| St. Elizabeth Physicians Urgent Care | |
|
2626 Alexandria Pike Highland Heights KY 41076-1530 | |
| (859) 757-0434 | |
| (859) 441-0906 |
| Full Name | St. Elizabeth Physicians Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2626 Alexandria Pike, Highland Heights, Kentucky |
| Authorized Official Name and Position | Maria Rankin (AVP - REVENUE CYCLE) |
| Authorized Official Contact | 8593445555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeth Physicians Urgent Care 1360 Dolwick Drive Erlanger KY 41018 Ph: (859) 344-5555 | St. Elizabeth Physicians Urgent Care 2626 Alexandria Pike Highland Heights KY 41076-1530 Ph: (859) 757-0434 |
| NPI Number | 1881026169 |
|---|---|
| Provider Enumeration Date | 08/08/2013 |
| Last Update Date | 08/09/2021 |
| Medicare PECOS PAC ID | 2163326240 |
|---|---|
| Medicare Enrollment ID | O20031120000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881026169 | NPI | - | NPPES |
| Provider Name | James M Petit |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1851393748 PECOS PAC ID: 2466358593 Enrollment ID: I20031210000256 |
| Provider Name | Charles E Caldwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750347001 PECOS PAC ID: 9436056744 Enrollment ID: I20031216000022 |
| Provider Name | Robert Otte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295798791 PECOS PAC ID: 1254238561 Enrollment ID: I20031216000025 |
| Provider Name | David Michael Banks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114980521 PECOS PAC ID: 4880591197 Enrollment ID: I20031216000030 |
| Provider Name | Michael K Dragan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053370791 PECOS PAC ID: 2062319379 Enrollment ID: I20031216000038 |
| Provider Name | Alvena G Tcheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154380897 PECOS PAC ID: 1052218369 Enrollment ID: I20031216000042 |
| Provider Name | Brian W Schack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790721918 PECOS PAC ID: 1951209683 Enrollment ID: I20031219000465 |
| Provider Name | Michael J Miller |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1790777241 PECOS PAC ID: 8022919679 Enrollment ID: I20040116000201 |
| Provider Name | Samuel S Newman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841265519 PECOS PAC ID: 3971401209 Enrollment ID: I20040220000016 |
| Provider Name | Edward T Schumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194786061 PECOS PAC ID: 7315834439 Enrollment ID: I20040303000459 |
| Provider Name | Craig D Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821059791 PECOS PAC ID: 0749177780 Enrollment ID: I20040303000672 |
| Provider Name | Holly Danneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417958349 PECOS PAC ID: 6305733197 Enrollment ID: I20040304000710 |
| 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 | Kevin J Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467445148 PECOS PAC ID: 5890687891 Enrollment ID: I20040325001161 |
| Provider Name | Edward P Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497700124 PECOS PAC ID: 1850283698 Enrollment ID: I20040326000930 |
| Provider Name | Richard W Grover |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831182500 PECOS PAC ID: 4789576364 Enrollment ID: I20040329000042 |
| Provider Name | Paula M Wentworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790704146 PECOS PAC ID: 6305839515 Enrollment ID: I20040405001035 |
| Provider Name | Dorothy Rae Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568403616 PECOS PAC ID: 3375536980 Enrollment ID: I20040407001197 |
| Provider Name | Tarek Anjari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692459 PECOS PAC ID: 9335133701 Enrollment ID: I20040409000441 |
| Provider Name | Farzin Foruhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942249594 PECOS PAC ID: 0941192512 Enrollment ID: I20040416000122 |
| Provider Name | Deanna L Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043268170 PECOS PAC ID: 8224025457 Enrollment ID: I20040428001405 |
| Provider Name | Kara R Shay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578508271 PECOS PAC ID: 9638071327 Enrollment ID: I20040505001732 |
| Provider Name | Yancey R. Holmes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932177235 PECOS PAC ID: 6002805710 Enrollment ID: I20040508000042 |
| Provider Name | Brennan C Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942265814 PECOS PAC ID: 5193716009 Enrollment ID: I20040520000052 |
| Provider Name | Darryl Dwaine Dias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679576771 PECOS PAC ID: 0345231254 Enrollment ID: I20040520000082 |
| Provider Name | Robert Lynn Wyenandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326035635 PECOS PAC ID: 4284625922 Enrollment ID: I20040520001201 |
| 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 | Robert J Strickmeyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184621179 PECOS PAC ID: 7012998941 Enrollment ID: I20040526001608 |
| Provider Name | Mark K Jordan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922002252 PECOS PAC ID: 6800870957 Enrollment ID: I20040616000153 |
| Provider Name | Jason A Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518970961 PECOS PAC ID: 8527043702 Enrollment ID: I20040622000564 |
| Provider Name | Mark J Kolar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356389829 PECOS PAC ID: 2769461557 Enrollment ID: I20040715000803 |
| Provider Name | Niva Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063455475 PECOS PAC ID: 0143209825 Enrollment ID: I20040716000002 |
| Provider Name | Yvon Parent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306935697 PECOS PAC ID: 5597745349 Enrollment ID: I20040722000321 |
| Provider Name | Saeb F Khoury |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639135973 PECOS PAC ID: 0345210720 Enrollment ID: I20040731000273 |
| Provider Name | Geoffrey A Pornoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235108317 PECOS PAC ID: 1759275886 Enrollment ID: I20040907001264 |
| Provider Name | Neel Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831180769 PECOS PAC ID: 4082680418 Enrollment ID: I20040908000346 |
| Provider Name | William F Threlkeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205893112 PECOS PAC ID: 0143298810 Enrollment ID: I20040921000170 |
| Provider Name | Troy K Ashcraft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033178777 PECOS PAC ID: 5294703989 Enrollment ID: I20040921000298 |
| Provider Name | John Castaneda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467416628 PECOS PAC ID: 4183692890 Enrollment ID: I20040921000496 |
| Provider Name | Kelli A Schaar-eviston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265499669 PECOS PAC ID: 5597733212 Enrollment ID: I20040921000551 |
| Provider Name | Robert M Fitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447210711 PECOS PAC ID: 5799753422 Enrollment ID: I20040921000611 |
| Provider Name | Bradford A Quatkemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942261250 PECOS PAC ID: 0749258481 Enrollment ID: I20040921000741 |
| Provider Name | Corey Gallus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457333502 PECOS PAC ID: 9335117977 Enrollment ID: I20040921000791 |
| Provider Name | Amy S Haney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659333110 PECOS PAC ID: 9133197775 Enrollment ID: I20040921000803 |
| Provider Name | Joseph E Hartig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174583447 PECOS PAC ID: 3274501812 Enrollment ID: I20040921000843 |
| Provider Name | Esther E Saalfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818214 PECOS PAC ID: 4981672532 Enrollment ID: I20040921000858 |
| Provider Name | Jeffrey T Janning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760447619 PECOS PAC ID: 1759359300 Enrollment ID: I20040921000909 |
| Provider Name | Sidney D Trogdon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154326965 PECOS PAC ID: 3678541232 Enrollment ID: I20040921000982 |
| Provider Name | Gina Grove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659332526 PECOS PAC ID: 8022086602 Enrollment ID: I20040921001073 |
| Provider Name | Nancy J Metzger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811958788 PECOS PAC ID: 5092783670 Enrollment ID: I20040921001097 |
| Provider Name | Michael P Minning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013974419 PECOS PAC ID: 8325016900 Enrollment ID: I20040921001132 |
| Provider Name | Jon R Minzner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033170063 PECOS PAC ID: 7214905892 Enrollment ID: I20040921001149 |
| Provider Name | Robert Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205896503 PECOS PAC ID: 3375512577 Enrollment ID: I20040924000787 |
| Provider Name | Kevin Martin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801888219 PECOS PAC ID: 5698673077 Enrollment ID: I20041012000424 |
| Provider Name | Jeffrey J Blau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861446031 PECOS PAC ID: 4789645656 Enrollment ID: I20041023000226 |
| Provider Name | Mary J Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821081571 PECOS PAC ID: 9739140583 Enrollment ID: I20041025000513 |
| 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 | Martin Neville Pohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194743963 PECOS PAC ID: 0547154502 Enrollment ID: I20041103000666 |
| Provider Name | Carrie Ann Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568616068 PECOS PAC ID: 1456315852 Enrollment ID: I20041116001252 |
| Provider Name | Ralph F Huller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154313518 PECOS PAC ID: 8123016474 Enrollment ID: I20041119000003 |
| Provider Name | Thomas E Bunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417949876 PECOS PAC ID: 7214991660 Enrollment ID: I20041206000811 |
| Provider Name | Judy L Neff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740270743 PECOS PAC ID: 8426015892 Enrollment ID: I20041216001039 |
| 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 | Chris Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730185463 PECOS PAC ID: 0547228199 Enrollment ID: I20041229000215 |
| Provider Name | Rhonda R Pfaff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376533372 PECOS PAC ID: 0345293718 Enrollment ID: I20050225000045 |
| Provider Name | Teresa Lynne Koeller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1457399917 PECOS PAC ID: 3173577012 Enrollment ID: I20050303000703 |
| 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 | Jennifer L Malmstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275532624 PECOS PAC ID: 9032165824 Enrollment ID: I20050324000601 |
| Provider Name | Patricia A Abello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841256328 PECOS PAC ID: 7315993615 Enrollment ID: I20050330000334 |
| Provider Name | Kenneth A Glavan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831155167 PECOS PAC ID: 4385690684 Enrollment ID: I20050330000362 |
| Provider Name | Heidi C Murley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215993795 PECOS PAC ID: 0648226944 Enrollment ID: I20050330000386 |
| Provider Name | Susan M Yelich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306802889 PECOS PAC ID: 5294629515 Enrollment ID: I20050330000457 |
| Provider Name | Rebecca L Jilek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740610807 PECOS PAC ID: 8729035290 Enrollment ID: I20050406000831 |
| Provider Name | Jill Shawn Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649229352 PECOS PAC ID: 3779520044 Enrollment ID: I20050408000741 |
| Provider Name | Jeffrey Reichard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326045329 PECOS PAC ID: 3274570916 Enrollment ID: I20050413001010 |
| Provider Name | Jeffrey M Pilger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093705006 PECOS PAC ID: 0547208522 Enrollment ID: I20050420000678 |
| Provider Name | Dianne K Litwin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598757957 PECOS PAC ID: 6002856648 Enrollment ID: I20050503001189 |
| Provider Name | Neal J Moser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295727618 PECOS PAC ID: 6103866686 Enrollment ID: I20050504000239 |
| Provider Name | Connie M Murdock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255478475 PECOS PAC ID: 5395785794 Enrollment ID: I20050505000109 |
| 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 | Shaun F Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194766253 PECOS PAC ID: 2062454564 Enrollment ID: I20050525000349 |
| Provider Name | William H Beers |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467409656 PECOS PAC ID: 5991741282 Enrollment ID: I20050708000363 |
| Provider Name | Ann C Beers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760439954 PECOS PAC ID: 9335175629 Enrollment ID: I20050708000382 |
| Provider Name | Matthew J Barth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972559243 PECOS PAC ID: 5092741389 Enrollment ID: I20050708000447 |
| Provider Name | Betsy Kathryn Hurst |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104930072 PECOS PAC ID: 0749232528 Enrollment ID: I20050711000065 |
| Provider Name | Bahar Mittal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255482394 PECOS PAC ID: 6507892411 Enrollment ID: I20050712001042 |
| Provider Name | Lesley Marie Weghorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821050717 PECOS PAC ID: 4880620335 Enrollment ID: I20050715000272 |
| Provider Name | Linda M Hermiller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932142734 PECOS PAC ID: 1456388420 Enrollment ID: I20050721000027 |
| Provider Name | Stacey E Bishop Yeatman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770520975 PECOS PAC ID: 8022045095 Enrollment ID: I20050721000075 |
| Provider Name | John C Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558369934 PECOS PAC ID: 6901835982 Enrollment ID: I20050810000358 |
| Provider Name | Paul Gregory Houlihan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164415907 PECOS PAC ID: 5799756409 Enrollment ID: I20050825000305 |
| Provider Name | Payal Sood Kohli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144269796 PECOS PAC ID: 2163474115 Enrollment ID: I20050915000038 |
| Provider Name | Martin Ryan Moon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174516934 PECOS PAC ID: 9931133006 Enrollment ID: I20050920000055 |
| Provider Name | Alice Roberta Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033105879 PECOS PAC ID: 0749215689 Enrollment ID: I20050929000642 |
| Provider Name | James F Bardgett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972508869 PECOS PAC ID: 0042200065 Enrollment ID: I20051007000229 |
| Provider Name | William R Hammons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457399024 PECOS PAC ID: 1153220090 Enrollment ID: I20051027001121 |
| Provider Name | Laura Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710956388 PECOS PAC ID: 4688693963 Enrollment ID: I20051116000181 |
| Provider Name | Susan O Kushman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811998701 PECOS PAC ID: 6406809938 Enrollment ID: I20051122000379 |
| Provider Name | Bruce A Snider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548331226 PECOS PAC ID: 9537146147 Enrollment ID: I20060111000474 |
| Provider Name | Stephen Lon Hensley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700840519 PECOS PAC ID: 4880622380 Enrollment ID: I20060124000737 |
| Provider Name | Charles J Breen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437151719 PECOS PAC ID: 0446146633 Enrollment ID: I20060308000828 |
| Provider Name | Kathie E Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518989334 PECOS PAC ID: 4587672902 Enrollment ID: I20060327000809 |
| Provider Name | Kevin Goetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508821737 PECOS PAC ID: 4183635618 Enrollment ID: I20060519000005 |
| Provider Name | Michael K Davenport |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710982517 PECOS PAC ID: 0749292811 Enrollment ID: I20060608000322 |
| Provider Name | Michael G Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831115369 PECOS PAC ID: 7618972845 Enrollment ID: I20060922000055 |
| Provider Name | Kevin Connelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740204809 PECOS PAC ID: 2567468721 Enrollment ID: I20061011000173 |
| Provider Name | Mark S Meier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982664264 PECOS PAC ID: 8022014869 Enrollment ID: I20061018000380 |
| Provider Name | Michael J Geiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235211491 PECOS PAC ID: 6002912607 Enrollment ID: I20070427000222 |
| Provider Name | Cynthia A Planeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972569283 PECOS PAC ID: 5698871416 Enrollment ID: I20070510000357 |
| Provider Name | Shailaja R Veligandla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932153129 PECOS PAC ID: 9133106776 Enrollment ID: I20070518000042 |
| Provider Name | Michelle Lee Willoby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801864822 PECOS PAC ID: 8426941964 Enrollment ID: I20070601000280 |
| Provider Name | Beth A Myers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114913126 PECOS PAC ID: 2264531151 Enrollment ID: I20070618000278 |
| Provider Name | Roger E Teller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992747372 PECOS PAC ID: 5698874808 Enrollment ID: I20070628000044 |
| Provider Name | Viral V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003012428 PECOS PAC ID: 8325148158 Enrollment ID: I20070710000284 |
| Provider Name | Kathleen M Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588618193 PECOS PAC ID: 2163522723 Enrollment ID: I20070711000573 |
| Provider Name | Ned Mehlman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093712283 PECOS PAC ID: 2466349873 Enrollment ID: I20070716000055 |
| Provider Name | Jerome B Schutzman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275536302 PECOS PAC ID: 8527168913 Enrollment ID: I20070716000121 |
| Provider Name | Damodhar Suresh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356348346 PECOS PAC ID: 6406743822 Enrollment ID: I20070716000185 |
| Provider Name | Martin J Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306048384 PECOS PAC ID: 0547361156 Enrollment ID: I20070726000658 |
| Provider Name | Oscar O Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952415788 PECOS PAC ID: 4880795301 Enrollment ID: I20070726000764 |
| Provider Name | Edward C Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104819978 PECOS PAC ID: 8426159856 Enrollment ID: I20070728000233 |
| Provider Name | Kimberly A Vormbrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730398694 PECOS PAC ID: 2264533652 Enrollment ID: I20070730000547 |
| Provider Name | Ashok Pratap Jarkani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427171081 PECOS PAC ID: 7911098587 Enrollment ID: I20070810000530 |
| Provider Name | Chanti Flanagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386846053 PECOS PAC ID: 5991896367 Enrollment ID: I20070814000734 |
| Provider Name | Vicki C Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528261914 PECOS PAC ID: 6507958642 Enrollment ID: I20070822000314 |
| Provider Name | Phillip L Kiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356446447 PECOS PAC ID: 9638261696 Enrollment ID: I20070822000569 |
| Provider Name | Glen A Turner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427094614 PECOS PAC ID: 0547224701 Enrollment ID: I20070907000320 |
| Provider Name | Ivy Sheehan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083811194 PECOS PAC ID: 6800981580 Enrollment ID: I20070927000106 |
| Provider Name | Jonathan Ray Varney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538262423 PECOS PAC ID: 3870689128 Enrollment ID: I20071018000080 |
| Provider Name | James P Konerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588666978 PECOS PAC ID: 3173417177 Enrollment ID: I20071022000615 |
| Provider Name | Emily A Laib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780895193 PECOS PAC ID: 2668569187 Enrollment ID: I20071031000337 |
| Provider Name | Bradley J Bankers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700900636 PECOS PAC ID: 7719074897 Enrollment ID: I20071106000776 |
| Provider Name | Ty Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205037470 PECOS PAC ID: 3678653466 Enrollment ID: I20080107000299 |
| Provider Name | Rae Lynn Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750310868 PECOS PAC ID: 9133209968 Enrollment ID: I20080107000615 |
| Provider Name | Rachel A Broering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346249760 PECOS PAC ID: 5698857803 Enrollment ID: I20080128000225 |
| Provider Name | Karen Landwehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013129626 PECOS PAC ID: 3173606704 Enrollment ID: I20080206000013 |
| Provider Name | Christopher J Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205837069 PECOS PAC ID: 3274612072 Enrollment ID: I20080506000001 |
| Provider Name | Robert D Wells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073611554 PECOS PAC ID: 4688743701 Enrollment ID: I20080515000419 |
| Provider Name | Kevin P Fitzgerald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942329370 PECOS PAC ID: 5395814149 Enrollment ID: I20080605000293 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174792154 PECOS PAC ID: 6608953328 Enrollment ID: I20080717000612 |
| Provider Name | Oluseun O Medeyinlo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205040136 PECOS PAC ID: 1052485786 Enrollment ID: I20080730000039 |
| Provider Name | Jennifer M Ernst-pierson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851511158 PECOS PAC ID: 9830299593 Enrollment ID: I20080730000069 |
| Provider Name | Meredith Himmler Donnelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790961753 PECOS PAC ID: 7416021670 Enrollment ID: I20080806000163 |
| Provider Name | Joseph E Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983859 PECOS PAC ID: 4385674266 Enrollment ID: I20080806000487 |
| Provider Name | Bradley S Eilerman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841389822 PECOS PAC ID: 2567560956 Enrollment ID: I20080808000031 |
| Provider Name | Piotr A Zieba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265487631 PECOS PAC ID: 8426123662 Enrollment ID: I20080821000678 |
| Provider Name | William Reutman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790741031 PECOS PAC ID: 9931274990 Enrollment ID: I20080826000645 |
| Provider Name | Michael R Gieske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316903636 PECOS PAC ID: 9436224490 Enrollment ID: I20080826000691 |
| Provider Name | David Littrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083670467 PECOS PAC ID: 6608941661 Enrollment ID: I20080826000699 |
| Provider Name | Curtis J Dorsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669438917 PECOS PAC ID: 1153496112 Enrollment ID: I20080826000707 |
| Provider Name | William C Willmott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447286455 PECOS PAC ID: 7012965726 Enrollment ID: I20080827000613 |
| Provider Name | Joseph P Vonderbrink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518923853 PECOS PAC ID: 5193891828 Enrollment ID: I20080904000165 |
| Provider Name | Sasa Strunjas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639179138 PECOS PAC ID: 6507806403 Enrollment ID: I20080916000391 |
| Provider Name | Lora C Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851391445 PECOS PAC ID: 4284701210 Enrollment ID: I20080917000411 |
| Provider Name | Douglas A Goderwis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760439095 PECOS PAC ID: 7517034028 Enrollment ID: I20080925000388 |
| Provider Name | James Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609832948 PECOS PAC ID: 9830266345 Enrollment ID: I20080925000436 |
| 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 | Fred Wesley Dunaway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407812720 PECOS PAC ID: 2062570294 Enrollment ID: I20081016000530 |
| Provider Name | Olivia Kuper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306022983 PECOS PAC ID: 0840358883 Enrollment ID: I20081021000324 |
| Provider Name | Anthony W Alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407856057 PECOS PAC ID: 5395840250 Enrollment ID: I20081021000524 |
| Provider Name | Rajeev Kurapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679759252 PECOS PAC ID: 8325115884 Enrollment ID: I20081030000278 |
| Provider Name | Chadwick W Hatfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780714931 PECOS PAC ID: 9638239338 Enrollment ID: I20081126000234 |
| Provider Name | Lauren N Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174772628 PECOS PAC ID: 5799846622 Enrollment ID: I20081210000218 |
| Provider Name | Latonya Brown-puryear |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790767515 PECOS PAC ID: 3779502786 Enrollment ID: I20090122000344 |
| Provider Name | Donald T Hudak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396709234 PECOS PAC ID: 1557337730 Enrollment ID: I20090209000400 |
| Provider Name | Lisa A Arehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730116823 PECOS PAC ID: 6406805969 Enrollment ID: I20090210000006 |
| Provider Name | Shelby J Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053577189 PECOS PAC ID: 4082771183 Enrollment ID: I20090317000150 |
| Provider Name | Robert Toltzis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265480677 PECOS PAC ID: 9335173491 Enrollment ID: I20090317000337 |
| Provider Name | Marla S Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104821982 PECOS PAC ID: 5698822930 Enrollment ID: I20090402000506 |
| Provider Name | Steven Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811995558 PECOS PAC ID: 3274564497 Enrollment ID: I20090407000390 |
| Provider Name | Darlene Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174526057 PECOS PAC ID: 9335296029 Enrollment ID: I20090415000587 |
| Provider Name | Darren P Di Iulio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609075720 PECOS PAC ID: 5193819092 Enrollment ID: I20090505000047 |
| Provider Name | Jon C Hays |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881646339 PECOS PAC ID: 1850281288 Enrollment ID: I20090720000532 |
| Provider Name | Manford Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003920042 PECOS PAC ID: 8921038472 Enrollment ID: I20090721000095 |
| Provider Name | Michael L Bowlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154560225 PECOS PAC ID: 0840342846 Enrollment ID: I20090722000751 |
| Provider Name | Joshua M Benge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194920025 PECOS PAC ID: 0648323303 Enrollment ID: I20090729000289 |
| Provider Name | Irfan Budhani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609079540 PECOS PAC ID: 7113070426 Enrollment ID: I20090804000770 |
| Provider Name | Sandra J Utter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679712681 PECOS PAC ID: 4385797505 Enrollment ID: I20090805000106 |
| Provider Name | Jeffrey Robert Strawn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801947288 PECOS PAC ID: 9739232893 Enrollment ID: I20090806000625 |
| Provider Name | Bradley G Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073752010 PECOS PAC ID: 5799839726 Enrollment ID: I20090811000095 |
| Provider Name | William L Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932287174 PECOS PAC ID: 4587718606 Enrollment ID: I20090824000501 |
| Provider Name | Matthew D Wenker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760472617 PECOS PAC ID: 5698820744 Enrollment ID: I20090826000330 |
| Provider Name | Bradley S Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770690216 PECOS PAC ID: 3678545092 Enrollment ID: I20090922000428 |
| Provider Name | Ria A Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669611653 PECOS PAC ID: 4385790690 Enrollment ID: I20090928000530 |
| Provider Name | James J Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780785899 PECOS PAC ID: 8224036991 Enrollment ID: I20091021000331 |
| Provider Name | Mina Kalfas |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1508808361 PECOS PAC ID: 3173660271 Enrollment ID: I20091022000073 |
| Provider Name | George E Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497838684 PECOS PAC ID: 2860530946 Enrollment ID: I20091110000515 |
| Provider Name | Kathleen M Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750617445 PECOS PAC ID: 3577604537 Enrollment ID: I20100113000105 |
| Provider Name | Charles Jeffrey Burgher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922045186 PECOS PAC ID: 3971644832 Enrollment ID: I20100114000284 |
| Provider Name | Randi L Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780621961 PECOS PAC ID: 8224179197 Enrollment ID: I20100114000326 |
| Provider Name | Jeremy D Engel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497792584 PECOS PAC ID: 4789689746 Enrollment ID: I20100115000004 |
| Provider Name | Mark D Sander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508893314 PECOS PAC ID: 7810039690 Enrollment ID: I20100115000704 |
| Provider Name | Karl M Schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013953033 PECOS PAC ID: 8224170014 Enrollment ID: I20100115000769 |
| Provider Name | Debra F Schulte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043247711 PECOS PAC ID: 3476695289 Enrollment ID: I20100116000000 |
| Provider Name | Michael P Schulte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043247141 PECOS PAC ID: 4385786193 Enrollment ID: I20100116000003 |
| Provider Name | Nancy L Shupe Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033146881 PECOS PAC ID: 8921140732 Enrollment ID: I20100116000005 |
| Provider Name | Anne D Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124061981 PECOS PAC ID: 0143362954 Enrollment ID: I20100116000062 |
| Provider Name | Robert N Tracy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003848763 PECOS PAC ID: 0345382164 Enrollment ID: I20100116000156 |
| Provider Name | Susan C Wenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285688499 PECOS PAC ID: 8426190240 Enrollment ID: I20100116000172 |
| Provider Name | Philip D Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174579445 PECOS PAC ID: 2961544788 Enrollment ID: I20100116000187 |
| Provider Name | Michael W Grainger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861439937 PECOS PAC ID: 6305988130 Enrollment ID: I20100116000225 |
| Provider Name | Paul R Guenthner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427095330 PECOS PAC ID: 1658413489 Enrollment ID: I20100116000253 |
| Provider Name | John R Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114922911 PECOS PAC ID: 3173665858 Enrollment ID: I20100119000069 |
| Provider Name | Scott J Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619918703 PECOS PAC ID: 4587706270 Enrollment ID: I20100119000213 |
| Provider Name | Patrick G Meade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710983572 PECOS PAC ID: 3375685001 Enrollment ID: I20100119000531 |
| Provider Name | Douglas R Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841234804 PECOS PAC ID: 6800938416 Enrollment ID: I20100120000541 |
| Provider Name | Michelle M Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467497420 PECOS PAC ID: 5597807107 Enrollment ID: I20100120000577 |
| Provider Name | Donald L Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407892235 PECOS PAC ID: 0648312264 Enrollment ID: I20100120000614 |
| Provider Name | Kelly M Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699003798 PECOS PAC ID: 3678616422 Enrollment ID: I20100202000914 |
| Provider Name | Gregory Leo Salzman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821095456 PECOS PAC ID: 8729121272 Enrollment ID: I20100205000032 |
| Provider Name | John Eldridge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609817394 PECOS PAC ID: 3274676135 Enrollment ID: I20100225000303 |
| 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 | Eugene J Burchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013914381 PECOS PAC ID: 1557358504 Enrollment ID: I20100306000264 |
| Provider Name | Julia A Menetrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518295435 PECOS PAC ID: 1355476524 Enrollment ID: I20100315000238 |
| Provider Name | Stephen F Mielech |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326047903 PECOS PAC ID: 3375678287 Enrollment ID: I20100317000734 |
| Provider Name | Matthew Enzweiler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023017522 PECOS PAC ID: 0042345969 Enrollment ID: I20100317000797 |
| Provider Name | John A Darpel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194720490 PECOS PAC ID: 2264568302 Enrollment ID: I20100329000621 |
| Provider Name | Krista M Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558390559 PECOS PAC ID: 0446395248 Enrollment ID: I20100330000813 |
| Provider Name | Richard B Williams |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285677385 PECOS PAC ID: 4082740881 Enrollment ID: I20100331000777 |
| Provider Name | Patrick J Ginney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417956095 PECOS PAC ID: 7810023348 Enrollment ID: I20100410000000 |
| Provider Name | Paul A Jacobs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841295243 PECOS PAC ID: 6305973884 Enrollment ID: I20100415000480 |
| Provider Name | Michael J Gerwe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124023429 PECOS PAC ID: 6800923384 Enrollment ID: I20100415000555 |
| Provider Name | Shawn K Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659477180 PECOS PAC ID: 2961539820 Enrollment ID: I20100424000006 |
| Provider Name | Robert J Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124018072 PECOS PAC ID: 3870622319 Enrollment ID: I20100521000531 |
| Provider Name | Mary L Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881911758 PECOS PAC ID: 8628107877 Enrollment ID: I20100526000284 |
| Provider Name | Julie Ann Schwegmann Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912223272 PECOS PAC ID: 1759411424 Enrollment ID: I20100608000212 |
| Provider Name | William M Nielson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174521082 PECOS PAC ID: 9335136621 Enrollment ID: I20100618000365 |
| Provider Name | Allana J Oak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841369154 PECOS PAC ID: 3577693449 Enrollment ID: I20100621000139 |
| Provider Name | Mark A Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811066178 PECOS PAC ID: 5698806586 Enrollment ID: I20100621000500 |
| Provider Name | Julie A Metzger Aubuchon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144280678 PECOS PAC ID: 7315078748 Enrollment ID: I20100630000403 |
| Provider Name | Rosa B. Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033431135 PECOS PAC ID: 5799810842 Enrollment ID: I20100709000478 |
| Provider Name | Lori A Catanzaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356545354 PECOS PAC ID: 7214069137 Enrollment ID: I20100713000184 |
| Provider Name | Suzanne M Kress |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710126636 PECOS PAC ID: 4284768383 Enrollment ID: I20100811000396 |
| Provider Name | Douglas W Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184879736 PECOS PAC ID: 1355406380 Enrollment ID: I20100812000588 |
| Provider Name | Elizabeth N Velazquez-noll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013156108 PECOS PAC ID: 2961536206 Enrollment ID: I20100823000323 |
| Provider Name | Vincent M Lubrano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285683219 PECOS PAC ID: 1658495981 Enrollment ID: I20100824000688 |
| Provider Name | Gregory Worley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356340939 PECOS PAC ID: 6901934512 Enrollment ID: I20100830000665 |
| Provider Name | Adnan Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629240643 PECOS PAC ID: 7113041963 Enrollment ID: I20100831000240 |
| Provider Name | Kami Attarhaye Tehrani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649302290 PECOS PAC ID: 2163599028 Enrollment ID: I20100902000836 |
| Provider Name | Melonie C Proctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205075116 PECOS PAC ID: 9638294838 Enrollment ID: I20100910000989 |
| Provider Name | Luke Hehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417905530 PECOS PAC ID: 1759358567 Enrollment ID: I20100921000204 |
| Provider Name | William Charles Wring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376856211 PECOS PAC ID: 2961528336 Enrollment ID: I20100923000601 |
| Provider Name | Tim B Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457311722 PECOS PAC ID: 7416073465 Enrollment ID: I20100927001262 |
| Provider Name | Magdalena A Winiarska |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255450995 PECOS PAC ID: 0446442909 Enrollment ID: I20101004000350 |
| Provider Name | Heidi L Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265671408 PECOS PAC ID: 8426240904 Enrollment ID: I20101004000511 |
| Provider Name | Patrick T Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548220817 PECOS PAC ID: 2961696604 Enrollment ID: I20101027000441 |
| Provider Name | Martha L Walden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891701462 PECOS PAC ID: 7911963335 Enrollment ID: I20101103001142 |
| Provider Name | Grant Hamilton Breazeale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922119122 PECOS PAC ID: 6204838105 Enrollment ID: I20101124000323 |
| Provider Name | Julie Ann Gallatin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649419912 PECOS PAC ID: 0345436309 Enrollment ID: I20101202000409 |
| Provider Name | Kathleen L Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811173685 PECOS PAC ID: 4880880863 Enrollment ID: I20101202000583 |
| Provider Name | Angela C Tennant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922284660 PECOS PAC ID: 8426245234 Enrollment ID: I20101206001063 |
| Provider Name | Julie A Adkisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821304577 PECOS PAC ID: 8325235138 Enrollment ID: I20101206001077 |
| Provider Name | Ryan Patrick Woods |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568616274 PECOS PAC ID: 0749477271 Enrollment ID: I20101209001342 |
| Provider Name | Billy Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033395801 PECOS PAC ID: 8527256924 Enrollment ID: I20101229001034 |
| Provider Name | Monica K Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023257086 PECOS PAC ID: 0446439566 Enrollment ID: I20110121000360 |
| Provider Name | Kelly P Ganster |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881996510 PECOS PAC ID: 3476732132 Enrollment ID: I20110126001035 |
| Provider Name | Mistie H Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104128651 PECOS PAC ID: 0547440703 Enrollment ID: I20110207000173 |
| Provider Name | Allen J Zobay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417179888 PECOS PAC ID: 2769662881 Enrollment ID: I20110207000882 |
| Provider Name | Angel L Velazquez-santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629217880 PECOS PAC ID: 5890975684 Enrollment ID: I20110211000008 |
| Provider Name | Kaylae B Whisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457662215 PECOS PAC ID: 8224210679 Enrollment ID: I20110307000930 |
| Provider Name | Vidya Devarajan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063658623 PECOS PAC ID: 0941482152 Enrollment ID: I20110309000656 |
| Provider Name | Oliver J Benes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972742963 PECOS PAC ID: 9638352354 Enrollment ID: I20110317000610 |
| Provider Name | Regina Mary Brooks Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417049404 PECOS PAC ID: 1153359476 Enrollment ID: I20110323000355 |
| Provider Name | Noreen K Durrani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710195060 PECOS PAC ID: 1658469374 Enrollment ID: I20110331000291 |
| Provider Name | Susan M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487951208 PECOS PAC ID: 3476451485 Enrollment ID: I20110415000425 |
| Provider Name | Christina Lynn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851682009 PECOS PAC ID: 6709063670 Enrollment ID: I20110601000274 |
| Provider Name | Nivea L Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972890721 PECOS PAC ID: 7810165982 Enrollment ID: I20110714000829 |
| Provider Name | Amanda Leigh Gastright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962630327 PECOS PAC ID: 5496800906 Enrollment ID: I20110725000260 |
| Provider Name | Sherri L Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093976375 PECOS PAC ID: 7911175385 Enrollment ID: I20110730000012 |
| Provider Name | Piam Shanehsaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538312228 PECOS PAC ID: 4284802653 Enrollment ID: I20110730000021 |
| Provider Name | Brian J Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750511929 PECOS PAC ID: 9133398522 Enrollment ID: I20110801000295 |
| Provider Name | Kelly K Lown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649566605 PECOS PAC ID: 3173792793 Enrollment ID: I20110816000107 |
| Provider Name | Nathaniel J Dittoe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720106685 PECOS PAC ID: 7719087246 Enrollment ID: I20110825000667 |
| Provider Name | Laura A Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982982344 PECOS PAC ID: 4082884044 Enrollment ID: I20110830000390 |
| Provider Name | Nancy H Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649387481 PECOS PAC ID: 6800066655 Enrollment ID: I20110902000455 |
| Provider Name | Kimberly Daly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366415200 PECOS PAC ID: 6709056559 Enrollment ID: I20110902000469 |
| Provider Name | Samer A Kseibi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851359541 PECOS PAC ID: 5890741870 Enrollment ID: I20110902000513 |
| Provider Name | John W Lacount |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649250747 PECOS PAC ID: 0446420202 Enrollment ID: I20110902000570 |
| Provider Name | Amy L Heisel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437122371 PECOS PAC ID: 6103096847 Enrollment ID: I20110907000933 |
| Provider Name | Catherine A Defoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902879836 PECOS PAC ID: 8527238278 Enrollment ID: I20110907001071 |
| Provider Name | Catherine A Hughes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285614305 PECOS PAC ID: 1153591805 Enrollment ID: I20110907001088 |
| Provider Name | Erin Schaeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023125762 PECOS PAC ID: 6406026178 Enrollment ID: I20110907001261 |
| Provider Name | Elizabeth A Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609167170 PECOS PAC ID: 1254502719 Enrollment ID: I20110914000488 |
| Provider Name | Christina M Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255619961 PECOS PAC ID: 7517138852 Enrollment ID: I20110919000367 |
| Provider Name | John Webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891762563 PECOS PAC ID: 6800083189 Enrollment ID: I20110929000685 |
| Provider Name | Jaclyn M Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801000385 PECOS PAC ID: 6800068461 Enrollment ID: I20111004000769 |
| Provider Name | Rebecca L Flora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568744530 PECOS PAC ID: 6709058514 Enrollment ID: I20111019000914 |
| Provider Name | Alvaro A Ryes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841256070 PECOS PAC ID: 4981501723 Enrollment ID: I20111111000363 |
| Provider Name | Sonja A Heuker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669435731 PECOS PAC ID: 3779507181 Enrollment ID: I20111216000332 |
| Provider Name | Kimberly G Deringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376754663 PECOS PAC ID: 7012008451 Enrollment ID: I20111216000548 |
| Provider Name | Sarah B Flora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558593459 PECOS PAC ID: 1456527746 Enrollment ID: I20120109000715 |
| Provider Name | Steven Lee Willett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194749689 PECOS PAC ID: 0547362402 Enrollment ID: I20120125000664 |
| Provider Name | Anna B Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1114207438 PECOS PAC ID: 8224295324 Enrollment ID: I20120201000334 |
| Provider Name | Zahid Ahmad Saeed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649269226 PECOS PAC ID: 5496776668 Enrollment ID: I20120203000462 |
| Provider Name | Kiran C Bhatia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154366284 PECOS PAC ID: 4183622160 Enrollment ID: I20120215000080 |
| Provider Name | Kelly Evans-rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770799124 PECOS PAC ID: 7113185166 Enrollment ID: I20120221001096 |
| Provider Name | Jayne Marie Bodenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487925194 PECOS PAC ID: 1850559733 Enrollment ID: I20120223000338 |
| Provider Name | Dora Savani-blackham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730121237 PECOS PAC ID: 1557444023 Enrollment ID: I20120223000849 |
| Provider Name | Eli R Cianciolo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013128305 PECOS PAC ID: 8628115805 Enrollment ID: I20120229000853 |
| Provider Name | Caron Harner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801106984 PECOS PAC ID: 0840458303 Enrollment ID: I20120301000112 |
| Provider Name | Joseph Michael Guenther |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1790750172 PECOS PAC ID: 3779619119 Enrollment ID: I20120309000159 |
| Provider Name | Wael E Eid |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013936517 PECOS PAC ID: 0446292395 Enrollment ID: I20120328000522 |
| Provider Name | Maribeth E Hibbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942259601 PECOS PAC ID: 7012178916 Enrollment ID: I20120420000337 |
| Provider Name | Meredith Anne Landorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386671410 PECOS PAC ID: 3375569676 Enrollment ID: I20120515000108 |
| Provider Name | Christina Staggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346515988 PECOS PAC ID: 9335300490 Enrollment ID: I20120515000155 |
| Provider Name | Carl Davidson Gandola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376529461 PECOS PAC ID: 1850416389 Enrollment ID: I20120605000450 |
| Provider Name | Adam T Slone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225345341 PECOS PAC ID: 4587828835 Enrollment ID: I20120618000204 |
| Provider Name | Chike C Anusionwu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821043217 PECOS PAC ID: 5597769927 Enrollment ID: I20120620000487 |
| Provider Name | Tyler W Browning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457663833 PECOS PAC ID: 8022273101 Enrollment ID: I20120625000214 |
| Provider Name | Ephese Moise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912298076 PECOS PAC ID: 6709041460 Enrollment ID: I20120702000051 |
| Provider Name | Donna Lynn Pleiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245262427 PECOS PAC ID: 7911905419 Enrollment ID: I20120703000522 |
| Provider Name | Abby Loftus-smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699068452 PECOS PAC ID: 2062677412 Enrollment ID: I20120710000206 |
| Provider Name | Vinod Krishnan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518156967 PECOS PAC ID: 9133203599 Enrollment ID: I20120717000450 |
| Provider Name | Edward J Krusling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821227570 PECOS PAC ID: 9739345414 Enrollment ID: I20120724000933 |
| Provider Name | Amanda Von Hoene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396867974 PECOS PAC ID: 1557517844 Enrollment ID: I20120801000607 |
| Provider Name | Sonia R Chopra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598927345 PECOS PAC ID: 2961658984 Enrollment ID: I20120807000888 |
| 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 | Gregory Lam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861416596 PECOS PAC ID: 0840297008 Enrollment ID: I20120821000364 |
| Provider Name | Jonathan Koop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184917833 PECOS PAC ID: 7214184373 Enrollment ID: I20120823000818 |
| Provider Name | Susanne Bodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538417399 PECOS PAC ID: 1052561602 Enrollment ID: I20121017000475 |
| Provider Name | Amy J Dichiara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336350990 PECOS PAC ID: 9234381567 Enrollment ID: I20121212000272 |
| 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 | Brooke Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114266541 PECOS PAC ID: 5496900268 Enrollment ID: I20130227000566 |
| Provider Name | Tracy L Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568664142 PECOS PAC ID: 1759423478 Enrollment ID: I20130304000119 |
| Provider Name | Joanie L Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740510239 PECOS PAC ID: 5193869691 Enrollment ID: I20130327000411 |
| Provider Name | Edwin P Staat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275558934 PECOS PAC ID: 8820279623 Enrollment ID: I20130411000356 |
| Provider Name | Heather Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689911422 PECOS PAC ID: 3173760568 Enrollment ID: I20130501000582 |
| Provider Name | Cruff Renard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609154137 PECOS PAC ID: 8022255637 Enrollment ID: I20130517000506 |
| Provider Name | Tammy J Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407118722 PECOS PAC ID: 4789830738 Enrollment ID: I20130529000214 |
| Provider Name | Rebecca Osborne Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528386000 PECOS PAC ID: 7416195441 Enrollment ID: I20130603000062 |
| Provider Name | Gurjeet S Sandhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366789026 PECOS PAC ID: 1254579212 Enrollment ID: I20130603000412 |
| Provider Name | Mohamad C Sinno |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1417115387 PECOS PAC ID: 7113176363 Enrollment ID: I20130606000676 |
| Provider Name | Lauren Drotleff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073855771 PECOS PAC ID: 8224277728 Enrollment ID: I20130613000144 |
| Provider Name | Asha Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700183324 PECOS PAC ID: 6002055431 Enrollment ID: I20130617000078 |
| Provider Name | Sofia H Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902197544 PECOS PAC ID: 2264671601 Enrollment ID: I20130617000234 |
| Provider Name | Ashley L Gribbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629321906 PECOS PAC ID: 8426296427 Enrollment ID: I20130709000507 |
| 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 | Margie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932542974 PECOS PAC ID: 6800037748 Enrollment ID: I20130718000744 |
| Provider Name | Jennifer M Haigis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376989533 PECOS PAC ID: 5496996209 Enrollment ID: I20130720000062 |
| Provider Name | Niraj Upadhayay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497947964 PECOS PAC ID: 9638364458 Enrollment ID: I20130802000783 |
| Provider Name | Nelson Tauro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922242841 PECOS PAC ID: 9537301064 Enrollment ID: I20130813000984 |
| Provider Name | Amanda Dalhover |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578909230 PECOS PAC ID: 9830331263 Enrollment ID: I20130814000130 |
| Provider Name | Meghan Markovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457595340 PECOS PAC ID: 6608018080 Enrollment ID: I20130814000721 |
| Provider Name | Tasheena Slone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083907240 PECOS PAC ID: 0941442008 Enrollment ID: I20130820000542 |
| Provider Name | Jacqueline Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821382482 PECOS PAC ID: 6204079189 Enrollment ID: I20130823001307 |
| Provider Name | Abra Lee Bates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235364977 PECOS PAC ID: 4789822172 Enrollment ID: I20130827000510 |
| Provider Name | Jennifer Anne Epperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400710 PECOS PAC ID: 2365685609 Enrollment ID: I20130905000372 |
| Provider Name | Daniel Zalkind |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538315700 PECOS PAC ID: 6305080573 Enrollment ID: I20130910000748 |
| Provider Name | Thomas P Carrigan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912178641 PECOS PAC ID: 5597913947 Enrollment ID: I20130910000803 |
| Provider Name | Neil Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881813681 PECOS PAC ID: 2961482187 Enrollment ID: I20130912000286 |
| Provider Name | Lisa Downton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144560996 PECOS PAC ID: 0547495947 Enrollment ID: I20131018001728 |
| Provider Name | Jennifer Dooley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952742710 PECOS PAC ID: 0042445447 Enrollment ID: I20131018001903 |
| Provider Name | Christina S Wise |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1730342635 PECOS PAC ID: 5294960506 Enrollment ID: I20131022001362 |
| Provider Name | Sherri K Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144657263 PECOS PAC ID: 0840425492 Enrollment ID: I20131106001713 |
| Provider Name | James Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629377148 PECOS PAC ID: 6002041514 Enrollment ID: I20131108000246 |
| Provider Name | Katie M Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679877427 PECOS PAC ID: 6800020413 Enrollment ID: I20131203002172 |
| Provider Name | Rafid J Kakel |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982961660 PECOS PAC ID: 2466691928 Enrollment ID: I20140310000466 |
| Provider Name | Laura L Barczewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043575145 PECOS PAC ID: 9830321710 Enrollment ID: I20140408000362 |
| Provider Name | Christopher L Summe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295726263 PECOS PAC ID: 0143238816 Enrollment ID: I20140612000382 |
| Provider Name | Susan Holden Oakley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982894721 PECOS PAC ID: 8628292265 Enrollment ID: I20140620001747 |
| Provider Name | Stephanie A Stirrat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760747828 PECOS PAC ID: 3375769037 Enrollment ID: I20140801001277 |
| Provider Name | Simon-alexandre Lovasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083978019 PECOS PAC ID: 7214154970 Enrollment ID: I20140804002517 |
| Provider Name | Philip A Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548524457 PECOS PAC ID: 9436376902 Enrollment ID: I20140806001176 |
| Provider Name | Jeanne M Setters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497162945 PECOS PAC ID: 8820215080 Enrollment ID: I20140812000330 |
| Provider Name | Kruti C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073877205 PECOS PAC ID: 5395962484 Enrollment ID: I20140813002326 |
| Provider Name | Jeffrey L Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316263684 PECOS PAC ID: 9032337761 Enrollment ID: I20140821001730 |
| Provider Name | Melissa R Brueggemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144638842 PECOS PAC ID: 4981822541 Enrollment ID: I20140825000729 |
| Provider Name | Lynnette C Chasteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326457243 PECOS PAC ID: 7719105378 Enrollment ID: I20140825001020 |
| Provider Name | Holly Gunn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467655431 PECOS PAC ID: 7113183336 Enrollment ID: I20140827001909 |
| Provider Name | Michael S Wehmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154632875 PECOS PAC ID: 0143448373 Enrollment ID: I20140828002488 |
| Provider Name | Jonathan Byers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821385733 PECOS PAC ID: 5991945461 Enrollment ID: I20140908000502 |
| Provider Name | Lily E Hahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326362872 PECOS PAC ID: 8527287382 Enrollment ID: I20140910001566 |
| Provider Name | Erin Tuemler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902190366 PECOS PAC ID: 0446479182 Enrollment ID: I20140911002049 |
| Provider Name | Tonya Widener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487058574 PECOS PAC ID: 2163744376 Enrollment ID: I20141125000720 |
| Provider Name | Allison M Forbes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356743199 PECOS PAC ID: 9931421161 Enrollment ID: I20141125001275 |
| Provider Name | Jalean Louise Heikenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084774 PECOS PAC ID: 6507188661 Enrollment ID: I20141201001837 |
| Provider Name | Deborah Ruhlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083019483 PECOS PAC ID: 7113240326 Enrollment ID: I20141219000223 |
| Provider Name | Anna Margaret Sketch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730584657 PECOS PAC ID: 7315260155 Enrollment ID: I20141230002325 |
| Provider Name | Ailleen Heras Herzig |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962545525 PECOS PAC ID: 2163439043 Enrollment ID: I20150210002048 |
| Provider Name | Suzana Brozovic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225216989 PECOS PAC ID: 5395870612 Enrollment ID: I20150304001665 |
| Provider Name | Joan O Bovard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053715516 PECOS PAC ID: 2769704071 Enrollment ID: I20150306002273 |
| Provider Name | Bandana Waikhom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053576140 PECOS PAC ID: 2365590247 Enrollment ID: I20150323001148 |
| Provider Name | Brian J Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982809828 PECOS PAC ID: 0446393425 Enrollment ID: I20150327000221 |
| Provider Name | Rajiv Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811922511 PECOS PAC ID: 2264671460 Enrollment ID: I20150430001707 |
| Provider Name | Jennifer Lynn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104167360 PECOS PAC ID: 3274852827 Enrollment ID: I20150501001411 |
| Provider Name | Amanda J Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235523879 PECOS PAC ID: 9133448558 Enrollment ID: I20150507000447 |
| Provider Name | Raymond K Pate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659692234 PECOS PAC ID: 1557518271 Enrollment ID: I20150512002988 |
| Provider Name | Gautam Paul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629334099 PECOS PAC ID: 5294046082 Enrollment ID: I20150619001843 |
| Provider Name | Johnson Preetham Britto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659513216 PECOS PAC ID: 3173834751 Enrollment ID: I20150623003015 |
| Provider Name | Joseph D Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144510231 PECOS PAC ID: 9638301492 Enrollment ID: I20150630003014 |
| Provider Name | Amy Lynn Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512740 PECOS PAC ID: 3678887130 Enrollment ID: I20150729007158 |
| Provider Name | Brittany A Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063859452 PECOS PAC ID: 6305150368 Enrollment ID: I20150804005099 |
| Provider Name | Jennifer A Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437404431 PECOS PAC ID: 7517272214 Enrollment ID: I20150810001808 |
| Provider Name | Jeffery B Blankenship |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740627124 PECOS PAC ID: 1951616671 Enrollment ID: I20150810002619 |
| Provider Name | Jonathan Kern Grainger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861718157 PECOS PAC ID: 8921246307 Enrollment ID: I20150824000433 |
| Provider Name | Lawrence A Zeff |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891738084 PECOS PAC ID: 5698689610 Enrollment ID: I20150828001523 |
| Provider Name | Mohiuddin Bilal Shamsi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588922686 PECOS PAC ID: 0042459828 Enrollment ID: I20150901000951 |
| Provider Name | Alisa-ann H Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013276641 PECOS PAC ID: 0042526345 Enrollment ID: I20150901002528 |
| Provider Name | Richard Larry Gaston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033347075 PECOS PAC ID: 9032350723 Enrollment ID: I20150909002532 |
| Provider Name | Lindsay Pattison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174818009 PECOS PAC ID: 2567779093 Enrollment ID: I20150916002074 |
| Provider Name | Michael J Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992146740 PECOS PAC ID: 2961643283 Enrollment ID: I20150924000676 |
| Provider Name | Christen T Logue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285000752 PECOS PAC ID: 0143538181 Enrollment ID: I20150924002491 |
| Provider Name | Jennifer Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780069393 PECOS PAC ID: 7113235193 Enrollment ID: I20150925000344 |
| Provider Name | Richard Ira Abrahamson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598747792 PECOS PAC ID: 1759434921 Enrollment ID: I20150930001839 |
| Provider Name | Linda H Hoffsis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316315294 PECOS PAC ID: 2062721079 Enrollment ID: I20151014000559 |
| Provider Name | Jai Bikhchandani |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205082229 PECOS PAC ID: 3476793498 Enrollment ID: I20151019001702 |
| Provider Name | Harish Nirujogi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134350721 PECOS PAC ID: 8022237783 Enrollment ID: I20151020002488 |
| Provider Name | Perry Kent Bohanon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467437178 PECOS PAC ID: 4981691201 Enrollment ID: I20151104002807 |
| Provider Name | Kathryn Moore Keathley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649642406 PECOS PAC ID: 7012227838 Enrollment ID: I20151106001981 |
| Provider Name | Laura M Foor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922445303 PECOS PAC ID: 6103136569 Enrollment ID: I20151116000166 |
| Provider Name | Jessica Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346379351 PECOS PAC ID: 6901106632 Enrollment ID: I20151201002658 |
| Provider Name | Srilakshmi Mukalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003138918 PECOS PAC ID: 9739336702 Enrollment ID: I20151229002283 |
| Provider Name | Annette Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215163563 PECOS PAC ID: 0446475354 Enrollment ID: I20160115001171 |
| Provider Name | Michael Lee Wainscott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326412552 PECOS PAC ID: 0941503858 Enrollment ID: I20160127001934 |
| Provider Name | Jessica Vaniglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467822049 PECOS PAC ID: 1153625504 Enrollment ID: I20160205000998 |
| Provider Name | Lauren Elizabeth Grammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174998314 PECOS PAC ID: 3678877917 Enrollment ID: I20160208001430 |
| Provider Name | Christy L Gillespie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457597189 PECOS PAC ID: 6709183353 Enrollment ID: I20160324001333 |
| Provider Name | Carrie E Herthel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437519519 PECOS PAC ID: 4082911656 Enrollment ID: I20160324002058 |
| Provider Name | Cathy Kreimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104284496 PECOS PAC ID: 8022315159 Enrollment ID: I20160404002399 |
| Provider Name | Matthew James Karas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932561719 PECOS PAC ID: 1355649179 Enrollment ID: I20160412001442 |
| Provider Name | Amy Rachelle Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205230356 PECOS PAC ID: 3072814128 Enrollment ID: I20160413000553 |
| Provider Name | Deborah Ann Truesdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063885408 PECOS PAC ID: 8426356080 Enrollment ID: I20160414001035 |
| Provider Name | Barbara Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598771669 PECOS PAC ID: 1052316148 Enrollment ID: I20160418001091 |
| Provider Name | Amy Riegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043616246 PECOS PAC ID: 9436458239 Enrollment ID: I20160429000041 |
| Provider Name | Suzanne Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730541525 PECOS PAC ID: 8729387246 Enrollment ID: I20160504000843 |
| Provider Name | Amy N Reusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861854648 PECOS PAC ID: 9537468079 Enrollment ID: I20160504001304 |
| Provider Name | Kimberly Ann Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336415983 PECOS PAC ID: 4880843887 Enrollment ID: I20160516000779 |
| Provider Name | Brandie C Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376729905 PECOS PAC ID: 8628256989 Enrollment ID: I20160520001289 |
| Provider Name | Jennifer J Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629424619 PECOS PAC ID: 7810286267 Enrollment ID: I20160525001114 |
| Provider Name | Leonardo Anthony Geraci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093947293 PECOS PAC ID: 2163654930 Enrollment ID: I20160527000152 |
| Provider Name | Emily C Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861857450 PECOS PAC ID: 9537459532 Enrollment ID: I20160603000473 |
| Provider Name | Deepthi Jaligama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487886693 PECOS PAC ID: 2264681717 Enrollment ID: I20160607001344 |
| Provider Name | Brittany Jean Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779700 PECOS PAC ID: 0648561019 Enrollment ID: I20160615002696 |
| Provider Name | Pamela L Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235140 PECOS PAC ID: 3173814357 Enrollment ID: I20160617001249 |
| Provider Name | Suzanne Mary Kreger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124488713 PECOS PAC ID: 6507158391 Enrollment ID: I20160714002635 |
| Provider Name | Edward Henry Caldwell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164757951 PECOS PAC ID: 1850539842 Enrollment ID: I20160727000160 |
| Provider Name | Patricia Julien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447693791 PECOS PAC ID: 3779880752 Enrollment ID: I20160728000376 |
| Provider Name | Shanel Chandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558649970 PECOS PAC ID: 1759674740 Enrollment ID: I20160728001372 |
| Provider Name | Sai Konduri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558694208 PECOS PAC ID: 1052613932 Enrollment ID: I20160803001095 |
| Provider Name | Michael Hung Hsu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962721530 PECOS PAC ID: 8426342775 Enrollment ID: I20160809001185 |
| Provider Name | Alisha Ann Rust |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336540905 PECOS PAC ID: 7517251879 Enrollment ID: I20160809001635 |
| Provider Name | Stephanie Dalton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043579766 PECOS PAC ID: 7012201379 Enrollment ID: I20160809001834 |
| Provider Name | Akash Vasireddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770891590 PECOS PAC ID: 0941508634 Enrollment ID: I20160816001677 |
| Provider Name | Noah Allen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992095038 PECOS PAC ID: 4587804307 Enrollment ID: I20160817003102 |
| Provider Name | Michael John Bertram |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194754622 PECOS PAC ID: 7517928500 Enrollment ID: I20160826002420 |
| Provider Name | Danielle Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568811560 PECOS PAC ID: 6204121213 Enrollment ID: I20160829003031 |
| Provider Name | Andria N Berry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932499175 PECOS PAC ID: 8527355999 Enrollment ID: I20160928002304 |
| Provider Name | Amanda Algie Hemmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750720470 PECOS PAC ID: 4880901909 Enrollment ID: I20160930002084 |
| Provider Name | Tina Marie Gutekunst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295184679 PECOS PAC ID: 6608161146 Enrollment ID: I20161021002126 |
| Provider Name | Murtuza Habeeb |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881897205 PECOS PAC ID: 0345370664 Enrollment ID: I20161028001095 |
| Provider Name | Kristen Marie Kreinest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295283257 PECOS PAC ID: 6608154232 Enrollment ID: I20161101002283 |
| Provider Name | Bryan Berman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902148422 PECOS PAC ID: 6305079005 Enrollment ID: I20161109002774 |
| Provider Name | Natalie Melnyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790141950 PECOS PAC ID: 0840578019 Enrollment ID: I20161111001263 |
| Provider Name | Erika L Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770035040 PECOS PAC ID: 3476832239 Enrollment ID: I20161117002643 |
| Provider Name | Robert Allen Brungs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346798303 PECOS PAC ID: 9032498837 Enrollment ID: I20161118001303 |
| Provider Name | Isabella Irene Isbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356890800 PECOS PAC ID: 0244510683 Enrollment ID: I20161201000653 |
| Provider Name | Brandon Cowan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003212630 PECOS PAC ID: 7113207101 Enrollment ID: I20161208001860 |
| Provider Name | Christina K Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932465739 PECOS PAC ID: 6305135542 Enrollment ID: I20161208002524 |
| Provider Name | Kristen Ashley Ahern |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295029361 PECOS PAC ID: 8224346416 Enrollment ID: I20161216001466 |
| Provider Name | Amy L Rennekamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982146460 PECOS PAC ID: 4981985546 Enrollment ID: I20161220001202 |
| Provider Name | Karlee Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982148961 PECOS PAC ID: 0345521647 Enrollment ID: I20161228001456 |
| Provider Name | Shannon K Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033179817 PECOS PAC ID: 2264489376 Enrollment ID: I20170120002655 |
| Provider Name | James Michael Morrow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174870406 PECOS PAC ID: 4284943127 Enrollment ID: I20170127002658 |
| Provider Name | Brian Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093251480 PECOS PAC ID: 3274816079 Enrollment ID: I20170201000930 |
| Provider Name | Mary Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306394937 PECOS PAC ID: 7517240336 Enrollment ID: I20170201001880 |
| Provider Name | Sarah Laube |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730623091 PECOS PAC ID: 0648554527 Enrollment ID: I20170222000760 |
| Provider Name | Edward G Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437694270 PECOS PAC ID: 6406132596 Enrollment ID: I20170403002019 |
| Provider Name | Jennifer Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174063234 PECOS PAC ID: 1355627134 Enrollment ID: I20170410001338 |
| Provider Name | Saadeddine Dughman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265642193 PECOS PAC ID: 5496902678 Enrollment ID: I20170414000719 |
| Provider Name | Rachel Wagner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275066953 PECOS PAC ID: 1557648672 Enrollment ID: I20170427001084 |
| Provider Name | James Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982993697 PECOS PAC ID: 1658684295 Enrollment ID: I20170607001718 |
| Provider Name | Michael J Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679001622 PECOS PAC ID: 1658649280 Enrollment ID: I20170622001425 |
| Provider Name | Douglas Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225471790 PECOS PAC ID: 2466721519 Enrollment ID: I20170705000563 |
| Provider Name | Dawne M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629449517 PECOS PAC ID: 9436459575 Enrollment ID: I20170711001537 |
| Provider Name | Anthony Swanholm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609228089 PECOS PAC ID: 1951695451 Enrollment ID: I20170719000500 |
| Provider Name | Ashley Nicole Minton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003218470 PECOS PAC ID: 8820368129 Enrollment ID: I20170719002368 |
| Provider Name | Alexa Summe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184026551 PECOS PAC ID: 3173893492 Enrollment ID: I20170719003186 |
| Provider Name | Jessica A. Bokelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760817142 PECOS PAC ID: 6507167962 Enrollment ID: I20170721001843 |
| Provider Name | James Conrad Conner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407258536 PECOS PAC ID: 6901176817 Enrollment ID: I20170726002003 |
| Provider Name | Laura Bertrand |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104997238 PECOS PAC ID: 0941446694 Enrollment ID: I20170726002881 |
| Provider Name | Rajbir Dhaliwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922400308 PECOS PAC ID: 9335410398 Enrollment ID: I20170809002184 |
| Provider Name | Adam Reis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386058923 PECOS PAC ID: 3971721002 Enrollment ID: I20170810002531 |
| Provider Name | Chaitanya Mandapakala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568783090 PECOS PAC ID: 2062716319 Enrollment ID: I20170814003245 |
| Provider Name | Gabriel Ymalay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073957528 PECOS PAC ID: 0446561807 Enrollment ID: I20170817001703 |
| Provider Name | Vail M Brennan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407131907 PECOS PAC ID: 5991007791 Enrollment ID: I20170825002226 |
| Provider Name | Brett Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386172856 PECOS PAC ID: 3870865744 Enrollment ID: I20170828002227 |
| Provider Name | Chrystal Souder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164958609 PECOS PAC ID: 8426321373 Enrollment ID: I20170829002081 |
| Provider Name | Monica Ashcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306362496 PECOS PAC ID: 5991078107 Enrollment ID: I20170911002475 |
| Provider Name | Brittany M Diehl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063930790 PECOS PAC ID: 1951675826 Enrollment ID: I20170918000147 |
| Provider Name | Maria Patricia Torregroza Sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538300264 PECOS PAC ID: 9638337272 Enrollment ID: I20170925002928 |
| Provider Name | Leah C Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902321730 PECOS PAC ID: 5890069918 Enrollment ID: I20170927003455 |
| Provider Name | Stephanie M Deangelis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093158214 PECOS PAC ID: 8628374642 Enrollment ID: I20171017002941 |
| Provider Name | Candace Lynn Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083022529 PECOS PAC ID: 5991923096 Enrollment ID: I20171031002906 |
| Provider Name | Christina Elizabeth Alexander |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083058093 PECOS PAC ID: 4082843990 Enrollment ID: I20171120000136 |
| Provider Name | David H Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366485716 PECOS PAC ID: 5890780720 Enrollment ID: I20171128001722 |
| Provider Name | Kelly Rawe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174034961 PECOS PAC ID: 1052678174 Enrollment ID: I20171128002530 |
| Provider Name | Ryan Wilson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710270327 PECOS PAC ID: 4880994524 Enrollment ID: I20171206002555 |
| Provider Name | Ryan Michael Freibert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891197273 PECOS PAC ID: 3577832419 Enrollment ID: I20171208002504 |
| Provider Name | Benjamin Michael Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730306754 PECOS PAC ID: 1951669332 Enrollment ID: I20171212001190 |
| Provider Name | Angela Miracle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669984852 PECOS PAC ID: 6608134887 Enrollment ID: I20171215001738 |
| Provider Name | Julie A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720228257 PECOS PAC ID: 9234497009 Enrollment ID: I20171228000103 |
| Provider Name | Holly Vandergriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760886378 PECOS PAC ID: 1355663691 Enrollment ID: I20180105001277 |
| Provider Name | Zegary Allen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528336989 PECOS PAC ID: 0941449516 Enrollment ID: I20180123001542 |
| Provider Name | Dawn Marie Beahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861912701 PECOS PAC ID: 0345500146 Enrollment ID: I20180215000600 |
| Provider Name | Enis Rosic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710498670 PECOS PAC ID: 9436419272 Enrollment ID: I20180215002870 |
| Provider Name | Jenna Leigh Ionna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831631498 PECOS PAC ID: 4284995309 Enrollment ID: I20180305002617 |
| Provider Name | Beth Nancy Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649378258 PECOS PAC ID: 1456345735 Enrollment ID: I20180309002114 |
| Provider Name | Timothy Joseph Burroughs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245557735 PECOS PAC ID: 9830337997 Enrollment ID: I20180404002044 |
| Provider Name | Tiffani Sandra Bartolac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427087857 PECOS PAC ID: 1557642188 Enrollment ID: I20180417000828 |
| Provider Name | Drew Joseph Benedict Kurtzman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992086102 PECOS PAC ID: 8921398082 Enrollment ID: I20180418001747 |
| Provider Name | Sashenka Gabriel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245491158 PECOS PAC ID: 4587822325 Enrollment ID: I20180426002227 |
| Provider Name | Rani L. Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497252878 PECOS PAC ID: 3678837697 Enrollment ID: I20180427001626 |
| Provider Name | Kenneth Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154685378 PECOS PAC ID: 4183862568 Enrollment ID: I20180502001670 |
| Provider Name | Brittany Calico |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1073957163 PECOS PAC ID: 2062649973 Enrollment ID: I20180507002823 |
| Provider Name | Meredith E Medeyinlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619426681 PECOS PAC ID: 0749544237 Enrollment ID: I20180509001731 |
| Provider Name | Abraham Tacang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336403914 PECOS PAC ID: 2567766488 Enrollment ID: I20180718002709 |
| Provider Name | Thomas Lee Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801260393 PECOS PAC ID: 8527315712 Enrollment ID: I20180718004088 |
| Provider Name | Dhanashri D Kohok |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568623270 PECOS PAC ID: 8921264516 Enrollment ID: I20180719002255 |
| Provider Name | Joey Darren Wilder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649644311 PECOS PAC ID: 7416204458 Enrollment ID: I20180720002227 |
| Provider Name | Abiodun Olayinka Ishola |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629360961 PECOS PAC ID: 9436390192 Enrollment ID: I20180723002809 |
| Provider Name | Steven Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861768988 PECOS PAC ID: 8123269461 Enrollment ID: I20180723003306 |
| Provider Name | Gregory Joseph Mullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780059659 PECOS PAC ID: 0446507263 Enrollment ID: I20180724003018 |
| Provider Name | Luis Watanabe Tejada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942565841 PECOS PAC ID: 0941432934 Enrollment ID: I20180725003801 |
| Provider Name | Mustapha El Halabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316292329 PECOS PAC ID: 3678721206 Enrollment ID: I20180725003936 |
| Provider Name | Lindsey Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598148819 PECOS PAC ID: 8527347913 Enrollment ID: I20180730002157 |
| Provider Name | Patrick Ian Mcglasson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346615366 PECOS PAC ID: 9234487695 Enrollment ID: I20180801003794 |
| Provider Name | Luke Linz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669810081 PECOS PAC ID: 4981847704 Enrollment ID: I20180802001372 |
| Provider Name | Jordan Adler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255711800 PECOS PAC ID: 7214285378 Enrollment ID: I20180806002093 |
| Provider Name | Brandon Mchenry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386039782 PECOS PAC ID: 6709135478 Enrollment ID: I20180814003617 |
| Provider Name | Jo Ann Elbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508359134 PECOS PAC ID: 0749539229 Enrollment ID: I20180816000567 |
| Provider Name | Anthony R England |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184986556 PECOS PAC ID: 8123390721 Enrollment ID: I20180824000568 |
| Provider Name | Andrew E-kong Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356784441 PECOS PAC ID: 3870869423 Enrollment ID: I20180906001937 |
| Provider Name | Mara Diane Tomaszewski |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1245453059 PECOS PAC ID: 7113041435 Enrollment ID: I20180907002498 |
| Provider Name | Molly Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821588476 PECOS PAC ID: 2264782127 Enrollment ID: I20180913003350 |
| Provider Name | Sarah F Keller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1720425952 PECOS PAC ID: 6507094521 Enrollment ID: I20180914001867 |
| Provider Name | Balaji Kalyanaraman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053573659 PECOS PAC ID: 2163662644 Enrollment ID: I20180918002087 |
| Provider Name | Heather Columber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265836563 PECOS PAC ID: 8123347275 Enrollment ID: I20180919004275 |
| Provider Name | Denise Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550942 PECOS PAC ID: 1658622030 Enrollment ID: I20180924003381 |
| Provider Name | Derrick Allen Strunk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447664420 PECOS PAC ID: 5395052526 Enrollment ID: I20180927002919 |
| Provider Name | Jennifer Strimpfel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871073270 PECOS PAC ID: 7618228792 Enrollment ID: I20180928002630 |
| Provider Name | Laura Trice |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154340453 PECOS PAC ID: 1153226865 Enrollment ID: I20181004002853 |
| Provider Name | Raza Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891960431 PECOS PAC ID: 0941488217 Enrollment ID: I20181016002479 |
| Provider Name | Alyssa Kreider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750877023 PECOS PAC ID: 9931451176 Enrollment ID: I20181016002780 |
| Provider Name | Rebecca S Daily |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659379360 PECOS PAC ID: 4587627294 Enrollment ID: I20181022001741 |
| Provider Name | Kartikkumar Jinjuvadia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669678165 PECOS PAC ID: 0244496917 Enrollment ID: I20181023001486 |
| Provider Name | Carrie Briley Linville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679057731 PECOS PAC ID: 0648523191 Enrollment ID: I20181030001870 |
| 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 | Mark G Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982657219 PECOS PAC ID: 2466466255 Enrollment ID: I20181114001777 |
| Provider Name | Lily J Ning |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982846275 PECOS PAC ID: 6709040868 Enrollment ID: I20181120002471 |
| Provider Name | Rachel Leigh Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770058372 PECOS PAC ID: 9537413893 Enrollment ID: I20181126003832 |
| Provider Name | Amerika Irene Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699243097 PECOS PAC ID: 9335483296 Enrollment ID: I20181203003406 |
| Provider Name | Lance Martin Hoffman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760758478 PECOS PAC ID: 0941448625 Enrollment ID: I20181204000969 |
| Provider Name | Veronica A Lubbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659789618 PECOS PAC ID: 9234474057 Enrollment ID: I20181226001937 |
| Provider Name | Brent Plummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083107056 PECOS PAC ID: 0042555641 Enrollment ID: I20190102000539 |
| Provider Name | Suma Chennubhotla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235420621 PECOS PAC ID: 9537405436 Enrollment ID: I20190115000503 |
| Provider Name | Melissa Mauser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962744292 PECOS PAC ID: 3678810231 Enrollment ID: I20190122000448 |
| Provider Name | Danielle Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770061301 PECOS PAC ID: 2466701503 Enrollment ID: I20190214002909 |
| Provider Name | Heidi A Ducker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528535804 PECOS PAC ID: 8325387160 Enrollment ID: I20190222000761 |
| Provider Name | Anthony John Vita |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811148380 PECOS PAC ID: 1456412428 Enrollment ID: I20190227001859 |
| Provider Name | Caitlin Troklus |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851855589 PECOS PAC ID: 6002155579 Enrollment ID: I20190227001863 |
| Provider Name | Katie Gruen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568903458 PECOS PAC ID: 1355616863 Enrollment ID: I20190304002537 |
| Provider Name | Patricia Ann Back |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932351483 PECOS PAC ID: 0446304018 Enrollment ID: I20190314002165 |
| Provider Name | Bethany H Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063641918 PECOS PAC ID: 9931449451 Enrollment ID: I20190320001761 |
| Provider Name | April M Sawyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316341597 PECOS PAC ID: 7214277441 Enrollment ID: I20190325002383 |
| Provider Name | Marjorie R Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851548952 PECOS PAC ID: 2264772474 Enrollment ID: I20190326003102 |
| Provider Name | Alicia B Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235625187 PECOS PAC ID: 7618219486 Enrollment ID: I20190425002943 |
| Provider Name | Natasha Radic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215496385 PECOS PAC ID: 9638412729 Enrollment ID: I20190513000337 |
| Provider Name | Nikol M Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881251866 PECOS PAC ID: 6103150370 Enrollment ID: I20190620003490 |
| Provider Name | Jamie E. C. Krusling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649733510 PECOS PAC ID: 5092049205 Enrollment ID: I20190621001521 |
| Provider Name | Mazen Elyan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104978048 PECOS PAC ID: 3173621620 Enrollment ID: I20190718003643 |
| Provider Name | James Schack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508313594 PECOS PAC ID: 9032445655 Enrollment ID: I20190719001116 |
| Provider Name | Aditya Kalakonda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952742587 PECOS PAC ID: 9931494283 Enrollment ID: I20190725003172 |
| Provider Name | Danielle Marie Herbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245787233 PECOS PAC ID: 5597091546 Enrollment ID: I20190729001928 |
| Provider Name | Darek Sanford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932442175 PECOS PAC ID: 8628219946 Enrollment ID: I20190730002659 |
| Provider Name | Soung Ha Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861948382 PECOS PAC ID: 5991031882 Enrollment ID: I20190730004682 |
| Provider Name | John Ambrose Mihelcic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134582521 PECOS PAC ID: 7113211699 Enrollment ID: I20190801000630 |
| Provider Name | Kristo Curi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881141877 PECOS PAC ID: 0446587109 Enrollment ID: I20190805000796 |
| Provider Name | Melissa Diane Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972050961 PECOS PAC ID: 3678800703 Enrollment ID: I20190812002112 |
| Provider Name | Olivia Kalyn Lafollette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568924108 PECOS PAC ID: 8022345958 Enrollment ID: I20190814003437 |
| Provider Name | Jennifer Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619531720 PECOS PAC ID: 3476880311 Enrollment ID: I20190814003535 |
| Provider Name | Melissa Justine Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568812014 PECOS PAC ID: 2264726314 Enrollment ID: I20190820001615 |
| Provider Name | Ravinderjit Hans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063969053 PECOS PAC ID: 9739417775 Enrollment ID: I20190828003108 |
| Provider Name | Aishwarya Rushyal Shyamraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033485644 PECOS PAC ID: 3577795368 Enrollment ID: I20190829002384 |
| Provider Name | Zachary Glenn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356752737 PECOS PAC ID: 4082942933 Enrollment ID: I20190829004205 |
| Provider Name | Caroline Elmer-lyon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003182270 PECOS PAC ID: 1254624158 Enrollment ID: I20190829004324 |
| Provider Name | Matthew Sugimoto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750744306 PECOS PAC ID: 0648563064 Enrollment ID: I20190830002414 |
| Provider Name | Krista Lynn Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619520269 PECOS PAC ID: 5496084600 Enrollment ID: I20190913001477 |
| 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 | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538325295 PECOS PAC ID: 0648496018 Enrollment ID: I20190916000610 |
| Provider Name | Audrey Ertel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417213547 PECOS PAC ID: 8022258953 Enrollment ID: I20190919002075 |
| Provider Name | Jennifer Arther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922653609 PECOS PAC ID: 2062742869 Enrollment ID: I20190920001928 |
| Provider Name | Jamie Kmety |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427505411 PECOS PAC ID: 4981934122 Enrollment ID: I20191001001768 |
| Provider Name | Erin Renee Tischner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265768725 PECOS PAC ID: 4082860267 Enrollment ID: I20191003002810 |
| Provider Name | Shahryar M Tork |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699063057 PECOS PAC ID: 1153655600 Enrollment ID: I20191023002070 |
| Provider Name | Maria P. Pavlou |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1609966878 PECOS PAC ID: 3678503539 Enrollment ID: I20191028002216 |
| Provider Name | Jessica R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194165399 PECOS PAC ID: 4486885076 Enrollment ID: I20191104001384 |
| Provider Name | Brenda Sis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215583935 PECOS PAC ID: 6608095559 Enrollment ID: I20191106001227 |
| Provider Name | William Travis Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750899142 PECOS PAC ID: 0648533281 Enrollment ID: I20191127000876 |
| Provider Name | Kirk A. Nienaber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932172103 PECOS PAC ID: 3678466158 Enrollment ID: I20191226001719 |
| Provider Name | Mark David Pell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639433261 PECOS PAC ID: 5193031912 Enrollment ID: I20200113000193 |
| Provider Name | Shannon Sue Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104463793 PECOS PAC ID: 2961837125 Enrollment ID: I20200115002725 |
| Provider Name | Brittny Schadler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639559339 PECOS PAC ID: 9638488620 Enrollment ID: I20200122002415 |
| Provider Name | Jessica Rose Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942844600 PECOS PAC ID: 8022443985 Enrollment ID: I20200122003277 |
| Provider Name | Rebeca Demoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477986115 PECOS PAC ID: 2062649833 Enrollment ID: I20200127000369 |
| Provider Name | Megan Elizabeth Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275189888 PECOS PAC ID: 5092141770 Enrollment ID: I20200129001985 |
| Provider Name | Nathan Michael Glockner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881242105 PECOS PAC ID: 0840626768 Enrollment ID: I20200212000782 |
| Provider Name | Kathleen Rebecca Feighery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477191823 PECOS PAC ID: 8426486358 Enrollment ID: I20200306002376 |
| Provider Name | Namrata Choudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346525888 PECOS PAC ID: 3274759790 Enrollment ID: I20200309002047 |
| Provider Name | Diane Carol Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972068054 PECOS PAC ID: 0648608430 Enrollment ID: I20200309002440 |
| Provider Name | Jennifer Suzanne Heminger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790322444 PECOS PAC ID: 7214365865 Enrollment ID: I20200316000303 |
| Provider Name | Obiageli C Sogbetun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477702082 PECOS PAC ID: 3274789292 Enrollment ID: I20200407000543 |
| Provider Name | Ashley Nicole Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063047975 PECOS PAC ID: 8224467527 Enrollment ID: I20200408001596 |
| Provider Name | Miranda Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043744063 PECOS PAC ID: 4486922853 Enrollment ID: I20200415003616 |
| Provider Name | Angela Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033352604 PECOS PAC ID: 8022337708 Enrollment ID: I20200417002100 |
| Provider Name | Alexis S Goodridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205464617 PECOS PAC ID: 5991135402 Enrollment ID: I20200424001340 |
| Provider Name | Tricia Lynn Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619527348 PECOS PAC ID: 7416388533 Enrollment ID: I20200505002366 |
| Provider Name | David Patrick Fitzgerald |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639381627 PECOS PAC ID: 4789577735 Enrollment ID: I20200506001139 |
| Provider Name | Phalgoon A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821409319 PECOS PAC ID: 6507137312 Enrollment ID: I20200521002053 |
| Provider Name | Rania H Saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326280264 PECOS PAC ID: 8022265685 Enrollment ID: I20200526003152 |
| Provider Name | Amy E Fathman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003837352 PECOS PAC ID: 8729087242 Enrollment ID: I20200601001619 |
| Provider Name | Sean Joseph Sester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407376247 PECOS PAC ID: 4183045073 Enrollment ID: I20200601002774 |
| Provider Name | Ayesha Rashid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710031224 PECOS PAC ID: 3678645181 Enrollment ID: I20200604002520 |
| Provider Name | Nida Hameed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881866218 PECOS PAC ID: 2466622360 Enrollment ID: I20200608002198 |
| Provider Name | Karle Ann Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669096137 PECOS PAC ID: 4486076957 Enrollment ID: I20200630000831 |
| Provider Name | Allison M Dorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174147458 PECOS PAC ID: 5193147676 Enrollment ID: I20200630001302 |
| Provider Name | Paul W Browning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639490238 PECOS PAC ID: 6204070683 Enrollment ID: I20200701003496 |
| Provider Name | Ahmed Abdelkader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578912572 PECOS PAC ID: 9537582416 Enrollment ID: I20200710001217 |
| Provider Name | Mark Bartruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831712173 PECOS PAC ID: 3476976390 Enrollment ID: I20200710002830 |
| Provider Name | Brian Peter Trapani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659891950 PECOS PAC ID: 8729401435 Enrollment ID: I20200713003442 |
| Provider Name | Kasindra Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306123617 PECOS PAC ID: 9436572153 Enrollment ID: I20200713003558 |
| Provider Name | Michael D Platt-faulkner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679935472 PECOS PAC ID: 6305145590 Enrollment ID: I20200713003613 |
| Provider Name | Stephen Schutzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407121601 PECOS PAC ID: 7416180203 Enrollment ID: I20200716000724 |
| Provider Name | Sean Degrande |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477965820 PECOS PAC ID: 1759710833 Enrollment ID: I20200720002023 |
| Provider Name | Vivekananda Rachamallu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942687470 PECOS PAC ID: 3678871902 Enrollment ID: I20200723003574 |
| Provider Name | Amanda Ayres Bruemmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477907277 PECOS PAC ID: 1951695626 Enrollment ID: I20200727002321 |
| Provider Name | Sundeep S Bajwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417486374 PECOS PAC ID: 8729357355 Enrollment ID: I20200727002915 |
| Provider Name | Jason Martin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235549205 PECOS PAC ID: 5193943934 Enrollment ID: I20200730000181 |
| Provider Name | Sarah Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174742498 PECOS PAC ID: 8527159995 Enrollment ID: I20200730003138 |
| Provider Name | Aniket B. Kiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821521808 PECOS PAC ID: 4486079845 Enrollment ID: I20200731001637 |
| Provider Name | Nicole Abbot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063895522 PECOS PAC ID: 0042523003 Enrollment ID: I20200804002444 |
| Provider Name | Julie Broderick Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306204813 PECOS PAC ID: 0648563759 Enrollment ID: I20200804002701 |
| Provider Name | Lisa M. Guyton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952749327 PECOS PAC ID: 8921397290 Enrollment ID: I20200805002787 |
| Provider Name | Ann Makar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043697162 PECOS PAC ID: 3274841085 Enrollment ID: I20200812002777 |
| Provider Name | Karan Motiani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003251026 PECOS PAC ID: 8123260866 Enrollment ID: I20200821002311 |
| Provider Name | Jamie Buchanan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881127546 PECOS PAC ID: 0446529648 Enrollment ID: I20200821002810 |
| Provider Name | Shreya Nayak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144614025 PECOS PAC ID: 5395079255 Enrollment ID: I20200824002850 |
| Provider Name | John Proctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407376239 PECOS PAC ID: 7416388806 Enrollment ID: I20200824003669 |
| Provider Name | Christopher Myrtil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902331176 PECOS PAC ID: 0749550879 Enrollment ID: I20200826003259 |
| Provider Name | Connie Lynn Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578542908 PECOS PAC ID: 5991875288 Enrollment ID: I20200831000340 |
| Provider Name | Nicole Warner |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710244397 PECOS PAC ID: 1850685793 Enrollment ID: I20200916000099 |
| 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 | Jessica Mollmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104443480 PECOS PAC ID: 1658790357 Enrollment ID: I20200930000263 |
| Provider Name | David Thomas Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043821085 PECOS PAC ID: 0648699264 Enrollment ID: I20201001001103 |
| Provider Name | Avery Jea Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053967653 PECOS PAC ID: 3375963226 Enrollment ID: I20201015001546 |
| Provider Name | Nancy Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245847623 PECOS PAC ID: 0840610259 Enrollment ID: I20201023000519 |
| Provider Name | Suzanne Elizabeth Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967978 PECOS PAC ID: 7113337254 Enrollment ID: I20201102000527 |
| Provider Name | Ekezie M Francis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619255213 PECOS PAC ID: 9739302639 Enrollment ID: I20201119003448 |
| Provider Name | Kelly Renee Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417488222 PECOS PAC ID: 4789956079 Enrollment ID: I20201120002192 |
| Provider Name | Sithandiwe Mamutse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942820444 PECOS PAC ID: 7911318985 Enrollment ID: I20201123002070 |
| Provider Name | Ashleigh Eversole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649887944 PECOS PAC ID: 6709297583 Enrollment ID: I20201130002201 |
| Provider Name | Danielle Brauning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437756442 PECOS PAC ID: 6709297310 Enrollment ID: I20201202001582 |
| Provider Name | Brianna L Powell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265033799 PECOS PAC ID: 4284045782 Enrollment ID: I20201203002679 |
| Provider Name | Courtney Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932701604 PECOS PAC ID: 6608288378 Enrollment ID: I20201222002028 |
| Provider Name | Nancy A Rihana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982835237 PECOS PAC ID: 5294954699 Enrollment ID: I20210120000735 |
| Provider Name | Kayla Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183170 PECOS PAC ID: 4183956717 Enrollment ID: I20210204001332 |
| Provider Name | Jessica M. Zandri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396186623 PECOS PAC ID: 2961700216 Enrollment ID: I20210209001421 |
| Provider Name | Peter Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750398277 PECOS PAC ID: 0840264412 Enrollment ID: I20210222000486 |
| Provider Name | Michael Isbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831736909 PECOS PAC ID: 9830504026 Enrollment ID: I20210222001000 |
| Provider Name | Kennetra Bradshaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013420207 PECOS PAC ID: 1850727637 Enrollment ID: I20210225003342 |
| Provider Name | Jeremy W Abshire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841880614 PECOS PAC ID: 4284040114 Enrollment ID: I20210301002007 |
| Provider Name | Ryan Weprin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134149511 PECOS PAC ID: 4880729284 Enrollment ID: I20210305002110 |
| Provider Name | Irina Korableva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093793994 PECOS PAC ID: 3476682600 Enrollment ID: I20210312001838 |
| Provider Name | Katharine H Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194189597 PECOS PAC ID: 1759680044 Enrollment ID: I20210519001789 |
| Provider Name | Robert James Shields |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740668839 PECOS PAC ID: 6507121860 Enrollment ID: I20210602002334 |
| Provider Name | Taylor Clayton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295239754 PECOS PAC ID: 1456752245 Enrollment ID: I20210630003360 |
| Provider Name | Ranbir Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992284988 PECOS PAC ID: 9638571946 Enrollment ID: I20210708003551 |
| Provider Name | Yamil Elias Michelen Alvarez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902261506 PECOS PAC ID: 9537561840 Enrollment ID: I20210708003588 |
| Provider Name | Steve Chausse |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083008346 PECOS PAC ID: 1850683848 Enrollment ID: I20210712003978 |
| Provider Name | Karl Alexander Schmitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740769231 PECOS PAC ID: 1759783541 Enrollment ID: I20210715004384 |
| Provider Name | Nneka Udechukwu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083141535 PECOS PAC ID: 8628347515 Enrollment ID: I20210722001866 |
| Provider Name | Katelyn Dolbec |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518310697 PECOS PAC ID: 9638443724 Enrollment ID: I20210722001988 |
| Provider Name | Amna Batool |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952751703 PECOS PAC ID: 3173819711 Enrollment ID: I20210726003343 |
| Provider Name | Christina Friedly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366920373 PECOS PAC ID: 8325442072 Enrollment ID: I20210803002552 |
| Provider Name | Sarah Catherine Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053980995 PECOS PAC ID: 7810391588 Enrollment ID: I20210803003671 |
| Provider Name | Katherin May Seilhamer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124540398 PECOS PAC ID: 2769753912 Enrollment ID: I20210804001185 |
| Provider Name | Maria Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841209194 PECOS PAC ID: 1759336175 Enrollment ID: I20210804003222 |
| Provider Name | Prashant Khullar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407030950 PECOS PAC ID: 1153562913 Enrollment ID: I20210810004122 |
| Provider Name | Zachary Grove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235698242 PECOS PAC ID: 3274937339 Enrollment ID: I20210811002236 |
| Provider Name | Casie Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235617275 PECOS PAC ID: 0446654354 Enrollment ID: I20210813000783 |
| Provider Name | Bradley Schulte |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508229543 PECOS PAC ID: 0446654792 Enrollment ID: I20210813003212 |
| Provider Name | Jacques Nicholas Burress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255906392 PECOS PAC ID: 0941605778 Enrollment ID: I20210817002972 |
| Provider Name | Elizabeth Marie Ansari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235711193 PECOS PAC ID: 5597168161 Enrollment ID: I20210819000793 |
| Provider Name | Alhasan Haitham Sedeeq |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972910834 PECOS PAC ID: 7113228909 Enrollment ID: I20210820002914 |
| Provider Name | Joseph M Grzelak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669950671 PECOS PAC ID: 3274938501 Enrollment ID: I20210824002581 |
| Provider Name | Corie Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295305324 PECOS PAC ID: 4284039496 Enrollment ID: I20210826002072 |
| Provider Name | Stephan Kraeling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366411308 PECOS PAC ID: 1951361104 Enrollment ID: I20210826003675 |
| Provider Name | Bobbi Kravis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902571524 PECOS PAC ID: 5395141329 Enrollment ID: I20210831000742 |
| Provider Name | Erica May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194394320 PECOS PAC ID: 0143626796 Enrollment ID: I20210907001048 |
| Provider Name | Teresa R Merritt |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982058574 PECOS PAC ID: 0042564429 Enrollment ID: I20210908002585 |
| Provider Name | Irada Ibrahim-zada |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265842991 PECOS PAC ID: 7719298512 Enrollment ID: I20210909002492 |
| Provider Name | Shivam Ram Kedia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013404938 PECOS PAC ID: 0749539666 Enrollment ID: I20210910002529 |
| Provider Name | Justin R Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538691852 PECOS PAC ID: 1355611211 Enrollment ID: I20210913002383 |
| Provider Name | David Neil Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467025981 PECOS PAC ID: 4587061585 Enrollment ID: I20210917000925 |
| Provider Name | Olivia K Stevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962080440 PECOS PAC ID: 5991102758 Enrollment ID: I20210921001418 |
| Provider Name | Amy Ray Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194393991 PECOS PAC ID: 9537567284 Enrollment ID: I20211011000122 |
| Provider Name | Kayla Roller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174291512 PECOS PAC ID: 1355749755 Enrollment ID: I20211015002201 |
| Provider Name | April Allen Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942779715 PECOS PAC ID: 5092054700 Enrollment ID: I20211020003179 |
| Provider Name | Lauren Roth |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164657730 PECOS PAC ID: 5991961088 Enrollment ID: I20211021000977 |
| Provider Name | Isaiah Fry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144658162 PECOS PAC ID: 2668761792 Enrollment ID: I20211021001954 |
| Provider Name | Corinne Trumble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457839466 PECOS PAC ID: 7113315219 Enrollment ID: I20211021003151 |
| Provider Name | Jeevan Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295182731 PECOS PAC ID: 4183997794 Enrollment ID: I20211214002982 |
| Provider Name | Karlie Kay Robinson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720743867 PECOS PAC ID: 6709277312 Enrollment ID: I20211215000925 |
| Provider Name | Rachel L Stuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154087781 PECOS PAC ID: 3779974290 Enrollment ID: I20211216002787 |
| Provider Name | Haley Shae Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033633219 PECOS PAC ID: 0941691844 Enrollment ID: I20220104001611 |
| Provider Name | Corinne Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215690821 PECOS PAC ID: 8729479621 Enrollment ID: I20220104001767 |
| Provider Name | Alicia Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265690630 PECOS PAC ID: 8921166828 Enrollment ID: I20220111001563 |
| Provider Name | Nikki Bonhaus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194187641 PECOS PAC ID: 6305138686 Enrollment ID: I20220112001544 |
| Provider Name | Arvin Asim Demetria Ejaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659533008 PECOS PAC ID: 9234369729 Enrollment ID: I20220118002112 |
| Provider Name | Lauren Shiaoling Pan Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952765547 PECOS PAC ID: 4183915911 Enrollment ID: I20220118002405 |
| Provider Name | Jordan Abel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417273301 PECOS PAC ID: 4789806522 Enrollment ID: I20220131002192 |
| Provider Name | Grace Mignery |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083373047 PECOS PAC ID: 9436543253 Enrollment ID: I20220221002310 |
| Provider Name | Joshua Taylor Napier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881124782 PECOS PAC ID: 1153672431 Enrollment ID: I20220315001614 |
| Provider Name | Ashley R Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700539418 PECOS PAC ID: 9133514847 Enrollment ID: I20220316001184 |
| Provider Name | Rebecca Jeanne Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770258790 PECOS PAC ID: 8729474408 Enrollment ID: I20220405002580 |
| Provider Name | Elizabeth Walsh Czirr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598110140 PECOS PAC ID: 7012303639 Enrollment ID: I20220407002545 |
| Provider Name | Elizabeth P Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902558950 PECOS PAC ID: 3173919479 Enrollment ID: I20220414001063 |
| Provider Name | Alexandra Michelle Wiesner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023778123 PECOS PAC ID: 3577940394 Enrollment ID: I20220517002798 |
| Provider Name | Rachel Mackenzie Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811657836 PECOS PAC ID: 2466839907 Enrollment ID: I20220523000154 |
| Provider Name | Natalie King |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659638542 PECOS PAC ID: 5597997346 Enrollment ID: I20220601000428 |
| Provider Name | Hani Murad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982610069 PECOS PAC ID: 4880730357 Enrollment ID: I20220601002011 |
| Provider Name | Jennifer Lee Serey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881999720 PECOS PAC ID: 7810376225 Enrollment ID: I20220615000899 |
| Provider Name | Benjamin Collard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750941126 PECOS PAC ID: 5395124952 Enrollment ID: I20220628002088 |
| Provider Name | Harjodh Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114587581 PECOS PAC ID: 6800276775 Enrollment ID: I20220720003992 |
| Provider Name | Dhanunjay Sarma Boyalakuntla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134785603 PECOS PAC ID: 2365772654 Enrollment ID: I20220721001583 |
| Provider Name | Zehra Hasan Kazmi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477089001 PECOS PAC ID: 0042692857 Enrollment ID: I20220726002771 |
| Provider Name | Louise Marie Cortland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023748472 PECOS PAC ID: 5799167409 Enrollment ID: I20220727003356 |
| Provider Name | Adrian A Acosta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609436070 PECOS PAC ID: 5496136285 Enrollment ID: I20220729000861 |
| Provider Name | Danielle R Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063072437 PECOS PAC ID: 0446632806 Enrollment ID: I20220801002752 |
| Provider Name | Kyle Andrew Darpel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386175743 PECOS PAC ID: 9436551090 Enrollment ID: I20220802003535 |
| Provider Name | Kodie Lee Stone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154981520 PECOS PAC ID: 5496137093 Enrollment ID: I20220808002331 |
| Provider Name | Kristin Satterwhite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881191138 PECOS PAC ID: 5597011551 Enrollment ID: I20220808002548 |
| Provider Name | Krista Blair Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508503897 PECOS PAC ID: 9830571777 Enrollment ID: I20220809001445 |
| Provider Name | Ashli Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568194033 PECOS PAC ID: 0244613693 Enrollment ID: I20220817001644 |
| Provider Name | Abby Lee Lauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902339294 PECOS PAC ID: 8921334657 Enrollment ID: I20220817002425 |
| 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 T Costello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841452299 PECOS PAC ID: 0648321315 Enrollment ID: I20220913001065 |
| Provider Name | Erica Renee Pivato |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427443480 PECOS PAC ID: 1951601434 Enrollment ID: I20220915001924 |
| Provider Name | Benjamin Evans Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922341015 PECOS PAC ID: 9335497924 Enrollment ID: I20220916001239 |
| Provider Name | Christa Renee Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245697085 PECOS PAC ID: 4486949799 Enrollment ID: I20220919000149 |
| Provider Name | Brian Edward Clarke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366804536 PECOS PAC ID: 1951674209 Enrollment ID: I20220930001714 |
| Provider Name | Elizabeth Brooke Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093221350 PECOS PAC ID: 3375929136 Enrollment ID: I20220930002008 |
| Provider Name | Laura Sessanna |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679020507 PECOS PAC ID: 6305125485 Enrollment ID: I20221003002006 |
| Provider Name | Stacey N Gripshover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528714185 PECOS PAC ID: 0547646267 Enrollment ID: I20221004002566 |
| Provider Name | Brianne N. Runyan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386171908 PECOS PAC ID: 4082090840 Enrollment ID: I20221006003475 |
| Provider Name | Heather Whitaker Chouteau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093240111 PECOS PAC ID: 7911274519 Enrollment ID: I20221018002764 |
| Provider Name | Anusha Shanbhag |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205219516 PECOS PAC ID: 0648586974 Enrollment ID: I20221020000581 |
| Provider Name | Alyssa Anne Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275037293 PECOS PAC ID: 5496080707 Enrollment ID: I20221101003212 |
| Provider Name | Heather A. Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255052502 PECOS PAC ID: 6204203318 Enrollment ID: I20221102002135 |
| Provider Name | Kandace Maines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477275576 PECOS PAC ID: 7315314911 Enrollment ID: I20221111000659 |
| Provider Name | Amanda M Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245890615 PECOS PAC ID: 8224406541 Enrollment ID: I20221117002067 |
| Provider Name | Jacques Feres Alexis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467854521 PECOS PAC ID: 8921321084 Enrollment ID: I20221123002358 |
| Provider Name | Nathan Allan Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508426974 PECOS PAC ID: 6800264672 Enrollment ID: I20221129001384 |
| Provider Name | Claire Victoria Keyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124787965 PECOS PAC ID: 5698145118 Enrollment ID: I20221228000408 |
| Provider Name | Mfowethu Theophilus Langeni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164082533 PECOS PAC ID: 5991176455 Enrollment ID: I20230119001211 |
| Provider Name | Calyn Crawford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326508243 PECOS PAC ID: 0547596769 Enrollment ID: I20230119001657 |
| Provider Name | Sharon Walsh-hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174249924 PECOS PAC ID: 3678944717 Enrollment ID: I20230210001069 |
| Provider Name | Ricky Eversole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831802438 PECOS PAC ID: 3072985308 Enrollment ID: I20230214000899 |
| Provider Name | Kevin Bonfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285096354 PECOS PAC ID: 8224308960 Enrollment ID: I20230214001020 |
| Provider Name | Stephenie Ann Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396450284 PECOS PAC ID: 2365815156 Enrollment ID: I20230224002548 |
| Provider Name | Elizabeth Ann Spray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164037784 PECOS PAC ID: 5395118608 Enrollment ID: I20230308000888 |
| Provider Name | Karen E. Haberthier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760681811 PECOS PAC ID: 2769443290 Enrollment ID: I20230316002096 |
| Provider Name | Richard Jamie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104343235 PECOS PAC ID: 1850664988 Enrollment ID: I20230320001299 |
| Provider Name | Sarah Roadhouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679937031 PECOS PAC ID: 4789973876 Enrollment ID: I20230322000323 |
| Provider Name | Lauren Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871152199 PECOS PAC ID: 9739553009 Enrollment ID: I20230328002301 |
| Provider Name | Jacob Christopher Bessler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801329131 PECOS PAC ID: 3173899176 Enrollment ID: I20230329000521 |
| Provider Name | Christopher Raymund Diroff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982132288 PECOS PAC ID: 8325319270 Enrollment ID: I20230330000620 |
| Provider Name | Grace A Lubbe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174274633 PECOS PAC ID: 9133514375 Enrollment ID: I20230331000576 |
| Provider Name | Krystal Frances Tillett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275233801 PECOS PAC ID: 2163897042 Enrollment ID: I20230406000493 |
| Provider Name | Marianne Ruth Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841908365 PECOS PAC ID: 4183099609 Enrollment ID: I20230413002281 |
| Provider Name | April Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952002610 PECOS PAC ID: 9537534920 Enrollment ID: I20230418000662 |
| Provider Name | Julia Kaye Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994073 PECOS PAC ID: 9931439478 Enrollment ID: I20230426002253 |
| Provider Name | James Muth |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750586483 PECOS PAC ID: 9436212131 Enrollment ID: I20230426002527 |
| Provider Name | Stephanie Liette |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780171637 PECOS PAC ID: 2961818018 Enrollment ID: I20230427000593 |
| Provider Name | Mackenzie Lyn Bacovin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073243754 PECOS PAC ID: 0840655627 Enrollment ID: I20230502002538 |
| Provider Name | Paidamoyo Matibiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114584018 PECOS PAC ID: 5294115788 Enrollment ID: I20230502003284 |
| Provider Name | Alexis Marie Fretti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730885443 PECOS PAC ID: 4082070453 Enrollment ID: I20230510002502 |
| Provider Name | Deborah Voet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013397074 PECOS PAC ID: 9638482664 Enrollment ID: I20230525000581 |
| Provider Name | Amy Jo Florence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760978076 PECOS PAC ID: 2365809514 Enrollment ID: I20230605000954 |
| Provider Name | Shannon Cathleen Neace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265197446 PECOS PAC ID: 1456718253 Enrollment ID: I20230609002535 |
| Provider Name | Aloiya R. Kremer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1780067355 PECOS PAC ID: 9537460506 Enrollment ID: I20230629002731 |
| Provider Name | Brendan Collins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720442411 PECOS PAC ID: 7618257759 Enrollment ID: I20230727000637 |
| Provider Name | Jordan Jones Jones |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245762665 PECOS PAC ID: 9436569217 Enrollment ID: I20230801000882 |
| Provider Name | Jigar D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497064323 PECOS PAC ID: 6305088444 Enrollment ID: I20230802002189 |
| Provider Name | Mackenzie Nicole Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124702709 PECOS PAC ID: 0547621831 Enrollment ID: I20230802004270 |
| Provider Name | You Wei Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164084976 PECOS PAC ID: 2365771235 Enrollment ID: I20230803001981 |
| Provider Name | Anwer Siddiqui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336115450 PECOS PAC ID: 9335282797 Enrollment ID: I20230804003598 |
| Provider Name | Adam Alvarez Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508481540 PECOS PAC ID: 6709248321 Enrollment ID: I20230815000664 |
| Provider Name | Katherine Mary Hagedorn Neltner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154828127 PECOS PAC ID: 2961864103 Enrollment ID: I20230818003318 |
| Provider Name | Avashkar Woompath |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538726112 PECOS PAC ID: 2365821030 Enrollment ID: I20230821002572 |
| Provider Name | Stephen Mcmillan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639480205 PECOS PAC ID: 3779708094 Enrollment ID: I20230831001279 |
| Provider Name | Julia Corbett Ronecker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568966042 PECOS PAC ID: 5193188571 Enrollment ID: I20230901000488 |
| Provider Name | James Ronald Uebel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871977314 PECOS PAC ID: 2365742202 Enrollment ID: I20230905003020 |
| Provider Name | Olga Alexandrovna Melzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740414283 PECOS PAC ID: 8820230220 Enrollment ID: I20230906001705 |
| Provider Name | Jason Richard Ballengee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164957114 PECOS PAC ID: 5799057089 Enrollment ID: I20230907001572 |
| Provider Name | Shelly Tat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699335067 PECOS PAC ID: 2062876113 Enrollment ID: I20230908000545 |
| Provider Name | David Gregory Kleesattel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568994481 PECOS PAC ID: 0244509495 Enrollment ID: I20230911000838 |
| Provider Name | Jonathan Eric Webster |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356802623 PECOS PAC ID: 8022430503 Enrollment ID: I20230911002246 |
| Provider Name | Rodney Lane Guyton |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215357280 PECOS PAC ID: 9830498732 Enrollment ID: I20230911002550 |
| Provider Name | Barbara Marie Okafor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104302900 PECOS PAC ID: 9830552199 Enrollment ID: I20230912001617 |
| Provider Name | Jared Carson Yeggy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811516602 PECOS PAC ID: 9032518832 Enrollment ID: I20230912002874 |
| Provider Name | Jarrod R Walerstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124648381 PECOS PAC ID: 7315328986 Enrollment ID: I20230912002964 |
| Provider Name | Sydney K. Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942913728 PECOS PAC ID: 3779947205 Enrollment ID: I20230915002219 |
| Provider Name | Luke Sunghoon Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497371256 PECOS PAC ID: 8224492616 Enrollment ID: I20230919001555 |
| Provider Name | Kevin Feeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881219822 PECOS PAC ID: 3375997570 Enrollment ID: I20230921001864 |
| Provider Name | Douglas Rodgers |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184113201 PECOS PAC ID: 4183973530 Enrollment ID: I20230922001898 |
| Provider Name | Christopher D Wood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831624774 PECOS PAC ID: 7012286008 Enrollment ID: I20230925002178 |
| Provider Name | Pratik Hemant Bhade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679076491 PECOS PAC ID: 4183078629 Enrollment ID: I20231002002540 |
| Provider Name | Samantha Vogel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154105245 PECOS PAC ID: 5890140008 Enrollment ID: I20231009000647 |
| Provider Name | Vivekananda Adike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689961278 PECOS PAC ID: 1254550908 Enrollment ID: I20231010000897 |
| Provider Name | Lauren Mulcahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053199034 PECOS PAC ID: 6709231327 Enrollment ID: I20231017000513 |
| Provider Name | Monirul Islam Sajib |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801372883 PECOS PAC ID: 9638525025 Enrollment ID: I20231020001148 |
| Provider Name | Carol Ann Montjoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962470146 PECOS PAC ID: 4082652789 Enrollment ID: I20231024002564 |
| Provider Name | Matthew Ryan Foulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528741139 PECOS PAC ID: 4284080318 Enrollment ID: I20231026001264 |
| Provider Name | Jessica L Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386420313 PECOS PAC ID: 7810343605 Enrollment ID: I20231031001654 |
| Provider Name | Keith Andrew Rosing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053722371 PECOS PAC ID: 5092017335 Enrollment ID: I20231101001755 |
| Provider Name | Joshua Kelly Slusher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649709478 PECOS PAC ID: 2668740499 Enrollment ID: I20231101002196 |
| Provider Name | Rupa Kumari Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386887198 PECOS PAC ID: 0244531762 Enrollment ID: I20231101002695 |
| Provider Name | Heather Columbia-kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871971424 PECOS PAC ID: 9830490242 Enrollment ID: I20231109002546 |
| Provider Name | Catherine A Steinkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073399614 PECOS PAC ID: 6305293424 Enrollment ID: I20231111000656 |
| Provider Name | Brooke Maines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013634401 PECOS PAC ID: 1658740014 Enrollment ID: I20231211001878 |
| Provider Name | Lia Therese Vilardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093595605 PECOS PAC ID: 1951750942 Enrollment ID: I20231215002865 |
| Provider Name | Anthony Carmen Bianco |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1710228671 PECOS PAC ID: 9335432111 Enrollment ID: I20231219002287 |
| Provider Name | Kevin Alan Degroot |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1790279495 PECOS PAC ID: 7618227034 Enrollment ID: I20231227000500 |
| Provider Name | Rahul Brijballabh Chandak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447623590 PECOS PAC ID: 3678810272 Enrollment ID: I20231227003044 |
| Provider Name | Konstantinos Kossidas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851535827 PECOS PAC ID: 0749473544 Enrollment ID: I20240104004458 |
| Provider Name | Kayla Meister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396426805 PECOS PAC ID: 4183075948 Enrollment ID: I20240105003903 |
| Provider Name | Rose A Tempel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730227398 PECOS PAC ID: 0547612392 Enrollment ID: I20240117004503 |
| Provider Name | Kailee L Leverso |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932540317 PECOS PAC ID: 6800039546 Enrollment ID: I20240117004844 |
| Provider Name | Andrew F Arthur |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013970755 PECOS PAC ID: 3678924933 Enrollment ID: I20240118002089 |
| Provider Name | Raymond Curtis Bartholomew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306374533 PECOS PAC ID: 0648622191 Enrollment ID: I20240119002169 |
| Provider Name | Sally Ann Plummer-bratton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407364243 PECOS PAC ID: 5597117051 Enrollment ID: I20240119002693 |
| Provider Name | Jeffrey Craven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184883951 PECOS PAC ID: 5890086201 Enrollment ID: I20240119002826 |
| Provider Name | Kristen Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659844710 PECOS PAC ID: 0446602916 Enrollment ID: I20240119002932 |
| Provider Name | Emily Marie Fogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982262788 PECOS PAC ID: 4789912700 Enrollment ID: I20240126001353 |
| Provider Name | Amanda Michelle Parker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558775007 PECOS PAC ID: 5597989046 Enrollment ID: I20240206003517 |
| Provider Name | Ngozika Ugonwa Anusionwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003043787 PECOS PAC ID: 6709030679 Enrollment ID: I20240213004377 |
| Provider Name | Nina Marie Barhorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487426797 PECOS PAC ID: 7810332202 Enrollment ID: I20240226000363 |
| Provider Name | Charles Nicholas Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013350867 PECOS PAC ID: 7517268030 Enrollment ID: I20240313000180 |
| Provider Name | Jaclyn Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790331387 PECOS PAC ID: 0345571444 Enrollment ID: I20240314000481 |
| Provider Name | Elizabeth Irene Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679349963 PECOS PAC ID: 8325484223 Enrollment ID: I20240314000540 |
St. Elizabeth Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Alexandria Pike, Highland Heights, KY 41076 Phone: 859-781-4111 Fax: 859-441-5214 | |
Orthocincy Orthopaedics & Sports Medicine Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2626 Alexandria Pike Ste 100, Highland Heights, KY 41076 Phone: 859-301-2663 Fax: 859-817-7848 |