| St Elizabeth Medical Center, Inc | |
|
1360 Dolwick Drive Erlanger KY 41018 | |
| (859) 344-5555 | |
| (859) 344-5552 |
| Full Name | St Elizabeth Medical Center, Inc |
|---|---|
| Speciality | Physician Assistant |
| Location | 1360 Dolwick Drive, Erlanger, Kentucky |
| Authorized Official Name and Position | Lori Ritchey-baldwin (CFO) |
| Authorized Official Contact | 8596551642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Elizabeth Medical Center, Inc 1360 Dolwick Drive Erlanger KY 41018 Ph: (859) 344-5555 | St Elizabeth Medical Center, Inc 1360 Dolwick Drive Erlanger KY 41018 Ph: (859) 344-5555 |
| NPI Number | 1932187937 |
|---|---|
| Provider Enumeration Date | 01/09/2006 |
| Last Update Date | 10/15/2019 |
| Medicare PECOS PAC ID | 0648174623 |
|---|---|
| Medicare Enrollment ID | O20031121000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932187937 | NPI | - | NPPES |
| 200288340 | Medicaid | IN | |
| 7100074550 | Medicaid | KY | |
| 2291238 | Medicaid | OH | |
| 89900286 | Medicaid | KY | |
| 78901451 | Medicaid | KY | |
| 82900135 | Medicaid | KY | |
| 50900265 | Medicaid | KY | |
| 65921918 | Medicaid | KY | |
| 65935785 | Medicaid | KY | |
| 7100061190 | Medicaid | KY |
| Provider Name | Creighton B Wright |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275525560 PECOS PAC ID: 7416859616 Enrollment ID: I20040127000029 |
| Provider Name | Mahesh Kudrimoti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881627859 PECOS PAC ID: 6406749480 Enrollment ID: I20040204000298 |
| Provider Name | Samuel S Newman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841265519 PECOS PAC ID: 3971401209 Enrollment ID: I20040220000016 |
| Provider Name | Bradley L Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275515637 PECOS PAC ID: 5991692089 Enrollment ID: I20040303000284 |
| Provider Name | Darren Hurst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124000229 PECOS PAC ID: 8123915238 Enrollment ID: I20040303000405 |
| Provider Name | Edward T Schumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194786061 PECOS PAC ID: 7315834439 Enrollment ID: I20040303000459 |
| Provider Name | Brian Lawler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235111279 PECOS PAC ID: 0143117184 Enrollment ID: I20040303000645 |
| Provider Name | Holly Danneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417958349 PECOS PAC ID: 6305733197 Enrollment ID: I20040304000710 |
| Provider Name | Douglas Conner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720048093 PECOS PAC ID: 2961390463 Enrollment ID: I20040308000094 |
| Provider Name | Patricia Miles |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1104860162 PECOS PAC ID: 0244135176 Enrollment ID: I20040309000222 |
| Provider Name | Teresa D Tallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336131614 PECOS PAC ID: 0749179042 Enrollment ID: I20040315000070 |
| Provider Name | Goetz H Kloecker |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306827126 PECOS PAC ID: 9830182476 Enrollment ID: I20040407001328 |
| Provider Name | Kara R Shay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578508271 PECOS PAC ID: 9638071327 Enrollment ID: I20040505001732 |
| Provider Name | William T Abraham |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1093755944 PECOS PAC ID: 1456345024 Enrollment ID: I20040525001457 |
| Provider Name | Christopher A Heeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700878162 PECOS PAC ID: 1153302062 Enrollment ID: I20040526001502 |
| Provider Name | Del A Burchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619978418 PECOS PAC ID: 5395726210 Enrollment ID: I20040526001533 |
| Provider Name | Jason A Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518970961 PECOS PAC ID: 8527043702 Enrollment ID: I20040622000564 |
| Provider Name | Jack B Basil |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1073505525 PECOS PAC ID: 6204818826 Enrollment ID: I20040628001535 |
| Provider Name | Saeb F Khoury |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639135973 PECOS PAC ID: 0345210720 Enrollment ID: I20040731000273 |
| Provider Name | Mary M Redden Borowski |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316931736 PECOS PAC ID: 4981516374 Enrollment ID: I20040816000241 |
| Provider Name | William G Danneman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1619960416 PECOS PAC ID: 5890607279 Enrollment ID: I20040816000703 |
| Provider Name | Lawrence V Brennan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417940735 PECOS PAC ID: 6800708298 Enrollment ID: I20040817000286 |
| Provider Name | Michael A Cross |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023001823 PECOS PAC ID: 0042122434 Enrollment ID: I20040817000638 |
| Provider Name | Sidney D Trogdon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154326965 PECOS PAC ID: 3678541232 Enrollment ID: I20040921000982 |
| Provider Name | Kevin Martin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801888219 PECOS PAC ID: 5698673077 Enrollment ID: I20041012000424 |
| Provider Name | Brian R Burkhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730115569 PECOS PAC ID: 2365403805 Enrollment ID: I20041019000914 |
| Provider Name | Mary K Kramer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841283611 PECOS PAC ID: 3577524297 Enrollment ID: I20041025001110 |
| Provider Name | Ralph F Huller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154313518 PECOS PAC ID: 8123016474 Enrollment ID: I20041119000003 |
| Provider Name | Barry J Wendt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801888177 PECOS PAC ID: 8820052079 Enrollment ID: I20041221000180 |
| Provider Name | Terry A Mcdannold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811989288 PECOS PAC ID: 6901864081 Enrollment ID: I20041221000364 |
| Provider Name | Daniel A Shields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447240262 PECOS PAC ID: 9133170673 Enrollment ID: I20050202000426 |
| Provider Name | Gregory Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669477279 PECOS PAC ID: 4981596277 Enrollment ID: I20050203000591 |
| Provider Name | Charles M Bernstein |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053302018 PECOS PAC ID: 1052365384 Enrollment ID: I20050309000427 |
| Provider Name | Douglas B Flora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194718916 PECOS PAC ID: 8820037914 Enrollment ID: I20050428000103 |
| Provider Name | Neal J Moser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295727618 PECOS PAC ID: 6103866686 Enrollment ID: I20050504000239 |
| Provider Name | Alexander H Hou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396820809 PECOS PAC ID: 1355381385 Enrollment ID: I20050509000746 |
| Provider Name | Lisa J Arrasmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437159936 PECOS PAC ID: 8820038664 Enrollment ID: I20050511000117 |
| Provider Name | Ann C Beers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760439954 PECOS PAC ID: 9335175629 Enrollment ID: I20050708000382 |
| Provider Name | Linda M Hermiller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932142734 PECOS PAC ID: 1456388420 Enrollment ID: I20050721000027 |
| Provider Name | Manish S Bhandari |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356337430 PECOS PAC ID: 0042247025 Enrollment ID: I20050805000416 |
| Provider Name | Kristin H Coppage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558369041 PECOS PAC ID: 3577508977 Enrollment ID: I20050823000235 |
| Provider Name | James F Bardgett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972508869 PECOS PAC ID: 0042200065 Enrollment ID: I20051007000229 |
| Provider Name | Bruce A Snider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548331226 PECOS PAC ID: 9537146147 Enrollment ID: I20060111000474 |
| Provider Name | Susan W Feeney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750321469 PECOS PAC ID: 7012929466 Enrollment ID: I20060929000326 |
| Provider Name | Victor Schmelzer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1013973262 PECOS PAC ID: 7416953229 Enrollment ID: I20061018000041 |
| Provider Name | Karl S Ulicny |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1124085980 PECOS PAC ID: 3779589585 Enrollment ID: I20061018000046 |
| Provider Name | Mark S Meier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982664264 PECOS PAC ID: 8022014869 Enrollment ID: I20061018000380 |
| Provider Name | Kimberly A Vormbrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730398694 PECOS PAC ID: 2264533652 Enrollment ID: I20070730000547 |
| Provider Name | Michelle D Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699976431 PECOS PAC ID: 7113019043 Enrollment ID: I20070823000645 |
| Provider Name | Glen A Turner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427094614 PECOS PAC ID: 0547224701 Enrollment ID: I20070907000320 |
| Provider Name | Andrea Hinton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639177199 PECOS PAC ID: 0143262501 Enrollment ID: I20080327000448 |
| Provider Name | Qing Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952318362 PECOS PAC ID: 3072682558 Enrollment ID: I20080530000543 |
| Provider Name | Van A Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851562540 PECOS PAC ID: 8123190683 Enrollment ID: I20080630000019 |
| Provider Name | Christy Sapp |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568555209 PECOS PAC ID: 8325111008 Enrollment ID: I20080715000210 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174792154 PECOS PAC ID: 6608953328 Enrollment ID: I20080717000612 |
| Provider Name | Micaela Ross |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235346453 PECOS PAC ID: 0941309645 Enrollment ID: I20080728000523 |
| Provider Name | Michael R Gieske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316903636 PECOS PAC ID: 9436224490 Enrollment ID: I20080826000691 |
| Provider Name | William C Willmott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447286455 PECOS PAC ID: 7012965726 Enrollment ID: I20080827000613 |
| Provider Name | Brooke Phillips Holbrook |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1407050065 PECOS PAC ID: 0648346841 Enrollment ID: I20080912000351 |
| Provider Name | James Thomas Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124028543 PECOS PAC ID: 9638246028 Enrollment ID: I20080926000523 |
| Provider Name | Jennifer A Sampang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396745899 PECOS PAC ID: 2567430572 Enrollment ID: I20080930000314 |
| Provider Name | Rajeev Kurapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679759252 PECOS PAC ID: 8325115884 Enrollment ID: I20081030000278 |
| Provider Name | Todd M Bayer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356343008 PECOS PAC ID: 7113814161 Enrollment ID: I20081217000023 |
| Provider Name | Rose Lynn Mulberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417109224 PECOS PAC ID: 8921161217 Enrollment ID: I20090113000466 |
| Provider Name | James C Pavelka |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1861521460 PECOS PAC ID: 7113086240 Enrollment ID: I20090204000000 |
| Provider Name | Irfan Budhani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609079540 PECOS PAC ID: 7113070426 Enrollment ID: I20090804000770 |
| Provider Name | William L Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932287174 PECOS PAC ID: 4587718606 Enrollment ID: I20090824000501 |
| Provider Name | Karl M Schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013953033 PECOS PAC ID: 8224170014 Enrollment ID: I20100115000769 |
| Provider Name | Robert N Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003848763 PECOS PAC ID: 0345382164 Enrollment ID: I20100116000156 |
| Provider Name | Kelly M Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699003798 PECOS PAC ID: 3678616422 Enrollment ID: I20100202000914 |
| Provider Name | Joel P Maier |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1104804269 PECOS PAC ID: 6002820651 Enrollment ID: I20100305000220 |
| Provider Name | Allana J Oak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841369154 PECOS PAC ID: 3577693449 Enrollment ID: I20100621000139 |
| Provider Name | Donald J Swikert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700955085 PECOS PAC ID: 9436289303 Enrollment ID: I20100621000195 |
| Provider Name | Mary A Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043389307 PECOS PAC ID: 5890826655 Enrollment ID: I20100623000796 |
| Provider Name | Kathleen L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902005531 PECOS PAC ID: 4789734922 Enrollment ID: I20100722000845 |
| Provider Name | Kami Tehrani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649302290 PECOS PAC ID: 2163599028 Enrollment ID: I20100902000836 |
| Provider Name | Julie Ann Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649419912 PECOS PAC ID: 0345436309 Enrollment ID: I20101202000409 |
| Provider Name | Julie A Adkisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821304577 PECOS PAC ID: 8325235138 Enrollment ID: I20101206001077 |
| Provider Name | Deward H Voss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629076104 PECOS PAC ID: 1850345935 Enrollment ID: I20101220000061 |
| Provider Name | Monica K Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023257086 PECOS PAC ID: 0446439566 Enrollment ID: I20110121000360 |
| Provider Name | Arash Seratnahaei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235376302 PECOS PAC ID: 9830369933 Enrollment ID: I20110829000288 |
| Provider Name | Pratish H Shah |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467615708 PECOS PAC ID: 9133399405 Enrollment ID: I20110922000473 |
| Provider Name | Rebecca L Flora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568744530 PECOS PAC ID: 6709058514 Enrollment ID: I20111019000914 |
| Provider Name | Sarah B Flora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558593459 PECOS PAC ID: 1456527746 Enrollment ID: I20120109000715 |
| Provider Name | Tyler W Browning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457663833 PECOS PAC ID: 8022273101 Enrollment ID: I20120625000214 |
| Provider Name | Joel M Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720250749 PECOS PAC ID: 8325203151 Enrollment ID: I20120629000176 |
| Provider Name | Molly Gadd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033485107 PECOS PAC ID: 1254596620 Enrollment ID: I20120710000423 |
| Provider Name | Mohanjit S Brar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386665040 PECOS PAC ID: 8426026279 Enrollment ID: I20120809000509 |
| Provider Name | Jaspreet K Chahal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114989886 PECOS PAC ID: 3476569229 Enrollment ID: I20120815000632 |
| Provider Name | Susanne Bodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538417399 PECOS PAC ID: 1052561602 Enrollment ID: I20121017000475 |
| Provider Name | Kristi L Schierberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669718938 PECOS PAC ID: 3779736632 Enrollment ID: I20130102000038 |
| Provider Name | Julie A Tewes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275883886 PECOS PAC ID: 0446403653 Enrollment ID: I20130118000228 |
| Provider Name | Bonnie Lynne Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467702498 PECOS PAC ID: 0941453286 Enrollment ID: I20130129000667 |
| Provider Name | Amaninderapal S Ghotra |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1922397363 PECOS PAC ID: 8426298522 Enrollment ID: I20130715000171 |
| Provider Name | Lauren E Castellini |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538306337 PECOS PAC ID: 9335387034 Enrollment ID: I20130803000044 |
| Provider Name | Kevin M Schuler |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1821219569 PECOS PAC ID: 5395988075 Enrollment ID: I20130828000459 |
| Provider Name | Daniel B Flora |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952563355 PECOS PAC ID: 9638302011 Enrollment ID: I20140519001938 |
| Provider Name | Heather Louise Rutledge |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780789412 PECOS PAC ID: 2163563578 Enrollment ID: I20140630001463 |
| Provider Name | Chrisanthy A Zowtiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952566895 PECOS PAC ID: 3870752322 Enrollment ID: I20141009001796 |
| Provider Name | Sarah M Krumme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360932 PECOS PAC ID: 8224350541 Enrollment ID: I20141122000421 |
| Provider Name | Catherine Holtzapfel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134553415 PECOS PAC ID: 9638496169 Enrollment ID: I20150323000798 |
| Provider Name | Jennifer Lynn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104167360 PECOS PAC ID: 3274852827 Enrollment ID: I20150501001411 |
| Provider Name | Mounira Habli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295761054 PECOS PAC ID: 5395890487 Enrollment ID: I20150730013138 |
| Provider Name | George C Christensen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669637187 PECOS PAC ID: 2062649049 Enrollment ID: I20150828001111 |
| Provider Name | Jeremy Hart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750609053 PECOS PAC ID: 9830405703 Enrollment ID: I20150909000479 |
| Provider Name | Samantha Mast |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962661595 PECOS PAC ID: 1951447614 Enrollment ID: I20151023001645 |
| Provider Name | William Schnettler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194939264 PECOS PAC ID: 7618146622 Enrollment ID: I20151026000406 |
| Provider Name | Mohammad Yousef |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346321478 PECOS PAC ID: 9133293137 Enrollment ID: I20151116000305 |
| Provider Name | James P Locher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841215597 PECOS PAC ID: 1759293004 Enrollment ID: I20151214001786 |
| Provider Name | Royce Calhoun |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477535110 PECOS PAC ID: 0446244263 Enrollment ID: I20160202002575 |
| Provider Name | Lillian Argent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871968628 PECOS PAC ID: 1052619616 Enrollment ID: I20160414001076 |
| Provider Name | Jennifer J Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629424619 PECOS PAC ID: 7810286267 Enrollment ID: I20160525001114 |
| Provider Name | Brittany J Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779700 PECOS PAC ID: 0648561019 Enrollment ID: I20160615002696 |
| Provider Name | Edward Henry Caldwell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164757951 PECOS PAC ID: 1850539842 Enrollment ID: I20160727000160 |
| Provider Name | Sai Konduri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558694208 PECOS PAC ID: 1052613932 Enrollment ID: I20160803001095 |
| Provider Name | Akash Vasireddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770891590 PECOS PAC ID: 0941508634 Enrollment ID: I20160816001677 |
| Provider Name | Murtuza Habeeb |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881897205 PECOS PAC ID: 0345370664 Enrollment ID: I20161028001095 |
| Provider Name | Shari Lynn O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427508803 PECOS PAC ID: 0547540767 Enrollment ID: I20161206000329 |
| Provider Name | Ashley Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265984454 PECOS PAC ID: 8921388034 Enrollment ID: I20161207001271 |
| Provider Name | Shannon K Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033179817 PECOS PAC ID: 2264489376 Enrollment ID: I20170120002655 |
| Provider Name | Colleen Marie Darnell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033374046 PECOS PAC ID: 1759502636 Enrollment ID: I20170126001990 |
| Provider Name | Ellen F Krasik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629305909 PECOS PAC ID: 7214103886 Enrollment ID: I20170413002212 |
| Provider Name | James Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982993697 PECOS PAC ID: 1658684295 Enrollment ID: I20170607001718 |
| Provider Name | Ivan D Bedoya-apraez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861672123 PECOS PAC ID: 0244484921 Enrollment ID: I20170623000136 |
| Provider Name | Jessica A. Bokelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760817142 PECOS PAC ID: 6507167962 Enrollment ID: I20170721001843 |
| Provider Name | Valerie A Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205949930 PECOS PAC ID: 0840469888 Enrollment ID: I20170721002649 |
| Provider Name | Chaitanya Mandapakala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568783090 PECOS PAC ID: 2062716319 Enrollment ID: I20170814003245 |
| Provider Name | Stephanie Lynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780059493 PECOS PAC ID: 0547559676 Enrollment ID: I20170825003123 |
| Provider Name | Brett Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386172856 PECOS PAC ID: 3870865744 Enrollment ID: I20170828002227 |
| Provider Name | Monica Ashcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306362496 PECOS PAC ID: 5991078107 Enrollment ID: I20170911002475 |
| Provider Name | Muhammad Kashif Riaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295019222 PECOS PAC ID: 8628298429 Enrollment ID: I20171019001511 |
| Provider Name | David H Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366485716 PECOS PAC ID: 5890780720 Enrollment ID: I20171128001722 |
| Provider Name | Bradley Joseph Huth |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710147814 PECOS PAC ID: 3779613716 Enrollment ID: I20180315002110 |
| Provider Name | Stephanie M Herro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447497003 PECOS PAC ID: 2860541786 Enrollment ID: I20180619001952 |
| Provider Name | Steven Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861768988 PECOS PAC ID: 8123269461 Enrollment ID: I20180723003306 |
| Provider Name | Deema Alkapalan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992051395 PECOS PAC ID: 2365685369 Enrollment ID: I20180725003039 |
| Provider Name | Mario Augusto Castillo-sang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225293418 PECOS PAC ID: 5799932075 Enrollment ID: I20180806001755 |
| Provider Name | Heather Columber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265836563 PECOS PAC ID: 8123347275 Enrollment ID: I20180919004275 |
| Provider Name | Derrick Allen Strunk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447664420 PECOS PAC ID: 5395052526 Enrollment ID: I20180927002919 |
| Provider Name | Laura Trice |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154340453 PECOS PAC ID: 1153226865 Enrollment ID: I20181004002853 |
| Provider Name | Robert T Neff |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1396032843 PECOS PAC ID: 7113177965 Enrollment ID: I20181017003332 |
| Provider Name | Rasha Salama |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104262880 PECOS PAC ID: 3173812369 Enrollment ID: I20181022001864 |
| Provider Name | Hareeprasad Reddy Vongooru |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1407045693 PECOS PAC ID: 4082891510 Enrollment ID: I20181030001944 |
| Provider Name | Alyssa Anne Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609347624 PECOS PAC ID: 6204174410 Enrollment ID: I20190619003448 |
| Provider Name | Nikol M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881251866 PECOS PAC ID: 6103150370 Enrollment ID: I20190620003490 |
| Provider Name | Lauren Ashley Lenhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104479575 PECOS PAC ID: 5092044370 Enrollment ID: I20190911003242 |
| Provider Name | Deepthi R Mosali |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1538108881 PECOS PAC ID: 9830101443 Enrollment ID: I20190913002950 |
| Provider Name | Kaitlin Marie Pielage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043736689 PECOS PAC ID: 0547526857 Enrollment ID: I20191111001506 |
| Provider Name | Mallory Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972865475 PECOS PAC ID: 2365736790 Enrollment ID: I20191219001127 |
| Provider Name | Hannah Schklar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437700523 PECOS PAC ID: 4385079565 Enrollment ID: I20200116000090 |
| Provider Name | Veronica Ines Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871559435 PECOS PAC ID: 0840397824 Enrollment ID: I20200212001379 |
| Provider Name | Elizabeth Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457973000 PECOS PAC ID: 2264853811 Enrollment ID: I20200713003653 |
| Provider Name | Matthew Kotlove |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821416645 PECOS PAC ID: 7517185358 Enrollment ID: I20200730001751 |
| Provider Name | Michael W Kasten |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760748164 PECOS PAC ID: 0345488573 Enrollment ID: I20200803003323 |
| Provider Name | Joshua Necamp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205246394 PECOS PAC ID: 7113145988 Enrollment ID: I20200810000674 |
| Provider Name | Nancy Kreyling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750572715 PECOS PAC ID: 9436220860 Enrollment ID: I20200831001741 |
| Provider Name | Keerthy Narisetty |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1629268693 PECOS PAC ID: 6507045960 Enrollment ID: I20200929001578 |
| Provider Name | Danielle Brauning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437756442 PECOS PAC ID: 6709297310 Enrollment ID: I20201202001582 |
| Provider Name | Danielle Nichole Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134720840 PECOS PAC ID: 2769894088 Enrollment ID: I20201210000848 |
| Provider Name | Kelley Rachelle Mcgarvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790396331 PECOS PAC ID: 0547416364 Enrollment ID: I20210224001411 |
| Provider Name | James Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427692797 PECOS PAC ID: 6800229618 Enrollment ID: I20210226001946 |
| Provider Name | Sarah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619569464 PECOS PAC ID: 5193131753 Enrollment ID: I20210304002653 |
| Provider Name | Tyler Allen Brundridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134715071 PECOS PAC ID: 3476969734 Enrollment ID: I20210310002962 |
| Provider Name | Rebecca Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174132070 PECOS PAC ID: 1951721992 Enrollment ID: I20210608003492 |
| Provider Name | Holly Laux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407425606 PECOS PAC ID: 3173926789 Enrollment ID: I20210720002380 |
| Provider Name | Arash Eslami |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275928350 PECOS PAC ID: 4082017389 Enrollment ID: I20210723002589 |
| Provider Name | Paige Cecelia Elliott-hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053903054 PECOS PAC ID: 0648673855 Enrollment ID: I20210726003228 |
| Provider Name | Sarah Ellen Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262641 PECOS PAC ID: 5698080083 Enrollment ID: I20210823000806 |
| Provider Name | Kenneth Bazydlo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558854174 PECOS PAC ID: 9234487232 Enrollment ID: I20210908002353 |
| Provider Name | Samantha Mullan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699185652 PECOS PAC ID: 9638424773 Enrollment ID: I20210913003424 |
| Provider Name | Ashley Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247738 PECOS PAC ID: 1759770472 Enrollment ID: I20211117002448 |
| Provider Name | Heather Lauren Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104557255 PECOS PAC ID: 6901286798 Enrollment ID: I20220711003039 |
| Provider Name | David M. Mosko |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952756660 PECOS PAC ID: 9032496336 Enrollment ID: I20220802003513 |
| Provider Name | Olsi Gjyshi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184156135 PECOS PAC ID: 3870976616 Enrollment ID: I20220811002803 |
| Provider Name | Lisa J Dunhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851051361 PECOS PAC ID: 3779966361 Enrollment ID: I20220815001663 |
| Provider Name | Rachel Bramblet |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1629459961 PECOS PAC ID: 0446569453 Enrollment ID: I20220824003018 |
| Provider Name | Emilee A Ott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952032997 PECOS PAC ID: 8628452323 Enrollment ID: I20220830001425 |
| Provider Name | Brent Taiting Xia |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1306289871 PECOS PAC ID: 0749415396 Enrollment ID: I20220912001850 |
| Provider Name | Benjamin Evans Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922341015 PECOS PAC ID: 9335497924 Enrollment ID: I20220916001239 |
| Provider Name | Minsig Choi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1073629812 PECOS PAC ID: 7012106933 Enrollment ID: I20221031002307 |
| Provider Name | Samantha Shirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053708446 PECOS PAC ID: 6709195704 Enrollment ID: I20221118000686 |
| Provider Name | Nina M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871844548 PECOS PAC ID: 4385893353 Enrollment ID: I20221129001283 |
| Provider Name | Michael Craig Johnson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568806511 PECOS PAC ID: 6002184017 Enrollment ID: I20230113001629 |
| Provider Name | Andrea Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114648060 PECOS PAC ID: 5890168660 Enrollment ID: I20230224001708 |
| Provider Name | Liberty E Delisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346941945 PECOS PAC ID: 7911372719 Enrollment ID: I20230410001031 |
| Provider Name | Miguel Angel Islas-ohlmayer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295917425 PECOS PAC ID: 8820150477 Enrollment ID: I20230427002008 |
| Provider Name | Megan M. Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538760020 PECOS PAC ID: 2860858784 Enrollment ID: I20230519000511 |
| Provider Name | Sudha Jaganathan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1447327085 PECOS PAC ID: 2466526652 Enrollment ID: I20230606000294 |
| Provider Name | Tareq Qdaisat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366838831 PECOS PAC ID: 3678999331 Enrollment ID: I20230613003303 |
| Provider Name | Matthew Paul Kurian |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174054548 PECOS PAC ID: 9032480512 Enrollment ID: I20230727002306 |
| Provider Name | Jennifer Margaret Leidy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346561008 PECOS PAC ID: 3971727686 Enrollment ID: I20230825002015 |
| Provider Name | Lalanthica Vilashini Yogendran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225429574 PECOS PAC ID: 8426345893 Enrollment ID: I20230918003730 |
| Provider Name | Cheyenne Marie Insprucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083490858 PECOS PAC ID: 1254786312 Enrollment ID: I20231009003281 |
| Provider Name | Ryan Lang Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154812717 PECOS PAC ID: 9931454402 Enrollment ID: I20231013001423 |
| Provider Name | Michael S Ising |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427442540 PECOS PAC ID: 1052691508 Enrollment ID: I20231019003354 |
| Provider Name | Jessica Brooke Speakman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649977661 PECOS PAC ID: 7911356167 Enrollment ID: I20231213000606 |
| Provider Name | Sylvie Hundley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851067326 PECOS PAC ID: 6103223607 Enrollment ID: I20231221003085 |
| Provider Name | Kathleen Amorini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912546565 PECOS PAC ID: 4183054661 Enrollment ID: I20231222001746 |
| Provider Name | Drew Alexander Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801496765 PECOS PAC ID: 4385054170 Enrollment ID: I20240125003609 |
| Provider Name | Maria Michelle Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922586163 PECOS PAC ID: 4789933516 Enrollment ID: I20240202003941 |
| Provider Name | Bobbi Omori Lakin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770961492 PECOS PAC ID: 6305114448 Enrollment ID: I20240313003113 |
| Provider Name | Erin Christine Karwisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346005865 PECOS PAC ID: 8628415106 Enrollment ID: I20240319003789 |
| Provider Name | Brett R Goldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770015703 PECOS PAC ID: 5698023919 Enrollment ID: I20240816001546 |
| Provider Name | Shelley I Odronic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851616676 PECOS PAC ID: 7719298140 Enrollment ID: I20240925000301 |
| Provider Name | Kelly Ann Mackessy |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1003317421 PECOS PAC ID: 1355698374 Enrollment ID: I20241031002564 |
| Provider Name | Tiffany T Kocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285120253 PECOS PAC ID: 8123378502 Enrollment ID: I20241123000336 |
| Provider Name | Dorothy Marie Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306477310 PECOS PAC ID: 2163850215 Enrollment ID: I20241125003744 |
| Provider Name | Ahmad T Mansour |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649585209 PECOS PAC ID: 4183054216 Enrollment ID: I20241127002974 |
| Provider Name | Nathan Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009486 PECOS PAC ID: 0042650368 Enrollment ID: I20241211000389 |
| Provider Name | Jessica Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316627805 PECOS PAC ID: 9830542612 Enrollment ID: I20241218001478 |
| Provider Name | Juan Penaranda-canal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588786784 PECOS PAC ID: 8426172701 Enrollment ID: I20250114000233 |
| Provider Name | Sulsal Ul Haque |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457618605 PECOS PAC ID: 3870732506 Enrollment ID: I20250305001743 |
Doctors Urgent Care Offices Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Sprucewood Ln, Erlanger, KY 41018 Phone: 859-282-6600 Fax: 859-282-8817 | |
Beacon Orthopaedics & Sports Medicine, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Rodeo Dr, Erlanger, KY 41018 Phone: 513-354-3700 | |
Healthpoint Family Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 Madison Pike, Erlanger, KY 41017 Phone: 859-655-6100 |