| St. Joseph's Faculty Physicians | |
|
350 W Thomas Rd Phoenix AZ 85013-4409 | |
| (602) 406-3729 | |
| (602) 798-9412 |
| Full Name | St. Joseph's Faculty Physicians |
|---|---|
| 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 |
|---|---|
| St. Joseph's Faculty Physicians File 56765 Los Angeles CA 90074-0001 Ph: (602) 406-4596 | St. Joseph's Faculty Physicians 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 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 4486646197 |
|---|---|
| Medicare Enrollment ID | O20040401001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326098005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Osaf Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396775680 PECOS PAC ID: 6103739735 Enrollment ID: I20031110000693 |
| Provider Name | Philip Husband |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417019753 PECOS PAC ID: 3971412503 Enrollment ID: I20031121000899 |
| Provider Name | Roland D Benigno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578775748 PECOS PAC ID: 0446157010 Enrollment ID: I20031212000892 |
| Provider Name | Kevin L Redus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164425633 PECOS PAC ID: 8628961091 Enrollment ID: I20040209000098 |
| Provider Name | Michael Amoa-asare |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235199639 PECOS PAC ID: 4486542867 Enrollment ID: I20040308000764 |
| 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 Brady |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154315810 PECOS PAC ID: 0648162529 Enrollment ID: I20040325001653 |
| Provider Name | Paul R Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720191513 PECOS PAC ID: 1850383233 Enrollment ID: I20040402001253 |
| 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 | 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 | 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 | Bethanie B Sorensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396747044 PECOS PAC ID: 6709879661 Enrollment ID: I20040406001119 |
| Provider Name | Gary T Fullmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427008150 PECOS PAC ID: 4981697539 Enrollment ID: I20040407001407 |
| Provider Name | Marwan N Sabbagh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497748289 PECOS PAC ID: 3678567211 Enrollment ID: I20040414001250 |
| Provider Name | Divis Kaur 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 | Kevin P Mcgeever |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144330408 PECOS PAC ID: 3274528955 Enrollment ID: I20040420001130 |
| Provider Name | Nabil Dib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508867383 PECOS PAC ID: 1951399617 Enrollment ID: I20040503001124 |
| Provider Name | Thomas L Gillespie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144309261 PECOS PAC ID: 1456349208 Enrollment ID: I20040504000208 |
| Provider Name | Kenneth G Fulp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083668800 PECOS PAC ID: 7719977594 Enrollment ID: I20040513001339 |
| Provider Name | Lilia Parra-roide |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417062506 PECOS PAC ID: 6709877319 Enrollment ID: I20040521000920 |
| Provider Name | Marzban M Hayyeri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396717484 PECOS PAC ID: 7113917485 Enrollment ID: I20040525000285 |
| 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 | Shahab Aftahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881656783 PECOS PAC ID: 4789666397 Enrollment ID: I20040608000021 |
| 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 | 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 | Andrew P Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740240712 PECOS PAC ID: 7416934781 Enrollment ID: I20040706000103 |
| Provider Name | Todd K Farnworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811961113 PECOS PAC ID: 5395723357 Enrollment ID: I20040708000073 |
| Provider Name | Hamlet Benyamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720048747 PECOS PAC ID: 9739167180 Enrollment ID: I20040712000678 |
| Provider Name | Jordan a Weinberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750347563 PECOS PAC ID: 9638149545 Enrollment ID: I20040728001132 |
| 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 | Juan C Diazcadena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730182544 PECOS PAC ID: 8224002472 Enrollment ID: I20040823001501 |
| Provider Name | Neil E Motzkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245321173 PECOS PAC ID: 7113991886 Enrollment ID: I20040903001172 |
| Provider Name | John N Galgiani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154341055 PECOS PAC ID: 2062481286 Enrollment ID: I20040924000918 |
| Provider Name | Kristin Kirlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356451322 PECOS PAC ID: 0143289058 Enrollment ID: I20041006001234 |
| Provider Name | David M Ott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588660914 PECOS PAC ID: 8729973201 Enrollment ID: I20041026000557 |
| 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 | James a Mankin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942310297 PECOS PAC ID: 0941194047 Enrollment ID: I20050211000191 |
| 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 | Daniel B Hoag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255403853 PECOS PAC ID: 8628960416 Enrollment ID: I20050312000012 |
| Provider Name | Michelle R Kuhn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770576241 PECOS PAC ID: 0648226449 Enrollment ID: I20050324000624 |
| Provider Name | Courtney L Mitchell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558433870 PECOS PAC ID: 9335186873 Enrollment ID: I20050415000179 |
| Provider Name | Karen a Coleman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841237294 PECOS PAC ID: 4082512256 Enrollment ID: I20050418000079 |
| Provider Name | Padmaja Bollam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083792519 PECOS PAC ID: 1456399310 Enrollment ID: I20050420001303 |
| Provider Name | Ashish Pershad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194710657 PECOS PAC ID: 5799725081 Enrollment ID: I20050505000823 |
| Provider Name | Gail L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366554388 PECOS PAC ID: 2062453772 Enrollment ID: I20050512000565 |
| Provider Name | Karen a Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487761714 PECOS PAC ID: 1254303852 Enrollment ID: I20050610000468 |
| Provider Name | Shafeeq S Ladha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417931767 PECOS PAC ID: 6507833274 Enrollment ID: I20050712000789 |
| Provider Name | Carol P Bemis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326261777 PECOS PAC ID: 1658307483 Enrollment ID: I20050713000666 |
| Provider Name | Penny a Vanpatten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871573808 PECOS PAC ID: 4385692391 Enrollment ID: I20050722000131 |
| Provider Name | Mehrdad Saririan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083669998 PECOS PAC ID: 0547298325 Enrollment ID: I20050802000938 |
| Provider Name | Dean Prater |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942382692 PECOS PAC ID: 9234169533 Enrollment ID: I20050816001180 |
| Provider Name | Kimberly J Chrisman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487679429 PECOS PAC ID: 0840221511 Enrollment ID: I20050823000779 |
| Provider Name | Lynda a Peterman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851345169 PECOS PAC ID: 5395774129 Enrollment ID: I20050908000525 |
| Provider Name | Gary H Silber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932169364 PECOS PAC ID: 5496787418 Enrollment ID: I20050909000733 |
| 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 | Roger Gilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851383236 PECOS PAC ID: 7315971660 Enrollment ID: I20050926000615 |
| 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 | Denise R Sackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730163361 PECOS PAC ID: 7113946187 Enrollment ID: I20051118000356 |
| Provider Name | Gregory a Robertson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609917418 PECOS PAC ID: 0749200368 Enrollment ID: I20051129000029 |
| Provider Name | Surinder K Bharara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669432530 PECOS PAC ID: 2062435118 Enrollment ID: I20060104000709 |
| Provider Name | Christina P Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881642007 PECOS PAC ID: 5193748374 Enrollment ID: I20060113000543 |
| Provider Name | Matthew Hemstreet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275553182 PECOS PAC ID: 1355336074 Enrollment ID: I20060113000753 |
| Provider Name | Curtis Mewhinney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609834647 PECOS PAC ID: 8729002647 Enrollment ID: I20060118000954 |
| Provider Name | Ross M Bremner |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1205849429 PECOS PAC ID: 1759395999 Enrollment ID: I20060126000941 |
| 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 | Shawn D Stevenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891766127 PECOS PAC ID: 6709896632 Enrollment ID: I20060421000411 |
| Provider Name | Victoria L Carpenter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205088846 PECOS PAC ID: 2062422157 Enrollment ID: I20060503000822 |
| 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 | 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 | Jessica M Potvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285720771 PECOS PAC ID: 5496753220 Enrollment ID: I20061110000084 |
| Provider Name | Heather Kay Otoole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992797880 PECOS PAC ID: 1456359058 Enrollment ID: I20061114000591 |
| 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 | Michael Smith |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033138706 PECOS PAC ID: 2769458157 Enrollment ID: I20070209000552 |
| Provider Name | Mohamad Feras Alyafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487620696 PECOS PAC ID: 6608819800 Enrollment ID: I20070213000277 |
| Provider Name | Frank Willard Sabatelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881691566 PECOS PAC ID: 6204897671 Enrollment ID: I20070303000063 |
| 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 | Suzanne M Vienuzis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558315606 PECOS PAC ID: 5294754297 Enrollment ID: I20070523000467 |
| 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 | 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 | 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 | Sara L Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427166396 PECOS PAC ID: 1759367279 Enrollment ID: I20070810000040 |
| 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 | Andrea Wolff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659430981 PECOS PAC ID: 9537264478 Enrollment ID: I20070828000221 |
| 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 | Hector Rodriguez-luna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467678557 PECOS PAC ID: 9032299052 Enrollment ID: I20080103000446 |
| Provider Name | Thanh D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508945569 PECOS PAC ID: 8325128770 Enrollment ID: I20080110000376 |
| 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 | 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 | Daniel a Belen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790722452 PECOS PAC ID: 1951312032 Enrollment ID: I20080821000647 |
| Provider Name | Anna D Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730379819 PECOS PAC ID: 2567537558 Enrollment ID: I20080827000124 |
| 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 | 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 | Yamine Saddouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669655007 PECOS PAC ID: 8224196902 Enrollment ID: I20081024000180 |
| Provider Name | Kristi M Preston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932353638 PECOS PAC ID: 0941361315 Enrollment ID: I20081203000554 |
| 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 | Amanda D Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700028602 PECOS PAC ID: 9133276298 Enrollment ID: I20090408000085 |
| Provider Name | Jodi M Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942440763 PECOS PAC ID: 2668520073 Enrollment ID: I20090423000132 |
| 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 | Tilina N Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013181924 PECOS PAC ID: 8729131081 Enrollment ID: I20090804000242 |
| Provider Name | Kevin W Potter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831355643 PECOS PAC ID: 9638239031 Enrollment ID: I20090812000783 |
| 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 | Koushik Nag |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699892059 PECOS PAC ID: 4981759107 Enrollment ID: I20090911000045 |
| 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 | Jamie Jennette Coracides |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073846176 PECOS PAC ID: 6608912910 Enrollment ID: I20090930000001 |
| Provider Name | Hursh S Naik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124139423 PECOS PAC ID: 9436295524 Enrollment ID: I20091002000325 |
| Provider Name | Madhuri Nmi Segireddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285839795 PECOS PAC ID: 7416093307 Enrollment ID: I20091007000136 |
| Provider Name | Vivian V Perlman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811045263 PECOS PAC ID: 2961549654 Enrollment ID: I20091029000177 |
| Provider Name | Dawn M Benford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538497110 PECOS PAC ID: 7214078252 Enrollment ID: I20100112000859 |
| 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 | Cynthia J Monheim Janss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376611467 PECOS PAC ID: 9830227172 Enrollment ID: I20100507000220 |
| Provider Name | Gina M Arnold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457673915 PECOS PAC ID: 8325177207 Enrollment ID: I20100602000794 |
| Provider Name | Saeed Fakhran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891985818 PECOS PAC ID: 6204966971 Enrollment ID: I20100608000218 |
| Provider Name | Stephanie G Von Pahlen Fedoroff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497798573 PECOS PAC ID: 6709889769 Enrollment ID: I20100615000853 |
| 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 | 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 | Lucas a Birmelin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750378261 PECOS PAC ID: 8729103031 Enrollment ID: I20100909001050 |
| 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 | Dinakar Malladi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124008834 PECOS PAC ID: 2860685450 Enrollment ID: I20101014001078 |
| Provider Name | Christopher Rubio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548577067 PECOS PAC ID: 0941494587 Enrollment ID: I20101028000090 |
| Provider Name | Amy J Williamson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881656973 PECOS PAC ID: 7911191440 Enrollment ID: I20101028001335 |
| Provider Name | Dean Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336114255 PECOS PAC ID: 0749475556 Enrollment ID: I20101105001015 |
| Provider Name | Linda M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558543678 PECOS PAC ID: 7517153422 Enrollment ID: I20101117001570 |
| Provider Name | Erin N Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699083345 PECOS PAC ID: 5496942195 Enrollment ID: I20101207001017 |
| Provider Name | Mark Mcomber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790865103 PECOS PAC ID: 5193798700 Enrollment ID: I20101220001045 |
| Provider Name | Octavio Pajaro |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629065677 PECOS PAC ID: 3274532239 Enrollment ID: I20110113001088 |
| 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 | Jason Daniel Klein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902027337 PECOS PAC ID: 5597946335 Enrollment ID: I20110225000832 |
| Provider Name | Laura a Truax |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730499609 PECOS PAC ID: 8820270275 Enrollment ID: I20110307000984 |
| 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 | Alice R Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871654418 PECOS PAC ID: 6507041258 Enrollment ID: I20110425000276 |
| Provider Name | Ian Allen Mcleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487626958 PECOS PAC ID: 7618152372 Enrollment ID: I20110425000352 |
| Provider Name | Andrea R Jullette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609186022 PECOS PAC ID: 2769668995 Enrollment ID: I20110523000811 |
| Provider Name | Nicole Dapice |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851608152 PECOS PAC ID: 3072799139 Enrollment ID: I20110525000687 |
| Provider Name | Abbigail Lynn Tittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639461601 PECOS PAC ID: 9537346432 Enrollment ID: I20110601000639 |
| 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 | Carolyn C Janik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144534595 PECOS PAC ID: 9436327889 Enrollment ID: I20110816000561 |
| Provider Name | William C Gronberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790930527 PECOS PAC ID: 2769545573 Enrollment ID: I20110907001232 |
| 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 | 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 | Jamie Z Black |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477830057 PECOS PAC ID: 0547435034 Enrollment ID: I20111212000716 |
| 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 | 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 | Jennifer L Golding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851359616 PECOS PAC ID: 5799791224 Enrollment ID: I20120220000061 |
| Provider Name | Esther R Fletcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962771998 PECOS PAC ID: 0345409835 Enrollment ID: I20120301000516 |
| Provider Name | Alexander Troster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760554034 PECOS PAC ID: 7214829167 Enrollment ID: I20120302000303 |
| Provider Name | Brandon H Forester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104124007 PECOS PAC ID: 3072775329 Enrollment ID: I20120502000275 |
| 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 | 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 | Kerry L Knievel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578745634 PECOS PAC ID: 6305096934 Enrollment ID: I20121017000262 |
| Provider Name | Vladimir Shvarts |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1740450295 PECOS PAC ID: 9234380916 Enrollment ID: I20121105000564 |
| Provider Name | Jennifer J Jallo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447508023 PECOS PAC ID: 1355592064 Enrollment ID: I20121106000221 |
| Provider Name | Jennifer a Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508167560 PECOS PAC ID: 3577714153 Enrollment ID: I20121107000407 |
| Provider Name | Paula M Kiesner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174750053 PECOS PAC ID: 7416108873 Enrollment ID: I20121112000246 |
| Provider Name | Claire J Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679825004 PECOS PAC ID: 1658522099 Enrollment ID: I20121113000511 |
| Provider Name | Abdul Samad Hashimi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588873715 PECOS PAC ID: 6406007335 Enrollment ID: I20121127000160 |
| Provider Name | Michael Eric Payne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619211935 PECOS PAC ID: 5698927879 Enrollment ID: I20121217000084 |
| Provider Name | Maureen Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871833871 PECOS PAC ID: 3476708728 Enrollment ID: I20130312000583 |
| Provider Name | Anne Y Ferguson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154368793 PECOS PAC ID: 4587652979 Enrollment ID: I20130314000386 |
| Provider Name | Sara C Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740321207 PECOS PAC ID: 5294831509 Enrollment ID: I20130418000535 |
| Provider Name | Mary F Misiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285974238 PECOS PAC ID: 7113163031 Enrollment ID: I20130422000062 |
| Provider Name | Jodi Deanne Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942543749 PECOS PAC ID: 5496993396 Enrollment ID: I20130605000377 |
| 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 | Ryan R Scott |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871756031 PECOS PAC ID: 9931349164 Enrollment ID: I20130710000893 |
| Provider Name | Courtney M Schusse |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1659535276 PECOS PAC ID: 8527209824 Enrollment ID: I20130730000254 |
| Provider Name | Brian Gerald Wilhelmi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306075726 PECOS PAC ID: 4082864137 Enrollment ID: I20130906000328 |
| Provider Name | Marcel E Gourian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386088243 PECOS PAC ID: 3375787500 Enrollment ID: I20130910000239 |
| Provider Name | Jaskanwal S Bisla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| 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 | Ming Jai Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932211232 PECOS PAC ID: 8527294834 Enrollment ID: I20131114001902 |
| Provider Name | Rebecca N Greene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346677069 PECOS PAC ID: 5597991513 Enrollment ID: I20131122000250 |
| 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 | Ethan E Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932532322 PECOS PAC ID: 2264669399 Enrollment ID: I20131218000365 |
| Provider Name | Tatyana a Shekhel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376796599 PECOS PAC ID: 3173751781 Enrollment ID: I20140103001483 |
| Provider Name | Kamala C Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013144666 PECOS PAC ID: 0840428389 Enrollment ID: I20140108001481 |
| 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 | Nicole E Schatz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144658022 PECOS PAC ID: 6709014566 Enrollment ID: I20140124001280 |
| 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 | Mai Amy Ha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003994278 PECOS PAC ID: 7719057942 Enrollment ID: I20140303001863 |
| 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 | Angela Waz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952722811 PECOS PAC ID: 4284866898 Enrollment ID: I20140414002101 |
| Provider Name | Alice Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568890309 PECOS PAC ID: 7012140791 Enrollment ID: I20140502001854 |
| 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 | Laura L Macphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740604982 PECOS PAC ID: 1456576800 Enrollment ID: I20140627001275 |
| Provider Name | Adam Micheal Sproat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376772152 PECOS PAC ID: 8022233261 Enrollment ID: I20140702001553 |
| Provider Name | Michael R Bonsaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336552132 PECOS PAC ID: 4284850322 Enrollment ID: I20140724002567 |
| 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 | 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 | 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 Calvin |
|---|---|
| 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 | 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 | Jared R Breese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619380102 PECOS PAC ID: 9931320652 Enrollment ID: I20141022001556 |
| Provider Name | Roshni Madappa Kundranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700955838 PECOS PAC ID: 8224036462 Enrollment ID: I20141029000137 |
| Provider Name | Lisa H. Keller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427459544 PECOS PAC ID: 7012137284 Enrollment ID: I20141029002208 |
| Provider Name | Mohanad T Al-qaisi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376838862 PECOS PAC ID: 9436370780 Enrollment ID: I20141030000075 |
| Provider Name | Amy L Shannon-mcconaughy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982893368 PECOS PAC ID: 9436384104 Enrollment ID: I20141030002678 |
| Provider Name | Rebekah D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225444052 PECOS PAC ID: 5698997005 Enrollment ID: I20141119000002 |
| Provider Name | Ramakant Sharma |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013137918 PECOS PAC ID: 7618162249 Enrollment ID: I20141209001273 |
| Provider Name | Stephanie Ressler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285041509 PECOS PAC ID: 8224350632 Enrollment ID: I20141212001759 |
| Provider Name | Tiffany M Meites |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275947574 PECOS PAC ID: 7416270269 Enrollment ID: I20141230002710 |
| Provider Name | Romelda L Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083018345 PECOS PAC ID: 6002130614 Enrollment ID: I20150129002597 |
| Provider Name | Gary Edward Kirkilas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659697704 PECOS PAC ID: 9335375542 Enrollment ID: I20150130002140 |
| Provider Name | Hesham E Abdelrazek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841266681 PECOS PAC ID: 0547299547 Enrollment ID: I20150202001478 |
| Provider Name | Paul DS Knott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831596352 PECOS PAC ID: 1850616640 Enrollment ID: I20150219001958 |
| Provider Name | Kimberly Wolfe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710216429 PECOS PAC ID: 2769707439 Enrollment ID: I20150221000301 |
| 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 | Sarah E Wortendyke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336539410 PECOS PAC ID: 3375860331 Enrollment ID: I20150401000016 |
| Provider Name | Andrew S Huard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548421449 PECOS PAC ID: 6800963810 Enrollment ID: I20150409000020 |
| Provider Name | Robert Goebel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174620504 PECOS PAC ID: 6608787809 Enrollment ID: I20150422002450 |
| Provider Name | Krista D Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346653847 PECOS PAC ID: 7113247487 Enrollment ID: I20150528000576 |
| Provider Name | Michelle Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841681798 PECOS PAC ID: 8729399290 Enrollment ID: I20150624002705 |
| Provider Name | Mohamad 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 | Taruna Ralhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700046364 PECOS PAC ID: 6507170891 Enrollment ID: I20150730012491 |
| Provider Name | Andrew C Duarte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609003581 PECOS PAC ID: 2961628433 Enrollment ID: I20150805006335 |
| Provider Name | Fadi K Alrabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609131499 PECOS PAC ID: 6507171105 Enrollment ID: I20150811005276 |
| Provider Name | Michelle R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336535517 PECOS PAC ID: 3870809734 Enrollment ID: I20150909000343 |
| Provider Name | Mylene Ray Mendoza Plado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528435252 PECOS PAC ID: 8527375229 Enrollment ID: I20150914000036 |
| 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 | Clifford Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548258031 PECOS PAC ID: 8628045499 Enrollment ID: I20151022000682 |
| Provider Name | Vanessa a Karie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396116992 PECOS PAC ID: 7810206257 Enrollment ID: I20151026000543 |
| Provider Name | Shaye E Harrel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487025086 PECOS PAC ID: 4688983026 Enrollment ID: I20151026000740 |
| Provider Name | Sarah K Sharer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730478280 PECOS PAC ID: 9638489370 Enrollment ID: I20151109000507 |
| Provider Name | Jessica Anne Vanderwilp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851763635 PECOS PAC ID: 9537469689 Enrollment ID: I20151123001135 |
| 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 | Van Leavitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780976480 PECOS PAC ID: 6406157130 Enrollment ID: I20151222000760 |
| Provider Name | Matthew J Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114171733 PECOS PAC ID: 0244391050 Enrollment ID: I20151223001922 |
| Provider Name | Jordan V Jacobs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215160379 PECOS PAC ID: 3274834759 Enrollment ID: I20151229001925 |
| Provider Name | David S Bowman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326429705 PECOS PAC ID: 0840592457 Enrollment ID: I20160113000975 |
| 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 | Jason S Apfel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134591704 PECOS PAC ID: 8921302423 Enrollment ID: I20160203001419 |
| Provider Name | Tegan C. Halberg Gamblin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275933848 PECOS PAC ID: 2062734296 Enrollment ID: I20160216001116 |
| Provider Name | John M Watt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780849968 PECOS PAC ID: 2769788678 Enrollment ID: I20160302001736 |
| 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 | Maria Radulovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033570304 PECOS PAC ID: 3173821907 Enrollment ID: I20160412001814 |
| Provider Name | Joby Janardhanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417316449 PECOS PAC ID: 3678862778 Enrollment ID: I20160512001578 |
| 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 | Candace P Schuierer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154435857 PECOS PAC ID: 5597788026 Enrollment ID: I20160706002107 |
| Provider Name | Cody Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235570722 PECOS PAC ID: 6406149509 Enrollment ID: I20160727001265 |
| Provider Name | Anna Lyons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902259120 PECOS PAC ID: 6305130816 Enrollment ID: I20160805001600 |
| Provider Name | John Patrick Dorsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114392800 PECOS PAC ID: 1557652740 Enrollment ID: I20160809000321 |
| Provider Name | Sumeet K Mittal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780795609 PECOS PAC ID: 6103961230 Enrollment ID: I20160818001446 |
| Provider Name | Brett Christopher Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285087759 PECOS PAC ID: 7911292909 Enrollment ID: I20160830002144 |
| Provider Name | Shyamal Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477878767 PECOS PAC ID: 4183945421 Enrollment ID: I20160902000600 |
| 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 | Stacy Cantwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164760245 PECOS PAC ID: 6305082629 Enrollment ID: I20160921000146 |
| 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 | Osama Qasim Agha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417381120 PECOS PAC ID: 3971891748 Enrollment ID: I20161011000975 |
| Provider Name | Krista Kaye Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841749132 PECOS PAC ID: 3779871389 Enrollment ID: I20161014000946 |
| Provider Name | Cole Mendenhall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891958351 PECOS PAC ID: 1153549902 Enrollment ID: I20161026001142 |
| 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 | Mandy S Oliden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538472766 PECOS PAC ID: 1254612294 Enrollment ID: I20170105000268 |
| Provider Name | Tory M Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538603261 PECOS PAC ID: 6901189703 Enrollment ID: I20170201000939 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324170 PECOS PAC ID: 9436138567 Enrollment ID: I20170210000522 |
| 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 | Kevin Drake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285183681 PECOS PAC ID: 7618254616 Enrollment ID: I20170428001919 |
| Provider Name | Benjamin Ihms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588076046 PECOS PAC ID: 6002193448 Enrollment ID: I20170511002226 |
| 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 | Igor Barani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811105943 PECOS PAC ID: 6002975158 Enrollment ID: I20170619002017 |
| 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 | Shawn Michael Stevens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033430335 PECOS PAC ID: 9931412962 Enrollment ID: I20170712004126 |
| Provider Name | Kelly Hortel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942749379 PECOS PAC ID: 3971873407 Enrollment ID: I20170717001888 |
| 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 | 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 | Sidney Mangelsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871950980 PECOS PAC ID: 7810268521 Enrollment ID: I20170728002543 |
| 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 | Kelly L Wu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184890956 PECOS PAC ID: 2860648300 Enrollment ID: I20170831003098 |
| Provider Name | Danielle E Eagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467985408 PECOS PAC ID: 1254603137 Enrollment ID: I20170907002098 |
| Provider Name | Tricia Kruger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538571054 PECOS PAC ID: 6800113259 Enrollment ID: I20170929001541 |
| Provider Name | Michael P Leovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356787626 PECOS PAC ID: 4587939285 Enrollment ID: I20171005002157 |
| Provider Name | Alex Bryan Olsen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003014044 PECOS PAC ID: 1355663238 Enrollment ID: I20171012001064 |
| Provider Name | Christian M Andreen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275052664 PECOS PAC ID: 3779858972 Enrollment ID: I20171012003571 |
| Provider Name | Kailey Richelle Osbaugh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528583762 PECOS PAC ID: 6204102445 Enrollment ID: I20171016002983 |
| Provider Name | Meghan C Bristyan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538531702 PECOS PAC ID: 7810253861 Enrollment ID: I20171108002137 |
| Provider Name | Ala K Alkhader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336669241 PECOS PAC ID: 4385901669 Enrollment ID: I20171121001587 |
| Provider Name | Priscilla M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366951519 PECOS PAC ID: 1254699242 Enrollment ID: I20171220003382 |
| Provider Name | Logan X Linarte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578087474 PECOS PAC ID: 3971861899 Enrollment ID: I20171226002025 |
| Provider Name | Sarah B Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003320904 PECOS PAC ID: 7416215116 Enrollment ID: I20180102001098 |
| Provider Name | Brittany N Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639697824 PECOS PAC ID: 8729346424 Enrollment ID: I20180102001386 |
| 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 | Cathryn a Sexton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699283978 PECOS PAC ID: 5395007983 Enrollment ID: I20180319002709 |
| Provider Name | Sara Brenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063936219 PECOS PAC ID: 4880956259 Enrollment ID: I20180322002395 |
| Provider Name | Suzanne O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396263919 PECOS PAC ID: 7618239856 Enrollment ID: I20180418001654 |
| 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 | Wesley D High |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073958005 PECOS PAC ID: 7517222763 Enrollment ID: I20180517002572 |
| Provider Name | Tomoki Hashimoto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205881950 PECOS PAC ID: 7810058088 Enrollment ID: I20180521002657 |
| 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 M Buddhdev |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881907681 PECOS PAC ID: 7315195641 Enrollment ID: I20180604000165 |
| 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 | Michelle G Naour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407346034 PECOS PAC ID: 0345595252 Enrollment ID: I20180618002564 |
| Provider Name | Makardhwaj Sarvadaman Shrivastava |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871844258 PECOS PAC ID: 3274888094 Enrollment ID: I20180620000386 |
| 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 | 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 | Christine E Firth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902291016 PECOS PAC ID: 2264745892 Enrollment ID: I20180726002942 |
| 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 | Miyoung Lee Son |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134605553 PECOS PAC ID: 8426307216 Enrollment ID: I20180828002634 |
| Provider Name | Rachel Wetherall Axt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689166191 PECOS PAC ID: 9032469788 Enrollment ID: I20180830001645 |
| 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 | Nader Makki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306127808 PECOS PAC ID: 5799088043 Enrollment ID: I20180914001043 |
| Provider Name | Ammar Karim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356683924 PECOS PAC ID: 9931450871 Enrollment ID: I20180917000872 |
| Provider Name | Rizwan Jafri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386930667 PECOS PAC ID: 8820314826 Enrollment ID: I20181003001245 |
| 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 | Ashka Atodaria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437566957 PECOS PAC ID: 4385998335 Enrollment ID: I20181112000571 |
| Provider Name | Elizabeth Aguilera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720587728 PECOS PAC ID: 6709120470 Enrollment ID: I20181206001748 |
| Provider Name | Tingrui Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962889543 PECOS PAC ID: 8123362738 Enrollment ID: I20181210001222 |
| 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 | Lori F Troxel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164902524 PECOS PAC ID: 8123362605 Enrollment ID: I20181211000745 |
| Provider Name | Kevin Boyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972984409 PECOS PAC ID: 9436461878 Enrollment ID: I20181211001981 |
| Provider Name | Pallavi Bellamkonda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871718486 PECOS PAC ID: 5092869032 Enrollment ID: I20181212001720 |
| Provider Name | Corina Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184112104 PECOS PAC ID: 4981949187 Enrollment ID: I20181217001099 |
| Provider Name | Lesley K Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255812491 PECOS PAC ID: 8123363967 Enrollment ID: I20181221002287 |
| Provider Name | Nina Tazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447661376 PECOS PAC ID: 8426277286 Enrollment ID: I20181226001522 |
| Provider Name | Ellayna Renee Wiedow Avila |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417435181 PECOS PAC ID: 9739424318 Enrollment ID: I20181231001750 |
| Provider Name | Ethan Everlith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003391434 PECOS PAC ID: 1557607082 Enrollment ID: I20190103003273 |
| Provider Name | Ali Imran Saeed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750581641 PECOS PAC ID: 8820278427 Enrollment ID: I20190128001635 |
| 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 | Christina Frieh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932687498 PECOS PAC ID: 1850639014 Enrollment ID: I20190213001409 |
| Provider Name | Molly M Cerniglia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679578991 PECOS PAC ID: 7911958525 Enrollment ID: I20190308000834 |
| Provider Name | Timothy D Hosch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417388448 PECOS PAC ID: 5698907699 Enrollment ID: I20190315002416 |
| Provider Name | Mark Wyma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336612852 PECOS PAC ID: 8325388846 Enrollment ID: I20190320001687 |
| 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 | 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 | Joshua Schuyler Mason |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245557784 PECOS PAC ID: 8921301367 Enrollment ID: I20190524002324 |
| Provider Name | Sarabdeep S Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508283706 PECOS PAC ID: 7416298849 Enrollment ID: I20190530002941 |
| 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 | Josna P Padiyar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558781831 PECOS PAC ID: 2163756016 Enrollment ID: I20190626001244 |
| 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 | 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 | 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 Bhowra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962842989 PECOS PAC ID: 7618231085 Enrollment ID: I20190725001228 |
| Provider Name | Jourdan Daria Milliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629638879 PECOS PAC ID: 5890021752 Enrollment ID: I20190730003116 |
| Provider Name | Aidnag Z Diaz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568422723 PECOS PAC ID: 9739137076 Enrollment ID: I20190730003949 |
| Provider Name | Sean Allan Marco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790123834 PECOS PAC ID: 0345548772 Enrollment ID: I20190802002849 |
| Provider Name | Akshay Muralidhar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073856423 PECOS PAC ID: 3577864487 Enrollment ID: I20190806004233 |
| 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 | 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 | Saralyn Heddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013481670 PECOS PAC ID: 4587993498 Enrollment ID: I20190830002911 |
| 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 | 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 | Rebecca a Dodd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609357946 PECOS PAC ID: 6608115142 Enrollment ID: I20190924003440 |
| Provider Name | Rajiv Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770797359 PECOS PAC ID: 5294923272 Enrollment ID: I20190926001421 |
| Provider Name | Samuel O Tytler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225423130 PECOS PAC ID: 8123331931 Enrollment ID: I20190928000005 |
| Provider Name | Elizabeth Lucia Olarte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679129563 PECOS PAC ID: 4183955172 Enrollment ID: I20191004001782 |
| 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 | Lina M. Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821650490 PECOS PAC ID: 9133450612 Enrollment ID: I20191015000857 |
| Provider Name | Kaitlyn Margaret Leahey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326521980 PECOS PAC ID: 8820333917 Enrollment ID: I20191022002383 |
| 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 | Christina Jo Cudzewicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417508722 PECOS PAC ID: 0143652750 Enrollment ID: I20191120002441 |
| Provider Name | Sarah Renee Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053953000 PECOS PAC ID: 3971936949 Enrollment ID: I20191204003014 |
| 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 | Elsa Baena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891344982 PECOS PAC ID: 3476987959 Enrollment ID: I20191217001815 |
| 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 | Michaela Jae Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518408384 PECOS PAC ID: 0446537732 Enrollment ID: I20200102000129 |
| Provider Name | Ashutosh P. Jadhav |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972708527 PECOS PAC ID: 8022264233 Enrollment ID: I20200107000940 |
| 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 | Nathan R Blackhurst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952863003 PECOS PAC ID: 6406283852 Enrollment ID: I20200224002049 |
| 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 | Claudia Cardenas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619443389 PECOS PAC ID: 5294164620 Enrollment ID: I20200406000859 |
| Provider Name | Kirsten Sumner |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578981601 PECOS PAC ID: 0941503130 Enrollment ID: I20200501000140 |
| Provider Name | Laurie Jenay Burnworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588904031 PECOS PAC ID: 4284937210 Enrollment ID: I20200511000794 |
| 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 | 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 | Justin L Hoskin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982067849 PECOS PAC ID: 0749602001 Enrollment ID: I20200616000703 |
| Provider Name | George J Kallingal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982809141 PECOS PAC ID: 8527224005 Enrollment ID: I20200619000304 |
| 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 | 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 | 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 | Ethan J Dodge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962938464 PECOS PAC ID: 4183048010 Enrollment ID: I20200723002939 |
| 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 | Hadass Fuerst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306370176 PECOS PAC ID: 6305262023 Enrollment ID: I20200812001931 |
| 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 | Karina Mendez Colon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023653573 PECOS PAC ID: 9739507112 Enrollment ID: I20200824000408 |
| 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 | Brian Michael Daft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053926527 PECOS PAC ID: 9032538509 Enrollment ID: I20201001003287 |
| Provider Name | Aida Rezaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821529983 PECOS PAC ID: 9830462084 Enrollment ID: I20201007002075 |
| Provider Name | Allyson Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964662 PECOS PAC ID: 5092032656 Enrollment ID: I20201013000362 |
| 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 | Rivi Rose Sacks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649898602 PECOS PAC ID: 1254741358 Enrollment ID: I20201030001416 |
| Provider Name | Danielle Leigh Booth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780247429 PECOS PAC ID: 2769892728 Enrollment ID: I20201102001926 |
| Provider Name | Ryan P Adkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417483538 PECOS PAC ID: 3870926553 Enrollment ID: I20201110002345 |
| 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 | Alysse Sky Blight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194327510 PECOS PAC ID: 8921410283 Enrollment ID: I20201210002752 |
| Provider Name | Benjamin Craig Seleen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649896267 PECOS PAC ID: 9638583024 Enrollment ID: I20210126001840 |
| 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 | Nicole M Cota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902491061 PECOS PAC ID: 9234546193 Enrollment ID: I20210322001590 |
| Provider Name | Aditya Paliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780071621 PECOS PAC ID: 6608180559 Enrollment ID: I20210401002368 |
| Provider Name | Tarun Mullick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912906462 PECOS PAC ID: 9032161054 Enrollment ID: I20210426000440 |
| 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 | Adil Lokhandwala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427300029 PECOS PAC ID: 0547524910 Enrollment ID: I20210520002211 |
| 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 | 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 | 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 Lark 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 | 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 | Bradley Geyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740696640 PECOS PAC ID: 7810202603 Enrollment ID: I20210816004053 |
| Provider Name | Amanda Michelle Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134893480 PECOS PAC ID: 3375948524 Enrollment ID: I20210825003735 |
| Provider Name | Lauren Geyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750796728 PECOS PAC ID: 1254612351 Enrollment ID: I20210901001085 |
| Provider Name | Matthew Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669607800 PECOS PAC ID: 4981754256 Enrollment ID: I20210914002985 |
| 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 | 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 | Sreeja Biswas Roy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902218480 PECOS PAC ID: 0345663589 Enrollment ID: I20211013001835 |
| Provider Name | Joshua Adam Makhoul |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1821402793 PECOS PAC ID: 3779890256 Enrollment ID: I20211021001916 |
| Provider Name | Danielle K Zitek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386239895 PECOS PAC ID: 5991193948 Enrollment ID: I20211108001061 |
| Provider Name | Nicholaus James Scarfo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801481312 PECOS PAC ID: 7214326537 Enrollment ID: I20211108001684 |
| Provider Name | Oscar Orlando Campuzano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629663133 PECOS PAC ID: 8921497256 Enrollment ID: I20211108001816 |
| 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 | Hannah Margaret Sadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245902485 PECOS PAC ID: 8527458090 Enrollment ID: I20211124002041 |
| Provider Name | Divyesh Vasant Sejpal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568493245 PECOS PAC ID: 4183641574 Enrollment ID: I20211207001433 |
| 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 | 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 | Kristyn Rose Paszkiewicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720743487 PECOS PAC ID: 2466843370 Enrollment ID: I20220104002206 |
| Provider Name | Maria Pamela Medida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487322418 PECOS PAC ID: 5193117893 Enrollment ID: I20220107002356 |
| Provider Name | Belia Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326792359 PECOS PAC ID: 0446644918 Enrollment ID: I20220225001640 |
| Provider Name | Aaron Timothy Newton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114325289 PECOS PAC ID: 3870816317 Enrollment ID: I20220228000568 |
| Provider Name | Michelle Ellen Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037764 PECOS PAC ID: 2769756493 Enrollment ID: I20220302002678 |
| Provider Name | Peter Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629688775 PECOS PAC ID: 7517366255 Enrollment ID: I20220304002051 |
| 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 | John a Burnett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932151420 PECOS PAC ID: 3971685462 Enrollment ID: I20220504002214 |
| Provider Name | Daniel Israel Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780115832 PECOS PAC ID: 1658758776 Enrollment ID: I20220511001168 |
| Provider Name | Christine J Healey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437353562 PECOS PAC ID: 0446515316 Enrollment ID: I20220516002487 |
| Provider Name | Ryan H Boothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609419142 PECOS PAC ID: 5092192443 Enrollment ID: I20220524002490 |
| Provider Name | Nicholas Cavaretta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013678259 PECOS PAC ID: 6608254784 Enrollment ID: I20220601001977 |
| 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 | Tiana Leilani Gomes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114540390 PECOS PAC ID: 7911386016 Enrollment ID: I20220621000904 |
| 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 | Timothy Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114424801 PECOS PAC ID: 2062892904 Enrollment ID: I20220708002278 |
| Provider Name | Tehut Tefera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710401930 PECOS PAC ID: 2961778774 Enrollment ID: I20220712002102 |
| 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 | Ruth Benzar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770933319 PECOS PAC ID: 5395037691 Enrollment ID: I20220725003056 |
| 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 | Sarah Smiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780071126 PECOS PAC ID: 8224410949 Enrollment ID: I20220727003869 |
| 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 | Hannah L Cavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861142796 PECOS PAC ID: 8921480435 Enrollment ID: I20220801000274 |
| 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 | 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 | 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 | 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 | David H Savage |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063449080 PECOS PAC ID: 9931172525 Enrollment ID: I20221011001868 |
| Provider Name | Paige Banyas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811426992 PECOS PAC ID: 0648646760 Enrollment ID: I20221014000965 |
| Provider Name | Alivia Mayo Iorio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104587773 PECOS PAC ID: 4688040538 Enrollment ID: I20221018000215 |
| Provider Name | Charles Plimpton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891777835 PECOS PAC ID: 4981849486 Enrollment ID: I20221020002464 |
| 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 | Cortland Sterling Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750005005 PECOS PAC ID: 3072980192 Enrollment ID: I20221102002852 |
| 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 | Matthew Douglas Fain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720390107 PECOS PAC ID: 2466693825 Enrollment ID: I20221118002224 |
| Provider Name | Jenine Cortes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699866566 PECOS PAC ID: 8224137013 Enrollment ID: I20221122000696 |
| Provider Name | Christopher James Wysocki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306441811 PECOS PAC ID: 4284003229 Enrollment ID: I20221213002718 |
| 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 | Colby Van Hale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336888510 PECOS PAC ID: 5890165997 Enrollment ID: I20230106000817 |
| Provider Name | Leticia M Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104538180 PECOS PAC ID: 3173994217 Enrollment ID: I20230127000250 |
| 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 | Kendra Lynne Moushey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851058234 PECOS PAC ID: 8921471889 Enrollment ID: I20230224000933 |
| Provider Name | Yu-soon Aileen Park |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265992507 PECOS PAC ID: 5395118806 Enrollment ID: I20230303001344 |
| Provider Name | Steven Whittler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619970050 PECOS PAC ID: 8426083064 Enrollment ID: I20230307000457 |
| 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 | Harrison Lang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285218487 PECOS PAC ID: 6204238512 Enrollment ID: I20230427002134 |
| 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 | Benjamin Nels Cantrill |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467807792 PECOS PAC ID: 0345532230 Enrollment ID: I20230516000973 |
| Provider Name | Matthew Joseph Calhoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942863022 PECOS PAC ID: 7012373152 Enrollment ID: I20230516002747 |
| Provider Name | Paul Russell Crawford |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457843989 PECOS PAC ID: 8123379963 Enrollment ID: I20230516002791 |
| Provider Name | Benjamin Weigman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881222115 PECOS PAC ID: 6002234853 Enrollment ID: I20230516002850 |
| Provider Name | Kevin Sukjo Choi |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1295266203 PECOS PAC ID: 9133585946 Enrollment ID: I20230522001485 |
| Provider Name | Kyle Phipps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447713805 PECOS PAC ID: 9436540051 Enrollment ID: I20230601002692 |
| 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 | Mario Lant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811651193 PECOS PAC ID: 4082072947 Enrollment ID: I20230626000104 |
| Provider Name | Dylan Hoyt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134789456 PECOS PAC ID: 8527482983 Enrollment ID: I20230703002068 |
| Provider Name | Charles P Crooks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992239883 PECOS PAC ID: 1456750769 Enrollment ID: I20230703002756 |
| Provider Name | Ricky L 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 | Leen N Naji |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1952033698 PECOS PAC ID: 6103201686 Enrollment ID: I20230720002122 |
| 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 - Cardiac Electrophysiology |
| 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 | 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 | 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 | 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 | Vikram Prasad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740693548 PECOS PAC ID: 2668782202 Enrollment ID: I20230815002884 |
| Provider Name | John M Tedesco |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104271782 PECOS PAC ID: 2062874555 Enrollment ID: I20230815004128 |
| Provider Name | Andrew Fabian Talon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508328006 PECOS PAC ID: 2668852518 Enrollment ID: I20230816003203 |
| 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 | Aaron Jaffe |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922457894 PECOS PAC ID: 2769713056 Enrollment ID: I20230825003083 |
| 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 | 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 | Catalina Nicole Flores |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003433244 PECOS PAC ID: 1658796131 Enrollment ID: I20230906000755 |
| 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 | Maximilian Nathaniel Vuong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124739131 PECOS PAC ID: 3072969567 Enrollment ID: I20231019000330 |
| 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 | Tatum Thomas Komenda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457085565 PECOS PAC ID: 3274982970 Enrollment ID: I20231206002687 |
| 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 J 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 B 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 | Daniel Stephen Pipkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831653609 PECOS PAC ID: 0941686935 Enrollment ID: I20240216004247 |
| Provider Name | Tiffany Elizabeth Judges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447707393 PECOS PAC ID: 9931543865 Enrollment ID: I20240220001300 |
| Provider Name | Tyler Jeffrey Engle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669198719 PECOS PAC ID: 1850737891 Enrollment ID: I20240312003411 |
| 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 | Martin Errea |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104219757 PECOS PAC ID: 4082951967 Enrollment ID: I20240327001772 |
| Provider Name | Abedelrahim I. Asfour |
|---|---|
| Provider Type | Practitioner - Interventional 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 | Justine Vogel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043765258 PECOS PAC ID: 6103113113 Enrollment ID: I20240504000364 |
| 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 | Richard Bassett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265204994 PECOS PAC ID: 2264874494 Enrollment ID: I20240520003018 |
| 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 | Rhyan Lyndsey Tosti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497504005 PECOS PAC ID: 3870935190 Enrollment ID: I20240531000844 |
| 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 | 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 | Valerie Justine Chen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801415773 PECOS PAC ID: 3678984143 Enrollment ID: I20240624003315 |
| 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 - Interventional 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 | 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 | Anusha Mangalampalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942799358 PECOS PAC ID: 1052664539 Enrollment ID: I20240724001012 |
| Provider Name | Omar S Asad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770162471 PECOS PAC ID: 7517403736 Enrollment ID: I20240724002500 |
| Provider Name | Deron Davies Pulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386497337 PECOS PAC ID: 8820534043 Enrollment ID: I20240724002719 |
| 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 | 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 | Matilda Baraka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952765679 PECOS PAC ID: 2163717661 Enrollment ID: I20240906001814 |
| Provider Name | Vidhya-lakshmi Santosh 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 | Torre L Halscott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114155561 PECOS PAC ID: 6406092147 Enrollment ID: I20241016001326 |
| 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 | Alexander Joseph Friedl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285328161 PECOS PAC ID: 7113450206 Enrollment ID: I20241028003285 |
| 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 | Alyssa Marie Del Dotto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588431571 PECOS PAC ID: 5799210209 Enrollment ID: I20241120004267 |
| Provider Name | Nathan Paul Zwintscher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801044144 PECOS PAC ID: 1153553623 Enrollment ID: I20241206001588 |
| Provider Name | Joel Patrick Tate |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992368823 PECOS PAC ID: 1850828450 Enrollment ID: I20241220000880 |
| Provider Name | Dipak Ramkumar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639412976 PECOS PAC ID: 3870890809 Enrollment ID: I20241226000598 |
| Provider Name | Muhammad Ali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801264353 PECOS PAC ID: 6709135551 Enrollment ID: I20250110001080 |
| Provider Name | Daniel Keesler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205464740 PECOS PAC ID: 5991233306 Enrollment ID: I20250114000418 |
| 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 | Mary Styren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336956507 PECOS PAC ID: 8820518012 Enrollment ID: I20250218002701 |
| Provider Name | Diane C. Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697261 PECOS PAC ID: 9234364639 Enrollment ID: I20250225000254 |
| Provider Name | Christine Elizabeth Gabel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609560770 PECOS PAC ID: 7719403609 Enrollment ID: I20250423002931 |
| Provider Name | Chelsea Louise Colby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568271153 PECOS PAC ID: 9638695828 Enrollment ID: I20250430002967 |
| Provider Name | Abigail Kirschbaum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669076907 PECOS PAC ID: 9335593250 Enrollment ID: I20250502002803 |
| 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 |
| Provider Name | Timothy Richard Fullam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952720104 PECOS PAC ID: 9830488691 Enrollment ID: I20250515001276 |
| Provider Name | Richard Joseph Wruble |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164059531 PECOS PAC ID: 5294253613 Enrollment ID: I20250519002707 |
| Provider Name | Blake Marmie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467088344 PECOS PAC ID: 0749611572 Enrollment ID: I20250520001273 |
| Provider Name | David Casper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316566441 PECOS PAC ID: 6305269499 Enrollment ID: I20250520004504 |
| Provider Name | Caleb Boehler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508495367 PECOS PAC ID: 7911321450 Enrollment ID: I20250527003032 |
| Provider Name | Zachary Morrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568081057 PECOS PAC ID: 7012331374 Enrollment ID: I20250604000119 |
| Provider Name | Jaysen Eduardo Moreno |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316730203 PECOS PAC ID: 4284144965 Enrollment ID: I20250611002051 |
| Provider Name | Ahmad Riad Jabri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477077758 PECOS PAC ID: 6103192356 Enrollment ID: I20250620003403 |
| Provider Name | Lauren Emily Triay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235871674 PECOS PAC ID: 2860904976 Enrollment ID: I20250624003959 |
| Provider Name | Naomi Kis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033746417 PECOS PAC ID: 0840618468 Enrollment ID: I20250630002561 |
| Provider Name | Francisco Javier Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780118133 PECOS PAC ID: 3072027796 Enrollment ID: I20250707001030 |
| Provider Name | Sarah Christine Puma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427779925 PECOS PAC ID: 6002321924 Enrollment ID: I20250711000245 |
| Provider Name | Casey C Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033742614 PECOS PAC ID: 9436550019 Enrollment ID: I20250714001677 |
| Provider Name | Corbin Rasmussen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295241990 PECOS PAC ID: 0648534438 Enrollment ID: I20250716003648 |
| Provider Name | Nikolas Rafael Monteferrante |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457939936 PECOS PAC ID: 8325457815 Enrollment ID: I20250717003244 |
| Provider Name | Paul Alexander Evtimov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649064197 PECOS PAC ID: 0244746287 Enrollment ID: I20250717004016 |
| Provider Name | Ashley Vanessa Madera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457818171 PECOS PAC ID: 3375877038 Enrollment ID: I20250722001510 |
| Provider Name | Cody Weaver |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366973851 PECOS PAC ID: 2466726674 Enrollment ID: I20250728001054 |
| Provider Name | Tommy Toma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275275844 PECOS PAC ID: 6406363225 Enrollment ID: I20250728001242 |
| Provider Name | Carolyn Abraham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275811176 PECOS PAC ID: 1850809112 Enrollment ID: I20250806002588 |
| Provider Name | David Wayne Fields |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790280469 PECOS PAC ID: 6608208350 Enrollment ID: I20250808000851 |
| Provider Name | Rachel Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396205746 PECOS PAC ID: 4385971134 Enrollment ID: I20250814000419 |
| Provider Name | Adam H. Kantor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346702644 PECOS PAC ID: 5890113468 Enrollment ID: I20250818001550 |
| Provider Name | Tom Isaac Finkelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427679844 PECOS PAC ID: 0042633455 Enrollment ID: I20250819005107 |
| Provider Name | Jumanah Nayef Abuasbeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588302459 PECOS PAC ID: 3577063973 Enrollment ID: I20250820005029 |
| Provider Name | Tyler Paul Dejong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477135614 PECOS PAC ID: 4486053535 Enrollment ID: I20250821003467 |
| Provider Name | Theodore Mo Lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962031963 PECOS PAC ID: 7416458534 Enrollment ID: I20250829003214 |
| Provider Name | Yajing Yan Yan Xiong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982167797 PECOS PAC ID: 0143557611 Enrollment ID: I20250906000708 |
| Provider Name | Jasraj Singh Kahlon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134869803 PECOS PAC ID: 9638672983 Enrollment ID: I20250911004681 |
| Provider Name | David W Silvestre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619315967 PECOS PAC ID: 1456665769 Enrollment ID: I20250912003096 |
| Provider Name | Madyson Monroe Wellcome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770476210 PECOS PAC ID: 5294238150 Enrollment ID: I20250915002909 |
| Provider Name | Monica C Acevedo Molina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659263945 PECOS PAC ID: 2365945235 Enrollment ID: I20250915003254 |
| Provider Name | Danny C Lizano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467603134 PECOS PAC ID: 9830232826 Enrollment ID: I20250916002335 |
| Provider Name | Mercedes Nikzad |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1558822270 PECOS PAC ID: 5991039877 Enrollment ID: I20250917001049 |
| Provider Name | Usman Aslam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225590110 PECOS PAC ID: 0840692976 Enrollment ID: I20250919001602 |
| Provider Name | Paul B Kang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417657305 PECOS PAC ID: 9234599580 Enrollment ID: I20250924003192 |
| Provider Name | Ronald L Jones |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255541876 PECOS PAC ID: 6901088640 Enrollment ID: I20251009002068 |
| Provider Name | Eliran Eli Zadikov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336883065 PECOS PAC ID: 5193212215 Enrollment ID: I20251014000874 |
| Provider Name | Stephanie E Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20251015004437 |
| Provider Name | Hadia Yaqub Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376267658 PECOS PAC ID: 0345616470 Enrollment ID: I20251021003414 |
| Provider Name | Edwin Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740672112 PECOS PAC ID: 4486963725 Enrollment ID: I20251029001242 |
| Provider Name | Heather Nicole Gerald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780490490 PECOS PAC ID: 2668961509 Enrollment ID: I20251030001886 |
| Provider Name | Victor Andres Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801602503 PECOS PAC ID: 2365932738 Enrollment ID: I20251104004235 |
| Provider Name | Heather Nicole Boakye-wenzel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023407483 PECOS PAC ID: 7618285966 Enrollment ID: I20251110002476 |
| Provider Name | Kailey R Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033827175 PECOS PAC ID: 1456726785 Enrollment ID: I20251120001869 |
| Provider Name | Aubrey Louise Michels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245046945 PECOS PAC ID: 6103318811 Enrollment ID: I20251120002290 |
| Provider Name | Jaime Pineda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386887818 PECOS PAC ID: 1355580192 Enrollment ID: I20251126004018 |
| Provider Name | Tara Washington |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780621276 PECOS PAC ID: 2860485711 Enrollment ID: I20251206000414 |
| Provider Name | Emma Ross |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578431193 PECOS PAC ID: 5294228268 Enrollment ID: I20251208001508 |
| Provider Name | Tess Harnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467078469 PECOS PAC ID: 5294229233 Enrollment ID: I20251208003896 |
| Provider Name | Shayan Rayani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528226941 PECOS PAC ID: 6305070434 Enrollment ID: I20251209002165 |
| Provider Name | Berlin Renee Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114768413 PECOS PAC ID: 9436644184 Enrollment ID: I20251219001182 |
| Provider Name | Ana Maria Grace |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770697492 PECOS PAC ID: 0941243869 Enrollment ID: I20251222001212 |
| Provider Name | Nalah Morrow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912782566 PECOS PAC ID: 9537515630 Enrollment ID: I20260127001970 |
| Provider Name | Hannah Elizabeth Kiesling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164389045 PECOS PAC ID: 1850879214 Enrollment ID: I20260128002402 |
| Provider Name | Yohan Jang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730448663 PECOS PAC ID: 3274830781 Enrollment ID: I20260319003502 |
| Provider Name | Jeremy Michael Sakkas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649991399 PECOS PAC ID: 4183108772 Enrollment ID: I20260321000011 |
| Provider Name | Gabriel Nkumu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437983640 PECOS PAC ID: 4587130737 Enrollment ID: I20260415003768 |
| Provider Name | Shelby Stratton Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689523532 PECOS PAC ID: 8224507546 Enrollment ID: I20260515002433 |
| Provider Name | Varun Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811559628 PECOS PAC ID: 6204371867 Enrollment ID: I20260522003236 |
| Provider Name | Ashley Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427346246 PECOS PAC ID: 5698945434 Enrollment ID: I20260522003370 |
| Provider Name | Erum Lodhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811646482 PECOS PAC ID: 2163992157 Enrollment ID: I20260601001065 |
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 270, Phoenix, AZ 85029 Phone: 623-404-8505 Fax: 602-429-8475 |