| St. Francis Primary Care | |
|
2300 Manchester Expy Columbus GA 31904-6802 | |
| (706) 320-3090 | |
| (706) 320-3091 |
| Full Name | St. Francis Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Manchester Expy, Columbus, Georgia |
| Authorized Official Name and Position | Kathy Teague (VP, CORPORATE SECRETARY) |
| Authorized Official Contact | 6292535121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Francis Primary Care 2300 Manchester Expy Columbus GA 31904-6802 Ph: (706) 320-3090 | St. Francis Primary Care 2300 Manchester Expy Columbus GA 31904-6802 Ph: (706) 320-3090 |
| NPI Number | 1326749417 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 8729381033 |
|---|---|
| Medicare Enrollment ID | O20160120002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326749417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Damien a Doute |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033106158 PECOS PAC ID: 7618864067 Enrollment ID: I20040302000084 |
| Provider Name | Janice Lee Bunt |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992757314 PECOS PAC ID: 8022913649 Enrollment ID: I20040602000738 |
| Provider Name | Troy D Espiritu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780775791 PECOS PAC ID: 3870577026 Enrollment ID: I20040615001249 |
| Provider Name | Shane B Darrah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679557375 PECOS PAC ID: 0547245888 Enrollment ID: I20040622000194 |
| Provider Name | Zulfiquar a Bhatti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720180227 PECOS PAC ID: 2062498231 Enrollment ID: I20040628001069 |
| Provider Name | Bobbi a Farber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841238235 PECOS PAC ID: 7719957737 Enrollment ID: I20040728000404 |
| Provider Name | Thomas R Walsh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912940941 PECOS PAC ID: 6709856743 Enrollment ID: I20040728000561 |
| Provider Name | Benjamin H Cheek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093712598 PECOS PAC ID: 5193798262 Enrollment ID: I20040818000004 |
| Provider Name | Charles P Murrah |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942253430 PECOS PAC ID: 5294635470 Enrollment ID: I20040916000375 |
| Provider Name | Marsha E Kinnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538110598 PECOS PAC ID: 0547238925 Enrollment ID: I20040923000143 |
| Provider Name | Duan Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659329431 PECOS PAC ID: 9537138441 Enrollment ID: I20040928000659 |
| Provider Name | Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902012099 PECOS PAC ID: 5193785129 Enrollment ID: I20041014000443 |
| Provider Name | Luther H Wolff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851362941 PECOS PAC ID: 4486610516 Enrollment ID: I20041214000539 |
| Provider Name | Randy Landry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568420842 PECOS PAC ID: 1557311792 Enrollment ID: I20050126000409 |
| Provider Name | Joseph L Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1447218839 PECOS PAC ID: 2365496395 Enrollment ID: I20050311000391 |
| Provider Name | William a Bence |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1275591240 PECOS PAC ID: 0547215568 Enrollment ID: I20050314000040 |
| Provider Name | Brian M Cardis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700810850 PECOS PAC ID: 3577502194 Enrollment ID: I20050503000244 |
| Provider Name | Daniel R Blankenship |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1518917517 PECOS PAC ID: 9638113962 Enrollment ID: I20050616000830 |
| Provider Name | Wendy H Kennon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215980081 PECOS PAC ID: 1850336322 Enrollment ID: I20050624000488 |
| Provider Name | Christiana Rose |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124048269 PECOS PAC ID: 3476589904 Enrollment ID: I20050719000020 |
| Provider Name | William S Hudson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922064914 PECOS PAC ID: 0941242374 Enrollment ID: I20050802000595 |
| Provider Name | Kevin King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104808294 PECOS PAC ID: 1658327374 Enrollment ID: I20050818000207 |
| Provider Name | Khalid K Al Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437105558 PECOS PAC ID: 2668428400 Enrollment ID: I20050818000740 |
| Provider Name | Christopher M Hardwick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881688182 PECOS PAC ID: 3476587411 Enrollment ID: I20050920000720 |
| Provider Name | Guruman Singh Kalra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790720357 PECOS PAC ID: 8921024324 Enrollment ID: I20051014000552 |
| Provider Name | Edward W Killorin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013981968 PECOS PAC ID: 2264452531 Enrollment ID: I20051202000018 |
| Provider Name | Ketan C Dalsania |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891794459 PECOS PAC ID: 6709808595 Enrollment ID: I20051221000237 |
| Provider Name | George a Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588662753 PECOS PAC ID: 2062420755 Enrollment ID: I20060322000106 |
| Provider Name | Richard Stephens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003858861 PECOS PAC ID: 3072525880 Enrollment ID: I20060619000066 |
| Provider Name | Mina a Jacob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730132556 PECOS PAC ID: 7315942166 Enrollment ID: I20060929000000 |
| Provider Name | Sebastian O Hubbuch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811994403 PECOS PAC ID: 5698750180 Enrollment ID: I20061205000276 |
| Provider Name | Jimmy L Hightower |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518047844 PECOS PAC ID: 8224037676 Enrollment ID: I20061212000348 |
| Provider Name | Michael J Borkat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841365525 PECOS PAC ID: 3577564459 Enrollment ID: I20070119000093 |
| Provider Name | Charles S Scarborough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871668590 PECOS PAC ID: 7911908892 Enrollment ID: I20070119000108 |
| Provider Name | William E Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659446326 PECOS PAC ID: 6002817996 Enrollment ID: I20070119000114 |
| Provider Name | Leland C Mccluskey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124009097 PECOS PAC ID: 2769478007 Enrollment ID: I20070212000302 |
| Provider Name | George M Mccluskey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205817467 PECOS PAC ID: 7012812951 Enrollment ID: I20070212000305 |
| Provider Name | George W Zimmerman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750362927 PECOS PAC ID: 9830191444 Enrollment ID: I20070212000311 |
| Provider Name | James H Taff |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1891789921 PECOS PAC ID: 7810093325 Enrollment ID: I20070430000424 |
| Provider Name | Neely B Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538375043 PECOS PAC ID: 7719085372 Enrollment ID: I20070605000242 |
| Provider Name | Mark R Fortson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457452591 PECOS PAC ID: 4789782756 Enrollment ID: I20070614000539 |
| Provider Name | Craig Mines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609874726 PECOS PAC ID: 2769581214 Enrollment ID: I20070625000024 |
| Provider Name | Richard S Robbins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922168350 PECOS PAC ID: 4789783135 Enrollment ID: I20070626000173 |
| Provider Name | Grant J Scarborough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790736262 PECOS PAC ID: 9436161742 Enrollment ID: I20070918000277 |
| Provider Name | Marc R Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477752863 PECOS PAC ID: 5991890683 Enrollment ID: I20070926000475 |
| Provider Name | Angus P Phelts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073582789 PECOS PAC ID: 0941395222 Enrollment ID: I20071002000145 |
| Provider Name | Charles D Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730146309 PECOS PAC ID: 2860385895 Enrollment ID: I20080109000103 |
| Provider Name | Vaibhav V Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386670073 PECOS PAC ID: 2961583349 Enrollment ID: I20080111000505 |
| Provider Name | William C Fortson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336124049 PECOS PAC ID: 8729160015 Enrollment ID: I20080125000020 |
| Provider Name | Rajinder Chhokar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215039714 PECOS PAC ID: 6507879582 Enrollment ID: I20080125000044 |
| Provider Name | Samir H Mewar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013019512 PECOS PAC ID: 0042223026 Enrollment ID: I20080125000059 |
| Provider Name | Said Elshihabi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467477463 PECOS PAC ID: 3577568526 Enrollment ID: I20080327000414 |
| Provider Name | Paul W Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912976275 PECOS PAC ID: 9931286937 Enrollment ID: I20080401000544 |
| Provider Name | James D Majors |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699875963 PECOS PAC ID: 3375627599 Enrollment ID: I20080505000096 |
| Provider Name | Shaun a Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669552949 PECOS PAC ID: 9537238845 Enrollment ID: I20080513000176 |
| Provider Name | Anshul Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295725463 PECOS PAC ID: 9537114335 Enrollment ID: I20080603000537 |
| Provider Name | George J Everidge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154381861 PECOS PAC ID: 8224108097 Enrollment ID: I20080605000294 |
| Provider Name | Howard C Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619900537 PECOS PAC ID: 6507838380 Enrollment ID: I20080707000693 |
| Provider Name | Heather L Forrest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033381686 PECOS PAC ID: 7719051374 Enrollment ID: I20080731000350 |
| Provider Name | Robert G Weatherstone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437150455 PECOS PAC ID: 5193891729 Enrollment ID: I20080905000388 |
| Provider Name | James F Morpeth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215985700 PECOS PAC ID: 6103993837 Enrollment ID: I20080923000306 |
| Provider Name | Stacy Ashby |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275782898 PECOS PAC ID: 2567530330 Enrollment ID: I20081007000331 |
| Provider Name | Edwin L Page |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598730285 PECOS PAC ID: 7911075726 Enrollment ID: I20081007000412 |
| Provider Name | Jamie Howard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669652848 PECOS PAC ID: 3577626407 Enrollment ID: I20090120000376 |
| Provider Name | Atif S Iqbal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316138845 PECOS PAC ID: 8022106111 Enrollment ID: I20090216000286 |
| Provider Name | Cynthia S Fernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598762908 PECOS PAC ID: 7517979578 Enrollment ID: I20090617000304 |
| Provider Name | Montgomery E Thorne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588661946 PECOS PAC ID: 8426060484 Enrollment ID: I20090617000318 |
| Provider Name | Daniel J Eikelberry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982601480 PECOS PAC ID: 3971515933 Enrollment ID: I20090617000335 |
| Provider Name | Courtney Maree Heynen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952308397 PECOS PAC ID: 5496806119 Enrollment ID: I20090619000205 |
| Provider Name | Clarence D Courson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164568135 PECOS PAC ID: 4183774326 Enrollment ID: I20090701000099 |
| Provider Name | Bipinchandra M Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215901632 PECOS PAC ID: 8527110519 Enrollment ID: I20090722000695 |
| Provider Name | Nojan Valadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417171737 PECOS PAC ID: 4082766944 Enrollment ID: I20090723000601 |
| Provider Name | Hiren P Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437271426 PECOS PAC ID: 4981703410 Enrollment ID: I20090730000168 |
| Provider Name | Sunil John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821074261 PECOS PAC ID: 6002896537 Enrollment ID: I20090804000578 |
| Provider Name | Thomas W Lawhorne |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1386693620 PECOS PAC ID: 2264585355 Enrollment ID: I20090807000183 |
| Provider Name | Michael a Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003981671 PECOS PAC ID: 6709886765 Enrollment ID: I20090817000697 |
| Provider Name | Wesley L Blackwood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093930208 PECOS PAC ID: 5294889788 Enrollment ID: I20090818000606 |
| Provider Name | Jayashree S John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003012915 PECOS PAC ID: 9133275274 Enrollment ID: I20090915000481 |
| Provider Name | Vickie a Silva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871820555 PECOS PAC ID: 1254475502 Enrollment ID: I20100224000539 |
| Provider Name | Reinaldo D Verson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063435428 PECOS PAC ID: 8820123581 Enrollment ID: I20100319000208 |
| Provider Name | Maheshkumar N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972581015 PECOS PAC ID: 5890821367 Enrollment ID: I20100414000163 |
| Provider Name | William Macheski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134109499 PECOS PAC ID: 2365578846 Enrollment ID: I20100414000262 |
| Provider Name | John P Byers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245331313 PECOS PAC ID: 5890821375 Enrollment ID: I20100414000292 |
| Provider Name | Alonzo E Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952389991 PECOS PAC ID: 1052447547 Enrollment ID: I20100414000322 |
| Provider Name | John B Adams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457472094 PECOS PAC ID: 6507996444 Enrollment ID: I20100619000010 |
| Provider Name | Seaborn a Roddenbery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861683989 PECOS PAC ID: 8325171473 Enrollment ID: I20100727000479 |
| Provider Name | Gary a Wood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295911220 PECOS PAC ID: 7618940040 Enrollment ID: I20100907000821 |
| Provider Name | James K Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1821321175 PECOS PAC ID: 9739227265 Enrollment ID: I20100922000835 |
| Provider Name | David Delurgio |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144230509 PECOS PAC ID: 6305038621 Enrollment ID: I20101005000930 |
| Provider Name | Vipul Parekh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831416304 PECOS PAC ID: 0547452898 Enrollment ID: I20101006000016 |
| Provider Name | Susan C Wieczorek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013087386 PECOS PAC ID: 7012105992 Enrollment ID: I20101220000735 |
| Provider Name | Frederick Quirk |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720397219 PECOS PAC ID: 3476742131 Enrollment ID: I20110111000627 |
| Provider Name | Kelly C O'keefe-watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174835334 PECOS PAC ID: 0446442388 Enrollment ID: I20110202000760 |
| Provider Name | Dana L Cason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982696092 PECOS PAC ID: 6507049095 Enrollment ID: I20110321000845 |
| Provider Name | Daniel L Schoenborn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326252503 PECOS PAC ID: 6507040847 Enrollment ID: I20110411000320 |
| Provider Name | Alice Cellino |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285880351 PECOS PAC ID: 9638234792 Enrollment ID: I20110603000576 |
| Provider Name | Michel Jeannot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700023330 PECOS PAC ID: 9335292051 Enrollment ID: I20110708000529 |
| Provider Name | Danny C Flores |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386922649 PECOS PAC ID: 7214106731 Enrollment ID: I20110817000623 |
| Provider Name | Arthur Lynne Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508154550 PECOS PAC ID: 8022288430 Enrollment ID: I20110823000144 |
| Provider Name | Sylvester Mcrae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790851699 PECOS PAC ID: 2062682339 Enrollment ID: I20110823000873 |
| Provider Name | Dell Renee Griner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104124403 PECOS PAC ID: 3870766330 Enrollment ID: I20111027000606 |
| Provider Name | Kerry H King |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407839533 PECOS PAC ID: 4880693035 Enrollment ID: I20111104000551 |
| Provider Name | Mia M Galioto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225011307 PECOS PAC ID: 8527963560 Enrollment ID: I20111121000198 |
| Provider Name | Wesley J Hunt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952686800 PECOS PAC ID: 6204093057 Enrollment ID: I20120206000621 |
| Provider Name | Michael W Mercer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326319286 PECOS PAC ID: 9739347014 Enrollment ID: I20120215000898 |
| Provider Name | Davida Michelle Hilton Wiggins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669745071 PECOS PAC ID: 5395904619 Enrollment ID: I20120306000723 |
| Provider Name | Jagdish R Sidhpura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184617599 PECOS PAC ID: 7517067671 Enrollment ID: I20120322000433 |
| Provider Name | Amanda H Mcpherson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487795720 PECOS PAC ID: 5799762977 Enrollment ID: I20120530000196 |
| Provider Name | Gregory Peter Sfakianos |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1902014442 PECOS PAC ID: 3678640653 Enrollment ID: I20120619000388 |
| Provider Name | Sheri D Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255303897 PECOS PAC ID: 5395897193 Enrollment ID: I20130103000209 |
| Provider Name | Kelly M Doub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700179900 PECOS PAC ID: 7012161789 Enrollment ID: I20130205000107 |
| Provider Name | Melody K Trevathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821247545 PECOS PAC ID: 9335393016 Enrollment ID: I20130205000154 |
| Provider Name | Brenda Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679811475 PECOS PAC ID: 3375798705 Enrollment ID: I20130308000318 |
| Provider Name | Erin C Stephens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740521822 PECOS PAC ID: 9638316854 Enrollment ID: I20130507000735 |
| Provider Name | Corey P Stokes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104167287 PECOS PAC ID: 1355588575 Enrollment ID: I20130507000748 |
| Provider Name | Ivey Ellis Holt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831430032 PECOS PAC ID: 3577700632 Enrollment ID: I20130508000499 |
| Provider Name | Christine Ruehl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487881611 PECOS PAC ID: 0749421311 Enrollment ID: I20130724000226 |
| Provider Name | Curtrina F Strozier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720215304 PECOS PAC ID: 8224279757 Enrollment ID: I20130726000058 |
| Provider Name | Sean a Blake |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1497067540 PECOS PAC ID: 6103067244 Enrollment ID: I20130801000093 |
| Provider Name | John O Mate-kole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558374371 PECOS PAC ID: 3577705755 Enrollment ID: I20130819000331 |
| Provider Name | Marie Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639501067 PECOS PAC ID: 3274777313 Enrollment ID: I20130911000733 |
| Provider Name | Carlie a Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497984603 PECOS PAC ID: 3072780527 Enrollment ID: I20130912000083 |
| Provider Name | Ryan D Steff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407137607 PECOS PAC ID: 0042482903 Enrollment ID: I20131024000583 |
| Provider Name | Whitney Creed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831448059 PECOS PAC ID: 2769617984 Enrollment ID: I20131024000606 |
| Provider Name | Raquel L Bennett-gittens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114191871 PECOS PAC ID: 1254566136 Enrollment ID: I20131031000017 |
| Provider Name | Andrew P Loftin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1760815104 PECOS PAC ID: 7214162932 Enrollment ID: I20131104001429 |
| Provider Name | Vikramjit S Chhokar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932101904 PECOS PAC ID: 4981673258 Enrollment ID: I20140403001163 |
| Provider Name | Nicholas Levi Henson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255599825 PECOS PAC ID: 3375776461 Enrollment ID: I20140424002073 |
| Provider Name | Iveta Boyanchek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487621215 PECOS PAC ID: 7416919444 Enrollment ID: I20140428000398 |
| Provider Name | Benjamin J Toole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538377502 PECOS PAC ID: 9335290691 Enrollment ID: I20140507000691 |
| Provider Name | Regino Cube |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023284312 PECOS PAC ID: 8325262082 Enrollment ID: I20140619001128 |
| Provider Name | Pierre Nathaniel Shepherd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780886820 PECOS PAC ID: 0547484008 Enrollment ID: I20140624001635 |
| Provider Name | Ivan Rohena-quinquilla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033371596 PECOS PAC ID: 7416171970 Enrollment ID: I20140624001757 |
| Provider Name | David Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083708564 PECOS PAC ID: 4284778853 Enrollment ID: I20140701002524 |
| Provider Name | Cindy Crothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437412004 PECOS PAC ID: 8628294253 Enrollment ID: I20140717000185 |
| Provider Name | Terza D Harper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720491103 PECOS PAC ID: 2769600048 Enrollment ID: I20140828000695 |
| Provider Name | Dare Adewumi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265605091 PECOS PAC ID: 9133347446 Enrollment ID: I20140828001401 |
| Provider Name | Debra E Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518379742 PECOS PAC ID: 6406074491 Enrollment ID: I20140904002455 |
| Provider Name | Michael N Metry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124187695 PECOS PAC ID: 7113818410 Enrollment ID: I20140912000998 |
| Provider Name | Sherry Renee Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245203397 PECOS PAC ID: 9739130998 Enrollment ID: I20140927000437 |
| Provider Name | Tamara Huff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932336997 PECOS PAC ID: 9739309543 Enrollment ID: I20141015000823 |
| Provider Name | Dean Michael Harper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598166175 PECOS PAC ID: 1052533312 Enrollment ID: I20141121000494 |
| Provider Name | Jennifer a Dixon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1811391477 PECOS PAC ID: 6406170638 Enrollment ID: I20150117000164 |
| Provider Name | Teresa Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235523044 PECOS PAC ID: 0840519245 Enrollment ID: I20150506002750 |
| Provider Name | Marian Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689067597 PECOS PAC ID: 4284953688 Enrollment ID: I20150506002854 |
| Provider Name | Gerty Jean-louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093703365 PECOS PAC ID: 8628003977 Enrollment ID: I20150826002021 |
| Provider Name | Takaya L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285016626 PECOS PAC ID: 7719293844 Enrollment ID: I20150903000669 |
| Provider Name | Gabriele Polk-seldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023491172 PECOS PAC ID: 3375859440 Enrollment ID: I20150903002033 |
| Provider Name | Misty Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689057879 PECOS PAC ID: 1557679438 Enrollment ID: I20150925000795 |
| Provider Name | Emily D Hersel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619367109 PECOS PAC ID: 4082922372 Enrollment ID: I20151007000221 |
| Provider Name | Craig N Rosebrock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023223260 PECOS PAC ID: 3577621648 Enrollment ID: I20151009002079 |
| Provider Name | Brooke Jones Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265818538 PECOS PAC ID: 5496064545 Enrollment ID: I20151012002390 |
| Provider Name | Brian Neil Valentine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952571549 PECOS PAC ID: 4284705435 Enrollment ID: I20151207002592 |
| Provider Name | Michael Dehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275903239 PECOS PAC ID: 1153622584 Enrollment ID: I20151209000746 |
| Provider Name | Joel a Mixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043261969 PECOS PAC ID: 5496767782 Enrollment ID: I20151210000144 |
| Provider Name | Saba Gilani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942432653 PECOS PAC ID: 1759696636 Enrollment ID: I20151228002018 |
| Provider Name | Hyacinth D Spence |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295703742 PECOS PAC ID: 1850312992 Enrollment ID: I20160201000106 |
| Provider Name | William a Bence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275591240 PECOS PAC ID: 0547215568 Enrollment ID: I20160209001707 |
| Provider Name | Joseph L Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447218839 PECOS PAC ID: 2365496395 Enrollment ID: I20160210000496 |
| Provider Name | Farhat Khairallah |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1982603965 PECOS PAC ID: 1557336328 Enrollment ID: I20160512002289 |
| Provider Name | Ronald Derek Collier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942466750 PECOS PAC ID: 2466777602 Enrollment ID: I20160513001923 |
| Provider Name | David Kung |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669656922 PECOS PAC ID: 3971656356 Enrollment ID: I20160615002238 |
| Provider Name | James Hull |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548441827 PECOS PAC ID: 9133369556 Enrollment ID: I20160621001514 |
| Provider Name | Akram Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508029802 PECOS PAC ID: 7214229152 Enrollment ID: I20160713000875 |
| Provider Name | Michael Lemke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437506318 PECOS PAC ID: 2769775394 Enrollment ID: I20160720000518 |
| Provider Name | Alexander Raymond Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720430440 PECOS PAC ID: 6901191568 Enrollment ID: I20160822000404 |
| Provider Name | Stephenson Ikpe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760706238 PECOS PAC ID: 8729374624 Enrollment ID: I20160831002904 |
| Provider Name | Brennan O Duckworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619420791 PECOS PAC ID: 6204123789 Enrollment ID: I20160927002002 |
| Provider Name | Elaine N Shirah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326590282 PECOS PAC ID: 6103104898 Enrollment ID: I20161101000513 |
| Provider Name | Tracy B Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528517802 PECOS PAC ID: 7113205667 Enrollment ID: I20161103000998 |
| Provider Name | Jaynald Caoile Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052462 PECOS PAC ID: 8022399500 Enrollment ID: I20161220002228 |
| Provider Name | Crystal B Claridy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680745 PECOS PAC ID: 9739461823 Enrollment ID: I20170125002002 |
| Provider Name | Jenna Renee Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447797584 PECOS PAC ID: 4082998885 Enrollment ID: I20170222001832 |
| Provider Name | Petra Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730615790 PECOS PAC ID: 3173893526 Enrollment ID: I20170718003720 |
| Provider Name | Jonathan Perez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801162029 PECOS PAC ID: 3870725781 Enrollment ID: I20170906003145 |
| Provider Name | Bart W Kimbrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922319599 PECOS PAC ID: 2062703978 Enrollment ID: I20170921002695 |
| Provider Name | Joseph P Whitlock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891089272 PECOS PAC ID: 0941436125 Enrollment ID: I20170926000986 |
| Provider Name | Nikulkumar R Chaudhari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245526755 PECOS PAC ID: 5395010003 Enrollment ID: I20171005002662 |
| Provider Name | Vishnu Choudhary Potini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013207208 PECOS PAC ID: 9032409644 Enrollment ID: I20171211002425 |
| Provider Name | Ofer Sadan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164848966 PECOS PAC ID: 9234497116 Enrollment ID: I20171226000383 |
| Provider Name | Dominique a Mesidor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033205091 PECOS PAC ID: 2769462365 Enrollment ID: I20180125001919 |
| Provider Name | Akash Mukesh Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164833190 PECOS PAC ID: 2961797121 Enrollment ID: I20180219001460 |
| Provider Name | Brandon D Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467897801 PECOS PAC ID: 6204199037 Enrollment ID: I20180410000004 |
| Provider Name | Paige Preston Bence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457867871 PECOS PAC ID: 8123373024 Enrollment ID: I20180618001790 |
| Provider Name | Marcia Elesea Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518322841 PECOS PAC ID: 7719277128 Enrollment ID: I20180619002381 |
| Provider Name | Mary Bailey Wickham Bryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093265753 PECOS PAC ID: 3173806981 Enrollment ID: I20180620003362 |
| Provider Name | Kristen Scogin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528562345 PECOS PAC ID: 1557616067 Enrollment ID: I20180622002619 |
| Provider Name | Richard Otto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487913513 PECOS PAC ID: 4981998788 Enrollment ID: I20180705001264 |
| Provider Name | Hailey N Robbins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427481043 PECOS PAC ID: 0345512232 Enrollment ID: I20180827003625 |
| Provider Name | Leia Nicole Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033695861 PECOS PAC ID: 8123378098 Enrollment ID: I20180914000103 |
| Provider Name | Aniefiok Uyoe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598974719 PECOS PAC ID: 3173619525 Enrollment ID: I20180921001967 |
| Provider Name | Laura Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114422318 PECOS PAC ID: 8426309865 Enrollment ID: I20180924001404 |
| Provider Name | Katherine M Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962998476 PECOS PAC ID: 5799037495 Enrollment ID: I20181008002431 |
| Provider Name | Susan Orillosa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285893750 PECOS PAC ID: 5395973085 Enrollment ID: I20181102002565 |
| Provider Name | Kevin Joseph Mcrae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497013353 PECOS PAC ID: 6901159136 Enrollment ID: I20181105002140 |
| Provider Name | Onyinyechi Uloma Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937084 PECOS PAC ID: 0749525798 Enrollment ID: I20181219000631 |
| Provider Name | Victoria Louise Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740755941 PECOS PAC ID: 8123367802 Enrollment ID: I20190222002812 |
| Provider Name | Kevin Patrick Meyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750589610 PECOS PAC ID: 2163616897 Enrollment ID: I20190403002556 |
| Provider Name | Abigail C Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316424690 PECOS PAC ID: 1759631054 Enrollment ID: I20190425002793 |
| Provider Name | Andrew Lee Dodgen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447549944 PECOS PAC ID: 0143599423 Enrollment ID: I20190603001701 |
| Provider Name | Cecil Bryant Rhodes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194136838 PECOS PAC ID: 3577896042 Enrollment ID: I20190615000201 |
| Provider Name | James E Ragazino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457747503 PECOS PAC ID: 5799080354 Enrollment ID: I20190726002527 |
| Provider Name | Christine Tompkins |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922144500 PECOS PAC ID: 2961699186 Enrollment ID: I20190730004680 |
| Provider Name | Travis Massengill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740693696 PECOS PAC ID: 1254626971 Enrollment ID: I20190924002851 |
| Provider Name | Caitlin Wertenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881152734 PECOS PAC ID: 4183052582 Enrollment ID: I20200318001674 |
| Provider Name | Char'niece S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558900993 PECOS PAC ID: 7810326485 Enrollment ID: I20200402000111 |
| Provider Name | Shenelle Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215283775 PECOS PAC ID: 6103060843 Enrollment ID: I20200603002830 |
| Provider Name | Elizabeth Rhodes |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588082994 PECOS PAC ID: 4981821915 Enrollment ID: I20200604001546 |
| Provider Name | Stella Michelle Lundry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326536681 PECOS PAC ID: 7012265424 Enrollment ID: I20200702001238 |
| Provider Name | Jason W Kimbel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538691225 PECOS PAC ID: 4688942790 Enrollment ID: I20200707000830 |
| Provider Name | Geoffrey D Vester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811383763 PECOS PAC ID: 8123443488 Enrollment ID: I20200803002896 |
| Provider Name | Afsheen Siddique |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235380593 PECOS PAC ID: 2860817848 Enrollment ID: I20200807001520 |
| Provider Name | Victoria Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477193761 PECOS PAC ID: 3577989102 Enrollment ID: I20200813001609 |
| Provider Name | Dreylana Shatori Hill Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871936906 PECOS PAC ID: 7911229281 Enrollment ID: I20200925001125 |
| Provider Name | Nchang Taka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700147238 PECOS PAC ID: 3678853231 Enrollment ID: I20200930002529 |
| Provider Name | Britney Farmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114350568 PECOS PAC ID: 4688093933 Enrollment ID: I20201006001495 |
| Provider Name | Dantae Bowie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780840728 PECOS PAC ID: 3577973296 Enrollment ID: I20201109003204 |
| Provider Name | Mary Katherine Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861644809 PECOS PAC ID: 6608286281 Enrollment ID: I20201110003426 |
| Provider Name | Anand Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033439815 PECOS PAC ID: 9234310103 Enrollment ID: I20201214001606 |
| Provider Name | Larisa Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144874801 PECOS PAC ID: 4486066586 Enrollment ID: I20201215000131 |
| Provider Name | Christopher Herald Comey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689756447 PECOS PAC ID: 1254245541 Enrollment ID: I20210106002505 |
| Provider Name | Shabnam Habibi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376159517 PECOS PAC ID: 1153734017 Enrollment ID: I20210113002957 |
| Provider Name | Matthew Pollard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407846728 PECOS PAC ID: 2163456435 Enrollment ID: I20210130000002 |
| Provider Name | Wallace Torbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679169783 PECOS PAC ID: 9931515517 Enrollment ID: I20210305000489 |
| Provider Name | Anupa Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023388642 PECOS PAC ID: 1951538776 Enrollment ID: I20210308000682 |
| Provider Name | Julie Elizabeth Shelton Moon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649684622 PECOS PAC ID: 8022322023 Enrollment ID: I20210427002800 |
| Provider Name | Jennifer Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841853447 PECOS PAC ID: 8426382748 Enrollment ID: I20210512002437 |
| Provider Name | Allawy a Allawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821483488 PECOS PAC ID: 8729353651 Enrollment ID: I20210514000191 |
| Provider Name | Choudhury M Salekin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649382276 PECOS PAC ID: 7012261852 Enrollment ID: I20210609001784 |
| Provider Name | Clayton P Bellam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003311432 PECOS PAC ID: 8123367794 Enrollment ID: I20210624000417 |
| Provider Name | Jennifer Addo Kaby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457871519 PECOS PAC ID: 1759650302 Enrollment ID: I20210712001881 |
| Provider Name | Matthew Mackenzie Kahrmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902254766 PECOS PAC ID: 1153692462 Enrollment ID: I20210713001431 |
| Provider Name | Kirby Chisholm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053773143 PECOS PAC ID: 6709157506 Enrollment ID: I20210721001141 |
| Provider Name | Laura Loaine Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639601479 PECOS PAC ID: 6204187404 Enrollment ID: I20210820001264 |
| Provider Name | Jonathan Joseph Callegari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831571207 PECOS PAC ID: 1052629540 Enrollment ID: I20210916001356 |
| Provider Name | Heather Benson Crowder- Kalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386307833 PECOS PAC ID: 6709278146 Enrollment ID: I20220118000221 |
| Provider Name | Ramsha Ali Bhutta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518443423 PECOS PAC ID: 2264827799 Enrollment ID: I20220321001821 |
| Provider Name | Jacob G Dunn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215383450 PECOS PAC ID: 1052713187 Enrollment ID: I20220415000731 |
| Provider Name | Wanda Y Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578226502 PECOS PAC ID: 1355729831 Enrollment ID: I20220613001670 |
| Provider Name | Yahya R Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316399678 PECOS PAC ID: 3476848672 Enrollment ID: I20220711003101 |
| Provider Name | Lauren Radney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871239202 PECOS PAC ID: 5092196006 Enrollment ID: I20220722000907 |
| Provider Name | Donald M Vickers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700318078 PECOS PAC ID: 2062781909 Enrollment ID: I20220728001578 |
| Provider Name | Jacob R Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093202475 PECOS PAC ID: 4486994761 Enrollment ID: I20220802002687 |
| Provider Name | Whitney Harder |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801371596 PECOS PAC ID: 9537544242 Enrollment ID: I20220916000663 |
| Provider Name | Lachmi Bai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467913319 PECOS PAC ID: 1254666860 Enrollment ID: I20220919000295 |
| Provider Name | Margaret Caitlin Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124589023 PECOS PAC ID: 4385979079 Enrollment ID: I20221005001222 |
| Provider Name | Savanna Smola |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386363182 PECOS PAC ID: 4880060318 Enrollment ID: I20221025000143 |
| Provider Name | Ashley Claren Canady Brinkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891145116 PECOS PAC ID: 9830473560 Enrollment ID: I20221118002141 |
| Provider Name | Mahesh Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215345269 PECOS PAC ID: 8527350040 Enrollment ID: I20221201001449 |
| Provider Name | Louis Verreault-julien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528713104 PECOS PAC ID: 1153715008 Enrollment ID: I20230501001076 |
| Provider Name | Anit S Vettukattil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487894069 PECOS PAC ID: 9032368394 Enrollment ID: I20230515001772 |
| Provider Name | Jonathan Blythe Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447974563 PECOS PAC ID: 0648637900 Enrollment ID: I20230601002459 |
| Provider Name | Candy Thorpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376080291 PECOS PAC ID: 8325322837 Enrollment ID: I20230720000607 |
| Provider Name | Khanchana Boyce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346616398 PECOS PAC ID: 1557650272 Enrollment ID: I20230726003956 |
| Provider Name | Brittany Ann Fortune |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194388264 PECOS PAC ID: 2264864891 Enrollment ID: I20230926003093 |
| Provider Name | Kaylyn Qualls Harp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487337457 PECOS PAC ID: 7517316102 Enrollment ID: I20231207002535 |
| Provider Name | Hannah Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063282572 PECOS PAC ID: 7517300452 Enrollment ID: I20240208000581 |
| Provider Name | Kyndall Denise Grogan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013784602 PECOS PAC ID: 0749625093 Enrollment ID: I20240227002070 |
| Provider Name | Mohammed Fathi Mahomud Hussein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639792138 PECOS PAC ID: 9739524885 Enrollment ID: I20240228001739 |
| Provider Name | Thomas James Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174919963 PECOS PAC ID: 5799031647 Enrollment ID: I20240304001256 |
| Provider Name | Myranda Leigh Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285319459 PECOS PAC ID: 4183061336 Enrollment ID: I20240322002656 |
| Provider Name | Gina Sam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134387822 PECOS PAC ID: 0648323923 Enrollment ID: I20240401000213 |
| Provider Name | Monica Ramos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831483429 PECOS PAC ID: 2062647621 Enrollment ID: I20240417000171 |
| Provider Name | Kayla Elaine Desrosiers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790424661 PECOS PAC ID: 6800237744 Enrollment ID: I20240509002995 |
| Provider Name | Lauren Elizabeth Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699554923 PECOS PAC ID: 1850837519 Enrollment ID: I20240718002419 |
| Provider Name | Suzanne Cahill Manley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659362127 PECOS PAC ID: 4981140373 Enrollment ID: I20240722002485 |
| Provider Name | Jennifer Pugliese |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710959689 PECOS PAC ID: 2264621226 Enrollment ID: I20240926001520 |
| Provider Name | Lexie Jean Modlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689315046 PECOS PAC ID: 4981080926 Enrollment ID: I20241010002807 |
| Provider Name | Devinder Singh Dhindsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265828610 PECOS PAC ID: 2961705777 Enrollment ID: I20241025001368 |
| Provider Name | Rutvi Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730743915 PECOS PAC ID: 4183157175 Enrollment ID: I20241029004090 |
| Provider Name | Muhammad-abbas Conteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871177386 PECOS PAC ID: 2860925567 Enrollment ID: I20241104000468 |
| Provider Name | Jillian Welch Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437985470 PECOS PAC ID: 7416481973 Enrollment ID: I20241107000121 |
| Provider Name | Hannah Bjerregaard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801625363 PECOS PAC ID: 3678008455 Enrollment ID: I20241203002647 |
| Provider Name | Kyle G Rountree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518322700 PECOS PAC ID: 8022356054 Enrollment ID: I20241216002346 |
| Provider Name | Matthew Wells |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396303939 PECOS PAC ID: 5597292912 Enrollment ID: I20241226000898 |
| Provider Name | Ludenie Remy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164104089 PECOS PAC ID: 4880056944 Enrollment ID: I20250116000636 |
| Provider Name | Byungsoo Ko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285945295 PECOS PAC ID: 5799917431 Enrollment ID: I20250211003065 |
| Provider Name | Pamela K Hoskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952154882 PECOS PAC ID: 3173040003 Enrollment ID: I20250505002444 |
| Provider Name | Ashley Nichole Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821983511 PECOS PAC ID: 4284149089 Enrollment ID: I20250711001599 |
| Provider Name | Travis James Aultman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609574797 PECOS PAC ID: 6709391139 Enrollment ID: I20250715002384 |
| Provider Name | Alexander Shae Ericksen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831542356 PECOS PAC ID: 5799054375 Enrollment ID: I20250728002313 |
| Provider Name | Erin Catob |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073344404 PECOS PAC ID: 3476093196 Enrollment ID: I20250904000607 |
| Provider Name | Hannah Elizabeth Letourneau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033093943 PECOS PAC ID: 0345742441 Enrollment ID: I20250908001719 |
| Provider Name | Elizabeth Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720745821 PECOS PAC ID: 4789074618 Enrollment ID: I20250908002305 |
| Provider Name | Larry Roland Shannon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275762429 PECOS PAC ID: 0143489435 Enrollment ID: I20250918002075 |
| Provider Name | Malik Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386165470 PECOS PAC ID: 6406126408 Enrollment ID: I20251020001165 |
| Provider Name | Hassan Saad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679065452 PECOS PAC ID: 7214272244 Enrollment ID: I20251119002126 |
| Provider Name | Foster Bryan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457363103 PECOS PAC ID: 9234273632 Enrollment ID: I20251203004478 |
| Provider Name | Stephanie Satchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831682921 PECOS PAC ID: 4385124346 Enrollment ID: I20260218000549 |
| Provider Name | Jillian Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295565687 PECOS PAC ID: 6305370719 Enrollment ID: I20260512000045 |
| Provider Name | Crystal Marie Prevatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477417848 PECOS PAC ID: 9537638226 Enrollment ID: I20260512000908 |
| Provider Name | John Leahy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750498200 PECOS PAC ID: 9931201696 Enrollment ID: I20260512002237 |
| Provider Name | Jay Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477085520 PECOS PAC ID: 3577943117 Enrollment ID: I20260512003452 |
| Provider Name | Mustafa Muhammed Itani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770453052 PECOS PAC ID: 8628549342 Enrollment ID: I20260603003809 |
| Provider Name | Raymond Mock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740308121 PECOS PAC ID: 8224102090 Enrollment ID: I20260608004094 |
Vance Family Medicine LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7413 Whitesville Rd Ste 700, Columbus, GA 31904 Phone: 706-887-4123 Fax: 706-887-4124 |
New Horizons Area MH MR Sa Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Comer Ave, Columbus, GA 31904 Phone: 706-596-5500 Fax: 706-596-5589 |
National Sleep Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Bradley Park Ct Ste 1c, Columbus, GA 31904 Phone: 888-884-9493 Fax: 888-884-9493 |
Family Wellcare Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Woodruff Rd, Columbus, GA 31904 Phone: 706-653-6080 Fax: 706-653-6052 |
Gabiana Medical Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Center St, 201 Professional Tower, Columbus, GA 31901 Phone: 706-323-4747 Fax: 706-660-0676 |
Mac - Macon Road LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3465 Macon Rd Ste D, Columbus, GA 31907 Phone: 706-243-3051 |