| Sjhmc Physician Services | |
|
350 W Thomas Rd Phoenix AZ 85013-4409 | |
| (602) 406-3729 | |
| (602) 798-9412 |
| Full Name | Sjhmc Physician Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 W Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Jeffrey Jackson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6024064618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjhmc Physician Services File 56765 Los Angeles CA 90074-0001 Ph: (602) 406-4596 | Sjhmc Physician Services 350 W Thomas Rd Phoenix AZ 85013-4409 Ph: (602) 406-3729 |
| NPI Number | 1326098005 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 4486646197 |
|---|---|
| Medicare Enrollment ID | O20040401001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326098005 | NPI | - | NPPES |
| 831215 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Khaled Albasha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932147477 PECOS PAC ID: 2062325061 Enrollment ID: I20031106000401 |
| Provider Name | Osaf Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396775680 PECOS PAC ID: 6103739735 Enrollment ID: I20031110000693 |
| Provider Name | Priya Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932290327 PECOS PAC ID: 6800700501 Enrollment ID: I20031117000836 |
| Provider Name | Philip J Husband |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417019753 PECOS PAC ID: 3971412503 Enrollment ID: I20031121000899 |
| Provider Name | Philip A Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555425 PECOS PAC ID: 4789581364 Enrollment ID: I20031212000909 |
| Provider Name | Judy Messer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407800980 PECOS PAC ID: 1557263001 Enrollment ID: I20040123000965 |
| Provider Name | Bruce A Bethancourt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548252513 PECOS PAC ID: 2668367228 Enrollment ID: I20040220001030 |
| Provider Name | Peter C Maki |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306886775 PECOS PAC ID: 6608780523 Enrollment ID: I20040301001128 |
| Provider Name | Michael Amoa-asare |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235199639 PECOS PAC ID: 4486542867 Enrollment ID: I20040308000764 |
| Provider Name | Marco Canulla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194700286 PECOS PAC ID: 9335038355 Enrollment ID: I20040315001017 |
| Provider Name | Anita Kadikar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972500288 PECOS PAC ID: 3971493222 Enrollment ID: I20040318001486 |
| Provider Name | David George Brachman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720042914 PECOS PAC ID: 7618869645 Enrollment ID: I20040325001338 |
| Provider Name | Kenneth A Ashton |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1144214172 PECOS PAC ID: 2860384823 Enrollment ID: I20040325001484 |
| Provider Name | Albert G Wendt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114904109 PECOS PAC ID: 2668364530 Enrollment ID: I20040325001631 |
| Provider Name | Kevin M Brady |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154315810 PECOS PAC ID: 0648162529 Enrollment ID: I20040325001653 |
| Provider Name | Ahtisham Shakoor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356426316 PECOS PAC ID: 3476445917 Enrollment ID: I20040329000673 |
| Provider Name | Kathleen M Norman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942273248 PECOS PAC ID: 7012807647 Enrollment ID: I20040331000835 |
| Provider Name | James R Mouer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912012675 PECOS PAC ID: 5193717502 Enrollment ID: I20040402000887 |
| Provider Name | Chantay L Banikarim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699884890 PECOS PAC ID: 8325030760 Enrollment ID: I20040402001033 |
| Provider Name | Leslie C Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962512913 PECOS PAC ID: 4486646841 Enrollment ID: I20040402001115 |
| Provider Name | James L Frey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275640591 PECOS PAC ID: 6800888272 Enrollment ID: I20040402001224 |
| Provider Name | Paul R Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720191513 PECOS PAC ID: 1850383233 Enrollment ID: I20040402001253 |
| Provider Name | Peter D Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730299637 PECOS PAC ID: 7315939709 Enrollment ID: I20040402001311 |
| Provider Name | Pamela S Klonoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770556433 PECOS PAC ID: 8820989593 Enrollment ID: I20040403000320 |
| Provider Name | Robert M Brady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992718423 PECOS PAC ID: 6901899293 Enrollment ID: I20040405000138 |
| Provider Name | Allan L Markus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972595569 PECOS PAC ID: 7911990239 Enrollment ID: I20040405000344 |
| Provider Name | John F Kerrigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134233901 PECOS PAC ID: 0648263962 Enrollment ID: I20040405000348 |
| Provider Name | Madhavagopal V Cherukuri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104860337 PECOS PAC ID: 1254324577 Enrollment ID: I20040405000374 |
| Provider Name | Steve S Chung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942317359 PECOS PAC ID: 5496748717 Enrollment ID: I20040405000397 |
| Provider Name | Holly A Shill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922034636 PECOS PAC ID: 6002809332 Enrollment ID: I20040405000425 |
| Provider Name | Heather S Caples |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609986660 PECOS PAC ID: 9032102371 Enrollment ID: I20040405000490 |
| Provider Name | Sara R Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578673976 PECOS PAC ID: 8325031677 Enrollment ID: I20040405000545 |
| Provider Name | David L Greenspan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316918865 PECOS PAC ID: 5698768968 Enrollment ID: I20040405000652 |
| Provider Name | Lynn S Ashby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275649956 PECOS PAC ID: 9335132513 Enrollment ID: I20040405000793 |
| Provider Name | David Treiman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285742791 PECOS PAC ID: 5597758797 Enrollment ID: I20040405000953 |
| Provider Name | Stanley D Johnsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568576320 PECOS PAC ID: 0547254708 Enrollment ID: I20040412000471 |
| Provider Name | Anita W Martinez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427018399 PECOS PAC ID: 6406840313 Enrollment ID: I20040413001293 |
| Provider Name | Marwan N Sabbagh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497748289 PECOS PAC ID: 3678567211 Enrollment ID: I20040414001250 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20040415000018 |
| Provider Name | George P Prigatano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437264868 PECOS PAC ID: 0143212613 Enrollment ID: I20040415000270 |
| Provider Name | Abdul Nadir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780752907 PECOS PAC ID: 1557356425 Enrollment ID: I20040419001482 |
| Provider Name | Kevin P Mcgeever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144330408 PECOS PAC ID: 3274528955 Enrollment ID: I20040420001130 |
| Provider Name | Michael D Dersam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477539302 PECOS PAC ID: 5991791493 Enrollment ID: I20040422000345 |
| Provider Name | Binh T Duong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689634354 PECOS PAC ID: 3072500545 Enrollment ID: I20040427001050 |
| Provider Name | Abraham Owusu Dommey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457311367 PECOS PAC ID: 4880681865 Enrollment ID: I20040430000025 |
| Provider Name | Nabil Dib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508867383 PECOS PAC ID: 1951399617 Enrollment ID: I20040503001124 |
| Provider Name | Mikhail I Shtivelband |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740254473 PECOS PAC ID: 5092703694 Enrollment ID: I20040503001470 |
| Provider Name | Thomas L Gillespie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144309261 PECOS PAC ID: 1456349208 Enrollment ID: I20040504000208 |
| Provider Name | John M Morgan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407890353 PECOS PAC ID: 5799699617 Enrollment ID: I20040512001042 |
| Provider Name | Kenneth G Fulp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083668800 PECOS PAC ID: 7719977594 Enrollment ID: I20040513001339 |
| Provider Name | Robert M Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356454227 PECOS PAC ID: 1658362793 Enrollment ID: I20040519000360 |
| Provider Name | Lilia Parra-roide |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417062506 PECOS PAC ID: 6709877319 Enrollment ID: I20040521000920 |
| Provider Name | Randy Ray Richardson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326056599 PECOS PAC ID: 5799766648 Enrollment ID: I20040526000991 |
| Provider Name | Robyn E Stiefeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902888753 PECOS PAC ID: 9436130820 Enrollment ID: I20040601000649 |
| Provider Name | Nicholas E Flores |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013970714 PECOS PAC ID: 8123000486 Enrollment ID: I20040602000461 |
| Provider Name | Shahab Aftahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881656783 PECOS PAC ID: 4789666397 Enrollment ID: I20040608000021 |
| Provider Name | Clayton R Polowy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336112119 PECOS PAC ID: 2668455106 Enrollment ID: I20040609000281 |
| Provider Name | Dirk S Gesink |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538261953 PECOS PAC ID: 6103809371 Enrollment ID: I20040609000689 |
| Provider Name | Terry D Fife |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346248390 PECOS PAC ID: 8820072010 Enrollment ID: I20040615001535 |
| Provider Name | Christina M Kwasnica |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902875172 PECOS PAC ID: 2668361031 Enrollment ID: I20040617000443 |
| Provider Name | Suzanne R Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336118678 PECOS PAC ID: 4587648399 Enrollment ID: I20040617000634 |
| Provider Name | Olga M Kalinkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932178423 PECOS PAC ID: 2466437108 Enrollment ID: I20040618000682 |
| Provider Name | Sari Roth Roemer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700923299 PECOS PAC ID: 3577548536 Enrollment ID: I20040623000260 |
| Provider Name | Paul K Sawrey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740287135 PECOS PAC ID: 6406832054 Enrollment ID: I20040625000163 |
| Provider Name | Faran Bashir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316944721 PECOS PAC ID: 9931185022 Enrollment ID: I20040629000237 |
| Provider Name | Arlie W Hedrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982699047 PECOS PAC ID: 2062498173 Enrollment ID: I20040629000373 |
| Provider Name | Elizabeth Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891749313 PECOS PAC ID: 8628054574 Enrollment ID: I20040629001511 |
| Provider Name | David W Gannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477534816 PECOS PAC ID: 0143215269 Enrollment ID: I20040701001585 |
| Provider Name | Mitchell J Ross |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831181809 PECOS PAC ID: 5193702538 Enrollment ID: I20040702000421 |
| Provider Name | Andrew P Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740240712 PECOS PAC ID: 7416934781 Enrollment ID: I20040706000103 |
| Provider Name | Richard J Chamberlain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487614277 PECOS PAC ID: 2769469030 Enrollment ID: I20040706000128 |
| Provider Name | Todd K Farnworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811961113 PECOS PAC ID: 5395723357 Enrollment ID: I20040708000073 |
| Provider Name | Salaheddine Tomeh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083646574 PECOS PAC ID: 3375521198 Enrollment ID: I20040708001485 |
| Provider Name | Jozef Zoldos |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1760482897 PECOS PAC ID: 0749171577 Enrollment ID: I20040709000926 |
| Provider Name | David J Kush |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881646289 PECOS PAC ID: 8921901224 Enrollment ID: I20040709001047 |
| Provider Name | Hamlet Benyamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720048747 PECOS PAC ID: 9739167180 Enrollment ID: I20040712000678 |
| Provider Name | Lloyd P Champagne |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1407856537 PECOS PAC ID: 6507844826 Enrollment ID: I20040712001321 |
| Provider Name | Raymond F Shamos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831178433 PECOS PAC ID: 2860470002 Enrollment ID: I20040713000685 |
| Provider Name | Rohit Sud |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477625465 PECOS PAC ID: 3971583204 Enrollment ID: I20040726000606 |
| Provider Name | Gregory J Massoud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790715522 PECOS PAC ID: 5698745701 Enrollment ID: I20040727001303 |
| Provider Name | Jordan A Weinberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750347563 PECOS PAC ID: 9638149545 Enrollment ID: I20040728001132 |
| Provider Name | Zaher Akkad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952308454 PECOS PAC ID: 3678544665 Enrollment ID: I20040803001545 |
| Provider Name | Riyaz A Sumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144212721 PECOS PAC ID: 9830160399 Enrollment ID: I20040805001464 |
| Provider Name | Melanie D Cloonan Schulte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376521914 PECOS PAC ID: 1557333606 Enrollment ID: I20040810001219 |
| Provider Name | William A Arnold |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720042591 PECOS PAC ID: 1850363789 Enrollment ID: I20040810001441 |
| Provider Name | Christina S Reuss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386623080 PECOS PAC ID: 9133193527 Enrollment ID: I20040823000285 |
| Provider Name | Juan C Diazcadena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730182544 PECOS PAC ID: 8224002472 Enrollment ID: I20040823001501 |
| Provider Name | Edward G Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619058880 PECOS PAC ID: 6608841911 Enrollment ID: I20040831000482 |
| Provider Name | Steven I Sayegh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356488845 PECOS PAC ID: 2769458678 Enrollment ID: I20040902000517 |
| Provider Name | Neil E Motzkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245321173 PECOS PAC ID: 7113991886 Enrollment ID: I20040903001172 |
| Provider Name | Tracy A Contant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538150685 PECOS PAC ID: 2062488281 Enrollment ID: I20040908001136 |
| Provider Name | Don B Headley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578550398 PECOS PAC ID: 7719953975 Enrollment ID: I20040908001423 |
| Provider Name | Richard Sue |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053320168 PECOS PAC ID: 5991772063 Enrollment ID: I20040916000999 |
| Provider Name | John N Galgiani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154341055 PECOS PAC ID: 2062481286 Enrollment ID: I20040924000918 |
| Provider Name | Steve Goldschmid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780798264 PECOS PAC ID: 9931178159 Enrollment ID: I20040924000950 |
| Provider Name | Mara R Baier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407811797 PECOS PAC ID: 1153390869 Enrollment ID: I20040929000883 |
| Provider Name | Michael D Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497718597 PECOS PAC ID: 9931168960 Enrollment ID: I20041006000476 |
| Provider Name | Terrence Cavanaugh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881674695 PECOS PAC ID: 5991764920 Enrollment ID: I20041006000504 |
| Provider Name | Kristin Kirlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356451322 PECOS PAC ID: 0143289058 Enrollment ID: I20041006001234 |
| Provider Name | Steven B Wolpert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932165032 PECOS PAC ID: 0345201414 Enrollment ID: I20041021000866 |
| Provider Name | David M Ott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588660914 PECOS PAC ID: 8729973201 Enrollment ID: I20041026000557 |
| Provider Name | Lyndon C Xavier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932100831 PECOS PAC ID: 3274597398 Enrollment ID: I20041117000901 |
| Provider Name | Matthew J Gurtler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265416838 PECOS PAC ID: 8325002298 Enrollment ID: I20041119000276 |
| Provider Name | Sukhjit Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215998604 PECOS PAC ID: 7315902970 Enrollment ID: I20041123000155 |
| Provider Name | Wazhma Aslamy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982604476 PECOS PAC ID: 7012972433 Enrollment ID: I20041124000888 |
| Provider Name | Thomas F Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376535237 PECOS PAC ID: 5092770412 Enrollment ID: I20041124000904 |
| Provider Name | Roberta Irene Helen Matern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215984349 PECOS PAC ID: 2860458601 Enrollment ID: I20041203000485 |
| Provider Name | Rajiv M Ashar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255389953 PECOS PAC ID: 7911963087 Enrollment ID: I20041209000823 |
| Provider Name | Akil Loli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962453803 PECOS PAC ID: 0749247872 Enrollment ID: I20041210000147 |
| Provider Name | Adrian H Feng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689648685 PECOS PAC ID: 7517925456 Enrollment ID: I20041227000026 |
| Provider Name | John Vanderhoof |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558471052 PECOS PAC ID: 5193774719 Enrollment ID: I20050120000558 |
| Provider Name | Jiong Shi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811005408 PECOS PAC ID: 8022068006 Enrollment ID: I20050127000321 |
| Provider Name | James A Mankin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942310297 PECOS PAC ID: 0941194047 Enrollment ID: I20050211000191 |
| Provider Name | Puneet Bhalla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1336115542 PECOS PAC ID: 1557313046 Enrollment ID: I20050211000908 |
| Provider Name | Jed M Bayasi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538207238 PECOS PAC ID: 1951354075 Enrollment ID: I20050301000167 |
| Provider Name | Muthiah Nachiappan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912903535 PECOS PAC ID: 3678540200 Enrollment ID: I20050310000433 |
| Provider Name | Greg S Keller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639284813 PECOS PAC ID: 8820063225 Enrollment ID: I20050310001121 |
| Provider Name | Daniel B Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255403853 PECOS PAC ID: 8628960416 Enrollment ID: I20050312000012 |
| Provider Name | Michael A Sochacki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811002017 PECOS PAC ID: 1557317070 Enrollment ID: I20050329000157 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295778215 PECOS PAC ID: 3476538760 Enrollment ID: I20050411001072 |
| Provider Name | Jean M Weaver |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457353591 PECOS PAC ID: 8820077993 Enrollment ID: I20050413001270 |
| Provider Name | Steven Olyejar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043285448 PECOS PAC ID: 3870530488 Enrollment ID: I20050414001119 |
| Provider Name | Courtney L Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558433870 PECOS PAC ID: 9335186873 Enrollment ID: I20050415000179 |
| Provider Name | Vijendra Swarup |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427051929 PECOS PAC ID: 2466490735 Enrollment ID: I20050419000414 |
| Provider Name | Padmaja Bollam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083792519 PECOS PAC ID: 1456399310 Enrollment ID: I20050420001303 |
| Provider Name | Robert J Hamburg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053387563 PECOS PAC ID: 0749269397 Enrollment ID: I20050427000306 |
| Provider Name | James J Hines |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770575631 PECOS PAC ID: 9436199791 Enrollment ID: I20050505000568 |
| Provider Name | Ashish Pershad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194710657 PECOS PAC ID: 5799725081 Enrollment ID: I20050505000823 |
| Provider Name | Obinna P Egbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992768378 PECOS PAC ID: 4587604517 Enrollment ID: I20050509000794 |
| Provider Name | Gail L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366554388 PECOS PAC ID: 2062453772 Enrollment ID: I20050512000565 |
| Provider Name | Charles Woo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811961543 PECOS PAC ID: 4385686211 Enrollment ID: I20050601000432 |
| Provider Name | Karen A Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487761714 PECOS PAC ID: 1254303852 Enrollment ID: I20050610000468 |
| Provider Name | Adam M Brodsky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093709354 PECOS PAC ID: 7315981610 Enrollment ID: I20050617000125 |
| Provider Name | Russell Hauge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619939501 PECOS PAC ID: 4981506300 Enrollment ID: I20050706001041 |
| Provider Name | Judith A Mead |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942273156 PECOS PAC ID: 1951347376 Enrollment ID: I20050707000131 |
| Provider Name | Rizaldy Villegas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083680532 PECOS PAC ID: 7618913005 Enrollment ID: I20050707000699 |
| Provider Name | Farzad Sakha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164479796 PECOS PAC ID: 6103852462 Enrollment ID: I20050709000048 |
| Provider Name | Shafeeq S Ladha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417931767 PECOS PAC ID: 6507833274 Enrollment ID: I20050712000789 |
| Provider Name | Seneca A Carrillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336107218 PECOS PAC ID: 8426087222 Enrollment ID: I20050811000692 |
| Provider Name | Lynda A Peterman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851345169 PECOS PAC ID: 5395774129 Enrollment ID: I20050908000525 |
| Provider Name | Leonard S Bodell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053365528 PECOS PAC ID: 6709777451 Enrollment ID: I20050908001068 |
| Provider Name | Gary H Silber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932169364 PECOS PAC ID: 5496787418 Enrollment ID: I20050909000733 |
| Provider Name | Thomas Ardiles |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437119278 PECOS PAC ID: 6608809215 Enrollment ID: I20050914000927 |
| Provider Name | Kami D Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073546974 PECOS PAC ID: 4284668757 Enrollment ID: I20050923000357 |
| Provider Name | Craig H Weinstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619957008 PECOS PAC ID: 0547236929 Enrollment ID: I20050923000880 |
| Provider Name | Bruce A Culbertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275647356 PECOS PAC ID: 7214962141 Enrollment ID: I20050929000519 |
| Provider Name | Latrecia M Herring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215923453 PECOS PAC ID: 7911932744 Enrollment ID: I20050930000093 |
| Provider Name | Hugh Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881774313 PECOS PAC ID: 5193740199 Enrollment ID: I20051010000170 |
| Provider Name | Loreto G Sulit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902890767 PECOS PAC ID: 1254356629 Enrollment ID: I20051014000287 |
| Provider Name | Leigh Mcgill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568444826 PECOS PAC ID: 4385661834 Enrollment ID: I20051025000226 |
| Provider Name | Kevin J Lythgoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295727253 PECOS PAC ID: 3476570599 Enrollment ID: I20051028000092 |
| Provider Name | Richard A Manch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043289341 PECOS PAC ID: 1153348040 Enrollment ID: I20051031000310 |
| Provider Name | Romas J Kirvaitis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174791636 PECOS PAC ID: 3072531623 Enrollment ID: I20051102001061 |
| Provider Name | Donald J Green |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518980671 PECOS PAC ID: 2961421300 Enrollment ID: I20051115000944 |
| Provider Name | Naftaly Attias |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770650160 PECOS PAC ID: 1658390976 Enrollment ID: I20051116000465 |
| Provider Name | Chetan S Gujrathi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669442141 PECOS PAC ID: 3678544038 Enrollment ID: I20051117000948 |
| Provider Name | Gregory A Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609917418 PECOS PAC ID: 0749200368 Enrollment ID: I20051129000029 |
| Provider Name | Ashesh H Sanghvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336185685 PECOS PAC ID: 5193743102 Enrollment ID: I20051201000910 |
| Provider Name | Ian J Kallmeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083694947 PECOS PAC ID: 9234152372 Enrollment ID: I20060104000621 |
| Provider Name | Surinder K Bharara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669432530 PECOS PAC ID: 2062435118 Enrollment ID: I20060104000709 |
| Provider Name | Matthew Hemstreet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275553182 PECOS PAC ID: 1355336074 Enrollment ID: I20060113000753 |
| Provider Name | Jeffrey P Rockow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982603494 PECOS PAC ID: 8921020421 Enrollment ID: I20060125001039 |
| Provider Name | Ross M Bremner |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205849429 PECOS PAC ID: 1759395999 Enrollment ID: I20060126000941 |
| Provider Name | Evan B Taber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215042973 PECOS PAC ID: 2264410489 Enrollment ID: I20060127000179 |
| Provider Name | Jacquelin A Olmert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962491845 PECOS PAC ID: 5799791158 Enrollment ID: I20060222000867 |
| Provider Name | James L Blair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780631044 PECOS PAC ID: 5395750368 Enrollment ID: I20060310000361 |
| Provider Name | Parwin S Sadaat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487695243 PECOS PAC ID: 1759308935 Enrollment ID: I20060323000806 |
| Provider Name | James T Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659331676 PECOS PAC ID: 4082698451 Enrollment ID: I20060403000506 |
| Provider Name | Cara L Wright Talamante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548347164 PECOS PAC ID: 7618986258 Enrollment ID: I20060411000147 |
| Provider Name | Ashok C Solsi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780685669 PECOS PAC ID: 2961411871 Enrollment ID: I20060420000128 |
| Provider Name | Georges Y Nseir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528069408 PECOS PAC ID: 3375552201 Enrollment ID: I20060420000282 |
| Provider Name | Shawn D Stevenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891766127 PECOS PAC ID: 6709896632 Enrollment ID: I20060421000411 |
| Provider Name | Florin A Gaidici |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780686147 PECOS PAC ID: 1951311489 Enrollment ID: I20060428000141 |
| Provider Name | Gary T Nagamoto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962477729 PECOS PAC ID: 8325059215 Enrollment ID: I20060508000105 |
| Provider Name | Youngsoo Cho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366405011 PECOS PAC ID: 5092718361 Enrollment ID: I20060808000018 |
| Provider Name | Corey S Bruce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164423067 PECOS PAC ID: 8921082215 Enrollment ID: I20060817000017 |
| Provider Name | Enise S Yoo Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790720878 PECOS PAC ID: 1658376108 Enrollment ID: I20060915000541 |
| Provider Name | Victor Sein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508882572 PECOS PAC ID: 1456356484 Enrollment ID: I20060926000600 |
| Provider Name | Daria Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104831882 PECOS PAC ID: 7719982685 Enrollment ID: I20060927000427 |
| Provider Name | Christopher L Lindblade |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316956709 PECOS PAC ID: 5193720811 Enrollment ID: I20061002000090 |
| Provider Name | Dmitriy S Tckachenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285645531 PECOS PAC ID: 9537165402 Enrollment ID: I20061017000249 |
| Provider Name | Toni M Salm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053427708 PECOS PAC ID: 4486650207 Enrollment ID: I20061018000181 |
| Provider Name | John A Garbaciak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811994726 PECOS PAC ID: 6406853092 Enrollment ID: I20061024000247 |
| Provider Name | Sonal P Haerter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619980737 PECOS PAC ID: 4688671233 Enrollment ID: I20061025000102 |
| Provider Name | Bonifasiyo K Ssennyamantono |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902813678 PECOS PAC ID: 4082611280 Enrollment ID: I20061101000157 |
| Provider Name | Adam J Balzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386611507 PECOS PAC ID: 9436156569 Enrollment ID: I20061101000523 |
| Provider Name | Jessica M Potvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285720771 PECOS PAC ID: 5496753220 Enrollment ID: I20061110000084 |
| Provider Name | Frank V Schraml |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689638876 PECOS PAC ID: 6406854256 Enrollment ID: I20061110000151 |
| Provider Name | Raed F Suyyagh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285745646 PECOS PAC ID: 2365440609 Enrollment ID: I20061120000517 |
| Provider Name | Rajat Walia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699710046 PECOS PAC ID: 2163408329 Enrollment ID: I20061211000171 |
| Provider Name | Alan Mitchell Grossman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699770289 PECOS PAC ID: 2062407562 Enrollment ID: I20070108000064 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033138706 PECOS PAC ID: 2769458157 Enrollment ID: I20070209000552 |
| Provider Name | Parminder P Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568512036 PECOS PAC ID: 0648241372 Enrollment ID: I20070213000170 |
| Provider Name | Mohamad Feras Alyafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487620696 PECOS PAC ID: 6608819800 Enrollment ID: I20070213000277 |
| Provider Name | Mary Moyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356450043 PECOS PAC ID: 4284673849 Enrollment ID: I20070228000319 |
| Provider Name | Frank Sabatelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881691566 PECOS PAC ID: 6204897671 Enrollment ID: I20070303000063 |
| Provider Name | Forrest O'dell Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548286693 PECOS PAC ID: 4183689151 Enrollment ID: I20070405000170 |
| Provider Name | Peter R Seipel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710078670 PECOS PAC ID: 1759355423 Enrollment ID: I20070418000104 |
| Provider Name | Daniel Oscar Storch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588657001 PECOS PAC ID: 3779688767 Enrollment ID: I20070419000564 |
| Provider Name | Yun Chin Chong |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245224757 PECOS PAC ID: 2961469978 Enrollment ID: I20070420000527 |
| Provider Name | Hiva Vakil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356480172 PECOS PAC ID: 4587760665 Enrollment ID: I20070507000258 |
| Provider Name | Jason P Caplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538196456 PECOS PAC ID: 2961415377 Enrollment ID: I20070508000542 |
| Provider Name | Namita Kothari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700957594 PECOS PAC ID: 6709982580 Enrollment ID: I20070511000262 |
| Provider Name | Yu Ya Huang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992851828 PECOS PAC ID: 6901903053 Enrollment ID: I20070524000111 |
| Provider Name | Lisa M Grimaldi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447319306 PECOS PAC ID: 6406889310 Enrollment ID: I20070525000091 |
| Provider Name | Scott Austin Schraff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750318424 PECOS PAC ID: 7911920004 Enrollment ID: I20070529000000 |
| Provider Name | Vafa Ghaemmaghami |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659352144 PECOS PAC ID: 7416970504 Enrollment ID: I20070626000827 |
| Provider Name | Davis A Romney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497782916 PECOS PAC ID: 9032012216 Enrollment ID: I20070706000138 |
| Provider Name | Marla A Vogt Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104933670 PECOS PAC ID: 4486755675 Enrollment ID: I20070718000132 |
| Provider Name | Pedro Fernando Quiroga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942418249 PECOS PAC ID: 0941301949 Enrollment ID: I20070720000386 |
| Provider Name | Leland S Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649311614 PECOS PAC ID: 3375644909 Enrollment ID: I20070725000718 |
| Provider Name | Joshua A Millstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376749721 PECOS PAC ID: 5092816652 Enrollment ID: I20070726000170 |
| Provider Name | Suzanne E Plush-hall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689886244 PECOS PAC ID: 6901907591 Enrollment ID: I20070726000500 |
| Provider Name | Melissa A Braun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093921280 PECOS PAC ID: 7012008121 Enrollment ID: I20070803000214 |
| Provider Name | Donna J Tash |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033226519 PECOS PAC ID: 1355432212 Enrollment ID: I20070807000150 |
| Provider Name | Adhar Seth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164539755 PECOS PAC ID: 2062462666 Enrollment ID: I20070807000582 |
| Provider Name | Sandra J Saveriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427257575 PECOS PAC ID: 6204927908 Enrollment ID: I20070809000689 |
| Provider Name | Claudia S Chambers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881783744 PECOS PAC ID: 8628002607 Enrollment ID: I20070809000733 |
| Provider Name | Mohammad A Khezrian |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922176239 PECOS PAC ID: 3375521727 Enrollment ID: I20070813000495 |
| Provider Name | Matthias Linke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811035025 PECOS PAC ID: 0446342836 Enrollment ID: I20070815000044 |
| Provider Name | Rajiv Siddaramu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699976522 PECOS PAC ID: 5799877320 Enrollment ID: I20070827000695 |
| Provider Name | Andrea Wolff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659430981 PECOS PAC ID: 9537264478 Enrollment ID: I20070828000221 |
| Provider Name | Veronica Torres Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790976876 PECOS PAC ID: 1355434531 Enrollment ID: I20070904000421 |
| Provider Name | Neal A Klein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639111743 PECOS PAC ID: 4880508704 Enrollment ID: I20070910000556 |
| Provider Name | Dena Lheureux |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033320437 PECOS PAC ID: 6608960232 Enrollment ID: I20070913000404 |
| Provider Name | Kenneth P Dizon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346252129 PECOS PAC ID: 3577594449 Enrollment ID: I20070924000327 |
| Provider Name | Nadim T Zyadeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609877935 PECOS PAC ID: 7911092960 Enrollment ID: I20071004000868 |
| Provider Name | Gina Dado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730146648 PECOS PAC ID: 1052407558 Enrollment ID: I20071015000203 |
| Provider Name | John J Mcsweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124080858 PECOS PAC ID: 3072594068 Enrollment ID: I20071019000192 |
| Provider Name | Ajay K Mathur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356460588 PECOS PAC ID: 0042306151 Enrollment ID: I20071022000200 |
| Provider Name | Smita Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477749687 PECOS PAC ID: 3173611134 Enrollment ID: I20071109000035 |
| Provider Name | Estela Apolinar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225084700 PECOS PAC ID: 0749292985 Enrollment ID: I20071119000439 |
| Provider Name | Joni M Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992786107 PECOS PAC ID: 9931298049 Enrollment ID: I20071127000645 |
| Provider Name | Rihan Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487607990 PECOS PAC ID: 2961414800 Enrollment ID: I20071204000499 |
| Provider Name | Daniel B Schlosser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518953611 PECOS PAC ID: 7517057896 Enrollment ID: I20071227000087 |
| Provider Name | Thanh D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508945569 PECOS PAC ID: 8325128770 Enrollment ID: I20080110000376 |
| Provider Name | Robert S Gerson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780614354 PECOS PAC ID: 7618058686 Enrollment ID: I20080116000025 |
| Provider Name | Abraham N Lieberman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548203573 PECOS PAC ID: 0244287886 Enrollment ID: I20080123000182 |
| Provider Name | Anitha D Yadav |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760691158 PECOS PAC ID: 5193810927 Enrollment ID: I20080221000607 |
| Provider Name | Jose J Ortiz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760679385 PECOS PAC ID: 1557447596 Enrollment ID: I20080331000421 |
| Provider Name | Aaron T Thornburg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669425245 PECOS PAC ID: 3375502685 Enrollment ID: I20080521000199 |
| Provider Name | Sujith Rao Kalmadi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508973447 PECOS PAC ID: 9931103918 Enrollment ID: I20080530000038 |
| Provider Name | Suzanne A Sorof |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942393004 PECOS PAC ID: 0749278315 Enrollment ID: I20080606000093 |
| Provider Name | Ashish Sadhu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124218607 PECOS PAC ID: 5193895621 Enrollment ID: I20080610000172 |
| Provider Name | Guillermo D Moguel Cobos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629267596 PECOS PAC ID: 3678644960 Enrollment ID: I20080613000194 |
| Provider Name | Maureen Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124131248 PECOS PAC ID: 6507891157 Enrollment ID: I20080620000236 |
| Provider Name | Mirella M Mircescu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750596789 PECOS PAC ID: 9931271756 Enrollment ID: I20080710000337 |
| Provider Name | John E Lane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477628824 PECOS PAC ID: 2769555358 Enrollment ID: I20080715000460 |
| Provider Name | Monique L Schoenhage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083794507 PECOS PAC ID: 1153493564 Enrollment ID: I20080715000559 |
| Provider Name | Jesse Shriki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689864456 PECOS PAC ID: 1052484672 Enrollment ID: I20080715000757 |
| Provider Name | Jasmine Huang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487861241 PECOS PAC ID: 6709950975 Enrollment ID: I20080806000247 |
| Provider Name | Megan Dixon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689868416 PECOS PAC ID: 2264506146 Enrollment ID: I20080812000030 |
| Provider Name | Ashraf O Omar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235301698 PECOS PAC ID: 3274608583 Enrollment ID: I20080821000329 |
| Provider Name | Rajnikanth Ravula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306028303 PECOS PAC ID: 3678648805 Enrollment ID: I20080821000583 |
| Provider Name | Daniel A Belen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790722452 PECOS PAC ID: 1951312032 Enrollment ID: I20080821000647 |
| Provider Name | Sumeet K Mendonca |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518991223 PECOS PAC ID: 1850466814 Enrollment ID: I20080826000690 |
| Provider Name | Anna D Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730379819 PECOS PAC ID: 2567537558 Enrollment ID: I20080827000124 |
| Provider Name | Jay K Levin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326062258 PECOS PAC ID: 8921004946 Enrollment ID: I20080827000548 |
| Provider Name | Lindsay J Grizzle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336335017 PECOS PAC ID: 2163598921 Enrollment ID: I20080903000193 |
| Provider Name | Jose J Urdaneta |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1598862021 PECOS PAC ID: 5698841328 Enrollment ID: I20080904000105 |
| Provider Name | Jaya M Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588617088 PECOS PAC ID: 0840366407 Enrollment ID: I20080904000571 |
| Provider Name | Ibrahim Qaqish |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740462431 PECOS PAC ID: 7012084023 Enrollment ID: I20080917000198 |
| Provider Name | Lisa C Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1134398928 PECOS PAC ID: 7810064821 Enrollment ID: I20080917000209 |
| Provider Name | Ralph Drosten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386743128 PECOS PAC ID: 7214837038 Enrollment ID: I20080917000231 |
| Provider Name | Michelle L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558519660 PECOS PAC ID: 3870660343 Enrollment ID: I20080925000084 |
| Provider Name | Anne L Tendler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649453473 PECOS PAC ID: 2860569100 Enrollment ID: I20080929000163 |
| Provider Name | William J Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427206242 PECOS PAC ID: 8527136753 Enrollment ID: I20081001000369 |
| Provider Name | Serena D Woods-grimm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003009705 PECOS PAC ID: 0446320121 Enrollment ID: I20081030000842 |
| Provider Name | Troy D Hale |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609031749 PECOS PAC ID: 6608935903 Enrollment ID: I20081031000117 |
| Provider Name | Ernst Schreiber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548350168 PECOS PAC ID: 0244134740 Enrollment ID: I20081216000600 |
| Provider Name | Ann Michele Morgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982704409 PECOS PAC ID: 3173685518 Enrollment ID: I20081219000157 |
| Provider Name | David Kay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891796082 PECOS PAC ID: 2668431883 Enrollment ID: I20081223000450 |
| Provider Name | Curtis R Cook |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1851354211 PECOS PAC ID: 1850453762 Enrollment ID: I20081230000410 |
| Provider Name | Sharad Bellapravalu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679688790 PECOS PAC ID: 8224081302 Enrollment ID: I20090113000736 |
| Provider Name | Ann C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184840712 PECOS PAC ID: 6901969963 Enrollment ID: I20090116000476 |
| Provider Name | Charles Kung Chao Hu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700814118 PECOS PAC ID: 8123092384 Enrollment ID: I20090305000146 |
| Provider Name | Jodi M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942440763 PECOS PAC ID: 2668520073 Enrollment ID: I20090423000132 |
| Provider Name | Anantharam V Kalya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831167238 PECOS PAC ID: 4183652563 Enrollment ID: I20090423000732 |
| Provider Name | William D Anderson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831165174 PECOS PAC ID: 1355364274 Enrollment ID: I20090505000018 |
| Provider Name | Heather M Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699916973 PECOS PAC ID: 0749330306 Enrollment ID: I20090603000130 |
| Provider Name | Scott E Kalinowski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902010465 PECOS PAC ID: 1254481484 Enrollment ID: I20090610000398 |
| Provider Name | Sina Nafisi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750588745 PECOS PAC ID: 1951451905 Enrollment ID: I20090612000116 |
| Provider Name | Rishi K Gosalia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174797286 PECOS PAC ID: 8820149511 Enrollment ID: I20090618000726 |
| Provider Name | Javier Cardenas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447445440 PECOS PAC ID: 7315090206 Enrollment ID: I20090724000138 |
| Provider Name | John P Hackett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962687939 PECOS PAC ID: 8921151804 Enrollment ID: I20090727000162 |
| Provider Name | Anita M Koszyk-szewczyk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487871786 PECOS PAC ID: 2365457892 Enrollment ID: I20090727000423 |
| Provider Name | Tilina N Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013181924 PECOS PAC ID: 8729131081 Enrollment ID: I20090804000242 |
| Provider Name | Nita A Desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720224967 PECOS PAC ID: 0143374058 Enrollment ID: I20090812000129 |
| Provider Name | Padma R Mahant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053310227 PECOS PAC ID: 5698829463 Enrollment ID: I20090812000769 |
| Provider Name | Kevin W Potter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831355643 PECOS PAC ID: 9638239031 Enrollment ID: I20090812000783 |
| Provider Name | Ian B Deroock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114900479 PECOS PAC ID: 0143223123 Enrollment ID: I20090817000795 |
| Provider Name | Linda R Nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194837930 PECOS PAC ID: 4587556717 Enrollment ID: I20090823000002 |
| Provider Name | Erik L Ortega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952508186 PECOS PAC ID: 6608921788 Enrollment ID: I20090826000569 |
| Provider Name | Lorne W Murray |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609857705 PECOS PAC ID: 1153476155 Enrollment ID: I20090826000897 |
| Provider Name | Giovani I Michieli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508042334 PECOS PAC ID: 0840345856 Enrollment ID: I20090827000094 |
| Provider Name | Aneta Wiejski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376729111 PECOS PAC ID: 5294880126 Enrollment ID: I20090828000387 |
| Provider Name | David W Quick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841316569 PECOS PAC ID: 2668527516 Enrollment ID: I20090828000573 |
| Provider Name | Koushik Nag |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699892059 PECOS PAC ID: 4981759107 Enrollment ID: I20090911000045 |
| Provider Name | Allyn E Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376732685 PECOS PAC ID: 0042365280 Enrollment ID: I20090911000302 |
| Provider Name | Jeny M Pothen Itty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922260702 PECOS PAC ID: 0840346094 Enrollment ID: I20090914000367 |
| Provider Name | Shantall V Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174759807 PECOS PAC ID: 0941356927 Enrollment ID: I20090916000168 |
| Provider Name | Hursh S Naik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124139423 PECOS PAC ID: 9436295524 Enrollment ID: I20091002000325 |
| Provider Name | Suraj Muley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417056730 PECOS PAC ID: 5294736302 Enrollment ID: I20091007000028 |
| Provider Name | Madhuri Nmi Segireddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285839795 PECOS PAC ID: 7416093307 Enrollment ID: I20091007000136 |
| Provider Name | John R Tretter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346234564 PECOS PAC ID: 9638074990 Enrollment ID: I20091012000333 |
| Provider Name | Anthony A Aghenta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316084130 PECOS PAC ID: 5698813749 Enrollment ID: I20091110000247 |
| Provider Name | Henry William Luedy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285846642 PECOS PAC ID: 3870633381 Enrollment ID: I20091214000720 |
| Provider Name | Dawn M Benford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538497110 PECOS PAC ID: 7214078252 Enrollment ID: I20100112000859 |
| Provider Name | Julie Darland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144397241 PECOS PAC ID: 9931243599 Enrollment ID: I20100219000528 |
| Provider Name | Linda L Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043293889 PECOS PAC ID: 7911041413 Enrollment ID: I20100222000776 |
| Provider Name | Veronica J Lindo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366469280 PECOS PAC ID: 2365587045 Enrollment ID: I20100305000262 |
| Provider Name | Wesley R Shealey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912054867 PECOS PAC ID: 2668448549 Enrollment ID: I20100324000297 |
| Provider Name | Mark R Stephan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871553693 PECOS PAC ID: 4688701782 Enrollment ID: I20100421000813 |
| Provider Name | Cynthia J Monheim Janss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376611467 PECOS PAC ID: 9830227172 Enrollment ID: I20100507000220 |
| Provider Name | Leanne J Koleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619209392 PECOS PAC ID: 0840328852 Enrollment ID: I20100512000978 |
| Provider Name | Carolynne V Garrison Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831266931 PECOS PAC ID: 4486783925 Enrollment ID: I20100521000568 |
| Provider Name | Saeed Fakhran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891985818 PECOS PAC ID: 6204966971 Enrollment ID: I20100608000218 |
| Provider Name | Bradley Monk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487734646 PECOS PAC ID: 9537203393 Enrollment ID: I20100617000888 |
| Provider Name | David Row |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871797118 PECOS PAC ID: 9537212378 Enrollment ID: I20100709000804 |
| Provider Name | Stephen M Schinker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134304173 PECOS PAC ID: 9032285507 Enrollment ID: I20100712000305 |
| Provider Name | Amy M Trahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639343759 PECOS PAC ID: 4486786043 Enrollment ID: I20100716000420 |
| Provider Name | Jeffrey Aaron Kenny |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316019946 PECOS PAC ID: 4183729064 Enrollment ID: I20100721000289 |
| Provider Name | Malvinderjit Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730143165 PECOS PAC ID: 5294878476 Enrollment ID: I20100811000161 |
| Provider Name | Moustafa Hazin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003098161 PECOS PAC ID: 4789718867 Enrollment ID: I20100811000165 |
| Provider Name | Saisridhar Boddupalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326220518 PECOS PAC ID: 3870627250 Enrollment ID: I20100820000476 |
| Provider Name | Dan M Chapel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205806262 PECOS PAC ID: 6901920065 Enrollment ID: I20100826001007 |
| Provider Name | Elbert Y Kuo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770669152 PECOS PAC ID: 7315061066 Enrollment ID: I20100901000540 |
| Provider Name | Lucas A Birmelin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750378261 PECOS PAC ID: 8729103031 Enrollment ID: I20100909001050 |
| Provider Name | Teresa M Ayela-uwangue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578686754 PECOS PAC ID: 4880719053 Enrollment ID: I20100910000618 |
| Provider Name | Robert A Puntel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154385250 PECOS PAC ID: 0446392815 Enrollment ID: I20100914000311 |
| Provider Name | Vikram J Deka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306040498 PECOS PAC ID: 4486779279 Enrollment ID: I20100916001045 |
| Provider Name | Christopher S Henslee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720260227 PECOS PAC ID: 1052436714 Enrollment ID: I20100917000748 |
| Provider Name | Derik M Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306169313 PECOS PAC ID: 2668597352 Enrollment ID: I20100917001058 |
| Provider Name | Steven P Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083896146 PECOS PAC ID: 3678699899 Enrollment ID: I20100924001099 |
| Provider Name | Keng-yu Chuang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730380676 PECOS PAC ID: 3274725502 Enrollment ID: I20101005001117 |
| Provider Name | Leah J Jones |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730327966 PECOS PAC ID: 4082806914 Enrollment ID: I20101008001215 |
| Provider Name | Ken S Ota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750544276 PECOS PAC ID: 2365635935 Enrollment ID: I20101015000585 |
| Provider Name | Timothy Allen Schaub |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1912027798 PECOS PAC ID: 9931392354 Enrollment ID: I20101018001323 |
| Provider Name | Amy J Williamson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881656973 PECOS PAC ID: 7911191440 Enrollment ID: I20101028001335 |
| Provider Name | Douglas Alan Tuchin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598735789 PECOS PAC ID: 3577757582 Enrollment ID: I20101103001375 |
| Provider Name | Chijioke N Soribe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033392113 PECOS PAC ID: 6901950567 Enrollment ID: I20101104001073 |
| Provider Name | Dean Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336114255 PECOS PAC ID: 0749475556 Enrollment ID: I20101105001015 |
| Provider Name | Lora L Hebert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427078708 PECOS PAC ID: 9436119815 Enrollment ID: I20101106000070 |
| Provider Name | Shirley Kiyoko Sawai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952360356 PECOS PAC ID: 1557556644 Enrollment ID: I20101115001084 |
| Provider Name | Linda M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558543678 PECOS PAC ID: 7517153422 Enrollment ID: I20101117001570 |
| Provider Name | James Ferris Ganem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649251380 PECOS PAC ID: 5496731218 Enrollment ID: I20101201000152 |
| Provider Name | Tequa A Salehi-rad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922143106 PECOS PAC ID: 6204975022 Enrollment ID: I20101203000297 |
| Provider Name | Mark Mcomber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790865103 PECOS PAC ID: 5193798700 Enrollment ID: I20101220001045 |
| Provider Name | Sheetal Gosalia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528244365 PECOS PAC ID: 0648459727 Enrollment ID: I20110120001191 |
| Provider Name | Estelle Marie Doris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073818381 PECOS PAC ID: 9133309123 Enrollment ID: I20110208000864 |
| Provider Name | Mario E Castellanos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902009251 PECOS PAC ID: 4688855018 Enrollment ID: I20110218000145 |
| Provider Name | Jason Daniel Klein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902027337 PECOS PAC ID: 5597946335 Enrollment ID: I20110225000832 |
| Provider Name | Conrad D Ballecer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689871188 PECOS PAC ID: 8527240712 Enrollment ID: I20110309000465 |
| Provider Name | Usha K Nagin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871755074 PECOS PAC ID: 8426231317 Enrollment ID: I20110330000949 |
| Provider Name | Robert C O Laughlin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699841254 PECOS PAC ID: 1557447406 Enrollment ID: I20110511000043 |
| Provider Name | Andrea R Jullette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609186022 PECOS PAC ID: 2769668995 Enrollment ID: I20110523000811 |
| Provider Name | Abbigail Lynn Tittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639461601 PECOS PAC ID: 9537346432 Enrollment ID: I20110601000639 |
| Provider Name | Kimberly Kay Kelch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639343742 PECOS PAC ID: 7214007590 Enrollment ID: I20110615000434 |
| Provider Name | Dana Meredith Chase |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1396888947 PECOS PAC ID: 1557429867 Enrollment ID: I20110707000535 |
| Provider Name | Holly M Hendin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891990537 PECOS PAC ID: 4183892920 Enrollment ID: I20110721000201 |
| Provider Name | Laura L Lehnhoff |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1376738666 PECOS PAC ID: 4082882857 Enrollment ID: I20110721000480 |
| Provider Name | Paras Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720252844 PECOS PAC ID: 1355519000 Enrollment ID: I20110722000564 |
| Provider Name | John H Farley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1427034578 PECOS PAC ID: 1557542701 Enrollment ID: I20110907001341 |
| Provider Name | Joyce K Lee-iannotti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518133271 PECOS PAC ID: 0345371472 Enrollment ID: I20110908001632 |
| Provider Name | Sang H Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326208992 PECOS PAC ID: 9335310986 Enrollment ID: I20110912000790 |
| Provider Name | Dashant Subhash Kavathia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427269638 PECOS PAC ID: 8325076995 Enrollment ID: I20110921000606 |
| Provider Name | Larissa Elizabeth Romero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568518231 PECOS PAC ID: 4688845415 Enrollment ID: I20110927000449 |
| Provider Name | Angela L Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699063271 PECOS PAC ID: 1456523414 Enrollment ID: I20111017000590 |
| Provider Name | Tabitha G Moe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508067588 PECOS PAC ID: 6103950720 Enrollment ID: I20111104000108 |
| Provider Name | Jessica Zeman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093869414 PECOS PAC ID: 6709050479 Enrollment ID: I20111114000812 |
| Provider Name | Carrie N Aguilar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124292321 PECOS PAC ID: 1951575000 Enrollment ID: I20111129000691 |
| Provider Name | Denise Cornejo-vucovich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861668865 PECOS PAC ID: 5193990133 Enrollment ID: I20111202000453 |
| Provider Name | Ramaswamy Kavitha Perumparaichallai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851689376 PECOS PAC ID: 5395910806 Enrollment ID: I20111212000924 |
| Provider Name | Dawn Marie Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902080690 PECOS PAC ID: 4183899610 Enrollment ID: I20111213000239 |
| Provider Name | Kelly Yvette Russell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205816923 PECOS PAC ID: 5890961700 Enrollment ID: I20111227000298 |
| Provider Name | Sanjoy Bhattacharya |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710150693 PECOS PAC ID: 5799857538 Enrollment ID: I20111228000443 |
| Provider Name | Rochelle A Chiffelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730148503 PECOS PAC ID: 4587830070 Enrollment ID: I20120104000899 |
| Provider Name | Sarah E Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487944799 PECOS PAC ID: 8224204508 Enrollment ID: I20120109000526 |
| Provider Name | Celestine L Tchikounzi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790971760 PECOS PAC ID: 2769569334 Enrollment ID: I20120109000894 |
| Provider Name | Julia L Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104087881 PECOS PAC ID: 1254508864 Enrollment ID: I20120123000830 |
| Provider Name | Amy B Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083993109 PECOS PAC ID: 5496912610 Enrollment ID: I20120131000296 |
| Provider Name | Alexander Troster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760554034 PECOS PAC ID: 7214829167 Enrollment ID: I20120302000303 |
| Provider Name | Kerry Tobias |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427071026 PECOS PAC ID: 6002811767 Enrollment ID: I20120425000220 |
| Provider Name | Haven R Malish |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831283936 PECOS PAC ID: 5496848707 Enrollment ID: I20120606000236 |
| Provider Name | Arun S Patil |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093955908 PECOS PAC ID: 3971653130 Enrollment ID: I20120628000052 |
| Provider Name | Naomi M Salins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316263411 PECOS PAC ID: 1456517028 Enrollment ID: I20120725001061 |
| Provider Name | James Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790801355 PECOS PAC ID: 0345406864 Enrollment ID: I20120726000565 |
| Provider Name | Michael F Kaveney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902844749 PECOS PAC ID: 6002843505 Enrollment ID: I20120803000618 |
| Provider Name | Mihaela T Rosetti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750338927 PECOS PAC ID: 0941211866 Enrollment ID: I20120803000691 |
| Provider Name | Benjamin Lawrence Geer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386847226 PECOS PAC ID: 6608990098 Enrollment ID: I20120809000360 |
| Provider Name | Abdalla Fadda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467682021 PECOS PAC ID: 1951558394 Enrollment ID: I20120821000045 |
| Provider Name | Kareem M Shaarawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588811970 PECOS PAC ID: 7315194610 Enrollment ID: I20120821000802 |
| Provider Name | Jay K Fishleder Varma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285833681 PECOS PAC ID: 7214116714 Enrollment ID: I20120829000229 |
| Provider Name | Mohammad R Hojjati |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780858852 PECOS PAC ID: 7719136662 Enrollment ID: I20121009000466 |
| Provider Name | Kerry L Knievel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578745634 PECOS PAC ID: 6305096934 Enrollment ID: I20121017000262 |
| Provider Name | Eli A Swanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902097587 PECOS PAC ID: 5193975050 Enrollment ID: I20121030000557 |
| Provider Name | Vladimir Shvarts |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1740450295 PECOS PAC ID: 9234380916 Enrollment ID: I20121105000564 |
| Provider Name | Jennifer A Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508167560 PECOS PAC ID: 3577714153 Enrollment ID: I20121107000407 |
| Provider Name | Ravindra Gudavalli |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649351222 PECOS PAC ID: 8628100765 Enrollment ID: I20121108000628 |
| Provider Name | Paula M Kiesner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174750053 PECOS PAC ID: 7416108873 Enrollment ID: I20121112000246 |
| Provider Name | Lyndsay J Willmott |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1043229529 PECOS PAC ID: 9537258314 Enrollment ID: I20121112000271 |
| Provider Name | Abdul Samad Hashimi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588873715 PECOS PAC ID: 6406007335 Enrollment ID: I20121127000160 |
| Provider Name | Lisa Marie Breiterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053670968 PECOS PAC ID: 8921250895 Enrollment ID: I20121129000267 |
| Provider Name | Santiago M Cornejo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265661896 PECOS PAC ID: 3476731647 Enrollment ID: I20130221000208 |
| Provider Name | Maureen Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871833871 PECOS PAC ID: 3476708728 Enrollment ID: I20130312000583 |
| Provider Name | Michelle M Mix |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831385533 PECOS PAC ID: 9335215722 Enrollment ID: I20130417000684 |
| Provider Name | Mary F Misiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285974238 PECOS PAC ID: 7113163031 Enrollment ID: I20130422000062 |
| Provider Name | Valerie P Israel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497763775 PECOS PAC ID: 2466402458 Enrollment ID: I20130430000615 |
| Provider Name | Amy Jo Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467708156 PECOS PAC ID: 5496992281 Enrollment ID: I20130515000434 |
| Provider Name | Ahmad Nazih N Chebbo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710115910 PECOS PAC ID: 3971742305 Enrollment ID: I20130617000123 |
| Provider Name | Benjamin J Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740462894 PECOS PAC ID: 3870732092 Enrollment ID: I20130619000703 |
| Provider Name | Joshua D Waggoner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093907107 PECOS PAC ID: 2860539319 Enrollment ID: I20130702000857 |
| Provider Name | Ryan R Scott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871756031 PECOS PAC ID: 9931349164 Enrollment ID: I20130710000893 |
| Provider Name | Jay Babubhai Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932479953 PECOS PAC ID: 6406097351 Enrollment ID: I20130718000794 |
| Provider Name | Courtney M Schusse |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1659535276 PECOS PAC ID: 8527209824 Enrollment ID: I20130730000254 |
| Provider Name | Curtis A Mcknight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174850697 PECOS PAC ID: 3375785926 Enrollment ID: I20130809000492 |
| Provider Name | Paige N Wyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871846816 PECOS PAC ID: 4880837756 Enrollment ID: I20130823001115 |
| Provider Name | Debra Wong |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215166335 PECOS PAC ID: 0941443857 Enrollment ID: I20130826000125 |
| Provider Name | Kristen J Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619319753 PECOS PAC ID: 3274776471 Enrollment ID: I20130906000320 |
| Provider Name | Brian Gerald Wilhelmi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306075726 PECOS PAC ID: 4082864137 Enrollment ID: I20130906000328 |
| Provider Name | Tam Thi Mai Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881905420 PECOS PAC ID: 3274776414 Enrollment ID: I20130906000780 |
| Provider Name | Marcel E Gourian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386088243 PECOS PAC ID: 3375787500 Enrollment ID: I20130910000239 |
| Provider Name | Aimee Borazanci |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053522847 PECOS PAC ID: 1850422197 Enrollment ID: I20130910000489 |
| Provider Name | Christine A Moe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467715763 PECOS PAC ID: 1456508985 Enrollment ID: I20130913000076 |
| Provider Name | Matthew B Anastasi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033353354 PECOS PAC ID: 6800030107 Enrollment ID: I20130925000880 |
| Provider Name | Jaskanwal S Bisla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003127457 PECOS PAC ID: 7214161769 Enrollment ID: I20131016001017 |
| Provider Name | Monica C Rodriguez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568451839 PECOS PAC ID: 0547295883 Enrollment ID: I20131029000895 |
| Provider Name | Adina Weis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255527115 PECOS PAC ID: 7315172129 Enrollment ID: I20131104000692 |
| Provider Name | Ming Jai Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932211232 PECOS PAC ID: 8527294834 Enrollment ID: I20131114001902 |
| Provider Name | Douglas R Debenham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821056425 PECOS PAC ID: 5890758247 Enrollment ID: I20131121002056 |
| Provider Name | Rashmi P Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508053778 PECOS PAC ID: 1254514631 Enrollment ID: I20131126000511 |
| Provider Name | Thomas J Luzny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093141590 PECOS PAC ID: 3678709425 Enrollment ID: I20131126001564 |
| Provider Name | Derek Joseph Fulcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740568526 PECOS PAC ID: 0648407858 Enrollment ID: I20131216000036 |
| Provider Name | Tatyana A Shekhel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376796599 PECOS PAC ID: 3173751781 Enrollment ID: I20140103001483 |
| Provider Name | Jeffrey M Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144318700 PECOS PAC ID: 2466587043 Enrollment ID: I20140103001502 |
| Provider Name | Kamala C Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013144666 PECOS PAC ID: 0840428389 Enrollment ID: I20140108001481 |
| Provider Name | Ziad El Khoury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447435789 PECOS PAC ID: 6305074527 Enrollment ID: I20140116000084 |
| Provider Name | Akash Makkar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770612848 PECOS PAC ID: 3274701727 Enrollment ID: I20140120000221 |
| Provider Name | Thomas R Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720409535 PECOS PAC ID: 1355579244 Enrollment ID: I20140123000947 |
| Provider Name | Daniel J Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093809568 PECOS PAC ID: 9133013204 Enrollment ID: I20140128001827 |
| Provider Name | Anna J Hamernick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699102780 PECOS PAC ID: 7618106220 Enrollment ID: I20140130001825 |
| Provider Name | Wendy Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659317469 PECOS PAC ID: 6800975848 Enrollment ID: I20140224000898 |
| Provider Name | Lynne M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821303025 PECOS PAC ID: 0648400267 Enrollment ID: I20140227001156 |
| Provider Name | Celina Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457782740 PECOS PAC ID: 4789815465 Enrollment ID: I20140321000767 |
| Provider Name | Jennifer C Wright-bennion |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982618559 PECOS PAC ID: 5395761258 Enrollment ID: I20140324001759 |
| Provider Name | Nathalie C Zeitouni |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164403010 PECOS PAC ID: 9739210204 Enrollment ID: I20140409000873 |
| Provider Name | Angela Waz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952722811 PECOS PAC ID: 4284866898 Enrollment ID: I20140414002101 |
| Provider Name | Alan D Cook |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447478292 PECOS PAC ID: 4183725831 Enrollment ID: I20140422001648 |
| Provider Name | Kathleen Forgy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336561828 PECOS PAC ID: 2466685979 Enrollment ID: I20140508001000 |
| Provider Name | Jennifer N Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316376387 PECOS PAC ID: 9133342934 Enrollment ID: I20140523001262 |
| Provider Name | Laura T Mercer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083841969 PECOS PAC ID: 6608099296 Enrollment ID: I20140529001552 |
| Provider Name | Erin P Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629492236 PECOS PAC ID: 6305060450 Enrollment ID: I20140612000551 |
| Provider Name | Angi M Seacat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306275235 PECOS PAC ID: 3173747227 Enrollment ID: I20140612000741 |
| Provider Name | Deepti Boddupalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134449994 PECOS PAC ID: 6709000755 Enrollment ID: I20140612000856 |
| Provider Name | Chenthilmurugan M Rathnasabapathy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609017946 PECOS PAC ID: 6305997008 Enrollment ID: I20140620000074 |
| Provider Name | Laura L Macphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740604982 PECOS PAC ID: 1456576800 Enrollment ID: I20140627001275 |
| Provider Name | Wendi Carlton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801901236 PECOS PAC ID: 7618978354 Enrollment ID: I20140710002570 |
| Provider Name | Michael R Bonsaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336552132 PECOS PAC ID: 4284850322 Enrollment ID: I20140724002567 |
| Provider Name | Jue Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093936809 PECOS PAC ID: 3971602533 Enrollment ID: I20140731002724 |
| Provider Name | Teresa A Talbot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205252103 PECOS PAC ID: 7810114550 Enrollment ID: I20140804001843 |
| Provider Name | Tracy L Mcdougall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326461435 PECOS PAC ID: 5193942332 Enrollment ID: I20140811002760 |
| Provider Name | James N Bogert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982868519 PECOS PAC ID: 2668528829 Enrollment ID: I20140813001377 |
| Provider Name | Nicholaos V Kehagias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043523442 PECOS PAC ID: 9335366269 Enrollment ID: I20140815001902 |
| Provider Name | Andrew Loren Blount |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285896977 PECOS PAC ID: 7315164266 Enrollment ID: I20140816000265 |
| Provider Name | Nicholas R Thiessen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053550301 PECOS PAC ID: 1456579846 Enrollment ID: I20140827000123 |
| Provider Name | Jeanne Y Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356769459 PECOS PAC ID: 6002034378 Enrollment ID: I20140828000057 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20140828000060 |
| Provider Name | Sarah Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932519667 PECOS PAC ID: 3072731173 Enrollment ID: I20140903001407 |
| Provider Name | Garineh Ovanessoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669625851 PECOS PAC ID: 5193995462 Enrollment ID: I20140904002522 |
| Provider Name | Sabyasachi Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700166576 PECOS PAC ID: 9335367200 Enrollment ID: I20140908000319 |
| Provider Name | Glynnis Zieman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104137678 PECOS PAC ID: 7911126610 Enrollment ID: I20140911000413 |
| Provider Name | James R.a. Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700201621 PECOS PAC ID: 1355560947 Enrollment ID: I20140912001540 |
| Provider Name | John S Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528354925 PECOS PAC ID: 1557580883 Enrollment ID: I20140917003187 |
| Provider Name | Justin A Reynolds |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1568642353 PECOS PAC ID: 4284798331 Enrollment ID: I20140918002184 |
| Provider Name | Joel E Barkley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023337128 PECOS PAC ID: 1557580586 Enrollment ID: I20140924000041 |
| Provider Name | Ahmad Al-khashman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093095739 PECOS PAC ID: 1355560319 Enrollment ID: I20140924001246 |
| Provider Name | Jane Wor Chan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528046216 PECOS PAC ID: 4587768577 Enrollment ID: I20141022000897 |
| Provider Name | Christine D Craig |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679885909 PECOS PAC ID: 5092936708 Enrollment ID: I20141022001180 |
| Provider Name | Tricia Merkley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275944308 PECOS PAC ID: 9638390214 Enrollment ID: I20141023001763 |
| Provider Name | Roshni Madappa Kundranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700955838 PECOS PAC ID: 8224036462 Enrollment ID: I20141029000137 |
| Provider Name | Mohanad T Al-qaisi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376838862 PECOS PAC ID: 9436370780 Enrollment ID: I20141030000075 |
| Provider Name | Erin D Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780004424 PECOS PAC ID: 4981825197 Enrollment ID: I20141030002656 |
| Provider Name | Allegra J Melillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043315096 PECOS PAC ID: 6709801061 Enrollment ID: I20141113001560 |
| Provider Name | Stephanie Marie Penton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811918014 PECOS PAC ID: 7719997261 Enrollment ID: I20141117000415 |
| Provider Name | Rebekah D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225444052 PECOS PAC ID: 5698997005 Enrollment ID: I20141119000002 |
| Provider Name | Danielle L Barnett-trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043507718 PECOS PAC ID: 1153643895 Enrollment ID: I20141208000466 |
| Provider Name | James Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508038399 PECOS PAC ID: 1153447099 Enrollment ID: I20141210000389 |
| Provider Name | Stephanie Ressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285041509 PECOS PAC ID: 8224350632 Enrollment ID: I20141212001759 |
| Provider Name | Melissa Jung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548495682 PECOS PAC ID: 7618109984 Enrollment ID: I20141230002449 |
| Provider Name | Tiffany M Meites |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275947574 PECOS PAC ID: 7416270269 Enrollment ID: I20141230002710 |
| Provider Name | Jennifer Armfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538562426 PECOS PAC ID: 3072837533 Enrollment ID: I20150112000935 |
| Provider Name | Romelda L Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083018345 PECOS PAC ID: 6002130614 Enrollment ID: I20150129002597 |
| Provider Name | Hesham E Abdelrazek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841266681 PECOS PAC ID: 0547299547 Enrollment ID: I20150202001478 |
| Provider Name | Jessica L Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972915999 PECOS PAC ID: 1557687076 Enrollment ID: I20150227001252 |
| Provider Name | Ronald Gagliano |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043296460 PECOS PAC ID: 2365768413 Enrollment ID: I20150306001984 |
| Provider Name | Ayushi Chugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376818229 PECOS PAC ID: 7719204569 Enrollment ID: I20150316002505 |
| Provider Name | Rachel L Armenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801287354 PECOS PAC ID: 1254658867 Enrollment ID: I20150319001015 |
| Provider Name | Jeffrey Quincy Munro |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205027836 PECOS PAC ID: 1052593001 Enrollment ID: I20150403000954 |
| Provider Name | Andrew S Huard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548421449 PECOS PAC ID: 6800963810 Enrollment ID: I20150409000020 |
| Provider Name | Samantha Jane Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720478753 PECOS PAC ID: 1052639291 Enrollment ID: I20150417001889 |
| Provider Name | Robert Goebel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174620504 PECOS PAC ID: 6608787809 Enrollment ID: I20150422002450 |
| Provider Name | Cameron N Nourani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295961613 PECOS PAC ID: 5092976092 Enrollment ID: I20150512001666 |
| Provider Name | Krista D Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346653847 PECOS PAC ID: 7113247487 Enrollment ID: I20150528000576 |
| Provider Name | Murali Krishna Kodali |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942260468 PECOS PAC ID: 2062443484 Enrollment ID: I20150528000982 |
| Provider Name | Tomas A Acuna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972890648 PECOS PAC ID: 2668793910 Enrollment ID: I20150611001835 |
| Provider Name | Hemali Kothari |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1679823264 PECOS PAC ID: 3678884996 Enrollment ID: I20150612001046 |
| Provider Name | Ravindu Gunatilake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659561553 PECOS PAC ID: 6608023650 Enrollment ID: I20150616002845 |
| Provider Name | Teresa Ann Orth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134395007 PECOS PAC ID: 5597916189 Enrollment ID: I20150617000318 |
| Provider Name | Michelle Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841681798 PECOS PAC ID: 8729399290 Enrollment ID: I20150624002705 |
| Provider Name | Haidar Yassin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659532000 PECOS PAC ID: 3870738982 Enrollment ID: I20150630001121 |
| Provider Name | Mohamad S Nass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447630140 PECOS PAC ID: 8729390828 Enrollment ID: I20150702000174 |
| Provider Name | Jennifer L Bybee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942639299 PECOS PAC ID: 7214157312 Enrollment ID: I20150710002767 |
| Provider Name | Jeremy M Shefner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184682882 PECOS PAC ID: 4385658293 Enrollment ID: I20150714003097 |
| Provider Name | Jade E Mattern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326435439 PECOS PAC ID: 0648583849 Enrollment ID: I20150716002648 |
| Provider Name | Ian Leroy Musil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669794053 PECOS PAC ID: 0941513659 Enrollment ID: I20150723007384 |
| Provider Name | Pranav V Doshi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013170612 PECOS PAC ID: 5496901043 Enrollment ID: I20150729008221 |
| Provider Name | Taruna Ralhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700046364 PECOS PAC ID: 6507170891 Enrollment ID: I20150730012491 |
| Provider Name | Travis S Scharnweber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740507839 PECOS PAC ID: 2769796762 Enrollment ID: I20150804006240 |
| Provider Name | Andrew C Duarte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609003581 PECOS PAC ID: 2961628433 Enrollment ID: I20150805006335 |
| Provider Name | Elizabeth M. Valencia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437386679 PECOS PAC ID: 7012138381 Enrollment ID: I20150810000649 |
| Provider Name | Fadi K Alrabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609131499 PECOS PAC ID: 6507171105 Enrollment ID: I20150811005276 |
| Provider Name | Shair U Ahmed |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629270749 PECOS PAC ID: 3779898275 Enrollment ID: I20150812008683 |
| Provider Name | Julia A Brookman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710207972 PECOS PAC ID: 3375858426 Enrollment ID: I20150818005353 |
| Provider Name | Christine Ragay-cathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871740266 PECOS PAC ID: 4587980065 Enrollment ID: I20150831001719 |
| Provider Name | Michelle R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336535517 PECOS PAC ID: 3870809734 Enrollment ID: I20150909000343 |
| Provider Name | Christina Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417197161 PECOS PAC ID: 0143454264 Enrollment ID: I20150918001455 |
| Provider Name | Aaron J Mickelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861730541 PECOS PAC ID: 0143448035 Enrollment ID: I20150919000006 |
| Provider Name | Jennifer R Quezada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809893 PECOS PAC ID: 8527376433 Enrollment ID: I20150925001807 |
| Provider Name | Shahida Mangelsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760868707 PECOS PAC ID: 5698083962 Enrollment ID: I20151006002715 |
| Provider Name | Layth Al-jashaami |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255691895 PECOS PAC ID: 8022326297 Enrollment ID: I20151008000106 |
| Provider Name | Erin Michelle Ripley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023492048 PECOS PAC ID: 7416265517 Enrollment ID: I20151008001758 |
| Provider Name | Clifford Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548258031 PECOS PAC ID: 8628045499 Enrollment ID: I20151022000682 |
| Provider Name | Panayiotis S Savvides |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831115385 PECOS PAC ID: 9234176017 Enrollment ID: I20151105001116 |
| Provider Name | Sarah K Sharer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730478280 PECOS PAC ID: 9638489370 Enrollment ID: I20151109000507 |
| Provider Name | Bimal B Padaliya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467571299 PECOS PAC ID: 1355651886 Enrollment ID: I20151112000691 |
| Provider Name | Jennifer Duick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881016459 PECOS PAC ID: 7911207923 Enrollment ID: I20151124000550 |
| Provider Name | Allison M Crain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518221597 PECOS PAC ID: 9931409729 Enrollment ID: I20151201000489 |
| Provider Name | Nitika Thawani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275728933 PECOS PAC ID: 6608065693 Enrollment ID: I20151203003444 |
| Provider Name | Jacob Wesley Winans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447632468 PECOS PAC ID: 1759682743 Enrollment ID: I20151216001487 |
| Provider Name | Van Leavitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780976480 PECOS PAC ID: 6406157130 Enrollment ID: I20151222000760 |
| Provider Name | Jordan V Jacobs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215160379 PECOS PAC ID: 3274834759 Enrollment ID: I20151229001925 |
| Provider Name | Farhoud Khosravi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285874362 PECOS PAC ID: 3870761612 Enrollment ID: I20151230001065 |
| Provider Name | Deann M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992190201 PECOS PAC ID: 3971805292 Enrollment ID: I20160104002047 |
| Provider Name | Anita Kohli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619189800 PECOS PAC ID: 2264672534 Enrollment ID: I20160106001938 |
| Provider Name | Subhakar Mutyala |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851472286 PECOS PAC ID: 3678508660 Enrollment ID: I20160111002641 |
| Provider Name | Knogwan Yuenyongsagul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033507702 PECOS PAC ID: 2365752847 Enrollment ID: I20160121000592 |
| Provider Name | Clifford Gross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992844930 PECOS PAC ID: 5092018952 Enrollment ID: I20160127000372 |
| Provider Name | Janet K Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304639 PECOS PAC ID: 7416099262 Enrollment ID: I20160128000575 |
| Provider Name | Carlos M Orrego |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568599876 PECOS PAC ID: 3971696709 Enrollment ID: I20160209000605 |
| Provider Name | Samantha P Nadella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942597497 PECOS PAC ID: 0446401012 Enrollment ID: I20160210001614 |
| Provider Name | Celine Ord |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457526048 PECOS PAC ID: 5294983086 Enrollment ID: I20160211000324 |
| Provider Name | Mark A Agius |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003897349 PECOS PAC ID: 8921171919 Enrollment ID: I20160217002487 |
| Provider Name | Justin Ord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770745846 PECOS PAC ID: 3678641644 Enrollment ID: I20160218001482 |
| Provider Name | John M Watt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780849968 PECOS PAC ID: 2769788678 Enrollment ID: I20160302001736 |
| Provider Name | Mouhsen H Al Hakeem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003934175 PECOS PAC ID: 9638242514 Enrollment ID: I20160308000361 |
| Provider Name | Sofya Tokman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396070983 PECOS PAC ID: 2961680673 Enrollment ID: I20160314000630 |
| Provider Name | Deljean Buenaventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174993612 PECOS PAC ID: 9335442938 Enrollment ID: I20160321000001 |
| Provider Name | Lauren Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619261476 PECOS PAC ID: 8921317660 Enrollment ID: I20160322001589 |
| Provider Name | Naomi G Habib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639412034 PECOS PAC ID: 4183921695 Enrollment ID: I20160329001390 |
| Provider Name | Robel Haile |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265661326 PECOS PAC ID: 4789820507 Enrollment ID: I20160331001605 |
| Provider Name | Maria Radulovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033570304 PECOS PAC ID: 3173821907 Enrollment ID: I20160412001814 |
| Provider Name | Chris Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144611054 PECOS PAC ID: 9032416995 Enrollment ID: I20160420001031 |
| Provider Name | Joby Janardhanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417316449 PECOS PAC ID: 3678862778 Enrollment ID: I20160512001578 |
| Provider Name | Paul Macdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518929249 PECOS PAC ID: 3678621711 Enrollment ID: I20160531000593 |
| Provider Name | Clayne Benson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538218714 PECOS PAC ID: 6800993817 Enrollment ID: I20160609000378 |
| Provider Name | Nana Y Domfeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295167302 PECOS PAC ID: 0648561332 Enrollment ID: I20160628001584 |
| Provider Name | Basil Al Khatib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083977599 PECOS PAC ID: 3476845082 Enrollment ID: I20160629003119 |
| Provider Name | Tushar Gohel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568699304 PECOS PAC ID: 7911163571 Enrollment ID: I20160630000517 |
| Provider Name | Jennifer A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699152405 PECOS PAC ID: 3870813363 Enrollment ID: I20160720000545 |
| Provider Name | Lydia Villa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598008435 PECOS PAC ID: 2163716101 Enrollment ID: I20160812002297 |
| Provider Name | Sumeet K Mittal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780795609 PECOS PAC ID: 6103961230 Enrollment ID: I20160818001446 |
| Provider Name | Avinash Patil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720291024 PECOS PAC ID: 5496885915 Enrollment ID: I20160819001933 |
| Provider Name | Karen Broderick-strupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669823530 PECOS PAC ID: 7012923790 Enrollment ID: I20160901002486 |
| Provider Name | Shima Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295122307 PECOS PAC ID: 9739494105 Enrollment ID: I20160902000238 |
| Provider Name | Shyamal Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477878767 PECOS PAC ID: 4183945421 Enrollment ID: I20160902000600 |
| Provider Name | Kristen Kay Steenerson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750646857 PECOS PAC ID: 0446496913 Enrollment ID: I20160905000006 |
| Provider Name | Noor Zwayne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972896272 PECOS PAC ID: 3476849092 Enrollment ID: I20160908001039 |
| Provider Name | Yvette Saquilayan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578903381 PECOS PAC ID: 5698061166 Enrollment ID: I20160908002989 |
| Provider Name | Dawn Fickas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841643350 PECOS PAC ID: 9133415342 Enrollment ID: I20160913002924 |
| Provider Name | Mital Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528000593 PECOS PAC ID: 8123031507 Enrollment ID: I20160914000809 |
| Provider Name | Jenna Sangkam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043659998 PECOS PAC ID: 5395032411 Enrollment ID: I20160916002107 |
| Provider Name | Michael Waters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629140561 PECOS PAC ID: 8729015995 Enrollment ID: I20160916002133 |
| Provider Name | Matthew Douglas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902219132 PECOS PAC ID: 4486941358 Enrollment ID: I20160920001940 |
| Provider Name | Chirag B Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992006878 PECOS PAC ID: 0042431017 Enrollment ID: I20160920002734 |
| Provider Name | Stacy Cantwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164760245 PECOS PAC ID: 6305082629 Enrollment ID: I20160921000146 |
| Provider Name | Erica L Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053768549 PECOS PAC ID: 9830486786 Enrollment ID: I20160921001469 |
| Provider Name | Pooja D Doehrman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114212883 PECOS PAC ID: 0244546612 Enrollment ID: I20160923001543 |
| Provider Name | Kathryn Coan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811121403 PECOS PAC ID: 0143467381 Enrollment ID: I20160926001580 |
| Provider Name | Ashley Gubbels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780847897 PECOS PAC ID: 0446495584 Enrollment ID: I20160929002420 |
| Provider Name | Osama Qasim Agha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417381120 PECOS PAC ID: 3971891748 Enrollment ID: I20161011000975 |
| Provider Name | Belinda Ordonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386993228 PECOS PAC ID: 6103071527 Enrollment ID: I20161013001977 |
| Provider Name | Michael Joseph Debo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376802611 PECOS PAC ID: 0345560314 Enrollment ID: I20161020001534 |
| Provider Name | Michael A Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003836081 PECOS PAC ID: 2466457957 Enrollment ID: I20161024001562 |
| Provider Name | Carrie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881055291 PECOS PAC ID: 9234418567 Enrollment ID: I20161109001726 |
| Provider Name | Tuan M Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518253491 PECOS PAC ID: 2860794765 Enrollment ID: I20161109001990 |
| Provider Name | Jole-lanee Guido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023461746 PECOS PAC ID: 3173802212 Enrollment ID: I20161114001818 |
| Provider Name | Rex H Ragsdale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609064609 PECOS PAC ID: 0749569655 Enrollment ID: I20161117000692 |
| Provider Name | Meliza Hio Salandanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851841605 PECOS PAC ID: 9830479344 Enrollment ID: I20161129001024 |
| Provider Name | Ryan A Pinnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174818173 PECOS PAC ID: 4082994363 Enrollment ID: I20161201002087 |
| Provider Name | Narayn Pillai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992752158 PECOS PAC ID: 2961650478 Enrollment ID: I20161214001682 |
| Provider Name | Jessica Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902351125 PECOS PAC ID: 6204116973 Enrollment ID: I20161215000916 |
| Provider Name | Robert C Rivera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386818409 PECOS PAC ID: 5799963690 Enrollment ID: I20161220000760 |
| Provider Name | Meilani Jamias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104376920 PECOS PAC ID: 5294016283 Enrollment ID: I20170105002238 |
| Provider Name | Surasak Phuphanich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457469074 PECOS PAC ID: 3274446489 Enrollment ID: I20170106001681 |
| Provider Name | Michaela J Wagner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295136463 PECOS PAC ID: 0244511038 Enrollment ID: I20170110002767 |
| Provider Name | Tory M Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538603261 PECOS PAC ID: 6901189703 Enrollment ID: I20170201000939 |
| Provider Name | William Cance |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1093721730 PECOS PAC ID: 8022192970 Enrollment ID: I20170207001565 |
| Provider Name | Ian Crain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447518006 PECOS PAC ID: 2163705567 Enrollment ID: I20170209000767 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324170 PECOS PAC ID: 9436138567 Enrollment ID: I20170210000522 |
| Provider Name | Charles Rogers |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609915289 PECOS PAC ID: 4981649266 Enrollment ID: I20170210000978 |
| Provider Name | Ryan Nicholas Crete |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417119553 PECOS PAC ID: 4981987104 Enrollment ID: I20170214002303 |
| Provider Name | Stephanie Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679808109 PECOS PAC ID: 3971644055 Enrollment ID: I20170216001000 |
| Provider Name | Erin Martens |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1710115027 PECOS PAC ID: 9739318064 Enrollment ID: I20170221001953 |
| Provider Name | Michael James Hake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417259805 PECOS PAC ID: 2961625173 Enrollment ID: I20170306000334 |
| Provider Name | Luis Rosario |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811201361 PECOS PAC ID: 5799925715 Enrollment ID: I20170306001503 |
| Provider Name | Deadre L Currie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578811766 PECOS PAC ID: 8820372030 Enrollment ID: I20170308001019 |
| Provider Name | Danielle Stovaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043448442 PECOS PAC ID: 8527294347 Enrollment ID: I20170328002110 |
| Provider Name | Megan Bermudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104377506 PECOS PAC ID: 5395020648 Enrollment ID: I20170329000023 |
| Provider Name | Richard Kratche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407899842 PECOS PAC ID: 6103831508 Enrollment ID: I20170403002140 |
| Provider Name | Rachel M Salcedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396292728 PECOS PAC ID: 4486930542 Enrollment ID: I20170404002498 |
| Provider Name | Zainab Shamma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164455101 PECOS PAC ID: 3678609948 Enrollment ID: I20170410001036 |
| Provider Name | Jina M Youn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821378795 PECOS PAC ID: 3375848484 Enrollment ID: I20170501000757 |
| Provider Name | Kora Juckem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356882286 PECOS PAC ID: 5991082885 Enrollment ID: I20170502001121 |
| Provider Name | Benjamin Ihms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588076046 PECOS PAC ID: 6002193448 Enrollment ID: I20170511002226 |
| Provider Name | Rohit Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275822413 PECOS PAC ID: 4284911538 Enrollment ID: I20170515001997 |
| Provider Name | Francis J Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053392670 PECOS PAC ID: 7012952062 Enrollment ID: I20170518001306 |
| Provider Name | Kristi V. Dorschner Tomlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861757304 PECOS PAC ID: 6608143409 Enrollment ID: I20170526001983 |
| Provider Name | Alexandra Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801991419 PECOS PAC ID: 8921000118 Enrollment ID: I20170529000011 |
| Provider Name | Kelly Wesselhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013444066 PECOS PAC ID: 8123395563 Enrollment ID: I20170606002128 |
| Provider Name | Stephanie Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407229628 PECOS PAC ID: 1254609688 Enrollment ID: I20170607002973 |
| Provider Name | Christina Flores-jurado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144753906 PECOS PAC ID: 8729356969 Enrollment ID: I20170613000751 |
| Provider Name | Erica Shimkus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619415189 PECOS PAC ID: 5294003117 Enrollment ID: I20170619001614 |
| Provider Name | Igor Barani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811105943 PECOS PAC ID: 6002975158 Enrollment ID: I20170619002017 |
| Provider Name | Steven Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629409644 PECOS PAC ID: 6901026392 Enrollment ID: I20170622001736 |
| Provider Name | Basel Imam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245573542 PECOS PAC ID: 2365711785 Enrollment ID: I20170628001600 |
| Provider Name | Janalei Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215281472 PECOS PAC ID: 3375787773 Enrollment ID: I20170703000062 |
| Provider Name | Richard Sellman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487837563 PECOS PAC ID: 6204870348 Enrollment ID: I20170703001481 |
| Provider Name | Linda Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700218773 PECOS PAC ID: 1254566854 Enrollment ID: I20170706001118 |
| Provider Name | Andrew Liguori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841550316 PECOS PAC ID: 6901175959 Enrollment ID: I20170706001533 |
| Provider Name | Nikhil Madan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275794448 PECOS PAC ID: 4587899141 Enrollment ID: I20170706002410 |
| Provider Name | James Spivey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700898590 PECOS PAC ID: 3072416007 Enrollment ID: I20170711001890 |
| Provider Name | Michael S Kuwabara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083975460 PECOS PAC ID: 7911276712 Enrollment ID: I20170711001991 |
| Provider Name | Marie E Oberst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235549197 PECOS PAC ID: 9133498827 Enrollment ID: I20170712001871 |
| Provider Name | Shawn Michael Stevens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033430335 PECOS PAC ID: 9931412962 Enrollment ID: I20170712004126 |
| Provider Name | Sripriya D Sidh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619044690 PECOS PAC ID: 4486654290 Enrollment ID: I20170713001592 |
| Provider Name | Kelly Hortel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942749379 PECOS PAC ID: 3971873407 Enrollment ID: I20170717001888 |
| Provider Name | Asim Haque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710202650 PECOS PAC ID: 1951621200 Enrollment ID: I20170717003003 |
| Provider Name | Katherine M De Souza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659614394 PECOS PAC ID: 3375848799 Enrollment ID: I20170717003268 |
| Provider Name | Peter Wu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1760696371 PECOS PAC ID: 0749421766 Enrollment ID: I20170718000656 |
| Provider Name | Fidel A Acevedo-echevarria |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225370653 PECOS PAC ID: 6507136934 Enrollment ID: I20170718002936 |
| Provider Name | Anna Elizabeth Reinert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063767952 PECOS PAC ID: 3971802174 Enrollment ID: I20170718003028 |
| Provider Name | Caroline S Kim Kupfer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083643480 PECOS PAC ID: 8325040298 Enrollment ID: I20170719001773 |
| Provider Name | Marc Carpenter Mclawhorn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063774347 PECOS PAC ID: 0941599856 Enrollment ID: I20170720001761 |
| Provider Name | Curtis Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902330905 PECOS PAC ID: 7012287139 Enrollment ID: I20170724001188 |
| Provider Name | Corinne L. Schmidt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275943482 PECOS PAC ID: 3274803291 Enrollment ID: I20170725002047 |
| Provider Name | Kevin C J Yuen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528249661 PECOS PAC ID: 6709975469 Enrollment ID: I20170725004456 |
| Provider Name | Umar Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003170077 PECOS PAC ID: 6406150101 Enrollment ID: I20170726003221 |
| Provider Name | Lamia K Atasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811139330 PECOS PAC ID: 1355508870 Enrollment ID: I20170726003258 |
| Provider Name | Sidney Mangelsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871950980 PECOS PAC ID: 7810268521 Enrollment ID: I20170728002543 |
| Provider Name | Fares Hamad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275831521 PECOS PAC ID: 6204158850 Enrollment ID: I20170728003134 |
| Provider Name | Indu Srinivasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972815967 PECOS PAC ID: 3072884741 Enrollment ID: I20170731001659 |
| Provider Name | Maria Viadimir Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649388596 PECOS PAC ID: 2860428489 Enrollment ID: I20170807003307 |
| Provider Name | Navid M Ziran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891704284 PECOS PAC ID: 3173616745 Enrollment ID: I20170807003311 |
| Provider Name | Allen Shu Yuan Liu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902975907 PECOS PAC ID: 5395901706 Enrollment ID: I20170808002672 |
| Provider Name | Damian E Berezovsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144653437 PECOS PAC ID: 8224272539 Enrollment ID: I20170810001672 |
| Provider Name | Kara Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952722258 PECOS PAC ID: 9830315654 Enrollment ID: I20170810003676 |
| Provider Name | Mustafa Alani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689084774 PECOS PAC ID: 2567734072 Enrollment ID: I20170817003738 |
| Provider Name | Matthew S Merrill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073955381 PECOS PAC ID: 6305118274 Enrollment ID: I20170828002311 |
| Provider Name | Amy Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548529779 PECOS PAC ID: 4587897517 Enrollment ID: I20170831000474 |
| Provider Name | Leith Sawalha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487830907 PECOS PAC ID: 7810076973 Enrollment ID: I20170831002163 |
| Provider Name | Kelly Wu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184890956 PECOS PAC ID: 2860648300 Enrollment ID: I20170831003098 |
| Provider Name | Gabrielle N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871013748 PECOS PAC ID: 2567735186 Enrollment ID: I20170901002437 |
| Provider Name | Danielle E Eagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467985408 PECOS PAC ID: 1254603137 Enrollment ID: I20170907002098 |
| Provider Name | Marisa Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144743899 PECOS PAC ID: 2062785272 Enrollment ID: I20170911002097 |
| Provider Name | Mary Angeli Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174948905 PECOS PAC ID: 2365749025 Enrollment ID: I20170915000021 |
| Provider Name | Jonathan Daniel Fullner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427310523 PECOS PAC ID: 2567750433 Enrollment ID: I20170918003486 |
| Provider Name | Gregory P Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063521326 PECOS PAC ID: 9537219019 Enrollment ID: I20170921001685 |
| Provider Name | Melissa Elizabeth Stanczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174537716 PECOS PAC ID: 6901090984 Enrollment ID: I20171002003393 |
| Provider Name | Delinda Wills |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063531804 PECOS PAC ID: 4880848118 Enrollment ID: I20171003005334 |
| Provider Name | Guadalupe Herrera Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497073704 PECOS PAC ID: 6709013097 Enrollment ID: I20171003007398 |
| Provider Name | Michael P Leovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356787626 PECOS PAC ID: 4587939285 Enrollment ID: I20171005002157 |
| Provider Name | Mollie M Harding |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770941577 PECOS PAC ID: 6002181492 Enrollment ID: I20171011001977 |
| Provider Name | Alex Bryan Olsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003014044 PECOS PAC ID: 1355663238 Enrollment ID: I20171012001064 |
| Provider Name | Edward Evans |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083799985 PECOS PAC ID: 7012815046 Enrollment ID: I20171013002560 |
| Provider Name | Cynthia Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194255703 PECOS PAC ID: 8921364829 Enrollment ID: I20171109000661 |
| Provider Name | Vanna R Campion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235540055 PECOS PAC ID: 2567743842 Enrollment ID: I20171109001694 |
| Provider Name | Ala K Alkhader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336669241 PECOS PAC ID: 4385901669 Enrollment ID: I20171121001587 |
| Provider Name | Mohammed Fahd Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215369418 PECOS PAC ID: 8224341128 Enrollment ID: I20171121001705 |
| Provider Name | Michelle Eldon Madden Felicella |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558414839 PECOS PAC ID: 1355599044 Enrollment ID: I20171129001136 |
| Provider Name | Melinda B Eigenmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144605189 PECOS PAC ID: 7719244615 Enrollment ID: I20171201000411 |
| Provider Name | Elliot S Mendelsohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477709103 PECOS PAC ID: 6204068562 Enrollment ID: I20171206002011 |
| Provider Name | Allison Joyce Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346588696 PECOS PAC ID: 1759648314 Enrollment ID: I20171206002951 |
| Provider Name | Janice Rorabeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992238166 PECOS PAC ID: 1254699218 Enrollment ID: I20171220001486 |
| Provider Name | Priscilla M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366951519 PECOS PAC ID: 1254699242 Enrollment ID: I20171220003382 |
| Provider Name | Majda Tuor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215446091 PECOS PAC ID: 8820357437 Enrollment ID: I20180104001339 |
| Provider Name | Tam T. Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437128113 PECOS PAC ID: 8628103785 Enrollment ID: I20180125001283 |
| Provider Name | Amy Milmine-stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942716725 PECOS PAC ID: 1052671500 Enrollment ID: I20180201002133 |
| Provider Name | Kari L Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831534007 PECOS PAC ID: 5294095493 Enrollment ID: I20180208001097 |
| Provider Name | Upamanyu Rampal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790195741 PECOS PAC ID: 9830459981 Enrollment ID: I20180209000710 |
| Provider Name | Vandana Y Bhide |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104014968 PECOS PAC ID: 4981896735 Enrollment ID: I20180213000391 |
| Provider Name | Douglas R Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952410904 PECOS PAC ID: 9537136643 Enrollment ID: I20180215002295 |
| Provider Name | Yvette Banuelos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356857247 PECOS PAC ID: 5890056121 Enrollment ID: I20180301002741 |
| Provider Name | Sara Brenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063936219 PECOS PAC ID: 4880956259 Enrollment ID: I20180322002395 |
| Provider Name | Anne M Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689971046 PECOS PAC ID: 3678757689 Enrollment ID: I20180327001457 |
| Provider Name | Leigha D Vick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598279978 PECOS PAC ID: 1153683180 Enrollment ID: I20180402001998 |
| Provider Name | Joanne May Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255431128 PECOS PAC ID: 6608874870 Enrollment ID: I20180417000641 |
| Provider Name | Michelle M Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992174718 PECOS PAC ID: 3779857479 Enrollment ID: I20180417002881 |
| Provider Name | Suzanne O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396263919 PECOS PAC ID: 7618239856 Enrollment ID: I20180418001654 |
| Provider Name | Erin R. Raffaele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669975272 PECOS PAC ID: 5193088417 Enrollment ID: I20180418001968 |
| Provider Name | Nicholas James Failla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689179814 PECOS PAC ID: 3971866211 Enrollment ID: I20180418002597 |
| Provider Name | Jane Ahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205154366 PECOS PAC ID: 0042459844 Enrollment ID: I20180419002829 |
| Provider Name | Tomoki Hashimoto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205881950 PECOS PAC ID: 7810058088 Enrollment ID: I20180521002657 |
| Provider Name | Teresa Elizabeth Hills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952517211 PECOS PAC ID: 6709000482 Enrollment ID: I20180525002107 |
| Provider Name | Ram Narayan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780930172 PECOS PAC ID: 7214292879 Enrollment ID: I20180531001982 |
| Provider Name | Cristina Pecci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588041057 PECOS PAC ID: 2264797836 Enrollment ID: I20180531002401 |
| Provider Name | Bhuvin Buddhdev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881907681 PECOS PAC ID: 7315195641 Enrollment ID: I20180604000165 |
| Provider Name | Nataly I Vadasz-chates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689084428 PECOS PAC ID: 3375808603 Enrollment ID: I20180607000722 |
| Provider Name | Supreet Kaur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942640065 PECOS PAC ID: 2961631759 Enrollment ID: I20180613001676 |
| Provider Name | John R Pawloski |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1093899981 PECOS PAC ID: 4688774813 Enrollment ID: I20180613002933 |
| Provider Name | Kendra M Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477965218 PECOS PAC ID: 0941573877 Enrollment ID: I20180615001956 |
| Provider Name | Stacey E Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760996789 PECOS PAC ID: 6204181191 Enrollment ID: I20180618001406 |
| Provider Name | Michael A Garcia |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376809533 PECOS PAC ID: 5698066256 Enrollment ID: I20180618002625 |
| Provider Name | George V Chesteen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083053573 PECOS PAC ID: 8729333646 Enrollment ID: I20180618002921 |
| Provider Name | Thandar Aung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740539212 PECOS PAC ID: 0749535581 Enrollment ID: I20180619000629 |
| Provider Name | Makardhwaj Sarvadaman Shrivastava |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871844258 PECOS PAC ID: 3274888094 Enrollment ID: I20180620000386 |
| Provider Name | Jessica Doney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255316642 PECOS PAC ID: 5597705970 Enrollment ID: I20180620001111 |
| Provider Name | Jeffrey Wood Hastings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114346913 PECOS PAC ID: 0749535375 Enrollment ID: I20180621002119 |
| Provider Name | Brianna Patti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508123175 PECOS PAC ID: 7911206537 Enrollment ID: I20180625003000 |
| Provider Name | Samir Sultan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649541947 PECOS PAC ID: 4981959327 Enrollment ID: I20180626001760 |
| Provider Name | Francis Michael Maguire |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437317112 PECOS PAC ID: 1658439773 Enrollment ID: I20180629002089 |
| Provider Name | Adnan Ajmal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245494046 PECOS PAC ID: 0547336810 Enrollment ID: I20180711001628 |
| Provider Name | Daniel Jeremy Cucher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437460862 PECOS PAC ID: 1850698424 Enrollment ID: I20180711003836 |
| Provider Name | Andrea G Aguirre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518227206 PECOS PAC ID: 2466726716 Enrollment ID: I20180717002683 |
| Provider Name | Tanya L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184116824 PECOS PAC ID: 3779830906 Enrollment ID: I20180719001363 |
| Provider Name | Jesse Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629580436 PECOS PAC ID: 5698022838 Enrollment ID: I20180719001755 |
| Provider Name | Joseph Ralph Paonessa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720341696 PECOS PAC ID: 5092061291 Enrollment ID: I20180724001488 |
| Provider Name | Roy X Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073959516 PECOS PAC ID: 0648409821 Enrollment ID: I20180724003893 |
| Provider Name | Christine E Firth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902291016 PECOS PAC ID: 2264745892 Enrollment ID: I20180726002942 |
| Provider Name | Robert Dukjun Yoo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699035717 PECOS PAC ID: 2466757794 Enrollment ID: I20180728000096 |
| Provider Name | Abraham Andres Chileuitt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760800205 PECOS PAC ID: 6901154418 Enrollment ID: I20180731001876 |
| Provider Name | Christopher Lacerra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053712539 PECOS PAC ID: 8022323617 Enrollment ID: I20180809004177 |
| Provider Name | Michael H Anderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881004877 PECOS PAC ID: 6305064288 Enrollment ID: I20180821003539 |
| Provider Name | Kambiz Kadkhodayan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972816171 PECOS PAC ID: 8325327489 Enrollment ID: I20180822003055 |
| Provider Name | Sarah L. Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164917589 PECOS PAC ID: 4486903374 Enrollment ID: I20180827001895 |
| Provider Name | Miyoung Lee Son |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134605553 PECOS PAC ID: 8426307216 Enrollment ID: I20180828002634 |
| Provider Name | Miguel Gonzalez Velez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740664515 PECOS PAC ID: 8729338645 Enrollment ID: I20180913001467 |
| Provider Name | Rachel M Bond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811130040 PECOS PAC ID: 1254649585 Enrollment ID: I20180913001530 |
| Provider Name | Ammar Karim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356683924 PECOS PAC ID: 9931450871 Enrollment ID: I20180917000872 |
| Provider Name | Savio C Reddymasu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598981979 PECOS PAC ID: 4183724248 Enrollment ID: I20181002000099 |
| Provider Name | Melody M Attipoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255811311 PECOS PAC ID: 0345592093 Enrollment ID: I20181009000991 |
| Provider Name | Nilesh H Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467400580 PECOS PAC ID: 2062304603 Enrollment ID: I20181009001169 |
| Provider Name | Ryan Paul Berryman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386023182 PECOS PAC ID: 7719239896 Enrollment ID: I20181018000992 |
| Provider Name | Kelly Lauren Braun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356786800 PECOS PAC ID: 1153693528 Enrollment ID: I20181023001879 |
| Provider Name | Suhaireirene Suady Barake |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407127160 PECOS PAC ID: 2668698994 Enrollment ID: I20181030003177 |
| Provider Name | Ashka Atodaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437566957 PECOS PAC ID: 4385998335 Enrollment ID: I20181112000571 |
| Provider Name | Rayna Elise Sloane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255810909 PECOS PAC ID: 8820342108 Enrollment ID: I20181127000611 |
| Provider Name | Elizabeth Aguilera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720587728 PECOS PAC ID: 6709120470 Enrollment ID: I20181206001748 |
| Provider Name | James Edward Hoogeboom |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164594420 PECOS PAC ID: 8628021300 Enrollment ID: I20181207001608 |
| Provider Name | Dennis Laurence |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891089777 PECOS PAC ID: 4385967488 Enrollment ID: I20181207002422 |
| Provider Name | Tingrui Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962889543 PECOS PAC ID: 8123362738 Enrollment ID: I20181210001222 |
| Provider Name | Soyoung Park |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013279256 PECOS PAC ID: 3577873033 Enrollment ID: I20181210001987 |
| Provider Name | Kajalben Buddhdev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942565908 PECOS PAC ID: 7618125949 Enrollment ID: I20181210003252 |
| Provider Name | Tiffany Alexis Hosten Blackmond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811377906 PECOS PAC ID: 1850635327 Enrollment ID: I20181211000270 |
| Provider Name | Kevin Boyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972984409 PECOS PAC ID: 9436461878 Enrollment ID: I20181211001981 |
| Provider Name | Melissa A Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578981551 PECOS PAC ID: 5597065573 Enrollment ID: I20181211003243 |
| Provider Name | Pallavi Bellamkonda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871718486 PECOS PAC ID: 5092869032 Enrollment ID: I20181212001720 |
| Provider Name | Anathea Powell |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1699927962 PECOS PAC ID: 1951558337 Enrollment ID: I20181213001625 |
| Provider Name | Elizabeth Banks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396158820 PECOS PAC ID: 5092019778 Enrollment ID: I20181217000057 |
| Provider Name | Corina Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184112104 PECOS PAC ID: 4981949187 Enrollment ID: I20181217001099 |
| Provider Name | Swathi Challa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285038059 PECOS PAC ID: 6507101706 Enrollment ID: I20181217001170 |
| Provider Name | Casondra Rae Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932462447 PECOS PAC ID: 5890006027 Enrollment ID: I20181217003231 |
| Provider Name | Elizabeth Marie Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740773449 PECOS PAC ID: 6507101763 Enrollment ID: I20181218000117 |
| Provider Name | Nina Tazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447661376 PECOS PAC ID: 8426277286 Enrollment ID: I20181226001522 |
| Provider Name | Paul M Hardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205313798 PECOS PAC ID: 9931445699 Enrollment ID: I20190116004004 |
| Provider Name | Ali Imran Saeed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750581641 PECOS PAC ID: 8820278427 Enrollment ID: I20190128001635 |
| Provider Name | Robert Roberts |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518406982 PECOS PAC ID: 6608113436 Enrollment ID: I20190131002311 |
| Provider Name | Nicole Marie Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417431818 PECOS PAC ID: 2769729433 Enrollment ID: I20190204001617 |
| Provider Name | Brooke E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293043 PECOS PAC ID: 9830437458 Enrollment ID: I20190206001870 |
| Provider Name | Thomas M Wertin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093759789 PECOS PAC ID: 0143504399 Enrollment ID: I20190214000670 |
| Provider Name | Meredith R Wicklund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356502850 PECOS PAC ID: 8022155217 Enrollment ID: I20190215001849 |
| Provider Name | Alessandro Gaetano Cusano |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164678421 PECOS PAC ID: 4385702521 Enrollment ID: I20190215001941 |
| Provider Name | Leah Marie Emami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760894489 PECOS PAC ID: 7810235884 Enrollment ID: I20190218000741 |
| Provider Name | Dana Lynn Paquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992139398 PECOS PAC ID: 7810236908 Enrollment ID: I20190307001905 |
| Provider Name | Norman Robert Willis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508854290 PECOS PAC ID: 0244261154 Enrollment ID: I20190321002317 |
| Provider Name | Jennifer Johannes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457648198 PECOS PAC ID: 8729371992 Enrollment ID: I20190325001521 |
| Provider Name | Edwin Guzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154387637 PECOS PAC ID: 6406843267 Enrollment ID: I20190326001565 |
| Provider Name | Cristina Diaz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073089108 PECOS PAC ID: 7214277334 Enrollment ID: I20190327000688 |
| Provider Name | Roxanne Carla Raganit Tenorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487119699 PECOS PAC ID: 9739429861 Enrollment ID: I20190327000871 |
| Provider Name | Brittany Dawn Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811264120 PECOS PAC ID: 1254593395 Enrollment ID: I20190328001952 |
| Provider Name | Janet Marie Sherman Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336245539 PECOS PAC ID: 5991895633 Enrollment ID: I20190402001335 |
| Provider Name | Kathrina Lynn Ridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700358322 PECOS PAC ID: 1052629961 Enrollment ID: I20190402001741 |
| Provider Name | Kari Vosika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467924704 PECOS PAC ID: 7012258973 Enrollment ID: I20190403001399 |
| Provider Name | Peter K Sien |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053399568 PECOS PAC ID: 8022911619 Enrollment ID: I20190403003263 |
| Provider Name | Lindsay K Van Dam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659840767 PECOS PAC ID: 7416298658 Enrollment ID: I20190416002051 |
| Provider Name | Nicki Niemann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093154072 PECOS PAC ID: 1850634387 Enrollment ID: I20190523001905 |
| Provider Name | Pedro P Ortiz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659463362 PECOS PAC ID: 0749240877 Enrollment ID: I20190524001468 |
| Provider Name | Robert Galamaga |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891805446 PECOS PAC ID: 4284658873 Enrollment ID: I20190529001525 |
| Provider Name | Sarabdeep S Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508283706 PECOS PAC ID: 7416298849 Enrollment ID: I20190530002941 |
| Provider Name | Brian J Magee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942498878 PECOS PAC ID: 4183711468 Enrollment ID: I20190531000359 |
| Provider Name | Rajakrishnan Vijayakrishnan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1871742502 PECOS PAC ID: 1456574102 Enrollment ID: I20190612002595 |
| Provider Name | Dana Michael Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023760 PECOS PAC ID: 4486954625 Enrollment ID: I20190612002752 |
| Provider Name | Ashwini Arjuna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881909166 PECOS PAC ID: 5991038515 Enrollment ID: I20190612002897 |
| Provider Name | Osama T Niazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588953285 PECOS PAC ID: 3779880935 Enrollment ID: I20190617002999 |
| Provider Name | Matthew Baron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487074142 PECOS PAC ID: 8628392396 Enrollment ID: I20190624000658 |
| Provider Name | Josna P Padiyar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558781831 PECOS PAC ID: 2163756016 Enrollment ID: I20190626001244 |
| Provider Name | Corenthian Booker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740402007 PECOS PAC ID: 5597917609 Enrollment ID: I20190626002537 |
| Provider Name | Kristopher Richard Roach |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215357470 PECOS PAC ID: 8022308253 Enrollment ID: I20190626004113 |
| Provider Name | Leslie Anna Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508816984 PECOS PAC ID: 7416281258 Enrollment ID: I20190627001025 |
| Provider Name | Heather Marie Betts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477048957 PECOS PAC ID: 0648504431 Enrollment ID: I20190627002879 |
| Provider Name | Nicole Omolara Afuape |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912391210 PECOS PAC ID: 7517270499 Enrollment ID: I20190702000937 |
| Provider Name | Elham Majidi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376945733 PECOS PAC ID: 6204058894 Enrollment ID: I20190703003009 |
| Provider Name | Jack Short |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346650942 PECOS PAC ID: 2466671284 Enrollment ID: I20190705001225 |
| Provider Name | Nicholas G Matthees |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891105482 PECOS PAC ID: 5193028397 Enrollment ID: I20190706000191 |
| Provider Name | Amir Azadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154615607 PECOS PAC ID: 8325348782 Enrollment ID: I20190711002670 |
| Provider Name | Sara Ocheltree |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871937151 PECOS PAC ID: 6305071945 Enrollment ID: I20190717003449 |
| Provider Name | Griffin Dominic Santarelli |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093158735 PECOS PAC ID: 7911217450 Enrollment ID: I20190718001826 |
| Provider Name | Angela Saverimuthu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760822522 PECOS PAC ID: 0648516070 Enrollment ID: I20190718003198 |
| Provider Name | Amarpreet Singh Bhowra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962842989 PECOS PAC ID: 7618231085 Enrollment ID: I20190725001228 |
| Provider Name | Cristian S Madar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184869141 PECOS PAC ID: 8325288509 Enrollment ID: I20190730001038 |
| Provider Name | Jourdan Daria Milliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629638879 PECOS PAC ID: 5890021752 Enrollment ID: I20190730003116 |
| Provider Name | Teddy S Youn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912137985 PECOS PAC ID: 7810279056 Enrollment ID: I20190730003661 |
| Provider Name | Aidnag Z Diaz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568422723 PECOS PAC ID: 9739137076 Enrollment ID: I20190730003949 |
| Provider Name | Ramprakash Devadoss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487918017 PECOS PAC ID: 3274869151 Enrollment ID: I20190730004020 |
| Provider Name | Lawrence D Lilien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851321947 PECOS PAC ID: 1153568266 Enrollment ID: I20190801000978 |
| Provider Name | Tarrah Ashley Bowen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568882645 PECOS PAC ID: 8123318409 Enrollment ID: I20190805001873 |
| Provider Name | Delaney Norene Kranz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376100503 PECOS PAC ID: 3779810288 Enrollment ID: I20190806004266 |
| Provider Name | John Edward Tidwell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184885519 PECOS PAC ID: 3971640897 Enrollment ID: I20190807000357 |
| Provider Name | Boleslaw Andrzej Bendek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497033021 PECOS PAC ID: 2769796499 Enrollment ID: I20190807000596 |
| Provider Name | Elyssa M Metas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720465891 PECOS PAC ID: 8628305034 Enrollment ID: I20190808000149 |
| Provider Name | Mary Eileen Kumah Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417518747 PECOS PAC ID: 4981931029 Enrollment ID: I20190812002439 |
| Provider Name | Anna Danielle Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124507785 PECOS PAC ID: 6800123894 Enrollment ID: I20190814001460 |
| Provider Name | Tina Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700341831 PECOS PAC ID: 9830426618 Enrollment ID: I20190816001854 |
| Provider Name | Joshua W Hustedt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124361373 PECOS PAC ID: 2567720311 Enrollment ID: I20190823003279 |
| Provider Name | Hahn Soe-lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477819324 PECOS PAC ID: 1951549195 Enrollment ID: I20190827000679 |
| Provider Name | Eva Marie Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861979783 PECOS PAC ID: 0840528063 Enrollment ID: I20190827001286 |
| Provider Name | Austin Robert Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661386 PECOS PAC ID: 2163750282 Enrollment ID: I20190827001601 |
| Provider Name | David Z Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831297274 PECOS PAC ID: 1355537242 Enrollment ID: I20190830001902 |
| Provider Name | Saralyn Heddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013481670 PECOS PAC ID: 4587993498 Enrollment ID: I20190830002911 |
| Provider Name | Mark Reilly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699799981 PECOS PAC ID: 3678529302 Enrollment ID: I20190903002673 |
| Provider Name | Candi May Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841842754 PECOS PAC ID: 1658600416 Enrollment ID: I20190904002925 |
| Provider Name | Lara Waleed Schaheen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720341803 PECOS PAC ID: 8527397041 Enrollment ID: I20190909004083 |
| Provider Name | Nathan Wnuk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558700716 PECOS PAC ID: 5597984260 Enrollment ID: I20190910000745 |
| Provider Name | Samina Ayub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043658271 PECOS PAC ID: 8224272802 Enrollment ID: I20190911000745 |
| Provider Name | Stephanie Lynne Rapke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285686345 PECOS PAC ID: 6204812142 Enrollment ID: I20190911001999 |
| Provider Name | Afzal Hussian Khan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669768305 PECOS PAC ID: 4587808175 Enrollment ID: I20190912002691 |
| Provider Name | Susan T Herman |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1255365920 PECOS PAC ID: 3476621566 Enrollment ID: I20190916002049 |
| Provider Name | Suman S Misra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023470879 PECOS PAC ID: 6709116775 Enrollment ID: I20190918002350 |
| Provider Name | Hesham E Mohamed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922122209 PECOS PAC ID: 5294881090 Enrollment ID: I20190923003307 |
| Provider Name | Samuel Oluwaseun Tytler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225423130 PECOS PAC ID: 8123331931 Enrollment ID: I20190928000005 |
| Provider Name | Loretta A Garrett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558549667 PECOS PAC ID: 3577633932 Enrollment ID: I20191007003525 |
| Provider Name | Mary Storts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952958472 PECOS PAC ID: 8921339508 Enrollment ID: I20191011002336 |
| Provider Name | Lina M. Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650490 PECOS PAC ID: 9133450612 Enrollment ID: I20191015000857 |
| Provider Name | Jane Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407117039 PECOS PAC ID: 0042511164 Enrollment ID: I20191025001806 |
| Provider Name | Jennifer Victoria Robblee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649751082 PECOS PAC ID: 6406107556 Enrollment ID: I20191107001882 |
| Provider Name | Ekokobe Fonkem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538359534 PECOS PAC ID: 2062678295 Enrollment ID: I20191108001540 |
| Provider Name | Amar S Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295020683 PECOS PAC ID: 3779701719 Enrollment ID: I20191114000238 |
| Provider Name | Chinyere Mgbahuru Nwosu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144426487 PECOS PAC ID: 2961527163 Enrollment ID: I20191118003060 |
| Provider Name | Sarah Renee Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053953000 PECOS PAC ID: 3971936949 Enrollment ID: I20191204003014 |
| Provider Name | Nikesh Bajaj |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659767861 PECOS PAC ID: 8527378496 Enrollment ID: I20191205000953 |
| Provider Name | Miguel A. Pirela-cruz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386604767 PECOS PAC ID: 9133289200 Enrollment ID: I20191205002227 |
| Provider Name | Mina M Al-badri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629432190 PECOS PAC ID: 1456784313 Enrollment ID: I20191206000404 |
| Provider Name | Elia Araceli Valdivia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043644941 PECOS PAC ID: 6103259031 Enrollment ID: I20191209000420 |
| Provider Name | Seema U Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811350119 PECOS PAC ID: 4587097134 Enrollment ID: I20191212000873 |
| Provider Name | Payal Soni |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871936898 PECOS PAC ID: 9537461496 Enrollment ID: I20191220002348 |
| Provider Name | Amy Lee Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831731769 PECOS PAC ID: 6901230150 Enrollment ID: I20191223001306 |
| Provider Name | Meg Louise Groom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790132744 PECOS PAC ID: 6709210875 Enrollment ID: I20191223002202 |
| Provider Name | Ashutosh P. Jadhav |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972708527 PECOS PAC ID: 8022264233 Enrollment ID: I20200107000940 |
| Provider Name | Lacey Leann Takhtay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258966 PECOS PAC ID: 6507290137 Enrollment ID: I20200107001477 |
| Provider Name | Andrew P Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619314796 PECOS PAC ID: 8820232846 Enrollment ID: I20200109001766 |
| Provider Name | Cassandra Anne Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216683 PECOS PAC ID: 7911269832 Enrollment ID: I20200120000108 |
| Provider Name | Kendra Jean Mcanally |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720278369 PECOS PAC ID: 6103095112 Enrollment ID: I20200120000930 |
| Provider Name | Michelle Ashley Edwards Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538630579 PECOS PAC ID: 0648605501 Enrollment ID: I20200122003371 |
| Provider Name | Nichole Brianna Wardle-sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114416989 PECOS PAC ID: 6305271065 Enrollment ID: I20200127002239 |
| Provider Name | Judy Fong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760021422 PECOS PAC ID: 1850727967 Enrollment ID: I20200210001565 |
| Provider Name | Shane Bezzant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033190202 PECOS PAC ID: 0840477204 Enrollment ID: I20200214001603 |
| Provider Name | Erik R Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811283625 PECOS PAC ID: 0547577629 Enrollment ID: I20200217001407 |
| Provider Name | Joshua D Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720545734 PECOS PAC ID: 5597192260 Enrollment ID: I20200219002240 |
| Provider Name | Benita Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613049 PECOS PAC ID: 4082919774 Enrollment ID: I20200228001606 |
| Provider Name | Amanda Simon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407247182 PECOS PAC ID: 9133557556 Enrollment ID: I20200318002477 |
| Provider Name | James Bradley Craigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003442435 PECOS PAC ID: 0941639199 Enrollment ID: I20200409000748 |
| Provider Name | Maria Ana Cruz Gloria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073132221 PECOS PAC ID: 4981034394 Enrollment ID: I20200427002594 |
| Provider Name | Kirsten Sumner |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578981601 PECOS PAC ID: 0941503130 Enrollment ID: I20200501000140 |
| Provider Name | Daniel Fayard |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1629414834 PECOS PAC ID: 1951638063 Enrollment ID: I20200511002408 |
| Provider Name | Sana Aslam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588074207 PECOS PAC ID: 8628409356 Enrollment ID: I20200514000051 |
| Provider Name | Yonas Endale Geda |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1851381776 PECOS PAC ID: 3779516208 Enrollment ID: I20200514001502 |
| Provider Name | Mateen M Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447788930 PECOS PAC ID: 7012272040 Enrollment ID: I20200519001411 |
| Provider Name | Bill Jacobsen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760893069 PECOS PAC ID: 8820419179 Enrollment ID: I20200522001126 |
| Provider Name | Laurie Rene Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891322723 PECOS PAC ID: 9032530274 Enrollment ID: I20200526002795 |
| Provider Name | Wael Youssef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124173349 PECOS PAC ID: 4981765468 Enrollment ID: I20200528002008 |
| Provider Name | Yvette Michelle Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710366844 PECOS PAC ID: 6103247127 Enrollment ID: I20200529002277 |
| Provider Name | Klari Olenski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700265832 PECOS PAC ID: 1355762717 Enrollment ID: I20200611000161 |
| Provider Name | Anirudh Chaudhary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922487446 PECOS PAC ID: 6002238342 Enrollment ID: I20200615003554 |
| Provider Name | Justin L Hoskin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982067849 PECOS PAC ID: 0749602001 Enrollment ID: I20200616000703 |
| Provider Name | Rachel Eliason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124414834 PECOS PAC ID: 2365762747 Enrollment ID: I20200617001870 |
| Provider Name | George J Kallingal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982809141 PECOS PAC ID: 8527224005 Enrollment ID: I20200619000304 |
| Provider Name | Prachi Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427474170 PECOS PAC ID: 1254631724 Enrollment ID: I20200623000701 |
| Provider Name | Leena Kishor Pawar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922345362 PECOS PAC ID: 0345536413 Enrollment ID: I20200623001636 |
| Provider Name | Janie Elizabeth Goodall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083838874 PECOS PAC ID: 9638253057 Enrollment ID: I20200623002190 |
| Provider Name | Ramona Marie Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336765957 PECOS PAC ID: 5294157848 Enrollment ID: I20200626002223 |
| Provider Name | Shareece Davis-nelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699980243 PECOS PAC ID: 8729134341 Enrollment ID: I20200629000098 |
| Provider Name | Michael V Robers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760892400 PECOS PAC ID: 5496001786 Enrollment ID: I20200630001860 |
| Provider Name | Courtney Hulett Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659919991 PECOS PAC ID: 8123441524 Enrollment ID: I20200701002594 |
| Provider Name | Richard Burgon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902117013 PECOS PAC ID: 0244505428 Enrollment ID: I20200710001691 |
| Provider Name | Regino Cube |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023284312 PECOS PAC ID: 8325262082 Enrollment ID: I20200716000278 |
| Provider Name | Abid Idrees Khokar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265702856 PECOS PAC ID: 7618115189 Enrollment ID: I20200717002070 |
| Provider Name | Vamsee Kalyan Torri |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1467613802 PECOS PAC ID: 3971927336 Enrollment ID: I20200720000969 |
| Provider Name | Amina Danishyar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861854085 PECOS PAC ID: 7012249089 Enrollment ID: I20200722001458 |
| Provider Name | Holly A Llobet |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851597785 PECOS PAC ID: 2860562386 Enrollment ID: I20200722002042 |
| Provider Name | Ethan J Dodge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962938464 PECOS PAC ID: 4183048010 Enrollment ID: I20200723002939 |
| Provider Name | Erica Turse Dailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760893184 PECOS PAC ID: 6901125251 Enrollment ID: I20200728000417 |
| Provider Name | Mohamed M Abdelrahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457606261 PECOS PAC ID: 7517261027 Enrollment ID: I20200810001100 |
| Provider Name | Natasha S Namjoshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144601154 PECOS PAC ID: 6800142308 Enrollment ID: I20200810002536 |
| Provider Name | Joshua Nelson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669811121 PECOS PAC ID: 8628207198 Enrollment ID: I20200814001140 |
| Provider Name | Vincent P Ekstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124644794 PECOS PAC ID: 2062838238 Enrollment ID: I20200818003624 |
| Provider Name | Tanner K Jugler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417344573 PECOS PAC ID: 9335565498 Enrollment ID: I20200819003164 |
| Provider Name | Jessica H. Mullins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790105120 PECOS PAC ID: 7517256183 Enrollment ID: I20200819003947 |
| Provider Name | Jacob Duncan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740691641 PECOS PAC ID: 8325464241 Enrollment ID: I20200821001426 |
| Provider Name | Andrew J Rivara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760878219 PECOS PAC ID: 6800128414 Enrollment ID: I20200826002974 |
| Provider Name | Matthew Morin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841605086 PECOS PAC ID: 6507180783 Enrollment ID: I20200827000697 |
| Provider Name | Jill Gualdoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376981472 PECOS PAC ID: 3678705423 Enrollment ID: I20200902003268 |
| Provider Name | Clarence Clark |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1952582397 PECOS PAC ID: 3274725973 Enrollment ID: I20200904000835 |
| Provider Name | Meisje Burton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891141727 PECOS PAC ID: 9032537063 Enrollment ID: I20200908002500 |
| Provider Name | Jennifer Vij |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194333625 PECOS PAC ID: 0941628069 Enrollment ID: I20200922000464 |
| Provider Name | Lauren Suzanne Cole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508398165 PECOS PAC ID: 4082033121 Enrollment ID: I20200923001845 |
| Provider Name | Jason Wiseman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1033404959 PECOS PAC ID: 8325356678 Enrollment ID: I20200929001449 |
| Provider Name | Brian Michael Daft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053926527 PECOS PAC ID: 9032538509 Enrollment ID: I20201001003287 |
| Provider Name | Nicholas Cassuto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699112060 PECOS PAC ID: 6608130935 Enrollment ID: I20201002002672 |
| Provider Name | Aida Rezaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821529983 PECOS PAC ID: 9830462084 Enrollment ID: I20201007002075 |
| Provider Name | Eric Teitel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447347075 PECOS PAC ID: 6800985367 Enrollment ID: I20201007003450 |
| Provider Name | Allyson Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964662 PECOS PAC ID: 5092032656 Enrollment ID: I20201013000362 |
| Provider Name | April J Rosscup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437773702 PECOS PAC ID: 9537589403 Enrollment ID: I20201014001370 |
| Provider Name | Raza Mushtaq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700271285 PECOS PAC ID: 4082964044 Enrollment ID: I20201016000970 |
| Provider Name | Kaitlyn Marie Feith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942818802 PECOS PAC ID: 4385064864 Enrollment ID: I20201022000666 |
| Provider Name | Kenneth C Jasmund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417563545 PECOS PAC ID: 9032539523 Enrollment ID: I20201022001091 |
| Provider Name | Sajiv Sethi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881014660 PECOS PAC ID: 1658791074 Enrollment ID: I20201022004092 |
| Provider Name | Scott Braverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801414883 PECOS PAC ID: 9638589823 Enrollment ID: I20201028002631 |
| Provider Name | Catherine Vergara Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801414396 PECOS PAC ID: 2668882754 Enrollment ID: I20201030001142 |
| Provider Name | Ryan P Adkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417483538 PECOS PAC ID: 3870926553 Enrollment ID: I20201110002345 |
| Provider Name | Michael Andrew Zgoda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902910854 PECOS PAC ID: 4587694666 Enrollment ID: I20201116002185 |
| Provider Name | Andrew Rubenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730156415 PECOS PAC ID: 1456374826 Enrollment ID: I20201117001699 |
| Provider Name | Emma Jordan Espinel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609483486 PECOS PAC ID: 6406267129 Enrollment ID: I20201201000817 |
| Provider Name | Ruchira M Jha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972763498 PECOS PAC ID: 0941476832 Enrollment ID: I20201209000594 |
| Provider Name | Lauren Kelli Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699375329 PECOS PAC ID: 2163834482 Enrollment ID: I20201210001096 |
| Provider Name | Sudarone Thihalolipavan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528220050 PECOS PAC ID: 6406020940 Enrollment ID: I20201230000777 |
| Provider Name | Benjamin Craig Seleen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649896267 PECOS PAC ID: 9638583024 Enrollment ID: I20210126001840 |
| Provider Name | Matthew M Gannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285163246 PECOS PAC ID: 2365711488 Enrollment ID: I20210203000003 |
| Provider Name | Bradley Paul Bennin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770939845 PECOS PAC ID: 4587935390 Enrollment ID: I20210216003306 |
| Provider Name | Marissa Karrina Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760093553 PECOS PAC ID: 6507271905 Enrollment ID: I20210217001576 |
| Provider Name | Nancy Gloria Flores |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871118984 PECOS PAC ID: 6103232459 Enrollment ID: I20210310002905 |
| Provider Name | Abhishek Sawant |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295990570 PECOS PAC ID: 0941360341 Enrollment ID: I20210318001424 |
| Provider Name | Nicole M Cota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902491061 PECOS PAC ID: 9234546193 Enrollment ID: I20210322001590 |
| Provider Name | Whitney Shae Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184213423 PECOS PAC ID: 5890102347 Enrollment ID: I20210329001597 |
| Provider Name | Aditya Paliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780071621 PECOS PAC ID: 6608180559 Enrollment ID: I20210401002368 |
| Provider Name | Julius Larosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780605071 PECOS PAC ID: 2466477997 Enrollment ID: I20210419000564 |
| Provider Name | Tarun Mullick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912906462 PECOS PAC ID: 9032161054 Enrollment ID: I20210426000440 |
| Provider Name | James R Lish |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346698040 PECOS PAC ID: 4183032428 Enrollment ID: I20210426001770 |
| Provider Name | Robert Hooker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265405765 PECOS PAC ID: 1759366487 Enrollment ID: I20210428002158 |
| Provider Name | Michael Farnworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568810802 PECOS PAC ID: 7416366901 Enrollment ID: I20210513001302 |
| Provider Name | Jennifer Moore Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053925008 PECOS PAC ID: 1951710441 Enrollment ID: I20210513001378 |
| Provider Name | Alan J. Sheinbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669543633 PECOS PAC ID: 8426091125 Enrollment ID: I20210513002491 |
| Provider Name | Kenyon Verner Mcaferty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184072860 PECOS PAC ID: 7416366729 Enrollment ID: I20210517000986 |
| Provider Name | Christopher E Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417446618 PECOS PAC ID: 8527467703 Enrollment ID: I20210519002352 |
| Provider Name | Adil Lokhandwala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427300029 PECOS PAC ID: 0547524910 Enrollment ID: I20210520002211 |
| Provider Name | Alexander Alsadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780174565 PECOS PAC ID: 3476804949 Enrollment ID: I20210525001038 |
| Provider Name | Timothy K Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063874808 PECOS PAC ID: 8820497779 Enrollment ID: I20210525002782 |
| Provider Name | Scott R Frank |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871512210 PECOS PAC ID: 4486665254 Enrollment ID: I20210527001381 |
| Provider Name | Lauren E Eads |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699206102 PECOS PAC ID: 3971871351 Enrollment ID: I20210528001510 |
| Provider Name | Shane Marcus Root |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538522214 PECOS PAC ID: 3870992548 Enrollment ID: I20210528002158 |
| Provider Name | Sara Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518307966 PECOS PAC ID: 6608160049 Enrollment ID: I20210530000000 |
| Provider Name | Justine Kit Chan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073990743 PECOS PAC ID: 5698175776 Enrollment ID: I20210610002273 |
| Provider Name | Jeanette Leal Mazon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467046755 PECOS PAC ID: 5799185823 Enrollment ID: I20210611000738 |
| Provider Name | Michael Joseph Carchedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073956173 PECOS PAC ID: 7416185574 Enrollment ID: I20210614002469 |
| Provider Name | Abbi Sue Heater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144719147 PECOS PAC ID: 2264832112 Enrollment ID: I20210614002901 |
| Provider Name | Matthew Harwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780061457 PECOS PAC ID: 7012317829 Enrollment ID: I20210616001698 |
| Provider Name | Stephanie Schmieder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801258306 PECOS PAC ID: 2567757321 Enrollment ID: I20210621000434 |
| Provider Name | William Robert Kennedy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720433766 PECOS PAC ID: 2567756570 Enrollment ID: I20210621001856 |
| Provider Name | Rebecca Brunton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235722232 PECOS PAC ID: 8527469055 Enrollment ID: I20210622001695 |
| Provider Name | Ioana Christiana Danci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184158313 PECOS PAC ID: 7911308978 Enrollment ID: I20210628002495 |
| Provider Name | Joseph Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427438365 PECOS PAC ID: 6305154972 Enrollment ID: I20210629002697 |
| Provider Name | Trent Wilkins Davis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265870844 PECOS PAC ID: 3779707245 Enrollment ID: I20210630002072 |
| Provider Name | Dih-dih Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790195014 PECOS PAC ID: 3577987767 Enrollment ID: I20210708001045 |
| Provider Name | Daniel Lyman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235543943 PECOS PAC ID: 0749550911 Enrollment ID: I20210708002059 |
| Provider Name | Daniel Tyler Maas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356844161 PECOS PAC ID: 6608278932 Enrollment ID: I20210709000697 |
| Provider Name | Alex Milciades Cano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770902058 PECOS PAC ID: 5092933168 Enrollment ID: I20210712003747 |
| Provider Name | Elizabeth Navarrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134798713 PECOS PAC ID: 5496157521 Enrollment ID: I20210713001184 |
| Provider Name | Nancy Ellyn Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215958939 PECOS PAC ID: 4385738251 Enrollment ID: I20210713001341 |
| Provider Name | Peter T Hoang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033598792 PECOS PAC ID: 0446541163 Enrollment ID: I20210715000183 |
| Provider Name | Saed Sulaiman Mohd Nemr |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992892772 PECOS PAC ID: 4385799097 Enrollment ID: I20210716000333 |
| Provider Name | Eric Njiforfut |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053844027 PECOS PAC ID: 4688077555 Enrollment ID: I20210729002244 |
| Provider Name | Jonathan L Dameworth |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1194102772 PECOS PAC ID: 7214351089 Enrollment ID: I20210802001138 |
| Provider Name | Christine Oh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1659787372 PECOS PAC ID: 7618193723 Enrollment ID: I20210802001657 |
| Provider Name | Shazia Afreen Israr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407332679 PECOS PAC ID: 6901200518 Enrollment ID: I20210804001429 |
| Provider Name | Braiden Heaps |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245625102 PECOS PAC ID: 5496022691 Enrollment ID: I20210804003038 |
| Provider Name | William Travis Mccuddy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982294997 PECOS PAC ID: 8426452087 Enrollment ID: I20210804003437 |
| Provider Name | Nathan John Dennison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871098756 PECOS PAC ID: 1951705300 Enrollment ID: I20210806000247 |
| Provider Name | Jessica Kate Sloan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477949071 PECOS PAC ID: 4082045877 Enrollment ID: I20210806001504 |
| Provider Name | Kylie B Prehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982100756 PECOS PAC ID: 6002210382 Enrollment ID: I20210810001825 |
| Provider Name | Thaslim Kassim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518116680 PECOS PAC ID: 1456502590 Enrollment ID: I20210812001307 |
| Provider Name | David Ritchie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407201916 PECOS PAC ID: 6305245226 Enrollment ID: I20210813002881 |
| Provider Name | Michael Rocco Shroads |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003265208 PECOS PAC ID: 7113322017 Enrollment ID: I20210816001543 |
| Provider Name | Darna Khav Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841866860 PECOS PAC ID: 7113322058 Enrollment ID: I20210816002914 |
| Provider Name | Bradley Geyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740696640 PECOS PAC ID: 7810202603 Enrollment ID: I20210816004053 |
| Provider Name | Mark William Rolfe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255426417 PECOS PAC ID: 3476657727 Enrollment ID: I20210823002171 |
| Provider Name | Amanda Michelle Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134893480 PECOS PAC ID: 3375948524 Enrollment ID: I20210825003735 |
| Provider Name | Varqa Rouhipour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457367286 PECOS PAC ID: 3779582077 Enrollment ID: I20210826003531 |
| Provider Name | Patrick D Lorimer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609211507 PECOS PAC ID: 4688092125 Enrollment ID: I20210830001699 |
| Provider Name | Subhash Chandra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174817720 PECOS PAC ID: 4183874894 Enrollment ID: I20210831002187 |
| Provider Name | Scott M Easley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1194088658 PECOS PAC ID: 7517287964 Enrollment ID: I20210831002466 |
| Provider Name | Lauren Geyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750796728 PECOS PAC ID: 1254612351 Enrollment ID: I20210901001085 |
| Provider Name | Carl Weiner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174553440 PECOS PAC ID: 6002709474 Enrollment ID: I20210907003029 |
| Provider Name | Kim M Almodovar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831160316 PECOS PAC ID: 7618031782 Enrollment ID: I20210910000909 |
| Provider Name | John Lacson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104313634 PECOS PAC ID: 5294088837 Enrollment ID: I20210914003234 |
| Provider Name | Nimesh D Naik |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1306281308 PECOS PAC ID: 6901046903 Enrollment ID: I20210915001751 |
| Provider Name | Karine Hageboutros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992378038 PECOS PAC ID: 2668879461 Enrollment ID: I20210921002876 |
| Provider Name | John Reza Matthews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972982130 PECOS PAC ID: 2264854645 Enrollment ID: I20210923003126 |
| Provider Name | Adatee Okonkwo |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1629462890 PECOS PAC ID: 9739481169 Enrollment ID: I20210923003391 |
| Provider Name | Jeffrey Gerstel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205010600 PECOS PAC ID: 5991792079 Enrollment ID: I20210924000010 |
| Provider Name | Michael C Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609842053 PECOS PAC ID: 9638173446 Enrollment ID: I20210929002347 |
| Provider Name | Kavi Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326425463 PECOS PAC ID: 7911201454 Enrollment ID: I20211004001215 |
| Provider Name | Brian Gans |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1639532278 PECOS PAC ID: 5294023883 Enrollment ID: I20211006002567 |
| Provider Name | Neil Vyas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447678917 PECOS PAC ID: 1951709799 Enrollment ID: I20211008002559 |
| Provider Name | Sreeja Biswas Roy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902218480 PECOS PAC ID: 0345663589 Enrollment ID: I20211013001835 |
| Provider Name | Meghan E Smeal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902576036 PECOS PAC ID: 6305234188 Enrollment ID: I20211027002740 |
| Provider Name | Jennifer Lynn Philp |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821768292 PECOS PAC ID: 8729476387 Enrollment ID: I20211101001497 |
| Provider Name | Talia S Coney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992168025 PECOS PAC ID: 7911262837 Enrollment ID: I20211104002185 |
| Provider Name | Namit Rohant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639516636 PECOS PAC ID: 0446573711 Enrollment ID: I20211117001501 |
| Provider Name | Cameron Walther Mclaughlin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851681043 PECOS PAC ID: 1850536806 Enrollment ID: I20211118002803 |
| Provider Name | Christine Konkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821769829 PECOS PAC ID: 3476942996 Enrollment ID: I20211122002267 |
| Provider Name | Hannah Margaret Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245902485 PECOS PAC ID: 8527458090 Enrollment ID: I20211124002041 |
| Provider Name | Kathryn Preston |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831578244 PECOS PAC ID: 5294125217 Enrollment ID: I20211207001119 |
| Provider Name | Divyesh Vasant Sejpal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568493245 PECOS PAC ID: 4183641574 Enrollment ID: I20211207001433 |
| Provider Name | Jeffrey Anglen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922050400 PECOS PAC ID: 0244280139 Enrollment ID: I20211217001450 |
| Provider Name | Lashandra A Wilson-cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679236095 PECOS PAC ID: 6507257979 Enrollment ID: I20211217001696 |
| Provider Name | Tondra M Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922260611 PECOS PAC ID: 5092955880 Enrollment ID: I20211221002466 |
| Provider Name | Jillian C Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589019 PECOS PAC ID: 1052702297 Enrollment ID: I20211227000430 |
| Provider Name | Sarah E Kellerhals |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447781075 PECOS PAC ID: 8729358577 Enrollment ID: I20211228001984 |
| Provider Name | Laura Rekedal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386178630 PECOS PAC ID: 5496146417 Enrollment ID: I20211230002053 |
| Provider Name | Cecelia Brown Melin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396113270 PECOS PAC ID: 3779975461 Enrollment ID: I20220107001589 |
| Provider Name | Maria Pamela Medida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487322418 PECOS PAC ID: 5193117893 Enrollment ID: I20220107002356 |
| Provider Name | Syed A Hassan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740572528 PECOS PAC ID: 3971735820 Enrollment ID: I20220111001679 |
| Provider Name | Grace Tammy Osipowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992461503 PECOS PAC ID: 0345632360 Enrollment ID: I20220124001853 |
| Provider Name | Daniel Talley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679596894 PECOS PAC ID: 7113947896 Enrollment ID: I20220126002529 |
| Provider Name | Belia Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326792359 PECOS PAC ID: 0446644918 Enrollment ID: I20220225001640 |
| Provider Name | Michelle Ellen Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037764 PECOS PAC ID: 2769756493 Enrollment ID: I20220302002678 |
| Provider Name | Neda F Mulla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083634828 PECOS PAC ID: 1254233208 Enrollment ID: I20220317002189 |
| Provider Name | Anthony Slade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639557341 PECOS PAC ID: 8628463783 Enrollment ID: I20220328001782 |
| Provider Name | Cesar Munoz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710979208 PECOS PAC ID: 8325023195 Enrollment ID: I20220329001976 |
| Provider Name | Brad Racette |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174549307 PECOS PAC ID: 2860525300 Enrollment ID: I20220408001983 |
| Provider Name | Martin Cerda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952644312 PECOS PAC ID: 1951617018 Enrollment ID: I20220419001916 |
| Provider Name | Eric Christiansen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417480732 PECOS PAC ID: 1052708419 Enrollment ID: I20220504000131 |
| Provider Name | Daniel Israel Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780115832 PECOS PAC ID: 1658758776 Enrollment ID: I20220511001168 |
| Provider Name | Parunyou Julayanont |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043626401 PECOS PAC ID: 3779881107 Enrollment ID: I20220516002575 |
| Provider Name | Richard Gordon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558367490 PECOS PAC ID: 0648262162 Enrollment ID: I20220523000921 |
| Provider Name | Ryan H Boothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609419142 PECOS PAC ID: 5092192443 Enrollment ID: I20220524002490 |
| Provider Name | Sara Beste |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538457379 PECOS PAC ID: 5092958504 Enrollment ID: I20220616001890 |
| Provider Name | Jason Beste |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013213610 PECOS PAC ID: 2769633361 Enrollment ID: I20220617000168 |
| Provider Name | Andrew Roshdy Boshara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275917064 PECOS PAC ID: 9436556784 Enrollment ID: I20220627001410 |
| Provider Name | Balaji Natarajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366822801 PECOS PAC ID: 5991060063 Enrollment ID: I20220708001256 |
| Provider Name | Timothy Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114424801 PECOS PAC ID: 2062892904 Enrollment ID: I20220708002278 |
| Provider Name | Hannah Marie Wirtz Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558008987 PECOS PAC ID: 0143600858 Enrollment ID: I20220712000084 |
| Provider Name | Aimee B Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649417908 PECOS PAC ID: 1355721085 Enrollment ID: I20220712000587 |
| Provider Name | Tehut Tefera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710401930 PECOS PAC ID: 2961778774 Enrollment ID: I20220712002102 |
| Provider Name | Jaclyn Elyse Jacobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861856213 PECOS PAC ID: 5496047573 Enrollment ID: I20220718002397 |
| Provider Name | Danielle Esters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780643346 PECOS PAC ID: 5698747848 Enrollment ID: I20220720000916 |
| Provider Name | Sarah Jane Counts |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073833836 PECOS PAC ID: 7810217064 Enrollment ID: I20220720003734 |
| Provider Name | Lisa Wintonli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912273103 PECOS PAC ID: 3678823648 Enrollment ID: I20220721000241 |
| Provider Name | Claressa Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083343495 PECOS PAC ID: 8426439480 Enrollment ID: I20220721002902 |
| Provider Name | Bryant Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942739560 PECOS PAC ID: 1658752621 Enrollment ID: I20220725000741 |
| Provider Name | Muhammad Z Khakwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710353123 PECOS PAC ID: 5294077244 Enrollment ID: I20220726001526 |
| Provider Name | Ameya A Jategaonkar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316301013 PECOS PAC ID: 7719223833 Enrollment ID: I20220726001608 |
| Provider Name | Editha Krueger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093759185 PECOS PAC ID: 5799867651 Enrollment ID: I20220727003630 |
| Provider Name | Sarah Smiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780071126 PECOS PAC ID: 8224410949 Enrollment ID: I20220727003869 |
| Provider Name | Kathleen Vogel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821551250 PECOS PAC ID: 4082956313 Enrollment ID: I20220728000220 |
| Provider Name | Thomas W Marston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487008975 PECOS PAC ID: 0244504603 Enrollment ID: I20220728000831 |
| Provider Name | Marla Rejbi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972964393 PECOS PAC ID: 2961732359 Enrollment ID: I20220728000916 |
| Provider Name | Daniel Ognean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760048466 PECOS PAC ID: 1355723933 Enrollment ID: I20220728001963 |
| Provider Name | Aldeboran Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669868014 PECOS PAC ID: 2365772514 Enrollment ID: I20220728002640 |
| Provider Name | Alisha N Vaidya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043744238 PECOS PAC ID: 8426430067 Enrollment ID: I20220729001036 |
| Provider Name | Michael Satkyes Dahip |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548615339 PECOS PAC ID: 8820388002 Enrollment ID: I20220729001237 |
| Provider Name | Joshua Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396125332 PECOS PAC ID: 5092116673 Enrollment ID: I20220729001782 |
| Provider Name | Hannah L Cavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861142796 PECOS PAC ID: 8921480435 Enrollment ID: I20220801000274 |
| Provider Name | Anirudha S Rathnam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700306537 PECOS PAC ID: 5991075996 Enrollment ID: I20220804000707 |
| Provider Name | Ayushman Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104263839 PECOS PAC ID: 5890935001 Enrollment ID: I20220805002971 |
| Provider Name | Frank S Hurd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972039352 PECOS PAC ID: 5496137317 Enrollment ID: I20220809000919 |
| Provider Name | Jaycen Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548796485 PECOS PAC ID: 4082983770 Enrollment ID: I20220809002147 |
| Provider Name | Michael Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821478025 PECOS PAC ID: 4587085105 Enrollment ID: I20220809002407 |
| Provider Name | Joshua Kelley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710369756 PECOS PAC ID: 5890008064 Enrollment ID: I20220810000108 |
| Provider Name | Paul Schaefer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598298499 PECOS PAC ID: 1254755234 Enrollment ID: I20220817001728 |
| Provider Name | Shalini Chaliki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659804433 PECOS PAC ID: 4981029238 Enrollment ID: I20220817003366 |
| Provider Name | Sasha O'brien Staack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972031631 PECOS PAC ID: 8527317684 Enrollment ID: I20220818001022 |
| Provider Name | Tiffany Amber Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144957150 PECOS PAC ID: 5799168902 Enrollment ID: I20220822001788 |
| Provider Name | Devon O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023425055 PECOS PAC ID: 8325327471 Enrollment ID: I20220823001808 |
| Provider Name | Jay S Chouhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649615642 PECOS PAC ID: 7517251671 Enrollment ID: I20220823002836 |
| Provider Name | Fiona G. Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124476783 PECOS PAC ID: 7416249586 Enrollment ID: I20220823002904 |
| Provider Name | Gregory Aran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912460718 PECOS PAC ID: 9032593041 Enrollment ID: I20220824003792 |
| Provider Name | Mahesh M Kotwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619907797 PECOS PAC ID: 7618115171 Enrollment ID: I20220825002734 |
| Provider Name | Sharjeel Israr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568950905 PECOS PAC ID: 2567846116 Enrollment ID: I20220830004287 |
| Provider Name | Raymond Dean Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669191623 PECOS PAC ID: 6406231893 Enrollment ID: I20220921002445 |
| Provider Name | Susan R Criswell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619993938 PECOS PAC ID: 7012941289 Enrollment ID: I20220922001348 |
| Provider Name | Dalbir S Sandhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265765457 PECOS PAC ID: 8123295516 Enrollment ID: I20221004002393 |
| Provider Name | Meenu Jain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144731910 PECOS PAC ID: 1658638523 Enrollment ID: I20221005002148 |
| Provider Name | Suzanne Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760611750 PECOS PAC ID: 1951605328 Enrollment ID: I20221006003194 |
| Provider Name | Joseph Christopher Murthy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013643972 PECOS PAC ID: 1658757976 Enrollment ID: I20221010002265 |
| Provider Name | Paige Banyas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811426992 PECOS PAC ID: 0648646760 Enrollment ID: I20221014000965 |
| Provider Name | Kevin J Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043204704 PECOS PAC ID: 4284607250 Enrollment ID: I20221020000118 |
| Provider Name | Agha Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649336546 PECOS PAC ID: 1254301484 Enrollment ID: I20221021001064 |
| Provider Name | Shabnam Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326401696 PECOS PAC ID: 0648675199 Enrollment ID: I20221025000559 |
| Provider Name | Dane Hellwig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649603267 PECOS PAC ID: 5698141042 Enrollment ID: I20221026001977 |
| Provider Name | Lea Latham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235481458 PECOS PAC ID: 8426306333 Enrollment ID: I20221104001618 |
| Provider Name | Amber L Pantin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386363380 PECOS PAC ID: 1759758642 Enrollment ID: I20221107000461 |
| Provider Name | Haley K Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710601588 PECOS PAC ID: 6608244157 Enrollment ID: I20221115001572 |
| Provider Name | Lauren Victoria Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679294144 PECOS PAC ID: 1557739828 Enrollment ID: I20221116003414 |
| Provider Name | Matthew Douglas Fain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720390107 PECOS PAC ID: 2466693825 Enrollment ID: I20221118002224 |
| Provider Name | Namitha Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235410739 PECOS PAC ID: 5890919724 Enrollment ID: I20221202000904 |
| Provider Name | Dominique Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518567874 PECOS PAC ID: 3779952312 Enrollment ID: I20221203000535 |
| Provider Name | Christopher James Wysocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306441811 PECOS PAC ID: 4284003229 Enrollment ID: I20221213002718 |
| Provider Name | Violetta Suleymanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215469226 PECOS PAC ID: 3971923046 Enrollment ID: I20221213003093 |
| Provider Name | Daniel Kyongsoo Yu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174029912 PECOS PAC ID: 5799180188 Enrollment ID: I20221213003113 |
| Provider Name | Ariana Lanae Hess |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497242812 PECOS PAC ID: 3577999291 Enrollment ID: I20221215001512 |
| Provider Name | Bradley D Gonik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952862765 PECOS PAC ID: 0648505438 Enrollment ID: I20221220001979 |
| Provider Name | Alyssa Ridao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740902931 PECOS PAC ID: 2365812997 Enrollment ID: I20221223000001 |
| Provider Name | Marine Nelly Cismas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851901011 PECOS PAC ID: 3476923970 Enrollment ID: I20221227001576 |
| Provider Name | Anne Guerrero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538428404 PECOS PAC ID: 8527499524 Enrollment ID: I20221228001666 |
| Provider Name | Holly Clemons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528354560 PECOS PAC ID: 7911154794 Enrollment ID: I20221229002062 |
| Provider Name | Marco Naguib |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922114826 PECOS PAC ID: 8527065465 Enrollment ID: I20230201000486 |
| Provider Name | Kelly Lynn Marcello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699270462 PECOS PAC ID: 1850647397 Enrollment ID: I20230203001828 |
| Provider Name | Aizelle Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821707001 PECOS PAC ID: 7113399825 Enrollment ID: I20230206002815 |
| Provider Name | Austin W Svec |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518526094 PECOS PAC ID: 9931431574 Enrollment ID: I20230302002946 |
| Provider Name | Joel Hayden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013405547 PECOS PAC ID: 7012380512 Enrollment ID: I20230303000868 |
| Provider Name | Steven Whittler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619970050 PECOS PAC ID: 8426083064 Enrollment ID: I20230307000457 |
| Provider Name | Dor S Shoshan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710448204 PECOS PAC ID: 9830429539 Enrollment ID: I20230307001392 |
| Provider Name | Monique Maree Quint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457719791 PECOS PAC ID: 1850765736 Enrollment ID: I20230315002225 |
| Provider Name | Jacqueline Huynh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215314620 PECOS PAC ID: 6709120629 Enrollment ID: I20230328001896 |
| Provider Name | Christopher May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699942482 PECOS PAC ID: 2668606229 Enrollment ID: I20230330001464 |
| Provider Name | Alexander Clinkenbeard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629537469 PECOS PAC ID: 7113257940 Enrollment ID: I20230418001277 |
| Provider Name | Alexandra Tsontakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710340716 PECOS PAC ID: 9234495870 Enrollment ID: I20230424002414 |
| Provider Name | Joshua Menefee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114343209 PECOS PAC ID: 2062799620 Enrollment ID: I20230425002145 |
| Provider Name | Mathew Van Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306404579 PECOS PAC ID: 1557787116 Enrollment ID: I20230428001501 |
| Provider Name | Yoshie Umemura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407112766 PECOS PAC ID: 2769757517 Enrollment ID: I20230504001741 |
| Provider Name | David P Harris |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1275822637 PECOS PAC ID: 4981915329 Enrollment ID: I20230509002622 |
| Provider Name | Matthew Joseph Calhoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942863022 PECOS PAC ID: 7012373152 Enrollment ID: I20230516002747 |
| Provider Name | Kevin Sukjo Choi |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1295266203 PECOS PAC ID: 9133585946 Enrollment ID: I20230522001485 |
| Provider Name | Cassandra June |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013454578 PECOS PAC ID: 7911276225 Enrollment ID: I20230523002928 |
| Provider Name | Jorge Evaldo Rodriguez Nylund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881153757 PECOS PAC ID: 6507222163 Enrollment ID: I20230524001212 |
| Provider Name | Kyle Phipps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447713805 PECOS PAC ID: 9436540051 Enrollment ID: I20230601002692 |
| Provider Name | Kimberlyn Joy Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861112658 PECOS PAC ID: 0244697175 Enrollment ID: I20230607002036 |
| Provider Name | Nassim Matin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588196844 PECOS PAC ID: 1355750779 Enrollment ID: I20230616002708 |
| Provider Name | Rinu Abraham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518353234 PECOS PAC ID: 4688980162 Enrollment ID: I20230620000296 |
| Provider Name | Charles P Crooks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992239883 PECOS PAC ID: 1456750769 Enrollment ID: I20230703002756 |
| Provider Name | Ricky Lee Fisher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730176645 PECOS PAC ID: 0547403578 Enrollment ID: I20230705003104 |
| Provider Name | Cayman Jonna Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629607718 PECOS PAC ID: 1456774850 Enrollment ID: I20230706003232 |
| Provider Name | Jessica Worthington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790348332 PECOS PAC ID: 6305206178 Enrollment ID: I20230712003311 |
| Provider Name | Marko Anton Laitinen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699263756 PECOS PAC ID: 3577811025 Enrollment ID: I20230718004064 |
| Provider Name | Karl C. Golnik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407896871 PECOS PAC ID: 5597708602 Enrollment ID: I20230719001436 |
| Provider Name | Micheal George Adondakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003306754 PECOS PAC ID: 7416291026 Enrollment ID: I20230719001557 |
| Provider Name | Courtney A Brzycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417631573 PECOS PAC ID: 1355701418 Enrollment ID: I20230720002441 |
| Provider Name | Sean Boone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417489758 PECOS PAC ID: 6305226291 Enrollment ID: I20230721000315 |
| Provider Name | Eric Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346628419 PECOS PAC ID: 2961766241 Enrollment ID: I20230724000811 |
| Provider Name | Brian Czarkowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306292164 PECOS PAC ID: 1557633195 Enrollment ID: I20230728003122 |
| Provider Name | Anne Tang-ulanday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114556313 PECOS PAC ID: 2062873557 Enrollment ID: I20230731003970 |
| Provider Name | Ryan D. Kraus |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528509767 PECOS PAC ID: 4981037751 Enrollment ID: I20230801001251 |
| Provider Name | Jennifer Bartolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053034157 PECOS PAC ID: 8527429984 Enrollment ID: I20230801002979 |
| Provider Name | Trevor Staub |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528591203 PECOS PAC ID: 8729469101 Enrollment ID: I20230801003848 |
| Provider Name | Shayla Marie Holyoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588358253 PECOS PAC ID: 7012378326 Enrollment ID: I20230803000469 |
| Provider Name | Justin Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457858698 PECOS PAC ID: 0244691210 Enrollment ID: I20230807003920 |
| Provider Name | Tenee Lopez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477013308 PECOS PAC ID: 6608101852 Enrollment ID: I20230809002514 |
| Provider Name | Kathryn Metcalf |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578947172 PECOS PAC ID: 1951781103 Enrollment ID: I20230810000491 |
| Provider Name | Camille Imbo Nloga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831693225 PECOS PAC ID: 3779960141 Enrollment ID: I20230814000226 |
| Provider Name | Angela Marie Morrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467136044 PECOS PAC ID: 8224490966 Enrollment ID: I20230814000566 |
| Provider Name | Timothy Eugene Hollowed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427678200 PECOS PAC ID: 9133581796 Enrollment ID: I20230814001977 |
| Provider Name | Bardia Azar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972065803 PECOS PAC ID: 5890029458 Enrollment ID: I20230815000998 |
| Provider Name | John M Tedesco |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104271782 PECOS PAC ID: 2062874555 Enrollment ID: I20230815004128 |
| Provider Name | Sara Shin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346774734 PECOS PAC ID: 9931477189 Enrollment ID: I20230821001137 |
| Provider Name | Lauren Taylor Iudiciani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214173 PECOS PAC ID: 2365805231 Enrollment ID: I20230824002581 |
| Provider Name | Jaclyn Michelle Kapilow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588195846 PECOS PAC ID: 9032591458 Enrollment ID: I20230825000296 |
| Provider Name | Brittany Justine Ayala-patlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881224533 PECOS PAC ID: 6103289632 Enrollment ID: I20230830003082 |
| Provider Name | Zak Ritchey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831696228 PECOS PAC ID: 8123350261 Enrollment ID: I20230831002677 |
| Provider Name | Aditya Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861922510 PECOS PAC ID: 2062875404 Enrollment ID: I20230831003513 |
| Provider Name | Ritika Suri |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1588196000 PECOS PAC ID: 6002186020 Enrollment ID: I20230905001905 |
| Provider Name | Rhenita Lubas Fawagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902589278 PECOS PAC ID: 5799148946 Enrollment ID: I20230906000439 |
| Provider Name | John T Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376030825 PECOS PAC ID: 1355696857 Enrollment ID: I20230907001405 |
| Provider Name | Alexander L Hailey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598228934 PECOS PAC ID: 7618219866 Enrollment ID: I20230907002413 |
| Provider Name | Madeline Dicks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154857209 PECOS PAC ID: 1153699517 Enrollment ID: I20230911003331 |
| Provider Name | Michelle Hunt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902303092 PECOS PAC ID: 4284088410 Enrollment ID: I20230921003226 |
| Provider Name | Lauren Richards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508250531 PECOS PAC ID: 6406138239 Enrollment ID: I20231011000975 |
| Provider Name | Erum Azhar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013103738 PECOS PAC ID: 0941469977 Enrollment ID: I20231012001162 |
| Provider Name | Devyn Alexandria Wengraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487336293 PECOS PAC ID: 8527414366 Enrollment ID: I20231030003457 |
| Provider Name | Deana M Gazzola |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1427227818 PECOS PAC ID: 6507944600 Enrollment ID: I20231102001542 |
| Provider Name | Marcia J. Houpe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770035412 PECOS PAC ID: 4284916255 Enrollment ID: I20231113000590 |
| Provider Name | Lucas Edward Munter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699557199 PECOS PAC ID: 3274980909 Enrollment ID: I20231116003090 |
| Provider Name | Brian J Cross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275564064 PECOS PAC ID: 6709778525 Enrollment ID: I20231214001733 |
| Provider Name | Christopher Picking |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366060741 PECOS PAC ID: 9739505520 Enrollment ID: I20231218001291 |
| Provider Name | Jennifer Nicole Smitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487338273 PECOS PAC ID: 9032569942 Enrollment ID: I20231219000613 |
| Provider Name | Lindsey Danae Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720868599 PECOS PAC ID: 8921458837 Enrollment ID: I20231219000639 |
| Provider Name | Chia-ling Phuah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639338114 PECOS PAC ID: 6800057035 Enrollment ID: I20231222001680 |
| Provider Name | Abdul Waheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547257 PECOS PAC ID: 4587810916 Enrollment ID: I20231227000590 |
| Provider Name | Santiago Jose Palmer Cancel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942073200 PECOS PAC ID: 0941650295 Enrollment ID: I20231228001800 |
| Provider Name | Simone Marsha James |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699549568 PECOS PAC ID: 3678924552 Enrollment ID: I20240104001992 |
| Provider Name | James Vogler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326401514 PECOS PAC ID: 2062707227 Enrollment ID: I20240122001309 |
| Provider Name | Eunjoo Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639493208 PECOS PAC ID: 1951437383 Enrollment ID: I20240130000919 |
| Provider Name | Lindsay Michele Frerichs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952782708 PECOS PAC ID: 3779897640 Enrollment ID: I20240208004651 |
| Provider Name | Tiffany Elizabeth Judges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447707393 PECOS PAC ID: 9931543865 Enrollment ID: I20240220001300 |
| Provider Name | Emi Yamashita |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053970715 PECOS PAC ID: 2567797301 Enrollment ID: I20240320002060 |
| Provider Name | Matthew Aaron Smith-cohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265811541 PECOS PAC ID: 7113207663 Enrollment ID: I20240401002647 |
| Provider Name | Abedelrahim I. Asfour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588609267 PECOS PAC ID: 8729015805 Enrollment ID: I20240403001732 |
| Provider Name | Benadette N Ngamelue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154948735 PECOS PAC ID: 5294154431 Enrollment ID: I20240412002654 |
| Provider Name | Mahesh Kumarr Balakrishnan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366890766 PECOS PAC ID: 5698039816 Enrollment ID: I20240509002964 |
| Provider Name | Ryan Christopher Oeltgen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174724371 PECOS PAC ID: 5799851481 Enrollment ID: I20240514001305 |
| Provider Name | Jacob Bradley Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285300541 PECOS PAC ID: 1153714084 Enrollment ID: I20240514002662 |
| Provider Name | Alex Tolman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558982926 PECOS PAC ID: 7618390568 Enrollment ID: I20240521001626 |
| Provider Name | Emily Frances Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639705429 PECOS PAC ID: 7517339138 Enrollment ID: I20240521004236 |
| Provider Name | Brianna Danielle Barlet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144859935 PECOS PAC ID: 2365884806 Enrollment ID: I20240529002025 |
| Provider Name | Olivia Kingsford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336609247 PECOS PAC ID: 4789026253 Enrollment ID: I20240529003273 |
| Provider Name | Rhyan Lyndsey Tosti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497504005 PECOS PAC ID: 3870935190 Enrollment ID: I20240531000844 |
| Provider Name | William Pinkston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780144287 PECOS PAC ID: 4082044813 Enrollment ID: I20240604001724 |
| Provider Name | Kara A. Keegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487419214 PECOS PAC ID: 2769924935 Enrollment ID: I20240604002122 |
| Provider Name | Daniel Joshua Panopio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326803198 PECOS PAC ID: 2062954019 Enrollment ID: I20240606000841 |
| Provider Name | Ethan Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366948721 PECOS PAC ID: 3072055508 Enrollment ID: I20240611004260 |
| Provider Name | Nicole Victoria Warrington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003479197 PECOS PAC ID: 6608100490 Enrollment ID: I20240612002504 |
| Provider Name | Brandon D Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912526559 PECOS PAC ID: 7416370077 Enrollment ID: I20240624001850 |
| Provider Name | Arielle Blair Lehman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245869205 PECOS PAC ID: 4486197035 Enrollment ID: I20240624003032 |
| Provider Name | Glen F Bowman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922110238 PECOS PAC ID: 8123911740 Enrollment ID: I20240625002965 |
| Provider Name | Randi Danielle Colbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518549880 PECOS PAC ID: 7315481819 Enrollment ID: I20240625003822 |
| Provider Name | Fakilahyel Samuel Mshelbwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124558515 PECOS PAC ID: 1658642004 Enrollment ID: I20240625003962 |
| Provider Name | Afuaahnwi Swiri Konje |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114440039 PECOS PAC ID: 6709129596 Enrollment ID: I20240628002784 |
| Provider Name | Ronald Parkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114509684 PECOS PAC ID: 9931643921 Enrollment ID: I20240701004035 |
| Provider Name | Haris Hakim Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629637368 PECOS PAC ID: 7113322769 Enrollment ID: I20240708003155 |
| Provider Name | William Naylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114307386 PECOS PAC ID: 0941506471 Enrollment ID: I20240711004262 |
| Provider Name | Anna-kaye Marie Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417574658 PECOS PAC ID: 8628491479 Enrollment ID: I20240715003341 |
| Provider Name | David J. Asfour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932693538 PECOS PAC ID: 0143563247 Enrollment ID: I20240715004189 |
| Provider Name | Ali Moradi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538798012 PECOS PAC ID: 4880139518 Enrollment ID: I20240717002345 |
| Provider Name | Saulena Sylvia Shafer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336460278 PECOS PAC ID: 7214206390 Enrollment ID: I20240723003177 |
| Provider Name | Sandy Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891378600 PECOS PAC ID: 5991241234 Enrollment ID: I20240723004343 |
| Provider Name | Mario Tempe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669000204 PECOS PAC ID: 6901290220 Enrollment ID: I20240723004498 |
| Provider Name | Ashley Megan O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104685452 PECOS PAC ID: 8527504794 Enrollment ID: I20240724000750 |
| Provider Name | Anusha Mangalampalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942799358 PECOS PAC ID: 1052664539 Enrollment ID: I20240724001012 |
| Provider Name | Charmaine Peters |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316433055 PECOS PAC ID: 5092114512 Enrollment ID: I20240724001055 |
| Provider Name | Michael Ortman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114556248 PECOS PAC ID: 7315347267 Enrollment ID: I20240724001452 |
| Provider Name | Omar S Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770162471 PECOS PAC ID: 7517403736 Enrollment ID: I20240724002500 |
| Provider Name | Bryan Franzen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548729767 PECOS PAC ID: 4385180462 Enrollment ID: I20240725000334 |
| Provider Name | Sabrina Denzer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427897727 PECOS PAC ID: 6103362934 Enrollment ID: I20240729001202 |
| Provider Name | Patrick George Pathappillil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679153266 PECOS PAC ID: 0244776003 Enrollment ID: I20240729002718 |
| Provider Name | Deborah X Xie |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821595620 PECOS PAC ID: 6901154202 Enrollment ID: I20240801002822 |
| Provider Name | Esther Oben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932500360 PECOS PAC ID: 7911444328 Enrollment ID: I20240802002554 |
| Provider Name | David G Norton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891274841 PECOS PAC ID: 4981933389 Enrollment ID: I20240802002938 |
| Provider Name | Levi Magari Atinda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801472774 PECOS PAC ID: 1153721907 Enrollment ID: I20240802003620 |
| Provider Name | Fiorella Alexandra Estrada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033790985 PECOS PAC ID: 6002353109 Enrollment ID: I20240807002321 |
| Provider Name | Samantha Lynn Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447019674 PECOS PAC ID: 2163960980 Enrollment ID: I20240812002575 |
| Provider Name | Judea P Wiggins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225598832 PECOS PAC ID: 6103283155 Enrollment ID: I20240816000685 |
| Provider Name | Nicholas Jon Nelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093210395 PECOS PAC ID: 6800334202 Enrollment ID: I20240816000888 |
| Provider Name | Daniella Carolina Sisniega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841788643 PECOS PAC ID: 4486985181 Enrollment ID: I20240816000907 |
| Provider Name | Mania Al Rezk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518546555 PECOS PAC ID: 9638617640 Enrollment ID: I20240821000800 |
| Provider Name | Syeda Khadija Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295315877 PECOS PAC ID: 6800334822 Enrollment ID: I20240821001405 |
| Provider Name | Leah Christine Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245018514 PECOS PAC ID: 0446798433 Enrollment ID: I20240821004597 |
| Provider Name | Nilofar Najafian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003263823 PECOS PAC ID: 9739473315 Enrollment ID: I20240826000524 |
| Provider Name | Sara Buck Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922848662 PECOS PAC ID: 0143769703 Enrollment ID: I20240827002025 |
| Provider Name | Samuel Ralph Barber |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073700969 PECOS PAC ID: 0244595023 Enrollment ID: I20240828001016 |
| Provider Name | Huiam Mubarak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972008514 PECOS PAC ID: 2567901978 Enrollment ID: I20240829002357 |
| Provider Name | Vidhya Lakshmi Kumbera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558696989 PECOS PAC ID: 8426295759 Enrollment ID: I20240911002796 |
| Provider Name | Caleb B Barcenas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972986750 PECOS PAC ID: 3577004548 Enrollment ID: I20240917004446 |
| Provider Name | Cinthia Uriarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114752615 PECOS PAC ID: 2769923614 Enrollment ID: I20240919001531 |
| Provider Name | Kerry Vaughan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396183034 PECOS PAC ID: 8527364041 Enrollment ID: I20240923001923 |
| Provider Name | Rhodel G Dacanay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306875679 PECOS PAC ID: 2264432442 Enrollment ID: I20240923003815 |
| Provider Name | Amanda Marsh Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659863553 PECOS PAC ID: 7810246527 Enrollment ID: I20240927001457 |
| Provider Name | Jessica Duemmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114761236 PECOS PAC ID: 1850822503 Enrollment ID: I20241004001633 |
| Provider Name | Jay N Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053873422 PECOS PAC ID: 9537528971 Enrollment ID: I20241007001062 |
| Provider Name | Ahmed Al Dulaimi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669051793 PECOS PAC ID: 8729489125 Enrollment ID: I20241010001481 |
| Provider Name | Stuart Bergman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992859805 PECOS PAC ID: 4587608112 Enrollment ID: I20241011001638 |
| Provider Name | Andrew Peter Philip Kinahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780247544 PECOS PAC ID: 6406388560 Enrollment ID: I20241014002920 |
| Provider Name | Sheena Galhotra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881042075 PECOS PAC ID: 8527350438 Enrollment ID: I20241016003622 |
| Provider Name | Ashley Nicole Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366288060 PECOS PAC ID: 6305378043 Enrollment ID: I20241018001378 |
| Provider Name | Mark A Linsenmeyer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730569419 PECOS PAC ID: 9335422559 Enrollment ID: I20241022000908 |
| Provider Name | Tyler Putnam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710481551 PECOS PAC ID: 7012310972 Enrollment ID: I20241104004107 |
| Provider Name | Laila Younes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124511001 PECOS PAC ID: 1850648700 Enrollment ID: I20241105003477 |
| Provider Name | Nathan Paul Zwintscher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801044144 PECOS PAC ID: 1153553623 Enrollment ID: I20241206001588 |
| Provider Name | Dipak Ramkumar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639412976 PECOS PAC ID: 3870890809 Enrollment ID: I20241226000598 |
| Provider Name | Ashley J. Randall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689080582 PECOS PAC ID: 2668698598 Enrollment ID: I20250204001706 |
| Provider Name | Valerie Lashea Monique Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932918364 PECOS PAC ID: 7113457631 Enrollment ID: I20250212002113 |
| Provider Name | Diane C. Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697261 PECOS PAC ID: 9234364639 Enrollment ID: I20250225000254 |
| Provider Name | Lauren Rabach |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487072146 PECOS PAC ID: 5698009173 Enrollment ID: I20250509000430 |
| Provider Name | Nezar M. Falluji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053427872 PECOS PAC ID: 3678593456 Enrollment ID: I20250515000835 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |