480 |
| Provider Name | Tonya Denise Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034629 PECOS PAC ID: 0244452829 Enrollment ID: I20191004001459 |
| Provider Name | Ikechukwu Anthony Ifedili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255728747 PECOS PAC ID: 7214258649 Enrollment ID: I20191016002469 |
| Provider Name | Sherry Lynn Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023669744 PECOS PAC ID: 1759713399 Enrollment ID: I20191120002989 |
| Provider Name | Amit Keith Correa |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710396486 PECOS PAC ID: 6608208160 Enrollment ID: I20191121001742 |
| Provider Name | Dojendra Karkee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917508 PECOS PAC ID: 3870926058 Enrollment ID: I20191202000501 |
| Provider Name | Anthony S Sallar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760845994 PECOS PAC ID: 9335472430 Enrollment ID: I20191223000519 |
| Provider Name | Ryan B Kerrins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366001885 PECOS PAC ID: 2365772050 Enrollment ID: I20191231002340 |
| Provider Name | Lisa Marie Ketchem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871058263 PECOS PAC ID: 8325472947 Enrollment ID: I20200107000986 |
| Provider Name | Rachel West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952847493 PECOS PAC ID: 1153605472 Enrollment ID: I20200109002305 |
| Provider Name | Tonya D Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831751056 PECOS PAC ID: 2163857236 Enrollment ID: I20200117001245 |
| Provider Name | Lindsay Adair Davies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992144745 PECOS PAC ID: 2062709587 Enrollment ID: I20200122000966 |
| Provider Name | Jigar Panchal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063864924 PECOS PAC ID: 6103252218 Enrollment ID: I20200210001672 |
| Provider Name | Natasha Waldon-turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427604164 PECOS PAC ID: 5698101657 Enrollment ID: I20200211001173 |
| Provider Name | Alison Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235760273 PECOS PAC ID: 6709214620 Enrollment ID: I20200306001930 |
| Provider Name | Nathan M Lidsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083663280 PECOS PAC ID: 6608807789 Enrollment ID: I20200320002830 |
| Provider Name | Vera Rymsha Mcghee |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093160343 PECOS PAC ID: 3678902640 Enrollment ID: I20200326003919 |
| Provider Name | Saima Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487918363 PECOS PAC ID: 7517105604 Enrollment ID: I20200330001945 |
| Provider Name | Christina Nickels |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861643140 PECOS PAC ID: 1850616202 Enrollment ID: I20200403000938 |
| Provider Name | Brittney O'hara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891347936 PECOS PAC ID: 3072943729 Enrollment ID: I20200420002151 |
| Provider Name | Yasser Omar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649617572 PECOS PAC ID: 7113214693 Enrollment ID: I20200428001909 |
| Provider Name | Mary Melinda Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477194629 PECOS PAC ID: 3779914841 Enrollment ID: I20200506001194 |
| Provider Name | Jacob D Spier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144867755 PECOS PAC ID: 9739510934 Enrollment ID: I20200514003156 |
| Provider Name | Angel Sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104170711 PECOS PAC ID: 4486930807 Enrollment ID: I20200518000805 |
| Provider Name | Rose L Doyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184644247 PECOS PAC ID: 4789642141 Enrollment ID: I20200528000155 |
| Provider Name | Kayla Baggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619503463 PECOS PAC ID: 3375966369 Enrollment ID: I20200709001241 |
| Provider Name | Ni Lar Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275065120 PECOS PAC ID: 7810310752 Enrollment ID: I20200709003413 |
| Provider Name | Nazih Isseh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912430844 PECOS PAC ID: 2264719103 Enrollment ID: I20200721002059 |
| Provider Name | Lilianna Hanefeld-fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609309590 PECOS PAC ID: 1557630399 Enrollment ID: I20200721002488 |
| Provider Name | Chelsea Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063055762 PECOS PAC ID: 0446675078 Enrollment ID: I20200730000321 |
| Provider Name | Dennis Patrick Deruelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265429203 PECOS PAC ID: 8123087566 Enrollment ID: I20200811003167 |
| Provider Name | Kavita Bomb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518490986 PECOS PAC ID: 2062838675 Enrollment ID: I20200813001210 |
| Provider Name | Jonathan Tyler Verdell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982138764 PECOS PAC ID: 3870847080 Enrollment ID: I20200820003753 |
| Provider Name | Kansas Krabbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750930400 PECOS PAC ID: 0840617734 Enrollment ID: I20200824001202 |
| Provider Name | Imran Ali Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255782405 PECOS PAC ID: 6507283215 Enrollment ID: I20200826002412 |
| Provider Name | Sachin Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629483110 PECOS PAC ID: 6901179746 Enrollment ID: I20200828002635 |
| Provider Name | Angela Brooke Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962020750 PECOS PAC ID: 2365869369 Enrollment ID: I20200903003380 |
| Provider Name | Nathan Carl Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447605498 PECOS PAC ID: 8820415243 Enrollment ID: I20200904000489 |
| Provider Name | Kelly Kaempf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366839086 PECOS PAC ID: 1850638214 Enrollment ID: I20200909002988 |
| Provider Name | Sheharyar Sohail Minhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427578608 PECOS PAC ID: 6608294236 Enrollment ID: I20200915001234 |
| Provider Name | Steve B Otieno |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932587128 PECOS PAC ID: 6103245568 Enrollment ID: I20201005000146 |
| Provider Name | Chaitanya Patange |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508398678 PECOS PAC ID: 9436579356 Enrollment ID: I20201015000198 |
| Provider Name | Aneeta Rridhi Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558331306 PECOS PAC ID: 4880615343 Enrollment ID: I20201104002143 |
| Provider Name | Simon Getachew Atena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598156309 PECOS PAC ID: 8325326002 Enrollment ID: I20201105002838 |
| Provider Name | Candace Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720694516 PECOS PAC ID: 3173934296 Enrollment ID: I20201121000224 |
| Provider Name | Wendy E. Abbott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497290241 PECOS PAC ID: 0648608307 Enrollment ID: I20201123001143 |
| Provider Name | Michael Isara Saiyasombat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811174089 PECOS PAC ID: 7214257559 Enrollment ID: I20201209003075 |
| Provider Name | Taylor Alese Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184254179 PECOS PAC ID: 8921410168 Enrollment ID: I20201214000375 |
| Provider Name | Muhammad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215481361 PECOS PAC ID: 2062799919 Enrollment ID: I20201214002713 |
| Provider Name | Andrew Tyson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770018921 PECOS PAC ID: 7113298407 Enrollment ID: I20210104000484 |
| Provider Name | Lauretha Uzoamaka Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295129179 PECOS PAC ID: 6800199233 Enrollment ID: I20210104002035 |
| Provider Name | Larisa Paul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972863371 PECOS PAC ID: 0648562686 Enrollment ID: I20210120002554 |
| Provider Name | Nisa Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275988339 PECOS PAC ID: 3779812714 Enrollment ID: I20210122002791 |
| Provider Name | Willie E Hester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730354002 PECOS PAC ID: 9335115054 Enrollment ID: I20210127002426 |
| Provider Name | Saranya Wongchai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346583275 PECOS PAC ID: 7012205487 Enrollment ID: I20210128000954 |
| Provider Name | Ernesto Zavaleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982692554 PECOS PAC ID: 0749215382 Enrollment ID: I20210128002567 |
| Provider Name | Robert Matthew Rudd |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093166647 PECOS PAC ID: 8921426560 Enrollment ID: I20210201000438 |
| Provider Name | Jonathan Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851923718 PECOS PAC ID: 7911311832 Enrollment ID: I20210203002875 |
| Provider Name | Obinna Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093179111 PECOS PAC ID: 1052656006 Enrollment ID: I20210211000610 |
| Provider Name | Edwin Enrique Villarreal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447418397 PECOS PAC ID: 5496925547 Enrollment ID: I20210301001199 |
| Provider Name | Samuel B Latham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740636729 PECOS PAC ID: 0446540025 Enrollment ID: I20210303002828 |
| Provider Name | Heather D Greear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093168726 PECOS PAC ID: 0547556615 Enrollment ID: I20210310000317 |
| Provider Name | Kristin E Chorice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336730100 PECOS PAC ID: 4385051507 Enrollment ID: I20210405002062 |
| Provider Name | Iliya A Udler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447662861 PECOS PAC ID: 4789962283 Enrollment ID: I20210420001754 |
| Provider Name | Michael Oriakhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366894701 PECOS PAC ID: 7113250036 Enrollment ID: I20210423000614 |
| Provider Name | Aung Kyaw Min Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467686386 PECOS PAC ID: 1557512803 Enrollment ID: I20210429001741 |
| Provider Name | Alexis Chika Nworah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386901411 PECOS PAC ID: 6002122496 Enrollment ID: I20210510001949 |
| Provider Name | Uzma Manzar Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003828724 PECOS PAC ID: 0547298614 Enrollment ID: I20210510002770 |
| Provider Name | Joseph Prinsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790135754 PECOS PAC ID: 7911330832 Enrollment ID: I20210624001084 |
| Provider Name | Viktor Miro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073856019 PECOS PAC ID: 9931482718 Enrollment ID: I20210709002731 |
| Provider Name | Daniel C Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609083492 PECOS PAC ID: 8729116843 Enrollment ID: I20210713002662 |
| Provider Name | Richard James Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484429 PECOS PAC ID: 4981993185 Enrollment ID: I20210714003853 |
| Provider Name | Louise Emma Schroder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417579160 PECOS PAC ID: 1052713856 Enrollment ID: I20210716000223 |
| Provider Name | Kimi Kay Guffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023336708 PECOS PAC ID: 0446432025 Enrollment ID: I20210720002720 |
| Provider Name | Summer Lashelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992383517 PECOS PAC ID: 3274936794 Enrollment ID: I20210721002993 |
| Provider Name | Nida Augustine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235512369 PECOS PAC ID: 6709134513 Enrollment ID: I20210722001429 |
| Provider Name | Amy Lea Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689247553 PECOS PAC ID: 6406259548 Enrollment ID: I20210727001062 |
| Provider Name | Micah Feltner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457841207 PECOS PAC ID: 5496003220 Enrollment ID: I20210813000227 |
| Provider Name | Juan C Malpartida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144718677 PECOS PAC ID: 6204185002 Enrollment ID: I20210915002712 |
| Provider Name | Arjun Jalandar Jadhav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750876116 PECOS PAC ID: 5092053413 Enrollment ID: I20210922002037 |
| Provider Name | Rohan Banan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356846893 PECOS PAC ID: 5991103053 Enrollment ID: I20211005001156 |
| Provider Name | John Mitchell Farmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174052765 PECOS PAC ID: 0244580827 Enrollment ID: I20211012000717 |
| Provider Name | Christopher Michael Mcdaniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245694751 PECOS PAC ID: 3870892326 Enrollment ID: I20211012002946 |
| Provider Name | Alivia M Adkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699262840 PECOS PAC ID: 9032465299 Enrollment ID: I20211020001169 |
| Provider Name | Nicholas Litwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679993711 PECOS PAC ID: 6406157874 Enrollment ID: I20211022000006 |
| Provider Name | Brandy Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598229551 PECOS PAC ID: 2860735842 Enrollment ID: I20211026002656 |
| Provider Name | Jamal Stephon Lattimore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366949786 PECOS PAC ID: 6002204658 Enrollment ID: I20211101001031 |
| Provider Name | Ahmad Albalbissi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164876330 PECOS PAC ID: 2062800584 Enrollment ID: I20211102001108 |
| Provider Name | Marshall Tyler Mcgough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932789245 PECOS PAC ID: 1052700192 Enrollment ID: I20211111001562 |
| Provider Name | Jeffrey Wayne Margeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575832 PECOS PAC ID: 5597154278 Enrollment ID: I20211118001257 |
| Provider Name | Melissa Nichole Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881220796 PECOS PAC ID: 8628467172 Enrollment ID: I20211123000241 |
| Provider Name | Ludmila Cahana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700327780 PECOS PAC ID: 2860761905 Enrollment ID: I20211220001433 |
| Provider Name | Ibitola Kafilat Yusuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841796141 PECOS PAC ID: 3173873502 Enrollment ID: I20211228000188 |
| Provider Name | Arundhuti Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740596493 PECOS PAC ID: 0244473445 Enrollment ID: I20220118000383 |
| Provider Name | Leah Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275106007 PECOS PAC ID: 1355733312 Enrollment ID: I20220125000762 |
| Provider Name | Thekrayat Ahmed Khader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982197653 PECOS PAC ID: 6709135775 Enrollment ID: I20220202002850 |
| Provider Name | Dakotah Silcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568122323 PECOS PAC ID: 5294128815 Enrollment ID: I20220203000661 |
| Provider Name | Driscoll Henry Augustine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235544511 PECOS PAC ID: 3476814435 Enrollment ID: I20220205000048 |
| Provider Name | Jaydra Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114319977 PECOS PAC ID: 5890014633 Enrollment ID: I20220208001728 |
| Provider Name | Meredith M Janelle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205220399 PECOS PAC ID: 1052624681 Enrollment ID: I20220208002696 |
| Provider Name | Ashley Kono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417529439 PECOS PAC ID: 2961895297 Enrollment ID: I20220209002898 |
| Provider Name | Tyler Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689340515 PECOS PAC ID: 7113310020 Enrollment ID: I20220216001975 |
| Provider Name | Jasreen Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417470923 PECOS PAC ID: 8426328311 Enrollment ID: I20220225001589 |
| Provider Name | Niravkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891264099 PECOS PAC ID: 4981940749 Enrollment ID: I20220325000302 |
| Provider Name | Jonathan Michael Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932693504 PECOS PAC ID: 6002162310 Enrollment ID: I20220407002131 |
| Provider Name | Alaa Altahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952757684 PECOS PAC ID: 9032506084 Enrollment ID: I20220422000102 |
| Provider Name | Seth Scott Brunner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285131938 PECOS PAC ID: 6002293990 Enrollment ID: I20220516000207 |
| Provider Name | Kassandra Margaret Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245694595 PECOS PAC ID: 7416218862 Enrollment ID: I20220523000558 |
| Provider Name | Molly Grant Kallins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366948879 PECOS PAC ID: 2062741630 Enrollment ID: I20220523001030 |
| Provider Name | Aranyak Shailesh Rawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902283476 PECOS PAC ID: 2860791316 Enrollment ID: I20220601001073 |
| Provider Name | Colin D Cha Fong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477712230 PECOS PAC ID: 1850572652 Enrollment ID: I20220602000140 |
| Provider Name | Randall Wasson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902465461 PECOS PAC ID: 4789913021 Enrollment ID: I20220603000163 |
| Provider Name | Christina Marie Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730858366 PECOS PAC ID: 3577941251 Enrollment ID: I20220608002460 |
| Provider Name | Arun Agrawal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932300241 PECOS PAC ID: 2365629359 Enrollment ID: I20220614001808 |
| Provider Name | Christine Marie Stopyra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730269689 PECOS PAC ID: 8628265915 Enrollment ID: I20220620001714 |
| Provider Name | Kajan Mahadevan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972164580 PECOS PAC ID: 2961883582 Enrollment ID: I20220713003945 |
| Provider Name | Karen Elaine Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609522804 PECOS PAC ID: 7113308339 Enrollment ID: I20220720000354 |
| Provider Name | Pragneshkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073075842 PECOS PAC ID: 6507248242 Enrollment ID: I20220728000375 |
| Provider Name | Hesham A Yasin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710356720 PECOS PAC ID: 8527315845 Enrollment ID: I20220808003296 |
| Provider Name | Hemnishil Kumar Marella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760915771 PECOS PAC ID: 5294118998 Enrollment ID: I20220812001508 |
| Provider Name | Julie Marie Reddick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518454420 PECOS PAC ID: 9638568264 Enrollment ID: I20220826000360 |
| Provider Name | Ashley Skinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275199879 PECOS PAC ID: 9931433091 Enrollment ID: I20220906001912 |
| Provider Name | Ezra Allen Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427518562 PECOS PAC ID: 1850789256 Enrollment ID: I20220907001548 |
| Provider Name | Zeshan Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760045462 PECOS PAC ID: 5991047813 Enrollment ID: I20220913001268 |
| Provider Name | Roselyne Murugu Knopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033406715 PECOS PAC ID: 7618199480 Enrollment ID: I20220913003735 |
| Provider Name | Miranda N Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669048294 PECOS PAC ID: 8820473499 Enrollment ID: I20220917000089 |
| Provider Name | Stephanie Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538787247 PECOS PAC ID: 2860877115 Enrollment ID: I20220922001572 |
| Provider Name | Obinna Emmanuel Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386107696 PECOS PAC ID: 5395071021 Enrollment ID: I20220923000448 |
| Provider Name | Nicholas Alexander Diloreto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619530797 PECOS PAC ID: 5890028054 Enrollment ID: I20220927002377 |
| Provider Name | Elizabeth Ann Honeycutt-martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346993482 PECOS PAC ID: 6002292992 Enrollment ID: I20220929002250 |
| Provider Name | Chandrasekhar Nandipaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700316262 PECOS PAC ID: 6204107782 Enrollment ID: I20221003003216 |
| Provider Name | Akshit Griwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629638671 PECOS PAC ID: 5991181679 Enrollment ID: I20221004000708 |
| Provider Name | Nadra M Crawford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225443823 PECOS PAC ID: 9436432044 Enrollment ID: I20221005003082 |
| Provider Name | Katherine Mcfarlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831753243 PECOS PAC ID: 5294111795 Enrollment ID: I20221006003166 |
| Provider Name | Patrina Nicolyn Cradic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023749538 PECOS PAC ID: 6305212440 Enrollment ID: I20221014001640 |
| Provider Name | Gary Clinton Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003404831 PECOS PAC ID: 5799151734 Enrollment ID: I20221017002468 |
| Provider Name | Prashant K Mishra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730743832 PECOS PAC ID: 4789917816 Enrollment ID: I20221024001176 |
| Provider Name | Raja Sadiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255488896 PECOS PAC ID: 9133270127 Enrollment ID: I20221027001948 |
| Provider Name | Tanya K Mccaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396383238 PECOS PAC ID: 8123216892 Enrollment ID: I20221102001622 |
| Provider Name | Alexa Marie Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558015859 PECOS PAC ID: 1759758618 Enrollment ID: I20221104002622 |
| Provider Name | Raza Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265099923 PECOS PAC ID: 2860869633 Enrollment ID: I20221108001089 |
| Provider Name | Meghan Marie Mace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801449673 PECOS PAC ID: 9931536745 Enrollment ID: I20221108001706 |
| Provider Name | Corey Matthew Helton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376003392 PECOS PAC ID: 5092104570 Enrollment ID: I20221205002519 |
| Provider Name | Babacar Niang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306490479 PECOS PAC ID: 3173907441 Enrollment ID: I20221206000364 |
| Provider Name | Adora Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477015006 PECOS PAC ID: 4486024106 Enrollment ID: I20221221001313 |
| Provider Name | Manjinder Pannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396091062 PECOS PAC ID: 5991018095 Enrollment ID: I20221227000091 |
| Provider Name | Vandana Botta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013335728 PECOS PAC ID: 4486058781 Enrollment ID: I20221230001102 |
| Provider Name | Jessica Sarah Schaible |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437711249 PECOS PAC ID: 6406226703 Enrollment ID: I20230103000876 |
| Provider Name | Alexis Howard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659860013 PECOS PAC ID: 4385991298 Enrollment ID: I20230105002494 |
| Provider Name | Jacqueline Kathy Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408961 PECOS PAC ID: 3173993151 Enrollment ID: I20230109001750 |
| Provider Name | Andrew John Streicher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033426846 PECOS PAC ID: 9133363880 Enrollment ID: I20230112002428 |
| Provider Name | Oluwakemi Yetunde Fagbami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609005453 PECOS PAC ID: 6002063294 Enrollment ID: I20230123000442 |
| Provider Name | Cheri Yovonne Buggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609530955 PECOS PAC ID: 5991176398 Enrollment ID: I20230123001610 |
| Provider Name | Zachery T Sensing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346804176 PECOS PAC ID: 5193059699 Enrollment ID: I20230124002494 |
| Provider Name | Isaac John Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518675388 PECOS PAC ID: 1355713231 Enrollment ID: I20230203000252 |
| Provider Name | Martin Duclos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063475192 PECOS PAC ID: 4082694047 Enrollment ID: I20230203001758 |
| Provider Name | Destiny Sierra Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821715996 PECOS PAC ID: 5395117535 Enrollment ID: I20230216000047 |
| Provider Name | Mohammad Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649641226 PECOS PAC ID: 7719233238 Enrollment ID: I20230307001397 |
| Provider Name | Chaitanya Are |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912173766 PECOS PAC ID: 5294913570 Enrollment ID: I20230307002546 |
| Provider Name | Nabih Hammoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568968535 PECOS PAC ID: 8820344799 Enrollment ID: I20230317000781 |
| Provider Name | Johnson Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396064341 PECOS PAC ID: 6103078670 Enrollment ID: I20230323002732 |
| Provider Name | David Devaul Odineal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023539160 PECOS PAC ID: 7719393321 Enrollment ID: I20230328000038 |
| Provider Name | Tsvetelina Veselinova Todorova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366947079 PECOS PAC ID: 1951658541 Enrollment ID: I20230404000226 |
| Provider Name | Samuel G Treat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316407679 PECOS PAC ID: 4688905912 Enrollment ID: I20230410000255 |
| Provider Name | Michelle Ann Sotelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689374217 PECOS PAC ID: 2769857200 Enrollment ID: I20230413003166 |
| Provider Name | Carlos Chrysostome |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235792110 PECOS PAC ID: 0547597999 Enrollment ID: I20230424000472 |
| Provider Name | Kaitlyn Ruthann Blankenbeckler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295447910 PECOS PAC ID: 4183089956 Enrollment ID: I20230501000284 |
| Provider Name | Samara Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366754152 PECOS PAC ID: 5193950210 Enrollment ID: I20230501000380 |
| Provider Name | Preetham Talari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265695399 PECOS PAC ID: 4385812171 Enrollment ID: I20230511000792 |
| Provider Name | Christopher Gerard Negrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083157606 PECOS PAC ID: 6608158621 Enrollment ID: I20230523002875 |
| Provider Name | Jennifer Kite Phemister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598008542 PECOS PAC ID: 1052623782 Enrollment ID: I20230524002690 |
| Provider Name | Ava M Swayze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073541678 PECOS PAC ID: 7810957875 Enrollment ID: I20230525001390 |
| Provider Name | James Davidson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669965133 PECOS PAC ID: 3779837372 Enrollment ID: I20230526001536 |
| Provider Name | Abhish Koirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134474471 PECOS PAC ID: 6507186913 Enrollment ID: I20230609000405 |
| Provider Name | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20230622002786 |
| Provider Name | Zachary Logan Birch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043846181 PECOS PAC ID: 8224452487 Enrollment ID: I20230626001897 |
| Provider Name | Kaara Heloise Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386370963 PECOS PAC ID: 1850750381 Enrollment ID: I20230630002553 |
| Provider Name | Shelia Fay Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013660604 PECOS PAC ID: 1052770278 Enrollment ID: I20230706002842 |
| Provider Name | Nicholas Kevin Batchelor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831266956 PECOS PAC ID: 5597996942 Enrollment ID: I20230719001382 |
| Provider Name | Shannon Gail Millsaps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265803399 PECOS PAC ID: 5092025361 Enrollment ID: I20230814001669 |
| Provider Name | Mohammed Abdelattif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932711090 PECOS PAC ID: 7214391275 Enrollment ID: I20230911001673 |
| Provider Name | Azad R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558983247 PECOS PAC ID: 6406271030 Enrollment ID: I20230918001851 |
| Provider Name | Sana Shakil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497384788 PECOS PAC ID: 2264856475 Enrollment ID: I20230926000312 |
| Provider Name | Omar Ihtashamuddin Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194388710 PECOS PAC ID: 7315320132 Enrollment ID: I20230927003099 |
| Provider Name | Kristin Leigh Thatcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912522319 PECOS PAC ID: 4587019906 Enrollment ID: I20231004003428 |
| Provider Name | Jennifer Mcdougall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669080057 PECOS PAC ID: 3577918820 Enrollment ID: I20231006001595 |
| Provider Name | Joseph A Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083970016 PECOS PAC ID: 6709038268 Enrollment ID: I20231009001847 |
| Provider Name | Samantha Whitwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942839139 PECOS PAC ID: 5193146314 Enrollment ID: I20231012002075 |
| Provider Name | Patrick Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073142519 PECOS PAC ID: 3274964069 Enrollment ID: I20231012002238 |
| Provider Name | Huong Thien Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114452943 PECOS PAC ID: 0446587679 Enrollment ID: I20231012002560 |
| Provider Name | Britny King Boswell Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376236992 PECOS PAC ID: 7810342722 Enrollment ID: I20231012003243 |
| Provider Name | Erinn Afflick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669836268 PECOS PAC ID: 6608160379 Enrollment ID: I20231024004034 |
| Provider Name | Abosede Showunmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598394652 PECOS PAC ID: 4981050838 Enrollment ID: I20231027003195 |
| Provider Name | Abdallah Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225647738 PECOS PAC ID: 7911318084 Enrollment ID: I20231031003600 |
| Provider Name | Veronica Lee Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619659950 PECOS PAC ID: 0244686830 Enrollment ID: I20231102002723 |
| Provider Name | Kayanna Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447889134 PECOS PAC ID: 5395175160 Enrollment ID: I20231103001418 |
| Provider Name | Ned Okarter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679037 PECOS PAC ID: 0345470894 Enrollment ID: I20231107002329 |
| Provider Name | Ariana Fotouhi Vandillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568091205 PECOS PAC ID: 3577992650 Enrollment ID: I20231116002801 |
| Provider Name | Thavin Tempakornkul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396372603 PECOS PAC ID: 8224485982 Enrollment ID: I20231117000471 |
| Provider Name | Shurook Elassouli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528683836 PECOS PAC ID: 6709208242 Enrollment ID: I20231130003405 |
| Provider Name | Richard Mcguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265052575 PECOS PAC ID: 1355762618 Enrollment ID: I20231204000829 |
| Provider Name | Emmanuel Obinna Ogbodo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336410190 PECOS PAC ID: 6709036650 Enrollment ID: I20231204002858 |
| Provider Name | Hoda Nazari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184185050 PECOS PAC ID: 5799151718 Enrollment ID: I20231207001402 |
| Provider Name | Nicole Viola Gayle Konda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558608067 PECOS PAC ID: 2567607898 Enrollment ID: I20231218001926 |
| Provider Name | Lindsay Irace Predmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134638604 PECOS PAC ID: 9133579899 Enrollment ID: I20231221002399 |
| Provider Name | Mina Aknouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073133013 PECOS PAC ID: 2668834045 Enrollment ID: I20231227001348 |
| Provider Name | Kimberly Shani Forte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568782738 PECOS PAC ID: 4183852023 Enrollment ID: I20240102000960 |
| Provider Name | Brandon D White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235463803 PECOS PAC ID: 3870617012 Enrollment ID: I20240119003230 |
| Provider Name | Ekinadoese Osaghae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104518059 PECOS PAC ID: 7315390283 Enrollment ID: I20240126001657 |
| Provider Name | Tyler Scott Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891448189 PECOS PAC ID: 5092197012 Enrollment ID: I20240131002922 |
| Provider Name | Tyson Amundsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013573054 PECOS PAC ID: 1153655626 Enrollment ID: I20240214001356 |
| Provider Name | Sujatha Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386600625 PECOS PAC ID: 2961452578 Enrollment ID: I20240214002479 |
| Provider Name | Lisa Leigh Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043368137 PECOS PAC ID: 3971947235 Enrollment ID: I20240215000347 |
| Provider Name | Oreoluwa D Oladiran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275057861 PECOS PAC ID: 0143592204 Enrollment ID: I20240216001382 |
| Provider Name | Stacey Marie Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396139119 PECOS PAC ID: 0941528459 Enrollment ID: I20240220001624 |
| Provider Name | Thomas Joseph Watson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720349061 PECOS PAC ID: 4183856214 Enrollment ID: I20240223001289 |
| Provider Name | Lindsey Tartera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881159903 PECOS PAC ID: 3779825088 Enrollment ID: I20240226000925 |
| Provider Name | Justin Khine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851956486 PECOS PAC ID: 8921334707 Enrollment ID: I20240229000345 |
| Provider Name | Peter Shawki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659590479 PECOS PAC ID: 3678668399 Enrollment ID: I20240304000734 |
| Provider Name | Kamal K Mubarak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619914108 PECOS PAC ID: 3678585080 Enrollment ID: I20240304003138 |
| Provider Name | Jelena A Licina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316921687 PECOS PAC ID: 5092706366 Enrollment ID: I20240307000820 |
| Provider Name | Teresa Joyce Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346013182 PECOS PAC ID: 9830535020 Enrollment ID: I20240311001102 |
| Provider Name | Joseph Shnouda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184818866 PECOS PAC ID: 8325135171 Enrollment ID: I20240311003226 |
| Provider Name | Candace Francine Chumley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558892257 PECOS PAC ID: 8325302052 Enrollment ID: I20240315000090 |
| Provider Name | Nadene Fair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043482151 PECOS PAC ID: 3678643418 Enrollment ID: I20240315002826 |
Medexpress - Ornl Oak Ridge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Bethel Valley Rd, Oak Ridge, TN 37830 Phone: 865-574-9355 Fax: 865-574-9353 | |
Kimber A. Jones, Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Rockingham Ln, Oak Ridge, TN 37830 Phone: 865-386-4887 | |
Oak Ridge Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 988 Oak Ridge Tpke, Suite 200, Physicians Plaza, Oak Ridge, TN 37830 Phone: 865-483-4366 Fax: 865-483-5957 | |
Tlc Laser Eye Centers Knoxville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Vermont Ave, Oak Ridge, TN 37830 Phone: 423-282-0002 | |
Summit Medical Group Of Oak Ridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Briarcliff Ave, Oak Ridge, TN 37830 Phone: 865-483-3172 Fax: 833-908-2163 | |
Munsey Enterprises Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Administration Rd, Oak Ridge, TN 37830 Phone: 865-483-8429 Fax: 865-483-7070 |