| Ssm Health Medical Group | |
|
1011 Bowles Ave Suite 300 Fenton MO 63026-2395 | |
| (636) 496-5000 | |
| (636) 496-5045 |
| Full Name | Ssm Health Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1011 Bowles Ave, Fenton, Missouri |
| Authorized Official Name and Position | Karen Rewerts (VP FINANCIAL OPERATIONS) |
| Authorized Official Contact | 3149892034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Medical Group Po Box 955534 Saint Louis MO 63195-5534 Ph: (636) 498-5944 | Ssm Health Medical Group 1011 Bowles Ave Suite 300 Fenton MO 63026-2395 Ph: (636) 496-5000 |
| NPI Number | 1700966207 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 6608776299 |
|---|---|
| Medicare Enrollment ID | O20040729001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700966207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Navid S Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083692677 PECOS PAC ID: 5890605679 Enrollment ID: I20031218000465 |
| Provider Name | Rama K Gondi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396738282 PECOS PAC ID: 4789582487 Enrollment ID: I20031219000271 |
| Provider Name | Kevin T Enger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376607564 PECOS PAC ID: 3971401688 Enrollment ID: I20031219000342 |
| Provider Name | Jessica E Niehoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467490870 PECOS PAC ID: 8729992854 Enrollment ID: I20040107000224 |
| Provider Name | Daniel J Baumann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881612265 PECOS PAC ID: 1850291063 Enrollment ID: I20040113000374 |
| Provider Name | Steven B Livingstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013981109 PECOS PAC ID: 4880587047 Enrollment ID: I20040203000660 |
| Provider Name | Howard E Goldberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629044946 PECOS PAC ID: 3678466703 Enrollment ID: I20040203001096 |
| Provider Name | Elie C Azrak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962495952 PECOS PAC ID: 3577456128 Enrollment ID: I20040223001217 |
| Provider Name | Mahmoud A Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083697122 PECOS PAC ID: 8628964186 Enrollment ID: I20040223001240 |
| Provider Name | Mark D Hingst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053372847 PECOS PAC ID: 7719874593 Enrollment ID: I20040304000671 |
| Provider Name | Diane M Stierwalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194722645 PECOS PAC ID: 4082503602 Enrollment ID: I20040312000137 |
| Provider Name | Joy C Stowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194740589 PECOS PAC ID: 2062405285 Enrollment ID: I20040405001096 |
| Provider Name | Andrea A Baxter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518984053 PECOS PAC ID: 4981693173 Enrollment ID: I20040512000029 |
| Provider Name | Stanley I Biel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154327039 PECOS PAC ID: 0143122655 Enrollment ID: I20040528000124 |
| Provider Name | Ahmareen H Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669449591 PECOS PAC ID: 6305829839 Enrollment ID: I20040608000239 |
| Provider Name | Lamice R El-kholy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124139845 PECOS PAC ID: 8426032426 Enrollment ID: I20040616001390 |
| Provider Name | James V Beattie |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508829177 PECOS PAC ID: 4385629625 Enrollment ID: I20040622000162 |
| Provider Name | Andrea K Moyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659318996 PECOS PAC ID: 1759366982 Enrollment ID: I20040622000999 |
| Provider Name | Saad R Bitar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598758583 PECOS PAC ID: 4587640529 Enrollment ID: I20040629000681 |
| Provider Name | Nona M Mungle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710935101 PECOS PAC ID: 0941288823 Enrollment ID: I20040708000373 |
| Provider Name | Frank Tull |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982702726 PECOS PAC ID: 6002894839 Enrollment ID: I20040709000003 |
| Provider Name | Pascale A Salem |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528081783 PECOS PAC ID: 9830179183 Enrollment ID: I20040726000742 |
| Provider Name | Patrick B Sandiford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154389336 PECOS PAC ID: 7810968534 Enrollment ID: I20040804001655 |
| Provider Name | Ann E Wieman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366557290 PECOS PAC ID: 5991775629 Enrollment ID: I20040817000363 |
| Provider Name | Chad Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982600615 PECOS PAC ID: 1052385267 Enrollment ID: I20040824000261 |
| Provider Name | Peter S Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558356469 PECOS PAC ID: 9830164342 Enrollment ID: I20040828000159 |
| Provider Name | Ronan Lev |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871602573 PECOS PAC ID: 8426023391 Enrollment ID: I20040902000136 |
| Provider Name | David E Bryan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578671418 PECOS PAC ID: 1052387685 Enrollment ID: I20040907000046 |
| Provider Name | Fariba Azarpour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225099690 PECOS PAC ID: 0143297713 Enrollment ID: I20040913001386 |
| Provider Name | Daniel J Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275594046 PECOS PAC ID: 8921076837 Enrollment ID: I20040920000205 |
| Provider Name | Stephen G Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811988942 PECOS PAC ID: 8426017633 Enrollment ID: I20041005000028 |
| Provider Name | Jessica N Bowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902838774 PECOS PAC ID: 4789643727 Enrollment ID: I20041006000536 |
| Provider Name | Lewis C Halverson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144253410 PECOS PAC ID: 2163482142 Enrollment ID: I20041014000000 |
| Provider Name | Mohammed F Majeed |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952323875 PECOS PAC ID: 9830159821 Enrollment ID: I20041014000056 |
| Provider Name | James Jian-hong Lu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245203801 PECOS PAC ID: 7214840131 Enrollment ID: I20041021000775 |
| Provider Name | Norman J Simon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932266897 PECOS PAC ID: 6406817386 Enrollment ID: I20041025000018 |
| Provider Name | Christin Anne Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952354094 PECOS PAC ID: 7517929722 Enrollment ID: I20041101000018 |
| Provider Name | Hope Rasque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588603435 PECOS PAC ID: 7315900842 Enrollment ID: I20041105000706 |
| Provider Name | Ali Ziaee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184689549 PECOS PAC ID: 5193788297 Enrollment ID: I20041110000005 |
| Provider Name | Rajiv Nanu Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588604573 PECOS PAC ID: 5193789162 Enrollment ID: I20041118000782 |
| Provider Name | Cesar Munoz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710979208 PECOS PAC ID: 8325023195 Enrollment ID: I20041119000957 |
| Provider Name | Jack Roh Oak |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326269648 PECOS PAC ID: 2062477573 Enrollment ID: I20041124000066 |
| Provider Name | Janelle S Carron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073519773 PECOS PAC ID: 6901861277 Enrollment ID: I20041129000356 |
| Provider Name | Philip G Holtgrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689846693 PECOS PAC ID: 5193773687 Enrollment ID: I20050111000940 |
| Provider Name | Maria Mcfarland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588667497 PECOS PAC ID: 7214988294 Enrollment ID: I20050208000035 |
| Provider Name | Syed Tariq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053322685 PECOS PAC ID: 6709837529 Enrollment ID: I20050209000082 |
| Provider Name | Danita L Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639152374 PECOS PAC ID: 6103878145 Enrollment ID: I20050217000537 |
| Provider Name | Jerome E Thurman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194793943 PECOS PAC ID: 2163475856 Enrollment ID: I20050222000743 |
| Provider Name | William R Ogle |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205925690 PECOS PAC ID: 9739134461 Enrollment ID: I20050316000149 |
| Provider Name | Teresa M Gibbs Kramper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225030117 PECOS PAC ID: 2365498946 Enrollment ID: I20050328000050 |
| Provider Name | Kim L Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386636009 PECOS PAC ID: 5799732517 Enrollment ID: I20050406000000 |
| Provider Name | Tauqir Ahmed |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336252204 PECOS PAC ID: 1355398728 Enrollment ID: I20050407000435 |
| Provider Name | Thomas R King |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639162530 PECOS PAC ID: 2668365206 Enrollment ID: I20050408000034 |
| Provider Name | Jovita Oruwari |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1841274446 PECOS PAC ID: 7810935277 Enrollment ID: I20050418000821 |
| Provider Name | Rael D Sundy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528015666 PECOS PAC ID: 8527006287 Enrollment ID: I20050422000115 |
| Provider Name | Daniel T Mattson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447237870 PECOS PAC ID: 0143269910 Enrollment ID: I20050511000011 |
| Provider Name | Michael S Boedefeld |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1043299548 PECOS PAC ID: 2567403066 Enrollment ID: I20050516000089 |
| Provider Name | Katherine M Dewey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194786434 PECOS PAC ID: 3375584618 Enrollment ID: I20050518000029 |
| Provider Name | Constance M Stranquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770509093 PECOS PAC ID: 0446286801 Enrollment ID: I20050718000113 |
| Provider Name | Daniel S Mcdonald |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841246683 PECOS PAC ID: 2961439229 Enrollment ID: I20050719000824 |
| Provider Name | Hari T Srihari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144262429 PECOS PAC ID: 5890723779 Enrollment ID: I20050802000014 |
| Provider Name | Jody T Jachna |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891728051 PECOS PAC ID: 1355311762 Enrollment ID: I20050804000751 |
| Provider Name | Richard A Hartman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427097666 PECOS PAC ID: 1658300199 Enrollment ID: I20050805000065 |
| Provider Name | Michael G Beat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053341636 PECOS PAC ID: 2466481908 Enrollment ID: I20050805000076 |
| Provider Name | Dawn M Matschiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710098454 PECOS PAC ID: 0345270401 Enrollment ID: I20050818000009 |
| Provider Name | Nikhat Salamat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154360550 PECOS PAC ID: 8022049832 Enrollment ID: I20050822000963 |
| Provider Name | Sandeep Sen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467492454 PECOS PAC ID: 0840217196 Enrollment ID: I20051026001080 |
| Provider Name | Chandra K Wiewel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033170741 PECOS PAC ID: 4587562061 Enrollment ID: I20051027000049 |
| Provider Name | Christos N Papageorgio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003861477 PECOS PAC ID: 3870513112 Enrollment ID: I20051130000970 |
| Provider Name | John Randall Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225099914 PECOS PAC ID: 1759303621 Enrollment ID: I20051221000003 |
| Provider Name | Sasibala S Vinjamoori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801861497 PECOS PAC ID: 9830111707 Enrollment ID: I20051221000011 |
| Provider Name | Allison R. Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952340317 PECOS PAC ID: 7911929484 Enrollment ID: I20051227000419 |
| Provider Name | Cami L Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376516427 PECOS PAC ID: 1850305723 Enrollment ID: I20060131000006 |
| Provider Name | John E Frattini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124093810 PECOS PAC ID: 7618982695 Enrollment ID: I20060213000292 |
| Provider Name | Christy L Richardson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548241284 PECOS PAC ID: 4789690645 Enrollment ID: I20060301000593 |
| Provider Name | Ardaman S Nanda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215994892 PECOS PAC ID: 7810950102 Enrollment ID: I20060323000027 |
| Provider Name | Samer Thanavaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619960606 PECOS PAC ID: 4688567225 Enrollment ID: I20060327000675 |
| Provider Name | Suresh K Narayanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720071244 PECOS PAC ID: 1355359621 Enrollment ID: I20060328000470 |
| Provider Name | Francisco J Quinones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366429748 PECOS PAC ID: 2062455421 Enrollment ID: I20060426000818 |
| Provider Name | Thomas Mark Leibold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255362430 PECOS PAC ID: 8022047745 Enrollment ID: I20060727000086 |
| Provider Name | Sohail Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689602930 PECOS PAC ID: 7618980921 Enrollment ID: I20060802000428 |
| Provider Name | Debra E Solom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003848516 PECOS PAC ID: 0547263485 Enrollment ID: I20060816000140 |
| Provider Name | Sheri L Lehmen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417901802 PECOS PAC ID: 4789688011 Enrollment ID: I20060829000340 |
| Provider Name | Samantha Sattler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326086893 PECOS PAC ID: 8426947870 Enrollment ID: I20060830000166 |
| Provider Name | Leah K Swartwout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528098845 PECOS PAC ID: 2264436815 Enrollment ID: I20060913000118 |
| Provider Name | Chad C Shelton |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1194758938 PECOS PAC ID: 2769487156 Enrollment ID: I20060918000329 |
| Provider Name | Jill Cacciabando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356378467 PECOS PAC ID: 7012926678 Enrollment ID: I20060921000282 |
| Provider Name | Rebecca D Buwalda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366477226 PECOS PAC ID: 5890790075 Enrollment ID: I20060921000290 |
| Provider Name | Laura W Laue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780630962 PECOS PAC ID: 9335144252 Enrollment ID: I20060928000232 |
| Provider Name | Joseph F Rodemann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730101874 PECOS PAC ID: 6002813177 Enrollment ID: I20061102000283 |
| Provider Name | Susan L Hamlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366482515 PECOS PAC ID: 0749287639 Enrollment ID: I20061108000052 |
| Provider Name | Robert G Lutan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528051422 PECOS PAC ID: 3274531934 Enrollment ID: I20061114000146 |
| Provider Name | Umar Daud |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053388942 PECOS PAC ID: 3476576703 Enrollment ID: I20070108000228 |
| Provider Name | Thomas B Charles |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629012042 PECOS PAC ID: 2466458013 Enrollment ID: I20070112000250 |
| Provider Name | Joshua S Glaser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235245598 PECOS PAC ID: 3274539820 Enrollment ID: I20070112000267 |
| Provider Name | Michael D Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689686065 PECOS PAC ID: 3173529724 Enrollment ID: I20070112000277 |
| Provider Name | Caroline A Werner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538151097 PECOS PAC ID: 3072519628 Enrollment ID: I20070212000579 |
| Provider Name | Andrew T Gelven |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982718268 PECOS PAC ID: 5698877975 Enrollment ID: I20070219000016 |
| Provider Name | Hugh G Berry |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1831194935 PECOS PAC ID: 4981610953 Enrollment ID: I20070306000139 |
| Provider Name | Raad Roubey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528106739 PECOS PAC ID: 1658474820 Enrollment ID: I20070308000034 |
| Provider Name | Edward S Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437142338 PECOS PAC ID: 7214820851 Enrollment ID: I20070308000615 |
| Provider Name | Aislinn S Vaughan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1427084227 PECOS PAC ID: 5193828069 Enrollment ID: I20070314000010 |
| Provider Name | Manojpal S Dahuja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518962240 PECOS PAC ID: 1951376649 Enrollment ID: I20070315000019 |
| Provider Name | Edward S Levy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144248691 PECOS PAC ID: 3870697634 Enrollment ID: I20070405000002 |
| Provider Name | Mary K Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255361408 PECOS PAC ID: 3779564752 Enrollment ID: I20070418000022 |
| Provider Name | Praveena Uppal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871586156 PECOS PAC ID: 4385740349 Enrollment ID: I20070508000311 |
| Provider Name | Jason Dee Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417073297 PECOS PAC ID: 7113023128 Enrollment ID: I20070509000021 |
| Provider Name | Andrea R Sample |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972602761 PECOS PAC ID: 8729184734 Enrollment ID: I20070509000051 |
| Provider Name | Ramona B Chebli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245385715 PECOS PAC ID: 9739285552 Enrollment ID: I20070510000315 |
| Provider Name | Kelly A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336276096 PECOS PAC ID: 3678670981 Enrollment ID: I20070522000254 |
| Provider Name | Bruce Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699712323 PECOS PAC ID: 8527166693 Enrollment ID: I20070613000531 |
| Provider Name | James J Spadaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063411999 PECOS PAC ID: 6901997402 Enrollment ID: I20070814000069 |
| Provider Name | Annu Terkonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649223561 PECOS PAC ID: 8921190760 Enrollment ID: I20070823000867 |
| Provider Name | Farris Jackson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083618904 PECOS PAC ID: 3779675558 Enrollment ID: I20070824000235 |
| Provider Name | Monica A Washburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073618021 PECOS PAC ID: 9133126402 Enrollment ID: I20070827000725 |
| Provider Name | Patrick B Mcdonough |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770791832 PECOS PAC ID: 1658466073 Enrollment ID: I20071001000347 |
| Provider Name | Thomas P Gutmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437165834 PECOS PAC ID: 8729989215 Enrollment ID: I20071005000236 |
| Provider Name | Sandra K Scharf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295920817 PECOS PAC ID: 2769577568 Enrollment ID: I20071008000506 |
| Provider Name | Morin M Hanson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083617294 PECOS PAC ID: 0648366385 Enrollment ID: I20071011000208 |
| Provider Name | John J Dombrowski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730200890 PECOS PAC ID: 2668569583 Enrollment ID: I20071024000539 |
| Provider Name | Homer T Johnson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932223898 PECOS PAC ID: 4688761356 Enrollment ID: I20071026000443 |
| Provider Name | Rosalind D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184819575 PECOS PAC ID: 0749377935 Enrollment ID: I20071105000460 |
| Provider Name | Gregorius Penilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023024973 PECOS PAC ID: 8426146192 Enrollment ID: I20071113000601 |
| Provider Name | Anna M Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851570329 PECOS PAC ID: 2466540067 Enrollment ID: I20071115000244 |
| Provider Name | Roberto J Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417972894 PECOS PAC ID: 0749239812 Enrollment ID: I20071130000193 |
| Provider Name | Sarah E Sbarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295921302 PECOS PAC ID: 9931298239 Enrollment ID: I20071210000570 |
| Provider Name | Mohhamed L Omran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861592925 PECOS PAC ID: 4082794177 Enrollment ID: I20080102000112 |
| Provider Name | Lori M Harter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104015973 PECOS PAC ID: 9537249388 Enrollment ID: I20080105000046 |
| Provider Name | Bari L Golub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942233622 PECOS PAC ID: 3274598594 Enrollment ID: I20080228000279 |
| Provider Name | Kristen Rowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811997505 PECOS PAC ID: 6305738147 Enrollment ID: I20080307000247 |
| Provider Name | James Cuellar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912917998 PECOS PAC ID: 4284724048 Enrollment ID: I20080324000604 |
| Provider Name | Mark S Krasnoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821016064 PECOS PAC ID: 2567540230 Enrollment ID: I20080421000487 |
| Provider Name | Thomas Spiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215955455 PECOS PAC ID: 4284713413 Enrollment ID: I20080429000909 |
| Provider Name | Carol J Evers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629077607 PECOS PAC ID: 3274612122 Enrollment ID: I20080505000391 |
| Provider Name | Kochurani J Maliekel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699777813 PECOS PAC ID: 0941114821 Enrollment ID: I20080513000437 |
| Provider Name | David Theodoro |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073518577 PECOS PAC ID: 4789578238 Enrollment ID: I20080514000410 |
| Provider Name | Patrick A Nero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558329268 PECOS PAC ID: 5698735827 Enrollment ID: I20080609000835 |
| Provider Name | Niranjan N Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225234040 PECOS PAC ID: 7012087570 Enrollment ID: I20080610000474 |
| Provider Name | Rimki Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477564706 PECOS PAC ID: 2062410038 Enrollment ID: I20080613000615 |
| Provider Name | Georges E Chahoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942390414 PECOS PAC ID: 4183655053 Enrollment ID: I20080623000554 |
| Provider Name | Asif Shahzad Bhutto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205093473 PECOS PAC ID: 0648342717 Enrollment ID: I20080707000307 |
| Provider Name | Joel Y Riley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164440301 PECOS PAC ID: 9133292618 Enrollment ID: I20080716000420 |
| Provider Name | Phillip G Apprill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235135310 PECOS PAC ID: 3870495385 Enrollment ID: I20080725000379 |
| Provider Name | Stephanie L Schnepp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518004795 PECOS PAC ID: 8921174491 Enrollment ID: I20080906000127 |
| Provider Name | Lori A Effland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245203272 PECOS PAC ID: 2567412695 Enrollment ID: I20080916000370 |
| Provider Name | Joel C Hammond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790892552 PECOS PAC ID: 0840363776 Enrollment ID: I20081104000777 |
| Provider Name | Madhu Kiran Kancherla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942209036 PECOS PAC ID: 3577465087 Enrollment ID: I20081105000228 |
| Provider Name | Sharon L Latham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740434950 PECOS PAC ID: 8325109531 Enrollment ID: I20081205000816 |
| Provider Name | Darla J Allan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215184635 PECOS PAC ID: 7911068747 Enrollment ID: I20081211000258 |
| Provider Name | Eric M Nalagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033287610 PECOS PAC ID: 9739241530 Enrollment ID: I20090102000100 |
| Provider Name | Daniel J Scodary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1619965316 PECOS PAC ID: 1456414630 Enrollment ID: I20090116000013 |
| Provider Name | Leslie A Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295936011 PECOS PAC ID: 9537223045 Enrollment ID: I20090128000443 |
| Provider Name | Demetrios V Politis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255417754 PECOS PAC ID: 3779512033 Enrollment ID: I20090203000446 |
| Provider Name | Ramis Gheith |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1063611895 PECOS PAC ID: 8123186293 Enrollment ID: I20090306000331 |
| Provider Name | Cathy W Koetting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306086582 PECOS PAC ID: 6002964715 Enrollment ID: I20090507000508 |
| Provider Name | Lalithkumar K Chouhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124011028 PECOS PAC ID: 1850284498 Enrollment ID: I20090513000220 |
| Provider Name | Melanie V Maze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255587127 PECOS PAC ID: 7618026006 Enrollment ID: I20090513000560 |
| Provider Name | Debra L Foersterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710125497 PECOS PAC ID: 8628127727 Enrollment ID: I20090520000318 |
| Provider Name | Abhay Atul Laddu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538298294 PECOS PAC ID: 5991856536 Enrollment ID: I20090622000633 |
| Provider Name | Pamela W Bunting |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1407004872 PECOS PAC ID: 8022160829 Enrollment ID: I20090708000586 |
| Provider Name | Anjul Sharma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720299084 PECOS PAC ID: 9133272081 Enrollment ID: I20090724000658 |
| Provider Name | Susan York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407904352 PECOS PAC ID: 2567533052 Enrollment ID: I20090803000116 |
| Provider Name | Stanley B Martin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902913494 PECOS PAC ID: 9133213267 Enrollment ID: I20090811000330 |
| Provider Name | Peter C Mikolajczak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790978252 PECOS PAC ID: 3476607367 Enrollment ID: I20090811000726 |
| Provider Name | Michael J Heavey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316089261 PECOS PAC ID: 5193879005 Enrollment ID: I20090812000076 |
| Provider Name | Stephanie Becker Koepke |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063618379 PECOS PAC ID: 6901950518 Enrollment ID: I20090817000592 |
| Provider Name | Cheryl L Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275708521 PECOS PAC ID: 9739233800 Enrollment ID: I20090825000188 |
| Provider Name | Mario Morales |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760580989 PECOS PAC ID: 2264587260 Enrollment ID: I20090826000875 |
| Provider Name | Rhonda M Lebbing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174519177 PECOS PAC ID: 9032265814 Enrollment ID: I20090921000022 |
| Provider Name | Pamela B Witthohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588873855 PECOS PAC ID: 0345396131 Enrollment ID: I20090921000082 |
| Provider Name | Kurt D Merkel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225006265 PECOS PAC ID: 6901952530 Enrollment ID: I20090923000038 |
| Provider Name | Melanie Janette Wahl |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609072933 PECOS PAC ID: 4385790765 Enrollment ID: I20090928000115 |
| Provider Name | Delores C Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881723062 PECOS PAC ID: 7810076304 Enrollment ID: I20091106000082 |
| Provider Name | Peter Fonseca |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760483101 PECOS PAC ID: 9638217425 Enrollment ID: I20091116000591 |
| Provider Name | Amy C Eichholz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386751030 PECOS PAC ID: 9931177623 Enrollment ID: I20100109000014 |
| Provider Name | Richard B Whiting |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033118039 PECOS PAC ID: 5799827507 Enrollment ID: I20100116000045 |
| Provider Name | Richard A Summa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558334227 PECOS PAC ID: 0042353013 Enrollment ID: I20100130000241 |
| Provider Name | Amer Alshekhlee |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255328100 PECOS PAC ID: 0648375931 Enrollment ID: I20100305000025 |
| Provider Name | Richard B Helfrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023110582 PECOS PAC ID: 8325100290 Enrollment ID: I20100311000907 |
| Provider Name | Timothy G Graven |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417015827 PECOS PAC ID: 7416019385 Enrollment ID: I20100311000932 |
| Provider Name | David A Nickel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295796118 PECOS PAC ID: 4880729086 Enrollment ID: I20100312000583 |
| Provider Name | Asim Razzaq |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164531877 PECOS PAC ID: 7517963168 Enrollment ID: I20100322000860 |
| Provider Name | Kendall Itoku |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699870162 PECOS PAC ID: 3971509522 Enrollment ID: I20100329000623 |
| Provider Name | Joseph Levy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497850937 PECOS PAC ID: 8527064179 Enrollment ID: I20100329000665 |
| Provider Name | John Mccarthy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477662179 PECOS PAC ID: 1254337801 Enrollment ID: I20100329000679 |
| Provider Name | Ralph J Torrence |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861501579 PECOS PAC ID: 0244236891 Enrollment ID: I20100329000701 |
| Provider Name | Christine A Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265754147 PECOS PAC ID: 2769510361 Enrollment ID: I20100430000686 |
| Provider Name | James G Glauber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609889831 PECOS PAC ID: 9032247572 Enrollment ID: I20100504000740 |
| Provider Name | Robert G Swanson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114969144 PECOS PAC ID: 5799840146 Enrollment ID: I20100511000789 |
| Provider Name | Carlos Seuc |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609858273 PECOS PAC ID: 5597848788 Enrollment ID: I20100518000732 |
| Provider Name | Lawrence S Tierney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053440222 PECOS PAC ID: 2668363573 Enrollment ID: I20100608000063 |
| Provider Name | Jacob Manoj Kitchener |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1003818733 PECOS PAC ID: 9638100118 Enrollment ID: I20100610000997 |
| Provider Name | Laurence J Kinsella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770591646 PECOS PAC ID: 6608906995 Enrollment ID: I20100614000096 |
| Provider Name | Rachel Meenu George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679546592 PECOS PAC ID: 9234260886 Enrollment ID: I20100626000254 |
| Provider Name | Jason B Vangundy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790746071 PECOS PAC ID: 3870624901 Enrollment ID: I20100706000313 |
| Provider Name | Thomas A Tyree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841251048 PECOS PAC ID: 6901938141 Enrollment ID: I20100723000019 |
| Provider Name | Thomas A Lord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740242288 PECOS PAC ID: 5991837130 Enrollment ID: I20100723000030 |
| Provider Name | Marin Marcu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295795722 PECOS PAC ID: 5597656496 Enrollment ID: I20100723000302 |
| Provider Name | Joanne E Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467433417 PECOS PAC ID: 9133108236 Enrollment ID: I20100728000345 |
| Provider Name | Mark A Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932311974 PECOS PAC ID: 9830222744 Enrollment ID: I20100729000124 |
| Provider Name | Maryam Naemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619938628 PECOS PAC ID: 6406989243 Enrollment ID: I20100730000836 |
| Provider Name | David Butler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598789489 PECOS PAC ID: 7113082447 Enrollment ID: I20100802000978 |
| Provider Name | Gordon C Knight |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942234331 PECOS PAC ID: 7416846639 Enrollment ID: I20100803001157 |
| Provider Name | Richard S Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352637 PECOS PAC ID: 3476686957 Enrollment ID: I20100804000632 |
| Provider Name | William C Schroer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447202197 PECOS PAC ID: 6800892456 Enrollment ID: I20100805000647 |
| Provider Name | Katherine A Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326090515 PECOS PAC ID: 0648276295 Enrollment ID: I20100805000686 |
| Provider Name | Syed A Abdul Khader |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043262009 PECOS PAC ID: 4688755333 Enrollment ID: I20100805000711 |
| Provider Name | Charles A Wetherington |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326048935 PECOS PAC ID: 8426181702 Enrollment ID: I20100806000728 |
| Provider Name | Saad Alkaade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033433594 PECOS PAC ID: 9436283652 Enrollment ID: I20100810000548 |
| Provider Name | Raymond J Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780645960 PECOS PAC ID: 0446384622 Enrollment ID: I20100811000114 |
| Provider Name | Brian M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780645408 PECOS PAC ID: 7315071412 Enrollment ID: I20100811000459 |
| Provider Name | Charles R Hartman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205819034 PECOS PAC ID: 2567596489 Enrollment ID: I20100813000980 |
| Provider Name | Juan M Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356315634 PECOS PAC ID: 3476687302 Enrollment ID: I20100814000043 |
| Provider Name | Lori Np Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912104043 PECOS PAC ID: 6901930841 Enrollment ID: I20100814000214 |
| Provider Name | Sam G Bishara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194949784 PECOS PAC ID: 7810930492 Enrollment ID: I20100816001118 |
| Provider Name | Robert J Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316909872 PECOS PAC ID: 3870627615 Enrollment ID: I20100817000042 |
| Provider Name | Thomas F Landholt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033205646 PECOS PAC ID: 4688708423 Enrollment ID: I20100817000050 |
| Provider Name | Joseph W Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912971557 PECOS PAC ID: 1951435601 Enrollment ID: I20100817000308 |
| Provider Name | David S Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174597454 PECOS PAC ID: 1951435627 Enrollment ID: I20100817000611 |
| Provider Name | Leonard M Hoffmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174585665 PECOS PAC ID: 7214061936 Enrollment ID: I20100817001174 |
| Provider Name | Robert Paul Margolis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497732812 PECOS PAC ID: 5193764009 Enrollment ID: I20100817001180 |
| Provider Name | Wan In Lin Koo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871554865 PECOS PAC ID: 4385778000 Enrollment ID: I20100817001215 |
| Provider Name | Jamshed Gul Agha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720041395 PECOS PAC ID: 0143398545 Enrollment ID: I20100817001517 |
| Provider Name | John Bedwinek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952367740 PECOS PAC ID: 5698843092 Enrollment ID: I20100818000305 |
| Provider Name | Igor Brondz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750341152 PECOS PAC ID: 7618001280 Enrollment ID: I20100818000328 |
| Provider Name | Michael P Hemmersmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366404832 PECOS PAC ID: 7315071982 Enrollment ID: I20100818000367 |
| Provider Name | Arun Venkat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255399267 PECOS PAC ID: 2466586078 Enrollment ID: I20100818000889 |
| Provider Name | Randall D Roush |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255357091 PECOS PAC ID: 1355371899 Enrollment ID: I20100819001124 |
| Provider Name | Hari H Diwakaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285694703 PECOS PAC ID: 8426182890 Enrollment ID: I20100820000450 |
| Provider Name | Crystel D Knierim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023034857 PECOS PAC ID: 2264462704 Enrollment ID: I20100824001180 |
| Provider Name | Timothy W Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548233455 PECOS PAC ID: 2062536030 Enrollment ID: I20100826001178 |
| Provider Name | Frederic A Prater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174597629 PECOS PAC ID: 7416071485 Enrollment ID: I20100826001193 |
| Provider Name | David A Dorsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891992608 PECOS PAC ID: 7719001742 Enrollment ID: I20100827000744 |
| Provider Name | Terry J Weis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154347995 PECOS PAC ID: 4981634425 Enrollment ID: I20100831000981 |
| Provider Name | Priya Sadhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275864712 PECOS PAC ID: 6507980299 Enrollment ID: I20100902000051 |
| Provider Name | Scott A Lieberman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700850088 PECOS PAC ID: 7810993466 Enrollment ID: I20100902000493 |
| Provider Name | Dale M Henselmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699748756 PECOS PAC ID: 5395869911 Enrollment ID: I20100902000525 |
| Provider Name | Josey M Page |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467426957 PECOS PAC ID: 5294859815 Enrollment ID: I20100902000536 |
| Provider Name | Randall K Gibb |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1639195944 PECOS PAC ID: 4486745494 Enrollment ID: I20100903000175 |
| Provider Name | Alejandra D Alvarez Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588844542 PECOS PAC ID: 1658495163 Enrollment ID: I20100903000569 |
| Provider Name | Ann M Wilson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902911829 PECOS PAC ID: 4981674611 Enrollment ID: I20100909000441 |
| Provider Name | Rita Mukerji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023218807 PECOS PAC ID: 6305961673 Enrollment ID: I20100910000521 |
| Provider Name | Katherine J Martin-bredahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427388776 PECOS PAC ID: 4880886159 Enrollment ID: I20101005000362 |
| Provider Name | Tanika C Esters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730496522 PECOS PAC ID: 9830382704 Enrollment ID: I20101023000116 |
| Provider Name | Simeon Prager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851320329 PECOS PAC ID: 3072707629 Enrollment ID: I20101028000302 |
| Provider Name | Emad Monir Ageeb Zakhary |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558314864 PECOS PAC ID: 8022920487 Enrollment ID: I20101029000184 |
| Provider Name | William P Wright |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962475848 PECOS PAC ID: 4688749427 Enrollment ID: I20101108000039 |
| Provider Name | Loretta Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235135237 PECOS PAC ID: 3274524244 Enrollment ID: I20101204000076 |
| Provider Name | David L Mccollister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528028065 PECOS PAC ID: 7315127594 Enrollment ID: I20110204000353 |
| Provider Name | John T Hoff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073540951 PECOS PAC ID: 1355521360 Enrollment ID: I20110208001077 |
| Provider Name | Vikas Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194928440 PECOS PAC ID: 0446437529 Enrollment ID: I20110527000547 |
| Provider Name | Judith Hustermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255639019 PECOS PAC ID: 3577740489 Enrollment ID: I20110601000730 |
| Provider Name | Theresa L Schwartz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831391598 PECOS PAC ID: 8628102464 Enrollment ID: I20110607000113 |
| Provider Name | Christopher Bauer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437123254 PECOS PAC ID: 0042242562 Enrollment ID: I20110616000699 |
| Provider Name | Daniel Maxfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780611608 PECOS PAC ID: 6507846896 Enrollment ID: I20110707000320 |
| Provider Name | Christiane Samir Zoghbi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528256237 PECOS PAC ID: 3173701562 Enrollment ID: I20110708000016 |
| Provider Name | Fang-xiang Chen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194932996 PECOS PAC ID: 8325000771 Enrollment ID: I20110818000524 |
| Provider Name | Tyler A Mork |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477736320 PECOS PAC ID: 2668506395 Enrollment ID: I20110818000561 |
| Provider Name | Jill M Bosanquet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306008669 PECOS PAC ID: 0840460119 Enrollment ID: I20110823000919 |
| Provider Name | Donald P Goeller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821250887 PECOS PAC ID: 0345411385 Enrollment ID: I20110922000346 |
| Provider Name | Christian M Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881867497 PECOS PAC ID: 2769654946 Enrollment ID: I20111012000364 |
| Provider Name | Kara J Stackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306146295 PECOS PAC ID: 6901078955 Enrollment ID: I20111017000465 |
| Provider Name | Anish J Thomas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912096231 PECOS PAC ID: 6901983709 Enrollment ID: I20111018000028 |
| Provider Name | Melvin M Maclin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821198607 PECOS PAC ID: 1153594809 Enrollment ID: I20111026000056 |
| Provider Name | Brandi D House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639486319 PECOS PAC ID: 7810160488 Enrollment ID: I20111026000431 |
| Provider Name | Ruben R Aymerich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609858562 PECOS PAC ID: 6901079243 Enrollment ID: I20111101000475 |
| Provider Name | Ilia Rosa Sumoza |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548447113 PECOS PAC ID: 2769659382 Enrollment ID: I20120124000034 |
| Provider Name | Jennifer N Schallert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932481884 PECOS PAC ID: 7719144252 Enrollment ID: I20120210000286 |
| Provider Name | Jennifer Alonzo Doriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023380847 PECOS PAC ID: 8325206147 Enrollment ID: I20120225000028 |
| Provider Name | Natalie Grace Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952688640 PECOS PAC ID: 1850550831 Enrollment ID: I20120312000104 |
| Provider Name | Elisa Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952688178 PECOS PAC ID: 0749440717 Enrollment ID: I20120328000843 |
| Provider Name | Agnes C Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821360454 PECOS PAC ID: 2062672827 Enrollment ID: I20120402000388 |
| Provider Name | Bryant J Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952335408 PECOS PAC ID: 6507027620 Enrollment ID: I20120418000016 |
| Provider Name | Beverly D Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306112388 PECOS PAC ID: 0648432401 Enrollment ID: I20120424000688 |
| Provider Name | Ammar Nasir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427212299 PECOS PAC ID: 4385806272 Enrollment ID: I20120511000078 |
| Provider Name | Brook C Raye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710252176 PECOS PAC ID: 3870756992 Enrollment ID: I20120529000344 |
| Provider Name | Cynthia M Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790079663 PECOS PAC ID: 3971767567 Enrollment ID: I20120612000031 |
| Provider Name | Sheerin B Sturm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083724272 PECOS PAC ID: 1951431287 Enrollment ID: I20120628000377 |
| Provider Name | Sonali Jain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144457128 PECOS PAC ID: 3779739784 Enrollment ID: I20120807000763 |
| Provider Name | Xinrong Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164683447 PECOS PAC ID: 6002063401 Enrollment ID: I20120820000787 |
| Provider Name | Tiffany K Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487918124 PECOS PAC ID: 5698923688 Enrollment ID: I20120917000667 |
| Provider Name | Siddharth Kaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245493402 PECOS PAC ID: 4789869462 Enrollment ID: I20120928000037 |
| Provider Name | Muhammad F Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366575151 PECOS PAC ID: 4183719222 Enrollment ID: I20121004000043 |
| Provider Name | Osler J Guzon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285683888 PECOS PAC ID: 1850467721 Enrollment ID: I20121008000439 |
| Provider Name | Thomas F Satterly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174759203 PECOS PAC ID: 5092992032 Enrollment ID: I20121009000486 |
| Provider Name | Tanvira K Alam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265670525 PECOS PAC ID: 7911157656 Enrollment ID: I20121015000718 |
| Provider Name | Troy A Dowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841497716 PECOS PAC ID: 5092880450 Enrollment ID: I20121020000038 |
| Provider Name | Jessica A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922234475 PECOS PAC ID: 7315198116 Enrollment ID: I20121102000339 |
| Provider Name | Becky E Oetting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811129695 PECOS PAC ID: 1658522255 Enrollment ID: I20121107000563 |
| Provider Name | Venkata Anand Varma Gottumukkala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740510247 PECOS PAC ID: 6103078662 Enrollment ID: I20121207000087 |
| Provider Name | David E Morris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245339282 PECOS PAC ID: 6800927096 Enrollment ID: I20130103000034 |
| Provider Name | Alan W Holshouser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952362444 PECOS PAC ID: 5294988044 Enrollment ID: I20130104000121 |
| Provider Name | Joanne M Wolfe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851352660 PECOS PAC ID: 2466605217 Enrollment ID: I20130104000132 |
| Provider Name | Nadira Adil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184685547 PECOS PAC ID: 5799938437 Enrollment ID: I20130109000280 |
| Provider Name | Kelly A Sonntag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295940906 PECOS PAC ID: 4486809167 Enrollment ID: I20130301000478 |
| Provider Name | Ann M Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033460324 PECOS PAC ID: 5597910299 Enrollment ID: I20130304000093 |
| Provider Name | Ann M Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659670552 PECOS PAC ID: 2466607858 Enrollment ID: I20130311000392 |
| Provider Name | Lita Dace Lapins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013253699 PECOS PAC ID: 8921243064 Enrollment ID: I20130320000753 |
| Provider Name | Keith J Moll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225090756 PECOS PAC ID: 6305081225 Enrollment ID: I20130326000162 |
| Provider Name | David Draney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144471061 PECOS PAC ID: 1153482013 Enrollment ID: I20130410000542 |
| Provider Name | Julia C Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023024163 PECOS PAC ID: 9335386945 Enrollment ID: I20130517000454 |
| Provider Name | Kelley E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942540745 PECOS PAC ID: 4082852249 Enrollment ID: I20130529000500 |
| Provider Name | Thomas Seon-o Chung |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962473751 PECOS PAC ID: 6406999135 Enrollment ID: I20130715000165 |
| Provider Name | Brooke Colbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922295765 PECOS PAC ID: 9234371634 Enrollment ID: I20130814000860 |
| Provider Name | Lara A Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406954 PECOS PAC ID: 5698917979 Enrollment ID: I20130815000927 |
| Provider Name | Christina M Blaesing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316135486 PECOS PAC ID: 5698918548 Enrollment ID: I20130826000515 |
| Provider Name | Jennifer Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548205008 PECOS PAC ID: 6305738667 Enrollment ID: I20130903000347 |
| Provider Name | Mohsin Ehsan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265627210 PECOS PAC ID: 9830332196 Enrollment ID: I20130905000597 |
| Provider Name | Stephanie M White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588863906 PECOS PAC ID: 9931343829 Enrollment ID: I20130916000202 |
| Provider Name | David M Neils |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346440344 PECOS PAC ID: 9830333442 Enrollment ID: I20130923000255 |
| Provider Name | Steven D Drake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770895070 PECOS PAC ID: 0244485985 Enrollment ID: I20131001000277 |
| Provider Name | Christopher B Patton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891950119 PECOS PAC ID: 8628202504 Enrollment ID: I20131008001197 |
| Provider Name | Mesfin T Mitike |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992967632 PECOS PAC ID: 7911131784 Enrollment ID: I20131009002122 |
| Provider Name | Ayotunde Mark Bamimore |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1558546515 PECOS PAC ID: 0840446597 Enrollment ID: I20131023001597 |
| Provider Name | Cody B Bellard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437353349 PECOS PAC ID: 4880829811 Enrollment ID: I20131029001941 |
| Provider Name | Sean P Stoneking |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1497918486 PECOS PAC ID: 0749436129 Enrollment ID: I20131030000067 |
| Provider Name | Ellen T Loeffler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750401253 PECOS PAC ID: 6406914464 Enrollment ID: I20131109000205 |
| Provider Name | Idelle Maxine Woodson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770894669 PECOS PAC ID: 7719114149 Enrollment ID: I20131210002178 |
| Provider Name | Osama M Qubaiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710027792 PECOS PAC ID: 0547369266 Enrollment ID: I20131217001852 |
| Provider Name | Kathleen E Eddington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477981454 PECOS PAC ID: 0648407395 Enrollment ID: I20131230000756 |
| Provider Name | Jean M Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588007587 PECOS PAC ID: 8527296839 Enrollment ID: I20140113001721 |
| Provider Name | Jennie M Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659336774 PECOS PAC ID: 9830328053 Enrollment ID: I20140211001800 |
| Provider Name | Megan Nichoalds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962832980 PECOS PAC ID: 1658500731 Enrollment ID: I20140213000247 |
| Provider Name | Lauren R Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265862916 PECOS PAC ID: 9032349667 Enrollment ID: I20140227001409 |
| Provider Name | Angela R Sqrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588989453 PECOS PAC ID: 0547490799 Enrollment ID: I20140307001364 |
| Provider Name | Sarah R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083044879 PECOS PAC ID: 1052541166 Enrollment ID: I20140310001972 |
| Provider Name | Ruth A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659793883 PECOS PAC ID: 3870724719 Enrollment ID: I20140318001859 |
| Provider Name | Marina T Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750700928 PECOS PAC ID: 8123251022 Enrollment ID: I20140430000659 |
| Provider Name | Lisa R Mohrman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144465519 PECOS PAC ID: 9537383427 Enrollment ID: I20140616001758 |
| Provider Name | Catharine A Kahrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376957415 PECOS PAC ID: 4880819929 Enrollment ID: I20140707000262 |
| Provider Name | Gina R Calvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366853541 PECOS PAC ID: 6507082104 Enrollment ID: I20140716001743 |
| Provider Name | Kristina M Boylan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144648924 PECOS PAC ID: 6709002223 Enrollment ID: I20140718000970 |
| Provider Name | Getinet D Ayalew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326235797 PECOS PAC ID: 3173701448 Enrollment ID: I20140729002781 |
| Provider Name | Joseph G Waller |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376778258 PECOS PAC ID: 7113172057 Enrollment ID: I20140801001520 |
| Provider Name | Amit Chakrabarty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598786725 PECOS PAC ID: 9133143746 Enrollment ID: I20140820001811 |
| Provider Name | Katherine Ruth Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942599808 PECOS PAC ID: 6204057391 Enrollment ID: I20141014000977 |
| Provider Name | Thomas H Landon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073568382 PECOS PAC ID: 2365478211 Enrollment ID: I20141028001432 |
| Provider Name | Adina Lumley Rey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336558014 PECOS PAC ID: 2062633324 Enrollment ID: I20141030000549 |
| Provider Name | Fikisha Latoya Warden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679701395 PECOS PAC ID: 9739338351 Enrollment ID: I20141205001509 |
| Provider Name | Victor G Williams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942322821 PECOS PAC ID: 7719070127 Enrollment ID: I20141209000582 |
| Provider Name | Jennifer Rae Huckstep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578969259 PECOS PAC ID: 3476877903 Enrollment ID: I20150109001898 |
| Provider Name | Josephine La Glaser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407887979 PECOS PAC ID: 1052446754 Enrollment ID: I20150518001297 |
| Provider Name | Matthew E. Johnson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952612020 PECOS PAC ID: 4486975430 Enrollment ID: I20150603001193 |
| Provider Name | Christopher D Jaeger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457672446 PECOS PAC ID: 4587837166 Enrollment ID: I20150604001093 |
| Provider Name | Holly Joy Wiesehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609260116 PECOS PAC ID: 4981925609 Enrollment ID: I20150608000293 |
| Provider Name | Donna Thanh Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295129732 PECOS PAC ID: 5597076851 Enrollment ID: I20150612002139 |
| Provider Name | Jacob I Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861832644 PECOS PAC ID: 2264743400 Enrollment ID: I20150615002389 |
| Provider Name | Anne U Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033107636 PECOS PAC ID: 9638257215 Enrollment ID: I20150623001975 |
| Provider Name | Andrew B Kichura |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265794432 PECOS PAC ID: 3678885902 Enrollment ID: I20150630000240 |
| Provider Name | Giao Vuong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902034499 PECOS PAC ID: 2264745413 Enrollment ID: I20150717001114 |
| Provider Name | Michael S Williams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750544011 PECOS PAC ID: 4284947375 Enrollment ID: I20150717002548 |
| Provider Name | Laura L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760878839 PECOS PAC ID: 5698088433 Enrollment ID: I20150722004579 |
| Provider Name | Rishi Kranth Vasireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547539 PECOS PAC ID: 8628228186 Enrollment ID: I20150722005422 |
| Provider Name | Bassam Malo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205148293 PECOS PAC ID: 0446563241 Enrollment ID: I20150723006734 |
| Provider Name | Charles S Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902169972 PECOS PAC ID: 1456665074 Enrollment ID: I20150727001905 |
| Provider Name | Monica L Board |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437409992 PECOS PAC ID: 4688826498 Enrollment ID: I20150729007558 |
| Provider Name | Nicholas B Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073875928 PECOS PAC ID: 5395965891 Enrollment ID: I20150731014238 |
| Provider Name | Prityi Rani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073891552 PECOS PAC ID: 2163666983 Enrollment ID: I20150805006938 |
| Provider Name | Courtney J Cockerell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346504644 PECOS PAC ID: 3173837002 Enrollment ID: I20150805007348 |
| Provider Name | Mark A Rivkin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427373265 PECOS PAC ID: 9032335443 Enrollment ID: I20150805008035 |
| Provider Name | Ryan J Pomajzl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508889577 PECOS PAC ID: 1355384124 Enrollment ID: I20150811004249 |
| Provider Name | Mehwish Bilal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447596176 PECOS PAC ID: 9830404318 Enrollment ID: I20150812008108 |
| Provider Name | Andrea L Behr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558642421 PECOS PAC ID: 0749402964 Enrollment ID: I20150812008137 |
| Provider Name | Muyibat A Adelani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396908042 PECOS PAC ID: 7113169632 Enrollment ID: I20150904001496 |
| Provider Name | Yu S Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740501014 PECOS PAC ID: 0143537936 Enrollment ID: I20150910001900 |
| Provider Name | Kimberly J Cockrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649648890 PECOS PAC ID: 8325355027 Enrollment ID: I20150914000103 |
| Provider Name | Natalie J Sevem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578946083 PECOS PAC ID: 1850608266 Enrollment ID: I20150917001429 |
| Provider Name | Adella Mujkanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083081830 PECOS PAC ID: 5496062705 Enrollment ID: I20150918002481 |
| Provider Name | Debra L Rieger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992188288 PECOS PAC ID: 8820305907 Enrollment ID: I20150922002726 |
| Provider Name | Valerie A Tribl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760292 PECOS PAC ID: 8921316928 Enrollment ID: I20150924001094 |
| Provider Name | Victoria L Lal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609272897 PECOS PAC ID: 4688982051 Enrollment ID: I20151005001462 |
| Provider Name | Suresh Chode |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336378934 PECOS PAC ID: 5698084747 Enrollment ID: I20151013000141 |
| Provider Name | Diane Lorenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184003360 PECOS PAC ID: 0648589424 Enrollment ID: I20151016001936 |
| Provider Name | Amy M Oconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972971794 PECOS PAC ID: 0244549939 Enrollment ID: I20151020001911 |
| Provider Name | Sarah J Ludlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053676593 PECOS PAC ID: 0345461844 Enrollment ID: I20151021000296 |
| Provider Name | Kelly S Schokmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786410 PECOS PAC ID: 6901115161 Enrollment ID: I20151029000738 |
| Provider Name | Romila Aslam |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407058084 PECOS PAC ID: 0042365678 Enrollment ID: I20151106001653 |
| Provider Name | Michelle L Wolynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841663747 PECOS PAC ID: 7517277320 Enrollment ID: I20151106001748 |
| Provider Name | Basmah A Jalil |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649587635 PECOS PAC ID: 4880829894 Enrollment ID: I20151106001964 |
| Provider Name | Dawn M Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073903241 PECOS PAC ID: 5496055626 Enrollment ID: I20151119002267 |
| Provider Name | Elizabeth J Vollmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124490107 PECOS PAC ID: 0345541231 Enrollment ID: I20151218000294 |
| Provider Name | Laura B Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023498334 PECOS PAC ID: 5991006561 Enrollment ID: I20151228000388 |
| Provider Name | Brande Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306254867 PECOS PAC ID: 6002118551 Enrollment ID: I20151230001432 |
| Provider Name | Betsy L Krebs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619231636 PECOS PAC ID: 2163724063 Enrollment ID: I20160109000034 |
| Provider Name | Cara Melinda Schagemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588088470 PECOS PAC ID: 9537462965 Enrollment ID: I20160119002328 |
| Provider Name | Naomi A Sharon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073978862 PECOS PAC ID: 3678878725 Enrollment ID: I20160226001485 |
| Provider Name | Heather Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699156372 PECOS PAC ID: 5698070621 Enrollment ID: I20160229001663 |
| Provider Name | Kevin M Scharff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780637553 PECOS PAC ID: 7517944267 Enrollment ID: I20160321001081 |
| Provider Name | Emily Neumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184084733 PECOS PAC ID: 6305144205 Enrollment ID: I20160408001619 |
| Provider Name | Dani Tazbaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356464200 PECOS PAC ID: 9032200043 Enrollment ID: I20160606000236 |
| Provider Name | Teona R Moeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275980757 PECOS PAC ID: 9234421157 Enrollment ID: I20160713001301 |
| Provider Name | Stephanie M Tsai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487917944 PECOS PAC ID: 8022300730 Enrollment ID: I20160715001119 |
| Provider Name | Stephanie Lynn Massey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801236393 PECOS PAC ID: 5193968063 Enrollment ID: I20160728001585 |
| Provider Name | Julie M Sahrmann |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1235579491 PECOS PAC ID: 5294029633 Enrollment ID: I20160809000597 |
| Provider Name | Nneka U Ichoku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548422215 PECOS PAC ID: 4789834235 Enrollment ID: I20160811002712 |
| Provider Name | Elsayed Abo-salem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629207477 PECOS PAC ID: 7719116490 Enrollment ID: I20160811002732 |
| Provider Name | Jennifer M Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891135398 PECOS PAC ID: 9436383601 Enrollment ID: I20160816001222 |
| Provider Name | Laura E Grimmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124314497 PECOS PAC ID: 6406153972 Enrollment ID: I20160817002715 |
| Provider Name | Brandi Street |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760821946 PECOS PAC ID: 6800181678 Enrollment ID: I20160818002576 |
| Provider Name | Rubab Jafri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588925358 PECOS PAC ID: 5799903480 Enrollment ID: I20160819002188 |
| Provider Name | Joseph T Eckelkamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922448612 PECOS PAC ID: 9537387303 Enrollment ID: I20160824000205 |
| Provider Name | Jyotsana Sinha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316259799 PECOS PAC ID: 0547562027 Enrollment ID: I20160829001975 |
| Provider Name | Adam M Parker |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023306040 PECOS PAC ID: 1052617768 Enrollment ID: I20160830001749 |
| Provider Name | Clayton Richard Perry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083927396 PECOS PAC ID: 9830494715 Enrollment ID: I20160830001821 |
| Provider Name | Julia G Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477585669 PECOS PAC ID: 3274679816 Enrollment ID: I20160830002198 |
| Provider Name | Mudresh R Mehta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982932083 PECOS PAC ID: 0143522680 Enrollment ID: I20160902000322 |
| Provider Name | John C Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205875465 PECOS PAC ID: 3577859099 Enrollment ID: I20160909001483 |
| Provider Name | Susan J Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003174004 PECOS PAC ID: 4688812100 Enrollment ID: I20160916001649 |
| Provider Name | Kathe Ann Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629424965 PECOS PAC ID: 7911294483 Enrollment ID: I20160927001661 |
| Provider Name | Katherine D Schroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700335999 PECOS PAC ID: 8729376686 Enrollment ID: I20161007001360 |
| Provider Name | Cynthia Visintine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033578117 PECOS PAC ID: 2769770312 Enrollment ID: I20161013001828 |
| Provider Name | Seth Hepner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609131663 PECOS PAC ID: 2466681671 Enrollment ID: I20161013001943 |
| Provider Name | Hani El-halawany |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558633008 PECOS PAC ID: 9234427576 Enrollment ID: I20161019001549 |
| Provider Name | Candace Sue Counts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881044402 PECOS PAC ID: 5991093247 Enrollment ID: I20161019001833 |
| Provider Name | Jennifer L Seib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346796562 PECOS PAC ID: 4082992037 Enrollment ID: I20161026003038 |
| Provider Name | Gurkiran Dhindsa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750543518 PECOS PAC ID: 7416107875 Enrollment ID: I20161031001112 |
| Provider Name | Lonnie P Moch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760815013 PECOS PAC ID: 1951537851 Enrollment ID: I20161101002754 |
| Provider Name | Kelly Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810838 PECOS PAC ID: 1153609607 Enrollment ID: I20161103001223 |
| Provider Name | Rachael D Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073718409 PECOS PAC ID: 7315226149 Enrollment ID: I20161117001652 |
| Provider Name | Rose Grossius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023481116 PECOS PAC ID: 3870872633 Enrollment ID: I20161118000040 |
| Provider Name | Stephanie E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053860320 PECOS PAC ID: 0941580476 Enrollment ID: I20161129001908 |
| Provider Name | Betty Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649725987 PECOS PAC ID: 8022398221 Enrollment ID: I20161205001928 |
| Provider Name | Kristin E Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884264 PECOS PAC ID: 0749501906 Enrollment ID: I20161207001231 |
| Provider Name | Jennifer M Burford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871045716 PECOS PAC ID: 7315227410 Enrollment ID: I20161208000849 |
| Provider Name | Abbey Michelle Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861945024 PECOS PAC ID: 3375823388 Enrollment ID: I20161209000256 |
| Provider Name | Matthew A Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689124414 PECOS PAC ID: 3476833369 Enrollment ID: I20161212001135 |
| Provider Name | Kami C Owenby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376087437 PECOS PAC ID: 9133400138 Enrollment ID: I20170106000029 |
| Provider Name | Kristen M Strasser |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497071971 PECOS PAC ID: 6709187859 Enrollment ID: I20170208003034 |
| Provider Name | Carol Yacula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336691815 PECOS PAC ID: 4688957087 Enrollment ID: I20170209000953 |
| Provider Name | Hamnah T Siddiqui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598157901 PECOS PAC ID: 6507168325 Enrollment ID: I20170215002246 |
| Provider Name | Margaux A Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083153589 PECOS PAC ID: 4587949425 Enrollment ID: I20170316000580 |
| Provider Name | Theerarat Thanavaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265823074 PECOS PAC ID: 9739494923 Enrollment ID: I20170324000378 |
| Provider Name | Gregory N Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114174265 PECOS PAC ID: 0648406348 Enrollment ID: I20170331000739 |
| Provider Name | Amanda K Jett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568908416 PECOS PAC ID: 3072899707 Enrollment ID: I20170413000071 |
| Provider Name | Amanda Kay Noah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386188399 PECOS PAC ID: 4183901333 Enrollment ID: I20170426001026 |
| Provider Name | Abby R Loyet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295270726 PECOS PAC ID: 7810274859 Enrollment ID: I20170501001336 |
| Provider Name | Jared M Hu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770023608 PECOS PAC ID: 5597042382 Enrollment ID: I20170504000265 |
| Provider Name | Elizabeth Ann Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033659859 PECOS PAC ID: 1355628074 Enrollment ID: I20170508000726 |
| Provider Name | Mahbubul B Patwary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801184403 PECOS PAC ID: 7214204056 Enrollment ID: I20170525001902 |
| Provider Name | Anthony W Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023307972 PECOS PAC ID: 0143451542 Enrollment ID: I20170531000515 |
| Provider Name | Kathleen M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487195251 PECOS PAC ID: 5496022824 Enrollment ID: I20170606001671 |
| Provider Name | Samantha L Branson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186732 PECOS PAC ID: 0042588402 Enrollment ID: I20170608000650 |
| Provider Name | Rachel H Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538690334 PECOS PAC ID: 3577831700 Enrollment ID: I20170613000104 |
| Provider Name | Andrew T Blackburne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437412582 PECOS PAC ID: 5496991358 Enrollment ID: I20170619001987 |
| Provider Name | Travis Dum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578829958 PECOS PAC ID: 7214233766 Enrollment ID: I20170619002099 |
| Provider Name | Divya S Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881038602 PECOS PAC ID: 7315225596 Enrollment ID: I20170726000922 |
| Provider Name | Allison K Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871617993 PECOS PAC ID: 2163569385 Enrollment ID: I20170809001877 |
| Provider Name | Mansoor Ui Haq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104079607 PECOS PAC ID: 4981842663 Enrollment ID: I20170809002021 |
| Provider Name | Thomas Frederic Ganz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447696802 PECOS PAC ID: 6406158823 Enrollment ID: I20170809003301 |
| Provider Name | Lauren M Beckmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861920142 PECOS PAC ID: 0345511283 Enrollment ID: I20170810001607 |
| Provider Name | Natalie N Nekouian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275944878 PECOS PAC ID: 1254630601 Enrollment ID: I20170814001178 |
| Provider Name | Priya R Chaudhari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952846909 PECOS PAC ID: 5597037374 Enrollment ID: I20170815002045 |
| Provider Name | Matthew R Smeds |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1003067240 PECOS PAC ID: 2567610397 Enrollment ID: I20170815004287 |
| Provider Name | Jessica Lynn Underhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417362880 PECOS PAC ID: 2163720186 Enrollment ID: I20170816000773 |
| Provider Name | Kimberly A Deptula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023530896 PECOS PAC ID: 0143592634 Enrollment ID: I20170817003131 |
| Provider Name | Joseph E Muenster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104246230 PECOS PAC ID: 6800168311 Enrollment ID: I20170817003866 |
| Provider Name | Lindsay A Dickerhoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790028520 PECOS PAC ID: 5395017818 Enrollment ID: I20170817004155 |
| Provider Name | Jessica Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396294336 PECOS PAC ID: 6901178433 Enrollment ID: I20170818000430 |
| Provider Name | Adam C Ring |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205102217 PECOS PAC ID: 0042594863 Enrollment ID: I20170821000237 |
| Provider Name | Amanda C Garth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710401641 PECOS PAC ID: 1254603350 Enrollment ID: I20170824002073 |
| Provider Name | Amber M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558881052 PECOS PAC ID: 3971875089 Enrollment ID: I20170824002126 |
| Provider Name | Emma Rose Eubanks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326484742 PECOS PAC ID: 0547563322 Enrollment ID: I20170828000547 |
| Provider Name | Megan Elizabeth Renner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639583073 PECOS PAC ID: 7911123344 Enrollment ID: I20170828000940 |
| Provider Name | Heather Leung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235665316 PECOS PAC ID: 9335412196 Enrollment ID: I20170830002355 |
| Provider Name | Kinsey Dinnel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588007751 PECOS PAC ID: 5294051728 Enrollment ID: I20170830002853 |
| Provider Name | Sara Pope Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578891420 PECOS PAC ID: 4981977469 Enrollment ID: I20170905002033 |
| Provider Name | Gia M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871931113 PECOS PAC ID: 0143522698 Enrollment ID: I20170913002275 |
| Provider Name | Molly K Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083136378 PECOS PAC ID: 6305110362 Enrollment ID: I20170914003347 |
| Provider Name | Laura A Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194240986 PECOS PAC ID: 6002180684 Enrollment ID: I20170920001881 |
| Provider Name | Namrata N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841636867 PECOS PAC ID: 7810261450 Enrollment ID: I20170921000744 |
| Provider Name | Tuyche D Sang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376954610 PECOS PAC ID: 3577837020 Enrollment ID: I20170921001582 |
| Provider Name | Kristin L Wheeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407295314 PECOS PAC ID: 2769610534 Enrollment ID: I20170928001139 |
| Provider Name | Judit A Farkas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912327339 PECOS PAC ID: 2668746751 Enrollment ID: I20170928002118 |
| Provider Name | Amanda B Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780103143 PECOS PAC ID: 1850666462 Enrollment ID: I20171009000411 |
| Provider Name | Nileena L Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821433855 PECOS PAC ID: 3375831738 Enrollment ID: I20171010003725 |
| Provider Name | Meredith A Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457877979 PECOS PAC ID: 6608141932 Enrollment ID: I20171012000261 |
| Provider Name | Amanda M Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275051971 PECOS PAC ID: 7719243948 Enrollment ID: I20171103002279 |
| Provider Name | Kathleen Victoria Flick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508022278 PECOS PAC ID: 5698078475 Enrollment ID: I20171108000366 |
| Provider Name | Cindy Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316464001 PECOS PAC ID: 0143586016 Enrollment ID: I20171108003403 |
| Provider Name | Vanessa Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790146280 PECOS PAC ID: 4688931108 Enrollment ID: I20171207002599 |
| Provider Name | Brittany Leigh Brecklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467903518 PECOS PAC ID: 5698034817 Enrollment ID: I20180116002324 |
| Provider Name | Emily E Epley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912418773 PECOS PAC ID: 8527327311 Enrollment ID: I20180124003116 |
| Provider Name | Rachael W Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347893 PECOS PAC ID: 6608162797 Enrollment ID: I20180130000709 |
| Provider Name | Helen R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295253359 PECOS PAC ID: 9830459379 Enrollment ID: I20180201001703 |
| Provider Name | Omar M Kuzez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558626572 PECOS PAC ID: 8224398102 Enrollment ID: I20180214002376 |
| Provider Name | Richard A Covert |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689631194 PECOS PAC ID: 3476586280 Enrollment ID: I20180215002846 |
| Provider Name | Mihiret M Belihu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073928107 PECOS PAC ID: 1355568817 Enrollment ID: I20180319000410 |
| Provider Name | Thelma J Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962882464 PECOS PAC ID: 7618239179 Enrollment ID: I20180320003425 |
| Provider Name | Mechelle Lyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609303411 PECOS PAC ID: 7315200847 Enrollment ID: I20180417000113 |
| Provider Name | Katherine Scodary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376047704 PECOS PAC ID: 5890059877 Enrollment ID: I20180426002316 |
| Provider Name | Alyssa Keiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336649276 PECOS PAC ID: 5193070654 Enrollment ID: I20180625001585 |
| Provider Name | Sheigh N Sander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215347281 PECOS PAC ID: 9537461017 Enrollment ID: I20180716002437 |
| Provider Name | Tyla A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457842213 PECOS PAC ID: 1052669496 Enrollment ID: I20180801002784 |
| Provider Name | Suman Vaddi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790125318 PECOS PAC ID: 4587891445 Enrollment ID: I20180803002840 |
| Provider Name | Imaad Razzaque |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194013425 PECOS PAC ID: 1052669017 Enrollment ID: I20180807003609 |
| Provider Name | Michael L Bonebrake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740487545 PECOS PAC ID: 5698901189 Enrollment ID: I20180810000355 |
| Provider Name | Keisha M Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356833941 PECOS PAC ID: 4385993369 Enrollment ID: I20180824000273 |
| Provider Name | Tara Nicole Rognan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598147886 PECOS PAC ID: 4789989740 Enrollment ID: I20180824001407 |
| Provider Name | Shuang Song |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497195291 PECOS PAC ID: 2365744281 Enrollment ID: I20180824001577 |
| Provider Name | Jared Henrichs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033599923 PECOS PAC ID: 5395047740 Enrollment ID: I20180824001680 |
| Provider Name | Patricia W Heller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457791808 PECOS PAC ID: 1850535667 Enrollment ID: I20180907000691 |
| Provider Name | Matthew T Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083102404 PECOS PAC ID: 3072863166 Enrollment ID: I20180911003265 |
| Provider Name | Chizoba Ezepue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568802148 PECOS PAC ID: 1850666520 Enrollment ID: I20180918000425 |
| Provider Name | Jennifer Christine Raffaelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409283 PECOS PAC ID: 9537410832 Enrollment ID: I20180926001233 |
| Provider Name | Todd A Horstman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275913790 PECOS PAC ID: 4880958156 Enrollment ID: I20180928001096 |
| Provider Name | Lizzy A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316428741 PECOS PAC ID: 6103178470 Enrollment ID: I20181015002397 |
| Provider Name | Viktoria Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552138 PECOS PAC ID: 0749532802 Enrollment ID: I20181017003743 |
| Provider Name | Brittany Mulvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871074120 PECOS PAC ID: 9133473994 Enrollment ID: I20181114000090 |
| Provider Name | Matthew W Bruns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447266333 PECOS PAC ID: 4981609625 Enrollment ID: I20181119002388 |
| Provider Name | Danielle Rebecca Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265900450 PECOS PAC ID: 3476898669 Enrollment ID: I20181217000914 |
| Provider Name | Babatunde A Olumide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689771875 PECOS PAC ID: 6103859004 Enrollment ID: I20181218003206 |
| Provider Name | Pratibha M Abraham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336589118 PECOS PAC ID: 5294037933 Enrollment ID: I20181229000090 |
| Provider Name | Chaney M Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588198246 PECOS PAC ID: 7012282684 Enrollment ID: I20190103002638 |
| Provider Name | Neha D Karajgikar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386083483 PECOS PAC ID: 6204196025 Enrollment ID: I20190130000819 |
| Provider Name | Lauren Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255803946 PECOS PAC ID: 4789923616 Enrollment ID: I20190311002254 |
| Provider Name | Allyson M Granden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649735176 PECOS PAC ID: 1153661509 Enrollment ID: I20190320003372 |
| Provider Name | Katie D Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083172449 PECOS PAC ID: 8426399189 Enrollment ID: I20190405000256 |
| Provider Name | Robert Hacker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295985554 PECOS PAC ID: 1254556855 Enrollment ID: I20190409000373 |
| Provider Name | Andrea Maria Zelisko Schwoerer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427375450 PECOS PAC ID: 6103069646 Enrollment ID: I20190411000898 |
| Provider Name | Sean David Lattimore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710058961 PECOS PAC ID: 2961595673 Enrollment ID: I20190416002054 |
| Provider Name | Peter Pingkwong Lai |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629085022 PECOS PAC ID: 8224016290 Enrollment ID: I20190417000466 |
| Provider Name | Kristen Danielle Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780148569 PECOS PAC ID: 0749522738 Enrollment ID: I20190423000773 |
| Provider Name | Michael Nels Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922179175 PECOS PAC ID: 6507965142 Enrollment ID: I20190429001857 |
| Provider Name | Kristina Marie Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972865020 PECOS PAC ID: 5092949669 Enrollment ID: I20190522002577 |
| Provider Name | Hartmuth Bittner |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104182245 PECOS PAC ID: 8820245053 Enrollment ID: I20190604002389 |
| Provider Name | Anne Marie Maestas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033569132 PECOS PAC ID: 9638402233 Enrollment ID: I20190613002781 |
| Provider Name | Abdul Rishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104269703 PECOS PAC ID: 3678866423 Enrollment ID: I20190618001126 |
| Provider Name | Sarah Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922569995 PECOS PAC ID: 0042544058 Enrollment ID: I20190625003225 |
| Provider Name | Emily Christine Machens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144789751 PECOS PAC ID: 5496080459 Enrollment ID: I20190712001104 |
| Provider Name | Kelly Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235691619 PECOS PAC ID: 9436484177 Enrollment ID: I20190717001793 |
| Provider Name | Anita Sadhu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063850238 PECOS PAC ID: 1355677972 Enrollment ID: I20190719000908 |
| Provider Name | Jeannette Marie Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104478494 PECOS PAC ID: 8628304524 Enrollment ID: I20190731000379 |
| Provider Name | Melissa Renee Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871095943 PECOS PAC ID: 1355678772 Enrollment ID: I20190808000543 |
| Provider Name | Julia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982258687 PECOS PAC ID: 4385971415 Enrollment ID: I20190812002209 |
| Provider Name | Joseph Platz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699074336 PECOS PAC ID: 3375846603 Enrollment ID: I20190822003634 |
| Provider Name | Megan Harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790254837 PECOS PAC ID: 8628306875 Enrollment ID: I20190826001980 |
| Provider Name | Sara Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316508054 PECOS PAC ID: 6002145794 Enrollment ID: I20190905000930 |
| Provider Name | Rachel Marie Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831742659 PECOS PAC ID: 2860721198 Enrollment ID: I20190911001111 |
| Provider Name | Liliana Ungureanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801459052 PECOS PAC ID: 6709116494 Enrollment ID: I20190923002807 |
| Provider Name | Christian Paul Oliver |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316387327 PECOS PAC ID: 3173849270 Enrollment ID: I20191014000456 |
| Provider Name | George Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366002610 PECOS PAC ID: 3072844240 Enrollment ID: I20191021000445 |
| Provider Name | Angela M Oldani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194383596 PECOS PAC ID: 4981936150 Enrollment ID: I20191022001081 |
| Provider Name | Darcee Bair Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477198596 PECOS PAC ID: 8628400033 Enrollment ID: I20191202000184 |
| Provider Name | Brandy Michele Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902217540 PECOS PAC ID: 6305061904 Enrollment ID: I20191213001318 |
| Provider Name | Megan Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598238925 PECOS PAC ID: 8325473614 Enrollment ID: I20200114003129 |
| Provider Name | Zhanna O Goldkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457852204 PECOS PAC ID: 9537595913 Enrollment ID: I20200203001429 |
| Provider Name | Amy R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223869 PECOS PAC ID: 0648606566 Enrollment ID: I20200212000902 |
| Provider Name | Sarah Emily Whittaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326308040 PECOS PAC ID: 8628385606 Enrollment ID: I20200218003204 |
| Provider Name | Katie Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912558446 PECOS PAC ID: 5991132409 Enrollment ID: I20200224000246 |
| Provider Name | Lisa Marie Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699305334 PECOS PAC ID: 0446687677 Enrollment ID: I20200227000620 |
| Provider Name | Christine Ella Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659865129 PECOS PAC ID: 9739410481 Enrollment ID: I20200228002051 |
| Provider Name | Yousaf Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629384136 PECOS PAC ID: 8224204805 Enrollment ID: I20200305001498 |
| Provider Name | Jennifer Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770119976 PECOS PAC ID: 9335577659 Enrollment ID: I20200320001111 |
| Provider Name | Haseena Mazhar Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851738769 PECOS PAC ID: 4587942735 Enrollment ID: I20200322000135 |
| Provider Name | Frank Baciewicz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316984024 PECOS PAC ID: 7810916830 Enrollment ID: I20200429001747 |
| Provider Name | Rachel Sarah Corbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174053532 PECOS PAC ID: 1658793609 Enrollment ID: I20200619000736 |
| Provider Name | Mary Rachel Borders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942821707 PECOS PAC ID: 5991127771 Enrollment ID: I20200624001612 |
| Provider Name | Aaron Bornstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326485897 PECOS PAC ID: 4082916465 Enrollment ID: I20200709000533 |
| Provider Name | Kyle Christensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164804035 PECOS PAC ID: 6002115912 Enrollment ID: I20200709000663 |
| Provider Name | Jarrett Glen Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154859239 PECOS PAC ID: 2961730932 Enrollment ID: I20200714002825 |
| Provider Name | Matthew Dale Tieskoetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482506 PECOS PAC ID: 0143644468 Enrollment ID: I20200721000183 |
| Provider Name | Mohammad Nour Zabad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609109883 PECOS PAC ID: 0244487890 Enrollment ID: I20200731000516 |
| Provider Name | Paul Michael Larsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427315423 PECOS PAC ID: 3173836137 Enrollment ID: I20200804002721 |
| Provider Name | Stanley Sachak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114455094 PECOS PAC ID: 4284903022 Enrollment ID: I20200806002615 |
| Provider Name | Anne T Cahill |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1326066036 PECOS PAC ID: 5092711465 Enrollment ID: I20200824001829 |
| Provider Name | Jeevin Shahi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245856046 PECOS PAC ID: 4082031752 Enrollment ID: I20200825002842 |
| Provider Name | Katherine Jennifer Shepard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659720514 PECOS PAC ID: 4284927047 Enrollment ID: I20200902002108 |
| Provider Name | Hilary Mcparlane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225579568 PECOS PAC ID: 7517236524 Enrollment ID: I20200929002139 |
| Provider Name | Gina Bertini Theisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235640582 PECOS PAC ID: 6103189048 Enrollment ID: I20201001002968 |
| Provider Name | Kharole Compere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598299646 PECOS PAC ID: 2860811171 Enrollment ID: I20201005002770 |
| Provider Name | Laura Raley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548730294 PECOS PAC ID: 9537579586 Enrollment ID: I20201103002584 |
| Provider Name | Najat Al-sherri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407295298 PECOS PAC ID: 5496984635 Enrollment ID: I20201117000635 |
| Provider Name | William Arthur Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669561452 PECOS PAC ID: 9931118775 Enrollment ID: I20201229002470 |
| Provider Name | Nirmal K Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770629354 PECOS PAC ID: 6800961053 Enrollment ID: I20210111000139 |
| Provider Name | Polo Alberto Banuelos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003072646 PECOS PAC ID: 9537219217 Enrollment ID: I20210210001650 |
| Provider Name | Christina Jeanette Gaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063091387 PECOS PAC ID: 0840608345 Enrollment ID: I20210422000802 |
| Provider Name | Bryan Thomas Whitlow |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1962856682 PECOS PAC ID: 8921390477 Enrollment ID: I20210430000438 |
| Provider Name | Allison Haungs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104288596 PECOS PAC ID: 1951694652 Enrollment ID: I20210514002178 |
| Provider Name | Rachel Louise Closser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205411535 PECOS PAC ID: 5395144513 Enrollment ID: I20210520000923 |
| Provider Name | Brian Christopher Smith |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1598144917 PECOS PAC ID: 0547573727 Enrollment ID: I20210610000425 |
| Provider Name | Jorge Marcelo Ramirez Romero |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629366984 PECOS PAC ID: 8224330659 Enrollment ID: I20210618001334 |
| Provider Name | Weston Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942654322 PECOS PAC ID: 8921393299 Enrollment ID: I20210624002737 |
| Provider Name | Amanda Marie Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447841879 PECOS PAC ID: 1456753490 Enrollment ID: I20210713001779 |
| Provider Name | Sarah Rachel Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477925774 PECOS PAC ID: 3678977261 Enrollment ID: I20210804000776 |
| Provider Name | Mohammad Javed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215280490 PECOS PAC ID: 9537418157 Enrollment ID: I20210809001044 |
| Provider Name | Lindsey Danielle Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326611757 PECOS PAC ID: 5799180683 Enrollment ID: I20210816000991 |
| Provider Name | Stephanie L Stumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821512385 PECOS PAC ID: 1759656135 Enrollment ID: I20210817002171 |
| Provider Name | Christen R Elledge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730533886 PECOS PAC ID: 9931458932 Enrollment ID: I20210827000168 |
| Provider Name | Theresa A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821765116 PECOS PAC ID: 6204232234 Enrollment ID: I20210831000747 |
| Provider Name | Mehwish A Mufti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407392210 PECOS PAC ID: 8820495831 Enrollment ID: I20210917001084 |
| Provider Name | Christina Mosher Daniel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053773788 PECOS PAC ID: 4981001997 Enrollment ID: I20210917001211 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20211203001122 |
| Provider Name | Melissa M Rebore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588339188 PECOS PAC ID: 4789074733 Enrollment ID: I20211206001323 |
| Provider Name | David Hooman Shervin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366882227 PECOS PAC ID: 5395036727 Enrollment ID: I20211208001421 |
| Provider Name | Kristin Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417612235 PECOS PAC ID: 9436540788 Enrollment ID: I20211222000671 |
| Provider Name | Cherice Lynette Harkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306511951 PECOS PAC ID: 3072904200 Enrollment ID: I20211227000295 |
| Provider Name | Rebecca Sue Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083172118 PECOS PAC ID: 5890187520 Enrollment ID: I20220110000760 |
| Provider Name | Lauretta P Wegman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912671637 PECOS PAC ID: 0042602641 Enrollment ID: I20220111001369 |
| Provider Name | Heather Lynne Poropat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821742180 PECOS PAC ID: 0547653958 Enrollment ID: I20220208000909 |
| Provider Name | Ahmad Daraghmeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427287697 PECOS PAC ID: 2062724974 Enrollment ID: I20220216000955 |
| Provider Name | Mitchell Elting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841725918 PECOS PAC ID: 5496178014 Enrollment ID: I20220329001170 |
| Provider Name | Sara Hargreaves |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013141076 PECOS PAC ID: 7719266964 Enrollment ID: I20220418000825 |
| Provider Name | Elena Kozaryuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255088191 PECOS PAC ID: 8921485970 Enrollment ID: I20220513001349 |
| Provider Name | Christian Mcneely |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720469851 PECOS PAC ID: 3173837986 Enrollment ID: I20220520000709 |
| Provider Name | Huma Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356861991 PECOS PAC ID: 8921486770 Enrollment ID: I20220607001009 |
| Provider Name | Nikita Schellhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366189946 PECOS PAC ID: 1658759303 Enrollment ID: I20220608001235 |
| Provider Name | Jordan Marie Arneaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568106649 PECOS PAC ID: 8921487182 Enrollment ID: I20220617000697 |
| Provider Name | Pooja Janani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417485566 PECOS PAC ID: 6507245586 Enrollment ID: I20220622001021 |
| Provider Name | Gretta A Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619358900 PECOS PAC ID: 4981906427 Enrollment ID: I20220719000780 |
| Provider Name | Jessica C Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558855056 PECOS PAC ID: 1850640426 Enrollment ID: I20220805000896 |
| Provider Name | Soisangvane Wingard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922370899 PECOS PAC ID: 6507020989 Enrollment ID: I20220818001719 |
| Provider Name | Arooj Kohli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073043089 PECOS PAC ID: 6901176544 Enrollment ID: I20220822002900 |
| Provider Name | Lindsey Jovene Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871221242 PECOS PAC ID: 5799160743 Enrollment ID: I20220913000197 |
| Provider Name | Brandon Michael Schlechter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467173617 PECOS PAC ID: 6204211188 Enrollment ID: I20220913001738 |
| Provider Name | Mark T Dickinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215914239 PECOS PAC ID: 8224035787 Enrollment ID: I20221104001966 |
| Provider Name | Priya Kumaraguru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902062862 PECOS PAC ID: 4385816834 Enrollment ID: I20221121001036 |
| Provider Name | Robert D Siegel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1518901545 PECOS PAC ID: 0446289086 Enrollment ID: I20221202000718 |
| Provider Name | Tracy Cassandra Shuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710192471 PECOS PAC ID: 1355711730 Enrollment ID: I20221229000308 |
| Provider Name | Muhammad Ansari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225103765 PECOS PAC ID: 1850493990 Enrollment ID: I20230118000289 |
| Provider Name | Kayleigh R Nissle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740883495 PECOS PAC ID: 3274945563 Enrollment ID: I20230119002554 |
| Provider Name | Shesha Katakam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578720439 PECOS PAC ID: 2365519626 Enrollment ID: I20230124002729 |
| Provider Name | Jacob D Levy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679594675 PECOS PAC ID: 0345234407 Enrollment ID: I20230227000989 |
| Provider Name | Amber J Mccallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487351623 PECOS PAC ID: 5597138958 Enrollment ID: I20230306001182 |
| Provider Name | Anna Leigh Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558060541 PECOS PAC ID: 5193198406 Enrollment ID: I20230308000966 |
| Provider Name | Tony J Toloczko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346330925 PECOS PAC ID: 5294763413 Enrollment ID: I20230310002096 |
| Provider Name | Pibi Jean Bouda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235836982 PECOS PAC ID: 2163896689 Enrollment ID: I20230324000933 |
| Provider Name | Brandy R Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881291284 PECOS PAC ID: 9234507088 Enrollment ID: I20230414002207 |
| Provider Name | Michael Bruin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437119997 PECOS PAC ID: 3779497904 Enrollment ID: I20230428000365 |
| Provider Name | Tanner Wallen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043731870 PECOS PAC ID: 9537590831 Enrollment ID: I20230511002632 |
| Provider Name | Max Harrison Rich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023637568 PECOS PAC ID: 2769848019 Enrollment ID: I20230511003273 |
| Provider Name | Filadelfiya Zvinovski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699206185 PECOS PAC ID: 2769752955 Enrollment ID: I20230516002061 |
| Provider Name | Megan Maria Mckeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891489183 PECOS PAC ID: 4880051549 Enrollment ID: I20230612001626 |
| Provider Name | Anthony K Hang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386273662 PECOS PAC ID: 1052737244 Enrollment ID: I20230714000212 |
| Provider Name | Nicole Dawn Seddon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265058630 PECOS PAC ID: 0749604858 Enrollment ID: I20230727002844 |
| Provider Name | Laura Thornquist Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619462447 PECOS PAC ID: 2961863402 Enrollment ID: I20230801001850 |
| Provider Name | Katherine Elizabeth Benenati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194418988 PECOS PAC ID: 9234591363 Enrollment ID: I20230821004052 |
| Provider Name | Molly Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003378357 PECOS PAC ID: 2062741119 Enrollment ID: I20230829003220 |
| Provider Name | Alice Michelle Wood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881688679 PECOS PAC ID: 9133158504 Enrollment ID: I20230914002962 |
| Provider Name | Stacy M Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669176046 PECOS PAC ID: 7719331677 Enrollment ID: I20230926002074 |
| Provider Name | Natalie Faye Babb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700664901 PECOS PAC ID: 8921452442 Enrollment ID: I20231002001918 |
| Provider Name | Caitlin Elisabeth Golliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821877465 PECOS PAC ID: 5890149215 Enrollment ID: I20231003002721 |
| Provider Name | Travis Cobb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033734413 PECOS PAC ID: 6002231800 Enrollment ID: I20231005000280 |
| Provider Name | Racheal Lakine-harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346020666 PECOS PAC ID: 3173978913 Enrollment ID: I20231013000598 |
| Provider Name | Rachel Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629428271 PECOS PAC ID: 1951778299 Enrollment ID: I20231027002416 |
| Provider Name | Ashley Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588360440 PECOS PAC ID: 7416319694 Enrollment ID: I20231101001128 |
| Provider Name | Margaret Danielle Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902466766 PECOS PAC ID: 5799133930 Enrollment ID: I20231128002113 |
| Provider Name | Kristina Freund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427673730 PECOS PAC ID: 7113342940 Enrollment ID: I20231130003082 |
| Provider Name | Taraneh Divanbeigi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215640768 PECOS PAC ID: 2567833668 Enrollment ID: I20231205001464 |
| Provider Name | Tara Birke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619412962 PECOS PAC ID: 9830548767 Enrollment ID: I20231218000883 |
| Provider Name | Tracie Leigh Placher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831757103 PECOS PAC ID: 4082943436 Enrollment ID: I20240117003240 |
| Provider Name | Ashley Azzure Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053181735 PECOS PAC ID: 4284077595 Enrollment ID: I20240202003073 |
| Provider Name | Thomas Heafner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396030102 PECOS PAC ID: 2365710118 Enrollment ID: I20240224000582 |
Suburban West Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 636-496-5000 Fax: 636-496-5045 | |
Rockwood Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd, Suite 3b, Fenton, MO 63026 Phone: 636-529-9595 Fax: 636-529-9494 | |
Covington Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd Ste 3a, Fenton, MO 63026 Phone: 636-225-8855 | |
Alegis Care - Missouri Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 S Highway Dr Ste 200, Fenton, MO 63026 Phone: 773-292-4800 | |
Physicians Health Group Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 S. Highway Dr, Fenton, MO 63026 Phone: 636-305-2000 Fax: 314-584-7007 | |
Dr. Petre I Anguelinin, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1015 Bowles Ave, Fenton, MO 63026 Phone: 636-207-0277 | |
Family Practice Of South County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 636-496-5000 Fax: 636-496-5055 |