| Southwest Medical Associates, Llc | |
|
6701 Jefferson St Ne Albuquerque NM 87109-4318 | |
| (505) 727-6200 | |
| (505) 727-9590 |
| Full Name | Southwest Medical Associates, Llc |
|---|---|
| Speciality | General Practice |
| Location | 6701 Jefferson St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephen C Petrovich (EVP GENERAL COUNSEL) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Associates, Llc 4101 Indian School Rd Ne Ste 110 Albuquerque NM 87110-3991 Ph: (505) 727-6200 | Southwest Medical Associates, Llc 6701 Jefferson St Ne Albuquerque NM 87109-4318 Ph: (505) 727-6200 |
| NPI Number | 1164491072 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 06/20/2025 |
| Medicare PECOS PAC ID | 7214831114 |
|---|---|
| Medicare Enrollment ID | O20031121000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164491072 | NPI | - | NPPES |
| Provider Name | Starla D Dupre |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972575793 PECOS PAC ID: 2365355914 Enrollment ID: I20031110000372 |
| Provider Name | Sophia C Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427166552 PECOS PAC ID: 5496658593 Enrollment ID: I20040128000098 |
| Provider Name | Mary Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952468670 PECOS PAC ID: 8921901778 Enrollment ID: I20040129000247 |
| Provider Name | David Lawrence Clanon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750475125 PECOS PAC ID: 6204739568 Enrollment ID: I20040202000734 |
| Provider Name | Tambra L Bensch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528091014 PECOS PAC ID: 4587559059 Enrollment ID: I20040216000587 |
| Provider Name | Susan Elizabeth Harte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508913146 PECOS PAC ID: 6901791219 Enrollment ID: I20040217000112 |
| Provider Name | Gerardine Vigil-bartels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669441697 PECOS PAC ID: 0143112227 Enrollment ID: I20040325000500 |
| Provider Name | Ximena P Galarza-rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407879604 PECOS PAC ID: 0143213447 Enrollment ID: I20040405000246 |
| Provider Name | Leslie K Monagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841299062 PECOS PAC ID: 1759375579 Enrollment ID: I20040413001475 |
| Provider Name | Barry W Ramo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598769499 PECOS PAC ID: 1052306594 Enrollment ID: I20040415000720 |
| Provider Name | Kevin M Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124042973 PECOS PAC ID: 4486645199 Enrollment ID: I20040521000012 |
| Provider Name | Vesta M Sandoval |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376566497 PECOS PAC ID: 3577544493 Enrollment ID: I20040526001528 |
| Provider Name | Margaret J Longley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235162801 PECOS PAC ID: 4082687272 Enrollment ID: I20040816001363 |
| Provider Name | Laura Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679589758 PECOS PAC ID: 2961479605 Enrollment ID: I20040913001129 |
| Provider Name | Sivakumar Nagaraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952373235 PECOS PAC ID: 0042273906 Enrollment ID: I20041111000073 |
| Provider Name | Loutsios K Ierides |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578601753 PECOS PAC ID: 8224092705 Enrollment ID: I20041115000794 |
| Provider Name | Michael E Gurule |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447398623 PECOS PAC ID: 0244215606 Enrollment ID: I20041115000823 |
| Provider Name | Julie Farrer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720172190 PECOS PAC ID: 8325004500 Enrollment ID: I20041209000095 |
| Provider Name | Frances K Lopez-bushnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508847567 PECOS PAC ID: 1456318328 Enrollment ID: I20041213000273 |
| Provider Name | Wendy S Kimmelman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003849662 PECOS PAC ID: 8426016353 Enrollment ID: I20041227000017 |
| Provider Name | Richard J Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821194937 PECOS PAC ID: 9931158821 Enrollment ID: I20050118000782 |
| Provider Name | Thomas L Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538129879 PECOS PAC ID: 8921057829 Enrollment ID: I20050118000849 |
| Provider Name | Daniel Shibuya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275639304 PECOS PAC ID: 7012966856 Enrollment ID: I20050119000231 |
| Provider Name | Katharine Pickett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861451718 PECOS PAC ID: 0941259709 Enrollment ID: I20050119000397 |
| Provider Name | Mary E Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669407698 PECOS PAC ID: 5799736237 Enrollment ID: I20050321000088 |
| Provider Name | Moriah B Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902899362 PECOS PAC ID: 4183667355 Enrollment ID: I20050730000214 |
| Provider Name | Aaron J Geswaldo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639174550 PECOS PAC ID: 5890736664 Enrollment ID: I20050802000132 |
| Provider Name | Vikram Alladi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083674527 PECOS PAC ID: 5799728770 Enrollment ID: I20050823000416 |
| Provider Name | Vidya Subramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073639977 PECOS PAC ID: 6204861834 Enrollment ID: I20051022000000 |
| Provider Name | Geoffrey A Kunz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306839071 PECOS PAC ID: 9638109812 Enrollment ID: I20051101000488 |
| Provider Name | Amanda J Story |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346245594 PECOS PAC ID: 1951332329 Enrollment ID: I20051104000626 |
| Provider Name | Allyson M Ray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215026497 PECOS PAC ID: 6901826247 Enrollment ID: I20051205000860 |
| Provider Name | Elizabeth Withnall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154439354 PECOS PAC ID: 3678595204 Enrollment ID: I20060109000096 |
| Provider Name | Cesar Javier Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356436539 PECOS PAC ID: 8628084571 Enrollment ID: I20060301000484 |
| Provider Name | Mark D Erasmus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407879513 PECOS PAC ID: 4880601632 Enrollment ID: I20060320000372 |
| Provider Name | Kristina M Gutierrez Barela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104859768 PECOS PAC ID: 9032126818 Enrollment ID: I20060320000577 |
| Provider Name | Marta E Terlecki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881627461 PECOS PAC ID: 4183632664 Enrollment ID: I20060324000128 |
| Provider Name | Jeffrey D Morehouse |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487687067 PECOS PAC ID: 0446268841 Enrollment ID: I20060327000630 |
| Provider Name | Charles B Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710912829 PECOS PAC ID: 2264440551 Enrollment ID: I20060328000680 |
| Provider Name | Seth L Launer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184659112 PECOS PAC ID: 3577571876 Enrollment ID: I20060328000730 |
| Provider Name | Joel R Teicher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326071812 PECOS PAC ID: 2668414988 Enrollment ID: I20060330000230 |
| Provider Name | Julie G Gorwoda |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306960174 PECOS PAC ID: 6901815661 Enrollment ID: I20060505000333 |
| Provider Name | Jean-pierre P Reinhold |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356397236 PECOS PAC ID: 0446263610 Enrollment ID: I20060713000121 |
| Provider Name | Tania D Pence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649294125 PECOS PAC ID: 0941203723 Enrollment ID: I20060816000575 |
| Provider Name | Sean P Mazer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821025545 PECOS PAC ID: 3971507534 Enrollment ID: I20060913000217 |
| Provider Name | Lynda C Shey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942306501 PECOS PAC ID: 6305842733 Enrollment ID: I20061009000040 |
| Provider Name | Julieann M Nipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174532741 PECOS PAC ID: 6800892803 Enrollment ID: I20061016000189 |
| Provider Name | Rosa M Galvez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821035437 PECOS PAC ID: 5395639454 Enrollment ID: I20070119000219 |
| Provider Name | Emily Christina Deaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255466967 PECOS PAC ID: 2668579301 Enrollment ID: I20070515000216 |
| Provider Name | Frank T Bryant |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083672489 PECOS PAC ID: 0941288641 Enrollment ID: I20070522000191 |
| Provider Name | Susan L Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770634982 PECOS PAC ID: 4082714738 Enrollment ID: I20070710000548 |
| Provider Name | Pamela A Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942357306 PECOS PAC ID: 3678465796 Enrollment ID: I20070720000149 |
| Provider Name | Nels N Dahlgren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396884318 PECOS PAC ID: 9830290204 Enrollment ID: I20070730000293 |
| Provider Name | Angela Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821299397 PECOS PAC ID: 4082705991 Enrollment ID: I20070807000614 |
| Provider Name | Richard B Meredick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841498763 PECOS PAC ID: 7517059678 Enrollment ID: I20070817000714 |
| Provider Name | Tammy M Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861550865 PECOS PAC ID: 0244256196 Enrollment ID: I20070828001101 |
| Provider Name | Camille A Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396956330 PECOS PAC ID: 8527151844 Enrollment ID: I20070831000636 |
| Provider Name | Patrick Haarhues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841403334 PECOS PAC ID: 7517052020 Enrollment ID: I20070928000252 |
| Provider Name | Michel Boivin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245255835 PECOS PAC ID: 0547355992 Enrollment ID: I20071001000653 |
| Provider Name | Renato Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245383413 PECOS PAC ID: 0345346441 Enrollment ID: I20071012000097 |
| Provider Name | Kristen R Castillo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396820734 PECOS PAC ID: 5597743872 Enrollment ID: I20080116000384 |
| Provider Name | Joseph Ortiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689759029 PECOS PAC ID: 1658452685 Enrollment ID: I20080116000422 |
| Provider Name | Kathleen M Colleran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659386118 PECOS PAC ID: 4587746714 Enrollment ID: I20080128000326 |
| Provider Name | Hemanth Pai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316086309 PECOS PAC ID: 7416039219 Enrollment ID: I20080201000292 |
| Provider Name | Missy L Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568653525 PECOS PAC ID: 7618051277 Enrollment ID: I20080221000308 |
| Provider Name | Karen S Sopko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063551075 PECOS PAC ID: 8729164199 Enrollment ID: I20080326000010 |
| Provider Name | Maher Belmamoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306847025 PECOS PAC ID: 6406861905 Enrollment ID: I20080326000362 |
| Provider Name | Carolyn M Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487764387 PECOS PAC ID: 9234218801 Enrollment ID: I20080507000441 |
| Provider Name | Geoffrey D Steffens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003803511 PECOS PAC ID: 3971594847 Enrollment ID: I20080602000362 |
| Provider Name | Bridget M Coyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417032368 PECOS PAC ID: 8426129586 Enrollment ID: I20080617000338 |
| Provider Name | Anthony B Sandoval |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528062346 PECOS PAC ID: 7113091653 Enrollment ID: I20080801000255 |
| Provider Name | Mark Richard Zolnick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619943529 PECOS PAC ID: 8527086529 Enrollment ID: I20081015000635 |
| Provider Name | Colbert E Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326187345 PECOS PAC ID: 4486714920 Enrollment ID: I20081113000631 |
| Provider Name | Mario S Benavidez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982743985 PECOS PAC ID: 9335201250 Enrollment ID: I20081230000481 |
| Provider Name | Christopher R Hanosh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922065119 PECOS PAC ID: 9931134616 Enrollment ID: I20090108000651 |
| Provider Name | Anna K Florez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073762365 PECOS PAC ID: 6901962737 Enrollment ID: I20090303000715 |
| Provider Name | Bernadette L Saiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811984453 PECOS PAC ID: 2668529785 Enrollment ID: I20090407000357 |
| Provider Name | Calvin A Ridgeway |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1184718579 PECOS PAC ID: 5799833059 Enrollment ID: I20090427000165 |
| Provider Name | Michele L Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386881076 PECOS PAC ID: 2961553649 Enrollment ID: I20090622000037 |
| Provider Name | David A Podolsky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104965102 PECOS PAC ID: 6901958826 Enrollment ID: I20090723000177 |
| Provider Name | Mel Angel Peralta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598804593 PECOS PAC ID: 7911050893 Enrollment ID: I20090727000174 |
| Provider Name | Ranjit Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790982114 PECOS PAC ID: 1456404979 Enrollment ID: I20090731000287 |
| Provider Name | Julie Harrigan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619016656 PECOS PAC ID: 1658424866 Enrollment ID: I20090806000093 |
| Provider Name | Michael Chartrand |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851317192 PECOS PAC ID: 2163501677 Enrollment ID: I20090904000475 |
| Provider Name | Mark Bieniarz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174776868 PECOS PAC ID: 0749363646 Enrollment ID: I20090915000336 |
| Provider Name | Mario J Leyba |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689876013 PECOS PAC ID: 1456497932 Enrollment ID: I20091014000432 |
| Provider Name | Cesar D Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285773283 PECOS PAC ID: 5890834790 Enrollment ID: I20091207000447 |
| Provider Name | Malcolm Purdy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679535827 PECOS PAC ID: 6800979188 Enrollment ID: I20100114000257 |
| Provider Name | Brian D Castlemain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285726802 PECOS PAC ID: 3779570999 Enrollment ID: I20100114000597 |
| Provider Name | Robert C Orchard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659375558 PECOS PAC ID: 8123186178 Enrollment ID: I20100121000295 |
| Provider Name | Sharon M Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144205659 PECOS PAC ID: 7911936620 Enrollment ID: I20100204000844 |
| Provider Name | Brenda K Beck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275863631 PECOS PAC ID: 9931244969 Enrollment ID: I20100302000759 |
| Provider Name | Sergio E Abriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588757322 PECOS PAC ID: 9739215724 Enrollment ID: I20100329001131 |
| Provider Name | Aroboyi Veronica Imoisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669663696 PECOS PAC ID: 9830228105 Enrollment ID: I20100525000563 |
| Provider Name | Peter Andreas Boehringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235230988 PECOS PAC ID: 2961501739 Enrollment ID: I20100706000478 |
| Provider Name | Janet Louise Hardt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336191022 PECOS PAC ID: 2264436161 Enrollment ID: I20100717000193 |
| Provider Name | Andrew Grollman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811157100 PECOS PAC ID: 7517090848 Enrollment ID: I20100806000084 |
| Provider Name | Adam Patrick Ronan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821244385 PECOS PAC ID: 2668596628 Enrollment ID: I20100826001081 |
| Provider Name | Brook L Mcfadden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508903881 PECOS PAC ID: 6608992797 Enrollment ID: I20100927000449 |
| Provider Name | Christine Boehringer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376545848 PECOS PAC ID: 5799673109 Enrollment ID: I20101026001086 |
| Provider Name | Kristean P Thorpe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518040476 PECOS PAC ID: 4082809405 Enrollment ID: I20101216000812 |
| Provider Name | Roderick D Woods |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306929633 PECOS PAC ID: 7416846647 Enrollment ID: I20101222001017 |
| Provider Name | Candace J Minner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700193216 PECOS PAC ID: 7810186723 Enrollment ID: I20110107000500 |
| Provider Name | Patricia A Heinz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093741985 PECOS PAC ID: 5193745214 Enrollment ID: I20110113000787 |
| Provider Name | Earl August Latimer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023069812 PECOS PAC ID: 5496834558 Enrollment ID: I20110127000948 |
| Provider Name | Leandra J Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861795171 PECOS PAC ID: 8820274707 Enrollment ID: I20110510000416 |
| Provider Name | William Townsend Mansfield |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720159890 PECOS PAC ID: 7012081318 Enrollment ID: I20110512000579 |
| Provider Name | Carla M Bassat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750617130 PECOS PAC ID: 0244371490 Enrollment ID: I20110805000105 |
| Provider Name | Jason E Mudd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881879005 PECOS PAC ID: 5991976474 Enrollment ID: I20110913000389 |
| Provider Name | Latha Raja Shankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568565646 PECOS PAC ID: 6709840895 Enrollment ID: I20110930000290 |
| Provider Name | Aleksandr Tsigelnitskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518264308 PECOS PAC ID: 9234301722 Enrollment ID: I20111005000306 |
| Provider Name | Alberto Dominguez Ventura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275519332 PECOS PAC ID: 8426030339 Enrollment ID: I20111107000062 |
| Provider Name | Chinonyerem V Enyinna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790978864 PECOS PAC ID: 2961675863 Enrollment ID: I20111108000827 |
| Provider Name | Jose G Hernandez Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598743668 PECOS PAC ID: 1456381599 Enrollment ID: I20120109000969 |
| Provider Name | Mark E Werner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487624961 PECOS PAC ID: 9638336837 Enrollment ID: I20120130000965 |
| Provider Name | Muhammad A Tarakji |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750497863 PECOS PAC ID: 2668478652 Enrollment ID: I20120426000518 |
| Provider Name | Regina T Cappelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871879171 PECOS PAC ID: 4688837537 Enrollment ID: I20120514000127 |
| Provider Name | Crystal Cardwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124281381 PECOS PAC ID: 9335303411 Enrollment ID: I20120621000434 |
| Provider Name | Sahar A Chavez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184884801 PECOS PAC ID: 8022179563 Enrollment ID: I20120711000169 |
| Provider Name | Gregg Valenzuela |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942250188 PECOS PAC ID: 9032216940 Enrollment ID: I20120712000345 |
| Provider Name | Dana A Booth |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558511469 PECOS PAC ID: 4385800747 Enrollment ID: I20120730000572 |
| Provider Name | Joseph R Perea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861544918 PECOS PAC ID: 2668628645 Enrollment ID: I20120807000507 |
| Provider Name | Mary Caroline Yager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801059902 PECOS PAC ID: 1052457546 Enrollment ID: I20120830000322 |
| Provider Name | Lynnette Gail Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871569509 PECOS PAC ID: 5597715276 Enrollment ID: I20120904000492 |
| Provider Name | Theresa R Heynekamp |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821137852 PECOS PAC ID: 3476703539 Enrollment ID: I20121025000523 |
| Provider Name | Lisa Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104122647 PECOS PAC ID: 8426209149 Enrollment ID: I20121106000370 |
| Provider Name | Patricia A Combs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184693566 PECOS PAC ID: 7214182468 Enrollment ID: I20130219000543 |
| Provider Name | Seth Mccord |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982869228 PECOS PAC ID: 0749426161 Enrollment ID: I20130409000342 |
| Provider Name | Isabel G Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295079572 PECOS PAC ID: 6406092642 Enrollment ID: I20130415000082 |
| Provider Name | Christina Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508183393 PECOS PAC ID: 7810137676 Enrollment ID: I20130628000361 |
| Provider Name | Lyudmyla Sinyenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063751279 PECOS PAC ID: 5092955245 Enrollment ID: I20130711000122 |
| Provider Name | Stacey D Clegg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396929642 PECOS PAC ID: 4981847860 Enrollment ID: I20130823001239 |
| Provider Name | Elchin Zeynalov |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1437499365 PECOS PAC ID: 4284877051 Enrollment ID: I20130826000976 |
| Provider Name | Christina C Chaney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487998639 PECOS PAC ID: 7810130341 Enrollment ID: I20130830000345 |
| Provider Name | Jeffrey J Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215935531 PECOS PAC ID: 7719052828 Enrollment ID: I20130910000545 |
| Provider Name | Khadija Mamsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669744868 PECOS PAC ID: 3274777222 Enrollment ID: I20130913000377 |
| Provider Name | Harkesh Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427211523 PECOS PAC ID: 1355528613 Enrollment ID: I20130923000123 |
| Provider Name | Anne F Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902957491 PECOS PAC ID: 2961432133 Enrollment ID: I20131004000220 |
| Provider Name | Dena Michele Knight |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952733909 PECOS PAC ID: 7315174513 Enrollment ID: I20131214000111 |
| Provider Name | Keshab Paudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669627014 PECOS PAC ID: 6800920265 Enrollment ID: I20140109000022 |
| Provider Name | Robin D Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073715496 PECOS PAC ID: 6406947217 Enrollment ID: I20140221001485 |
| Provider Name | Lesley C. Snelling |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578749768 PECOS PAC ID: 7416027982 Enrollment ID: I20140227001286 |
| Provider Name | Asit Bhatt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184839854 PECOS PAC ID: 0244320604 Enrollment ID: I20140313001105 |
| Provider Name | William Y. Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891123485 PECOS PAC ID: 3375774201 Enrollment ID: I20140318001319 |
| Provider Name | Sikander Surana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780917542 PECOS PAC ID: 0547483943 Enrollment ID: I20140603000409 |
| Provider Name | Mila Berdecia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972549970 PECOS PAC ID: 4981684206 Enrollment ID: I20140605000483 |
| Provider Name | Melissa Rose Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619392172 PECOS PAC ID: 4385868629 Enrollment ID: I20140606001479 |
| Provider Name | Odinaka Joseph Nnanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083036917 PECOS PAC ID: 7214152792 Enrollment ID: I20140626001076 |
| Provider Name | Colin Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235168642 PECOS PAC ID: 6305803842 Enrollment ID: I20140708000293 |
| Provider Name | Michael Thomas Bestawros |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699909879 PECOS PAC ID: 8325264112 Enrollment ID: I20140731001409 |
| Provider Name | Brian A Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578663779 PECOS PAC ID: 5991739849 Enrollment ID: I20140805000154 |
| Provider Name | Kader T Abdelerahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003058157 PECOS PAC ID: 4981848231 Enrollment ID: I20140818002091 |
| Provider Name | Radu Butuc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245579796 PECOS PAC ID: 7113145715 Enrollment ID: I20140822002102 |
| Provider Name | Chinyere Mgbahuru Nwosu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144426487 PECOS PAC ID: 2961527163 Enrollment ID: I20140826000606 |
| Provider Name | Raymond Manho Yau |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497932503 PECOS PAC ID: 2466670864 Enrollment ID: I20140827000412 |
| Provider Name | Jay Tseng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568751162 PECOS PAC ID: 2668604927 Enrollment ID: I20140903001123 |
| Provider Name | Jeffrey M Mazer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598982910 PECOS PAC ID: 6002967072 Enrollment ID: I20140912000455 |
| Provider Name | Vanessa D Licona Sanjuan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386958825 PECOS PAC ID: 4688893019 Enrollment ID: I20140917002731 |
| Provider Name | Laura Elizabeth Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134536691 PECOS PAC ID: 9537388673 Enrollment ID: I20140922002373 |
| Provider Name | Mohammad A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538396163 PECOS PAC ID: 2668693326 Enrollment ID: I20141021002532 |
| Provider Name | David Agyapong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275821670 PECOS PAC ID: 2062631096 Enrollment ID: I20141030001129 |
| Provider Name | Lucie S Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376832675 PECOS PAC ID: 5799910931 Enrollment ID: I20141117000537 |
| Provider Name | Jayce A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982019097 PECOS PAC ID: 2961724950 Enrollment ID: I20141202001164 |
| Provider Name | Timothy Vellinga |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336109198 PECOS PAC ID: 1557273216 Enrollment ID: I20150130000424 |
| Provider Name | Susan F Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245641836 PECOS PAC ID: 6305161837 Enrollment ID: I20150204001363 |
| Provider Name | Erica Lea Mcbride |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497929269 PECOS PAC ID: 5597997544 Enrollment ID: I20150316001781 |
| Provider Name | Stephanie M Parks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760747844 PECOS PAC ID: 3274850979 Enrollment ID: I20150317001900 |
| Provider Name | Kirk J Giesbrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801039037 PECOS PAC ID: 4486891777 Enrollment ID: I20150401001192 |
| Provider Name | Richard Jerome Wilkerson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376519488 PECOS PAC ID: 7214996099 Enrollment ID: I20150505000503 |
| Provider Name | Melynda V Lopez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902296106 PECOS PAC ID: 8224359161 Enrollment ID: I20150604000753 |
| Provider Name | Heather S Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831578343 PECOS PAC ID: 7517271455 Enrollment ID: I20150805007754 |
| Provider Name | Tahir Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508111089 PECOS PAC ID: 1658685482 Enrollment ID: I20150806011200 |
| Provider Name | Tarik Zuhier Alhmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184854747 PECOS PAC ID: 8224343678 Enrollment ID: I20150814013082 |
| Provider Name | Themis Ntalageorgos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740535897 PECOS PAC ID: 3274848197 Enrollment ID: I20150820010896 |
| Provider Name | Giath Osman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689764532 PECOS PAC ID: 2860594165 Enrollment ID: I20150910000300 |
| Provider Name | Janis L Santistevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265815963 PECOS PAC ID: 1052628682 Enrollment ID: I20150915001961 |
| Provider Name | Trent Lee Proffitt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578513396 PECOS PAC ID: 4789635053 Enrollment ID: I20150917002539 |
| Provider Name | Akash Attreya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619239670 PECOS PAC ID: 7810131158 Enrollment ID: I20151006001867 |
| Provider Name | Santhosh A Valloppillil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568519825 PECOS PAC ID: 8224030093 Enrollment ID: I20151012002053 |
| Provider Name | Julia Beth Toler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497139265 PECOS PAC ID: 3375852080 Enrollment ID: I20151020002668 |
| Provider Name | Christopher R Carter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003814799 PECOS PAC ID: 6002873031 Enrollment ID: I20151021000729 |
| Provider Name | John A Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003943416 PECOS PAC ID: 6204928518 Enrollment ID: I20151030000661 |
| Provider Name | Ariele Bauers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457699001 PECOS PAC ID: 3375853088 Enrollment ID: I20151110000555 |
| Provider Name | Munif H Alkouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366672826 PECOS PAC ID: 3577873199 Enrollment ID: I20151112000134 |
| Provider Name | Sri Rama Krishna Benerji Paruchuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104057389 PECOS PAC ID: 5597911784 Enrollment ID: I20151112000248 |
| Provider Name | Kevin Andrew Richardson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861496762 PECOS PAC ID: 1153405436 Enrollment ID: I20160130000041 |
| Provider Name | Heyoung L Mcbride |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609877349 PECOS PAC ID: 9931127123 Enrollment ID: I20160217000806 |
| Provider Name | Mark Bryniarski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528063161 PECOS PAC ID: 6608818646 Enrollment ID: I20160316002530 |
| Provider Name | Amanda Ryan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689756595 PECOS PAC ID: 5496851164 Enrollment ID: I20160328000522 |
| Provider Name | Kimberly Cantu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205094463 PECOS PAC ID: 7810172558 Enrollment ID: I20160420000274 |
| Provider Name | Niyati Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811317894 PECOS PAC ID: 5799085270 Enrollment ID: I20160617000882 |
| Provider Name | Mridula Rai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851619894 PECOS PAC ID: 1355652496 Enrollment ID: I20160713002026 |
| Provider Name | Matthew Ryan Bordegaray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225353550 PECOS PAC ID: 1850684192 Enrollment ID: I20160725002731 |
| Provider Name | Ryan Urich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548553209 PECOS PAC ID: 7315269297 Enrollment ID: I20160728001170 |
| Provider Name | Dennis Manuel Hurtado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790793412 PECOS PAC ID: 8224027909 Enrollment ID: I20160812001628 |
| Provider Name | Teresa L Casteel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427183458 PECOS PAC ID: 1456658798 Enrollment ID: I20160919002429 |
| Provider Name | Bilal Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386902260 PECOS PAC ID: 8628366747 Enrollment ID: I20161005001595 |
| Provider Name | Katheryne A Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376884759 PECOS PAC ID: 1052557956 Enrollment ID: I20161202000612 |
| Provider Name | Bethany J Barrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902127434 PECOS PAC ID: 9234372368 Enrollment ID: I20161212001786 |
| Provider Name | Brittany K Simplicio |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467888503 PECOS PAC ID: 4587894167 Enrollment ID: I20170119002675 |
| Provider Name | Geri Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124494323 PECOS PAC ID: 3375825540 Enrollment ID: I20170124000676 |
| Provider Name | Catherine H Lukes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053764944 PECOS PAC ID: 2860774791 Enrollment ID: I20170128000269 |
| Provider Name | Amanda L Walker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972923910 PECOS PAC ID: 2062636335 Enrollment ID: I20170213000475 |
| Provider Name | Monica Amona Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20170502000619 |
| Provider Name | Sathish K Ramalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730311713 PECOS PAC ID: 4587818653 Enrollment ID: I20170516001020 |
| Provider Name | Fredie Colon Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376578500 PECOS PAC ID: 6901935428 Enrollment ID: I20170517000251 |
| Provider Name | Devang R Butani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245585017 PECOS PAC ID: 6507087228 Enrollment ID: I20170517000599 |
| Provider Name | Yubao Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306942644 PECOS PAC ID: 7315012879 Enrollment ID: I20170525002429 |
| Provider Name | David M Hoang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639469174 PECOS PAC ID: 8325272636 Enrollment ID: I20170620002372 |
| Provider Name | Molly Ann Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144549262 PECOS PAC ID: 9537301833 Enrollment ID: I20170621002645 |
| Provider Name | Enoch Agunanne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679576565 PECOS PAC ID: 5193639581 Enrollment ID: I20170712000693 |
| Provider Name | Kristine Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306371745 PECOS PAC ID: 5496025561 Enrollment ID: I20170721002538 |
| Provider Name | David Sosa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760801799 PECOS PAC ID: 8022237858 Enrollment ID: I20170722000092 |
| Provider Name | Clay Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124576327 PECOS PAC ID: 0749551299 Enrollment ID: I20170802002226 |
| Provider Name | Regan E Riley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174865869 PECOS PAC ID: 8628349032 Enrollment ID: I20170803001384 |
| Provider Name | Irasema Llewellyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225567449 PECOS PAC ID: 2264703149 Enrollment ID: I20170810003645 |
| Provider Name | Dennis J Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720051964 PECOS PAC ID: 6901179894 Enrollment ID: I20170828003941 |
| Provider Name | Yaw A Adjei-poku |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386872745 PECOS PAC ID: 6103082342 Enrollment ID: I20170829001676 |
| Provider Name | David May |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841597127 PECOS PAC ID: 1850696089 Enrollment ID: I20170906001978 |
| Provider Name | Lisa Ereifej |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508142050 PECOS PAC ID: 0547494668 Enrollment ID: I20170920001681 |
| Provider Name | David Freeman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205197837 PECOS PAC ID: 5092018507 Enrollment ID: I20170925002712 |
| Provider Name | Celia Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134640915 PECOS PAC ID: 3971877085 Enrollment ID: I20170927003004 |
| Provider Name | Dareena E Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841713112 PECOS PAC ID: 6406122530 Enrollment ID: I20171018000195 |
| Provider Name | Brian Berberian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861422586 PECOS PAC ID: 4486686490 Enrollment ID: I20171103001779 |
| Provider Name | Leah N Fry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275984924 PECOS PAC ID: 2860787652 Enrollment ID: I20171116000307 |
| Provider Name | Debra A. Narcisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306039623 PECOS PAC ID: 3577862317 Enrollment ID: I20171215000952 |
| Provider Name | Deanna S Marquardt Romine |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487166641 PECOS PAC ID: 7911265111 Enrollment ID: I20171215002613 |
| Provider Name | Bernadette Perea-zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255843710 PECOS PAC ID: 5698033835 Enrollment ID: I20171218001594 |
| Provider Name | Nanette C Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194230714 PECOS PAC ID: 5597023549 Enrollment ID: I20171220001110 |
| Provider Name | Catherine Elizabeth Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710403589 PECOS PAC ID: 6103186788 Enrollment ID: I20180130000454 |
| Provider Name | Raiza Mena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386150076 PECOS PAC ID: 9436410677 Enrollment ID: I20180302000771 |
| Provider Name | Keely D Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497191746 PECOS PAC ID: 7719249317 Enrollment ID: I20180320000056 |
| Provider Name | Alison Starling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932564929 PECOS PAC ID: 0648533950 Enrollment ID: I20180420000225 |
| Provider Name | Tyler Shackelford |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487996427 PECOS PAC ID: 4789819566 Enrollment ID: I20180607002423 |
| Provider Name | Viral G Gandhi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811245970 PECOS PAC ID: 0345538542 Enrollment ID: I20180608000074 |
| Provider Name | Daniel Maoz-metzl |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245533108 PECOS PAC ID: 6406127331 Enrollment ID: I20180709002811 |
| Provider Name | Eleni Gianacakes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083093116 PECOS PAC ID: 9537471545 Enrollment ID: I20180719003215 |
| Provider Name | Nicole K Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528559796 PECOS PAC ID: 1759638661 Enrollment ID: I20180724002402 |
| Provider Name | Sandeep Nair |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326539420 PECOS PAC ID: 0446507222 Enrollment ID: I20180725001397 |
| Provider Name | Paul A Brittain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184980989 PECOS PAC ID: 7911133020 Enrollment ID: I20180730003172 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20180731003465 |
| Provider Name | Fenton Harrison Mccarthy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114245032 PECOS PAC ID: 6002113487 Enrollment ID: I20180918000292 |
| Provider Name | Raelynn D Currence |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720507791 PECOS PAC ID: 6800147117 Enrollment ID: I20180926001755 |
| Provider Name | Melissa C Scott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447736202 PECOS PAC ID: 5496006629 Enrollment ID: I20180926002886 |
| Provider Name | Jason Rotonda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023596491 PECOS PAC ID: 9830441567 Enrollment ID: I20181009000141 |
| Provider Name | Philip Angwenyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760876874 PECOS PAC ID: 0345568911 Enrollment ID: I20181107001223 |
| Provider Name | Anthony Anoghena Igbadumhe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205210739 PECOS PAC ID: 7618221342 Enrollment ID: I20181116000467 |
| Provider Name | Jacqueline S Guinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067167 PECOS PAC ID: 3779828173 Enrollment ID: I20181212002730 |
| Provider Name | Michael H Hoskins |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386671766 PECOS PAC ID: 8527183805 Enrollment ID: I20181218001072 |
| Provider Name | Bianca A Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811348667 PECOS PAC ID: 4880930452 Enrollment ID: I20190118001406 |
| Provider Name | Donna Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255806543 PECOS PAC ID: 6507103561 Enrollment ID: I20190129001835 |
| Provider Name | Nhan Le Ai Dinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619451606 PECOS PAC ID: 0941549307 Enrollment ID: I20190228002698 |
| Provider Name | Erin E Joslin-gay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275014441 PECOS PAC ID: 4284973108 Enrollment ID: I20190311001625 |
| Provider Name | Derek Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740745249 PECOS PAC ID: 4183964877 Enrollment ID: I20190315000615 |
| Provider Name | Nancy A Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689147134 PECOS PAC ID: 3870833809 Enrollment ID: I20190328002549 |
| Provider Name | Lorie Ann Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097588 PECOS PAC ID: 8921374026 Enrollment ID: I20190411000127 |
| Provider Name | Mark Spencer Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821357179 PECOS PAC ID: 0042543746 Enrollment ID: I20190612001638 |
| Provider Name | Ahmed H Alaini |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780063347 PECOS PAC ID: 4880901222 Enrollment ID: I20190725000749 |
| Provider Name | Andrew W Clarkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669819322 PECOS PAC ID: 0143556076 Enrollment ID: I20190730001774 |
| Provider Name | Richard Spera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790777613 PECOS PAC ID: 5597893131 Enrollment ID: I20190801000429 |
| Provider Name | Mary Rachel Pirkle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568028249 PECOS PAC ID: 5991032666 Enrollment ID: I20190805001241 |
| Provider Name | Amanda Jeanne Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447459409 PECOS PAC ID: 7517034929 Enrollment ID: I20190808001537 |
| Provider Name | Ameena Madan Paramasivan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609121904 PECOS PAC ID: 1658677596 Enrollment ID: I20190808003497 |
| Provider Name | Susan T Giron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649733619 PECOS PAC ID: 0749517837 Enrollment ID: I20190813000508 |
| Provider Name | Maithili Harinanda Shenoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447563408 PECOS PAC ID: 5092001503 Enrollment ID: I20190813003117 |
| Provider Name | Caitlyn Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528500527 PECOS PAC ID: 6406183409 Enrollment ID: I20190814001635 |
| Provider Name | Brittany Dow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407415235 PECOS PAC ID: 3779811583 Enrollment ID: I20190817000178 |
| Provider Name | Vitaly Piluiko |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154398303 PECOS PAC ID: 9032182209 Enrollment ID: I20190821002854 |
| Provider Name | Mubarak Sayyar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699038653 PECOS PAC ID: 7416241054 Enrollment ID: I20190826001012 |
| Provider Name | David Arturo Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780038828 PECOS PAC ID: 3971897216 Enrollment ID: I20190910002490 |
| Provider Name | Tirajeh Saadatzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425202 PECOS PAC ID: 9234425265 Enrollment ID: I20191001001218 |
| Provider Name | Dhyana Velasco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295120509 PECOS PAC ID: 8224368451 Enrollment ID: I20191001001327 |
| Provider Name | Omar Hashmi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033521257 PECOS PAC ID: 5991085938 Enrollment ID: I20191015003312 |
| Provider Name | Adenieki Mornan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669854501 PECOS PAC ID: 6103158134 Enrollment ID: I20191024001493 |
| Provider Name | Kristina Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255713665 PECOS PAC ID: 0648583773 Enrollment ID: I20191101000124 |
| Provider Name | Michelle Ann Valentine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669835021 PECOS PAC ID: 3072802404 Enrollment ID: I20191114002430 |
| Provider Name | Marshall A Caraveo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871949800 PECOS PAC ID: 4385938620 Enrollment ID: I20191119001834 |
| Provider Name | Stuart S Haigler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205892882 PECOS PAC ID: 0446274765 Enrollment ID: I20191203000282 |
| Provider Name | Paul R Torres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871668269 PECOS PAC ID: 6709044969 Enrollment ID: I20200113001169 |
| Provider Name | Michael J Blea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245591643 PECOS PAC ID: 7618225897 Enrollment ID: I20200115002816 |
| Provider Name | Kelli D Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893128 PECOS PAC ID: 9830525229 Enrollment ID: I20200203001699 |
| Provider Name | Michael Paikal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508058371 PECOS PAC ID: 9133316706 Enrollment ID: I20200318000568 |
| Provider Name | Elizabeth Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225693286 PECOS PAC ID: 6507295284 Enrollment ID: I20200331003264 |
| Provider Name | Sandra P Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073097804 PECOS PAC ID: 1456605450 Enrollment ID: I20200401001739 |
| Provider Name | Amy Mae Macleod |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114552114 PECOS PAC ID: 1355770470 Enrollment ID: I20200410000253 |
| Provider Name | Omeed Sizar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295268258 PECOS PAC ID: 8224465877 Enrollment ID: I20200521000770 |
| Provider Name | Tomy Yojan Perez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639598972 PECOS PAC ID: 1759698947 Enrollment ID: I20200604001486 |
| Provider Name | Samuel Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043745508 PECOS PAC ID: 9133541386 Enrollment ID: I20200617001822 |
| Provider Name | Jennifer A Tupper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467092460 PECOS PAC ID: 5496177438 Enrollment ID: I20200622001673 |
| Provider Name | Cassandra Lynn Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275173940 PECOS PAC ID: 7315369071 Enrollment ID: I20200625001472 |
| Provider Name | Abid Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043731961 PECOS PAC ID: 5395168298 Enrollment ID: I20200710002005 |
| Provider Name | Martha E Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477043594 PECOS PAC ID: 2769805415 Enrollment ID: I20200714000929 |
| Provider Name | Laura L Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164634697 PECOS PAC ID: 1557598794 Enrollment ID: I20200731001234 |
| Provider Name | Kerri Leslie Kremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265403588 PECOS PAC ID: 2264591593 Enrollment ID: I20200803002609 |
| Provider Name | Jay Jordan Wojcik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164841136 PECOS PAC ID: 6305067414 Enrollment ID: I20200807002923 |
| Provider Name | Jessie Mae Simmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558715003 PECOS PAC ID: 8123443983 Enrollment ID: I20200811000312 |
| Provider Name | Thu Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205459369 PECOS PAC ID: 7911323746 Enrollment ID: I20200811002794 |
| Provider Name | Patrick Gilligan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043638802 PECOS PAC ID: 2062638869 Enrollment ID: I20200813000575 |
| Provider Name | Baila Maqbool |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083022958 PECOS PAC ID: 3173742129 Enrollment ID: I20200825001022 |
| Provider Name | Grace Baffoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336669290 PECOS PAC ID: 0244658086 Enrollment ID: I20200910003597 |
| Provider Name | Ibukun Julia Akinboyewa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245769843 PECOS PAC ID: 8224388715 Enrollment ID: I20200930001105 |
| Provider Name | Robert Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386860542 PECOS PAC ID: 8325077795 Enrollment ID: I20200930003780 |
| Provider Name | Sureyya Stone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194337378 PECOS PAC ID: 5395165955 Enrollment ID: I20201020002335 |
| Provider Name | Jason Slate |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275648586 PECOS PAC ID: 4587636956 Enrollment ID: I20201028000875 |
| Provider Name | Rachel Leanne Garcia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831705094 PECOS PAC ID: 1456761642 Enrollment ID: I20201028002625 |
| Provider Name | Audra Mckillip-heard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275133357 PECOS PAC ID: 2769893338 Enrollment ID: I20201203000572 |
| Provider Name | Beverly Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558969253 PECOS PAC ID: 2668883117 Enrollment ID: I20201204001301 |
| Provider Name | Naomi Quezada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376150037 PECOS PAC ID: 4587076823 Enrollment ID: I20201210001787 |
| Provider Name | David Alan Staten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831515667 PECOS PAC ID: 1153540398 Enrollment ID: I20210106002913 |
| Provider Name | Michael Adjei-poku |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528050465 PECOS PAC ID: 2769407725 Enrollment ID: I20210112001764 |
| Provider Name | Kathleen M Coco |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184646036 PECOS PAC ID: 0143272906 Enrollment ID: I20210120002116 |
| Provider Name | Nirja Kafle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165486 PECOS PAC ID: 3274947056 Enrollment ID: I20210208001211 |
| Provider Name | Paul Meade |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1457314023 PECOS PAC ID: 1759357783 Enrollment ID: I20210211003068 |
| Provider Name | Sara Sears Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801167614 PECOS PAC ID: 1254594195 Enrollment ID: I20210211003524 |
| Provider Name | Henrique Fernandez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174770614 PECOS PAC ID: 4789872425 Enrollment ID: I20210225002852 |
| Provider Name | Holly Zane Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801218573 PECOS PAC ID: 3173753209 Enrollment ID: I20210303001573 |
| Provider Name | John Devin Watson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386969137 PECOS PAC ID: 5496040214 Enrollment ID: I20210315001663 |
| Provider Name | Soubhagyalakshmi Parvathaneni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235192253 PECOS PAC ID: 8628049467 Enrollment ID: I20210319000924 |
| Provider Name | Luis S Nasiff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508840430 PECOS PAC ID: 2961307871 Enrollment ID: I20210420000584 |
| Provider Name | Genevieve Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174045520 PECOS PAC ID: 6507136363 Enrollment ID: I20210423000237 |
| Provider Name | Robyn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376028472 PECOS PAC ID: 9436402765 Enrollment ID: I20210520002163 |
| Provider Name | Sharareh Bagherian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912961582 PECOS PAC ID: 3375516701 Enrollment ID: I20210525000625 |
| Provider Name | Laurel Escano Laurel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851989305 PECOS PAC ID: 4688073539 Enrollment ID: I20210525002621 |
| Provider Name | Bruce Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760071153 PECOS PAC ID: 9133538739 Enrollment ID: I20210603002444 |
| Provider Name | Rebecca Dworkin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699037978 PECOS PAC ID: 3476719980 Enrollment ID: I20210614003471 |
| Provider Name | Katherine L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205246311 PECOS PAC ID: 8921221102 Enrollment ID: I20210621000297 |
| Provider Name | Awais Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790191674 PECOS PAC ID: 5890060594 Enrollment ID: I20210622001749 |
| Provider Name | Mario Pardo-friedman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053841213 PECOS PAC ID: 4587936323 Enrollment ID: I20210629000146 |
| Provider Name | Marcee Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912559360 PECOS PAC ID: 3476885120 Enrollment ID: I20210707002809 |
| Provider Name | Melissa Ann Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093164725 PECOS PAC ID: 8325327018 Enrollment ID: I20210716002167 |
| Provider Name | Mallory Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194165662 PECOS PAC ID: 4284877788 Enrollment ID: I20210721001578 |
| Provider Name | Nourhan El-yassin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801462296 PECOS PAC ID: 5597161596 Enrollment ID: I20210830003325 |
| Provider Name | Jessica Secor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164700183 PECOS PAC ID: 8022231802 Enrollment ID: I20210901001226 |
| Provider Name | Brian Naizer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528551991 PECOS PAC ID: 4880940261 Enrollment ID: I20210901001630 |
| Provider Name | Nina Mckernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962176354 PECOS PAC ID: 0840696621 Enrollment ID: I20210901004141 |
| Provider Name | Samantha Matteucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285207100 PECOS PAC ID: 4183020845 Enrollment ID: I20210903000183 |
| Provider Name | Eddie D Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336567486 PECOS PAC ID: 8820392368 Enrollment ID: I20210903001459 |
| Provider Name | Christopher Max Dominguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144617440 PECOS PAC ID: 5597079418 Enrollment ID: I20210908001391 |
| Provider Name | Norbert Jay Sanidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421820 PECOS PAC ID: 8224436613 Enrollment ID: I20211015001416 |
| Provider Name | Dick Hoistad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770550923 PECOS PAC ID: 1759472871 Enrollment ID: I20211019000674 |
| Provider Name | Ashley R Jaramillo-huff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669906830 PECOS PAC ID: 0941570832 Enrollment ID: I20211019001425 |
| Provider Name | Clara Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093199879 PECOS PAC ID: 0941698955 Enrollment ID: I20211025001548 |
| Provider Name | Lilybeth Dellysmar Lugo Montalvo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851968036 PECOS PAC ID: 2466840137 Enrollment ID: I20211029000025 |
| Provider Name | Melanie Leigh Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811569841 PECOS PAC ID: 9830587492 Enrollment ID: I20211101001560 |
| Provider Name | Diane Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639725401 PECOS PAC ID: 8820487911 Enrollment ID: I20211110002969 |
| Provider Name | Michelle R Felan Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851798805 PECOS PAC ID: 6305146820 Enrollment ID: I20211202000344 |
| Provider Name | Annie Brothers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780282012 PECOS PAC ID: 1153712575 Enrollment ID: I20211220000852 |
| Provider Name | Christina Renee Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578124244 PECOS PAC ID: 3173854403 Enrollment ID: I20220105000900 |
| Provider Name | Omkar U Vaidya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518117670 PECOS PAC ID: 0547483083 Enrollment ID: I20220126000492 |
| Provider Name | Michael Paul Elliott |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790164127 PECOS PAC ID: 4688971427 Enrollment ID: I20220209000185 |
| Provider Name | Kelly Conklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053075978 PECOS PAC ID: 3971996208 Enrollment ID: I20220209002864 |
| Provider Name | Christina Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598034936 PECOS PAC ID: 0042609711 Enrollment ID: I20220214001849 |
| Provider Name | Ahmed A Bolkhir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053568667 PECOS PAC ID: 2264587872 Enrollment ID: I20220217000346 |
| Provider Name | Jacquelyn Brandenburg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871911545 PECOS PAC ID: 3375769011 Enrollment ID: I20220222000769 |
| Provider Name | Christopher Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164580098 PECOS PAC ID: 3476534058 Enrollment ID: I20220224001534 |
| Provider Name | Mark Grinman |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1164489829 PECOS PAC ID: 4789724832 Enrollment ID: I20220302000912 |
| Provider Name | Angel I Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629496815 PECOS PAC ID: 1254745441 Enrollment ID: I20220307000982 |
| Provider Name | Rebecca Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285387969 PECOS PAC ID: 6901290931 Enrollment ID: I20220308001167 |
| Provider Name | Stefani Motkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568817385 PECOS PAC ID: 8527357276 Enrollment ID: I20220310001026 |
| Provider Name | Kelly Jean Hoock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013660778 PECOS PAC ID: 5698160562 Enrollment ID: I20220312000236 |
| Provider Name | Jacqueline Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336629740 PECOS PAC ID: 8426392093 Enrollment ID: I20220331001974 |
| Provider Name | Megan Leeann Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013660760 PECOS PAC ID: 2163818519 Enrollment ID: I20220412000219 |
| Provider Name | Bettina Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891364774 PECOS PAC ID: 4587067764 Enrollment ID: I20220413001412 |
| Provider Name | Andrei Gasic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184623407 PECOS PAC ID: 3779550009 Enrollment ID: I20220425001991 |
| Provider Name | Kimberly Kay Kozeliski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144984063 PECOS PAC ID: 5698162030 Enrollment ID: I20220503002176 |
| Provider Name | Min Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326788860 PECOS PAC ID: 8022495514 Enrollment ID: I20220523002388 |
| Provider Name | Rodgers Koech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083368047 PECOS PAC ID: 1052799228 Enrollment ID: I20220531000276 |
| Provider Name | Doug Wesley Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942724547 PECOS PAC ID: 3577834795 Enrollment ID: I20220614001144 |
| Provider Name | Tara Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659014223 PECOS PAC ID: 4880074608 Enrollment ID: I20220711000330 |
| Provider Name | Andres D Plaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245893445 PECOS PAC ID: 1153658125 Enrollment ID: I20220722000577 |
| Provider Name | Noelle Felz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072795 PECOS PAC ID: 0941554364 Enrollment ID: I20220722002906 |
| Provider Name | Trisha Kay Bank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023627429 PECOS PAC ID: 0042637738 Enrollment ID: I20220805000602 |
| Provider Name | Luka Exelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184361362 PECOS PAC ID: 6800270406 Enrollment ID: I20220831001591 |
| Provider Name | Alyson C Haeger-newe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699773093 PECOS PAC ID: 9739492075 Enrollment ID: I20220907003402 |
| Provider Name | Mark Polhemus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891027512 PECOS PAC ID: 0840468369 Enrollment ID: I20220908003615 |
| Provider Name | Gaurav Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023571379 PECOS PAC ID: 4981089240 Enrollment ID: I20220929001658 |
| Provider Name | Patricia S Black |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790280394 PECOS PAC ID: 4789932179 Enrollment ID: I20221007001526 |
| Provider Name | Naga Suresh Cheppalli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952633810 PECOS PAC ID: 6406004464 Enrollment ID: I20221012003414 |
| Provider Name | Angel L Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538889357 PECOS PAC ID: 4587030796 Enrollment ID: I20221013000092 |
| Provider Name | Savanna Lee Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306570858 PECOS PAC ID: 6901272137 Enrollment ID: I20221013000642 |
| Provider Name | Consuelo J Apodaca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801516646 PECOS PAC ID: 6406222660 Enrollment ID: I20221013001769 |
| Provider Name | Ronald Wheeler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053328831 PECOS PAC ID: 3375567860 Enrollment ID: I20221014002986 |
| Provider Name | Nemoli Yadira Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932845617 PECOS PAC ID: 8224404231 Enrollment ID: I20221017001579 |
| Provider Name | Alexandra Lusk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568826352 PECOS PAC ID: 2668738030 Enrollment ID: I20221102001685 |
| Provider Name | Vanessa Renee Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801513650 PECOS PAC ID: 2365810421 Enrollment ID: I20221121001334 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295778215 PECOS PAC ID: 3476538760 Enrollment ID: I20221129002554 |
| Provider Name | Corrie Lynn Bubbico |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639897028 PECOS PAC ID: 3577931112 Enrollment ID: I20221201002039 |
| Provider Name | Nicole Dyan Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265150866 PECOS PAC ID: 5395114987 Enrollment ID: I20221202001103 |
| Provider Name | Mary Anderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962460220 PECOS PAC ID: 6709841612 Enrollment ID: I20221209000656 |
| Provider Name | Bennet Togbe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487983540 PECOS PAC ID: 7810139466 Enrollment ID: I20221213000047 |
| Provider Name | Helen Iams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902987258 PECOS PAC ID: 5597704999 Enrollment ID: I20221222000076 |
| Provider Name | Charles Ruzkowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669576757 PECOS PAC ID: 4789648601 Enrollment ID: I20230123000565 |
| Provider Name | Lisa Michelle Song |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255050449 PECOS PAC ID: 5294106282 Enrollment ID: I20230131000918 |
| Provider Name | Benjamin Remo |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1376785717 PECOS PAC ID: 8123247020 Enrollment ID: I20230202001830 |
| Provider Name | Craig Kubik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821102617 PECOS PAC ID: 8426128034 Enrollment ID: I20230220001726 |
| Provider Name | Shavonne Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699342493 PECOS PAC ID: 2769855642 Enrollment ID: I20230223000603 |
| Provider Name | Kyerewaa Abban-thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144513151 PECOS PAC ID: 4688800774 Enrollment ID: I20230223001520 |
| Provider Name | Loring I Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205057072 PECOS PAC ID: 6204068851 Enrollment ID: I20230308002075 |
| Provider Name | Nizar Senussi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174964878 PECOS PAC ID: 4688973589 Enrollment ID: I20230328000799 |
| Provider Name | Olivia E. Morris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619998267 PECOS PAC ID: 1052387248 Enrollment ID: I20230328002624 |
| Provider Name | Thomas Zarchary Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699188672 PECOS PAC ID: 3476779364 Enrollment ID: I20230331002683 |
| Provider Name | Christopher Mclaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144504085 PECOS PAC ID: 3173768082 Enrollment ID: I20230421002591 |
| Provider Name | Marcia Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326411711 PECOS PAC ID: 8123321361 Enrollment ID: I20230501002261 |
| Provider Name | Marcus Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922641299 PECOS PAC ID: 3072946508 Enrollment ID: I20230501002341 |
| Provider Name | Richard J. Schumann |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1831157916 PECOS PAC ID: 8527072529 Enrollment ID: I20230505001641 |
| Provider Name | Revati Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790147213 PECOS PAC ID: 0244562817 Enrollment ID: I20230611000228 |
| Provider Name | Banyar Aung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306342282 PECOS PAC ID: 4981941911 Enrollment ID: I20230623003155 |
| Provider Name | Adrienne Gillespie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629721246 PECOS PAC ID: 6800279183 Enrollment ID: I20230726002764 |
| Provider Name | Jerry Lan Tucker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952095556 PECOS PAC ID: 0143681551 Enrollment ID: I20230802000299 |
| Provider Name | Ashley M Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780369736 PECOS PAC ID: 3173984143 Enrollment ID: I20230807003838 |
| Provider Name | Saleem Al Mawed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811314826 PECOS PAC ID: 2365713203 Enrollment ID: I20230811000133 |
| Provider Name | Martin Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316563471 PECOS PAC ID: 1557780681 Enrollment ID: I20230816001945 |
| Provider Name | Richard J Snyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255340477 PECOS PAC ID: 5092765156 Enrollment ID: I20230817002413 |
| Provider Name | Luis Cerda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780944702 PECOS PAC ID: 5799021002 Enrollment ID: I20230818001041 |
| Provider Name | Elizabeth Ashley Jaffa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780363002 PECOS PAC ID: 3375905565 Enrollment ID: I20230821001829 |
| Provider Name | Violete Chombwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275225773 PECOS PAC ID: 3779946512 Enrollment ID: I20230828001993 |
| Provider Name | Prathyusha Gudapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467074427 PECOS PAC ID: 1456773522 Enrollment ID: I20230829002101 |
| Provider Name | Mohan Muvvala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497384457 PECOS PAC ID: 0840653408 Enrollment ID: I20230829004559 |
| Provider Name | Mimi Van |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801298294 PECOS PAC ID: 0244528024 Enrollment ID: I20230830002138 |
| Provider Name | Jason Brock Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184362428 PECOS PAC ID: 5890159925 Enrollment ID: I20230907004310 |
| Provider Name | Kara Shain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770146268 PECOS PAC ID: 5698002640 Enrollment ID: I20230913004107 |
| Provider Name | Florin A Gaidici |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780686147 PECOS PAC ID: 1951311489 Enrollment ID: I20230921003461 |
| Provider Name | Beverly Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942860382 PECOS PAC ID: 5890824866 Enrollment ID: I20230925000091 |
| Provider Name | Melissa Kolkena |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003699125 PECOS PAC ID: 7517311541 Enrollment ID: I20230926000715 |
| Provider Name | Jennifer Marie Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881387736 PECOS PAC ID: 7911351325 Enrollment ID: I20231003002531 |
| Provider Name | Hafsa Gurdogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770046500 PECOS PAC ID: 6901133297 Enrollment ID: I20231004002213 |
| Provider Name | Audrey L Girroir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467973792 PECOS PAC ID: 4082970439 Enrollment ID: I20231006000368 |
| Provider Name | Ishan R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881257566 PECOS PAC ID: 7214265628 Enrollment ID: I20231010000994 |
| Provider Name | John Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144205253 PECOS PAC ID: 3476677790 Enrollment ID: I20231011002610 |
| Provider Name | Jesse Daniel Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720761695 PECOS PAC ID: 1456707801 Enrollment ID: I20231023000094 |
| Provider Name | Katrina Carol Dowdy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255112686 PECOS PAC ID: 0648626812 Enrollment ID: I20231024002329 |
| Provider Name | Mary-jane Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285096032 PECOS PAC ID: 8123313871 Enrollment ID: I20231025001308 |
| Provider Name | Patrisia Enriquez Najera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326731860 PECOS PAC ID: 2769838747 Enrollment ID: I20231026004319 |
| Provider Name | Elizabeth Weilert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225537277 PECOS PAC ID: 3678836780 Enrollment ID: I20231026004459 |
| Provider Name | Bryan Kientz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912381526 PECOS PAC ID: 1355642026 Enrollment ID: I20231031002379 |
| Provider Name | Samuel Daniel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083622716 PECOS PAC ID: 5395658470 Enrollment ID: I20231031003522 |
| Provider Name | Yuttana Chawengsub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518306570 PECOS PAC ID: 7618190968 Enrollment ID: I20231102000788 |
| Provider Name | Maribel Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477232528 PECOS PAC ID: 6406203009 Enrollment ID: I20231102004040 |
| Provider Name | Sammi Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972139558 PECOS PAC ID: 7517389851 Enrollment ID: I20231104000352 |
| Provider Name | Franz Schneider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093708539 PECOS PAC ID: 2961543665 Enrollment ID: I20231114002438 |
| Provider Name | Eliana Acosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134902109 PECOS PAC ID: 2163870767 Enrollment ID: I20231120003038 |
| Provider Name | Amir Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205824810 PECOS PAC ID: 0244210151 Enrollment ID: I20231130002065 |
| Provider Name | Valerie R Richerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114705035 PECOS PAC ID: 0840648770 Enrollment ID: I20231202000095 |
| Provider Name | Jacqueline Estevez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881126274 PECOS PAC ID: 4486923778 Enrollment ID: I20231204003665 |
| Provider Name | Barry Randall Schneider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669490991 PECOS PAC ID: 4486758992 Enrollment ID: I20231215001712 |
| Provider Name | Christina Amanda Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326812595 PECOS PAC ID: 8022468941 Enrollment ID: I20231219000934 |
| Provider Name | Jennie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871373613 PECOS PAC ID: 6204286842 Enrollment ID: I20231222002021 |
| Provider Name | Bechara Mezher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598751794 PECOS PAC ID: 7911184379 Enrollment ID: I20231227003067 |
| Provider Name | Micaela Jane Dagucon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396182234 PECOS PAC ID: 0547613440 Enrollment ID: I20240126002741 |
| Provider Name | Kyle Bockelman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255783841 PECOS PAC ID: 3678945045 Enrollment ID: I20240129001845 |
| Provider Name | John Fuller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720469174 PECOS PAC ID: 4789992108 Enrollment ID: I20240207003858 |
| Provider Name | Veronica T Soler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497749675 PECOS PAC ID: 9638564883 Enrollment ID: I20240219000178 |
| Provider Name | Mohammad Shakhatreh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649430216 PECOS PAC ID: 7911160270 Enrollment ID: I20240220004270 |
| Provider Name | Melanie A Goldberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619731668 PECOS PAC ID: 1951746197 Enrollment ID: I20240228000828 |
| Provider Name | Sarah Winer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669182044 PECOS PAC ID: 5193179240 Enrollment ID: I20240311003932 |
| Provider Name | Apple Long |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992246250 PECOS PAC ID: 0648640987 Enrollment ID: I20240312002727 |
| Provider Name | Binh-minh Nguyen Le |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730307323 PECOS PAC ID: 0345394698 Enrollment ID: I20240325001212 |
| Provider Name | Brianna Patti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508123175 PECOS PAC ID: 7911206537 Enrollment ID: I20240328002332 |
| Provider Name | Sara Grandy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386066645 PECOS PAC ID: 5890133300 Enrollment ID: I20240403001718 |
| Provider Name | Sarah Emily Brasier |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508541293 PECOS PAC ID: 6901268333 Enrollment ID: I20240411003315 |
| Provider Name | Luis Guillermo Beverido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194985 PECOS PAC ID: 4183082480 Enrollment ID: I20240416002864 |
| Provider Name | Dorothy Billau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780442400 PECOS PAC ID: 2668812579 Enrollment ID: I20240425002096 |
| Provider Name | Sarah Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073295127 PECOS PAC ID: 8527414788 Enrollment ID: I20240428000017 |
| Provider Name | Rebecca Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912698275 PECOS PAC ID: 5294189916 Enrollment ID: I20240524001633 |
| Provider Name | Leah Damiani Strain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841621869 PECOS PAC ID: 7618288523 Enrollment ID: I20240528003207 |
| Provider Name | Victor Egwu Ekpe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700468873 PECOS PAC ID: 7315389723 Enrollment ID: I20240530000540 |
| Provider Name | Namrata Reddy Jannareddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891257283 PECOS PAC ID: 2961883517 Enrollment ID: I20240624003978 |
| Provider Name | Christian Tyler Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639750342 PECOS PAC ID: 5597200451 Enrollment ID: I20240716000553 |
| Provider Name | Ambrosia Janae Simmons |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932769627 PECOS PAC ID: 7719422443 Enrollment ID: I20240717002229 |
| Provider Name | James D Panetta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376721142 PECOS PAC ID: 0446397434 Enrollment ID: I20240723003947 |
| Provider Name | Rahim Raoufi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356327597 PECOS PAC ID: 5698700458 Enrollment ID: I20240731000401 |
| Provider Name | Sarah Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841853876 PECOS PAC ID: 9537550421 Enrollment ID: I20240815002544 |
| Provider Name | Celia Yazzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104213354 PECOS PAC ID: 8820536071 Enrollment ID: I20240819002735 |
| Provider Name | Mariah Shatto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770248635 PECOS PAC ID: 2264971266 Enrollment ID: I20240821005175 |
| Provider Name | Patrick Beagen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730611310 PECOS PAC ID: 3173997194 Enrollment ID: I20240826000378 |
| Provider Name | Ritika Kaushal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043773856 PECOS PAC ID: 6901223874 Enrollment ID: I20240903002274 |
| Provider Name | Rashida Mccain-hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720174105 PECOS PAC ID: 6305856238 Enrollment ID: I20240906001698 |
| Provider Name | Sharon Kay Breit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659335404 PECOS PAC ID: 3173507704 Enrollment ID: I20240909000549 |
| Provider Name | Angelo Giovanni Taraddei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710738398 PECOS PAC ID: 1759822216 Enrollment ID: I20240924002459 |
| Provider Name | Stuart Weisman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619921574 PECOS PAC ID: 4183690936 Enrollment ID: I20241107002325 |
| Provider Name | Colleen Bauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245425362 PECOS PAC ID: 4789767054 Enrollment ID: I20241113004675 |
| Provider Name | Megan Boone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326896994 PECOS PAC ID: 4486188166 Enrollment ID: I20241118002140 |
| Provider Name | Sherna Sheth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750793147 PECOS PAC ID: 0345598363 Enrollment ID: I20241121003701 |
| Provider Name | Jill E Clark |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1295922052 PECOS PAC ID: 7416093646 Enrollment ID: I20241122002867 |
| Provider Name | Robert Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295376101 PECOS PAC ID: 3971917634 Enrollment ID: I20241126004495 |
| Provider Name | Karyn Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831253152 PECOS PAC ID: 9335462134 Enrollment ID: I20241212004194 |
| Provider Name | Abigail Christen Yazzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831915370 PECOS PAC ID: 3779010244 Enrollment ID: I20241222000046 |
| Provider Name | Brianne Wiemann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619438629 PECOS PAC ID: 7618205089 Enrollment ID: I20250129000649 |
| Provider Name | Alexan Yerevanian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114301637 PECOS PAC ID: 1355772757 Enrollment ID: I20250131000862 |
| Provider Name | Briana Casiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255833497 PECOS PAC ID: 3173879327 Enrollment ID: I20250203003548 |
| Provider Name | Patil Sarkis Balozian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992317879 PECOS PAC ID: 9234669292 Enrollment ID: I20250206001794 |
| Provider Name | David Joyce |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1558416115 PECOS PAC ID: 1254308018 Enrollment ID: I20250213003905 |
| Provider Name | Amanda M Youngers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568625531 PECOS PAC ID: 4587731856 Enrollment ID: I20250306002390 |
| Provider Name | Zachary Neubert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275806721 PECOS PAC ID: 4880824515 Enrollment ID: I20250313000062 |
Double Happiness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Ponderosa Ave Ne, Albuquerque, NM 87110 Phone: 505-385-4127 Fax: 505-265-5041 | |
Ortega Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7007 Jefferson St Ne Ste C, Albuquerque, NM 87109 Phone: 505-340-0406 Fax: 505-340-0405 | |
Albuquerque Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-314-0748 | |
Gabriella Good Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Indian Farm Ln Nw, Albuquerque, NM 87107 Phone: 505-259-8694 Fax: 186-660-7177 | |
Hands On Health Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111 Phone: 505-298-8020 | |
Maranllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10401 Montgomery Pkwy Ne, Albuquerque, NM 87111 Phone: 505-234-1040 Fax: 505-293-7183 | |
Lovelace Healthcare Center-rio Bravo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 Phone: 505-873-6400 Fax: 505-873-6403 |